Healthcare

died · Iowa · House Mar 9, 2026

HF 814: A bill for an act relating to a pregnant minor’s legal capacity to consent to the provision of certain medical care.

HF 814 allows pregnant minors in Iowa to consent to prenatal, intrapartum, and postnatal medical care from specific healthcare providers if their parent, guardian, or legal custodian is not reasonably available. The bill directly affects pregnant minors who lack immediate access to a parent or guardian for medical decisions. It establishes that minors gain legal capacity to consent to this care, but healthcare providers must still obtain informed consent directly from the minor. The bill does not change existing requirements for providers to ensure minors understand their care options.

Topics ✓ HealthcareSupports HealthcareEnables pregnant minors to consent to prenatal/postnatal care without parental involvement, improving access to essential healthcare services for a vulnerable group.95% confidence

Sub-Topics Women's Health

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in committee · Iowa · House Mar 6, 2025

HF 815: A bill for an act relating to annual automatic increases in Medicaid provider reimbursement rates.

HF 815 requires Iowa's Medicaid program to automatically increase reimbursement rates for healthcare providers by 2.5% each July 1, regardless of other inflation adjustments. This applies to all providers enrolled in Medicaid as of July 1 of the prior year, directly affecting hospitals, clinics, and other medical service providers who bill Medicaid. The bill overrides existing laws about inflation indexing, mandating this specific percentage increase annually without additional legislative action. It ensures providers receive predictable, annual payment adjustments tied solely to this fixed rate.

Topics ✓ Budget & TaxesSupports Budget & TaxesMandates annual 2.5% Medicaid reimbursement increases, directly increasing state budget expenditure on healthcare services and public program funding.92% confidence ✓ HealthcareSupports HealthcareMandates annual 2.5% Medicaid reimbursement increases for providers, strengthening funding for healthcare services and improving provider access to Medicaid patients.95% confidence

Sub-Topics Medicaid

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in committee · Iowa · House Mar 6, 2025

HF 808: A bill for an act relating to managed care organization chargebacks and third-party auditors.

HF 808 requires Iowa managed care organizations (MCOs) administering the state's medical assistance program to issue chargebacks to healthcare providers within 12 months of reimbursing them. It also mandates that MCOs negotiate fixed fees with third-party auditors before audits begin, prohibiting MCOs from paying auditors based on the percentage of chargebacks identified. These provisions directly affect MCOs contracted with Iowa's Department of Health and Human Services and the healthcare providers they reimburse. The bill aims to prevent delays in billing disputes and ensure auditor compensation is not tied to identifying more chargebacks.

Topics ✓ HealthcareSupports HealthcareRequires timely provider payments and fair audit fees, reducing payment delays and disputes in medical assistance programs.85% confidence

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in committee · Iowa · House Mar 7, 2025

HSB 99: A bill for an act relating to pharmacy benefits managers, pharmacies, and prescription drugs and including applicability provisions.

This bill regulates pharmacy benefits managers (PBMs) to prevent unfair practices affecting patients and pharmacies. It bans "spread pricing" (where PBMs charge insurers more than they pay pharmacies) and prohibits PBMs from restricting patient choice of pharmacy, imposing extra certification requirements beyond state law, or forcing mail-order use. The bill requires PBMs to calculate patient costs using all rebates received and apply patient payments toward deductibles. It directly affects PBMs, pharmacies, and patients covered by health plans in Iowa.

Topics ✓ HealthcareSupports HealthcareBans PBM 'spread pricing' and restricts patient choice limitations, directly protecting patients from unfair costs and improving access to pharmacy services per bill summary.92% confidence

Sub-Topics Prescription Drugs

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in committee · Iowa · Senate Mar 5, 2025

SSB 1163: 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.

Topics ✓ HealthcareSupports HealthcareEstablishes hub-and-spoke funding model, new PRIMECARRE grants, and rolling health workforce fund to improve rural healthcare access and provider incentives.95% confidence

Sub-Topics Primary Care

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passed · Iowa · House Mar 10, 2025

HF 313: A bill for an act relating to testimony at involuntary commitment hearings by physician assistants and advanced registered nurse practitioners.

