A bill for an act relating to nursing facilities and submission of the financial and statistical report.

SF 531 requires Iowa nursing facilities to exclude certain non-patient-care expenses from their financial reports to the state. Specifically, facilities cannot include association dues, lobbying fees, unused retainers, employee-related fees, or most legal costs in their reports. However, facilities may include professional fees directly tied to patient care and limited legal expenses (with strict hourly rate caps based on violation severity) if they prevailed in related disputes. The bill updates reporting rules to focus on costs directly related to resident care, not administrative or advocacy activities. This change affects all nursing facilities submitting financial reports to Iowa's Department of Health and Human Services.