A bill for an act relating to health care including a funding model for the rural health care system; the elimination of several health care-related award, grant, residency, and fellowship programs; establishment of a health care professional incentive program; Medicaid graduate medical education; the health facilities council; and the Iowa health information network, making appropriations, and including effective date provisions.

This bill establishes a new "hub-and-spoke" funding model to improve Iowa's rural health care system by enabling collaboration among regional providers. It eliminates several existing programs, including the Primary Care Provider Loan Repayment Program and related grant/residency initiatives. Instead, it creates the PRIMECARRE program, which includes a health care workforce and community support grant program focused on recruiting providers for rural and underserved areas. The bill directly affects rural health care providers, communities with workforce shortages, and Medicaid-funded graduate medical education. It also modifies the Health Facilities Council and Iowa Health Information Network, with appropriations included.