Iowa 91th General Assembly Status: To Executive

HSB191 — A bill for an act relating to health care including a funding model for the rural health care system; the elimination of several health care-related award, grant, residency, and fellowship programs; establishment of a health care professional incentive program; Medicaid graduate medical education; the health facilities council; and the Iowa health information network, making appropriations, and including effective date provisions. Contingent effective date, effective 05/28/2025, 07/01/2025.

Last action — Introduced, placed on Appropriations calendar. H.J. 771.

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill has been sent to the executive. Introduced February 17, 2025. It awaits signature.

Signed by Governor Kim Reynolds (Republican) on March 21, 2025.

Next likely step: the executive signs it into law or issues a veto.

Prognosis

Likely to advance 62% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • To Executive

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 4 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

A bill for an act relating to health care including a funding model for the rural health care system; the elimination of several health care-related award, grant, residency, and fellowship programs; establishment of a health care professional incentive program; Medicaid graduate medical education; the health facilities council; and the Iowa health information network, making appropriations, and including effective date provisions. Contingent effective date, effective 05/28/2025, 07/01/2025.

Bill Text

We don't have the full text on file for this bill yet.

Read HSB191 on the official Iowa source →

Action History

  1. Withdrawn. S.J. 995.

  2. HF 972 substituted. S.J. 994.

  3. Attached to HF 972. S.J. 697.

  4. Committee report, approving bill. S.J. 674.

  5. Introduced, placed on Appropriations calendar. S.J. 671.

  6. Committee report approving bill, renumbered as SF 618. S.J. 674.

  7. Subcommittee recommends passage.

  8. Subcommittee Meeting: 03/18/2025 2:00PM Room 315.

  9. Subcommittee: Costello, Donahue, and Rowley. S.J. 507.

  10. Referred to Appropriations. S.J. 480.

  11. Committee report, approving bill. S.J. 471.

  12. Introduced, placed on calendar. S.J. 461.

  13. Withdrawn. H.J. 871.

  14. Committee report approving bill, renumbered as HF 972.

  15. Committee vote: Yeas, 22. Nays, 0. Excused, 3. H.J. 768.

  16. Committee report, recommending amendment and passage. H.J. 768.

  17. Subcommittee recommends passage.

  18. Subcommittee Meeting: 03/18/2025 12:45PM House Lounge.

  19. Subcommittee: Meyer, A., Baeth and Sorensen. H.J. 676.

  20. Introduced, referred to Appropriations. H.J. 514.

  21. Committee report approving bill, renumbered as SF 575.

  22. Subcommittee recommends amendment and passage.

  23. Subcommittee Meeting: 02/25/2025 10:30AM Room 315.

  24. Subcommittee: Klimesh, Costello, and Trone Garriott.

  25. Introduced, referred to Health and Human Services.

  26. Committee report approving bill, renumbered as HF 754.

  27. Committee vote: Yeas, 19. Nays, 0. Excused, 2. H.J. 432.

  28. Committee report, recommending amendment and passage. H.J. 432.

  29. Subcommittee recommends passage.

  30. Subcommittee Meeting: 02/19/2025 4:00PM RM 102.

  31. Subcommittee: Nordman, Brown-Powers and Meyer, A. H.J. 342.

  32. Introduced, referred to Health and Human Services. H.J. 340.

  33. Summary of Legislation

  34. Acts Chapter 120

  35. Signed Enrolled Bill (PDF)

  36. NOBA: Final

  37. Signed by Governor. H.J. 1228.

  38. Reported correctly enrolled, signed by Speaker and President, and sent to Governor. H.J. 1225.

  39. Message from Senate. H.J. 1171.

  40. Immediate message. S.J. 995.

  41. Passed Senate, yeas 41, nays 4. S.J. 994.

  42. Substituted for SF 618. S.J. 994.

  43. Attached to SF 618. S.J. 697.

  44. Read first time, passed on file. S.J. 659.

  45. Message from House. S.J. 659.

  46. Immediate message. H.J. 850.

  47. Explanation of vote. H.J. 1034.

  48. NOBA: House Floor

  49. Passed House, yeas 95, nays 1. H.J. 842.

  50. NOBA: House Full Approps

  51. Introduced, placed on Appropriations calendar. H.J. 771.

Sponsors

  • COMMITTEE ON APPROPRIATIONS · Primary

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 149 not signed on

Sponsors (1)

  • COMMITTEE ON APPROPRIATIONS

Co-sponsors (0)

None.

Not signed on (149)

149 members have not signed on to this bill.

Show all 149 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HSB191 do?
A bill for an act relating to health care including a funding model for the rural health care system; the elimination of several health care-related award, grant, residency, and fellowship programs; establishment of a health care professional incentive program; Medicaid graduate medical education; the health facilities council; and the Iowa health information network, making appropriations, and including effective date provisions. Contingent effective date, effective 05/28/2025, 07/01/2025.
Who sponsors HSB191?
HSB191 is sponsored by COMMITTEE ON APPROPRIATIONS.
What is the current status of HSB191?
This bill has been sent to the executive. Introduced February 17, 2025. It awaits signature.
Where can I track HSB191?
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Last checked for changes 4 days ago · updated continuously

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