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Iowa SenateHF 1049

Relating to and making appropriations to the department of veterans affairs and the department of health and human services, and related provisions and appropriations, including aging and disability services; behavioral health, public h ealth, community access and eligibility; the medical assistance program, state supplementary assistance, Hawki, and other health-related programs; sex reassignment surgeries or associated procedures; family well-being and protection; state-operated specialty c...

Passed 31–15Party-line

What it does: Sets fiscal 2026 state funding for the Department of Veterans Affairs and the Department of Health and Human Services, including Medicaid, Hawki, child care assistance and the veterans home, and bars Medicaid funds from paying for gender-transition surgery or hormone therapy. (AI-written summary of the bill; the official record shows the exact version voted)

Question before the chamber: Shall the bill pass?

Read the official record ↗

The tally

Yes 31 · No 15 · Not voting 4

Bar: green = yes, brown = no, striped = not voting.

Votes by party
PartyYesNoNot voting
Democrats0151
Republicans3103

Most Democrats voted no; most Republicans voted yes.

The full roll (50)

“Not voting” is a recorded non-vote, not a reason for the absence. Parties come from public rosters; how we count.