Iowa
8 ways Trump’s ‘Big, Beautiful Bill’ will affect Iowans, from rural hospitals to biofuels
Trump signs his sweeping tax and spending bill on the Fourth of July
President Donald Trump signed his sweeping tax cut and spending bill on the Fourth of July.
Big changes are coming to Iowans’ health care, taxes, nutrition assistance, energy generation and student loans — courtesy of President Donald Trump’s “One Big, Beautiful Bill Act.”
Trump signed the law July 4 in a ceremony at the White House after all six of Iowa’s Republican members of Congress voted for the legislation. And over the next few years, Iowans can expect its impact to affect their lives in a variety of ways.
The law makes permanent a set of 2017 tax cuts that Trump signed during his first term, as well as cutting taxes on tips and overtime pay and boosting spending on border security and the military.
It cuts Medicaid spending by about $1 trillion over a decade, which is expected to lead to 11.8 million people becoming uninsured, and cuts nearly $200 billion in spending on the Supplemental Nutrition Assistance Program, according to estimates from the nonpartisan Congressional Budget Office.
It also is projected to increase deficits by about $3.4 trillion over the next 10 years, according to the CBO.
Here are eight ways the law will affect Iowans.
Federal spending on Iowa Medicaid could decrease by billions
The law makes major changes to Medicaid, the federal program that provides health care to low-income and disabled Americans, and it reduces spending by nearly $1 trillion over 10 years.
A KFF analysis found that Iowa will see federal Medicaid spending decrease between $8 billion and $14 billion over the next 10 years as a result.
“This bill was not framed as a health care reform effort,” said Larry Levitt, executive vice president for health policy at KFF. “But it represents the biggest change to the health care system since the passage of the Affordable Care Act 15 years ago.”
The law will require states, which administer Medicaid, to perform eligibility checks twice a year instead of once annually. And states will have to set up systems to verify a person’s employment or exemption status.
The legislation requires “able-bodied” Medicaid recipients to work 80 hours a month, although some people will qualify for an exemption, such as students, caregivers or those with a disability.
Republicans say the changes will strengthen Medicaid by reducing fraud, waste and abuse.
The nonpartisan Congressional Budget Office has projected that 11.8 million Americans could lose Medicaid coverage over the next decade as a result of the law.
In Iowa, Democrats on the House Joint Economic Committee estimate that 113,979 people could lose health care coverage. That includes coverage through Medicaid and the Affordable Care Act.
Iowa’s Republican Gov. Kim Reynolds signed legislation earlier this year requiring new work requirements for tens of thousands of Iowans seeking Medicaid. But those requirements won’t kick in until the state gets a waiver approved by the Trump administration.
It’s not clear how the new federal law will affect Iowa’s law. Many of the provisions will be phased in over time, Levitt said.
“We’re not all going to wake up one morning and find millions more people uninsured,” he said.
The Congressional Budget Office has cautioned that it can’t know how states will respond to and implement these changes, causing major uncertainty in their cost estimates.
Rural hospitals brace for ‘profound’ negative effect
Rural hospitals are expected to be hit particularly hard by the Medicaid changes.
In Iowa, rural hospitals account for 67.8% of all community hospitals, according to KFF.
According to a KFF analysis, Iowa will see an estimated $4.45 billion reduction in federal Medicaid spending in rural areas over the next decade as a result of the law.
Iowa Hospital Association President and CEO Chris Mitchell said even a conservative estimate of the loss of funding, which he pegs at $3.5 billion, would have a “profound” negative effect on Iowa hospitals, “particularly ones in rural areas.”
Republicans included a $50 billion stabilization fund for rural hospitals to try to offset some of those negative effects. But experts say it’s far from enough.
Mitchell said the fund “doesn’t really move the needle in mitigating the long-term damages (of) these cuts.”
A June 12 letter from four Democratic U.S. senators identifies two Iowa hospitals that are at risk of closing or losing services from the law: MercyOne’s Newton Medical Center and the Manning Regional Healthcare Center.
