Iowa 2025-2026 Regular Session Status: Enacted

HF 1038 — A bill for an act relating to the opioid settlement fund, making appropriations and disbursements, and including effective date and retroactive applicability provisions.

Last action — Explanations of votes.

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

This bill has been enacted into law. Introduced May 05, 2025. Enacted.

Signed by Governor Kim Reynolds (Republican) on June 06, 2025.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 70% · moderate confidence
  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 1 recorded vote so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

269 added · 292 removed

Plain-language change summary

The amended version of House File 1038 includes a requirement that funds from the opioid settlement must be fully spent by June 30, 2027, and allows recipients to receive only one disbursement from the fund. Additionally, this version states that the new provisions take effect immediately upon enactment and will be applied retroactively starting July 1, 2024. These changes are important because they establish clear deadlines for funding use and limit the number of disbursements, ensuring that resources are efficiently allocated to combat the opioid crisis.

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STATE OF IOWA KIMREYNOLDS GOVERNOR Jne,025 TeHnoaleaulte Sceayofaeofoa Saeaitl DsMins,owa019 Darr.Srtr, Ieebyasi:
House File 1038 - Enrolled House File 1038 AN ACT RELATING TO THE OPIOID SETTLEMENT FUND, MAKING APPROPRIATIONS AND DISBURSEMENTS, AND INCLUDING EFFECTIVE DATE AND RETROACTIVE APPLICABILITY PROVISIONS.
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r I11:1 11lI :91 I!Ji1 Itl!31 ll1 I1l l l 1 III 1 G.'1 Il1':"9 House File 1038 AN ACT RELATING TO THE OPIOID SETTLEMENT FUND, MAKING APPROPRIATIONS AND DISBURSEMENTS, AND INCLUDING EFFECTIVE DATE AND RETROACTIVE APPLICABILITY PROVISIONS.
DIVISION I OPIOID SETTLEMENT FUND Section 1 .
DIVISION I OPIOID SETTLEMENT FUND Section 1.
"Administrative services organization - means the same as defined in section 225A.1, as enacted in 2024 Iowa Acts, ch.
“Administrative services organization” means the same as defined in section 225A.1, as enacted in 2024 Iowa Acts, ch.
1161, §l .
1161, §1.
Behavioral health district means the same as defined in section 225A.1, as enacted in 2024 Iowa Acts, ch.
“Behavioral health district” means the same as defined in section 225A.1, as enacted in 2024 Iowa Acts, ch.
1161, §1 .
1161, §1.
C.
c.
Department" means the department of health and human services.
“Department” means the department of health and human services.
"District behavioral health advisory council - means the same as defined in section 225A.1, as enacted in 2024 Iowa Acts, ch.
“District behavioral health advisory council” means the same as defined in section 225A.1, as enacted in 2024 Iowa Acts, ch.
1.
The fund shall be separate House File 1038, p .
The fund shall be separate House File 1038, p.
( 1) The state portion of any moneys paid to the state as a result of a national settlement of litigation with entities that manufactured, marketed, sold, distributed, dispensed, or promoted opioids, made in connection with claims arising from the manufacturing, marketing, selling, distributing, dispensing, or promoting of opioids, shall be deposited in the fund.
(1) The state portion of any moneys paid to the state as a result of a national settlement of litigation with entities that manufactured, marketed, sold, distributed, dispensed, or promoted opioids, made in connection with claims arising from the manufacturing, marketing, selling, distributing, dispensing, or promoting of opioids, shall be deposited in the fund.
(2) ( a) For each fiscal year for the period beginning July 1, 2025, and ending June 30, 2030, of the total amount of the state portion of the moneys paid to the state as described in paragraph 'b -and deposited in the fund, plus any interest and earnings on moneys in the fund, seventy-five percent is appropriated to the department and twenty-five percent is appropriated to the office of the attorney general for purposes of abating the opioid crisis in this state.
(2) (a) For each fiscal year for the period beginning July 1, 2025, and ending June 30, 2030, of the total amount of the state portion of the moneys paid to the state as described in paragraph “b” and deposited in the fund, plus any interest and earnings on moneys in the fund, seventy-five percent is appropriated to the department and twenty-five percent is appropriated to the office of the attorney general for purposes of abating the opioid crisis in this state.
(b) Notwithstanding section 8.33, moneys appropriated under subparagraph division (a ) that remain unencumbered and unobligated at the close of each fiscal year shall not revert but shall remain available for expenditure for the purposes designated until June 30, 2030.
(b) Notwithstanding section 8.33, moneys appropriated under subparagraph division (a) that remain unencumbered and unobligated at the close of each fiscal year shall not revert but shall remain available for expenditure for the purposes designated until June 30, 2030.
(c) Notwithstanding section 12C.7, subsection 2 , the interest or earnings on moneys appropriated under subparagraph division (a) are appropriated to the entity receiving the appropriation to be used for the purposes designated.
