The bill mandates the Department of Health and Human Services (HHS) to establish an Early Childhood Iowa Study Committee during the 2026 legislative interim. The committee's primary objective is to evaluate the most effective methods for transitioning home visiting services from the Early Childhood Iowa (ECI) system to a new district-based system created by HHS, ensuring minimal disruption to existing services. The committee is tasked with reviewing various aspects, including the financial and logistical implications of the transition, the impact on service quality and access, particularly in rural and underserved communities, and potential strategies to maintain the viability of the ECI system.

The composition of the committee will include both voting and non-voting members, with appointments made by legislative leaders and the Association of Early Childhood Iowa Area Boards and Advocates, among others. HHS is required to assist the committee by providing necessary data while ensuring the confidentiality of personal identifying information. The committee is also expected to engage with stakeholders and families receiving ECI services through public input sessions. A final report detailing the committee's findings and recommendations must be submitted to the General Assembly by January 8, 2027.