Sen. Zach Wahls

Maddy summarySF 2057, the "Right to Contraception Act," establishes a statutory right for Iowans to access contraceptives and for healthcare providers to offer them. It prohibits restrictions that single out contraceptive services, providers, or facilities, or that impede access regardless of a person's race, gender identity, income, disability, or location. The bill requires any government limitation on contraception to be justified by "clear and convincing evidence" that it significantly advances safety and cannot be achieved through less restrictive means. This directly affects all Iowans seeking reproductive healthcare and healthcare providers delivering contraception services, ensuring equal access to these essential health services.

Maddy summaryThis resolution honors Staff Sergeant William Nathaniel Howard and Staff Sergeant Edgar Brian Torres-Tovar, Iowa National Guard members killed in action during a December 2025 attack in Syria. It recognizes their military service, posthumous promotions, and sacrifices, while also acknowledging three wounded Iowa Guard soldiers from the same incident. The resolution directs that a copy be sent to the families of the two fallen soldiers as a formal tribute. As a ceremonial resolution, it has no policy or legal effect but serves to memorialize their service.

Maddy summaryThis bill requires Iowa's state registrar of voters to use data from the Electronic Registration Information Center (ERIC) to automatically update the state's voter registration system. It mandates updates for specific records including duplicate registrations, address changes, deceased voters, and eligible citizens who haven't registered. The ERIC, a nonprofit shared by 24 states, provides this data to help maintain accurate voter rolls without adding new requirements for voters or election officials.

Maddy summarySF 562 regulates how health insurers use artificial intelligence in reviewing medical treatments. It requires insurers to ensure AI tools used for prior authorization decisions (like whether a treatment is medically necessary) cannot replace doctors' judgment, must base decisions on patient history and clinical circumstances, and must be non-discriminatory. The bill also sets strict timelines: insurers must respond to urgent requests within 48 hours and non-urgent requests within 10 days, with extensions only for complex cases. Additionally, insurers must publicly post annual statistics on approval/denial rates for all treatments requiring prior authorization. This bill directly affects health insurers, healthcare providers, and patients by increasing transparency and accountability in insurance review processes.

Maddy summaryThis bill (SF 561) allows Iowa cities, towns, counties, school districts, and other local governments to use ranked choice voting (RCV) or instant runoff voting (IRV) for local elections. It amends election laws to permit voters to rank candidates in order of preference, with ballots counted in rounds: if no candidate gets a majority, the least-preferred candidate is eliminated and their votes transferred until one candidate achieves a majority or all seats are filled. Local governments may choose to adopt this method for their elections, but the bill does not require any specific jurisdiction to do so. The change directly affects voters and candidates in local races across Iowa’s municipalities and school districts.

Maddy summaryThis bill proposes a constitutional amendment for Iowa that would limit consecutive service for state legislators. It would prevent anyone first elected to the Iowa General Assembly after 2028 from serving more than 12 consecutive years in either the House or Senate, and require a mandatory two-year break after reaching that limit. The amendment applies only to legislators first elected for terms beginning January 1, 2029, or later. If adopted by the next legislature and approved by voters, it would change the state constitution to impose this term limit.

Maddy summarySF 557 prohibits Iowa legislators, legislative staff, and their immediate family (spouse or child) from buying, selling, or trading financial instruments using nonpublic information gained from their official government roles. It requires these individuals to report all such transactions to the Iowa Ethics and Campaign Disclosure Board within 30 days, including details like the instrument type, value, and any relevant legislative matters. The board must publicly post these reports online in a searchable format for transparency. Violations are classified as a class C felony, with penalties including fines, disgorgement of profits, and potential disciplinary action by the ethics committee.

Maddy summarySF 558 updates Iowa's Medicaid program to improve service delivery and provider rights. It requires Medicaid managed care organizations (MCOs) to provide conflict-free case management and independent assessments for long-term care members, and allows them to opt into a fee-for-service program. The bill creates a new external review process for providers denied services or reimbursement, mandating MCOs to clearly notify providers of their appeal rights and pay a $1,000 penalty if they fail to comply with notification requirements. Providers automatically win reviews if MCOs miss deadlines for documentation or notifications. These changes directly affect Medicaid providers, MCOs, and long-term care recipients in Iowa.

Maddy summarySF 559 would allow speech language pathologist assistants (SLPAs) working under licensed speech pathologists to be reimbursed for services provided to medical assistance program recipients (Iowa's Medicaid program). The bill requires Iowa's Department of Health and Human Services (HHS) to adopt rules enabling this reimbursement and to seek federal approval via a waiver or amendment to Medicare/Medicaid rules. This change would directly affect SLPAs and medical assistance recipients by expanding covered services, but only takes effect after HHS receives federal approval. The bill does not change current reimbursement for licensed speech pathologists.

Maddy summaryThis bill (SF 556) seeks to expand continuous eligibility under Iowa's WIC program for pregnant women, postpartum women, and infants whose family income is at or below 375% of the federal poverty level. It requires Iowa's health department to request a federal waiver by August 2025 to provide continuous coverage during pregnancy (instead of periodic renewals), and 12 months of continuous postpartum and infant eligibility. If federal approval is denied, Iowa must report the costs by December 2025 and could fund the expanded eligibility starting July 2026 using state funds, if the legislature appropriates money. The policy directly affects low-income families seeking nutrition support during pregnancy and early childhood.