This bill appropriates funds from the general fund of the state to the Iowa Department of Veterans Affairs and the Department of Health and Human Services (HHS) for the fiscal year 2025-2026, totaling over $102 million for various services. Key allocations include $1,369,205 for the Department of Veterans Affairs administration, $19,208,180 for aging programs, and $24,442,121 for behavioral health initiatives. The bill emphasizes the importance of monthly reporting on expenditures related to the Iowa Veterans Home and outlines specific funding for health-related programs, including maternal support and community access initiatives. Additionally, it mandates that HHS develop a new reimbursement methodology for nursing facilities and establishes a hospital directed payment program, requiring approval from federal agencies.

Significantly, the bill includes provisions that prohibit the use of allocated funds for sex reassignment surgery or treatment related to gender dysphoria, and it specifies that funds shall not be used for abortions unless authorized. It also eliminates the option for HHS to select a program administrator for the maternal support program, mandating direct administration by HHS. The bill allocates substantial funds for child protective services and early intervention programs, aiming to enhance support for families and children in need. Furthermore, it allows for the non-reversion of unencumbered or unobligated funds at the end of the fiscal year, ensuring that these funds remain available for future expenditures.

Statutes affected:
Introduced: 231.56A, 8.33, 123.17, 17A.4