We are two weeks from the second funnel deadline. This means a bill must pass one chamber and a committee in another chamber. Both chambers have spent a significant amount of time in caucus and on floor debate. The majority of the bills in both chambers do not have companion bills in the other chamber. Please note that some bills listed below are dead (as indicated in the “Notes” column).
| Bill | Title | Description | Summary | Declaration | Current Stage | Current Chamber | Starting Action | Notes |
| HF13 | Annual Automatic Increases in Medicaid Provider Reimbursement Rates | A bill for an act relating to annual automatic increases in Medicaid provider reimbursement rates. | House File 13 establishes a system for annual automatic increases in the reimbursement rates for Medicaid providers in Iowa. The Department of Health and Human Services is required to adjust the reimbursement rates every July 1, applying either the percentage increase in the consumer price index for the Midwest region or a 2.5% increase, whichever is lower. This measure aims to ensure that Medicaid providers receive fair compensation that reflects inflation and cost of living adjustments. The bill overrides any existing laws regarding inflation factors or indexing of these rates, thereby streamlining the process for annual adjustments. This initiative is intended to support the sustainability of Medicaid services and providers in the state.
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for | Introduced | H | introduced, referred to health and human services. h.j. 40. | Died 1st Funnel |
| HF61 | Health Services Price Transparency Act | A bill for an act relating to the disclosure of prices charged for certain health services rendered by health care providers and hospitals. | House File 61 requires health care providers to disclose the prices for the twenty-five most common health services they offer, while hospitals must disclose prices for the seventy-five most common inpatient and outpatient services. This information must be made available in a single document on their websites and updated regularly. The price disclosures are to be provided prior to any discounts and assume no medical complications. Additionally, a disclaimer must accompany the price information, clarifying that the prices are estimates and may vary based on individual circumstances. The legislation aims to improve consumer awareness and facilitate informed decision-making regarding health care services.
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undecided | Introduced | H | introduced, referred to health and human services. h.j. 62. | Died 1st Funnel |
| HF80 | Prohibition of Disciplinary Actions for Name and Pronoun Usage in Schools | A bill for an act prohibiting school districts and charter schools from taking disciplinary action against employees, contractors, or students for the use of legal names, the use of student names as listed in school registration forms or records, or for the failure to use personal pronouns in official communications, and providing civil penalties. | House File 80 aims to protect the rights of employees, contractors, and students in Iowa’s school districts and charter schools by prohibiting disciplinary actions related to the use of legal names and the failure to use personal pronouns. The bill ensures that individuals can address others using their legal names as listed in school records without fear of punishment. Additionally, it allows individuals to refrain from disclosing or using personal pronouns in official communications without facing disciplinary measures. Violations of this legislation can lead to civil actions, including reinstatement and damages for affected employees. The bill defines ‘disciplinary action’ broadly, encompassing various forms of punishment, including termination and suspension.
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watching | Subcommittee Action | H | subcommittee recommends passage. | Died 1st Funnel |
| HF163 | Iowa School Safety Enhancement Act | A bill for an act relating to school safety by requiring the creation of threat assessment teams and authorizing information sharing between certain governmental agencies.(Formerly HSB 47.) | The Iowa School Safety Enhancement Act aims to improve school safety by requiring the creation of multidisciplinary threat assessment teams within school districts and accredited nonpublic schools. These teams are tasked with assessing and intervening when students exhibit behaviors that may pose a threat to safety. The bill also allows for the sharing of relevant information among covered entities, including schools and governmental agencies, to ensure that students at risk receive appropriate services. Additionally, the legislation provides immunity from civil liability for individuals who report potential threats in good faith. Overall, the act seeks to foster collaboration among various stakeholders to better protect students and staff in educational environments.
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undecided | Introduced | H | introduced, placed on calendar. h.j. 01/30. | |
| HF303 | Prior Authorization Reform and Exemption Program in Health Benefit Plans | A bill for an act relating to prior authorizations and exemptions by health benefit plans and utilization review organizations.(Formerly HSB 19.) | House File 303 amends existing laws regarding prior authorizations by requiring utilization review organizations to respond to urgent and nonurgent requests within specified timeframes. It mandates annual reviews of prior authorization requirements to eliminate those that do not justify their administrative costs. Additionally, the bill establishes a pilot program for health carriers to exempt a subset of health care providers from prior authorization requirements, aiming to streamline processes and improve health care access. Health carriers must provide detailed information about the exemption program on their websites and report on its outcomes by January 15, 2027.
