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Iowa SenateHF 2543

Relating to subacute mental health care facilities and services, and including effective date provisions

Passed 29–16Party-line

What it does: On the version voted Apr 13, 2026: Removes the 10-day limit on subacute mental health care stays, requires treatment plans within 24 hours of admission, sets deadlines for Medicaid prior-authorization decisions, creates a bed-tracking system for children's psychiatric institutions, and directs a review of adding services at the Independence mental health institute. (AI-written summary of the bill; the official record shows the exact version voted)

Question before the chamber: Shall amendment S–5145 be adopted?

Amends the bill to require a treatment plan within 24 hours of admission to subacute mental health facilities, set 48-hour to 10-day deadlines for prior-authorization decisions, create a bed-tracking system for children's psychiatric institutions, and order a rules review. (AI-written)

Read the official record ↗

The tally

Yes 29 · No 16 · Not voting 5

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

Votes by party
PartyYesNoNot voting
Democrats0161
Republicans2904

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.