Read the full stored bill text
House
File
2264
-
Introduced
HOUSE
FILE
2264
BY
CROKEN
,
MADISON
,
KURTH
,
WILSON
,
KRESSIG
,
AMOS
JR.
,
BROWN-POWERS
,
RAMIREZ
,
WILBURN
,
LEVIN
,
SCHOLTEN
,
WESSEL-KROESCHELL
,
JAMES
,
and
R.
JOHNSON
A
BILL
FOR
An
Act
relating
to
the
minimum
per
hour
wage
provided
to
home
1
health
aides
under
the
Medicaid
program,
and
making
an
2
appropriation.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
TLSB
5411YH
(3)
91
ak/ko
H.F.
2264
Section
1.
MEDICAID
PROGRAM
——
HOME
HEALTH
AIDES
——
1
MINIMUM
HOURLY
WAGE.
For
the
fiscal
year
beginning
July
1,
2
2026,
and
ending
June
30,
2027,
the
department
of
health
and
3
human
services
shall
continue
to
base
home
health
agency
4
reimbursement
rates
on
the
Medicare
low
utilization
payment
5
adjustment
(LUPA)
methodology
with
state
geographic
wage
6
adjustments,
but
shall
adjust
the
labor
portion
and
the
7
adjusted
wage
rate
of
the
LUPA
methodology
to
provide
a
minimum
8
per
hour
wage
of
fifteen
dollars
and
twenty
cents
for
home
9
health
aides.
10
Sec.
2.
MEDICAID
PROGRAM
——
HOME
HEALTH
AIDES
MINIMUM
11
HOURLY
WAGE
——
APPROPRIATION.
There
is
appropriated
from
the
12
general
fund
of
the
state
to
the
department
of
health
and
human
13
services
for
the
fiscal
year
beginning
July
1,
2026,
and
ending
14
June
30,
2027,
a
sufficient
amount
to
provide
reimbursement
15
under
the
Medicaid
program
to
home
health
aides
providing
home
16
health
program
services
and
home
and
community-based
services
17
waiver
services
at
a
minimum
per
hour
wage
of
fifteen
dollars
18
and
twenty
cents
as
provided
in
this
Act.
19
EXPLANATION
20
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
21
the
explanation’s
substance
by
the
members
of
the
general
assembly.
22
This
bill
provides
that
for
FY
2026-2027,
the
department
of
23
health
and
human
services
(HHS)
shall
continue
to
reimburse
24
home
health
agencies
utilizing
the
Medicare
low
utilization
25
payment
adjustment
(LUPA)
methodology
with
state
geographic
26
wage
adjustments,
but
shall
adjust
the
labor
and
adjusted
wage
27
rate
portions
of
the
LUPA
methodology
to
provide
a
minimum
per
28
hour
wage
of
$15.20
for
home
health
aides.
29
The
bill
also
appropriates
a
sufficient
amount
from
the
30
general
fund
of
the
state
to
HHS
for
FY
2026-2027
to
provide
31
the
minimum
hourly
rate
to
home
health
aides
under
the
Medicaid
32
program
as
specified
in
the
bill.
33
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