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On With Life
Aging Services

Governs the placement of adult patients in care facilities when the patient is unable to consent and does not have an available authorized representative.

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
Budgets

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

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
Health Care

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

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

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

Signed
Insurance

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
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
Taxes

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

Signed
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