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

HSB 619 creates a dedicated Iowa Rural Health Transformation Fund within the state treasury, controlled by the Department of Health and Human Services (HHS). The fund receives federal funds from the Rural Health Transformation Program and must be used strictly according to federal guidelines for rural health initiatives. HHS must submit quarterly reports detailing all fund expenditures, including specific cities where funds were spent, and share all federal performance reports with the legislature. The fund is temporary and will expire on October 1, 2032.