IA SF476

Increases the personal needs allowance under Medicaid from $50 to $65 per month for residents of nursing facilities, intermediate care facilities for persons with intellectual disabilities or mental illness, and psychiatric medical institutions for children

Requires the state to provide a supplement to residents with income below $65 per month to ensure they receive the full personal needs allowance

Mandates annual cost-of-living increases to the personal needs allowance beginning July 1, 2026, tied to the Consumer Price Index for all urban consumers in the Midwest region, with a maximum cap of $100 per month

Requires the Department of Health and Human Services to review the personal needs allowance in consultation with the long-term care ombudsman and submit biennial reports to the General Assembly beginning January 2027

Reports must include the number of recipients, disbursements made, and any department recommendations