ARC 0121D

ARC 0121D

PUBLIC HEALTH DEPARTMENT[641]

Amended Notice of Intended Action

Proposing rulemaking related to state-funded family medicine obstetrics fellowship program, medical residency training state matching grants program, center for rural health and primary care, and Iowa needs nurses now infrastructure account
and providing an opportunity for public comment

    The Notice of Intended Action published in the Iowa Administrative Bulletin on September 17, 2025, as ARC 9550C proposes to rescind Chapter 106, “State-Funded Family Medicine Obstetrics Fellowship Program,” Chapter 108, “Medical Residency Training State Matching Grants Program,” Chapter 110, “Center for Rural Health and Primary Care,” and Chapter 111, “Iowa Needs Nurses Now Infrastructure Account,” Iowa Administrative Code. In order to receive oral comments concerning ARC 9550C, the Department of Health and Human Services hereby gives notice that a public hearing will be held as follows:

    Persons who wish to make oral comments at the public hearing may be asked to state their names for the record and to confine their remarks to the subject of this proposed rulemaking.

    Any persons who intend to attend the public hearing and have special requirements, such as those related to hearing or mobility impairments, should contact the Department and advise of specific needs.

Legal Authority for Rulemaking

    This rulemaking is proposed under the authority provided in 2025 Iowa Acts, House File 972.

State or Federal Law Implemented

    This rulemaking implements, in whole or in part, 2025 Iowa Acts, House File 972.

Purpose and Summary

    The purpose of this proposed rulemaking is to rescind chapters that have been made obsolete by 2025 Iowa Acts, House File 972. Section 4 of the legislation strikes Iowa Code section 135.107(2) and 135.107(3), which provide rulemaking authority for Chapter 110. Section 17 of the legislation repeals Iowa Code sections 135.176 and 135.193, which provide rulemaking authority for Chapter 108 and Chapter 106, respectively. Finally, section 17 of the legislation also repeals Iowa Code section 135.175, which is associated with Chapter 111.

    Rescission of these chapters is contingent upon Centers for Medicare and Medicaid Services (CMS) approval for funding of the new Graduate Medical Education program created by 2025 Iowa Acts, House File 972. Although the Department submitted its application to CMS in May of 2025, it has not yet received approval, nor has it received a timeline for approval. As such, the Department is seeking to extend the notice period on the proposed rescission of these chapters.

Fiscal Impact, Jobs Impact, Waivers

    Statements related to the fiscal impact, jobs impact, and waiver of this rulemaking may be found in the preamble of ARC 9550C.

Review by Administrative Rules Review Committee

    The Administrative Rules Review Committee, a bipartisan legislative committee which oversees rulemaking by executive branch agencies, may, on its own motion or on written request by any individual or group, review this rulemaking at its regular monthly meeting or at a special meeting. The Committee’s meetings are open to the public, and interested persons may be heard as provided in Iowa Code section 17A.8(6).

    ITEM 1.  Rescind and reserve 641—Chapter 106.

    ITEM 2.  Rescind and reserve 641—Chapter 108.

    ITEM 3.  Rescind and reserve 641—Chapter 110.

    ITEM 4.  Rescind and reserve 641—Chapter 111.