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SF476 • 2026

A bill for an act relating to the personal needs allowance under the medical assistance program.(Formerly SF 255 .)

A bill for an act relating to the personal needs allowance under the medical assistance program.(Formerly SF 255 .)

Healthcare
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
2025-06-16
Official status
Referred to Health and Human Services. S.J. 1057 .
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.(Formerly SF 255 .)

A bill for an act relating to the personal needs allowance under the medical assistance program.(Formerly SF 255 .)

What This Bill Does

  • A bill for an act relating to the personal needs allowance under the medical assistance program.(Formerly SF 255 .)

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. 2025-06-16 Iowa Legislature

    Referred to Health and Human Services. S.J. 1057 .

  2. 2025-03-24 Iowa Legislature

    Fiscal note .

  3. 2025-03-03 Iowa Legislature

    Committee report, approving bill. S.J. 395 .

  4. 2025-03-03 Iowa Legislature

    Introduced, placed on calendar. S.J. 390 .

Official Summary Text

A bill for an act relating to the personal needs allowance under the medical assistance program.(Formerly SF 255 .)

Current Bill Text

Read the full stored bill text
Senate

File

476

-

Introduced

SENATE

FILE

476

BY

COMMITTEE

ON

HEALTH

AND

HUMAN

SERVICES

(SUCCESSOR

TO

SF

255)

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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S.F.

476

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

sixty-five

dollars

per

month.

11

2.

A

resident

who

has

income

of

less

than

fifty

sixty-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

sixty-five

dollars

per

month.

The

general

assembly

shall

15

annually

appropriate

a

sufficient

amount

from

the

general

fund

16

of

the

state

to

the

department

of

health

and

human

services

for

17

this

purpose.

18

3.

Beginning

July

1,

2026,

the

department

shall

annually

19

increase

the

personal

needs

allowance

by

a

percentage

equal

to

20

the

annual

percentage

change

in

the

United

States

department

of

21

labor,

bureau

of

statistics,

consumer

price

index

for

all

urban

22

consumers

for

the

midwest

region,

all

items,

or

a

successor

23

index.

The

personal

needs

allowance

shall

not

exceed

one

24

hundred

dollars

per

month.

25

4.

The

department

shall

review

the

personal

needs

26

allowance,

in

consultation

with

the

long-term

care

ombudsman,

27

and

submit

a

report

to

the

general

assembly

containing

the

28

number

of

recipients

and

disbursements

made

under

this

section,

29

including

any

recommendations

the

department

deems

necessary.

30

Beginning

the

second

Monday

in

January

2027,

the

department

31

shall

biennially

submit

a

report

on

or

before

the

second

Monday

32

in

January.

33

EXPLANATION

34

The

inclusion

of

this

explanation

does

not

constitute

agreement

with

35

-1-

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S.F.

476

the

explanation’s

substance

by

the

members

of

the

general

assembly.

1

This

bill

relates

to

the

personal

needs

allowance

under

the

2

medical

assistance

program.

3

The

personal

needs

allowance

covers

a

person’s

personal

4

expenses

not

covered

by

the

medical

assistance

program.

5

Current

law

provides

that

a

person

who

is

a

resident

of

a

6

nursing

facility,

an

intermediate

care

facility

for

persons

7

with

an

intellectual

disability

or

mental

illness,

or

a

8

psychiatric

medical

institution

for

children

may

retain

a

9

personal

needs

allowance

of

$50

per

month.

A

resident

who

has

10

an

income

of

less

than

$50

dollars

per

month

shall

receive

a

11

supplement

from

the

state

to

receive

a

personal

needs

allowance

12

of

$50

per

month.

The

bill

increases

the

personal

needs

13

allowance

to

$65

per

month

and

a

resident

with

an

income

of

14

less

than

$65

per

month

shall

receive

a

supplement

from

the

15

state.

16

The

bill

provides

that

beginning

July

1,

2026,

the

17

department

shall

annually

increase

the

personal

needs

allowance

18

by

a

percentage

equal

to

the

annual

percentage

change

in

the

19

United

States

department

of

labor,

bureau

of

labor

statistics,

20

consumer

price

index

for

all

urban

consumers

for

the

midwest

21

region,

all

items,

or

a

successor

index.

The

personal

needs

22

allowance

shall

not

exceed

$100

per

month.

23

Beginning

January

2027,

the

department

of

health

and

24

human

services

shall

review

the

personal

needs

allowance,

in

25

consultation

with

the

long-term

care

ombudsman,

and

biennially

26

submit

a

report

relating

to

the

review

to

the

general

assembly

27

on

or

before

the

second

Monday

in

January.

28

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