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["Category","Bill#","Title","Summary","Status","Position"]
["Alcohol, Drugs, Smoking","HF21","Nicotine Solution Product Tax","Imposes a tax of 26% of the wholesale price of nicotine solution products.","House Ways & Means Committee","Support"]
["Workforce","HF151","Mental Health Practitioner Loan Program","Repeals Mental Health Pracitioner Loan Program passed last year and adds back with both non-prescribing (social workers, psychologists, behavior analysts, mental health counselors, marital and family therapists) and prescribing providers (psychiatric PAs, psychiatrists, psychiatric ARNPs). Requires community match, opens up to all Iowa communities but gives preference to those with >25% Medicaid payor mix, Iowans, and rural areas.","House Floor","Undecided"]
["Taxes","HF157","Nurse Preceptor Tax Credit","Creates a nurse preceptor income tax credit of $1,000 per year. Applies to tax years beginning January 1, 2024.","House Ways & Means Committee","Support"]
["Health Care","HF161","Health Care Damage Awards","Limits the amount of noneconomic damages juries can award a plaintiff in cases in civil actions against health care providers to $250,000. In cases where there is substantial loss or bodily function impairment, substantial disfigurement, loss of pregnancy, or death, the amount is limited to $1 million, or $2 million if the action includes a hospital. Takes effect February 16, 2023.  Also creates a medical errors task force.","Signed","Support"]
["Workforce","HF265","Midwife Licensure","Requires midwives to be licensed beginning July 1, 2024. Establishes requirements for licensure and provides exceptions for certain individuals. Creates a board of midwifery.","House Floor","Support"]
["Workforce","HF274, SF325","Psychiatric Residency/Fellowship Program","Renames the program to state-funded psychiatric residency and fellowship program, and adds up to two fellowships to the program (which will fund up to 9 residents). Residents will receive $100,000/each; fellows will receive $150,000/each. Requires UI to provide financial support for residency positions in excess of the federal residency cap. ","Senate Floor with Companion","Track"]
["Workforce","HF357, SF327","Health Care Direct Services","Defines direct services for health care agencies and entities for the purposes of non-compete contract clauses, and includes services by nurses, nurse's aides, medication aide, and medication managers. Adds to those excluded: ARNPs, OTs, PTs, and janitor/kitchen/laundry staff. Applies retroactively to contracts on or after January 1, 2019.","Senate Floor with Companion","Undecided"]
["Medicaid","HF378","Medicaid Annual Rate Increases","Provides for an annual automatic increase in the reimbursement rates for Medicaid providers of either 2.5% or the percentage equal to the consumer price index increase, whichever is less.   ","House Appropriations Committee","Track"]
["Pharmacy","HF423, SF419","340B Program","Prohibits health plans, insurance carriers, third-party administrators, and pharmacy benefits managers from discriminating against 340B covered entities and contract pharmacies by reimbursing for a prescription drug or a dispensing fee in an amount less than the plan, carrier, administrator, or PBM reimburses a similarly situated entity or pharmacy that is not a covered entity or a contract pharmacy. ","Senate Floor with Companion","Support"]
["Professional Licensing/Scope of Practice","HF424","Physician Assistant Practice","Allows physician assistants to practice without being under the supervision of a licensed physician, but instead requires a collaborative practice agreement with a physician.","House Floor","Undecided"]
["Other","HF427, SF324","Governor's Health Programs","Enacts most of the child and family well-being initiatives backed by the Governor to improve access to pregnancy support, contraceptive coverage, parenting support, and child care. This includes expansion of the regional centers of excellence grant program ($1 million), family medicine obstetrics fellowship program ($560,000), over-the-counter access to self-administered hormonal contraceptives (and required insurance coverage), expanding the More Options for Maternal Support (MOMS) program to include a fatherhood initiative ($2 million), coverage of more adoption expenses under the Adoption Subsidy Program, and allowing college students coming out of the foster care system to access the All Iowa Opportunity Scholarship Program through age 26.  The Governor had also recommended a four-week state employee paid parental leave benefit for the birthing/adopting parent (1 week for other parent), rural emergency hospital designation (this is being done in another bill) and child care center property tax updates, but they were pulled out of this bill.  The Senate version of this bill (SF 324) is the same, but does not include contraceptive coverage and does include the paid parental leave benefit.","House Appropriations Committee","Support"]
