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SF528 • 2026

A bill for an act relating to the personal needs allowance for residents of certain facilities under the Medicaid program, and providing an appropriation.

A bill for an act relating to the personal needs allowance for residents of certain facilities under the Medicaid program, and providing an appropriation.

Budget
Passed Legislature

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

Sponsor
CELSI
Last action
2025-03-10
Official status
Subcommittee: Klimesh, Celsi, and Costello. S.J. 466 .
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 for residents of certain facilities under the Medicaid program, and providing an appropriation.

A bill for an act relating to the personal needs allowance for residents of certain facilities under the Medicaid program, and providing an appropriation.

What This Bill Does

  • A bill for an act relating to the personal needs allowance for residents of certain facilities under the Medicaid program, and providing an appropriation.

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. 2025-03-10 Iowa Legislature

    Subcommittee: Klimesh, Celsi, and Costello. S.J. 466 .

  2. 2025-03-05 Iowa Legislature

    Introduced, referred to Health and Human Services. S.J. 419 .

Official Summary Text

A bill for an act relating to the personal needs allowance for residents of certain facilities under the Medicaid program, and providing an appropriation.

Current Bill Text

Read the full stored bill text
Senate

File

528

-

Introduced

SENATE

FILE

528

BY

CELSI

A

BILL

FOR

An

Act

relating

to

the

personal

needs

allowance

for

residents

1

of

certain

facilities

under

the

Medicaid

program,

and

2

providing

an

appropriation.

3

BE

IT

ENACTED

BY

THE

GENERAL

ASSEMBLY

OF

THE

STATE

OF

IOWA:

4

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S.F.

528

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

eighty-five

dollars

per

month.

11

2.

A

resident

who

has

income

of

less

than

fifty

eighty-five

12

dollars

per

month

shall

receive

a

supplement

from

the

state

13

in

the

amount

necessary

to

receive

a

personal

needs

allowance

14

of

fifty

eighty-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

17

human

services

for

this

purpose

to

provide

the

supplementation

18

specified

under

this

section

.

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

for

an

increase,

from

$50

to

$85,

in

the

23

personal

needs

allowance

under

Medicaid

retained

by

a

person

24

who

is

a

resident

of

a

nursing

facility,

an

intermediate

care

25

facility

for

persons

with

an

intellectual

disability,

or

an

26

intermediate

care

facility

for

persons

with

mental

illness,

or

27

a

person

who

is

a

resident

of

a

psychiatric

medical

institution

28

for

children.

A

resident

who

has

income

of

less

than

$85

per

29

month

shall

receive

a

supplement

from

the

state

as

necessary

to

30

receive

a

personal

needs

allowance

of

$85.

The

bill

provides

31

for

an

annual

appropriation

from

the

general

fund

of

the

state

32

to

the

department

of

health

and

human

services

an

amount

33

sufficient

to

provide

the

supplementation

specified

in

the

34

bill.

35

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