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 § 135N.1. Direct primary care agreements: Direct Primary Care Agreements – Iowa
Introduced: Status: Enacted
Statute governs direct primary care agreements.
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Iowa Code § 147A.12. Registered nurse exception: Emergency Medical Care – Iowa
Introduced: Status: Enacted
This subchapter does not restrict a registered nurse, licensed pursuant to chapter 152, from staffing an authorized service program provided the registered nurse can document equivalency through education and additional skills training essential in the […]
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Iowa Code § 147A.13. Physician assistant exception: Emergency Medical Care – Iowa
Introduced: Status: Enacted
This subchapter does not restrict a physician assistant, licensed pursuant to chapter 148C, from staffing an authorized service program if the physician assistant can document equivalency through education and additional skills training essential in the […]
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Iowa Code § 148C.4. Services performed by physician assistants: Physician Assistants – Iowa
Introduced: Status: Enacted
A physician assistant may provide any legal medical service for which the physician assistant has been prepared by the physician assistant’s education, training, or experience and is competent to perform.
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Iowa Code § 155A.13. Pharmacy license: Iowa Pharmacy Practice Act – Iowa
Introduced: Status: Enacted
The board shall adopt rules for the issuance of a special or limited-use pharmacy license to a telepharmacy site.
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