HF 2707: A bill for an act relating to alignment of delivery of health and human services programs and services, aging and disability services, and volunteer services, and including applicability and effective date provisions. - Iowa

Enrolled with Governor's Action → Reprinted · 5 edits

MODERATE

This bill reorganizes Iowa's behavioral health system by creating new 'Health and Human Services (HHS) Districts' that will align with existing behavioral health districts. It establishes a mandatory review process every ten years starting in 2032 to evaluate the effectiveness of these districts and grants the Department of Health and Human Services the authority to modify district boundaries without judicial review. The legislation also updates numerous legal definitions to clarify the roles of administrative organizations and advisory councils.

Scope change

The bill expands the scope of district management by creating a new statutory framework for HHS districts that encompasses statewide program delivery, while explicitly exempting boundary modifications from judicial review.

TIMELINE

Mandates a mandatory review of district efficacy every ten years starting January 1, 2032.

REQUIREMENT

Grants the Department of Health and Human Services the authority to modify district boundaries without judicial review.

Requires the department to consider specific factors like population size and service needs when modifying districts.

DEFINITION

Redefined 'Administrative services organization' and 'Behavioral health district' to align with the new HHS district structure.

Updated definitions for various behavioral health terms to ensure consistency across the new district framework.

Enrolled → Enrolled with Governor's Action · 5 edits · Apr 30, 2026

MODERATE

This bill restructures Iowa's health and human services delivery by creating new 'Health and Human Services Districts' that align with existing behavioral health districts. It establishes a new section requiring the Department of Health and Human Services to divide the state into these districts, which will be reviewed every ten years starting in 2032. The bill also updates definitions to clarify the roles of administrative services organizations and advisory councils, while adding provisions to prevent judicial review of district boundary modifications.

Scope change

The bill expands the scope of the Health and Human Services Department by creating a new framework for statewide program and service delivery through designated geographic districts, aligning them with behavioral health service areas.

REQUIREMENT

Added a new requirement for the Department of Health and Human Services to divide the state into designated Health and Human Services Districts, initially mirroring existing behavioral health districts.

Added new criteria for modifying districts, including population size, areas of high need, and patterns of service access.

TIMELINE

Established a mandatory review cycle every ten years starting January 1, 2032, to evaluate the effectiveness of the designated districts.

ENFORCEMENT

Added a provision stating that decisions regarding the modification of district boundaries are not subject to judicial review.

DEFINITION

Updated and renumbered definitions in Section 225A.1 to clarify terms such as 'Administrative services organization' and 'Behavioral health district advisory council'.

Signed Enrolled Bill (PDF) → Enrolled · 4 edits · Apr 30, 2026

MODERATE

The bill text was cleaned of scanning errors and formatting artifacts, while simultaneously clarifying definitions to align the new 'Health and Human Services Districts' with existing 'Behavioral Health Districts'. The substantive policy change establishes a new legal framework for creating geographic districts to coordinate health, human services, aging, and disability programs, ensuring these districts are reviewed and potentially modified every ten years starting in 2032.

Scope change

The scope was expanded to explicitly include aging and disability services alongside health and human services within the new district alignment framework, and the applicability of the new districts was tied to the existing behavioral health district boundaries.

DEFINITION

Clarified and corrected definitions for 'Administrative services organization', 'Behavioral health district', and 'District behavioral health advisory council' to remove scanning artifacts and ensure legal consistency.

REQUIREMENT

Established a mandatory ten-year review cycle for the efficacy of Health and Human Services districts, beginning January 1, 2032, to ensure they continue to serve their intended purpose.

Added specific criteria for modifying district boundaries, including population size, areas of high need, and service access patterns, while explicitly stating that boundary modifications are not subject to judicial review.

SCOPE

Broadened the bill's scope to include the alignment and delivery of aging and disability services, not just health and human services.

Introduced → Signed Enrolled Bill (PDF) · 3 edits · Apr 30, 2026

MINOR

The bill was finalized and signed into law, transitioning from a draft version to an official enrolled bill with the Governor's signature. The text includes standard administrative additions such as the date of signing, the Governor's name, and formal transmission details to the Secretary of State. The core legislative text remains consistent with the introduced version, establishing health and human services districts and updating behavioral health definitions.

Scope change

The scope of the bill remains unchanged; the document format shifted from a draft introduction to a finalized, signed enrolled bill.

TECHNICAL

Added official signature block including Governor Kim Reynolds' name, the date April 30, 2026, and transmission details to the Secretary of State.

Removed draft headers, committee designations, and preliminary filing status text.

Corrected minor formatting and spacing inconsistencies in the text to match the final enrolled bill standard.

A bill for an act relating to alignment of delivery of health and human services programs and services, aging and disability services, and volunteer services, and including applicability and effective date provisions.

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