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

This bill establishes the Iowa Rural Health Transformation Fund within the Department of Health and Human Services to manage federal funding received from the federal Rural Health Transformation Program. The fund will be used exclusively for purposes authorized by the Centers for Medicare and Medicaid Services, with interest and earnings remaining in the fund rather than reverting to the general state budget. The Department of Health and Human Services must report quarterly spending details to the General Assembly, including specific city locations where funds are used, and share all federal program reports with the legislature. The fund and its associated provisions will automatically expire on October 1, 2032.