A bill for an act relating to reporting requirements for the department of health and human services for shelter care, qualified residential treatment providers, and medical assistance provider reimbursement rates.

This bill requires Iowa's Department of Health and Human Services (HHS) to establish regular reviews of reimbursement rates for key health services. Specifically, HHS must conduct biennial reviews of shelter care and residential treatment provider rates (reporting results by October 1 each year) and annual reviews comparing medical assistance rates to Medicaid rates in neighboring states, comparable-population states, and Medicare (reporting by December 1). For home and community-based service waivers, HHS must begin biennial reviews starting July 2026, analyzing state costs, service utilization, and provider capacity, with final reports including proposed rate models and fiscal impact by December 31. These reports are required for the governor and legislature to inform potential rate adjustments.