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HF2712 • 2026

A bill for an act relating to early childhood and family services, including the creation of an early childhood and family services system, state child care assistance for the child care workforce, making appropriations, and including effective date provisions.(Formerly HSB 623 ; See HF 2795 .)

A bill for an act relating to early childhood and family services, including the creation of an early childhood and family services system, state child care assistance for the child care workforce, making appropriations, and including effective date provisions.(Formerly HSB 623 ; See HF 2795 .)

Budget Children
Passed Legislature

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

Sponsor
COMMITTEE ON HEALTH AND HUMAN SERVICES
Last action
2026-05-02
Official status
Withdrawn. H.J. 1157 .
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 early childhood and family services, including the creation of an early childhood and family services system, state child care assistance for the child care workforce, making appropriations, and including effective date provisions.(Formerly HSB 623 ; See HF 2795 .)

A bill for an act relating to early childhood and family services, including the creation of an early childhood and family services system, state child care assistance for the child care workforce, making appropriations, and including effective date provisions.(Formerly HSB 623 ; See HF 2795 .)

What This Bill Does

  • A bill for an act relating to early childhood and family services, including the creation of an early childhood and family services system, state child care assistance for the child care workforce, making appropriations, and including effective date provisions.(Formerly HSB 623 ; See HF 2795 .)

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. 2026-05-02 Iowa Legislature

    Withdrawn. H.J. 1157 .

  2. 2026-04-30 Iowa Legislature

    Committee report approving bill, renumbered as HF 2795 .

  3. 2026-04-29 Iowa Legislature

    Committee vote: Yeas, 23. Nays, 0. Excused, 2. H.J. 1045 .

  4. 2026-04-29 Iowa Legislature

    Committee report, recommending amendment and passage. H.J. 1044 .

  5. 2026-04-23 Iowa Legislature

    Subcommittee recommends amendment and passage.

  6. 2026-04-21 Iowa Legislature

    Subcommittee Meeting: 04/23/2026 8:15AM RM 103.

  7. 2026-04-20 Iowa Legislature

    Subcommittee: Wilz, H., Bergan and Matson. H.J. 951 .

  8. 2026-02-24 Iowa Legislature

    Introduced, referred to Appropriations. H.J. 400 .

Official Summary Text

A bill for an act relating to early childhood and family services, including the creation of an early childhood and family services system, state child care assistance for the child care workforce, making appropriations, and including effective date provisions.(Formerly HSB 623 ; See HF 2795 .)

Current Bill Text

Read the full stored bill text
House

File

2712

-

Introduced

HOUSE

FILE

2712

BY

COMMITTEE

ON

HEALTH

AND

HUMAN

SERVICES

(SUCCESSOR

TO

HSB

623)

A

BILL

FOR

An

Act

relating

to

early

childhood

and

family

services,

1

including

the

creation

of

an

early

childhood

and

family

2

services

system,

state

child

care

assistance

for

the

child

3

care

workforce,

making

appropriations,

and

including

4

effective

date

provisions.

5

BE

IT

ENACTED

BY

THE

GENERAL

ASSEMBLY

OF

THE

STATE

OF

IOWA:

6

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DIVISION

I

1

EARLY

CHILDHOOD

AND

FAMILY

SERVICES

SYSTEM

2

Section

1.

NEW

SECTION

.

234A.1

Definitions.

3

For

the

purposes

of

this

chapter,

unless

the

context

4

otherwise

requires:

5

1.

“Community

resources”

means

locally

focused,

6

strength-based

programs

and

supports

that

aim

to

enhance

family

7

functioning

and

resilience,

promote

child

development

and

8

safety,

and

prevent

future

involvement

with

child

protective

9

services

or

the

juvenile

justice

system.

10

2.

“Department”

means

the

department

of

health

and

human

11

services.

12

3.

“Early

childhood

and

family

services

district”

or

“ECFS

13

district”

means

a

health

and

human

services

district

utilized

14

for

the

purpose

of

administering

the

ECFS

system.

15

4.

“Early

childhood

and

family

services

district

advisory

16

council”

or

“ECFS

district

advisory

council”

means

an

advisory

17

council

established

under

section

234A.3.

18

5.

“Early

childhood

and

family

services

district

plan”

or

19

“ECFS

district

plan”

means

a

plan

developed

by

the

department

20

to

outline

the

ECFS

system

infrastructure

of

a

district

and

21

the

programs

and

services

intended

to

be

provided

within

that

22

district.

23

6.

“Early

childhood

and

family

services

state

plan”

or

“ECFS

24

state

plan”

means

the

plan

developed

by

the

department

that

25

describes

the

key

components

of

the

state’s

ECFS

system.

26

7.

“Early

childhood

and

family

services

system”

or

“ECFS

27

system”

means

the

system

established

in

section

234A.2.

28

8.

“Early

childhood

and

family

services

system

fund”

or

“ECFS

29

system

fund”

means

the

fund

created

in

section

234A.6.

30

9.

“Early

intervention

strategies”

means

services

and

31

supports

designed

to

proactively

identify

and

address

risk

32

factors

and

includes

services

that

aim

to

strengthen

families,

33

promote

healthy

development,

and

reduce

the

likelihood

of

abuse

34

or

neglect

by

providing

timely,

targeted

assistance

to

children

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and

caregivers

through

the

ECFS

system.

1

10.

“Evidence-based”

means

practices,

programs,

and

policies

2

grounded

in

the

best

available

research

and

data,

and

that

have

3

been

scientifically

tested

and

shown

to

be

effective

through

4

rigorous

evaluation.

5

11.

“Family

support

services”

include

group-based

parent

6

education

and

home

visiting

programs

designed

to

strengthen

7

protective

factors

including

parenting

skills,

increase

8

parental

knowledge

of

child

development,

and

increase

family

9

functioning

and

problem-solving

skills.

Family

support

10

services

may

be

used

as

an

early

intervention

strategy

to

11

improve

birth

outcomes,

parental

knowledge,

family

economic

12

success,

the

home

learning

environment,

family

and

child

13

involvement

with

others,

and

coordination

with

other

community

14

resources.

Family

support

services

may

have

a

specific

focus

15

on

preventing

child

maltreatment

or

ensuring

children

are

safe,

16

healthy,

and

ready

to

succeed

in

school.

17

12.

“Health

and

human

services

district”

means

the

same

as

18

defined

in

section

217.1.

19

13.

“HOPES-HFI

program”

means

the

healthy

opportunities

for

20

parents

to

experience

success

–

healthy

families

Iowa

program

21

established

in

section

234A.5.

22

14.

“Ongoing

family

and

community

resources”

means

a

23

continuum

of

sustained,

accessible,

and

family-centered

24

resources

provided

through

the

ECFS

system

that

help

families

25

meet

their

needs,

strengthen

protective

factors,

and

prevent

26

child

abuse

and

neglect.

27

15.