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for | Amendment | H | amendment s-3015 filed. s.j. 412. | |
| HF312 | Legislation on Psychiatric Deterioration Treatment Orders | A bill for an act relating to orders for treatment of persons experiencing psychiatric deterioration.(Formerly HF 123.) | House File 312 amends existing laws to allow courts to order treatment for individuals experiencing psychiatric deterioration, defined as an inability to recognize the need for mental health treatment and a likelihood of worsening conditions without intervention. The bill outlines specific criteria for psychiatric deterioration, emphasizing the importance of timely treatment to prevent serious mental impairment. It also makes conforming changes to various sections of the Iowa Code related to mental health treatment and hospitalization procedures. The intent is to enhance the legal framework for addressing mental health crises and ensuring appropriate care for affected individuals.
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undecided | Subcommittee Action | H | subcommittee meeting: 03/10/2025 12:30pm room 217 conference room. | |
| HF313 | Amendments to Involuntary Commitment Hearing Procedures | A bill for an act relating to testimony at involuntary commitment hearings by physician assistants and advanced registered nurse practitioners.(Formerly HSB 85.) | House File 313 introduces significant changes to the procedures surrounding involuntary commitment hearings in Iowa. It allows physician assistants and advanced registered nurse practitioners to provide testimony on behalf of licensed physicians and mental health professionals, provided certain conditions are met. The bill outlines the necessary sworn statements required for such testimony and clarifies the circumstances under which the presence of the examining physician or mental health professional may be waived. Additionally, it ensures that the respondent’s attorney must assess the respondent’s capacity to waive their right to be present at the hearing. These changes aim to streamline the process and ensure that qualified professionals can contribute to the hearings even if the primary examiner is unavailable.
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undecided | Subcommittee Action | H | subcommittee meeting: 03/10/2025 12:00pm senate lounge. | |
| HF330 | Expansion of Insurance Coverage for Autism Spectrum Disorder Treatment | A bill for an act relating to insurance coverage for covered individuals for the treatment of autism spectrum disorder and including applicability provisions.(Formerly HF 5.) | House File 330 aims to align Iowa’s insurance coverage for autism spectrum disorder with the latest diagnostic standards set by the American Psychiatric Association. The bill removes the previous age limit of 21 years and eliminates the maximum benefit cap of $36,000 per year for treatment. Additionally, it ensures that coverage for applied behavior analysis is available without restrictions on the number of visits. The changes are intended to improve access to necessary treatments for individuals with autism, reflecting a commitment to comprehensive mental health care. The new provisions will take effect for policies renewed or issued after January 1, 2026.
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for | Subcommittee Action | H | subcommittee: driscoll, trone garriott, and warme. s.j. 421. | |
| HF383 | Legislation to Reschedule Crystalline Polymorph Psilocybin | A bill for an act relating to the controlled substance crystalline polymorph psilocybin.(Formerly HF 14.) | House File 383 aims to amend the current classification of crystalline polymorph psilocybin, also known as COMP 360, by removing it from Schedule I of controlled substances once it receives approval from the United States Food and Drug Administration (FDA). The bill stipulates that the drug will be rescheduled based on FDA recommendations and its listing in the federal Controlled Substances Act. Following this rescheduling, it will become lawful to prescribe, distribute, and market the drug. This change reflects a shift in the legal status of psilocybin, which is currently categorized as a hallucinogenic substance with significant penalties for possession. The bill highlights the evolving perspective on certain controlled substances and their potential therapeutic uses.
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undecided | Subcommittee Action | H | subcommittee: klimesh, pike, and wahls. s.j. 394. | |
| HF385 | Legislation on Discharge Procedures for Involuntarily Committed Persons | A bill for an act relating to discharge of involuntarily committed persons from a facility or a hospital. (Formerly HF 124.) | House File 385 introduces significant changes to the discharge process for individuals involuntarily committed for mental health treatment. It mandates that facilities refer discharged individuals to administrative services organizations for evaluation and postdischarge services, assess suicide risk, and provide a 15-day supply of prescribed medications. Additionally, a comprehensive discharge report must be provided, detailing follow-up appointments and aftercare plans. The legislation aims to ensure continuity of care and support for individuals transitioning out of treatment, thereby addressing potential risks associated with discharge.
