Advocacy Cooperative
Main Content

Bill Tracker

Iowa Primary Care Association
Aging Services

Realigns the health and human services programs and services, aging and disability services, and volunteer services.

Signed
Alcohol/Drugs/Tobacco

Enacts wide-ranging reforms across healthcare, education, and nutrition, including mandatory nutrition/metabolic health continuing education for physicians, required nutrition coursework for medical school graduates, new restrictions on food dyes and additives in school meals and the summer EBT program, over-the-counter access to ivermectin, digital device time limits in elementary schools, reintroduces the Presidential Fitness Test, and Iowa's adoption of the Psychology Interjurisdictional Compact (PsyPACT).

Signed

Makes changes related to taxation and regulation of alternative nicotine and vape products.

Signed
Behavioral/Mental Health

Allows parents, legal guardians, or custodians to commit a minor for substance use or mental health treatment without requiring judicial approval.

Signed

Removes barriers to accessing subacute mental health treatment facilities, adds subacute beds to the psychiatric bed tracking system, and removes restrictive limits.

Signed

Realigns the health and human services programs and services, aging and disability services, and volunteer services.

Signed
Broadband/Technology

Establishes requirements and guidelines for conversational AI to make sure they are not encouraging harm to the people using them or providing inappropriate content to minors.

Signed
Budgets

Appropriates $38.9 million for fiscal year 2027, which begins on July 1, 2026.  This is decrease of $1.4 million.

Signed

Appropriates $2.56 billion to fund various health, veterans, and human services (including Medicaid) for fiscal year 2027, which begins on July 1, 2026. This is a $3.1 million increase. 

Signed / Line-Item Vetoed

Appropriates $1.042 billion to the Department for the Blind, Department of Education, Board of Regents, and Department of Workforce Development for fiscal year 2027, which begins July 1, 2026. This is an increase of $10.5 million.

Signed / Line-Item Vetoed

Changes standing (automatic) appropriations, makes other appropriations left out of other budgets, fixes mistakes in other bills, and drops in changes that were part of last-minute negotiations.

Signed / Line-Item Vetoed

Allocates $193.6 million from the Rebuild Iowa Infrastructure Fund (RIIF) and Technology Reinvestment Fund for fiscal year 2027, which begins on July 1, 2026. Money in these funds comes from taxes on gambling.

Signed / Line-Item Vetoed
Civil Rights

Strikes numerous provisions from Iowa law that require or reference affirmative action, race, gender, or citizenship in state employment, contracting, and educational programs.
 

Signed
Dental

Allows a dentist to employ a licensed sedation provider.

Signed
Education

Mandates use of federal e-verify and SAVE systems for employment and professional licensure eligibility verification across multiple sectors, including education, public employment, and professional licensing.

Signed
Health Care

Gives health care providers and institutions the right to not participate in a health care service that violates the provider's or institution's conscience.

Signed

Regulates how cost sharing is applied for enrollees in group insurance and accident/health insurance who have health savings accounts and qualified high-deductible health plans.

Signed

Prohibits noncompete clauses in employment contracts between physicians and the University of Iowa Hospitals and Clinics.

Signed

Prohibits health insurance carriers from denying coverage for health care services or imposing higher out-of-pocket costs solely because a referral was made by an out-of-network primary care provider.

Signed

Allows certain pregnant minors to give consent to prenatal, intrapartum, and postnatal care.

Signed

Updates certificate of need process and regulates health insurance utilization review, whether done internally or through a utilization review organization.

Signed

Enacts wide-ranging reforms across healthcare, education, and nutrition, including mandatory nutrition/metabolic health continuing education for physicians, required nutrition coursework for medical school graduates, new restrictions on food dyes and additives in school meals and the summer EBT program, over-the-counter access to ivermectin, digital device time limits in elementary schools, reintroduces the Presidential Fitness Test, and Iowa's adoption of the Psychology Interjurisdictional Compact (PsyPACT).

Signed

Realigns the health and human services programs and services, aging and disability services, and volunteer services.

Signed

Makes changes to HMO taxation and makes supplemental appropriations to HHS.

Signed

Changes the title 'physician assistant' to 'physician associate.'

Signed
Immigration/Refugees

Mandates use of federal e-verify and SAVE systems for employment and professional licensure eligibility verification across multiple sectors, including education, public employment, and professional licensing.

Signed
Insurance

Regulates how cost sharing is applied for enrollees in group insurance and accident/health insurance who have health savings accounts and qualified high-deductible health plans.

Signed

Prohibits health insurance carriers from denying coverage for health care services or imposing higher out-of-pocket costs solely because a referral was made by an out-of-network primary care provider.

Signed

Prohibits insurance companies from discriminating against living organ donors.

Signed

Updates certificate of need process and regulates health insurance utilization review, whether done internally or through a utilization review organization.

Signed
Medicaid

Makes changes to HMO taxation and makes supplemental appropriations to HHS.

Signed
Other

Makes a number of changes to eligibility for various public assistance programs (FIP, SNAP, Medicaid, childcare assistance), requiring legal status/citizenship checks and aligning changes made in "One Big Beautiful Bill Act" (aka HR 1).  Also makes it nearly impossible to end Medicaid managed care. 

Signed

Establishes a new Early Childhood and Family Services system under the Department of Health and Human Services.

Signed
Professional Licensing/Scope of Practice

Enacts wide-ranging reforms across healthcare, education, and nutrition, including mandatory nutrition/metabolic health continuing education for physicians, required nutrition coursework for medical school graduates, new restrictions on food dyes and additives in school meals and the summer EBT program, over-the-counter access to ivermectin, digital device time limits in elementary schools, reintroduces the Presidential Fitness Test, and Iowa's adoption of the Psychology Interjurisdictional Compact (PsyPACT).

Signed

Requires the board of medicine to issue an emeritus license for a physician who is at least 60 years of age and is supervising residents.

Signed

Authorizes Iowa to join the interstate Athletic Trainer Compact, making Iowa the 7th state to join.

Signed

Mandates use of federal e-verify and SAVE systems for employment and professional licensure eligibility verification across multiple sectors, including education, public employment, and professional licensing.

Signed
Public Health

Denies minors the right to consent to vaccinations for a sexually transmitted disease or infection.

Signed
Reproductive Rights

Makes changes in the process for Iowans accessing medications that induce an abortion (mifepristone, misoprostol), creates private cause of action for violations, and repeals the fetal heartbeat law.

Signed
Taxes

Makes changes to HMO taxation and makes supplemental appropriations to HHS.

Signed
Transportation

Requires DOT to verify the citizenship and immigration status of all applicants for driver's licenses or nonoperator identification cards who do not provide proof of U.S. citizenship. 

Signed
Voting/Elections

Mandates use of federal e-verify and SAVE systems for employment and professional licensure eligibility verification across multiple sectors, including education, public employment, and professional licensing.

Signed
© 2026 Advocacy Cooperative. All rights reserved.