Mitchell said he couldn’t speak to the data underlying that report.
“But, for the larger question, are there hospitals at risk today as a result of the passage of the ‘big, beautiful bill’? I would say yes,” he said.
Even though many of the law’s biggest Medicaid provisions won’t take effect immediately, Mitchell said hospitals already need to make decisions about how they will adjust their business models to account for future changes.
“Rural hospitals as we stand today are already operating on razor-thin margins,” he said. “… A lot of the questions are: Do we eliminate service? Do we reduce staff? Do we think about closure?”
Law extends tax cuts, expands child tax credit, creates new breaks for tips and overtime wages
The law extends the 2017 tax cuts Trump signed during his first term in office.
It keeps in place the seven tax brackets created in the Tax Cuts and Jobs Act, with a bottom rate of 10% for lower earners and a top rate of 37% for higher earners.
Starting in tax year 2025, the law permanently increases the standard deduction to $15,750 for single filers, $23,625 for heads of household and $31,500 for joint filers. There are adjustments for inflation after 2025.
Without the law, U.S. Sen. Chuck Grassley’s office said “the average Iowa household’s taxes would increase by $2,063.”
It also includes new tax breaks for tipped wages and overtime for tax years 2025 through 2028.
Workers will be able to deduct up to $25,000 in tips (so long as they “customarily and regularly” receive them, as servers do) and $12,500 in overtime pay.
And seniors 65 years old and older will see a $6,000 federal income tax deduction from 2025 through 2028, intended to offset Social Security taxes. The deduction tapers off for those making at least $75,000 per year.
That’ll compound benefits such as Iowa’s exemption of retirement income from the state income tax, Iowans for Tax Relief President Chris Hagenow said.
“We obviously have an older population in Iowa, and any benefit to senior citizens is going to be felt strongly in Iowa,” Hagenow said. “… It’s another benefit that can help retirees stay in their homes longer, stay in the state, and that can be a good thing for Iowa.”
The law expands the child tax credit from $2,000 to $2,200 and ties the amount to inflation so it will increase further in the future, according to Grassley’s office.
Plus, taxpayers can write off up to $40,000 in state and local taxes, or SALT, from their federal taxes. That’ll give a bigger tax deduction to Americans in high-tax states such as California.
“Sometimes that’s cast as a red-state-versus-blue-state thing, but property taxes have gotten so high in Iowa that that is going to provide relief for a growing number of Iowans,” Hagenow said.
Estate taxes exemptions ‘bolster farmers’ financial stability’
Beginning in 2026, the law permanently increases the estate tax exemption to $15 million. Under the Tax Cuts and Jobs Act, which had been set to expire, the exemption was $10 million.
The estate tax is beneficial for farmers passing land and expensive farm property down to their children.
“These measures bolster farmers’ financial stability, allowing them to invest in their operations and pass family farms to the next generation without the lingering fear of excessive tax penalties,” Iowa Agriculture Secretary Mike Naig said in a statement.
23,000 Iowans live in a household that could lose some SNAP benefits, estimate says
The law reduces federal spending on the Supplemental Nutrition Assistance Program by roughly $186 billion over a decade.
It expands work requirements for the program by extending them to people aged 55 to 64, as well as parents of children 14 and older, veterans, people experiencing homelessness and young adults who have aged out of the foster care system.
The left-leaning Center on Budget and Policy Priorities estimates that 23,000 Iowans live in a household that could lose at least some benefits, and 15,000 of those people are at risk of losing their benefits entirely.
About 264,000 Iowans were enrolled in SNAP as of March, according to the U.S. Department of Agriculture.
The law also puts states on the hook for more of the cost of running the SNAP program, and for the first time states could be responsible for paying for some SNAP benefits.
Previously, the federal government and states equally split the cost of running the program. But under the new law, states will pay 75% of administrative costs beginning in fiscal year 2027.
Luke Elzinga, chair of the Iowa Hunger Coalition, said that could cost Iowa $13 million to $15 million per year.