“Primary

prevention

strategies”

means

a

comprehensive

28

set

of

services

and

supports

provided

through

the

ECFS

system

29

that

are

designed

to

strengthen

families,

promote

healthy

child

30

development,

and

prevent

adverse

outcomes

before

they

occur.

31

These

activities

focus

on

addressing

the

underlying

social,

32

economic,

and

environmental

conditions

that

place

children

and

33

families

at

risk,

such

as

poverty,

social

isolation,

and

lack

34

of

access

to

quality

early

care

and

education.

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16.

“Protective

factor”

means

an

inherent

strength,

1

resource,

or

capacity

of

a

family,

or

a

resource

that

helps

a

2

family

thrive,

buffer

against

stress,

and

reduce

the

likelihood

3

of

child

abuse,

neglect,

or

other

poor

outcome.

4

17.

“Strength-based”

means

an

approach

that

focuses

5

on

identifying

and

building

upon

the

inherent

strengths,

6

resources,

and

capacities

of

a

family

to

support

the

family’s

7

growth,

resilience,

and

well-being.

8

Sec.

2.

NEW

SECTION

.

234A.2

Early

childhood

and

family

9

services

system

——

department

powers

and

duties.

10

1.

An

early

childhood

and

family

services

system

is

11

established

under

the

control

of

the

department

for

the

12

purposes

of

implementing

a

statewide

array

of

primary

13

prevention

strategies,

early

intervention

strategies,

and

14

ongoing

family

and

community

resources

for

families

and

their

15

children

under

nineteen

years

of

age.

16

2.

The

ECFS

system

shall

be

administered

in

a

manner

to

17

maximize

funding

opportunities,

interagency

collaboration,

and

18

integration

of

activities

and

services

that

support

positive

19

outcomes

for

children

and

families.

20

3.

The

ECFS

system

shall

support

equitable

statewide

access

21

to

all

services,

supports,

and

other

resources

offered

through

22

the

ECFS

system

that,

at

a

minimum,

shall

include

all

of

the

23

following:

24

a.

Evidence-based

primary

prevention

strategies,

including

25

family

support

services,

designed

to

assist

families

in

26

establishing

healthy,

successful

futures.

27

b.

Tailored

early

intervention

strategies

for

children

and

28

families

to

ensure

long-term

well-being,

including

economic

29

self-sufficiency.

30

c.

Ongoing

family

and

community

resources

for

children

and

31

families

to

address

the

root

causes

of

child

abuse

and

neglect

32

and

enhance

protective

factors.

33

d.

Specific

service

components

including

early

childhood

34

services,

evidence-based

family

support

services,

and

community

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resources.

1

4.

To

the

extent

funding

is

available,

the

department

2

shall

do

all

of

the

following

to

develop

and

administer

the

3

ECFS

system

and

carry

out

the

department’s

duties

under

this

4

chapter:

5

a.

Plan,

establish,

and

maintain

primary

prevention

6

strategies,

early

intervention

strategies,

and

ongoing

family

7

and

community

resources.

8

b.

(1)

Develop

an

early

childhood

and

family

services

state

9

plan

that

is

consistent

with

the

department’s

agency

strategic

10

plan

adopted

pursuant

to

section

8E.204,

and

the

state

health

11

improvement

plan

developed

under

section

217.17.

12

(2)

When

developing

the

ECFS

state

plan,

the

department

13

shall

do

all

of

the

following:

14

(a)

Collaborate

with

stakeholders

including

but

not

15

limited

to

experienced

public

health

and

medical

providers,

law

16

enforcement,

educators,

the

early

childhood

Iowa

state

board,

17

the

early

childhood

Iowa

area

boards,

and

organizations

that

18

represent

populations

including

but

not

limited

to

children

to

19

be

served

by

the

ECFS

system.

20

(b)

Publish

the

proposed

ECFS

state

plan

on

the

department’s

21

internet

site

and

allow

the

public

to

review

and

comment

on

the

22

proposed

ECFS

state

plan

prior

to

adoption.

23

c.

Administer

the

ECFS

system

in

each

ECFS

district

based

on

24

early

childhood

and

family

services

district

plans.

25

d.

Develop

ECFS

district

plans

in

collaboration

with

ECFS

26

system

partners

and

stakeholders.

27

e.

Establish

ECFS

district

advisory

councils

pursuant

to

28

section

234A.3.

29

f.

Coordinate

administration

of

each

ECFS

district

plan

with

30

federal

and

state

resources.

31

g.

Enter

into

contracts

as

necessary

to

perform

activities,

32

and

provide

services,

supports,

and

other

resources

in

33

accordance

with

each

ECFS

district

plan.

34

h.

Coordinate

district

activities

with

other

state

agencies

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and

state-funded

initiatives

that

support

positive

outcomes

for

1

children

and

families.

2

i.

Administer

and

distribute

federal

aid

received,

and

state

3

appropriations,

grants,

and

other

moneys

deposited

into

the

4

early

childhood

and

family

services

system

fund.

5

j.

Oversee,

provide

technical

assistance

to,

and

monitor

6

department

contractors

to

ensure

compliance

with

ECFS

district

7

plans.

8

k.

Establish

and

maintain

data

collection

and

management

9

information

systems

to

identify,

collect,

and

analyze

service

10

outcomes

and

performance

data

to

address

the

needs

of

clients,

11

providers,

the

department,

and

ECFS

system

programs.

12

l.

Collect,

maintain,

monitor,

analyze,

and

utilize

13

information

including

but

not

limited

to

ECFS

client

records

14

and

programmatic,

state,

and

national

data,

engage

in

studies

15

and

analyses,

and

gather

relevant

statistics

to

understand

16

emerging

needs

and

effectively

deploy

information,

resources,

17

and

technical

assistance

in

response.

18

m.

Adopt

rules

pursuant

to

chapter

17A

to

administer

this

19

chapter.

20

n.

Take

any

other

necessary

actions

to

execute

the

21

department’s

duties

under

this

chapter

or

maintain

compliance

22

with

federal

requirements.

23

5.

The

department

may

do

all

of

the

following

to

develop

and

24

administer

the

ECFS

system:

25

a.

Cooperate

with

any

state

agency,

political

subdivision,

26

or

federal

governmental

agency

to

apply

for

grants.

27

b.

Solicit

and

accept

for

use

any

gift

of

money,

by

will

or

28

otherwise,

and

any

grant

of

money

or

services

from

the

federal

29

government,

the

state,

a

political

subdivision

of

the

state

or

30

federal

government,

or

a

private

source.

31

Sec.

3.

NEW

SECTION

.

234A.3

Early

childhood

and

family

32

services

district

advisory

councils.

33

1.

The

department

shall

establish

an

early

childhood

34

and

family

services

district

advisory

council

in

each

ECFS

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district.

The

department

shall

develop

policies

and

procedures

1

for

the

operational

functions

of

each

ECFS

district

advisory

2

council.

3

2.

An

ECFS

district

advisory

council

shall

consist

of

ten

4

members

appointed

by

the

department.