(c) Notwithstanding section 12C.7, subsection 2, the interest or earnings on moneys appropriated under subparagraph division (a) are appropriated to the entity receiving the appropriation to be used for the purposes designated.
(a) Review each administrative services organization's proposed uses of the appropriated moneys for crisis response, early intervention, and treatment for opioid addiction, and recovery from opioid addiction, for the behavioral health district for which the administrative services organization has been designated.
(a) Review each administrative services organization’s proposed uses of the appropriated moneys for crisis response, early intervention, and treatment for opioid addiction, and recovery from opioid addiction, for the behavioral health district for which the administrative services organization has been designated.
House File 1038, p .
House File 1038, p.
3 c) Identify indicators and outcomes applicable to each disbursement to be used to determine if the services and activities that are funded achieve the intended outcomes, which may include prevention of opioid-related deaths, reduction of opioid misuse, and increased access to opioid use disorder medications and services.
3 (c) Identify indicators and outcomes applicable to each disbursement to be used to determine if the services and activities that are funded achieve the intended outcomes, which may include prevention of opioid-related deaths, reduction of opioid misuse, and increased access to opioid use disorder medications and services.
d) Submit an annual report on or before November 1 to the general assembly and the governor that contains all of the following for the immediately preceding fiscal year:
(d) Submit an annual report on or before November 1 to the general assembly and the governor that contains all of the following for the immediately preceding fiscal year:
() Information related to each disbursement from the fund, and if the intended outcomes of each disbursement were achieved.
(i) Information related to each disbursement from the fund, and if the intended outcomes of each disbursement were achieved.
(4) A recipient shall receive no more than one disbursement under paragraph 'b -, subparagraph (3), subparagraph division b (5) The department and the office of the attorney general may, but are not required to, ensure that moneys appropriated under subparagraph (2 ) are distributed equally to the administrative services organizations.
(4) A recipient shall receive no more than one disbursement under paragraph “b”, subparagraph (3), subparagraph division (b).
(6) The department and the office of the attorney general shall use no more than two and one-half percent of the moneys appropriated under subparagraph (2 ) for administrative costs.
(5) The department and the office of the attorney general may, but are not required to, ensure that moneys appropriated under subparagraph (2) are distributed equally to the administrative services organizations.
(6) The department and the office of the attorney general shall use no more than two and one-half percent of the moneys appropriated under subparagraph (2) for administrative costs.
2.
Moneys in the fund shall only be used pursuant to apprepriatiens frem the fund by the general assembi-Y for purposes of abating the opioid crisis in this state, which may include but are not limited to the purposes specified in section 135.190A for moneys in the opioid antagonist medication fund.
Moneys in the fund shall only be used pursuant to appropriations from the fund by the general assembly for purposes of abating the opioid crisis in this state, which may include but are not limited to the purposes specified in section 135.190A for moneys in the opioid antagonist medication fund.
3.
DIVISION II OPIOID SETTLEMENT FUND — FY 2024-2025 Sec.
DIVISION II OPIOID SETTLEMENT FUND —— FY 2024-2025 Sec.
OPIOID SETTLEMENT FUND — DEPARTMENT OF HEALTH AND HUMAN SERVICES.
OPIOID SETTLEMENT FUND —— DEPARTMENT OF HEALTH AND HUMAN SERVICES.
There is appropriated from the opioid settlement fund created in section 12.51 to the department of health and human services for the fiscal year beginning July 1 , 2024, and ending June 30, 2025, the following amount, or so much thereof is as necessary, for the purposes designated:
There is appropriated from the opioid settlement fund created in section 12.51 to the department of health and human services for the fiscal year beginning July 1, 2024, and ending June 30, 2025, the following amount, or so much thereof is as necessary, for the purposes designated:
..................................................
Notwithstanding any provision of law to the contrary, of the moneys appropriated to the department of health and human services under subsection 1 , the department shall disburse to the following entities, the following amounts, for the purposes designated:
Notwithstanding any provision of law to the contrary, of the moneys appropriated to the department of health and human services under subsection 1, the department shall disburse to the following entities, the following amounts, for the purposes designated:
$ 3,000,000 House File 1038, p .
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$ 3,000,000 House File 1038, p.
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House File 1038, p .
House File 1038, p.
