SF 129 requires Iowa hospitals to submit specific policies to the state department by September 1, 2025. Hospitals must submit policies on nondiscrimination, reproductive health care (including abortion, miscarriage care, and family planning), and, if they provide labor services, policies on recommended safety practices for childbirth. The state department must post all submitted policies online with a public comparison tool, and hospitals must also display these policies on their own websites without login requirements. Hospitals must submit updated policies within 30 days if they make changes to any required policy.
This bill requires Iowa's Medicaid program to cover doula care as part of maternity services for eligible recipients. It directs the Department of Health and Human Services to establish rules for doula certification, enrollment as providers, and fair reimbursement rates that support a livable income for doulas. The policy aims to improve birth outcomes, reduce stillbirths and infant deaths, and lower maternal mortality by expanding access to continuous physical, emotional, and informational support during pregnancy and childbirth. The bill applies specifically to Medicaid-covered maternity care under both fee-for-service and managed care models.
HF 606 requires health insurance plans (including individual/group accident/sickness, hospital/medical, HMOs, and public employee plans) to provide a special enrollment period for pregnant women. This allows pregnant women to enroll in coverage at any time after a healthcare professional certifies their pregnancy, without fees or penalties. Coverage becomes effective the first day of the month when pregnancy is certified (or the next month if chosen by the woman). The bill applies to most health insurance policies delivered or renewed on or after January 1, 2026, but excludes accident-only, Medicare supplement, dental, vision, and similar coverage types.
HF 605 allows pharmacists in Iowa to dispense self-administered hormonal contraceptives (like pills, rings, or patches approved by the FDA) without a new prescription, using a standing order from the health department. Pharmacists must complete specific training, conduct a patient risk assessment, provide counseling on use/side effects, and refer patients if unsafe, while dispensing up to a 12-month supply at once. The bill also requires health insurance plans to cover these contraceptives without excluding them, similar to other outpatient prescription drugs. It explicitly excludes abortion-inducing drugs and mandates patient education on backup contraception and STI prevention.
This proposed constitutional amendment would establish a fundamental right to reproductive care in Iowa's Constitution, protecting services like contraception, abortion, prenatal care, and infertility treatment. It prohibits the state from interfering with these personal health decisions unless a "compelling state interest" is proven through the "least restrictive means," with specific exceptions allowing post-viability abortion restrictions only when medically necessary to protect a patient's life or health. The amendment directly affects all Iowans seeking reproductive healthcare by enshrining these rights at the constitutional level. If adopted by the legislature and voters, it would replace current state abortion laws with this new constitutional standard, though it remains a proposal pending ratification.
HF 814 allows pregnant minors in Iowa to consent to prenatal, intrapartum, and postnatal medical care from specific healthcare providers if their parent, guardian, or legal custodian is not reasonably available. The bill directly affects pregnant minors who lack immediate access to a parent or guardian for medical decisions. It establishes that minors gain legal capacity to consent to this care, but healthcare providers must still obtain informed consent directly from the minor. The bill does not change existing requirements for providers to ensure minors understand their care options.
SF 339 raises Iowa's Medicaid income eligibility threshold for pregnant women and infants from 215% to 375% of the federal poverty level. This change directly affects low-income pregnant women and infants whose families earn up to 375% of the federal poverty guideline, making them eligible for Medicaid coverage. The bill also requires Iowa to implement 12 months of continuous postpartum Medicaid coverage for qualifying pregnant women starting January 2026, and update infant eligibility rules accordingly. These changes align with federal requirements under the American Rescue Plan Act and aim to expand access to healthcare for this population.
