The bill mandates the Iowa Department of Health and Human Services to amend existing rules regarding the financial and statistical reports submitted by nursing facilities. Specifically, it outlines expenses that cannot be included in these reports, such as association dues, lobbying fees, nonrefundable retainers, and certain legal and consulting fees unless they meet specific criteria. The bill aims to ensure that only relevant and necessary costs associated with patient care are reported, thereby promoting transparency and accountability in the financial practices of nursing facilities.

Additionally, the bill allows for the inclusion of certain professional fees and legal expenses in the financial reports if they are directly related to patient care and meet specified conditions. These conditions include the requirement that the expenses be incurred and paid within the relevant fiscal period, be reasonable in nature, and that the nursing facility made a good-faith effort to resolve disputes prior to administrative or judicial proceedings. The bill sets specific hourly compensation limits for legal fees based on the type of violation, further regulating the costs that nursing facilities can report.