This bill establishes provisions for public school district personnel, defined as nonstate public employees, to obtain health care coverage under the state health insurance plan. It allows public school districts to apply for coverage for their employees, with the department required to provide such coverage within three months of application. Premium rates for these districts will match those paid by state employees, and districts may require their employees to contribute to the costs, adhering to any collective bargaining agreements. Additionally, the bill creates the Iowa health care coverage partnership program trust fund to manage the funds collected from premium payments and administrative fees.

The bill also outlines the responsibilities of the department of administrative services (DAS) in administering the program, including the collection of monthly premium payments and the imposition of interest on late payments. If a public school district fails to make timely payments, DAS has the authority to withhold state funds allocated to the district until the outstanding premiums are settled. Furthermore, DAS is mandated to report annually to the governor and the general assembly on the health care coverage provided to nonstate public employees, detailing costs and operational metrics. The provisions of this bill will take effect on July 1, 2027.