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---
type: "Bill"
title: "A bill for an act relating to and making appropriations for veterans and health and human services, including other related provisions and appropriations including but not limited to the personal needs allowance for certain persons under Medicaid and the state supplementary assistance programs, replacement generation tax revenues, the Medicaid fraud and health care trust funds, the retention of certain revenues by the mental health institutes, the retention of Medicaid eligibility by residents of mental health institutes, the scope of services of the state resource centers, the appropriation of moneys in the juvenile detention home fund, the family investment program account and diversion program, the child support collection services center refund account, the quality assurance assessment payment period, the centers of excellence grant program, an assisted living program revised payment model study, funding for county commissions of veteran affairs, foster care provisions including those relating to a relative or fictive kin, health care employment agencies and health care technology platforms, medical cannabidiol practitioner requirements, nursing facility oversight, and state-funded psychiatry residency and fellowship positions, providing penalties, and including effective date and retroactive applicability provisions. Effective date: 05/09/2024, 07/01/2024. Applicability date: 07/01/2022, 07/01/2023."
description: "A bill for an act relating to and making appropriations for veterans and health and human services, including other related provisions and appropriations including but not limited to the personal needs allowance for certain persons under Medicaid and the state supplementary assistance programs, replacement generation tax revenues, the Medicaid fraud and health care trust funds, the retention of certain revenues by the mental health institutes, the retention of Medicaid eligibility by residents of mental health institutes, the scope of services of the state resource centers, the appropriation of moneys in the juvenile detention home fund, the family investment program account and diversion program, the child support collection services center refund account, the quality assurance assessment payment period, the centers of excellence grant program, an assisted living program revised payment model study, funding for county commissions of veteran affairs, foster care provisions including those relating to a relative or fictive kin, health care employment agencies and health care technology platforms, medical cannabidiol practitioner requirements, nursing facility oversight, and state-funded psychiatry residency and fellowship positions, providing penalties, and including effective date and retroactive applicability provisions. Effective date: 05/09/2024, 07/01/2024. Applicability date: 07/01/2022, 07/01/2023."
jurisdiction: "us/states/ia"
legislature: "Iowa General Assembly"
session: "2023-2024"
identifier: "HF 2698"
citation: "Iowa HF 2698 (2023-2024)"
classification: ["bill"]
subjects: ["appropriations", "area agencies on aging", "autism", "block grants", "cemeteries", "child support", "children", "disabilities", "employment agencies", "families", "health", "health and human services appropriations", "health and human services department", "healthy and well kids in iowa program", "home ownership", "juvenile detention homes", "medical assistance", "mental health", "mental health institutes", "nursing facilities", "psychiatric care", "rural areas", "sports wagering", "substance use disorder", "tobacco", "trust and agency funds", "veterans affairs", "veterans affairs department", "veterans home"]
status: "enacted"
primary_sponsors: []
version_count: 14
action_count: 28
vote_count: 9
first_action: "2024-04-16"
last_action: "2024-05-10"
source: "openstates"
source_identifier: "ocd-bill/a9aec089-b9a9-4da2-9e48-98b611f4a134"
source_url: "https://www.legis.iowa.gov/legislation/billTracking/billHistory?billName=HF 2698&ga=90"
source_hash: "930bdfca76ef1dddc5f33666238a386771beb3d36e363f4f2ac1911eb8bcc8ae"
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 2698 (2023-2024) — A bill for an act relating to and making appropriations for veterans and health and human services, including other related provisions and appropriations including but not limited to the personal needs allowance for certain persons under Medicaid and the state supplementary assistance programs, replacement generation tax revenues, the Medicaid fraud and health care trust funds, the retention of certain revenues by the mental health institutes, the retention of Medicaid eligibility by residents of mental health institutes, the scope of services of the state resource centers, the appropriation of moneys in the juvenile detention home fund, the family investment program account and diversion program, the child support collection services center refund account, the quality assurance assessment payment period, the centers of excellence grant program, an assisted living program revised payment model study, funding for county commissions of veteran affairs, foster care provisions including those relating to a relative or fictive kin, health care employment agencies and health care technology platforms, medical cannabidiol practitioner requirements, nursing facility oversight, and state-funded psychiatry residency and fellowship positions, providing penalties, and including effective date and retroactive applicability provisions. Effective date: 05/09/2024, 07/01/2024. Applicability date: 07/01/2022, 07/01/2023.