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undecided | Chamber Action | H | introduced, placed on calendar. h.j. 318. | |
| HF509 | Hawki Coverage Expansion for Autism Treatment and Program Repeal | A bill for an act relating to Hawki coverage for the treatment of autism spectrum disorder applied behavior analysis services, and the autism support program.(Formerly HSB 122.) | House File 509 introduces significant changes to the autism support program in Iowa. It prohibits the Department of Health and Human Services from approving new applications for the program after July 1, 2025, while allowing continued treatment for those already enrolled until the program’s repeal on July 1, 2027. The bill also mandates the inclusion of applied behavior analysis services for autism treatment in qualified child health plans. Additionally, any remaining funds in the autism support fund upon repeal will be transferred to the Hawki trust fund. These changes aim to streamline autism treatment coverage under the Hawki program while phasing out the existing support program.
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for | Chamber Action | H | introduced, placed on calendar. h.j. 376. | |
| HF556 | Health Insurers’ Credentialing Process Reform | A bill for an act relating to health insurers’ credentialing process.(See HF 875.) | House File 556 introduces significant changes to the credentialing process for health insurers in Iowa. It mandates that health insurers respond to credentialing requests from physicians, advanced registered nurse practitioners, or physician assistants within 56 calendar days. If a request is denied, insurers are required to provide a written explanation for the denial. Additionally, the bill allows for an internal appeal process, followed by the option to appeal to the insurance division, particularly on grounds of network adequacy. These changes are intended to enhance transparency and efficiency in the credentialing process, ultimately improving access to health care services.
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for | Chamber Action | H | committee report approving bill, renumbered as hf 875. | |
| HF573 | Amendments to Involuntary Commitment Procedures for Substance Use Disorders | A bill for an act relating to filing applications and custody of the respondent in an involuntary commitment proceeding.(Formerly HF 139.) | House File 573 introduces significant changes to the procedures for involuntary commitment and treatment of individuals with substance use disorders in Iowa. It allows any interested person to file a verified application for commitment in any county, with jurisdiction transferred to the appropriate district court if the respondent is not located in the filing county. The bill also grants peace officers the authority to take respondents into custody for treatment in any county where they are found. Additionally, it mandates timely reporting from treatment facilities to the court regarding the respondent’s status and treatment recommendations. These changes aim to improve the efficiency and effectiveness of the involuntary commitment process.
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undecided | Subcommittee Action | H | introduced, placed on calendar. h.j. 416. | |
| HF602 | Iowa Bill for Minor Witness Testimony via Closed-Circuit Equipment | A bill for an act relating to testimony by a minor witness using two-way, closed-circuit equipment.(Formerly HSB 38.) | House File 602 amends existing law to enable courts to take testimony from minor witnesses in a separate room, away from the physical presence of the defendant. This is intended to reduce trauma that may impair the minor’s ability to communicate effectively. The testimony will be transmitted to the courtroom via two-way, closed-circuit equipment, ensuring both audio and video feeds are available for viewing. The bill specifies that such measures can only be implemented upon a court’s specific finding of necessity for the minor’s protection. The presence in the room with the minor during testimony is limited to essential personnel and individuals deemed beneficial to the minor’s welfare.
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for | Subcommittee Action | H | introduced, placed on calendar. h.j. 425. | |
| HF620 | Iowa Psilocybin Production and Administration Act | A bill for an act relating to the production of psilocybin and the administration of psilocybin to persons with post-traumatic stress disorder, and providing penalties. | The Iowa Psilocybin Production and Administration Act introduces new regulations for the cultivation, testing, and administration of psilocybin, specifically targeting its use for patients with PTSD. It creates a licensing board to oversee psilocybin production establishments and qualified therapy providers, ensuring compliance with safety and operational standards. The bill outlines the requirements for inventory control systems, employee training, and patient management. Additionally, it sets forth penalties for violations and establishes a framework for reporting adverse events. The legislation aims to provide a structured approach to psilocybin therapy while ensuring patient safety and regulatory oversight.
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watching | Subcommittee Action | H | introduced, referred to ways and means. h.j. 440. | |
| HF754 | Iowa Health Care System Reform and Funding Model | A bill for an act relating to health care including a funding model for the rural health care system; the elimination of several health care-related award, grant, residency, and fellowship programs; establishment of a health care professional incentive program; Medicaid graduate medical education; the health facilities council; and the Iowa health information network, making appropriations, and including effective date provisions.(Formerly HSB 191; See HF 972.) | House File 754 aims to enhance Iowa’s rural health care system by implementing a hub-and-spoke partnership funding model, which seeks approval from federal health services. The bill eliminates various health care-related award, grant, residency, and fellowship programs, consolidating resources into a new health care professional incentive program designed to recruit and retain health care professionals in underserved areas. The legislation also includes provisions for loan repayments and the management of funds related to these changes. By streamlining existing programs and focusing on incentives, the bill intends to improve health care delivery and access in rural communities. The changes take effect immediately upon enactment.
