This bill establishes provisions for health care coverage for nonstate public employees, specifically those working in public school districts who are not part of a bargaining unit. It allows these employees and elected officials to apply for coverage under the state health or medical group insurance plan, ensuring that their premium rates align with those paid by state employees. Public school districts can submit applications for coverage, and once approved, the coverage must begin no later than the first day of the third calendar month following the application. The bill also outlines the financial responsibilities of the school districts, including monthly premium payments and administrative fees, which will be deposited into a newly created Iowa health care coverage partnership program trust fund.

Additionally, the bill includes provisions for the management of premium payments, stating that if a public school district fails to make timely payments, interest will accrue, and the Department of Administrative Services (DAS) may withhold state funds from the district until the payments are made. The bill mandates that DAS develop rules for implementation and requires an annual report to be submitted to the governor and the general assembly detailing the health care coverage provided, including costs and operational efficiency. The effective date for this legislation is set for July 1, 2027.