["Health Insurance","HF463","Health Insurance Policy Provisions","Prohibits health insurance policies from including provisions that are unjust, unfair, inequitable, misleading or otherwise contrary to public policy.","House Floor","Undecided"]
["Public Health","HF464","Home School Requirements","Makes changes to home schooling requirements.  Eliminates requirement that parent of a home-schooled child provide proof the child has had required immunizations and a blood lead test. Changes reporting requirements for a student's course of study. Eliminates requirement that limits the number of unrelated students who may be home schooled.","House Floor","Track"]
["Health Insurance","HF467","Secondary Health Benefits Plans","Requires a person's primary health benefits plan to share an explanation of benefits with the secondary health benefits plan within 20 days. ","House Floor","Undecided"]
["Government Reorganization","HF566","HHS Boards & Commissions","Makes legislative Health Policy Oversight Committee meetings optional. Requires an option for hybrid or virtual HHS board/commission meetings. Eliminates per diems and allows for actual expense reimbursement. Eliminates Brain Injury Advisory Council, State Child Care Advisory Committee, Children's Behavioral Health System Board, Tobacco Prevention &amp; Control Commission, Leadership Council for Child Care Training and Development, and Hawk-I Board (giving duties to Medical Assistance Advisory Council). Eliminates Senate confirmation on Commission on Aging, MH/DS Commission, and Early Childhood Iowa State Board.  Eliminates legislative members on Commission on Aging, Early Childhood Iowa State Board, MH/DS Commission, and Dependent Adult Advisory Council. Eliminates AFSCME member and adds members representing child welfare providers, courts, AEAs, sheriff and health care system to the MH/DS Commission. Changes Dependent Adult Advisory Council by eliminating the requirements for appointment of four members (knowledge and skills in dependent adult abuse), no longer requiring two members of the public, and eliminating ability of Iowa Caregiver Association to appoint the remaining two (so all appointed by Governor without restrictions). Eliminates the ability of Domestic Abuse Death Review Team to appoint panels or committees to do some of their duties. Allows HHS to adopt rules on membership to the Early Hearing Detection &amp; Intervention Advisory Committee (<13 members, meeting twice/year). Allows HHS to adopt rules on membership to the Maternal and Child Health Advisory Committee <15 members, meeting quarterly). Changes HHS Council to meeting every other month (vs. monthly).","House Floor","Undecided"]
["Other","HF578","State Parental Leave","Allows state employees to take paid leave for the birth or adoption of a child within 12 months following birth or adoption. ","House Floor","Support"]
["Behavioral/Mental Health","HF602","Student Suicide Prevention","Requires public schools to include the your life Iowa crisis phone and text number on student ID cards for grades 7-12. Applies to cards issued on or after the effective date of the bill.","House Floor","Support"]
["Education","HF604","Classroom Clears/Expulsion","Allows a teacher to remove a \"disruptive student\" from the classroom and requires expulsion after three removals. Does not currently exempt kids with an IEP or 504 plan.","House Floor","Opposed"]
["Public Assistance Reform","HF613","Public Assistance Reform","Requires identify confirmation and eligibility testing for public benefit programs, including SNAP, FIP and Medicaid. Directs DHHS to submit federal waiver regarding re-enrollment for certain Iowa Health Wellness Plan member and require \"community engagement\" as condition of participation.  Also requires a waiver to make SNAP foods the same as WIC.  Adds $1 million for \"double up food bucks.\"","House Appropriations Committee","Opposed"]
["Education","HF616","Diversity Funding","Prohibits Regents' institutions to use funds for diversity, equity, and inclusion offices or to hire individuals to serve as diversity, equity, and inclusion officers. Takes effect upon enactment.","House Floor","Opposed"]
["LGBTQ","HF620","Personal Pronouns/Schools","Prohibits schools from disciplining employees, contractors, volunteers, and students for addressing others by their legal names (name on birth certificate) or failure to use preferred personal pronouns.  Gives schools immunity from civil enforcement actions.   ","House Floor","Opposed"]
["Health Care","HF626","Non-Medical Switching-Prescription Drugs","Prohibits health plans from limiting prescription drug coverage for individuals during their eligibility under the plan if they are medically stable on the drug, the drug was approved by the carrier, and it was prescribed within the past six months. Applies to plans issued or renewed on or after January 1, 2024.  This bill was amended, so we will update this description when the new bill number comes out.   ",null,"Support"]
