This Iowa bill establishes new rules for abortions, specifically requiring doctors to perform in-person examinations to screen for coercion before any procedure and mandating detailed informed consent for drug-based abortions. Under the new provisions, physicians must obtain a patient's signature on a federal form and provide written warnings about specific medical risks, including potential hemorrhage, sterility, and the possibility of the pregnancy continuing. The legislation also restricts the dispensing of abortion-inducing drugs to licensed healthcare settings and creates a private civil lawsuit allowing individuals to sue providers who violate these dispensing rules, while protecting the identity of women involved in such cases. Additionally, the bill defines "pregnancy" as beginning at fertilization and clarifies that these requirements do not apply in cases of medical emergencies.
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 2523 allows parents or legal guardians to seek substance use or mental health treatment for minors (under 18) without court involvement. It protects confidentiality by prohibiting disclosure of a minor’s treatment to law enforcement or others without consent, and ensures minors can consent to treatment themselves in some cases. The bill amends Iowa law to clarify that facilities must admit minors for treatment when parents/guardians apply, with referral options if denied. This directly affects minors needing treatment and their families, streamlining access while safeguarding privacy. The bill is currently under review by the Health and Human Services Subcommittee.
SF 319, titled "The Patient’s Right to Save Act," requires health care providers to disclose the discounted cash price for each specific service they accept as payment. Providers must share this price in advance, including any variations based on timing, location, or patient income, and inform patients that cash payments may not be cheaper than insurance-negotiated rates. The bill mandates annual reviews of these prices and requires clear communication about cash payment options to both insured and uninsured patients before services are provided. It directly affects health care providers who accept cash payments, aiming to increase price transparency for consumers.
HF 383 would remove the pharmaceutical form of psilocybin (specifically crystalline polymorph COMP 360) from Iowa's Schedule I controlled substances list once the U.S. Food and Drug Administration (FDA) approves it and reschedules it under federal law. This would allow doctors to legally prescribe, distribute, and market COMP 360 for medical use, directly affecting healthcare providers and patients seeking this treatment. The bill automatically aligns Iowa law with federal FDA decisions on this specific pharmaceutical formulation. Note: The bill was vetoed by the governor on June 11, 2025, so it has not become law.
HF 330 requires health insurance plans to cover evidence-based treatment for autism spectrum disorder (ASD) for individuals diagnosed with ASD. It directly affects people with ASD who have health insurance, mandating that insurers provide this coverage without excessive cost-sharing. The bill establishes specific requirements for insurance companies to include ASD treatment services in their coverage, applying to most health insurance plans. This law, signed by the Governor on June 11, 2025, ensures that individuals with ASD can access necessary treatment through their insurance.
HF 516 creates priority access for residency and fellowship positions at the University of Iowa’s colleges of medicine and dentistry, directly affecting UI’s medical programs and their affiliated hospitals and clinics. The bill requires state-funded training programs to prioritize applicants from these UI institutions when filling medical residency and fellowship roles. Now law after Governor signed it on June 11, 2025, this policy change aims to strengthen UI’s medical education pipeline without altering broader admission standards for other institutions.
SF 383 requires pharmacy benefits managers (PBMs) to disclose drug pricing details and standardized fee structures to pharmacies and insurers. It limits certain PBM practices that affect prescription drug costs and establishes transparency rules for pharmacy services administrative organizations. The law directly affects PBMs, pharmacies, and insurance companies managing prescription drug benefits. Signed into law by the Governor on June 6, 2025, it aims to increase transparency in drug pricing and pharmacy billing.
SF 288 requires public colleges and universities governed by the Board of Regents and community colleges to provide academic accommodations for students who are pregnant or who recently gave birth. The law specifically allows these students to withdraw from courses without academic penalty if pregnancy or childbirth prevents them from continuing their studies. Institutions must also provide clear information about available support services, including health care and childcare resources. This policy directly affects pregnant and postpartum students enrolled at these specific public higher education institutions.
This bill enacts changes across several areas overseen by the Iowa Department of Health and Human Services. It introduces definitions for "behavioral health districts" and "disability access points" and establishes new restrictions on who can serve as an advocate for involuntarily hospitalized patients, excluding those affiliated with administrative services organizations (ASOs) or care providers. The bill also updates child foster care laws to formally include "approved kinship caregivers" alongside licensed foster parents, granting them decision-making authority under the "reasonable and prudent parent standard" and ensuring their participation in care planning. These provisions directly affect individuals receiving mental health and disability services, children in foster care, and the various organizations involved in providing these services.
