A bill for an act relating to nursing facility revenue requirements.

SF 526 requires Iowa nursing facilities to spend at least 70% of their total income on resident care goods/services (like staff salaries, medications, and supplies) and at least 40% specifically on direct care staff salaries, beginning January 1, 2026. Facilities must also send any income exceeding 105% of their expenses to a new "Aging Iowans Care Fund" in the state treasury. The bill prohibits new licenses or license renewals for non-compliant facilities and allows waivers for "unexpected circumstances" after review by the licensing department and the long-term care ombudsman. This directly affects all Iowa nursing facilities seeking licensing or renewal after 2025.