Overview

STATE BUDGET
The state operates on an annual budget cycle. Agency requests are submitted to the governor by October 1, and the Governor submits the proposed budget to the Legislature by February 1. The legislature adopts a budget in April or May, and the fiscal year begins in July.
STATE LEGISLATURE
The state’s 50 Senators are elected to four-year terms. The 100 members of the House of Representatives serve two-year terms. Sessions begin on the second Monday in January, and last 100 days in even-numbered years, and 110 days in odd numbered years. Bills carry over from odd to even numbered years.
RESOURCES
- Iowa State Legislature
- Iowa Office of the Attorney General
- Iowa Governor
- Information on Healthcare Policy in Iowa
2025 LEGISLATIVE SUMMARY
Iowa introduced several bills that will roll over into the next year. HF 224 would eliminate certificate of need requirements for several healthcare facilities. SF380 would prohibit noncompete clauses for nurses making less than 150% of the minimum wage. SF533 would prohibit transferring nursing facility ownership to private equity and real estate investors. SF414 would require proposes private equity healthcare and housing facilities acquisitions to obtain prior approval.
Iowa Laws
Iowa Code § 135.163. Health care access: Health Care Access – Iowa
Introduced: Status: Enacted
Statute requires the department to coordinate public and private efforts to develop and maintain an appropriate health care delivery infrastructure and a stable, well-qualified, diverse, and sustainable health care workforce in this state. The health […]
Download
Iowa Code § 135.166. Health data–collection and use–collection from hospitals: Health Data – Iowa
Introduced: Status: Enacted
Directs the Department of Public Health to enter into a memorandum of understanding with the Iowa Hospital Association (IHA) to act as the state’s agent for the purposes of collecting, maintaining, and disseminating hospital and […]
Download
Iowa Code § 135B.5A. Conversion of a hospital: Licensure and Regulation of Hospitals – Iowa
Introduced: Status: Enacted
A conversion of a long-term acute care hospital, rehabilitation hospital, or psychiatric hospital as defined by federal regulations to a general hospital or to a specialty hospital of a different type is a permanent change […]
Download
Iowa Code § 135C.1. Definitions: Health Care Facilities — General Provisions – Iowa
Introduced: Status: Enacted
Definitions for statutes under the chapter Health Care Facilities.
Download
Iowa Code § 135C.14. Rules: Health Care Facilities – Iowa
Introduced: Status: Enacted
The department shall, in accordance with chapter 17A and with the approval of the state board of health, adopt and enforce rules setting minimum standards for health care facilities.
Download




