---
type: "Bill"
title: "A bill for an act relating to Medicaid reimbursement for services to individuals who meet the nursing home level of care and are required to register as sex offenders."
description: "A bill for an act relating to Medicaid reimbursement for services to individuals who meet the nursing home level of care and are required to register as sex offenders."
jurisdiction: "us/states/ia"
legislature: "Iowa General Assembly"
session: "2023-2024"
identifier: "HF 708"
citation: "Iowa HF 708 (2023-2024)"
classification: ["bill"]
subjects: ["health and human services department", "medical assistance", "nursing facilities", "nursing homes", "older persons", "public assistance", "sex offender registration"]
status: "enacted"
primary_sponsors: []
version_count: 5
action_count: 24
vote_count: 3
first_action: "2023-04-10"
last_action: "2023-06-01"
source: "openstates"
source_identifier: "ocd-bill/d026c509-7edf-4718-b20c-40f793354643"
source_url: "https://www.legis.iowa.gov/legislation/billTracking/billHistory?billName=HF 708&ga=90"
source_hash: "f1394c97e38181a0d088c994a9e24f9c8c3ba32848fd60600bc44011741c9992"
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 708 (2023-2024) — A bill for an act relating to Medicaid reimbursement for services to individuals who meet the nursing home level of care and are required to register as sex offenders.

## 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/HF708.html)
2. **Amendment H-1342** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/H1342.pdf)
3. **Amendment S-3191** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/S3191.pdf)
4. **Signed Enrolled Bill (PDF)** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGE/90/Attachments/HF708_GovLetter.pdf)
5. **Enrolled** (enrolled) — [source](https://www.legis.iowa.gov/docs/publications/LGE/90/attachments/HF708.html)

## Votes

- Shall the bill pass? — **93–0** (pass) · lower
- Shall the bill pass? — **48–0** (pass) · upper
- Shall the bill pass? — **96–3** (pass) · lower

## Sponsors

- COMMITTEE ON APPROPRIATIONS — primary (organization)

## Timeline

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

- **2023-04-10** Introduced, placed on Appropriations calendar. `introduction`
- **2023-04-12** Fiscal note.
- **2023-04-13** Passed House, yeas 96, nays 3. `passage`
- **2023-04-13** Immediate message.
- **2023-04-17** Message from House.
- **2023-04-17** Read first time, passed on file. `reading-1`
- **2023-04-18** Referred to Appropriations. `referral-committee`
- **2023-04-19** Subcommittee: Costello, Donahue, and Edler.
- **2023-04-25** Fiscal note.
- **2023-04-25** Subcommittee Meeting: 04/26/2023 8:30AM Room 217 Conference Room.
- **2023-04-26** Subcommittee recommends amendment and passage. [].
- **2023-04-26** Committee report, recommending amendment and passage. `committee-passage`
- **2023-04-26** Amendment S-3191 filed. `amendment-introduction`
- **2023-05-02** Amendment S-3191 adopted. `amendment-passage`
- **2023-05-02** Passed Senate, yeas 48, nays 0. `passage`
- **2023-05-02** Immediate message.
- **2023-05-02** Message from Senate.
- **2023-05-02** Senate amendment H-1342 filed. `amendment-introduction`
- **2023-05-03** House concurred in Senate amendment H-1342.
- **2023-05-03** Passed House, yeas 93, nays 0. `passage`
- **2023-05-03** Immediate message.
- **2023-05-04** Message from House.
- **2023-05-09** Reported correctly enrolled, signed by Speaker and President, and sent to Governor.
- **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/d026c509-7edf-4718-b20c-40f793354643`. Confidence: reported (aggregated from official Iowa legislature records).