A bill for an act relating to the personal needs allowance under the medical assistance program.

SF 476 increases Iowa's personal needs allowance under the medical assistance program from $50 to $65 per month for residents of nursing facilities, intermediate care facilities for intellectual/mental disabilities, or psychiatric medical institutions for children. It requires the state to provide supplements to residents with income below $65 to reach the full allowance amount, and mandates annual inflation adjustments starting July 2026 based on the Midwest CPI index (capped at $100 monthly). The Department of Health and Human Services must biennially report on recipients and disbursements to the legislature, beginning January 2027. This directly affects low-income residents in long-term care facilities by increasing their monthly personal spending allowance.