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Prohibits health insurance providers from limiting prescription drug coverage for certain individuals.

Simplifies sign language interpreting services within workplaces by allowing employers to obtain licenses and setting guidelines for employee interpreters.

Directs the natural resource commission to conduct an annual survey of state park accessibility for persons with disabilities.

Updates the Department of Inspections, Appeals, and Licensing's (DIAL) responsibilities, focusing on confidentiality and handling of dependent adult abuse cases.

Allows an ambulance service to transport a person experiencing a mental health crisis to a mental health access center.

Makes changes to HHS processes concerning adoption information sharing, dependent adult abuse, juvenile court records, and mandatory reporter training.

Streamlines election procedures, including adjusting voter registration deadlines, mandating comprehensive training for election personnel, introducing provisions for recounts, and updating rules on various aspects of elections to ensure consistency and accuracy.

Charges Iowa Department of Education (DE) to oversee AEA operations and changes how AEAs are funded and operate.

Updates regulations regarding Iowa's educational savings plan trust and procedures for handling unclaimed virtual currency.

Requires health insurance to cover biomarker testing. 

Realigns the state's regional behavioral health and disability service systems by merging non-Medicaid operations and funding for mental health, addiction (substance use disorder, problem gambling, tobacco), aging, and disability services.

Makes changes to organization, structure, and functions of state and local governments.

Appropriates $222.4 million from gambling revenues (Rebuild Iowa Infrastructure Fund, or RIIF) to various infrastructure projects in fiscal year 2025 (July 1, 2024-June 30, 2025).  

Appropriates $2.2 billion for health and human services programs (including Medicaid) for the fiscal year beginning July 1, 2024 (FY 2025).  This is an increase of $88.6 million. 

Proposes a constitutional amendment to set a flat rate for individual income taxes and to require two-thirds approval of both legislative chambers for increasing tax rates.

Designates February 2024 as Marfan Syndrome Awareness Month.

Addresses various aspects related to the establishment, management, and conclusion of guardianships and conservatorships for both adults and minors.

Repeals gender balance requirements for appointed local and state government boards, councils, commissions.

Allows a housing provider to prohibit assistance or service animals under certain circumstances.

Makes numerous changes to state boards, commissions, committees, councils, and other state government entities.

Appropriates $46 million for fiscal year 2025 (July 1, 2024 to June 30, 2025) to the Department of Agriculture & Land Stewardship (IDALS) and the Department of Natural Resources (DNR). Total general fund increase of $1,029,518 (3.3%) and total increase in funding from the fish & game fund of $1,354,756 (2.8%).

Appropriates $42 million for economic and workforce development programs and activities for fiscal year 2025 (July 1, 2024 - June 30, 2025).

Appropriates $76.1 million for fiscal year 2025 (July 1, 2024-June 30, 2025) for various state agencies ($5.5 million increase).

Appropriates a total of $1.02 billion for educational programs (an increase of $35.4 million) for the fiscal year beginning July 1, 2024 (FY 2025).  

Makes several provisions related to taxes.

Makes changes to automatic (standing) appropriations.

Recognizes the term "brain health" in order to combat stigma around mental health and encouraging early treatment and preventative measures for brain-related issues in Iowa.

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