IA HF2292

Directs the Iowa Department of Health and Human Services to double the number of inpatient psychiatric beds at each state mental health institute, based on bed counts as of June 30, 2025

Requires the department to apply for a federal Medicaid waiver of the "institution for mental diseases exclusion" by July 1, 2027

Mandates the bed expansion occur within one calendar year after the Centers for Medicare and Medicaid Services approves the waiver

Cites legislative findings that nearly two-thirds of homeless individuals report regular use of hard drugs and an equally large share report mental health conditions

Aligns with a July 24, 2025 executive order from President Trump regarding ending crime and disorder on streets, framing expanded psychiatric capacity as addressing homelessness and public safety