A bill for an act creating the Iowa rural health transformation fund and making appropriations.

HF 2468 creates a dedicated Iowa Rural Health Transformation Fund within the state treasury, managed by the Department of Health and Human Services (HHS). The fund holds federal dollars from the Rural Health Transformation Program (RHTP) established under the federal "One Big Beautiful Bill Act," which must be used for rural health initiatives as defined by federal guidelines. HHS must report quarterly to the legislature on all fund expenditures, including specific cities where funds were used, and submit all federal performance reports; the fund expires on October 1, 2032. This bill directly affects Iowa's rural health programs receiving federal RHTP funding.