["State Government","HF662, SF514","Governor's Reorganization Bill","Enacts provisions to reorganize all of state government in a 1,500+ page bill.  Controversial provisions include elimination of locally-controlled community-based corrections, eliminating autonomy of Commission for the Blind/Department for the Blind, moving vocational rehabilitation services from Department of Education to Department of Workforce Development, moving Consumer Advocate from AG to Utilities Board and moving Child Advocacy Board from Department of Human Rights to HHS, and allowing AG to intercede or overrule a county attorney without being asked to do so.","Senate & House Floors","Undecided"]
["Medicaid","HSB226","Medicaid Postpartum Coverage","Requires Medicaid to submit a state plan amendment to CMS to provide 12 months of continuous postpartum coverage. Takes effect upon enactment.  Appropriates duns for FY2023-2024 and FY2024-2025 for postpartum coverage.","House Ways & Means Committee","Support"]
["Behavioral/Mental Health","HF183, SF133","Conditional Prescription Certificates","Changes requirements for prescribing psychologist licensure by eliminating requirement that the physician supervising practicum to be board-certified, eliminates requirement that a psychologist complete their program within five years of licensure, and clarifies that prescribing psychologist will maintain a collaborative relationship with the person's primary care provider (current law defines this narrowly to be physician, when many PCPs are PAs or ARNPs).","Senate Floor with Companion","Undecided"]
["Other","SF164","Child Restraint Devices","Expands requirements for vehicle child restraint devices.  Requires children under the age of 3/30 lbs to be in a rear-facing child seat.  Requires children under 8 to be in child restraint systems used according to the manufacturer's instruction.  Requires children under 18 to wear seatbelts in any seat in the car.","Senate Floor","Track"]
["Workforce","SF186, HF272","Adoptive Parent Employees","Requires employers to treat adoptive parents in the same manner as biological parents of newborns for family leave purposes for the first year of adoption.","Senate Floor","Track"]
["Behavioral/Mental Health","SF210, HF273","Brain Health","Adds brain illnesses to the list of areas DHHS is to work in to improve access to servicers (along with MI, ID, DD, BI).  Defines the term \"brain health\" (all aspects of the brain impacted by biological, neurological, and physical characteristics of the brain affecting mood and behavior). Requires HHS to recognize the term brain health as a term that mental health providers may use in matters related to mental/behavioral health, and makes brain health and brain illness synonymous with mental health, behavioral health, and mental illness.     ","Senate Floor","Undecided"]
["Health Care","SF249, HSB48","Rural Iowa Primary Care Loan Repayment Program","Makes loan repayments at the end of the person's year of service in a rural area, thus eliminating the need for a person to repay that loan if they are not able to finish the year in a qualified area.  Similar to what is also being done in other similar programs (like the Mental Health Provider Loan Repayment Program).  Requested by the Iowa College Student Aid Commission. ","Senate Floor","Track"]
["Behavioral/Mental Health","SF253, HF244","Mental Health Provider Loan Repayment Program","Changes when loan repayment is made to a qualified provider (at end of service year instead of at beginning) and clarifies the loan repayments are made annually.  This eliminates the need for a person to refund the payment if they are not able to finish the year in a rural area.  This is also being done with the Rural Primary Care Loan Repayment Program.  Filed by the Iowa College Student Aid Commission. ","Senate Floor","Track"]
["Health Care","SF297","Health Care Refusal","Allows health care providers to refuse to provide medical treatment or referrals if it violates the provider's religious beliefs or moral convictions.","Senate Floor","Opposed"]
["Public Health","SF315","Raw Milk Production","Allows dairies to sell raw milk directly to consumers, including products derived from raw milk, without state regulation (DIA or IDALS).   ","House Floor","Track"]
["Alcohol, Drugs, Smoking","SF345","Tobacco Device Regulation","Requires retailers of tobacco devices (glass/metal pipes, not vape products) to have a permit and establishes requirements and restrictions. Revenues go to support substance use disorder and mental health specialty courts (through Office of Drug Control Policy). Effective January 1, 2024.","House Ways & Means Committee","Track"]