Individuals

eligible

5

for

appointment

include

but

are

not

limited

to

all

of

the

6

following:

7

a.

Elected

public

officials

who

currently

hold

office

within

8

the

ECFS

district.

9

b.

Individuals

who

have

experience

or

expertise

related

10

to

health,

education,

domestic

assault

response,

or

abuse

11

response.

12

c.

Individuals

who

are

representative

of

the

populations

13

served

in

the

ECFS

district

advisory

council’s

ECFS

district.

14

d.

Individuals

who

represent

the

faith

community

or

15

community

partners

in

the

ECFS

district

advisory

council’s

ECFS

16

district.

17

3.

An

ECFS

district

advisory

council

shall

do

all

of

the

18

following:

19

a.

Identify

opportunities

and

address

challenges

based

20

on

updates

received

from

the

department

relating

to

the

21

implementation

of

the

ECFS

district

plan

for

the

ECFS

district

22

advisory

council’s

ECFS

district.

23

b.

Provide

feedback

to

the

department

while

the

department

24

is

developing

ECFS

system

policies.

25

c.

Advise

the

department

on

how

to

best

provide

families

26

access

to

primary

prevention

strategies,

early

intervention

27

strategies,

and

ongoing

family

and

community

resources

28

throughout

the

ECFS

district

advisory

council’s

ECFS

district.

29

4.

An

ECFS

district

advisory

council

shall

perform

the

30

duties

required

under

this

section

regardless

of

whether

any

31

seat

on

the

ECFS

district

advisory

council

is

vacant.

32

Sec.

4.

NEW

SECTION

.

234A.4

Data

collection

and

use.

33

1.

The

department

shall

perform

all

of

the

following

actions

34

related

to

ECFS

system

data:

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a.

(1)

Collect,

maintain,

monitor,

analyze,

and

utilize

1

data,

including

but

not

limited

to

child

welfare

data,

Medicaid

2

data,

ECFS

system

data,

and

other

data

depicting

the

status

of

3

children

and

families

in

the

state,

as

necessary

to

issue

cost

4

estimates

for

serving

populations,

make

and

receive

payments,

5

conduct

operations,

and

perform

ECFS

system

activities.

6

(2)

When

performing

duties

under

this

paragraph,

the

7

department

shall

maintain

compliance

with

applicable

federal

8

and

state

privacy

laws

to

ensure

the

confidentiality

and

9

integrity

of

individually

identifiable

data.

10

(3)

The

department

shall

periodically

assess

the

status

of

11

the

department’s

compliance

with

subparagraph

(2)

to

ensure

12

that

data

collected

and

maintained

by

the

department

under

this

13

paragraph

is

protected.

14

b.

To

the

extent

possible,

establish

a

record

for

each

15

individual

receiving

publicly

funded

ECFS

system

services.

16

Each

record

established

under

this

paragraph

shall

include

a

17

unique

client

identifier

for

the

purposes

of

identifying

and

18

tracking

the

individual’s

record.

19

c.

Consult

with

department

contractors

and

other

ECFS

system

20

stakeholders

on

an

ongoing

basis

relating

to

the

administration

21

of

the

ECFS

system,

including

but

not

limited

to

reviewing

22

trends

and

outcomes

as

indicators

for

improving

or

modifying

23

administration

of

the

ECFS

system.

24

d.

Engage

with

entities

that

maintain

information

the

25

department

is

required

to

collect

pursuant

to

this

section

to

26

integrate

data

relating

to

individuals

receiving

ECFS

system

27

services.

28

e.

Engage

with

entities

that

maintain

general

population

29

data

relating

to

the

ECFS

system

to

develop

action

plans,

30

create

projections

relating

to

a

population’s

ECFS

system

31

needs,

develop

ECFS

system

policies,

and

otherwise

perform

32

activities

as

necessary

to

support

families

in

achieving

a

33

healthy,

successful

future.

34

2.

The

department

shall

ensure

that

public

and

private

35

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agencies,

organizations,

and

individuals

that

operate

within

1

the

ECFS

system

use

uniform

methods

to

maintain

statistical

2

information

relating

to

ECFS

system

outcomes

and

performance.

3

Sec.

5.

NEW

SECTION

.

234A.5

Healthy

families

programs

——

4

HOPES-HFI

program.

5

1.

The

department

may

establish

the

HOPES-HFI

program

to

6

provide

services

to

families

and

children

during

a

child’s

7

prenatal

through

preschool

years.

If

established,

the

8

HOPES-HFI

program

shall

do

all

of

the

following:

9

a.

Promote

optimal

child

health

and

development.

10

b.

Improve

family

coping

skills

and

functioning.

11

c.

Promote

positive

parenting

skills

and

intrafamilial

12

interaction.

13

d.

Prevent

child

abuse,

child

neglect,

infant

mortality,

and

14

infant

morbidity.

15

2.

The

department

shall

administer

the

HOPES-HFI

program,

16

in

whole

or

in

part,

by

contracting

with

local

organizations

17

that

use

evidence-based

home

visiting

models.

18

Sec.

6.

NEW

SECTION

.

234A.6

Early

childhood

and

family

19

services

system

fund.

20

1.

An

early

childhood

and

family

services

system

fund

21

is

created

in

the

state

treasury

under

the

control

of

the

22

department

and

consisting

of

any

moneys

appropriated

to

the

23

department

for

the

ECFS

system

fund’s

purposes

by

the

general

24

assembly

and

any

other

moneys

available

and

obtained

or

25

accepted

by

the

department

for

deposit

in

the

ECFS

system

fund.

26

The

ECFS

system

fund

shall

be

used

to

implement

and

administer

27

the

ECFS

system.

28

2.

Moneys

in

the

ECFS

system

fund

are

appropriated

to

the

29

department

for

the

purposes

of

implementing

and

administering

30

the

ECFS

system.

31

3.

Notwithstanding

section

8.33,

moneys

appropriated

in

32

this

section

that

remain

unencumbered

or

unobligated

at

the

33

close

of

a

fiscal

year

shall

not

revert

but

shall

remain

34

available

for

expenditure

for

the

purposes

designated.

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4.

Notwithstanding

section

12C.7,

subsection

2,

interest

or

1

earnings

on

moneys

in

the

ECFS

system

fund

shall

be

credited

2

to

the

ECFS

system

fund.

3

Sec.

7.

REPEAL.

Section

135.106,

Code

2026,

is

repealed.

4

Sec.

8.

EFFECTIVE

DATE.

The

sections

of

this

division

of

5

this

Act

enacting

sections

234A.1

through

234A.5

take

effect

6

July

1,

2027.

7

Sec.

9.

EFFECTIVE

DATE.

The

section

of

this

division

of

8

this

Act

enacting

section

234A.6,

being

deemed

of

immediate

9

importance,

takes

effect

upon

enactment.

10

DIVISION

II

11

DECATEGORIZATION

INITIATIVE

12

Sec.

