Healthcare

HF 522 amends Iowa's therapeutic classroom incentive program to allow school districts using grant funds to cover specific nutritional items for students. It directly affects students in therapeutic classrooms - those whose emotional, social, or behavioral needs interfere with learning - and the school districts administering these programs. Key provisions authorize funding for micronutrient access (like vitamins D and K2), assessments of macro-nutritional needs, provision of whole foods (fresh produce, healthy proteins), restrictions on artificial food additives, and initiatives addressing digital screen use and natural light exposure. The bill expands allowable uses of existing grant funds to support nutrition-based strategies within therapeutic classrooms.

HF 509 modifies Iowa's autism support program by prohibiting new applications after June 30, 2025, while ensuring continued services for individuals approved before that date. The bill repeals the autism support program entirely effective July 1, 2027, and transfers any unspent funds from its dedicated support fund to the Hawki trust fund. It also requires medical assistance plans to cover applied behavior analysis services for autism spectrum disorder treatment. This directly affects current and future applicants to Iowa's autism support program, phasing out new enrollment while maintaining existing coverage until the program's sunset.

This bill modifies the types of costs that counties can pay for using their local emergency medical services (EMS) trust funds. It expands the eligible expenditures to specifically include the salaries and wages of emergency medical care providers who deliver EMS. This change would allow counties that have established these voter-approved funds to use them to cover personnel costs for their EMS staff, directly affecting both the counties and their emergency medical care providers.

HF 948 establishes work requirements for Iowa's Health and Wellness Plan (IHAWP), requiring most participants to work at least 80 hours monthly to maintain benefits, with exemptions for children, seniors, people with disabilities, and others. It creates an Information Technology Fund to modernize state health systems, transferring unspent funds from a previous public assistance modernization fund. The bill also updates eligibility for Iowa's Medicaid for Employed People with Disabilities program to disregard certain income and asset limits (up to $10,000 for individuals), and mandates a state review of similar programs in other states by December 2025. These changes directly affect low-income Iowans enrolled in IHAWP or the Medicaid program for employed people with disabilities.