["Education","SF390, HF370","Education Reform: School Board Version","Makes various changes and provisions related to school-related issues, including code updates for teacher librarians. Creates a health care-related training for school personnel group (membership includes school nurses and a health organization). Other changes include bond sales, duties and responsibilities of school boards and officers, health responsibilities and requirements, infrastructure funding, county conference boards, residential care facilities, and AEAs.  This is the Iowa Association of School Board's Education Reform bill; it does not include changes on health education related to HIV/HPV.","Senate Floor","Undecided"]
["Education","SF391","Education Reform: Senate Version","Makes changes to education requirements, including comprehensive school improvement plan, teacher librarians and guidance counselors, number of school hours delivered via the internet, agreements with community colleges, education standards, and shared operational functions.  Eliminates instruction on HIV (but continues requirement on HPV, HPV vaccines).  Adds CPR to list of health education requirements, and eliminates the requirement that schools have world languages available in the third and fourth years and that music, dance, and other arts programming be available in schools.","Senate Floor, Second Time","Opposed"]
["Medicaid","SF462, HF525","Medicaid Third-Party Recovery","Makes changes to third-party recovery duties for the Medicaid program and HMO taxation.","Senate Floor","Undecided"]
["Medicaid","SF471, HF471","Mental Health/Disability Services","Makes changes to specialization at the state mental health institutes. Makes changes to safety plans in child in need of assistance proceedings. Makes changes in MHDS regions' governance and core services by giving providers a vote on regional governing boards, limiting county supervisor membership to 49%, and adding community based competency restoration to the list of core regional services. Makes changes to adoption hearing notices.   ","Senate Floor","Track"]
["LGBTQ","SF482, HF622","School Bathroom Facilities","Prohibits a person from entering a single or multiple occupancy bathroom in a school that does not correspond with the person's biological sex. Allows schools to provide alternative facilities upon a request from a parent.","House Floor with Companion","Track"]
["Education","SF483, HF608","School Employee Seizure Training","Requires schools to have at least one employee trained to administer or assist with self-administration of seizure rescue medication or medication prescribed to treat seizure disorder symptoms by July 1, 2024. Requires schools to provide training to all personnel on recognizing seizure signs and symptoms and seizure first aid by December 31, 2025.","Senate & House Floors","Support"]
["Public Assistance Reform","SF494","Public Assistance Reform","Requires asset tests for all members of the household of an applicant for SNAP benefits. Requires HHS to redesign or establish a new eligibility system by July 1, 2024.","Senate Floor","Opposed"]
["Education","SF496","Governor's Education Bill","Makes provisions related to education, including sex education, high school civics class requirements, social emotional learning, publishing a list of classroom materials and library books, and student gender identity.  The bill eliminates instruction on HPV/HPV vaccines/HIV, puts restrictions on sexually explicit material in schools (which may include books related to human growth and development), requires citizenship tests to be administered before graduation, and more.","Senate Floor","Opposed"]
["Health Care","SF506","Certificate of Need","Makes changes related to the certificate of need (CON) process for health facilities. Exempts community mental health facilities and birth centers from CON requirements. Changes definitions for services subject to CON requirements. Requires CON applications be accompanied by an economic impact statements. Makes changes to the Health Facilities Council membership.","Senate Floor","Support"]
["Public Health","SF537, HF619","Hospital/Nursing Visitation Policies","Prohibits a hospital or nursing facility from limiting a patient's ability to receive visitors, regardless of diagnosis. Makes exception for infection control protocols.","Senate & House Floors","Track"]
["LGBTQ","SF538","Gender Transition Procedures","Prohibits health care professionals from performing gender affirming or transition procedures (including medication treatment and surgeries) on minors. Takes effect upon enactment, gives kids already receiving care 180 days before it must end.","Sent to Governor","Opposed"]
["Workforce","SF542, HF647","Child Labor","Makes changes related to child labor, including child/migrant child labor permits and work that can be performed by children age 14-17. Allows 16- and 17-year olds to serve alcohol with parental permission.","Senate & House Floors","Opposed"]