---
type: "Bill"
title: "A bill for an act relating to reimbursement for dually eligible Medicare and Medicaid members receiving the Medicare hospice benefit and Medicaid-only members electing the hospice benefit in a nursing facility. (Formerly HF 295.) Effective 7-1-19."
description: "A bill for an act relating to reimbursement for dually eligible Medicare and Medicaid members receiving the Medicare hospice benefit and Medicaid-only members electing the hospice benefit in a nursing facility. (Formerly HF 295.) Effective 7-1-19."
jurisdiction: "us/states/ia"
legislature: "Iowa General Assembly"
session: "2019-2020"
identifier: "HF 518"
citation: "Iowa HF 518 (2019-2020)"
classification: ["bill"]
subjects: ["hospice services", "human services department", "medical assistance", "medicare", "nursing facilities"]
status: "enacted"
primary_sponsors: []
version_count: 2
action_count: 12
vote_count: 2
first_action: "2019-02-25"
last_action: "2019-04-23"
source: "openstates"
source_identifier: "ocd-bill/b2ed6d4f-908a-41ce-9a5b-b2385f93e5ec"
source_url: "https://www.legis.iowa.gov/legislation/billTracking/billHistory?billName=HF 518&ga=88"
source_hash: "1e3473d344aeba522f7b4d2f2d0bb53ca0eb94ed2525798d28b9c8bd910f6f1c"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ia"]
---

# Iowa HF 518 (2019-2020) — A bill for an act relating to reimbursement for dually eligible Medicare and Medicaid members receiving the Medicare hospice benefit and Medicaid-only members electing the hospice benefit in a nursing facility. (Formerly HF 295.) Effective 7-1-19.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](https://www.legis.iowa.gov/docs/publications/LGI/88/attachments/HF518.html)
2. **Enrolled** (enrolled) — [source](https://www.legis.iowa.gov/docs/publications/LGE/88/attachments/HF518.html)

## Votes

- Shall the bill pass? — **48–0** (pass) · upper
- Shall the bill pass? — **94–0** (pass) · lower

## Timeline

The legislative action history — every referral, reading, and vote.

- **2019-02-25** Introduced, placed on calendar. `introduction`
- **2019-03-19** Passed House, yeas 94, nays none. `passage`
- **2019-03-19** Immediate message.
- **2019-03-19** Message from House.
- **2019-03-19** Read first time and attached to companion SF 542. `reading-1`
- **2019-04-04** Placed on calendar under unfinished business.
- **2019-04-09** Substituted for SF 542.
- **2019-04-09** Passed Senate, yeas 48, nays 0. `passage`
- **2019-04-09** Immediate message.
- **2019-04-09** Message from Senate.
- **2019-04-22** Reported correctly enrolled, signed by Speaker and President, and sent to Governor.
- **2019-04-23** Signed by Governor. `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b2ed6d4f-908a-41ce-9a5b-b2385f93e5ec`. Confidence: reported (aggregated from official Iowa legislature records).