10.

Section

235.7,

subsection

2,

Code

2026,

is

amended

13

to

read

as

follows:

14

2.

Membership.

The

department

may

authorize

the

governance

15

boards

of

decategorization

of

child

welfare

and

juvenile

16

justice

funding

projects

established

under

section

232.188

to

17

appoint

the

transition

committee

membership

and

may

utilize

18

the

boundaries

of

decategorization

projects

to

establish

19

the

service

areas

for

transition

committees.

The

committee

20

A

committee’s

membership

may

include

but

is

not

limited

to

21

department

staff

involved

with

foster

care,

child

welfare,

22

and

adult

services,

juvenile

court

services

staff,

staff

23

involved

with

county

general

assistance

or

emergency

relief

24

under

chapter

251

or

252

,

school

district

and

area

education

25

agency

staff

involved

with

special

education,

and

a

child’s

26

court

appointed

special

advocate,

guardian

ad

litem,

service

27

providers,

and

other

persons

knowledgeable

about

the

child.

28

Sec.

11.

Section

237A.1,

subsection

2,

paragraph

j,

29

subparagraph

(2),

Code

2026,

is

amended

by

striking

the

30

subparagraph.

31

Sec.

12.

Section

249A.26,

subsection

5,

Code

2026,

is

32

amended

by

striking

the

subsection.

33

Sec.

13.

Section

256I.4,

subsection

6,

Code

2026,

is

amended

34

by

striking

the

subsection.

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Sec.

14.

REPEAL.

Section

232.188,

Code

2026,

is

repealed.

1

DIVISION

III

2

CHILD

ABUSE

PREVENTION

PROGRAM

3

Sec.

15.

Section

144.13A,

subsection

5,

paragraph

a,

Code

4

2026,

is

amended

to

read

as

follows:

5

a.

Ten

dollars

of

each

registration

fee

is

appropriated

and

6

shall

be

used

for

primary

and

secondary

child

abuse

prevention

7

programs

pursuant

to

section

235A.1

,

and

ten

dollars

of

each

8

registration

fee

is

appropriated

and

shall

be

used

for

the

9

congenital

and

inherited

disorders

central

registry

established

10

pursuant

to

section

136A.6

.

Notwithstanding

section

8.33

,

11

moneys

appropriated

in

this

paragraph

that

remain

unencumbered

12

or

unobligated

at

the

close

of

the

fiscal

year

shall

not

revert

13

but

shall

remain

available

for

expenditure

for

the

purposes

14

designated

until

the

close

of

the

succeeding

fiscal

year,

and

15

shall

not

be

transferred,

used,

obligated,

appropriated,

or

16

otherwise

encumbered

except

as

provided

in

this

paragraph.

17

Sec.

16.

Section

422.12K,

Code

2026,

is

amended

to

read

as

18

follows:

19

422.12K

Income

tax

checkoff

for

child

abuse

prevention

20

program

fund

.

21

1.

A

person

who

files

an

individual

or

a

joint

income

tax

22

return

with

the

department

of

revenue

under

section

422.13

may

23

designate

one

dollar

or

more

to

be

paid

to

the

child

abuse

24

prevention

program

early

childhood

and

family

services

system

25

fund

created

in

section

235A.2

234A.6,

to

be

used

for

the

26

purpose

of

child

abuse

prevention

.

If

the

refund

due

on

the

27

return

or

the

payment

remitted

with

the

return

is

insufficient

28

to

pay

the

additional

amount

designated

by

the

taxpayer

to

29

the

child

abuse

prevention

program

early

childhood

and

family

30

services

system

fund,

the

amount

designated

shall

be

reduced

to

31

the

remaining

amount

remitted

with

the

return.

The

designation

32

of

a

contribution

to

the

child

abuse

prevention

program

early

33

childhood

and

family

services

system

fund

under

this

section

34

is

irrevocable.

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2.

The

director

of

revenue

shall

draft

the

income

tax

form

1

to

allow

the

designation

of

contributions

to

the

child

abuse

2

prevention

program

early

childhood

and

family

services

system

3

fund

on

the

tax

return.

The

department

of

revenue,

on

or

4

before

January

31,

shall

transfer

the

total

amount

designated

5

on

the

tax

return

forms

due

in

the

preceding

calendar

year

to

6

the

child

abuse

prevention

program

early

childhood

and

family

7

services

system

fund.

However,

before

a

checkoff

pursuant

8

to

this

section

shall

be

permitted,

all

liabilities

on

the

9

books

of

the

department

and

accounts

identified

as

owing

under

10

section

421.65

shall

be

satisfied.

11

3.

The

department

of

health

and

human

services

may

authorize

12

payment

of

moneys

from

the

child

abuse

prevention

program

early

13

childhood

and

family

services

system

fund

for

the

purpose

14

of

child

abuse

prevention

in

accordance

with

section

235A.2

15

234A.6

.

16

4.

The

department

of

revenue

shall

adopt

rules

to

administer

17

this

section

.

18

5.

This

section

is

subject

to

repeal

under

section

422.12E

.

19

Sec.

17.

REPEAL.

Sections

235A.1,

235A.2,

and

235A.3,

Code

20

2026,

are

repealed.

21

Sec.

18.

CHILD

ABUSE

PREVENTION

PROGRAM

FUND

——

TRANSFER

22

OF

MONEYS.

Any

unencumbered

or

unobligated

moneys

remaining

23

in

the

child

abuse

prevention

program

fund

created

in

section

24

235A.2,

on

June

30,

2026,

shall

be

transferred

to

the

early

25

childhood

and

family

services

system

fund

created

in

section

26

234A.6,

as

enacted

in

this

Act.

27

Sec.

19.

EFFECTIVE

DATE.

This

division

of

this

Act,

being

28

deemed

of

immediate

importance,

takes

effect

upon

enactment.

29

DIVISION

IV

30

TRANSITION

PROVISIONS

31

Sec.

20.

EARLY

CHILDHOOD

AND

FAMILY

SERVICES

SYSTEM.

32

1.

For

purposes

of

this

division:

33

a.

The

following

mean

the

same

as

defined

in

section

234A.1

34

as

enacted

in

division

I

of

this

Act:

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(1)

“Department”.

1

(2)

“Early

intervention

strategies”.

2

(3)

“ECFS

district

plan”.

3

(4)

“ECFS

state

plan”.

4

(5)

“ECFS

system”.

5

(6)

“ECFS

system

fund”.

6

(7)

“Ongoing

family

and

community

resources”.

7

(8)

“Primary

prevention

strategies”.

8

b.

“Early

childhood

Iowa

area”,

“early

childhood

Iowa

area

9

board”,

and

“early

childhood

Iowa

area

state

board”

mean

the

10

same

as

defined

in

section

256I.1.

11

c.

“Early

childhood

Iowa

initiative”

means

the

early

12

childhood

Iowa

initiative

described

in

section

256I.2.

13

d.

