Health and Human Services Budget
The House and Senate are furthest apart in their budget totals in the Health and Human Services. Below is the breakdown of where the House would like to appropriate the budget.
· The House Health and Human Services budget appropriates $2.217 billion from the general fund to the Department of Veterans Affairs and the Department of Health and Human Services for Fiscal Year 2025. This is a $92.5 million increase compared to FY2024.
· In total with federal matching funds, this budget appropriates over $6 billion towards Medicaid, child care, child welfare, public health, aging, and veteran services in Iowa.
· Highlights from the House HHS budget include:
o Mental Health Care: The Iowa House has made increasing access to mental health care for Iowans a priority. This budget provides $2.25 million in increased state funding towards mental health Medicaid rates, building on last year’s $13 million increase. It also provides for an enhanced rate to Psychiatric Medical Institutes for Children that care for children with the most complex conditions.
o Care for older Iowans: This budget provides a $3 million increase to home health rates to help keep Iowans in their homes for longer and to ensure access to care in rural Iowa.
o Protecting local pharmacies: We want to protect rural Iowans’ access to local pharmacies. This budget builds on the bills we’ve passed this session by increasing the Medicaid pharmacy dispensing fee by $2 million.
o Quality care for disabled Iowans: This budget increases home and community-based services rates to care for disabled Iowans in their communities with a $14.6 million investment. It also provides $5 million to increase access to enhanced case management for Iowans using long-term services and supports and provides $1.78 million to increase the eligibility for the Medicaid for Employed people with disabilities program.
o Taking Care of Our Veterans: This budget funds the Iowa Department of Veterans Affairs, the Veterans Cemetery, and the Iowa Veterans Home at the Governor’s recommended level. (More details below)
o Child Welfare: This session, we set out to pass policies to ensure all children, especially those born into difficult situations, have the support they need. Regarding child welfare, this budget:
----Increases the stipend for those in the child welfare system utilizing the preparation for adult living program.
----Increases foster care rates and adoption subsidy rates.
----Pays for home studies for those Iowans that are hoping to adopt a child in need.
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