A bill for an act relating to health care coverage of certain nonstate public employees and officials under the state health insurance plan, providing fees, making appropriations, and including effective date provisions.

HF 2006 allows employees and elected officials working for local governments (like counties, cities, school districts, or community colleges) who participate in the Iowa public employees’ retirement system to join the state’s health insurance program. These nonstate public employees would pay the same premiums as state employees, with their employers able to require workers to contribute a portion of costs (subject to union contracts). Employers must pay monthly premiums and administrative fees into a new trust fund, and failure to pay could trigger interest charges or withholding of state funds. The bill requires annual reporting to the legislature on enrollment, costs, and program impacts, effective July 1, 2027.