ARC 0467D

ARC 0467D

PUBLIC HEALTH DEPARTMENT[641]

Adopted and Filed

Rulemaking related to rescission of chapters

    The Department of Health and Human Services hereby rescinds 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.

Legal Authority for Rulemaking

    This rulemaking is adopted 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 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.

Public Comment and Changes to Rulemaking

    Notice of Intended Action for this rulemaking was published in the Iowa Administrative Bulletin on September 17, 2025, as ARC 9550C. An Amended Notice of Intended Action was published in the Iowa Administrative Bulletin on March 18, 2026, as ARC 0121D. A public hearing was held on the following date(s):

     ?   April 7, 2026

    No one attended the public hearings. No public comments were received. No changes from the Notice have been made.

Adoption of Rulemaking

    This rulemaking was adopted by the Department on July 8, 2026.

Fiscal Impact

    Section 4 of 2025 Iowa Acts, House File 972, repealed the Primary Care Provider Recruitment and Retention Endeavor, also known as PRIMECARRE, which included the Health Care Workforce and Community Support Grant Program and the Primary Care Provider Loan Repayment Program. The PRIMECARRE program received $214,021 from the General Fund Public Health appropriation in FY 2025. Section 17 of 2025 Iowa Acts, House File 972, repealed the Health Care Workforce Support Initiative, the Medical Residency Training State Matching Grants Program, the Nurse Residency State Matching Grants Program, and the State-funded Family Medicine Obstetrics Fellowship Program. 2024 Iowa Acts, House File 2698 (FY 2025 Health and Human Services Appropriations Act), allocated the following amounts for the eliminated programs in FY 2025 from the General Fund:

     ?   $2,100,000 for the Medical Residency Training State Matching Grants Program.

     ?   $0 for the Nurse Residency State Matching Grants Program.

     ?   $560,000 for the State-funded Family Medicine Obstetrics Fellowship Program.

    This is a standing unlimited appropriation under Iowa Code section 135.193.

Jobs Impact

    After analysis and review of this rulemaking, no impact on jobs has been found.

Waivers

    Any person who believes that the application of the discretionary provisions of this rulemaking would result in hardship or injustice to that person may petition the Department for a waiver of the discretionary provisions, if any, pursuant to 441—Chapter 2504.

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).

Effective Date

    This rulemaking will become effective on October 1, 2026.

    The following rulemaking action is adopted:

    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.

[Filed 7/8/26, effective 10/1/26]

[Published 8/5/26]

EDITOR’S NOTE: For replacement pages for IAC, see IAC Supplement 8/5/26.