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.) Contingent effective date, effective 05/28/2025, 07/01/2025.

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.)

Previously Filed As

IA HSB623

A bill for an act relating to the Iowa health information network and a state-designated health data utility.(See HF 2623.)

IA HF2623

A bill for an act relating to the Iowa health information network including functioning as the state-designated health data utility.(Formerly HSB 623.)

IA SSB3201

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, and including effective date provisions.(See SF 2435.)

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 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 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 HSB248

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.)

IA HSB653

A bill for an act relating to the transition of behavioral health services from a mental health and disability services system to a behavioral health service system, and the transfer of disability services to the division of aging and disability services of the department of health and human services, making appropriations, and including effective date provisions.(See HF 2509, HF 2673.)

IA HF2673

A bill for an act related to state behavioral health, disability, and addictive disorder services and related programs, including the transition of behavioral health services from a mental health and disability services system to a behavioral health service system, the transfer of disability services to the division of aging and disability services of the department of health and human services, the elimination of the commission on aging, the elimination of special intellectual disability units at state mental health institutes, making appropriations, and including effective date provisions. (Formerly HF 2509, HSB 653.) Effective date: 05/15/2024, 07/01/2024, 07/01/2025.

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.

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 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.) Contingent effective date, effective 05/28/2025, 07/01/2025.

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 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 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 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 HSB248

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.)