“Transition

period”

means

the

period

beginning

on

the

14

date

of

enactment

of

this

division

of

this

Act

and

concluding

15

on

June

30,

2027.

16

2.

There

is

created

an

early

childhood

and

family

services

17

system

under

the

control

of

the

department.

Beginning

July

18

1,

2027,

the

department

shall

be

responsible

for

implementing

19

and

maintaining

a

statewide

system

of

primary

prevention

20

strategies,

early

intervention

strategies,

and

ongoing

family

21

and

community

resources

through

the

ECFS

system.

22

3.

During

the

transition

period,

the

department

may

23

exercise

all

policymaking

functions

and

regulatory

powers

as

24

necessary

to

establish

the

ECFS

system

as

if

the

sections

of

25

division

I

of

this

Act

enacting

sections

234A.1

through

234A.5

26

were

enacted.

27

4.

The

department

shall

perform

all

the

following

duties

by

28

the

conclusion

of

the

transition

period:

29

a.

Adopt

rules

pursuant

to

chapter

17A

as

necessary

to

30

establish,

implement,

and

administer

the

ECFS

system.

31

b.

Establish

policies

as

necessary

to

efficiently

32

establish,

implement,

and

administer

the

ECFS

system.

33

c.

Prepare

forms

necessary

to

establish,

implement,

and

34

administer

the

ECFS

system.

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d.

Prepare

an

ECFS

state

plan.

1

e.

Develop

ECFS

district

plans.

2

f.

Develop

a

plan

for

the

transition

of

early

childhood

and

3

family

services

to

the

ECFS

system.

4

g.

Execute

contracts

as

necessary

to

establish,

implement,

5

and

administer

the

ECFS

system.

6

h.

Ensure

that

individuals

currently

receiving

primary

7

prevention

strategies,

early

intervention

strategies,

services,

8

and

supports

or

ongoing

family

and

community

resources

under

9

the

purview

of

the

department,

or

home

visiting

services

10

provided

through

the

early

childhood

Iowa

initiative,

have

11

uninterrupted

continuity

of

care.

12

i.

Submit

a

report

to

the

general

assembly

no

later

13

than

January

15,

2027,

that

details

the

administrative

and

14

operational

costs

to

establish,

implement,

and

administer

the

15

ECFS

system.

16

j.

Establish

contractual

rights,

privileges,

and

17

responsibilities

as

necessary

to

establish,

implement,

and

18

administer

the

ECFS

system.

19

k.

Develop

a

plan

to

transition

oversight

and

20

accountability

for

home

visiting

services

currently

funded

by

21

the

early

childhood

Iowa

initiative

to

the

ECFS

system.

22

l.

Work

with

a

cohort

of

early

childhood

Iowa

area

directors

23

designated

by

the

association

of

early

childhood

Iowa

area

24

boards

and

advocates,

and

the

early

childhood

Iowa

state

25

board,

to

develop

a

plan

to

modernize

the

early

childhood

Iowa

26

initiative.

The

plan

shall

include

the

frequency

of

work

27

sessions,

engagement

opportunities

for

early

childhood

Iowa

28

partners,

and

mutually

agreed

upon

deliverables

including

29

revisions

to

chapter

256I.

30

5.

If

the

department

determines

that

a

federal

waiver

31

or

authorization

is

necessary

to

administer

any

provision

of

32

this

division

of

this

Act,

or

to

effectuate

the

ECFS

system

33

by

the

conclusion

of

the

transition

period,

the

department

34

shall

timely

request

the

federal

waiver

or

authorization.

35

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Notwithstanding

any

other

effective

date

to

the

contrary,

a

1

provision

of

this

division

of

this

Act

that

the

department

2

determines

requires

a

federal

waiver

or

authorization

shall

be

3

effective

only

upon

receipt

of

federal

approval

for

the

waiver

4

or

authorization.

5

6.

a.

All

debts,

claims,

or

other

liabilities

owed

to

6

an

early

childhood

Iowa

area

or

an

early

childhood

Iowa

area

7

board

due

to

home

visiting

services

rendered

pursuant

to

8

chapter

256I,

Code

2026,

at

the

conclusion

of

the

transition

9

period

shall

remain

due

and

owing

after

the

transition

period

10

concludes.

11

b.

After

the

transition

period

concludes,

all

fiscal

agents

12

contracted

with

an

early

childhood

Iowa

area

board

shall

13

collect

outstanding

debts,

claims,

or

other

liabilities

owed

14

to

an

early

childhood

Iowa

area

or

an

early

childhood

Iowa

15

area

board

for

home

visiting

services

pursuant

to

chapter

256I

16

provided

or

rendered

before

the

transition

period

concluded.

17

7.

With

input

from

appropriate

stakeholders,

the

department

18

shall

identify

each

home

visiting

services

contract

that

will

19

be

impacted

by

divisions

I

through

V

of

this

Act.

On

or

before

20

June

30,

2027,

each

party

to

a

contract

identified

by

the

21

department

under

this

subsection

shall

exercise

the

option,

if

22

permitted

under

the

terms

of

the

contract,

to

terminate

the

23

contract.

Contracts

identified

under

this

subsection

that

do

24

not

provide

for

termination

shall

not

be

renewed

or

extended

at

25

the

end

of

the

current

contract

term.

26

8.

Unless

otherwise

provided

in

this

division

of

this

Act,

27

an

early

childhood

Iowa

area,

an

early

childhood

Iowa

area

28

board,

an

early

childhood

Iowa

area

director,

or

any

agent

29

of

an

early

childhood

Iowa

area

or

early

childhood

Iowa

area

30

board,

and

any

subdivision

of

the

state,

shall

not

enter

into,

31

renew,

or

extend

a

home

visiting

services

contract

related

to

32

the

early

childhood

Iowa

initiative

or

related

activities

if

33

the

term

of

the

contract

would

extend

past,

or

the

deliverables

34

under

the

contract

would

be

provided

after,

June

30,

2027.

35

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Sec.

21.

EFFECTIVE

DATE.

This

division

of

this

Act,

being

1

deemed

of

immediate

importance,

takes

effect

upon

enactment.

2

DIVISION

V

3

HEALTH

AND

HUMAN

SERVICES

DISTRICTS

4

Sec.

22.

Section

217.1,

Code

2026,

is

amended

by

adding

the

5

following

new

subsection:

6

NEW

SUBSECTION

.

4.

“Health

and

human

services

district”

or

7

“HHS

district”

means

a

geographic,

multicounty

area

designated

8

by

the

department

under

section

217.1B

for

statewide

program

9

and

service

delivery.

10

Sec.

23.

NEW

SECTION

.

217.1B

Health

and

human

services

11

districts.

12

1.

The

department

shall

divide

the

entirety

of

the

state

13

into

designated

health

and

human

services

districts.

The

14

initial

HHS

districts

shall

be

the

same

as

the

behavioral

15

health

districts

designated

pursuant

to

section

225A.4,

Code

16

2026,

and

that

exist

on

the

effective

date

of

this

division

17

of

this

Act.

