HF2468: Rural Health Transformation Fund

Creates the Iowa rural health transformation fund, which will be managed by the Department of Health and Human Services and will consist of monies from the federal rural health transformation program. The fund is to be used for purposes authorized by the Centers for Medicare and Medicaid Services under federal law. The department must report quarterly to the legislature on fund expenditures by city and transmit federal program reports. The bill is repealed October 1, 2032.

Key Points & Impacts:

• Establishes the Iowa rural health transformation fund in the state treasury, separate from the general fund.

• Funds consist of monies received from the federal rural health transformation program (One Big Beautiful Bill Act, Pub. L. No. 119-211).

• Money in the fund is appropriated to the Department of Health and Human Services for uses permitted by federal law and CMS guidance.

• Interest and earnings on the fund remain in the fund; funds do not revert to the general fund.

• Quarterly reporting to the legislature is required, detailing expenditures and locations by city.

• All federal financial and performance reports must be shared with the general assembly.

• The fund and its provisions are repealed on October 1, 2032.

• Includes appropriations for the Department of Health and Human Services from the fund.