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HF1049 • 2026

A bill for an act relating to and making appropriations to the department of veterans affairs and the department of health and human services, and related provisions and appropriations, including aging and disability services; behavioral health, public health, community access and eligibility; the medical assistance program, state supplementary assistance, Hawki, and other health-related programs; sex reassignment surgeries or associated procedures; family well-being and protection; state-operated specialty care, administration and compliance; transfers, cash flows, and nonreversions; prior appropriations; the beer and liquor control fund, and the behavioral health fund; report on nonreversion of moneys; emergency rules; and a hospital directed payment program; and including effective date and retroactive applicability provisions. (Formerly HSB 342 .) Effective date: 06/11/2025, 07/01/2025. Applicability date: 07/01/2024.

A bill for an act relating to and making appropriations to the department of veterans affairs and the department of health and human services, and related provisions and appropriations, including aging and disability services; behavioral health, public health, community access and eligibility; the medical assistance program, state supplementary assistance, Hawki, and other health-related programs; sex reassignment surgeries or associated procedures; family well-being and protection; state-operated specialty care, administration and compliance; transfers, cash flows, and nonreversions; prior appropriations; the beer and liquor control fund, and the behavioral health fund; report on nonreversion of moneys; emergency rules; and a hospital directed payment program; and including effective date and retroactive applicability provisions. (Formerly HSB 342 .) Effective date: 06/11/2025, 07/01/2025. Applicability date: 07/01/2024.

Budget Healthcare
Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
COMMITTEE ON APPROPRIATIONS
Last action
2025-06-11
Official status
Signed by Governor . H.J. 1229 .
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

A bill for an act relating to and making appropriations to the department of veterans affairs and the department of health and human services, and related provisions and appropriations, including aging and disability services; behavioral health, public health, community access and eligibility; the medical assistance program, state supplementary assistance, Hawki, and other health-related programs; sex reassignment surgeries or associated procedures; family well-being and protection; state-operated specialty care, administration and compliance; transfers, cash flows, and nonreversions; prior appropriations; the beer and liquor control fund, and the behavioral health fund; report on nonreversion of moneys; emergency rules; and a hospital directed payment program; and including effective date and retroactive applicability provisions. (Formerly HSB 342 .) Effective date: 06/11/2025, 07/01/2025. Applicability date: 07/01/2024.

A bill for an act relating to and making appropriations to the department of veterans affairs and the department of health and human services, and related provisions and appropriations, including aging and disability services; behavioral health, public health, community access and eligibility; the medical assistance program, state supplementary assistance, Hawki, and other health-related programs; sex reassignment surgeries or associated procedures; family well-being and protection; state-operated specialty care, administration and compliance; transfers, cash flows, and nonreversions; prior appropriations; the beer and liquor control fund, and the behavioral health fund; report on nonreversion of moneys; emergency rules; and a hospital directed payment program; and including effective date and retroactive applicability provisions.

What This Bill Does

  • A bill for an act relating to and making appropriations to the department of veterans affairs and the department of health and human services, and related provisions and appropriations, including aging and disability services; behavioral health, public health, community access and eligibility; the medical assistance program, state supplementary assistance, Hawki, and other health-related programs; sex reassignment surgeries or associated procedures; family well-being and protection; state-operated specialty care, administration and compliance; transfers, cash flows, and nonreversions; prior appropriations; the beer and liquor control fund, and the behavioral health fund; report on nonreversion of moneys; emergency rules; and a hospital directed payment program; and including effective date and retroactive applicability provisions.
  • (Formerly HSB 342 .) Effective date: 06/11/2025, 07/01/2025.
  • Applicability date: 07/01/2024.

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Bill History

  1. 2025-06-27 Iowa Legislature

    Explanations of votes. H.J. 1223 .

  2. 2025-06-27 Iowa Legislature

    Explanation of vote. H.J. 1223 .

  3. 2025-06-11 Iowa Legislature

    Signed by Governor . H.J. 1229 .

  4. 2025-05-22 Iowa Legislature

    Reported correctly enrolled, signed by Speaker and President, and sent to Governor. H.J. 1224 .

  5. 2025-05-14 Iowa Legislature

    Message from Senate. H.J. 1199 .

  6. 2025-05-14 Iowa Legislature

    Immediate message. S.J. 1016 .

  7. 2025-05-14 Iowa Legislature

    Passed Senate , yeas 31, nays 15. S.J. 1012 .

  8. 2025-05-14 Iowa Legislature

    Substituted for SF 649 . S.J. 1011 .

  9. 2025-05-13 Iowa Legislature

    Read first time, attached to SF 649 . S.J. 998 .

  10. 2025-05-13 Iowa Legislature

    Message from House. S.J. 998 .

  11. 2025-05-13 Iowa Legislature

    Immediate message. H.J. 1167 .

  12. 2025-05-13 Iowa Legislature

    Explanation of vote. H.J. 1177 .

  13. 2025-05-13 Iowa Legislature

    Passed House , yeas 63, nays 28. H.J. 1167 .

  14. 2025-05-13 Iowa Legislature

    Motion to suspend rules failed. H.J. 1166 .

  15. 2025-05-13 Iowa Legislature

    Motion to suspend rules for immediate consideration of amendment H-1334 , yeas 30, nays 61. H.J. 1165 .

  16. 2025-05-13 Iowa Legislature

    Point of order raised on amendment H-1334 , ruled not germane. H.J. 1165 .

  17. 2025-05-13 Iowa Legislature

    Amendment H-1334 filed. H.J. 1165 .

  18. 2025-05-13 Iowa Legislature

    Point of order raised on amendment H-1333 , ruled not germane. H.J. 1165 .

  19. 2025-05-13 Iowa Legislature

    Amendment H-1333 filed. H.J. 1165 .

  20. 2025-05-12 Iowa Legislature

    Introduced, placed on Appropriations calendar. H.J. 1116 .

Official Summary Text

A bill for an act relating to and making appropriations to the department of veterans affairs and the department of health and human services, and related provisions and appropriations, including aging and disability services; behavioral health, public health, community access and eligibility; the medical assistance program, state supplementary assistance, Hawki, and other health-related programs; sex reassignment surgeries or associated procedures; family well-being and protection; state-operated specialty care, administration and compliance; transfers, cash flows, and nonreversions; prior appropriations; the beer and liquor control fund, and the behavioral health fund; report on nonreversion of moneys; emergency rules; and a hospital directed payment program; and including effective date and retroactive applicability provisions. (Formerly HSB 342 .) Effective date: 06/11/2025, 07/01/2025. Applicability date: 07/01/2024.