House File 919 creates a new "specialty hospital" designation for certain nonprofit organizations in Iowa that were previously licensed nursing facilities. These hospitals must primarily serve individuals aged 30 and younger, with a high percentage of patients receiving Medicaid, and specialize in pediatric rehabilitation or complex medical/behavioral health needs.
The bill directs state departments to grant qualifying entities a provisional general hospital license by July 1, 2025, enabling them to receive enhanced hospital-based reimbursement set at their average allowable per diem costs. It also allows for waivers from certain hospital facility requirements, construction standards, and exemptions from providing specific emergency, laboratory, or pathology services beyond what they currently offer. Furthermore, the bill permits the redesignation of nursing facility beds to specialty hospital beds and expansion up to 100 beds.
This bill enacts the Respiratory Care Interstate Compact, allowing licensed respiratory therapists to practice in multiple states that join the compact. This directly affects respiratory therapists seeking to work across state lines and patients needing respiratory care in member states. Under the compact, a respiratory therapist holding an unencumbered license in their primary state of domicile can obtain a "compact privilege" to practice in other member states without needing a separate full license in each. The compact aims to increase public access to respiratory therapy services, ease administrative burdens for licensees, and address workforce shortages. It also establishes a commission to administer the compact and maintain a data system for licensee information, while preserving each state's authority to regulate the practice of respiratory therapy within its borders.
House File 807, the "Compassion and Care for Medically Challenging Pregnancies Act," establishes a framework for supporting pregnant women diagnosed with a lethal fetal anomaly. The bill allows healthcare practitioners to inform these women about available perinatal hospice services and offer referrals. It also requires the Department of Health and Human Services to compile and post a geographically organized list and information sheet about perinatal hospice services in Iowa and nationally, available in both English and Spanish, on its website.
This bill increases penalties for individuals who commit assaults against specific professionals, including peace officers, correctional staff, healthcare providers, firefighters, and certain state employees. It upgrades assaults intended to inflict serious injury or involving a dangerous weapon from a Class D to a Class C felony. Additionally, assaults causing bodily injury or mental illness against these professionals are elevated from an aggravated misdemeanor to a Class D felony. Other assaults, such as those causing contact with saliva, are reclassified from a serious to an aggravated misdemeanor, and carry a mandatory minimum 7-day jail sentence that cannot be suspended.
House File 309 relates to the process by which the Department of Inspections, Appeals, and Licensing reviews nursing facilities. Specifically, the bill addresses how the department evaluates certain deficient practices identified within these facilities. It modifies the existing framework for DIAL's review of these practices, affecting both the department's oversight responsibilities and the operational procedures of nursing facilities.
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.
This Iowa bill requires health insurance plans to cover supplemental and diagnostic breast exams with the same out-of-pocket costs (like copays or deductibles) as routine screening mammograms. It directly affects patients needing follow-up breast exams after abnormal screenings, ensuring they won’t face higher costs than for preventive screenings. The rule applies to most health plans sold in Iowa starting January 1, 2026, with a specific exception for high-deductible plans after the deductible is met for preventive care. The policy change aligns cost-sharing for these exams with existing standards for screening mammograms.
