A bill for an act relating to health care including a funding model for the rural health care system; the elimination of several health care-related award, grant, residency, and fellowship programs; establishment of a health care professional incentive program; Medicaid graduate medical education; the health facilities council; and the Iowa health information network, making appropriations, and including effective date provisions.

SSB 1163 establishes a new "hub-and-spoke" funding model to improve Iowa's rural healthcare system by enabling regional collaboration among providers. It replaces several existing programs, including the Primary Care Provider Loan Repayment Program, with a new "PRIMECARRE" initiative offering grants and loan repayment for healthcare professionals in underserved areas. The bill creates a dedicated health workforce grant fund that rolls over unspent funds annually to support rural communities and special populations. These changes directly affect rural healthcare providers, communities facing workforce shortages, and the Department of Health and Human Services, which administers the new programs.