6 1161, §4 , to contract with local peer-recovery specialists in four rural locations in the state to provide post-overdose response services through emergency departments that connect individuals and families to post-overdose treatment and recovery support, and to train peer recovery coaches using the linkage to outreach referrals and engagement model:
6 1161, §4, to contract with local peer-recovery specialists in four rural locations in the state to provide post-overdose response services through emergency departments that connect individuals and families to post-overdose treatment and recovery support, and to train peer recovery coaches using the linkage to outreach referrals and engagement model:
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To provide a grant to a nonprofit organization headquartered in a city with a population between twenty-four thousand five hundred and twenty-five thousand based on the federal decennial census, that is a member of the Iowa substance use and problem gambling services integrated provider network and that specializes in treatment and prevention services, including outpatient, residential treatment, and detoxification for adolescents and adults who are experiencing mental health and substance use disorders:
To provide a grant to a nonprofit organization headquartered in a city with a population between twenty-four thousand five hundred and twenty-five thousand based on the 2020 federal decennial census, that is a member of the Iowa substance use and problem gambling services integrated provider network and that specializes in treatment and prevention services, including outpatient, residential treatment, and detoxification for adolescents and adults who are experiencing mental health and substance use disorders:
$ 3,000,000 House File 1038, p .
..................................................
$ 3,000,000 House File 1038, p.
To provide a grant to a nonprofit organization headquartered in a county with a population between one hundred seventy-four thousand and one hundred seventy-five thousand based on the 2020 federal decennial census, that is a community mental health center under chapter 230A, and that maintains or conducts a program licensed under chapter 125 the primary purpose of which i s the treatment and rehabilitation of persons with a substance use disorder, including outpatient care, residential care, habilitation homes, crisis stabilization residential services, assertive community treatment, multisystemic therapy, and integrated home health and supportive and affordable housing for adolescents and adults experiencing substance use or mental health disorders:
To provide a grant to a nonprofit organization headquartered in a county with a population between one hundred seventy-four thousand and one hundred seventy-five thousand based on the 2020 federal decennial census, that is a community mental health center under chapter 230A, and that maintains or conducts a program licensed under chapter 125 the primary purpose of which is the treatment and rehabilitation of persons with a substance use disorder, including outpatient care, residential care, habilitation homes, crisis stabilization residential services, assertive community treatment, multisystemic therapy, and integrated home health and supportive and affordable housing for adolescents and adults experiencing substance use or mental health disorders:
..................................................
A recipient shall utilize the indicators and outcomes identified by the department of health and human services and the office of the attorney general under section 12.51, subsection 2 , paragraph "b-, subparagraph (3), subparagraph division (c), to determine whether the services and activities that are funded by the disbursement achieve the intended outcomes, and shall report the recipient's findings to the department of health and human services and the office of the attorney general.
A recipient shall utilize the indicators and outcomes identified by the department of health and human services and the office of the attorney general under section 12.51, subsection 2, paragraph “b”, subparagraph (3), subparagraph division (c), to determine whether the services and activities that are funded by the disbursement achieve the intended outcomes, and shall report the recipient’s findings to the department of health and human services and the office of the attorney general.
A recipient shall receive no more than one disbursement under subsections 2 and 3 .
A recipient shall receive no more than one disbursement under subsections 2 and 3.
This division of this Act applies retroactively to July 1 , 2024.
This division of this Act applies retroactively to July 1, 2024.
• 1.- PAT GRASSLE AMY SINCWAIR Speaker of the House President of the Senate I hereby certify that this bill originated in the House and is known as House File 1038, Ninety-first General Assembly.
______________________________ ______________________________ PAT GRASSLEY AMY SINCLAIR Speaker of the House President of the Senate I hereby certify that this bill originated in the House and is known as House File 1038, Ninety-first General Assembly.
Approved , 2025
______________________________ MEGHAN NELSON Chief Clerk of the House Approved _______________, 2025 ______________________________ KIM REYNOLDS Governor
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Amendments