This bill allows physician assistants and advanced registered nurse practitioners (ARNPs) to testify at Iowa's involuntary commitment hearings on behalf of licensed physicians or mental health professionals who examined the respondent. To qualify, the PA/ARNP must provide three sworn statements: confirming they witnessed the exam, reviewed the written report, and that the primary provider cannot attend. It applies to both mental health and substance abuse commitment hearings, directly affecting respondents, their attorneys, and healthcare providers involved in these proceedings. The change streamlines testimony options while maintaining court oversight for waiver decisions.

Topics ✓ HealthcareSupports HealthcareAllows PAs/ARNPs to testify in mental health commitment hearings, improving access to timely proceedings without primary provider presence, strengthening mental health service continuity.95% confidence

Sub-Topics Healthcare Workforce Substance Abuse

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in committee · Iowa · Senate Mar 10, 2025

SF 501: A bill for an act relating to medical assistance program and Hawki program coverage for standard fertility preservation services.

SF 501 requires Iowa's health department to seek federal approval to add coverage for standard fertility preservation services under Medicaid (medical assistance program) and the Hawki program. It directly affects Iowans facing fertility risks from medical treatments like cancer care, including procedures such as egg retrieval and embryo transfers. The bill mandates coverage for up to three completed egg retrievals with unlimited embryo transfers, following American Society for Reproductive Medicine guidelines. Upon federal approval, these programs must immediately provide this coverage to eligible individuals.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid/Hawki coverage for fertility preservation services, increasing access for cancer patients facing fertility risks from medical treatments.95% confidence

Sub-Topics Medicaid

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in committee · Iowa · Senate Mar 10, 2025

SF 484: A bill for an act relating to Hawki coverage for applied behavior analysis services including a state plan amendment waiver for the children’s health insurance program.

This bill requires Iowa's children's health insurance program (CHIP) to cover applied behavior analysis (ABA) services for eligible children. It directs the Department of Health and Human Services to seek federal approval for this coverage expansion by submitting a state plan amendment to Medicare and Medicaid services. The change would directly affect children enrolled in CHIP who require ABA therapy, commonly used for developmental conditions like autism. The bill mandates that the medical assistance advisory council adopt rules to include ABA as a covered benefit in qualifying health plans under federal guidelines. It does not create new funding but modifies existing CHIP coverage to add this service.

Topics ✓ HealthcareSupports HealthcareExpands CHIP coverage for ABA therapy (mental health service), improving access for children with autism under public health program.95% confidence

Sub-Topics Children's Health Medicaid Medicare

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passed · Iowa · House Mar 10, 2025

HF 312: A bill for an act relating to orders for treatment of persons experiencing psychiatric deterioration.

This bill defines "psychiatric deterioration" in Iowa law as a condition where a person cannot understand their need for treatment, has a history of avoiding treatment, and is likely to worsen without intervention (Section 229.1). It requires court applications for involuntary treatment to specifically state this condition, rather than using broader terms (Sections 1, 7, 229.6). The bill also shortens the timeline for court hearings after a mental health evaluation (to 48 hours, excluding weekends/holidays) and clarifies procedures for hospitalizing individuals experiencing this deterioration (Sections 8, 9). It directly affects people facing mental health crises, hospitals, and courts handling involuntary commitment cases.

Topics ✓ HealthcareSupports HealthcareClarifies criteria for involuntary psychiatric treatment and shortens court hearing timelines, improving access to mental health care services.95% confidence

Sub-Topics Mental Health

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in committee · Iowa · Senate Mar 10, 2025

SF 529: A bill for an act relating to nursing facilities and cost reports.

SF 529 requires nursing facilities in Iowa to include a signed affidavit in their annual cost reports submitted to the Department of Health and Human Services. The affidavit, signed by the facility owner or chief executive officer, must state that all reported costs are accurate and that Medicaid claims were submitted in good faith. This bill directly affects nursing facilities that submit cost reports for Medicaid reimbursement. The key provision adds a verification step to ensure transparency in cost reporting, without changing Medicaid payment rules or facility requirements.

Topics ✓ HealthcareSupports HealthcareMandates accurate cost reporting and good faith Medicaid claims for nursing facilities, ensuring transparency and preventing fraud in healthcare funding, supporting system integrity.85% confidence

Sub-Topics Long-Term Care

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