A bill for an act providing an appropriation to eliminate the current waiting lists for the Medicaid home and community-based services waivers.

HF 408 appropriates state funds for the 2025-2026 fiscal year to eliminate all waiting lists for Iowa's Medicaid home and community-based services waivers as of June 30, 2025. The bill directs the Department of Health and Human Services to use funds calculated by a Medicaid forecasting group (including staff from health, management, and legislative services agencies) to remove individuals from waiting lists. This funding specifically targets waiver programs that allow Medicaid recipients to receive care at home or in community settings instead of institutions. The amount spent and number of people served will be reported in the first fiscal year 2025-2026 forecasting report.