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for | Committee Action | H | introduced, referred to appropriations. h.j. 514. | |
| HF833 | Legislation on Accreditation and Licensing of Health Care Organizations | A bill for an act relating to services and support for youth, including treatment, physical assessments, and behavioral health evaluations for youth involved in involuntary commitment, juvenile delinquency, child in need of assistance, and family in need of assistance proceedings; the licensing and certification of certain residential facilities; the provision of home and community-based services and habilitation services to certain youth by residential programs; administration and supervision of juvenile court services; and the suspension of Hawki eligibility for inmates of public institutions.(Formerly HSB 153.) | The proposed legislation updates the accreditation process for health care organizations, allowing nursing facilities to choose inspections by the Joint Commission instead of the department. It also stipulates that accredited facilities will not require additional inspections by the department, streamlining the licensing process. The bill defines key terms related to mental health and substance use disorders, ensuring clarity in the services provided. Additionally, it emphasizes the need for compliance with federal regulations and the adoption of rules regarding protective locked environments in psychiatric institutions. Overall, the changes aim to enhance the efficiency and effectiveness of health care service delivery.
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undecided | Subcommittee Action | H | introduced, referred to ways and means. h.j. 559. | |
| HF875 | Health Insurers’ Credentialing Process Amendments | A bill for an act relating to health insurers’ credentialing process.(Formerly HF 556.) | House File 875 introduces significant changes to the credentialing process for health care providers, including physicians, advanced registered nurse practitioners, and physician assistants. Health insurers are now required to respond to credentialing requests within 56 calendar days. If a request is denied, insurers must provide a written explanation for the denial. Additionally, the bill ensures that clean claims for services provided during the credentialing period will be paid retrospectively once credentialing is approved. These changes aim to streamline the credentialing process and enhance transparency for health care providers.
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for | Introduced | H | introduced, placed on calendar. h.j. 565. | |
| HF972 | Iowa Health Care System Reform and Funding Model | A bill for an act relating to health care including a funding model for the rural health care system; the elimination of several health care-related award, grant, residency, and fellowship programs; establishment of a health care professional incentive program; Medicaid graduate medical education; the health facilities council; and the Iowa health information network, making appropriations, and including effective date provisions.(Formerly HF 754, HSB 191.) | House File 972 aims to enhance Iowa’s rural health care system by implementing a hub-and-spoke partnership funding model, which seeks approval from federal health services. The bill eliminates various health care-related programs, including loan repayment and grant initiatives, while establishing a new health care professional incentive program to recruit and retain professionals in high-demand areas. The legislation also includes provisions for Medicaid graduate medical education funding and the elimination of the health facilities council. Overall, the bill reflects a significant shift in health care policy aimed at improving access and quality of care in rural Iowa.
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for | Introduced | H | introduced, placed on appropriations calendar. h.j. 03/21. | |
| HJR9 | Iowa Constitutional Amendment on Witness Confrontation Rights | A joint resolution proposing an amendment to the Constitution of the State of Iowa relating to the right of an accused to confront children and other witnesses.(Formerly HSB 35.) | House Joint Resolution 9 seeks to amend Article I of the Iowa Constitution by adding a new section that allows for the limitation of an accused’s right to confront witnesses who are children under the age of eighteen or who have mental illnesses, intellectual disabilities, or other developmental disabilities. The intent of this amendment is to enhance the protection of vulnerable witnesses during legal proceedings. If adopted, the amendment will be published and referred to the next general assembly for further consideration before being submitted to voters for ratification. This legislative change reflects a growing recognition of the need to safeguard the well-being of children and individuals with disabilities in the judicial process.
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for | H | introduced, placed on calendar. h.j. 422. | ||
| SF231 | Prior Authorization and Utilization Review Reform Act | A bill for an act relating to prior authorization and utilization review organizations.(Formerly SSB 1016.) | Senate File 231 introduces significant changes to the prior authorization process for health care services in Iowa. It mandates that utilization review organizations respond to urgent requests within 48 hours and nonurgent requests within 10 days, with allowances for complex cases. Additionally, organizations must conduct annual reviews of prior authorization requirements and eliminate those that do not justify their administrative costs. The bill also requires detailed reporting on approval and denial rates for prior authorization requests, aiming to enhance transparency and efficiency in health care delivery. Complaints regarding compliance can be directed to the insurance division, which will handle them confidentially.
