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

HF 716 allows employees and elected officials of local governments (like counties, cities, school districts, and community colleges) who participate in Iowa’s public retirement system to enroll in the state’s health insurance plan. It requires their employers to apply for coverage, pay monthly premiums at the same rate as state employees (including any employee contributions), and cover administrative fees. Payments go to a new trust fund managed by the state, and employers can deduct employee contributions subject to collective bargaining agreements. The bill mandates annual reports tracking costs, enrollment, and financial impacts. It takes effect July 1, 2026.