Iowa 2025-2026 Regular Session

Iowa House Bill HF326

Introduced
2/11/25  

Caption

A bill for an act establishing a veterans recovery pilot program and fund for the reimbursement of expenses related to providing hyperbaric oxygen treatment to eligible veterans and making appropriations.(See HF 518.)

Summary

HF 326 establishes a new veterans recovery pilot program within the Iowa Department of Veterans Affairs to reimburse the cost of hyperbaric oxygen treatment for eligible veterans. The program is limited to veterans diagnosed with post-traumatic stress disorder or traumatic brain injury, and the bill also includes diabetic foot ulcers in its definition of covered hyperbaric oxygen treatment. Treatment must be prescribed by a health care practitioner and provided through an approved treatment facility using FDA-approved equipment or investigational devices meeting specified conditions. The bill creates a veterans recovery fund in the state treasury to pay for program administration, treatment costs, and certain travel and living expenses for veterans who must travel for care. Treatment facilities must submit proposed treatment plans for approval by the department and the commission of veterans affairs before reimbursement is available, and facilities must provide treatment without charge to the veteran. The program is structured as a pilot, requires biennial reporting on effectiveness and participation, and is set to sunset on July 1, 2031, with any remaining funds transferred to the veterans trust fund.

Impact

The bill would add a new chapter to Iowa Code, chapter 35E, creating a temporary state-administered reimbursement program for hyperbaric oxygen therapy for qualifying veterans. It authorizes appropriations to a dedicated veterans recovery fund, sets reimbursement rules and reporting requirements, and directs the Department of Veterans Affairs to adopt implementing rules by January 1, 2026. It also affects treatment facilities and veterans by establishing eligibility, approval, and documentation requirements for payment, while limiting veteran out-of-pocket liability for approved treatment and related travel costs.

Sentiment

The available voting history suggests strong support for the bill in committee, with the House Committee on Veterans Affairs reporting it 16-0. The bill’s framing as a veterans recovery measure and its focus on treatment access for PTSD and traumatic brain injury indicate a generally favorable sentiment among supporters. The committee record provided does not show recorded opposition or detailed debate, but the unanimous committee vote suggests broad agreement on advancing the proposal.

Contention

The main policy questions embedded in the bill are not about whether to help veterans, but about how to structure and limit the program. Potential points of contention include the use of state funds for hyperbaric oxygen treatment, the evidence base for that treatment for PTSD and traumatic brain injury, and the requirement that reimbursement depend on approved treatment plans and demonstrated health improvements. Another possible issue is fiscal exposure, since the program is contingent on sufficient money in the fund and remains open to donations, grants, and appropriations through 2031 before expiring.

Companion Bills

IA HF518

Similar To A bill for an act establishing a veterans recovery pilot program and fund for the reimbursement of expenses related to providing hyperbaric oxygen treatment to eligible veterans and making appropriations.(Formerly HF 326.)

Previously Filed As

IA HF518

A bill for an act establishing a veterans recovery pilot program and fund for the reimbursement of expenses related to providing hyperbaric oxygen treatment to eligible veterans and making appropriations.(Formerly HF 326.)

IA HF2662

A bill for an act establishing a veterans recovery program and fund for the reimbursement of expenses related to providing hyperbaric oxygen treatment to eligible veterans, and making appropriations.(Formerly HF 2481.)

IA HF2481

A bill for an act establishing a veterans recovery program and fund for the reimbursement of expenses related to providing hyperbaric oxygen treatment to eligible veterans, and making appropriations.(See HF 2662.)

IA AJR18

Urges US Department of Veterans Affairs to study use of hyperbaric oxygen therapy for veterans.

IA HB1120

Hyperbaric oxygen treatment program.

IA HB1216

Hyperbaric oxygen treatment program.

IA SB0206

Hyperbaric oxygen treatment program.

IA HB5456

Military affairs: other; hyperbaric oxygen treatment pilot program; establish. Creates new act. TIE BAR WITH: HB 5457'26

IA HCR3011

A concurrent resolution urging Congress to provide veterans with medical coverage for hyperbaric oxygenation therapy.

IA HCR3011

A concurrent resolution urging Congress to provide veterans with medical coverage for hyperbaric oxygenation therapy.

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WI SB904

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CA AB2538

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AZ SB1244

court-ordered treatment; continuation

IA HF518

A bill for an act establishing a veterans recovery pilot program and fund for the reimbursement of expenses related to providing hyperbaric oxygen treatment to eligible veterans and making appropriations.(Formerly HF 326.)

OK HB3587

Mental health; authorizing court-ordered outpatient treatment; effective date.