Rep. Elizabeth Wilson

Maddy summaryHF 213 limits pharmacy benefits managers (PBMs) in Iowa by requiring that payments made by health plan members for prescriptions count toward their deductible. It prohibits PBMs from charging different fees based on which pharmacy a member uses or blocking members from filling prescriptions at any in-state pharmacy that accepts their plan’s terms. The bill also bans PBMs from forcing members to use mail-order pharmacies exclusively for prescription drugs. These changes directly affect PBMs, pharmacies, and health plan members in Iowa, applying to PBMs managing prescription drug benefits in the state after the bill’s effective date.

Maddy summaryHF 267 expands the definition of "cancer" in Iowa's public retirement systems to include all types of cancer, replacing specific references with a general medical definition. This change directly affects members of the Public Safety Peace Officers' Retirement System (PORS) and the Municipal Fire and Police Retirement System (411 System), making more cancer diagnoses eligible for accidental disability and death benefits. The bill also extends this broader definition to the Iowa Public Employees' Retirement System for in-service disability retirement. As a result, retirees or their families in these systems will now qualify for benefits for a wider range of cancer diagnoses under existing policies.

Maddy summaryHF 218 designates March 3 of each year as Triple Negative Breast Cancer Action and Awareness Day through an annual gubernatorial proclamation. The bill does not create a state holiday or alter existing laws. It directly affects public awareness efforts for triple negative breast cancer by establishing an official day for education and advocacy. The key mechanism is the governor's annual proclamation, requested by the legislature, to highlight this specific cancer type.

Maddy summaryHF 251 requires Iowa's state board of education to publish detailed information about nonpublic schools accredited by independent agencies. The board must list each school, the specific educational standards the accrediting agency required for accreditation, and any amendments or waivers to those standards. This information will be posted on the education department's website and updated annually by June 30. The bill expands transparency by making school-level accreditation details publicly available, moving beyond the current requirement that only listed accrediting agencies.

Maddy summaryHF 214 changes how Iowa school districts receive state funding for approved preschool programs. It increases the "preschool budget enrollment" from 50% to 100% of actual eligible student enrollment on October 1 (or the first Monday in October if October 1 falls on a weekend) when calculating funding. For districts newly approved to participate, it also modifies the initial year funding calculation to use 60% of eligible enrollment instead of the previous method. This bill applies to school budget years starting July 1, 2026, directly affecting school districts offering state-approved preschool programs.

Maddy summaryHF 152 directs Iowa to apply for and participate in the federal Summer Electronic Benefits Transfer (EBT) for Children program, which provides food assistance to children during summer months when school meals are unavailable. The bill requires the Department of Health and Human Services (with Education) to submit an application to the USDA by February 2025 and appropriates state funds to cover administrative costs for the summer 2025 program. It directly affects approximately 240,000 Iowa children eligible for the program, which is funded by an estimated $29 million in federal resources. The bill takes effect immediately upon enactment but applies retroactively to July 1, 2024, ensuring state funding covers costs from that date.

Maddy summaryHF 188 requires Iowa to automatically mail absentee ballots to registered voters who apply for them within 24 hours after ballots are printed, but no more than 45 days before an election. The bill mandates that ballots be sent in secure envelopes with serial numbers and include clear instructions on returning them via mail, drop box, or in-person delivery. Voters also receive a statement explaining how to track their ballot's status online through the secretary of state's website. This policy applies to all registered voters requesting absentee ballots, streamlining the voting process while maintaining ballot security.

Maddy summaryHF 187 modifies Iowa's education savings account program eligibility rules. It requires that students attending nonpublic schools must have household income at or below 400% of the federal poverty guidelines to qualify for payments, starting July 1, 2024. The bill removes a prior provision that would have eliminated this income requirement for school years beginning July 1, 2025. This change directly affects Iowa students in nonpublic schools seeking state-funded education savings accounts. The bill takes effect upon enactment.

Maddy summaryHF 184 creates strict liability for employers who hire minors in Iowa. It requires employers to pay for any injury or death a minor employee suffers while working, without needing to prove the employer was negligent. This law directly affects businesses employing minors, such as retail or agricultural employers, by shifting the legal burden to them for workplace harm. The bill overrides previous rules (section 92.24) to ensure minors can seek compensation for work-related injuries or deaths.

Maddy summaryThis bill allows Iowa pharmacists to order, administer, and dispense point-of-care HIV tests and HIV preventive drugs (pre-exposure or post-exposure prophylaxis) under statewide protocols developed with the health department. It directly affects pharmacists, patients seeking rapid HIV testing or prevention services, and health insurance plans. The key mechanism requires health insurance plans to cover these pharmacist-provided services, even if their standard policies exclude pharmacists, as long as the services follow the approved protocols. The bill defines key terms like "HIV-related test" and "health benefit plan" to clarify implementation.