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HF225 • 2026

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

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

Healthcare
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
MADISON
Last action
2025-02-06
Official status
Introduced, referred to Health and Human Services. H.J. 255 .
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 the personal needs allowance under the medical assistance program.

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

What This Bill Does

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

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. 2025-02-06 Iowa Legislature

    Introduced, referred to Health and Human Services. H.J. 255 .

Official Summary Text

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

Current Bill Text

Read the full stored bill text
House

File

225

-

Introduced

HOUSE

FILE

225

BY

MADISON

A

BILL

FOR

An

Act

relating

to

the

personal

needs

allowance

under

the

1

medical

assistance

program.

2

BE

IT

ENACTED

BY

THE

GENERAL

ASSEMBLY

OF

THE

STATE

OF

IOWA:

3

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Section

1.

Section

249A.30A,

Code

2025,

is

amended

to

read

1

as

follows:

2

249A.30A

Medical

assistance

——

personal

needs

allowance.

3

1.

The

personal

needs

allowance

under

the

medical

4

assistance

program,

which

may

be

retained

by

a

person

who

is

a

5

resident

of

a

nursing

facility,

an

intermediate

care

facility

6

for

persons

with

an

intellectual

disability,

or

an

intermediate

7

care

facility

for

persons

with

mental

illness,

as

defined

in

8

section

135C.1

,

or

a

person

who

is

a

resident

of

a

psychiatric

9

medical

institution

for

children

as

defined

in

section

135H.1

,

10

shall

be

fifty

seventy-five

dollars

per

month.

11

2.

A

resident

who

has

income

of

less

than

fifty

seventy-five

12

dollars

per

month

shall

receive

a

supplement

from

the

state

in

13

the

amount

necessary

to

receive

a

personal

needs

allowance

of

14

fifty

seventy-five

dollars

per

month.

The

general

assembly

15

shall

annually

appropriate

a

sufficient

amount

from

the

16

general

fund

of

the

state

to

the

department

of

health

and

human

17

services

for

this

purpose.

18

3.

The

department

shall

annually

increase

the

personal

19

needs

allowance

by

the

same

percentage

and

at

the

same

time

as

20

the

federal

supplemental

security

income

and

federal

social

21

security

benefits

are

increased

due

to

a

recognized

increase

22

in

the

cost

of

living.

The

personal

needs

allowance

shall

not

23

exceed

two

hundred

dollars

per

month.

24

EXPLANATION

25

The

inclusion

of

this

explanation

does

not

constitute

agreement

with

26

the

explanation’s

substance

by

the

members

of

the

general

assembly.

27

This

bill

relates

to

the

personal

needs

allowance

under

the

28

medical

assistance

program.

29

The

personal

needs

allowance

covers

a

person’s

personal

30

expenses

not

covered

by

the

medical

assistance

program.

31

Current

law

provides

that

a

person

who

is

a

resident

of

a

32

nursing

facility,

an

intermediate

care

facility

for

persons

33

with

an

intellectual

disability

or

mental

illness,

or

a

34

psychiatric

medical

institution

for

children

may

retain

a

35

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225

personal

needs

allowance

of

$50

per

month.

A

resident

who

has

1

an

income

of

less

than

$50

dollars

per

month

shall

receive

a

2

supplement

from

the

state

to

receive

a

personal

needs

allowance

3

of

$50

per

month.

The

bill

increases

the

personal

needs

4

allowance

to

$75

per

month

and

a

resident

with

an

income

of

5

less

than

$75

per

month

shall

receive

a

supplement

from

the

6

state.

7

The

bill

provides

that

the

department

shall

annually

8

increase

the

personal

needs

allowance

by

the

same

percentage

9

and

at

the

same

time

as

the

federal

supplemental

security

10

income

and

federal

social

security

benefits

are

increased

due

11

to

a

recognized

cost

of

living.

The

personal

needs

allowance

12

shall

not

exceed

$200

per

month.

13

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