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Iowa Senate File 484 mandates Hawki coverage for applied behavior analysis services

Original title: A bill for an act relating to Hawki coverage for applied behavior analysis services including a state plan amendment waiver for the children’s health insurance program.

Last action · March 10, 2025: Subcommittee: Klimesh, Costello, and Petersen. S.J. 465 .Sponsor: Janet Petersen

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Senate File 484 requires the addition of to the children's health insurance program and directs the state to seek federal approval through a .

Why it matters

Expands health insurance benefit coverage for children enrolled in the program to include , subject to federal approval.

Background
  • The Hawki program provides health care coverage to eligible children in Iowa under the federal Children's Health Insurance Program. context

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.

Directly affected

Hawki program enrollees

Children enrolled in the children's health insurance program gain potential access to covered applied behavior analysis services.

Directly affected

Department of Health and Human Services

The department is required to submit a state plan amendment and consult on rule adoption for the new coverage.

Key Facts

  • Applied behavior analysis services are added to the list of covered health services under section 514I.5, subsection 4, paragraph c, Code 2025.
  • The department of health and human services is required to submit a state plan amendment to the Centers for Medicare and Medicaid Services.
  • The amendment seeks federal approval to provide coverage for applied behavior analysis services under the children's health insurance program.
  • The medical assistance advisory council, in consultation with HHS, is required to adopt rules to include applied behavior analysis services in qualified child health plans.

Frequently Asked Questions

What new medical service does Senate File 484 add to the Hawki program?
The bill adds as a covered benefit.
What action must the department of health and human services take?
HHS must submit a to the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services for approval.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

2 actions
  1. Mar 10, 2025Senate
    Subcommittee: Klimesh, Costello, and Petersen. S.J. 465 .
  2. Mar 3, 2025SenateIntroduced
    Introduced, referred to Health and Human Services. S.J. 391 .

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

Centers for Medicare and Medicaid Services, Klimesh, Costello and 3 more
OrganizationCenters for Medicare and Medicaid Services“Federal agency of the United States Department of Health and Human Services”Map →
PersonKlimesh“Subcommittee member”Map →
PersonCostello“Subcommittee member”Map →
OrganizationDepartment of Health and Human Services“State department tasked with submitting the state plan amendment”Map →
PersonJanet Petersen“Bill sponsor in the Iowa Senate”Map →
OrganizationUnited States Department of Health and Human Services“Federal department overseeing CMS”Map →

Sources

Open source document

www.legis.iowa.gov

Analysis Score

0–100
  • Significance60
    How much this matters to a regular citizen
  • Controversy25
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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