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Lutheran Services in Iowa
Accessibility

Requires commercial drivers demonstrate sufficient English language proficiency to receive or renew a CDL or CLP.

Signed
Aging Services

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

Signed
Agriculture

Makes extensive changes to Iowa's agricultural statutes, including Choose Iowa food programs.

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
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 $47.3 million for agricultural and natural resources programs and agencies for fiscal year 2027 (which begins on July 1, 2026).  This is an increase of $700,000.

Signed

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
Childcare/Child Welfare

Requires a court to prioritize an individual who provided foster care to a child when determining a child's placement.

Signed

Makes the children of parents/guardians who work in a child care facility or home that accepts state child care assistance program funding eligible for the program as well.

Signed

Protects the confidentiality of foster parents' residential addresses.

Signed

Prevents the Iowa HHS from requiring foster parents, kinship caregivers, or prospective adoptive parents to affirm or support policies related to sexual orientation or gender identity that conflict with their sincerely held religious or moral beliefs.

Signed

Removes the fixed hourly requirements for initial and renewal foster parent training.

Signed
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
Education

Requires all higher education institutions offering teacher preparation include targeted clinical experiences and preparation for serving students with disabilities and English learners.

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

Requires the Department of Education and schools to distribute and train staff on federal guidance about constitutionally protected prayer and religious expression.

Signed
Health Care

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
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

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
Local Government

Prohibits local governments from issuing county- or city-specific identification cards to residents.

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

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
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

Requires commercial drivers demonstrate sufficient English language proficiency to receive or renew a CDL or CLP.

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
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