The

department

shall

review

the

designated

HHS

18

districts

at

least

once

every

seven

consecutive

fiscal

years.

19

2.

a.

The

department

may

modify

a

designated

HHS

district.

20

When

modifying

a

designated

HHS

district,

the

department

shall

21

consider

all

of

the

following:

22

(1)

City

and

county

boundaries.

23

(2)

The

population

size

that

can

be

effectively

served

in

a

24

specific

area.

25

(3)

Areas

of

high

need

for

services.

26

(4)

Patterns

various

populations

exhibit

when

accessing

or

27

receiving

services.

28

b.

Notwithstanding

chapter

17A,

the

manner

in

which

29

the

modification

of

an

HHS

district

is

made,

including

the

30

determination

of

boundaries

for

a

modified

HHS

district,

shall

31

not

be

subject

to

judicial

review.

32

3.

The

department

shall

adopt

rules

pursuant

to

chapter

17A

33

to

administer

this

section.

34

Sec.

24.

CONTINGENT

EFFECTIVE

DATE.

This

division

of

this

35

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Act

takes

effect

July

1,

2026,

unless

the

sections

of

2026

Iowa

1

Acts,

LSB

5558

XD,

or

successor

legislation,

amending

section

2

217.1

and

enacting

section

217.1B

are

enacted

on

or

before

July

3

1,

2026.

4

DIVISION

VI

5

CONFORMING

CHANGES

6

Sec.

25.

Section

232.69,

subsection

1,

paragraph

b,

7

subparagraph

(5),

Code

2026,

is

amended

to

read

as

follows:

8

(5)

An

employee

or

operator

of

a

licensed

child

care

center,

9

registered

child

development

home,

head

start

program,

family

10

development

and

self-sufficiency

grant

program

under

section

11

216A.107

,

or

healthy

opportunities

for

parents

to

experience

12

success

–

healthy

families

Iowa

program

under

section

135.106

13

234A.5

.

14

Sec.

26.

Section

237A.30,

subsection

1,

Code

2026,

is

15

amended

to

read

as

follows:

16

1.

The

department

shall

work

with

the

early

childhood

17

Iowa

program

established

in

section

256I.5

in

designing

and

18

implementing

implement

a

voluntary

quality

rating

system

for

19

each

provider

type

of

child

care

facility.

20

Sec.

27.

Section

256I.3,

subsection

2,

paragraph

b,

Code

21

2026,

is

amended

to

read

as

follows:

22

b.

The

governor’s

appointees

shall

be

selected

from

23

individuals

nominated

by

area

boards.

The

nominations

shall

24

reflect

the

range

of

interests

represented

on

the

area

boards

25

so

that

the

governor

is

able

to

appoint

one

or

more

members

26

each

for

early

care,

education,

health,

human

services,

27

business,

faith,

and

public

interests.

At

least

one

of

the

28

citizen

members

shall

be

a

service

consumer

or

the

parent

of

a

29

service

consumer.

The

term

of

office

of

the

citizen

members

30

is

three

years.

A

citizen

member

vacancy

on

the

board

shall

be

31

filled

in

the

same

manner

as

the

original

appointment

for

the

32

balance

of

the

unexpired

term.

33

Sec.

28.

Section

256I.13,

subsection

1,

Code

2026,

is

34

amended

to

read

as

follows:

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1.

In

order

to

implement

the

legislative

intent

stated

1

in

sections

135.106

and

section

256I.9

,

that

priority

for

2

family

support

program

funding

be

given

to

programs

using

3

evidence-based

or

promising

models

for

family

support,

it

is

4

the

intent

of

the

general

assembly

that

ninety

percent

of

state

5

funds

expended

for

family

support

programs

shall

be

used

for

6

evidence-based

or

promising

program

models.

The

remaining

ten

7

percent

of

funds

may

be

used

for

innovative

program

models

that

8

do

not

yet

meet

the

definition

of

evidence-based

or

promising

9

programs.

10

Sec.

29.

EFFECTIVE

DATE.

This

division

of

this

Act

takes

11

effect

July

1,

2027.

12

DIVISION

VII

13

CHILD

CARE

WORKFORCE

——

STATE

CHILD

CARE

ASSISTANCE

ELIGIBILITY

14

Sec.

30.

NEW

SECTION

.

237A.15

State

child

care

assistance

15

——

child

care

workforce

eligibility.

16

1.

Notwithstanding

any

provision

of

section

237A.13

or

17

237A.14

to

the

contrary,

a

child

shall

be

eligible

for

the

18

state

child

care

assistance

program

established

in

section

19

237A.13

and

the

state

child

care

assistance

graduated

20

eligibility

phase-out

program

established

in

section

237A.14

if

21

a

parent,

guardian,

or

custodian

of

the

child

meets

all

of

the

22

following

requirements,

as

applicable:

23

a.

The

parent,

guardian,

or

custodian

is

employed

in

this

24

state

at

a

child

care

facility

or

child

care

home

that

has

an

25

agreement

with

the

department

to

accept

reimbursements

from

the

26

state

child

care

assistance

program.

27

b.

The

parent,

guardian,

or

custodian

works

an

average

28

minimum

of

thirty-two

hours

per

week.

A

portion

of

the

hours

29

worked,

as

specified

by

the

department,

must

be

in

a

position

30

with

a

primary

duty

of

providing

child

care

directly

to

31

children,

and

the

parent’s,

guardian’s,

or

custodian’s

position

32

must

be

regularly

counted

in

the

minimum

child-to-staff

ratio

33

established

by

the

department.

34

c.

(1)

If

the

parent,

guardian,

or

custodian

is

employed

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at

a

child

care

home

or

a

child

development

home,

the

parent,

1

guardian,

or

custodian

does

not

provide

child

care

to

the

2

parent’s,

guardian’s,

or

custodian’s

own

child.

3

(2)

Notwithstanding

subparagraph

(1),

a

co-provider

at

4

a

child

development

home

may

qualify

for

state

child

care

5

assistance

if

the

co-provider

meets

all

requirements

specified

6

in

this

section

and

by

the

department

by

rule.

7

d.

The

parent,

guardian,

or

custodian

is

not

a

substitute

or

8

an

assistant

at

a

child

care

home

or

a

child

development

home.

9

e.

Based

on

the

department’s

evaluation

of

the

parent’s,

10

guardian’s,

or

custodian’s

application

for

state

child

care

11

assistance,

the

department

has

determined

the

parent,

guardian,

12

or

custodian

has

a

need

for

child

care.

13

f.

The

parent,

guardian,

or

custodian

is

not

the

owner

of

14

the

child

care

facility

or

child

care

home

where

any

of

the

15

parent’s,

guardian’s,

or

custodian’s

children

are

enrolled.

16

2.

