A bill for an act relating to the minimum per hour wage provided to home health aides under the Medicaid program, and making an appropriation.

HF 2264 sets a minimum hourly wage of $15.20 for home health aides working under Iowa's Medicaid program, effective July 1, 2026. The bill requires the Department of Health and Human Services to adjust Medicaid reimbursement rates for home health agencies to ensure this minimum wage is met. It also appropriates state general funds to cover the cost of these higher reimbursements for the 2026-2027 fiscal year. This directly affects home health aides providing Medicaid-covered services and home and community-based waiver services in Iowa.