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SF538 • 2026

A bill for an act establishing a working group on nursing home Medicaid payment recovery following the closure or sale of a nursing home.

A bill for an act establishing a working group on nursing home Medicaid payment recovery following the closure or sale of a nursing home.

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 establishing a working group on nursing home Medicaid payment recovery following the closure or sale of a nursing home.

A bill for an act establishing a working group on nursing home Medicaid payment recovery following the closure or sale of a nursing home.

What This Bill Does

  • A bill for an act establishing a working group on nursing home Medicaid payment recovery following the closure or sale of a nursing home.

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. 421 .

Official Summary Text

A bill for an act establishing a working group on nursing home Medicaid payment recovery following the closure or sale of a nursing home.

Current Bill Text

Read the full stored bill text
Senate

File

538

-

Introduced

SENATE

FILE

538

BY

CELSI

A

BILL

FOR

An

Act

establishing

a

working

group

on

nursing

home

Medicaid

1

payment

recovery

following

the

closure

or

sale

of

a

nursing

2

home.

3

BE

IT

ENACTED

BY

THE

GENERAL

ASSEMBLY

OF

THE

STATE

OF

IOWA:

4

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538

Section

1.

WORKING

GROUP

ON

NURSING

HOME

MEDICAID

PAYMENT

1

RECOVERY.

2

1.

The

department

of

health

and

human

services

shall

convene

3

a

working

group

to

review

the

discrepancy

between

nursing

home

4

residents

who

are

subject

to

Medicaid

estate

recovery

after

5

receiving

care

from

a

nursing

home,

and

nursing

homes

that

6

are

not

subjected

to

Medicaid

payment

recovery

following

the

7

closure

or

sale

of

a

nursing

home.

8

2.

a.

The

working

group

shall

include

all

of

the

following

9

members:

10

(1)

The

director

of

health

and

human

services,

or

the

11

director’s

designee.

12

(2)

The

director

of

the

Medicaid

fraud

control

unit,

or

the

13

director’s

designee.

14

(3)

At

least

three

individuals

with

experience

navigating

15

the

Medicaid

estate

recovery

process

for

nursing

home

16

residents.

17

(4)

A

co-owner

of

the

Hale

group.

18

b.

The

working

group

shall

also

include

four

members

of

19

the

general

assembly

serving

as

ex

officio,

nonvoting

members,

20

one

representative

to

be

appointed

by

the

speaker

of

the

house

21

of

representatives,

one

representative

to

be

appointed

by

the

22

minority

leader

of

the

house

of

representatives,

one

senator

to

23

be

appointed

by

the

president

of

the

senate

after

consultation

24

with

the

majority

leader

of

the

senate,

and

one

senator

to

be

25

appointed

by

the

minority

leader

of

the

senate.

26

3.

The

department

of

health

and

human

services

shall

provide

27

administrative

support

to

the

working

group.

The

director

of

28

health

and

human

services,

or

the

director’s

designee,

shall

29

serve

as

chairperson

of

the

working

group,

and

shall

schedule

30

meetings

of

the

working

group

as

necessary

to

complete

the

work

31

of

the

working

group.

32

4.

The

department

of

health

and

human

services

shall

submit

33

a

report

to

the

general

assembly

on

or

before

February

28,

34

2026,

containing

recommendations

to

address

the

potential

35

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538

issues

involved

with

recovering

a

portion

of

Medicaid

payments

1

from

a

nursing

home

following

the

closure

or

sale

of

a

2

nursing

home,

and

any

proposed

legislation

to

provide

public

3

accountability

following

closure

or

sale

of

a

nursing

home.

4

5.

The

working

group

shall

dissolve

upon

submission

of

the

5

report

to

the

general

assembly

and

the

director

of

health

and

6

human

services,

but

shall

dissolve

no

later

than

March

1,

2026.

7

EXPLANATION

8

The

inclusion

of

this

explanation

does

not

constitute

agreement

with

9

the

explanation’s

substance

by

the

members

of

the

general

assembly.

10

This

bill

establishes

a

working

group

on

nursing

home

11

Medicaid

payment

recovery

(working

group).

The

working

group

12

shall

review

the

discrepancy

between

nursing

home

residents

who

13

are

subject

to

Medicaid

estate

recovery

after

receiving

care

14

from

a

nursing

home,

and

nursing

homes

that

are

not

subjected

15

to

Medicaid

payment

recovery

following

closure

or

sale

of

a

16

nursing

home.

The

working

group

shall

consist

of

members

as

17

detailed

in

the

bill.

The

department

of

health

and

human

18

services

shall

provide

administrative

support

for

the

working

19

group

and

the

director

of

health

and

human

services,

or

the

20

director’s

designee,

shall

serve

as

the

chairperson

for

the

21

working

group.

The

working

group

shall

submit

a

report

to

the

22

general

assembly

on

or

before

February

28,

2026,

containing

23

recommendations

to

address

potential

issues

with

recovering

24

a

portion

of

Medicaid

payments

following

the

sale

or

closure

25

of

a

nursing

home,

and

any

legislation

to

provide

public

26

accountability

following

sale

or

closure

of

a

nursing

home.

27

The

working

group

shall

dissolve

upon

the

submission

of

the

28

report

to

the

general

assembly

and

the

director

of

health

and

29

human

services

no

later

than

March

1,

2026.

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