---
type: "Bill"
title: "A bill for an act relating to health care services and financing, including nursing facility licensing and financing and the Medicaid program including third-party recovery and taxation of Medicaid managed care organization premiums."
description: "A bill for an act relating to health care services and financing, including nursing facility licensing and financing and the Medicaid program including third-party recovery and taxation of Medicaid managed care organization premiums."
jurisdiction: "us/states/ia"
legislature: "Iowa General Assembly"
session: "2023-2024"
identifier: "HF 685"
citation: "Iowa HF 685 (2023-2024)"
classification: ["bill"]
subjects: ["health insurance", "health maintenance organizations", "insurance", "liens", "medical assistance", "public assistance", "taxation"]
status: "enacted"
primary_sponsors: []
version_count: 6
action_count: 23
vote_count: 4
first_action: "2023-03-27"
last_action: "2023-06-01"
source: "openstates"
source_identifier: "ocd-bill/4eac0e7c-02c1-4485-84e6-62443942ba9a"
source_url: "https://www.legis.iowa.gov/legislation/billTracking/billHistory?billName=HF 685&ga=90"
source_hash: "17c71e3001b456b0a30f0044a3f339d54a735435d8a2d1b9eca2f859708965dc"
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 685 (2023-2024) — A bill for an act relating to health care services and financing, including nursing facility licensing and financing and the Medicaid program including third-party recovery and taxation of Medicaid managed care organization premiums.

## 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/90/attachments/HF685.html)
2. **Amendment H-1315** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/H1315.pdf)
3. **Amendment S-3181** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/S3181.pdf)
4. **Amendment S-3189** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/S3189.pdf)
5. **Signed Enrolled Bill (PDF)** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGE/90/Attachments/HF685_GovLetter.pdf)
6. **Enrolled** (enrolled) — [source](https://www.legis.iowa.gov/docs/publications/LGE/90/attachments/HF685.html)

## Votes

- Shall amendment S-3189 be adopted? — **16–33** (fail) · upper
- Shall the bill pass? — **98–0** (pass) · lower
- Shall the bill pass? — **91–3** (pass) · lower
- Shall the bill pass? — **49–0** (pass) · upper

## Sponsors

- COMMITTEE ON WAYS AND MEANS — primary (organization)

## Timeline

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

- **2023-03-27** Introduced, placed on Ways and Means calendar. `introduction`
- **2023-03-29** Fiscal note.
- **2023-04-11** Passed House, yeas 98, nays 0. `passage`
- **2023-05-05** Explanation of vote.
- **2023-04-11** Immediate message.
- **2023-04-12** Message from House.
- **2023-04-12** Read first time, attached to SF 567. `reading-1`
- **2023-04-25** Amendment S-3181 filed. `amendment-introduction`
- **2023-04-26** Substituted for SF 567.
- **2023-04-26** Amendment S-3189 filed, lost. `amendment-introduction`
- **2023-04-26** Amendment S-3181 adopted. `amendment-passage`
- **2023-04-26** Passed Senate, yeas 49, nays 0. `passage`
- **2023-04-26** Immediate message.
- **2023-04-27** Message from Senate.
- **2023-04-27** Senate amendment H-1315 filed. `amendment-introduction`
- **2023-05-01** House concurred in Senate amendment H-1315.
- **2023-05-01** Passed House, yeas 91, nays 3. `passage`
- **2023-05-03** Explanations of votes.
- **2023-05-01** Immediate message.
- **2023-05-02** Message from House.
- **2023-05-09** Reported correctly enrolled, signed by Speaker and President, and sent to Governor.
- **2023-05-11** Fiscal note.
- **2023-06-01** 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/4eac0e7c-02c1-4485-84e6-62443942ba9a`. Confidence: reported (aggregated from official Iowa legislature records).