And the law says if states have a SNAP payment error rate above 6%, they must pay a percentage of the cost of SNAP benefits for the first time.
Iowa’s SNAP payment error rate — including overpayments and underpayments — recently rose to 6.14% in fiscal year 2024.
If the rate remains above 6%, Elzinga said the state could be on the hook for roughly $27 million in benefits costs beginning in fiscal year 2028. That amount could be higher if Iowa’s payment error rate rises above 8% or 10%.
Conversely, if Iowa drops its error rate below 6%, it would not be required to pay any SNAP benefit costs.
Clean energy tax credit changes boost biofuels, phase out wind and solar
Several changes to clean energy tax credits boost to biofuels, while phasing out incentives for wind and solar power.
The law extends the Clean Fuel Production Credit, known as 45Z, through 2029.
The tax credit can be claimed by producers of low-emission transportation fuel, including sustainable aviation fuel, as long as the fuel is produced from feedstock grown in the United States, Mexico and Canada.
It also extends the small agri-biodiesel tax credit through 2026 and boosts the amount from $0.10 to $0.20 per gallon. And the law raises reference prices for soybeans to $10 per bushel, with annual increases for inflation beginning in 2031.
The law phases out tax credits for wind and solar projects in two years, limiting companies from claiming the credits unless their projects are “placed in service” by Dec. 31, 2027.
Grinnell College will see tax cut instead of major increase under final law
While the law hikes tax rates on colleges with large endowments, one Iowa school will receive a tax cut instead.
The law raises the tax on endowments at private colleges and universities from a 1.4% rate set in 2017.
But the new law applies only to schools with more than 3,000 students, while the old law kicked in for schools with more than 500 students.
That means that Grinnell College, which has about 1,750 students and has been paying about $2.4 million per year in taxes under the 1.4% rate, will no longer see its endowment taxed.
An earlier version of the legislation, which passed the U.S. House on May 22, would have raised the endowment tax to 21%, which would have increased Grinnell’s tax bill to about $30 million per year.
“In those early days of the House bill, we were facing a pretty existential moment of going from paying $2.4 million to $30 million,” Grinnell College President Anne Harris said in an interview.
Grinnell, which has an endowment worth $2.67 billion as of June 30, 2024, is the only Iowa school affected by the law.
Harris said the college expects to use some of the savings from the tax cut to increase financial aid to students.
Grinnell relies on its endowment for more than 60% of its annual operating budget and provided students with $67 million in financial aid from the endowment last year.
Federal student loan borrowers to see big changes
Federal student loan borrowers will soon see major changes to loan options and repayment plans available.
By 2028, the law streamlines and phases out multiple federal student loan repayment plans, leaving new borrowers to choose one of only two repayment plans: a new Repayment Assistance Plan or a standard plan.
The standard repayment plan remains the same and structures the loan based on the amount borrowed, typically ranging from 10 to 25 years.
The Repayment Assistance Plan revamps income-driven repayment options, allowing borrowers to pay a percentage of their discretionary income, between 1% and 10%.
It also eliminates the Graduate PLUS Program, which allows graduate and professional school students to cover the full cost of attendance. Currently enrolled Graduate PLUS loan borrowers would be grandfathered in and could access these loans for the next few years until they graduate.
New graduate student loan borrowers will see lifetime loan caps of $100,000 ($20,500 per year) and $200,000 ($50,000 per year) for medical and law students.
Parent PLUS loans will now be capped at $65,000 and will not be eligible for repayment programs.
Starting with loans issued after July 1, 2027, borrowers who have lost jobs or face another financial hardship will no longer be able to pause payments.
“The changes the bill makes related to higher education are really going to target low- and middle-income class families,” said Betsy Mayotte, president of The Institute of Student Loan Advisors. “… It’s also going to affect higher education access and choice for those income levels.”
Mayotte said new loan borrowing limits likely will disproportionately affect nontraditional students, including working parents or those who work and can’t afford to attend school full-time.
