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Kelly Garcia stepping down as Iowa HHS director, Gov. Kim Reynolds appoints new leader

Larry Johnson will lead Iowa HHS following Kelly Garcia’s resignation after nearly six years, with a transition starting immediately to continue agency reforms and public health initiatives.

  • Kelly Garcia, who has led Iowa’s Health and Human Services agency for nearly six years, announced her resignation, which will take effect next month, according to a statement from Governor Kim Reynolds' office on September 22, 2025.
  • Garcia's nearly six-year tenure began in November 2019 after Reynolds appointed her to lead the formerly separate Iowa Department of Human Services and Public Health, merging them under her leadership.
  • During her service, Garcia managed Iowa’s COVID-19 public health response, redesigned the behavioral health system, and improved child protective services and healthcare access for vulnerable Iowans.
  • Reynolds commended Garcia as a reliable leader who achieved significant outcomes and revealed that Larry Johnson, who leads Iowa’s Department of Inspections, Appeals and Licensing, will take over her position in mid-October.
  • Garcia and Johnson will promptly start a multi-week transition process involving collaboration with HHS division leaders and key stakeholders, with Johnson anticipated to continue advancing and enhancing agency services throughout the state.
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Iowa Health and Human Services Director Kelly Garcia resigns

Iowa Department of Health and Human Services Director Kelly Garcia has resigned, the governor’s office announced Monday.

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WEAREIOWA broke the news in on Monday, September 22, 2025.
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