IA
Iowa House Bill HSB191

Iowa 2025-2026 Regular Session

Iowa House Bill HSB191

Introduced
2/17/25  

Caption

A bill for an act relating to health care including a funding model for the rural health care system; the elimination of several health care-related award, grant, residency, and fellowship programs; establishment of a health care professional incentive program; Medicaid graduate medical education; the health facilities council; and the Iowa health information network, making appropriations, and including effective date provisions.(See HF 754, HF 972.)

Impact

The bill also entails the elimination of multiple existing health care-related programs, including several award, grant, and loan repayment initiatives intended to support health care professionals working in underserved areas. By abolishing these programs, the legislation aims to streamline efforts and resources within health care policies. Instead, it proposes the establishment of a new health care professional incentive program, which will provide financial awards for eligible health care professionals willing to serve in designated areas that require additional support. This shift highlights a potential reallocation of funds towards more impactful long-term incentives rather than short-term solutions.

Summary

House Study Bill 191 addresses several significant aspects of health care in Iowa, particularly focusing on rural health systems. Notably, it introduces a hub-and-spoke partnership funding model designed to enhance collaboration among regional health care providers. This model aims to improve the quality and sustainability of health care services in rural areas, thereby directly addressing the challenges faced by these communities in accessing adequate health facilities and professionals. The bill emphasizes the need for effective financial support that can adapt to local priorities, ensuring that rural health systems can thrive under this new paradigm.

Contention

The changes proposed in HSB191 have sparked discussions regarding their effects on state health laws and the existing workforce structure. Supporters argue that eliminating underperforming programs allows for a more concentrated effort on effective solutions, thereby potentially improving the health care landscape in Iowa. However, critics have raised concerns that the removal of these programs might exacerbate the workforce shortages in rural areas, leaving them vulnerable to inadequate health care access. The balance between reforming health care policy and ensuring accessibility continues to be a point of contention in the discussions surrounding HSB191.

Latest HSB191 Activity

Companion Bills

IA HF754

Replaced by A bill for an act relating to health care including a funding model for the rural health care system; the elimination of several health care-related award, grant, residency, and fellowship programs; establishment of a health care professional incentive program; Medicaid graduate medical education; the health facilities council; and the Iowa health information network, making appropriations, and including effective date provisions.(Formerly HSB 191; See HF 972.)

IA SF575

Replaced by A bill for an act relating to health care including a funding model for the rural health care system; the elimination of several health care-related award, grant, residency, and fellowship programs; establishment of a health care professional incentive program; Medicaid graduate medical education; the health facilities council; and the Iowa health information network, making appropriations, and including effective date provisions.(Formerly SSB 1163; See SF 618.)

IA SSB1163

Related A bill for an act relating to health care including a funding model for the rural health care system; the elimination of several health care-related award, grant, residency, and fellowship programs; establishment of a health care professional incentive program; Medicaid graduate medical education; the health facilities council; and the Iowa health information network, making appropriations, and including effective date provisions.(See SF 575, SF 618.)

IA HF972

Replaced by A bill for an act relating to health care including a funding model for the rural health care system; the elimination of several health care-related award, grant, residency, and fellowship programs; establishment of a health care professional incentive program; Medicaid graduate medical education; the health facilities council; and the Iowa health information network, making appropriations, and including effective date provisions.(Formerly HF 754, HSB 191.)

IA SF618

Replaced by A bill for an act relating to health care including a funding model for the rural health care system; the elimination of several health care-related award, grant, residency, and fellowship programs; establishment of a health care professional incentive program; Medicaid graduate medical education; the health facilities council; and the Iowa health information network, making appropriations, and including effective date provisions.(Formerly SF 575, SSB 1163.)

Similar Bills

IA SSB1163

A bill for an act relating to health care including a funding model for the rural health care system; the elimination of several health care-related award, grant, residency, and fellowship programs; establishment of a health care professional incentive program; Medicaid graduate medical education; the health facilities council; and the Iowa health information network, making appropriations, and including effective date provisions.(See SF 575, SF 618.)

IA HF754

A bill for an act relating to health care including a funding model for the rural health care system; the elimination of several health care-related award, grant, residency, and fellowship programs; establishment of a health care professional incentive program; Medicaid graduate medical education; the health facilities council; and the Iowa health information network, making appropriations, and including effective date provisions.(Formerly HSB 191; See HF 972.)

IA SF618

A bill for an act relating to health care including a funding model for the rural health care system; the elimination of several health care-related award, grant, residency, and fellowship programs; establishment of a health care professional incentive program; Medicaid graduate medical education; the health facilities council; and the Iowa health information network, making appropriations, and including effective date provisions.(Formerly SF 575, SSB 1163.)

IA HF972

A bill for an act relating to health care including a funding model for the rural health care system; the elimination of several health care-related award, grant, residency, and fellowship programs; establishment of a health care professional incentive program; Medicaid graduate medical education; the health facilities council; and the Iowa health information network, making appropriations, and including effective date provisions.(Formerly HF 754, HSB 191.)

IA SF575

A bill for an act relating to health care including a funding model for the rural health care system; the elimination of several health care-related award, grant, residency, and fellowship programs; establishment of a health care professional incentive program; Medicaid graduate medical education; the health facilities council; and the Iowa health information network, making appropriations, and including effective date provisions.(Formerly SSB 1163; See SF 618.)

IA SSB1222

A bill for an act relating to and making appropriations to the education system, including the funding and operation of the department for the blind, department of education, and state board of regents.

SC H3088

Behavioral Health Conditional Dismissal Program

NJ A4810

Requires NJ FamilyCare reimbursement for comprehensive medication management services provided for certain children by licensed pharmacist.