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HF 2782

A bill for an act relating to and making appropriations to the department of veterans affairs and the department of health and human services, including aging and disability services, behavioral health, public health, and community access and eligibility; the medical assistance program, state supplementary assistance, Hawki, and other health-related programs; family well-being and protection; state-operated specialty care; administration and compliance; transfers, cash flow, and nonreversions; report on nonreversion of moneys; more options for maternal support program; reimbursement rates review; mental diseases exclusion waiver; full-time equivalent dashboard; comprehensive family support program; federal community mental health services block grant; behavioral health expenditure report; opioid settlement fund; emergency rules; graduate medical education; and special population nursing facilities; and including effective date and retroactive applicability provisions.

2025-2026 Regular Session

HF 2782 would broadly fund health, behavioral health, aging, disability, family services, and veteran programs across HHS and IDVA, with reporting and rate reviews.

Item vetoed, signed by Governor.
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WeVote Research Nonpartisan
Bill Summary · HF 2782

Summary of HF 2782 (2025-2026) — Iowa

HF 2782 is an appropriations bill that would authorize and provide funding for a broad set of human services and health-related programs administered by the Iowa Department of Veterans Affairs (IDVA) and the Department of Health and Human Services (HHS). The bill covers aging and disability services, behavioral health, public health, family well-being, health care assistance programs, administrative operations, and targeted reform initiatives. It also includes provisions related to funding accountability, maternal supports, and various waivers and program-specific reviews.

1) Core purpose and intent

  • The bill serves as an omnibus appropriation measure to fund multiple state agencies and program areas, with the primary goal of supporting health, behavioral health, family support, veteran services, and related administrative functions.
  • It aims to align funding with ongoing needs in medical assistance, health programs, child welfare, juvenile justice decategorization, and services for people with disabilities, among others.
  • Provisions are designed to ensure ongoing oversight, reporting, and potential retroactive applicability to align with state budgeting cycles.

2) Key provisions and changes

  • State agencies and program areas funded:
    • Department of Veterans Affairs (IDVA)
    • Department of Health and Human Services (HHS), including:
    • Aging and disability services
    • Behavioral health
    • Public health
    • Community access and eligibility
    • Medical Assistance Program (Medicaid) and related health programs
    • State Supplementary Assistance (SSA)
    • Hawki (Health Insurance for Kids)
    • Family well-being and protection
    • State-operated specialty care
    • Administration and compliance
    • Transfers, cash flow, and nonreversions (reappropriation rules)
    • Reports on nonreversion of moneys
    • Expanded options for the Maternal Support Program
    • Reimbursement rates review
    • Mental diseases exclusion waiver
    • Community health centers reimbursement
    • Full-time equivalent (FTE) dashboard
    • Comprehensive family support program
    • Federal Community Mental Health Services Block Grant (MHBG)
    • Child welfare and juvenile justice decategorization
    • Commitment or hospitalization provisions for certain persons with substance use disorders or mental illness
    • Behavioral health expenditure report
    • Opioid settlement fund
  • Policy and program-specific concepts:
    • Reimbursement mechanisms and rate reviews for health providers and centers
    • Mental illness and substance use treatment provisions, including commitments or hospitalization in some cases
    • Decategorization efforts for child welfare and juvenile justice
    • Utilization and reporting of opioid settlement funds
    • Maternal support program enhancements and options
    • Mental health and behavioral health expenditure reporting requirements
  • Administrative and reporting tools:
    • FTE dashboard to track staffing levels
    • Comprehensive expenditure and performance reporting
    • Nonreversion reporting to monitor whether funds revert to the state or are carried forward

3) Who or what would be affected

  • Individuals and families: Recipients of medical assistance, Hawki, SSA, maternal support services, and family well-being programs; people served by behavioral health, public health, and aging/disability services.
  • Health care providers and centers: Reimbursement changes for community health centers and other health facilities; potential adjustments to provider rates.
  • Veterans: Funding and services provided through the Department of Veterans Affairs.
  • Children and youth: Programs related to child welfare, juvenile justice decategorization, and comprehensive family support.
  • Persons with substance use disorders or mental illness: Provisions around commitment/hospitalization and the mental diseases exclusion waiver; MHBG funding and related services.
  • State agencies: IDVA, HHS, and related offices will experience budgetary and reporting requirements, including administration/compliance functions and nonreversion tracking.

4) Procedural and timeline aspects

  • Effective date and retroactive applicability: The bill includes provisions specifying when new funding and rules would take effect and whether they apply retroactively.
  • Appropriations process: The measure is introduced in the House by the Appropriations Committee (successor to HSB 777) and is targeted for placement on the Appropriations calendar.
  • Reporting requirements: Introduction of dashboards (e.g., FTE) and various expenditure/behavioral health reports to monitor program performance and fund use.
  • Nonreversion and cash flow: Provisions to manage fund timing, transfers, and nonreversion, indicating tighter controls on how funds are obligated and whether unspent money would revert to the state.

5) Notable considerations

  • The bill consolidates a wide range of health, social services, and behavioral health programs into a single appropriations package, potentially facilitating integrated funding decisions but requiring careful oversight to ensure program-specific needs are met.
  • Reimbursement rates and waiver authorities imply ongoing changes to how providers and facilities are compensated, which could impact access and service availability.
  • The inclusion of opioid settlement funds indicates a focus on substance use disorder treatment and prevention funding.

If you’d like, I can compile a section-by-section breakdown once the full fiscal notes and amendments are available, or compare HF 2782 to the prior HSB 777 to highlight changes.

Compiled from official sources — confirm details with the bill’s official record.

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