Iowa 2023-2024 Regular Session

Iowa House Bill HSB248

Introduced
4/26/23  
Introduced
4/26/23  

Caption

A bill for an act relating to appropriations for veterans and health and human services and including other related provisions and appropriations including health policy oversight, public assistance program provisions and a public assistance modernization fund, sprinkler systems for home and community-based services waiver recipient residences, a state-funded family medicine obstetrics fellowship program and fund, adoption subsidy program nonrecurring adoption expenses, real estate transactions involving departmental institutions, providing penalties, and including effective date and other applicability date provisions.(See HF 724.)

Impact

If enacted, HSB248 would reinforce funding for veterans services and public health initiatives across the state. It is expected to result in expanded health services offerings, particularly in underserved areas through the fellowship program. The changes in zoning regulations concerning home and community-based services waiver recipient residences might facilitate the establishment and maintenance of these homes without imposing additional bureaucratic hurdles on residents and caregivers. However, some stakeholders may express concerns regarding the balance between state oversight and local governance in the classification and treatment of these residences.

Summary

House Study Bill 248 (HSB248) addresses appropriations related to veterans and health and human services in Iowa, aiming to allocate specific funds for various health programs and initiatives. The bill includes provisions for a public assistance modernization fund, which is intended to modernize information technology systems in the delivery of public assistance programs. A significant focus of the bill is the establishment of a state-funded family medicine obstetrics fellowship program designed to improve access to practitioners in rural areas. Additionally, the bill proposes modifications related to the classification of residences used by recipients of home and community-based services waivers, affecting local zoning laws and requirements for sprinkler systems in such residences.

Contention

Notably, while HSB248 aims to advance health and human services, there may be debates regarding funding prioritization, particularly concerning how resources are allocated between veterans and broader health initiatives. The bill's emphasis on technological modernization for public assistance programs may also evoke discussions about budget allocations and the efficacy of such transformations. Furthermore, the provisions surrounding the waiver recipient residences may spark discussions on local control versus state mandates, particularly around zoning laws.

Companion Bills

IA SSB1213

Related A bill for an act relating to appropriations for veterans and health and human services and including other related provisions and appropriations, providing penalties, and including effective date and retroactive and other applicability date provisions.(See SF 561.)

IA SF561

Replaced by A bill for an act relating to appropriations for veterans and health and human services and including other related provisions and appropriations including health policy oversight, public assistance program provisions and a public assistance modernization fund, sprinkler systems for home and community-based services waiver recipient residences, a state-funded family medicine obstetrics fellowship program and fund, adoption subsidy program nonrecurring adoption expenses, real estate transactions involving departmental institutions, providing penalties, and including effective date and other applicability date provisions. (Formerly SSB 1213.) Effective date: 06/01/2023, 07/01/2023.

IA HF724

Replaced by A bill for an act relating to appropriations for veterans and health and human services and including other related provisions and appropriations including health policy oversight, public assistance program provisions and a public assistance modernization fund, sprinkler systems for home and community-based services waiver recipient residences, a state-funded family medicine obstetrics fellowship program and fund, adoption subsidy program nonrecurring adoption expenses, real estate transactions involving departmental institutions, providing penalties, and including effective date and other applicability date provisions.(Formerly HSB 248.)

Similar Bills

IA HF724

A bill for an act relating to appropriations for veterans and health and human services and including other related provisions and appropriations including health policy oversight, public assistance program provisions and a public assistance modernization fund, sprinkler systems for home and community-based services waiver recipient residences, a state-funded family medicine obstetrics fellowship program and fund, adoption subsidy program nonrecurring adoption expenses, real estate transactions involving departmental institutions, providing penalties, and including effective date and other applicability date provisions.(Formerly HSB 248.)

IA SF561

A bill for an act relating to appropriations for veterans and health and human services and including other related provisions and appropriations including health policy oversight, public assistance program provisions and a public assistance modernization fund, sprinkler systems for home and community-based services waiver recipient residences, a state-funded family medicine obstetrics fellowship program and fund, adoption subsidy program nonrecurring adoption expenses, real estate transactions involving departmental institutions, providing penalties, and including effective date and other applicability date provisions. (Formerly SSB 1213.) Effective date: 06/01/2023, 07/01/2023.

IA HF2698

A bill for an act relating to and making appropriations for veterans and health and human services, including other related provisions and appropriations including but not limited to the personal needs allowance for certain persons under Medicaid and the state supplementary assistance programs, replacement generation tax revenues, the Medicaid fraud and health care trust funds, the retention of certain revenues by the mental health institutes, the retention of Medicaid eligibility by residents of mental health institutes, the scope of services of the state resource centers, the appropriation of moneys in the juvenile detention home fund, the family investment program account and diversion program, the child support collection services center refund account, the quality assurance assessment payment period, the centers of excellence grant program, an assisted living program revised payment model study, funding for county commissions of veteran affairs, foster care provisions including those relating to a relative or fictive kin, health care employment agencies and health care technology platforms, medical cannabidiol practitioner requirements, nursing facility oversight, and state-funded psychiatry residency and fellowship positions, providing penalties, and including effective date and retroactive applicability provisions. Effective date: 05/09/2024, 07/01/2024. Applicability date: 07/01/2022, 07/01/2023.

IA SSB1213

A bill for an act relating to appropriations for veterans and health and human services and including other related provisions and appropriations, providing penalties, and including effective date and retroactive and other applicability date provisions.(See SF 561.)

IA HSB342

A bill for an act relating to and making appropriations to the department of veterans affairs and the department of health and human services, and related provisions and appropriations, including aging and disability services; behavioral health, public health, community access and eligibility; the medical assistance program, state supplementary assistance, Hawki, and other health-related programs; reimbursement rates; family well-being and protection; state-operated specialty care, administration and compliance; transfers, cash flows, and nonreversions; prior appropriations; the beer and liquor control fund, and the behavioral health fund; report on nonreversion of moneys; emergency rules; autism spectrum disorder; involuntary commitment hearing testimony; discharge of involuntarily committed persons; medical residency and fellowships; maintenance and costs of juvenile homes; and a hospital directed payment program; and including effective date and retroactive applicability provisions.(See HF 1049.)

IA SF2437

A bill for an act relating to and making appropriations for veterans and health and human services, including other related provisions and appropriations, and including effective date and retroactive applicability provisions.(Formerly SSB 3205.)

IA SSB3205

A bill for an act relating to and making appropriations for veterans and health and human services, including other related provisions and appropriations, and including effective date and retroactive applicability provisions.(See SF 2437.)

IA HF1049

A bill for an act relating to and making appropriations to the department of veterans affairs and the department of health and human services, and related provisions and appropriations, including aging and disability services; behavioral health, public health, community access and eligibility; the medical assistance program, state supplementary assistance, Hawki, and other health-related programs; sex reassignment surgeries or associated procedures; family well-being and protection; state-operated specialty care, administration and compliance; transfers, cash flows, and nonreversions; prior appropriations; the beer and liquor control fund, and the behavioral health fund; report on nonreversion of moneys; emergency rules; and a hospital directed payment program; and including effective date and retroactive applicability provisions. (Formerly HSB 342.) Effective date: Enactment, 07/01/2025 Applicability date: 07/01/2024