---
type: "Bill"
title: "A bill for an act relating to eligibility for pregnant women and infants under the Medicaid program, and including effective date provisions."
description: "A bill for an act relating to eligibility for pregnant women and infants under the Medicaid program, and including effective date provisions."
jurisdiction: "us/states/ia"
legislature: "Iowa General Assembly"
session: "2023-2024"
identifier: "SF 2251"
citation: "Iowa SF 2251 (2023-2024)"
classification: ["bill"]
subjects: ["health and human services department", "healthy and well kids in iowa program", "medical assistance", "medical care", "newborn children", "postpartum care", "pregnancy", "public assistance", "women"]
status: "enacted"
primary_sponsors: []
version_count: 4
action_count: 19
vote_count: 3
first_action: "2024-02-07"
last_action: "2024-05-08"
source: "openstates"
source_identifier: "ocd-bill/5434f78a-9288-453c-88f6-381ef917d9b3"
source_url: "https://www.legis.iowa.gov/legislation/billTracking/billHistory?billName=SF 2251&ga=90"
source_hash: "362fcc73f947c6d9be72e5614bab40ab6cf7709cbc7ad3788a62dea0a7fcc5cf"
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 SF 2251 (2023-2024) — A bill for an act relating to eligibility for pregnant women and infants under the Medicaid program, and including effective date provisions.

## 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/SF2251.html)
2. **Amendment S-5010** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/S5010.pdf)
3. **Signed Enrolled Bill (PDF)** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGE/90/Attachments/SF2251_GovLetter.pdf)
4. **Enrolled** (enrolled) — [source](https://www.legis.iowa.gov/docs/publications/LGE/90/attachments/SF2251.html)

## Votes

- Shall the bill pass? — **70–25** (pass) · lower
- Shall amendment S-5010 be adopted? — **16–31** (fail) · upper
- Shall the bill pass? — **34–13** (pass) · upper

## Sponsors

- COMMITTEE ON HEALTH AND HUMAN SERVICES — primary (organization)

## Timeline

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

- **2024-02-07** Introduced, placed on calendar. `introduction`
- **2024-02-07** Committee report, approving bill. `committee-passage`
- **2024-02-19** Fiscal note.
- **2024-02-19** Amendment S-5010 filed, lost. `amendment-introduction`
- **2024-02-19** Passed Senate, yeas 34, nays 13. `passage`
- **2024-02-19** Immediate message.
- **2024-02-19** Message from Senate.
- **2024-02-20** Read first time, passed on file. `reading-1`
- **2024-02-26** Fiscal note.
- **2024-03-07** Fiscal note.
- **2024-04-03** Substituted for HF 2583.
- **2024-04-03** Passed House, yeas 70, nays 25. `passage`
- **2024-04-03** Explanation of vote.
- **2024-04-04** Explanation of vote.
- **2024-04-03** Immediate message.
- **2024-04-04** Message from House.
- **2024-04-17** Fiscal note.
- **2024-04-29** Reported correctly enrolled, signed by President and Speaker, and sent to Governor.
- **2024-05-08** 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/5434f78a-9288-453c-88f6-381ef917d9b3`. Confidence: reported (aggregated from official Iowa legislature records).