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Iowa Congressional Bills

Browse federal bills sponsored by your state's delegation.

State Legislature US Congress

All 5,299 Active 27 In committee 4,508 Passed 673 Signed 113 Failed 12

in committee · Iowa · Senate May 21, 2026

S 4617: Exchange Stabilization Fund Transparency Act

The Exchange Stabilization Fund Transparency Act requires the Treasury Secretary to notify Congress at least 24 hours before using the Exchange Stabilization Fund to provide financial assistance to foreign governments or entities. This notification must include detailed information about the nature and cost of the aid, an explanation of how it serves U.S. national interests, risk assessments, and any conditions attached to the funding. Additionally, the bill mandates a briefing for Congress within seven days of such assistance and requires a comprehensive report within 30 days covering all similar actions taken in the four years prior to the law's enactment.

Topics ✓ Budget & Taxes

in committee · Iowa · House May 21, 2026

HRES 1315: Expressing support for the designation of May 2026 as "Renewable Fuels Month" to recognize the important role that renewable fuels play in lowering fuel prices for consumers, lessening reliance on foreign adversaries, supporting rural communities, and reducing carbon impacts.

This bill is a non-binding resolution that expresses support for designating May 2026 as 'Renewable Fuels Month.' It aims to highlight the economic and environmental benefits of renewable fuels, such as ethanol and biodiesel, which are used in vehicles and aviation. The resolution recognizes how these fuels help lower consumer prices, create jobs in rural areas, reduce reliance on foreign oil, and decrease greenhouse gas emissions. Because this is a symbolic gesture rather than a law with enforceable rules, it does not change any existing policies or regulations.

Topics ✓ Energy ✓ Environment ✓ Transportation

in committee · Iowa · House May 21, 2026

HR 9007: Constance C. McDaniel Medically Necessary Infant Formula and Donor Milk Act

This bill, titled the Constance C. McDaniel Medically Necessary Infant Formula and Donor Milk Act, directs the Department of Health and Human Services to create a three-year pilot program that provides financial assistance to eligible parents for purchasing infant formula or donor milk. To receive aid, parents must have a child under one year old who cannot breastfeed due to specific medical conditions, such as maternal illness, adoption, or infant digestive issues, and must not already qualify for the Special Supplemental Nutrition Program for Women, Infants, and Children. The program offers flexible funding methods like vouchers or reimbursements and requires the government to evaluate its effectiveness annually while reporting results to Congress. The initiative is authorized for a total of $60 million over four fiscal years and will end three years after the law is enacted.

Topics ✓ Budget & Taxes ✓ Healthcare

in committee · Iowa · House May 21, 2026

HR 8967: Rural Community Hospital Demonstration Program Reauthorization

This bill extends the Rural Community Hospital Demonstration Program by an additional five years, allowing rural hospitals to continue receiving Medicare payment adjustments designed to help them compete with larger health systems. The legislation amends existing federal laws to change the program's timeline from a 15-year extension to a 20-year extension, ensuring these financial incentives remain in place for a longer period. It also includes specific rules for hospitals that joined the program later, ensuring they receive the same extended benefits during the final years of the new timeframe. The primary effect is to maintain current funding mechanisms for participating rural hospitals without altering the core rules of the demonstration.

Topics ✓ Healthcare

Randy Feenstra (R) · 21 co-sponsors

in committee · Iowa · House May 21, 2026

HR 8163: Provider Reimbursement Stability Act of 2026

This bill, the Provider Reimbursement Stability Act of 2026, aims to create more predictable payment adjustments for physicians and other healthcare providers under the Medicare program. It directly affects medical practices and providers who receive reimbursement for services through the physician fee schedule. The legislation increases a threshold for certain budget neutrality calculations from $20 million to $54.3 million in 2027, with automatic increases every five years thereafter. It also requires the government to correct payment estimates when actual service usage differs significantly from projections, mandates regular updates to cost calculations for practice expenses, and limits how much Medicare payment rates can change from year to year to a maximum of 2.5 percent.

Topics ✓ Healthcare

in committee · Iowa · House May 21, 2026

HR 3164: Ensuring Community Access to Pharmacist Services Act

This bill would add pharmacist services to Medicare Part B coverage for beneficiaries, specifically covering pharmacist-led testing and treatment for illnesses like flu, COVID-19, or strep throat during public health emergencies. It defines covered services as those performed under state law, often requiring collaboration with a physician, and sets payment at 80% of the lesser of the actual charge or 85% of physician payment rates. Pharmacists would be prohibited from balance billing for these services, ensuring Medicare beneficiaries pay only their standard copayment. The changes would take effect January 1, 2026.

