Rep. Tracy Ehlert

Maddy summaryHF 216 requires Iowa child care centers that employ workers under 18 years old to provide unsupervised care for school-age children to maintain professional liability insurance coverage for those employees. The bill directs the Iowa Department of Health and Human Services to create rules mandating centers provide proof of this insurance coverage. It specifically applies to centers using teen employees (under 18) for direct child care without additional adult supervision. The law aims to protect children by ensuring insurance coverage for incidents involving minor caregivers, using existing definitions of "child care" from Iowa Code section 237A.1.

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 217 prevents health insurance companies and utilization review organizations in Iowa from requiring prior approval for cancer treatments recommended by a patient's doctor using National Comprehensive Cancer Network (NCCN) protocols. This directly affects cancer patients and their healthcare providers by removing a common administrative barrier to timely care. The bill’s key provision mandates that insurers must cover these NCCN-recommended treatments without prior authorization. It changes the policy by requiring insurers to follow established clinical guidelines for cancer care, rather than imposing separate approval steps.

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 summaryHJR 5 proposes a constitutional amendment to establish new rules for Iowa citizens to directly propose constitutional changes or new laws through petitions, and to refer bills passed by the legislature to voter approval. It requires petition signatures equal to 8% of the previous gubernatorial vote in at least three-fourths of congressional districts for constitutional amendments, and 5% for proposed laws or referendums on bills. Petitions must be submitted 6 months before elections for initiatives or within 90 days of a legislative session for referendums, and initiatives cannot create new spending without new revenue. The amendment also excludes emergency bills, current spending, and school funding from referendum, and states that referendum-approved bills take effect without governor approval. This is a proposed constitutional change, not yet enacted, requiring voter ratification after legislative approval.

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.