Currently, students can access the full annual loan limit if they’re enrolled at least half-time. Under the law, annual loan limits will be prorated based on whether a student is enrolled full-time or half-time. The limit will be halved for half-time students.
“I think that’s going to bar a lot of the working parents and older borrowers that are currently attending school from being able to attend,” Mayotte said.
USA TODAY contributed to this report.
Brianne Pfannenstiel is the chief politics reporter for the Des Moines Register. Reach her at bpfann@dmreg.com or 515-284-8244. Follow her on X at @brianneDMR.
Stephen Gruber-Miller covers the Iowa Statehouse and politics for the Des Moines Register. He can be reached by email at sgrubermil@registermedia.com or by phone at 515-284-8169. Follow him on Twitter at @sgrubermiller.
Marissa Payne covers the Iowa Statehouse and politics for the Des Moines Register. Reach her by email at mjpayne@registermedia.com. Follow her on X, formerly known as Twitter, at @marissajpayne.
Following a years-long legal saga, the Iowa Supreme Court recently upheld a decision to evict Short’s Burger and Shine from its South Clinton Street building.
The May 22 decision, delivered by Chief Justice Susan Christensen, agreed with the Johnson County District Court’s decision to evict the downtown burger restaurant after finding that it did not notify the building’s owner — a trust operated by Midwest One Bank — of its intent to extend the lease.
The decision concludes one part of the Short’s legal saga. The now-closed restaurant is also in litigation for a discrimination and retaliation lawsuit Short’s owner, Kevin Perez filed in 2024 against Midwest One Bank, the trust of late building owner Haywood Belle, Belle’s widow, a bank employee, and the City of Iowa City
Iowa City’s Short’s Burgers and Shine closed in 2024
Short’s closed in early 2024 after the court determined Perez hadn’t renewed the business’s lease on time.
Short’s opened at 18 S. Clinton Street in 2008 with the goal of honoring the legacy and story of former building owner H.D. Short, who shined shoes for 50 years, beginning in 1920. The original ownership group included Perez, Dan Ouverson, and former Hawkeye and NFL player Nate Kaeding, who now runs the Gold Cap Hospitality ownership group.
Eviction proceedings started when Short’s temporarily closed in April 2022 “to fix poor building conditions” without notifying Midwest One Bank, the executor of Belle’s trust.
The closure breached a part of the lease agreement that said the restaurant would default on its lease if it “failed to engage” in normal business for more than 15 consecutive business days, the court found. The renovations also violated a provision that forbade structural changes or improvements without prior written approval.
Midwest One Bank sent notice on May 10, 2022, that Short’s would default on its lease if it did not reopen for regular business and cease renovations within 10 days, according to court documents. Shorts responded, claiming it could not reopen for business until renovations were complete because the gas could not be turned back on until repairs were finished.
Midwest One Bank “terminated” the lease and started eviction proceedings in May 2022. Shorts was allowed to continue operating and occupying the building while the case was litigated.
Midwest One Bank filed two eviction claims and delivered notice that Short’s needed to vacate the building by the end of the lease on April 30. Short’s did not vacate, and Midwest One Bank pursued a third eviction claim, accusing the owners of failing to provide notice of renewal.
Short’s argued that because they continued renovations, disputed eviction, and secured insurance, it was evidence of their intent to renew.
The restaurant owners also argued that pending eviction proceedings prevented them from renewal. The court argued that Short’s simply did not declare intent to renew for “whatever reason.”
“Mere forgetfulness does not entitle a party to equitable relief,” the decision reads.
Liam Halawith covers Johnson County local government and public safety for the Press-Citizen. Reach him by email at lhalawith@registermedia.com. Follow him on X at @liam_halawith.
WEST DES MOINES, Iowa (IOWA CAPITAL DISPATCH) – An Iowa nursing home worker fired after being accused of repeatedly neglecting residents’ needs is entitled to unemployment benefits, a judge has ruled.