Topics ✓ Healthcare

Adrian Smith (R) · 141 co-sponsors

in committee · Iowa · House May 21, 2026

HR 2145: Recycling Infrastructure and Accessibility Act of 2025

The Recycling Infrastructure and Accessibility Act of 2025 establishes a competitive federal grant program to fund projects improving recycling access in underserved communities. It authorizes $30 million annually (2025-2029) for grants to states, local governments, tribes, or public-private partnerships to build infrastructure like transfer stations, expand curbside collection, or reduce transport costs. Grants must be $500,000-$15 million, with 70% reserved for projects in communities lacking a materials recovery facility within 75 miles. The program requires grantees to report on implementation and outcomes, excluding funding for recycling education.

Topics ✓ Environment

passed · Iowa · House May 21, 2026

HR 1993: 25th Anniversary of 9/11 Commemorative Coin Act

This bill authorizes the U.S. Mint to produce commemorative $5 gold and $1 silver coins marking the 25th anniversary of the September 11, 2001, terrorist attacks. The coins must feature designs honoring victims and first responders (including the inscription "Never Forget") and will be sold only during 2027-2028. All surcharges ($35 per gold coin, $10 per silver coin) collected from sales will fund the National September 11 Memorial and Museum at the World Trade Center, with no net cost to the federal government. The coins are legal tender but primarily intended for collectors, not circulation.

Topics ✓ Budget & Taxes

failed · Iowa · House May 21, 2026

HR 1329: Smithsonian American Women’s History Museum Act

The Smithsonian American Women’s History Museum Act authorizes the creation of a new Smithsonian museum dedicated to women’s history, to be located within the National Mall Reserve in Washington, D.C. If the site is managed by another federal agency, the bill requires that agency to transfer the land after notifying Congress and relevant committees. The museum must ensure exhibits and programs accurately represent diverse women’s experiences by consulting a broad range of experts and community voices. The Smithsonian will submit biennial reports to Congress detailing how the museum meets these representation standards.

in committee · Iowa · House May 20, 2026

HR 6580: VA National Formulary Act of 2025

The VA National Formulary Act of 2025 creates a single, uniform list of drugs available at all VA medical facilities, replacing any local drug lists. It establishes a Pharmacy and Therapeutics Committee to make evidence-based decisions on drug inclusion (reviewing new FDA-approved drugs within 120 days) and sets up a 96-hour timeline for processing veterans' requests for nonformulary drugs. The VA must report annual formulary changes to Congress and implement a tiered copayment system that lowers costs for formulary drugs. The bill also includes provisions for negotiating drug discounts and value-based agreements to achieve cost savings.

Topics ✓ Healthcare ✓ Veterans

passed · Iowa · House May 20, 2026

HR 3726: Fisher House Availability Act of 2026

This bill expands access to Fisher Houses - temporary lodging near VA medical facilities - for veterans receiving care at non-VA locations who travel significant distances, and for family members providing support during treatment. It adds specific rules allowing these groups to use available space in Fisher Houses on a space-available basis, without changing existing funding or facility construction. Fisher Houses are privately donated facilities managed by the Fisher House Foundation and located near VA medical centers. The bill clarifies eligibility under current VA lodging programs but does not create new housing or alter costs.

Topics ✓ Healthcare ✓ Veterans

in committee · Iowa · House May 19, 2026

HRES 1301: Supporting the designation of May 29, 2026, as "Mental Health Awareness in Agriculture Day" to raise awareness around mental health in the agricultural industry and workforce and to continue to reduce stigma associated with mental illness.

This resolution designates May 29, 2026, as "Mental Health Awareness in Agriculture Day" to highlight mental health issues within the farming and agricultural workforce. It aims to reduce the stigma surrounding mental illness by acknowledging the unique stressors faced by producers and workers, such as unpredictable weather, labor shortages, and market fluctuations. The bill also draws attention to available support resources, specifically the Farm and Ranch Stress Assistance Network, and encourages the public to observe the day as a way to promote well-being in the industry.

Topics ✓ Healthcare ✓ Labor & Employment

Mike Bost (R) · 22 co-sponsors