This bill modifies Iowa school funding rules by changing how certain shared staff positions count toward a school district's annual funding cap. Starting July 1, 2024, funding for college/career transition counselors no longer counts toward the 21-pupil maximum. Starting July 1, 2025, funding for master social workers, licensed social workers, mental health professionals, and school resource officers also won't count toward this cap. School districts using these staff will have more flexibility to allocate funding toward other shared operational functions within the 21-pupil limit. The change affects all Iowa school districts receiving supplementary funding for shared staff services.
SF 476 increases Iowa's personal needs allowance under the medical assistance program from $50 to $65 per month for residents of nursing facilities, intermediate care facilities for intellectual/mental disabilities, or psychiatric medical institutions for children. It requires the state to provide supplements to residents with income below $65 to reach the full allowance amount, and mandates annual inflation adjustments starting July 2026 based on the Midwest CPI index (capped at $100 monthly). The Department of Health and Human Services must biennially report on recipients and disbursements to the legislature, beginning January 2027. This directly affects low-income residents in long-term care facilities by increasing their monthly personal spending allowance.
SF 399 increases Iowa's maximum number of licensed medical cannabidiol dispensaries from five to ten. It removes a requirement that dispensaries must begin operations by December 1, 2018, and specifies that the Iowa Department of Health will accept applications for new or renewed licenses by April 1 each year, with final licensing decisions by December 1. This bill directly affects medical cannabis dispensaries seeking to operate in Iowa and the state department responsible for issuing licenses. The changes simplify the licensing process by expanding capacity and eliminating a specific start-date deadline.
HF 970 allocates $1 million for Iowa's Double Up Food Bucks program, which helps SNAP recipients buy fresh produce at farmers markets and grocery stores. It requires grant recipients to match funds dollar-for-dollar and ensures the funds remain available beyond the fiscal year. The bill also seeks federal approval to restrict SNAP-eligible foods to healthy items like fruits, vegetables, whole grains, and lean proteins. This food eligibility change would take effect only after the USDA approves the modification. The program funding becomes effective upon federal approval of the food rules.
SF 288 requires public colleges and universities governed by the Board of Regents and community colleges to provide academic accommodations for students who are pregnant or who recently gave birth. The law specifically allows these students to withdraw from courses without academic penalty if pregnancy or childbirth prevents them from continuing their studies. Institutions must also provide clear information about available support services, including health care and childcare resources. This policy directly affects pregnant and postpartum students enrolled at these specific public higher education institutions.
SF 315, known as the "Iowa Competitive Pharmacy Benefits Managers Marketplace Act," aims to reduce prescription drug costs for public employees in self-funded state health plans. The bill mandates that the state department procure pharmacy benefits manager (PBM) services through a "reverse auction" process. This online, competitive bidding system allows PBMs to offer progressively lower prices for their services. Additionally, the department must acquire a technology platform to conduct these auctions and perform detailed, line-by-line audits of PBM claims to ensure contract compliance. The first PBM contract awarded through this new system is scheduled to take effect on January 1, 2026.
HF 300 creates a multi-state agreement (compact) allowing physician assistants licensed in one participating state to practice in other compact states without needing separate licenses. It directly affects physician assistants seeking to work across state lines and healthcare facilities in participating states. The key provision establishes a standardized licensing process where a license issued by one compact state is recognized by all others in the agreement. This reduces administrative barriers for physician assistants and expands their ability to provide care in multiple states without reapplying for licenses. The bill was signed into law by the Governor on May 27, 2025.
HF 516 creates priority access for residency and fellowship positions at the University of Iowa’s colleges of medicine and dentistry, directly affecting UI’s medical programs and their affiliated hospitals and clinics. The bill requires state-funded training programs to prioritize applicants from these UI institutions when filling medical residency and fellowship roles. Now law after Governor signed it on June 11, 2025, this policy change aims to strengthen UI’s medical education pipeline without altering broader admission standards for other institutions.
HF 310 strengthens penalties for assaults targeting specific professionals, including healthcare providers. The bill makes existing assault penalties applicable when attacks occur against individuals working in certain occupations, such as healthcare. It directly affects individuals in these professions by ensuring assaults against them face the same legal consequences as other violent crimes. The key provision clarifies that penalties for assaulting these workers will be enforced without additional modifications to existing law.
HF 385 requires hospitals and facilities treating involuntarily committed mental health patients in Iowa to implement specific discharge protocols. Before releasing a patient, facilities must refer them to an administrative services organization, assess suicide risk, provide a 15-day supply of prescribed medications (with reimbursement options if not covered), and create a detailed discharge report including care plans, medication lists, and appointment details. This bill directly affects hospitals, patients under involuntary commitment, and administrative services organizations responsible for coordinating post-discharge care. The law also mandates quarterly reports from these organizations to the state department and requires facilities to notify courts of discharges for confirmation.
