SF 474 Iowa Senate · 2025-2026 Regular Session

A bill for an act relating to services and support for youth, including treatment, physical assessments, and behavioral health evaluations for youth involved in juvenile delinquency and child 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.

This bill updates laws concerning services and support for youth under 21, especially those involved in involuntary commitment, juvenile delinquency, or child and family in need of assistance proceedings. It revises regulations for psychiatric medical institutions for children (PMICs), updating definitions and requiring them to provide comprehensive care that includes physical assessments and behavioral health evaluations. The bill also addresses the licensing and certification of other residential facilities, the provision of home and community-based services to youth, and the administration of juvenile court services. Finally, it modifies Hawki eligibility for inmates of public institutions.
Bill status signed all 5 stages cleared
Introduction
Mar 2025
Committee Review
Mar 2025
Senate Passage
Apr 2025
House Passage
Apr 2025
Signed into Law
May 2025
Introduced Mar 3, 2025 Signed May 19, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Enrolled with Governor's Action Reprinted Marked Up · 4 edits
MODERATE
The bill was reprinted to reflect amendments passed by the Senate, updating the title to clarify it as a successor to a previous bill (SSB 1120). The most significant substantive change is the expansion of the definition for 'medical care' to explicitly include physical assessments and behavioral health evaluations, ensuring these services are covered under the same protections as inpatient care. Additionally, the definition of 'mental health disorder' was broadened to include diagnoses from both the American Psychiatric Association and the World Health Organization, and the definition of 'serious emotional disturbance' was updated to exclude specific developmental disorders.
Scope change
The bill's scope was expanded to explicitly include physical assessments and behavioral health evaluations as part of the required care standards for youth in residential facilities, and the criteria for defining mental health conditions were broadened to align with international standards.
DEFINITION

The definition of 'medical care' was modified to explicitly include physical assessments and behavioral health evaluations, ensuring these are treated with the same legal weight as inpatient care.

The definition of 'mental health disorder' was expanded to include conditions listed in the World Health Organization's International Classification of Diseases, in addition to the American Psychiatric Association's manual.

The definition of 'serious emotional disturbance' was updated to exclude specific developmental disorders, clarifying the scope of who qualifies for these services.

TECHNICAL

The bill title was updated to indicate it is a successor to SSB 1120 and to reflect the Senate's amendments, including changes to the list of accredited organizations.

Floor votes · Senate Apr 16, 2025 · House Apr 22, 2025

How they voted

480
Passed · 3 other
Total votes 51
Apr 16, 2025
D Democratic16
15 Yea 1
93% Yea
R Republican35
33 Yea 2
94% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
20
Key actions
7
Committee
1
Amendments
4
May 19, 2025
Signed into law
Signed by Governor.
upper
Apr 29, 2025
Upper · Passed
Passed Senate, yeas 48, nays 0.
upper
Apr 29, 2025
Upper · Passed
Senate concurred with S-3125.
upper
Apr 23, 2025
Introduced
Message from House, with amendment S-3125.
upper
Apr 22, 2025
Lower · Passed
Passed House, yeas 92, nays 0.
lower
Apr 22, 2025
Introduced
Amendment H-1266 filed, adopted.
lower
Apr 16, 2025
Upper · Passed
Passed Senate, yeas 47, nays 0.
upper
Apr 16, 2025
Upper · Passed
Amendment S-3098 adopted.
upper
Apr 14, 2025
Introduced
Amendment S-3098 filed.
upper
Mar 3, 2025
Upper · Passed
Committee report, approving bill.
upper
Mar 3, 2025
Introduced
Introduced, placed on calendar.
upper
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.