04/24/2026
This week, nearly two dozen Iowa hospital and health system leaders traveled to Washington, D.C., to attend the American Hospital Association Annual Meeting and meet with members of Iowa’s congressional delegation. During congressional meetings, leaders:
• Thanked lawmakers for their leadership and collaboration on the Rural Health Transformation Program, and shared suggestions to strengthen the program’s impact
• Emphasized the need for continued federal partnership so rural hospitals can keep meeting the evolving needs of their communities
• Urged an extension of “grandfathered” status for Iowa’s Medicaid state-directed payment program beyond the current timeline
Extending the grandfather status would help protect hospitals’ financial stability, expand access to care across Iowa, and ensure continuity as Congress considers long-term Medicaid policy.