A

child

of

a

director,

co-director,

or

other

17

administrative

staff

member

of

a

child

care

facility

may

18

qualify

for

state

child

care

assistance

under

subsection

1

19

if

the

director,

co-director,

or

other

administrative

staff

20

member

is

regularly

counted

in

the

minimum

child-to-staff

ratio

21

established

by

the

department

by

rule.

22

3.

A

parent,

guardian,

or

custodian

of

a

child

participating

23

in

the

state

child

care

assistance

program

based

on

eligibility

24

established

under

this

section

shall

make

copayments

as

25

specified

by

the

department

by

rule.

26

4.

The

department

shall

adopt

rules

pursuant

to

chapter

17A

27

to

administer

this

section.

28

Sec.

31.

EMERGENCY

RULES.

The

department

of

health

and

29

human

services

may

adopt

emergency

rules

under

section

17A.4,

30

subsection

3,

and

section

17A.5,

subsection

2,

paragraph

“b”,

31

to

implement

the

provisions

of

this

division

of

this

Act

and

32

the

rules

shall

be

effective

immediately

upon

filing

unless

33

a

later

date

is

specified

in

the

rules.

Any

rules

adopted

34

in

accordance

with

this

section

shall

also

be

published

as

a

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notice

of

intended

action

as

provided

in

section

17A.4.

1

Sec.

32.

EFFECTIVE

DATE.

This

division

of

this

Act,

being

2

deemed

of

immediate

importance,

takes

effect

upon

enactment.

3

DIVISION

VIII

4

CODE

EDITOR

DIRECTIVES

5

Sec.

33.

CODE

EDITOR

DIRECTIVES.

The

Code

editor

is

6

directed

to

do

all

of

the

following:

7

1.

Make

changes

in

any

Code

sections

amended

or

enacted

8

by

any

other

Act

to

correspond

with

the

changes

made

in

this

9

Act

if

there

appears

to

be

no

doubt

as

to

the

proper

method

of

10

making

the

changes

and

the

changes

would

not

be

contrary

to

or

11

inconsistent

with

the

purposes

of

this

Act

or

any

other

Act.

12

2.

Correct

internal

references

in

the

Code

and

in

enacted

13

legislation

as

necessary

due

to

the

enactment

of

this

Act.

14

EXPLANATION

15

The

inclusion

of

this

explanation

does

not

constitute

agreement

with

16

the

explanation’s

substance

by

the

members

of

the

general

assembly.

17

This

bill

relates

to

early

childhood

and

family

services,

18

including

creation

of

an

early

childhood

and

family

services

19

(ECFS)

system

and

child

care

workforce

eligibility

for

state

20

child

care

assistance

(CCA).

21

DIVISION

I

——

EARLY

CHILDHOOD

AND

FAMILY

SERVICES

SYSTEM.

22

The

bill

creates

new

Code

chapter

234A

(early

childhood

and

23

family

services

system).

The

purpose

of

the

ECFS

system

is

24

to

provide

accessible,

ongoing,

and

community-based

services

25

for

children

and

families.

The

bill

defines

terms

used

in

the

26

chapter.

27

The

ECFS

system

is

established

under

the

control

of

28

the

department

of

health

and

human

services

(HHS)

and

29

ECFS

districts

(districts)

are

established

for

statewide

30

implementation

of

primary

prevention

strategies

and

early

31

intervention

strategies

for

families

and

their

children

under

32

19

years

of

age.

The

ECFS

system

must

be

administered

in

33

a

manner

that

maximizes

funding

opportunities,

interagency

34

collaboration,

and

integration

of

activities

and

services

that

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support

positive

outcomes

for

children

and

families.

1

The

bill

details

actions

HHS

must

perform,

to

the

extent

2

funding

is

available,

to

develop

and

administer

the

ECFS

3

system.

4

The

bill

directs

HHS

to

establish

an

ECFS

district

advisory

5

council

(council)

in

each

district,

and

develop

policies

and

6

procedures

for

the

operational

functions

of

the

councils.

A

7

council

shall

consist

of

10

members

appointed

by

HHS.

The

bill

8

specifies

individuals

who

are

eligible

for

appointment,

and

the

9

duties

of

a

council.

10

The

bill

specifies

the

duties

of

HHS

related

to

data

11

collection

and

use

for

the

ECFS

system.

The

bill

requires

12

HHS

to

maintain

compliance

with

applicable

federal

and

state

13

privacy

laws

to

ensure

the

confidentiality

and

integrity

of

14

individually

identifiable

data

related

to

the

ECFS

system

15

collected

by

HHS.

16

Current

Code

section

135.106

(healthy

opportunities

17

for

parents

to

experience

success

–

healthy

families

Iowa

18

(HOPES-HFI))

is

placed

in

the

new

Code

chapter

and

becomes

part

19

of

the

ECFS

system.

The

bill

specifies

the

requirements

for

20

the

HOPES-HFI

program

and

directs

HHS

to

develop

and

administer

21

the

HOPES-HFI

program,

in

whole

or

in

part,

by

contracting

22

with

local

organizations

that

use

evidence-based

home

visiting

23

models.

24

The

bill

establishes

an

ECFS

system

fund

(ECFS

fund)

25

consisting

of

moneys

appropriated

to

HHS

for

the

ECFS

fund’s

26

purposes

by

the

general

assembly

and

any

other

moneys

available

27

and

obtained

or

accepted

by

HHS

for

deposit

in

the

ECFS

28

fund.

Moneys

in

the

ECFS

fund

are

appropriated

to

HHS

for

the

29

purposes

of

implementing

and

administering

the

ECFS

system.

30

Moneys

appropriated

that

remain

unencumbered

or

unobligated

at

31

the

close

of

a

fiscal

year

shall

not

revert

to

the

general

fund

32

of

the

state,

and

interest

or

earnings

on

moneys

in

the

fund

33

shall

be

credited

to

the

ECFS

fund.

34

The

section

of

the

division

that

establishes

the

ECFS

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fund

takes

effect

upon

enactment.

All

other

sections

in

the

1

division

take

effect

July

1,

2027.

2

DIVISION

II

——

DECATEGORIZATION

INITIATIVE.

The

bill

3

eliminates

the

decategorization

initiative.

4

DIVISION

III

——

CHILD

ABUSE

PREVENTION

PROGRAM.

The

5

bill

eliminates

the

child

abuse

prevention

program,

fund,

6

and

advisory

committee.

A

taxpayer

may

still

receive

a

7

nonrefundable

reduction

in

the

taxpayer’s

income

taxes

for

8

contributing

one

or

more

dollars

to

child

abuse

prevention,

9

but

the

moneys

received

will

be

administered

through

the

ECFS

10

system

instead

of

the

child

abuse

prevention

program

fund.

11

Funding

for

child

abuse

prevention

and

moneys

in

the

current

12

child

abuse

prevention

fund

are

directed

to

the

ECFS

fund

to

be

13

used

by

HHS

for

child

abuse

prevention.

14

This

division

of

the

bill

takes

effect

upon

enactment.

