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IA HSB621

SB

Status

Introduced

1/26/2026

Primary Sponsor

Health And Human Services

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Origin

House of Representatives

91st General Assembly

AI Summary

  • Requires the Department of Health and Human Services to conduct biennial reviews of shelter care and qualified residential treatment provider costs compared to current reimbursement rates, with reports due to the governor and general assembly by October 1 following each review

  • Mandates annual review of all Medicaid provider reimbursement rates, comparing Iowa's rates to Medicaid programs in contiguous states, states with comparable populations, and federal Medicare rates where applicable

  • Requires annual report summarizing the Medicaid rate review to be submitted to the general assembly by December 1

  • Beginning July 1, 2026, requires biennial review of home and community-based services waiver provider reimbursement rates with input from the public, providers, and stakeholders

  • Waiver rate reviews must assess aggregate state costs, service utilization, and provider capacity to meet consumer demand, with proposed rate models and fiscal impact reports due to the general assembly by December 31

Legislative Description

A bill for an act relating to reporting requirements for the department of health and human services for shelter care, qualified residential treatment providers, and medical assistance provider reimbursement rates.(See HF 2518.)

Last Action

Committee report approving bill, renumbered as HF 2518.

2/16/2026

Committee Referrals

Health and Human Services1/26/2026

Full Bill Text

No bill text available
IA HSB 621 - Introduced | Iowa 2025 Bill | Vulcan Bills