This bill appropriates $2 million from the general fund of the state to the Department of Health and Human Services (HHS) for the fiscal year 2026-2027, specifically aimed at expanding the Iowa return to community program. Additionally, the bill mandates that HHS submit a report to the governor and the general assembly by December 31, 2027, detailing the outcomes of this investment in the program.

Furthermore, the bill addresses reimbursement rates for medical assistance, state supplementary assistance, and social service providers, stipulating that these rates will remain at the levels effective on June 30, 2026, unless otherwise negotiated or updated. Notably, it includes a provision for a 5 percent increase in reimbursement for adult day care services provided under a home and community-based services waiver.