State records indicate certified nurse aide Abigail Kromah worked for Pine Acres Rehabilitation and Care Center in West Des Moines from May 2024 through December 2025, when she was fired. She subsequently applied for unemployment benefits, which led to a recent hearing before an administrative law judge.
The hearing records indicate Kromah testified that when she was fired on Dec. 19, 2025, the employer informed her that the discharge was due to “numerous resident complaints” regarding the care she had been providing.
According to the judge’s findings in the case, Kromah had received multiple disciplinary warnings related to resident care. In August 2024, she allegedly received verbal and written warnings for failing to answer residents’ call-lights in a timely manner, failing to properly assist residents with their personal care, and for complaining about the residents in common areas of the workplace.
Her employer testified Kromah was also given warnings for refusing work instructions from the nursing staff, and for telling a resident who needed to be toileted to go the bathroom in their briefs.
In August 2025, it was alleged that Kromah failed to check on a resident throughout the entire night. During that shift, a nurse had neglected to unclamp a feeding tube, which caused the tube to leak. When another nurse checked on the resident at 5 a.m., the resident was “drenched in feeding solution from head to toe,” according to the judge’s findings.
‘I can’t live this way… She’s horrible.’
Days later, the home alleged, a resident of the facility entered the hallway in his wheelchair at about 6 a.m., loudly complaining, “I can’t do this anymore,” and, “I can’t live this way.” The man allegedly refused to go back to his room, explaining that Kromah was there and “she’s horrible.”
The man reportedly stated had had switched on his call-light to have his urinal emptied, but Kromah never came to assist him, which meant the urinal overflowed and spilled on him. When Kromah eventually came to the room, the man allegedly said, she changed him into dry clothing but did not clean him.
The home alleged Kromah was given additional warnings in October 2025 for reportedly failing to answer residents’ call lights and failing to complete her rounds every two hours. One resident of the home had allegedly became so frustrated by the lack of response to his call-light that he contacted the police on one occasion, according to the judge’s findings.
State inspection reports indicate Pine Acres Rehabilitation and Care Center was cited for insufficient staff in January 2026, with one resident complaining the issue with call-lights had been a longstanding problem. According to the inspectors, the man said that on one occasion, he couldn’t get help to clear his airway and was afraid he was going to die unless he managed to clear it himself, which he did.
In ruling that Kromah was entitled to jobless benefits, Administrative Law Judge Michael Lunn noted that while she had clearly been warned about deficiencies in resident care, she appeared to have been fired for a separate issue — attendance — for which she had received no such warnings.
A discharge for misconduct cannot be based on past acts such as the resident-care issues, Lunn ruled, but must instead be based on a current act. With no current act of disqualifying misconduct, Lunn stated, Kromah was entitled to collect unemployment benefits.
Iowa Capital Dispatch was unable to locate Kromah to seek comment for this article.
Copyright 2026 IOWA CAPITAL DISPATCH. All rights reserved.
CEDAR RAPIDS, Iowa (KCRG) – With some schools already on summer break, programs are helping make sure Iowa kids don’t go hungry.
The state’s Seamless Summer Option program provides free meals to children and teens 18 and younger during summer break.
Those meals are served at schools, parks and community centers. Children are served on first come, first served basis.
You can find a full list of those on the USDA’s Summer Meal Finder.
This year, the state has returned to the federal SUN Bucks program.
Eligible families can get up to $120 per child. That is then divided up to $40 a month to help pay for healthy food purchases.
The Des Moines Area Religious Council told KCRG after the state announced its return to the program that area businesses, as well as those in need, would benefit.
“Those dollars are going to go back into local grocery stores. It’s an investment in our community. When we look at feeding programs like SNAP, we know that it has that multiplier effect every time a dollar is spent, you’re getting more out of it,” said Blake Wiladsen, the council’s communication manager.
The state will regulate the program similarly to the state’s SNAP program. Things like candy, soda, vitamins, minerals, pre-made foods, and juice made with less than 50% fruit or vegetables cannot be purchased with Iowa SUN Bucks.
Copyright 2026 KCRG. All rights reserved.
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