This bill makes several changes related to emergency services provided by cities. It clarifies that cities can provide compensation, stipends, or benefits to volunteer firefighters and emergency medical care providers even if they hold other city offices. The bill also allows a currently serving city council member to be appointed as a volunteer fire chief, provided they abstain from voting on their own appointment. Furthermore, it permits cities to establish dedicated funds or reserve accounts for acquiring and maintaining major equipment for police, fire, rescue, and emergency medical services. These funds will receive insurance settlements or other payments for damaged emergency equipment, with a provision for reimbursing the city's general fund if it covered initial repair or replacement costs.
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Public Safety
This bill modifies Iowa's existing law concerning school concussion and brain injury policies. It specifically expands the definition of "licensed health care provider" for the purpose of clearing students to return to extracurricular interscholastic activities after experiencing a concussion or brain injury. Under this bill, a person who holds a doctorate in psychology with specialty training in neuropsychology or concussion management would be added to the list of professionals who can provide such clearance. This change directly affects students participating in school activities and the range of medical professionals involved in their return-to-play protocols.
This bill expands Iowa's "Right to Try" Act by broadening the definition of an "eligible patient." Previously limited to individuals with terminal illnesses, the bill now includes patients with life-threatening or severely debilitating illnesses. These patients can access "individualized investigational treatments," which are drugs or products unique to their genetic profile and have successfully completed Phase 1 clinical trials. The bill also defines "eligible facilities" and updates the specific requirements for written informed consent for patients with terminal illnesses.
This bill creates a new state tax on health maintenance organizations in Iowa, requiring them to pay a percentage of their taxable funds to a newly established Medicaid managed care organization premiums health care tax fund. The tax rate starts at 3.5% for the first nine months of 2026, then drops to 0.95% for the remainder of that year and all subsequent years. Organizations must make prepayments based on prior year earnings and face potential license suspension for non-payment. The bill also allows insurers to offset certain assessments against this new tax liability and includes provisions for tax refunds and examination periods.
This bill creates a new health care-related tax on health maintenance organizations operating in Iowa, with revenues deposited into a new Medicaid managed care organization premiums health care tax fund. The tax rate begins at 3.5% for the first nine months of 2026 before dropping to 0.95% for the remainder of that year and all subsequent years, applying to payments made by these organizations for health care services and benefits. The legislation also establishes prepayment requirements, allowing organizations to pay estimated taxes in advance and receive credits or cash refunds if they overpay. Additionally, the bill includes provisions for tax collection, penalties for late payments, and the ability to offset certain assessments against this new tax liability.
This bill creates a state-funded health insurance subsidy program to help Iowans maintain affordable health coverage after federal subsidies expire in 2026. It establishes a new state fund that will provide financial assistance equal to the value of the federal premium tax credit that would have been available in 2025, ensuring residents do not lose coverage due to the federal funding reduction. The program requires applicants to submit standard health insurance application information including income and immigration status, with subsidies potentially available retroactively from January 1, 2026. State agencies will develop an online application system, and the bill appropriates state funds for the 2026-2027 fiscal year to cover these subsidies until federal credits are restored.
This bill creates a new health care-related tax on health maintenance organizations operating in Iowa, directing the collected funds to a new Medicaid managed care organization premiums health care tax fund. The tax rate starts at 3.5% for the first nine months of 2026 before dropping to 0.95% for the remainder of that year and continuing at that lower rate in subsequent years. Health maintenance organizations must pay the tax annually by March 1 and can make prepayments throughout the year to offset their liability. The legislation also includes provisions for tax refunds, penalties for late payments, and allows insurers to offset certain assessments against their tax liability.
This bill creates a new licensing system for companies that use artificial intelligence to provide medical services in Iowa, requiring them to register with a newly formed Board of Autonomous Medical Practice. The legislation defines different types of AI medical tools, from advisory systems that suggest diagnoses to fully autonomous AI that can independently make clinical decisions, and establishes specific roles for oversight including medical directors and designated responsible officials. Key provisions include setting up a board with diverse membership from healthcare professionals, technology experts, and the public, while also defining terms like adverse events and reportable incidents to ensure accountability. The bill does not currently specify the application process or fees but focuses on creating the regulatory framework and board structure needed to oversee these new AI medical services.
This bill requires the Iowa Department of Education to create and submit a report on cardiac emergency preparedness in schools. The report will detail how many schools have implemented cardiac emergency response plans and list the number and locations of automated external defibrillators at each school. The department must complete this report and send it to the General Assembly by January 15, 2027. The legislation applies to all public school districts, accredited nonpublic schools, and charter schools in the state.
This bill creates a new health care-related tax on health maintenance organizations operating in Iowa, requiring them to pay 0.95% of their taxable funds to a newly established Medicaid managed care organization premiums health care tax fund. The tax applies to payments received from enrollees for health care services and benefits, while excluding certain federal payments, and includes provisions for prepayment, credit refunds, and enforcement measures like license suspension for nonpayment. Additionally, the legislation appropriates funds from the taxpayer relief fund and supplements appropriations to the Department of Health and Human Services, with specific effective dates and retroactive applicability provisions included.
