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Read. Follow. Verify.Iowa Senate File 528 raises the Medicaid personal needs allowance to $85 per month
Last action · March 10, 2025: Subcommittee: Klimesh, Celsi, and Costello. S.J. 466 .Sponsor: Celsi
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What This Bill Would Do
Senate File 528 increases the monthly for Medicaid recipients living in nursing homes and residential care facilities from $50 to $85. It guarantees state supplements for residents with monthly incomes below $85 and requires annual general fund appropriations to cover the costs.
Residents of covered care facilities gain an additional $35 per month in retained personal funds, while the state general fund assumes a recurring annual financial obligation to the Department of Health and Human Services.
Who It Would Affect
Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.
Medicaid facility residents
Residents retain an increased monthly personal needs allowance of $85 and receive state supplementation if their income is lower than that amount.
Department of Health and Human Services
The department receives annual appropriations from the general fund to provide the required supplementation to eligible residents.
Key Facts
- The personal needs allowance for residents in specified Medicaid facilities is raised from $50 to $85 per month.
- Residents with monthly incomes under $85 receive a state supplement to reach the $85 threshold.
- The general assembly must annually appropriate sufficient funds from the state general fund to the Department of Health and Human Services for this supplementation.
- Covered facilities include nursing facilities, intermediate care facilities for persons with an intellectual disability or mental illness, and psychiatric medical institutions for children.
Frequently Asked Questions
Who is eligible for the increased personal needs allowance?
What happens if a resident's monthly income is less than $85?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Currently in committee. The next step in the legislative lifecycle is Floor Vote.
Procedural history
2 actions- Mar 10, 2025SenateSubcommittee: Klimesh, Celsi, and Costello. S.J. 466 .
- Mar 5, 2025SenateIntroducedIntroduced, referred to Health and Human Services. S.J. 419 .
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Connected Entities
Sources
www.legis.iowa.gov
Analysis Score
0–100- Significance50How much this matters to a regular citizen
- Controversy15Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz20Current news / social attention level
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