15

DIVISION

IV

——

TRANSITION

PROVISIONS.

The

bill

defines

16

terms

used

in

the

division,

including

“transition

period”,

17

which

means

the

period

beginning

on

the

date

of

enactment

of

18

the

division

and

concluding

on

June

30,

2027.

19

The

bill

allows

HHS

to

exercise

all

policymaking

functions

20

and

regulatory

powers

as

necessary

to

establish

the

ECFS

system

21

during

the

transition

period.

22

The

bill

requires

HHS

to

execute

contracts

as

necessary

to

23

establish,

implement,

and

administer

the

ECFS

system;

adopt

24

necessary

administrative

rules;

establish

necessary

policies

25

and

prepare

necessary

forms;

prepare

an

ECFS

state

plan

and

26

develop

ECFS

district

plans;

develop

plans

for

the

transition

27

of

early

childhood

and

family

services

to

the

ECFS

system;

28

ensure

that

individuals

currently

receiving

ECFS

system-related

29

services

under

the

purview

of

HHS

or

home

visiting

services

30

provided

through

the

initiative

have

uninterrupted

continuity

31

of

care;

submit

a

report

to

the

general

assembly

no

later

32

than

January

15,

2027,

that

details

the

administrative

and

33

operational

costs

to

establish,

implement,

and

administer

34

the

ECFS

system;

develop

a

plan

to

transition

oversight

and

35

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accountability

for

home

visiting

services

currently

funded

1

by

the

early

childhood

Iowa

initiative

to

the

ECFS

system;

2

and

work

with

a

cohort

of

early

childhood

Iowa

area

directors

3

and

the

early

childhood

Iowa

state

board

to

develop

a

plan

to

4

modernize

the

early

childhood

Iowa

initiative.

5

The

bill

requires

HHS

to

request

any

federal

waivers

or

6

authorizations

(waivers)

necessary

to

implement

the

ECFS

7

system.

Notwithstanding

other

effective

dates

stated

in

the

8

bill,

any

provision

of

the

bill

HHS

determines

necessitates

a

9

waiver

is

effective

upon

receipt

of

the

federal

approval

of

the

10

waiver.

11

The

bill

provides

that

all

debts,

claims,

or

other

12

liabilities

owed

to

an

early

childhood

Iowa

area

(area)

or

an

13

area

board

due

to

home

visiting

services

rendered

pursuant

14

to

Code

chapter

256I

at

the

conclusion

of

the

transition

15

period

shall

remain

due

and

owing

after

the

transition

period

16

concludes.

After

the

transition

period

concludes,

all

fiscal

17

agents

contracted

with

an

area

board

shall

assist

collect

18

outstanding

debts,

claims,

or

other

liabilities

owed

to

the

19

areas

or

area

boards

for

home

visiting

services

provided

or

20

rendered

before

the

transition

period

concluded.

Reimbursement

21

for

allowable

activities

and

services

shall

only

be

paid

if

22

accompanied

by

sufficient

supporting

documentation.

23

With

input

from

appropriate

stakeholders,

the

bill

requires

24

HHS

to

identify

each

home

visiting

contract

that

will

be

25

impacted

by

the

provisions

relating

to

the

ECFS

system

and

26

the

initiative.

On

or

before

June

30,

2027,

each

party

to

27

a

contract

identified

by

HHS

shall

exercise

the

option,

if

28

available

pursuant

to

the

terms

of

the

contract,

to

terminate

29

the

contract.

Contracts

that

do

not

provide

for

termination

30

shall

not

be

renewed

or

extended

at

the

end

of

the

current

31

contract

term.

32

An

area

board,

an

area

director,

or

any

agent

of

an

area

33

or

area

board,

and

any

subdivision

of

the

state,

shall

not

34

enter

into,

renew,

or

extend

a

home

visiting

services

contract

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related

to

the

initiative

or

related

activities

if

the

term

1

period

of

the

contract

would

extend,

or

the

deliverables

under

2

the

contract

would

be

provided,

beyond

June

30,

2027.

3

This

division

of

the

bill

takes

effect

upon

enactment.

4

DIVISION

V

——

HEALTH

AND

HUMAN

SERVICES

DISTRICTS.

The

5

bill

directs

HHS

to

divide

the

state

into

health

and

human

6

services

districts

(districts),

as

that

term

is

defined

in

the

7

bill,

to

be

used

by

HHS

for

statewide

delivery

of

programs

and

8

services.

The

initial

district

boundaries

shall

be

the

same

as

9

the

behavioral

health

district

boundaries,

as

the

behavioral

10

health

district

boundaries

existed

on

July

1,

2025.

HHS

must

11

review

the

designation

of

the

districts

at

least

once

every

12

seven

consecutive

fiscal

years.

The

bill

provides

factors

HHS

13

must

consider

when

modifying

a

district,

and

modification

is

14

not

subject

to

judicial

review.

15

This

division

of

the

bill

is

effective

July

1,

2026,

unless

16

the

sections

of

2026

Iowa

Acts,

LSB

5558

XD,

amending

Code

17

section

217.1

and

enacting

Code

section

217.1B

are

enacted

on

18

or

before

July

1,

2026.

19

DIVISION

VI

——

CONFORMING

CHANGES.

The

bill

includes

20

conforming

changes

and

this

division

takes

effect

July

1,

2027.

21

DIVISION

VII

——

CHILD

CARE

WORKFORCE

——

STATE

CHILD

CARE

22

ASSISTANCE

ELIGIBILITY.

The

bill

provides

that

a

child

shall

23

be

eligible

for

the

state

child

care

assistance

(CCA)

program

24

under

Code

section

237A.13

(state

child

care

assistance)

25

or

237A.14

(child

care

assistance

——

graduated

eligibility

26

phase-out)

if

a

parent,

guardian,

or

custodian

(custodian)

is

27

employed

at

a

child

care

facility

or

child

care

home

that

has

28

an

agreement

with

HHS

to

accept

reimbursement

from

the

CCA

29

program;

works

an

average

minimum

of

32

hours

per

week

in

a

30

position

with

a

primary

duty

of

providing

child

care

directly

31

to

children;

and

meets

several

other

requirements

specified

32

in

the

bill.

A

child

of

a

director,

co-director,

or

other

33

administrative

staff

member

(staff

member)

may

be

eligible

if

34

the

staff

member

is

regularly

counted

in

the

child-to-staff

35

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ratio

established

by

the

department.

A

custodian

of

a

child

1

participating

in

the

CCA

program

under

the

bill

shall

make

2

copayments

as

specified

by

HHS

by

rule.

3

The

bill

requires

HHS

to

adopt

rules

to

administer

this

4

division

of

the

bill.

The

division

provides

HHS

with

emergency

5

rulemaking

authority.

This

division

of

the

bill

takes

effect

6

upon

enactment.

7

DIVISION

VIII

——

CODE

EDITOR

DIRECTIVES.

The

bill

provides

8

Code

editor

directives.

9

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