Healthcare

HF 571, the "Medical Ethics Defense Act," protects medical practitioners, healthcare institutions, and health care payors from discrimination when refusing to provide or cover specific services based on conscience (e.g., religious or ethical beliefs). It prohibits adverse actions like termination or penalties for such refusals, requires health care payors to cover services they’re contractually obligated to pay for, and grants immunity from liability for good-faith conscience-based decisions. The bill also shields whistleblowers who report violations related to conscience protections or ethical violations to authorities like the attorney general or federal agencies. It explicitly does not override requirements for emergency care under federal law.

HF 2716 requests federal waivers to improve administration of Iowa's SNAP (supplemental nutrition), medical assistance, and WIC programs. It would require quarterly error rate reports for SNAP starting in 2026, allow exclusion of income for minors in school from household calculations, permit use of automated data (like unemployment records) for verification, and modify how payment errors are reported. The bill also adjusts medical assistance rules to disregard certain income for disabled individuals under 65 and mandates error rate reporting for medical programs. These changes aim to streamline eligibility processing and reporting for federal public assistance programs under Iowa's Department of Health and Human Services.

HF 2649, the "REACH Act," creates a pilot program allowing eligible Iowa community colleges to offer bachelor's degrees in specific high-demand fields like nursing, IT, and education. To qualify, colleges must be at least 50 miles from existing bachelor's programs and limit offerings to three degrees per institution, with upper-level courses taught on campus (not online). The bill requires annual reporting on enrollment, student outcomes, and workforce alignment to the state education department and legislature. It directly affects community colleges in rural or underserved areas seeking to expand local higher education options without replacing university programs.

HF 972, now law after Governor's signature on May 28, 2025, establishes a new funding model for Iowa's rural healthcare systems while eliminating several existing health care programs. It removes specific award, grant, residency, and fellowship programs, and creates a new incentive program to attract healthcare professionals to underserved areas. The bill also modifies Medicaid funding for graduate medical education, updates the Health Facilities Council, and addresses the Iowa Health Information Network, with all changes including necessary funding appropriations. These changes directly affect rural health providers, medical training programs, and state health agencies managing these systems.