Resources
- Medicaid Projection (1.2 MB) .pdf (March 2026)
- Medicaid CHIP Consensus (553.93 KB) .pdf (Trend)
- Medicaid CHIP Consensus (543.36 KB) .pdf (No Trend)
- Assistance Programs Eligibility (179.78 KB) .pdf
- Eligibility Across Programs (291.64 KB) .pdf
- Functional Table of Organization (222.51 KB) .pdf
- System Alignment
- FY25 Opioid Settlement Fund Projects (40.17 KB) .pdf
- 2025 Federal Reconciliation Bill (437.99 KB) .pdf
2026 Legislative Session
List items for 2026 Legislative Session Resources
Past Legislative Session Resources
List items for Past Legislative Session Resources
Amendment Language for SSB1120/HSB153 (263.15 KB) .pdf
2025 Legislative Presentations
- Child Protective Services Update (1.96 MB) .pdf
- Transforming Iowa's Behavioral Health Service System (2.16 MB) .pdf
- Iowa Medicaid Update (1.02 MB) .pdf
- Investing in Iowa’s Child Care System (979.63 KB) .pdf
- Supporting Youth in Crisis (1.62 MB) .pdf
- Innovation in State-Operated Facilities (3.35 MB) .pdf
- Facilities Appendix (148.34 KB) .pdf
- FY25 Report on Nonreversion of Funds (209.61 KB) .pdf
- SFY24 Nonreversion of Funds Attachment 1: Carry-Forward Distribution (94.87 KB) .pdf
- SFY24 Nonreversion of Funds Attachment 2: Chapter 8A Projects (69.79 KB) .pdf
- SFY24 Nonreversion of Funds Attachment 3: FIP Carry-Forward Summary (101.61 KB) .pdf
- Maternal Health in Iowa (3.53 MB) .pdf
- Federal Block Grant Appropriations (622.44 KB) .pdf
- Welfare Reform, Thrive Iowa, ADRC (1.25 MB) .pdf
- Rebuild Iowa Infrastructure Fund (RIIF) (2.49 MB) .pdf
2025 Legislative Session Briefs
- Child Care Timeline 2020 - Present (449.46 KB) .pdf
- Iowa's Youth in Crisis Data Snapshot (270.22 KB) .pdf
- Behavioral Health Transformation (1017.21 KB) .pdf
- Child Care Assistance (CCA) (289.75 KB) .pdf
- More Options for Maternal Support (MOMS) Program (2.17 MB) .pdf
- Thrive Iowa (1.29 MB) .pdf
Economic Mobility in Iowa (3.6 MB) .pdf
Prefiles
Iowa HHS Omnibus Bill – HF757, SF582, 1459XD (121.27 KB) .pdf
Initiatives
- Behavioral Health System Alignment (607.53 KB) .pdf
- Behavioral Health Services System Townhall
- Spreadsheet of Amendments to Behavioral Health Bill HF2509/SF2354 (358.68 KB) .pdf
- Behavioral Health Services System and Disability Services Transition Timelines (119.81 KB) .pdf
- System County Snapshots
- C!A Summary (569.94 KB) .pdf
- Iowa Eligibility Reference Document (1.23 MB) .pdf
- Behavioral Health Funding (110.71 KB) .pdf
HHS Prefiles
Legislative Briefs + Presentations
Administration
Community Access
Family Well-Being and Protection
- Transforming Iowa's Child Welfare System (483.25 KB) .pdf
- Juvenile Residential Placement Types and Criteria (191.4 KB) .pdf
- Investing in Iowa's Child Care System (1009.83 KB) .pdf
- CCDF Fund Balances (103.66 KB) .pdf
- Child Care Timeline (286.57 KB) .pdf
Behavioral Health
Maternal Health
Medicaid
State-Operated Specialty Care
- Transportation, Infrastructure, and Capitals Appropriations Subcommittee (RIIF) (1.57 MB) .pdf
- State-Operated Specialty Care (594.29 KB) .pdf
- Innovation in State-Operated Facilities (476.65 KB) .pdf
- Facilities Appendix (143.71 KB) .pdf
Aging and Disability Services
Public Health
2023 Legislative Presentations
- Improving the Medicaid Program for Members (1.97 MB) .pdf
- Alignment Updates (877.02 KB) .pdf
- Investing in Iowa's Children (373.77 KB) .pdf
- State Facilities (262.96 KB) .pdf
- Behavioral Health and Disability Services (135.68 KB) .pdf
- Woodward Tunnel Decentralization (325.72 KB) .pdf
Mental Health Institute Care Specialization
During the 2023 Legislative Session, HHS engaged with the Iowa legislature to pass legislation to specialize services at Iowa’s state operated Mental Health Institutes (MHIs). HF 471 was ultimately signed by the Governor. The attached letter from our Facilities Division Administrator (165.87 KB) .pdf lays out town hall opportunities for stakeholders to come and ask questions in real time before the change is effective.
2022 Legislative Implementation Briefs
- HHS Alignment (108.81 KB) .pdf
- Child Welfare & Juvenile Justice Reform (127.21 KB) .pdf
- Physical Examinations in Child Care Settings (86.23 KB) .pdf
- Psychiatric Intensive Care-Medicaid Rate (150.73 KB) .pdf
- Strengthening Eligibility Integrity in Iowa (122.35 KB) .pdf
2022 Legislative Presentations
- Presentation to House Human Resources Committee: Health and Human Services Alignment (696.29 KB) .pdf
- Iowa: Leading the Way in Family First presentation (946.6 KB) .pdf
- Iowa Child Care presentation (576.6 KB) .pdf
- Strengthening Iowa's Eligibility Brief (474.19 KB) .pdf
- Behavioral Health Update (884.06 KB) .pdf