2 amendments

Click Show changes on an amendment above to see how it modifies the bill.

Action History

  1. Explanations of votes.

  2. Signed by Governor.

  3. NOBA: Final

  4. Reported correctly enrolled, signed by Speaker and President, and sent to Governor.

  5. Explanation of vote.

  6. Message from Senate.

  7. Immediate message.

  8. Passed Senate, yeas 45, nays 0.

  9. Substituted for SF 624.

  10. Read first time, attached to SF 624.

  11. Message from House.

  12. Immediate message.

  13. Passed House, yeas 84, nays 1.

  14. Amendment H-1349 adopted, as amended.

  15. Amendment H-1356 to amendment H-1349 filed, adopted.

  16. Amendment H-1349 filed.

  17. NOBA: House Full Approps

  18. Introduced, placed on Appropriations calendar.

Sponsors

  • COMMITTEE ON APPROPRIATIONS · Primary

Sponsorship breakdown

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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

Shall the bill pass?

Passed 45 Yea · 0 Nay · 5 Other
Party YeaNayPresentNot Voting
Republican 31002
Democrat 15001
Unaffiliated 0001
Total 46004
% of votes cast 92%0%0%8%
How each member voted (50)
Member Party Vote
De Witt — Not Voting
Art Staed Democrat Yea
Cindy Winckler Democrat Yea
Herman C. Quirmbach Democrat Yea
Izaah Knox Democrat Yea
Janet Petersen Democrat Yea
Janice Weiner Democrat Yea
Liz Bennett Democrat Yea
Matt Blake Democrat Yea
Mike Zimmer Democrat Yea
Molly Donahue Democrat Yea
Sarah Trone Garriott Democrat Yea
Sarah Trone Garriott Democrat Yea
Thomas Townsend Democrat Yea
Tony Bisignano Democrat Yea
William A. Dotzler Jr. Democrat Yea
Zach Wahls Democrat Not Voting
Adrian Dickey Republican Yea
Amy Sinclair Republican Yea
Annette Sweeney Republican Yea
Carrie Koelker Republican Yea
Charlie McClintock Republican Not Voting
Cherielynn Westrich Republican Yea
Dan Dawson Republican Yea
Dan Zumbach Republican Yea
Dave Sires Republican Yea
David D. Rowley Republican Yea
Dawn Driscoll Republican Yea
Dennis Guth Republican Yea
Doug Campbell Republican Yea
Jack Whitver Republican Yea
Jason Schultz Republican Not Voting
Jeff Reichman Republican Yea
Jeff Taylor Republican Yea
Jesse Green Republican Yea
Julian B. Garrett Republican Yea
Kara Warme Republican Yea
Ken Rozenboom Republican Yea
Kerry Gruenhagen Republican Yea
Kevin Alons Republican Yea
Lynn Evans Republican Yea
Mark Costello Republican Yea
Mark S. Lofgren Republican Yea
Mike Bousselot Republican Yea
Mike Klimesh Republican Yea
Mike Pike Republican Yea
Sandy Salmon Republican Yea
Scott Webster Republican Yea
Tim Kraayenbrink Republican Yea
Tom Shipley Republican Yea

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Subjects

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

Who sponsors HF 1038?
HF 1038 is sponsored by COMMITTEE ON APPROPRIATIONS.
What is the current status of HF 1038?
This bill has been enacted into law. Introduced May 05, 2025. Enacted.
Where can I track HF 1038?
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