## 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/HF2698.html)
2. **Amendment H-8348** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/H8348.pdf)
3. **Amendment H-8359** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/H8359.pdf)
4. **Amendment H-8360** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/H8360.pdf)
5. **Amendment H-8361** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/H8361.pdf)
6. **Amendment H-8362** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/H8362.pdf)
7. **Amendment H-8371** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/H8371.pdf)
8. **Amendment S-5216** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/S5216.pdf)
9. **Amendment S-5217** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/S5217.pdf)
10. **Amendment S-5218** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/S5218.pdf)
11. **Reprinted** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGR/90/attachments/HF2698.html)
12. **Reprinted Marked Up** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGRM/90/attachments/HF2698.html)
13. **Signed Enrolled Bill (PDF)** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGE/90/Attachments/HF2698_GovLetter.pdf)
14. **Enrolled** (enrolled) — [source](https://www.legis.iowa.gov/docs/publications/LGE/90/attachments/HF2698.html)
## Votes
- Shall amendment S-5218 be adopted? — **15–32** (fail) · upper
- Shall the bill pass? — **32–15** (pass) · upper
- Shall amendment H-8371, to amendment H-8348, be adopted? — **35–57** (fail) · lower
- Shall amendment S-5217 be adopted? — **15–32** (fail) · upper
- Shall amendment H-8359, to amendment H-8348, be adopted? — **39–52** (fail) · lower
- Shall the rules be suspended to consider amendment H-8362, to amendment H-8348? — **34–57** (fail) · lower
- Shall amendment H-8361, to amendment H-8348, be adopted? — **39–53** (fail) · lower
- Shall amendment S-5216 be adopted? — **15–32** (fail) · upper
- Shall the bill pass? — **56–35** (pass) · lower
## Sponsors
- COMMITTEE ON APPROPRIATIONS — primary (organization)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2024-04-16** Introduced, placed on Appropriations calendar. `introduction`
- **2024-04-17** NOBA: House Full Approps
- **2024-04-18** Amendment H-8348 filed. `amendment-introduction`
- **2024-04-18** Amendment H-8359 to amendment H-8348, yeas 39, nays 52, filed, lost.
- **2024-04-18** Amendment H-8360 to amendment H-8348 filed, withdrawn. `amendment-introduction`
- **2024-04-18** Amendment H-8371 to amendment H-8348, yeas 35, nays 57, filed, lost.
- **2024-04-18** Amendment H-8361 to amendment H-8348, yeas 39, nays 53, filed, lost.
- **2024-04-18** Amendment H-8362 filed. `amendment-introduction`
- **2024-04-18** Point of order raised on amendment H-8362 to amendment H-8348, ruled not germane.
- **2024-04-18** Motion to suspend rules for immediate consideration of amendment H-8362 to amendment H-8348, yeas 34, nays 57.
- **2024-04-18** Motion to suspend rules failed.
- **2024-04-18** Amendment H-8348 adopted. `amendment-passage`
- **2024-04-18** Passed House, yeas 56, nays 35. `passage`
- **2024-04-18** Explanation of vote.
- **2024-04-18** Immediate message.
- **2024-04-19** Message from House.
- **2024-04-19** Read first time, attached to SF 2437. `reading-1`
- **2024-04-19** Substituted for SF 2437.
- **2024-04-19** Amendment S-5217 filed, lost. `amendment-introduction`
- **2024-04-19** Amendment S-5218 filed, lost. `amendment-introduction`
- **2024-04-19** Amendment S-5216 filed, lost. `amendment-introduction`
- **2024-04-19** Passed Senate, yeas 32, nays 15. `passage`
- **2024-04-19** Immediate message.
- **2024-04-19** Message from Senate.
- **2024-04-19** NOBA: House Floor
- **2024-05-06** Reported correctly enrolled, signed by Speaker and President, and sent to Governor.
- **2024-05-09** Signed by Governor. `executive-signature`
- **2024-05-10** NOBA: Final
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/a9aec089-b9a9-4da2-9e48-98b611f4a134`. Confidence: reported (aggregated from official Iowa legislature records).