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for | Amendment | S | amendment s-3014 filed. s.j. 412. | |
| SF418 | Iowa Senate File 418: Regulation of Sex and Gender Terminology in Law | A bill for an act relating to sex and gender, including those and related terms for purposes of statutory construction, indications of a person’s sex on certain vital records, gender identity under the Iowa civil rights Act, and school curricula related to gender theory. | Senate File 418 aims to clarify the definitions of sex and gender within Iowa law, asserting that ‘sex’ refers strictly to biological classifications of male and female as determined at birth. The bill removes references to gender identity in various legal contexts, thereby reinforcing traditional definitions of gender roles and relationships. It mandates that vital records reflect these definitions and prohibits discrimination based on sex while maintaining separate accommodations based on biological sex. The legislation also restricts educational curricula related to gender theory for younger students, emphasizing a biological understanding of sex over gender identity. Overall, the bill seeks to align state law with a specific interpretation of sex and gender, potentially impacting various sectors including education and healthcare.
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against | Signed Into Law | S | explanation of vote. s.j. 397. | |
| SF474 | Legislation on Youth Services and Behavioral Health Evaluations | A bill for an act relating to services and support for youth, including treatment, physical assessments, and behavioral health evaluations for youth involved in involuntary commitment, juvenile delinquency, child in need of assistance, and family in need of assistance proceedings; the licensing and certification of certain residential facilities; the provision of home and community-based services and habilitation services to certain youth by residential programs; administration and supervision of juvenile court services; and the suspension of Hawki eligibility for inmates of public institutions.(Formerly SSB 1120.) | The proposed legislation updates the definitions and requirements for psychiatric medical institutions for children, emphasizing the need for accreditation by recognized organizations. It introduces new provisions for behavioral health evaluations and physical assessments, ensuring that youth receive appropriate care without unnecessary legal barriers. The bill also clarifies the confidentiality of records and the conditions under which information can be disclosed. Additionally, it aims to streamline the licensing process for facilities providing services to youth with mental health and substance use disorders. Overall, the legislation seeks to enhance the quality of care and support available to youth in need.
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undecided | Committee Action | S | committee report, approving bill. s.j. 395. | |
| SF484 | Expansion of Hawki Coverage for Applied Behavior Analysis Services | A bill for an act relating to Hawki coverage for applied behavior analysis services including a state plan amendment waiver for the children’s health insurance program. | Senate File 484 proposes to amend existing law to add coverage for applied behavior analysis services for children under the Hawki program. The bill mandates the Department of Health and Human Services to submit a state plan amendment to the Centers for Medicare and Medicaid Services for approval. It also requires the medical assistance advisory council to adopt rules that ensure these services are included as a benefit in qualified child health plans. This initiative is intended to enhance access to necessary behavioral health services for children, aligning with federal regulations under Title XXI of the Social Security Act.
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for | Subcommittee Action | S | introduced, referred to health and human services. s.j. 391. | |
| SF575 | Iowa Health Care System Reform Bill | A bill for an act relating to health care including a funding model for the rural health care system; the elimination of several health care-related award, grant, residency, and fellowship programs; establishment of a health care professional incentive program; Medicaid graduate medical education; the health facilities council; and the Iowa health information network, making appropriations, and including effective date provisions.(Formerly SSB 1163.) | The bill introduces a health care hub-and-spoke partnership funding model to enhance Iowa’s rural health system. It eliminates existing health care-related award, grant, residency, and fellowship programs, including the PRIMECARRE initiative, while establishing a new health care professional incentive program to recruit and retain professionals in high-demand areas. The legislation also seeks to maximize federal funding for graduate medical education through Medicaid supplemental payments. Additionally, it repeals the health facilities council and transfers its responsibilities to the Department of Health and Human Services. The changes are intended to streamline health care delivery and improve access to services in underserved regions.
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for | Subcommittee Action | S | introduced, placed on calendar. | |
| SF583 | Iowa School Safety Enhancement Act | A bill for an act relating to school safety by requiring the creation of school safety assessment teams and authorizing information sharing between certain governmental agencies. (Formerly SSB 1099.) | Senate File 583 aims to improve school safety by mandating the creation of multidisciplinary school safety assessment teams within school districts and accredited nonpublic schools. These teams are tasked with assessing and intervening when students exhibit behaviors that may pose a threat to safety. The bill allows for the sharing of records and information among covered entities, including law enforcement and mental health professionals, to ensure the safety and well-being of students. Additionally, it provides immunity for individuals who report or investigate potential threats in good faith. The legislation emphasizes collaboration among various agencies to better serve students in need.
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for | Introduced | S | introduced, placed on calendar. |