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Amendments › SF 2367

Amendment S-5062 to SF 2367

Relating to health-related matters, including health-related professions, certificates of need, and nutrition, and including applicability provisions

Adopted · April 8, 2026Strike everything: replaces the whole bill

Filed March 4, 2026 in the Senate by Sen. Kara Warme (R)

What it changes

  1. By striking everything after the enacting clause and inserting: “DIVISION I CONTINUING EDUCATION REQUIREMENTS —— NUTRITION AND METABOLIC HEALTH Section
  2. Section 148.3, Code 2026, is amended by adding the following new subsection: NEW SUBSECTION .
  3. The board shall adopt rules pursuant to chapter 17A requiring a licensee practicing family medicine, internal medicine, pediatrics, psychiatry, endocrinology, gastroenterology, cardiology, oncology, rheumatology, neurology, nephrology, dermatology, pulmonology, surgery, immunology, hematology, obstetrics, or gynecology to complete a minimum of one hour of continuing education on nutrition and metabolic health every four years as a condition of license renewal. Sec.
  4. Section 148C.3, subsection 1, paragraph c, Code 2026, is amended to read as follows: c. Hours of continuing medical education necessary to become or remain licensed. The board shall adopt rules pursuant to chapter 17A requiring a licensee practicing family medicine, internal medicine, pediatrics, psychiatry, endocrinology, gastroenterology, cardiology, oncology, rheumatology, neurology, nephrology, dermatology, pulmonology, surgery, immunology, hematology, obstetrics, or gynecology to complete a minimum of one hour of continuing education on nutrition and metabolic health every four years as a condition of license renewal. DIVISION II MEDICAL SCHOOL GRADUATION REQUIREMENT —— NUTRITION Sec.
  5. NEW SECTION . 148.15 Medical school graduation requirement —— nutrition. Beginning July 1, 2028, a medical school or college of osteopathic medicine and surgery in this state shall require as -1- SF 2367.3178 (2) 91 amending this SF 2367 to CONFORM to HF 2676 dg/ko 1/ 49 a condition of graduation that each student complete at least forty hours of coursework on nutrition and metabolic health. DIVISION III SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM —— SUMMER ELECTRONIC BENEFITS TRANSFER FOR CHILDREN PROGRAM Sec.
  6. Section 234.1, Code 2026, is amended by adding the following new subsection: NEW SUBSECTION . 4A. “Summer electronic benefits transfer for children program” or “summer EBT program” means the summer electronic benefits transfer for children program established in 42 U.S.C. §1762. Sec.
  7. NEW SECTION . 234.12B Supplemental nutrition assistance program —— summer electronic benefits transfer for children program. The department shall continuously request that the United States department of agriculture, food and nutrition service, provide approval, for purposes of state administration of the supplemental food and nutrition program and the summer EBT program, if the state participates in the summer EBT program, for a modification to the list of eligible foods in 7 C.F.R. §271.2 to only include foods that are eligible as of January 1,
  8. The department may seek approval for additional foods to be excluded based on healthy food standards if the state provides all authorized SNAP retailers with a list of ineligible foods identified by universal product code, and instructions for point-of-sale compliance. The department shall implement each modification upon receipt of approval. DIVISION IV IVERMECTIN —— OVER-THE-COUNTER AVAILABILITY Sec.
  9. NEW SECTION . 126.24 Ivermectin —— prescription drug order not required.
  10. A pharmacist or pharmacy may distribute ivermectin for human consumption as an over-the-counter medicine.
  11. A pharmacist or pharmacy shall not be subject to professional discipline or civil or criminal penalties for the -2- SF 2367.3178 (2) 91 amending this SF 2367 to CONFORM to HF 2676 dg/ko 2/ 49 distribution of ivermectin pursuant to this section. DIVISION V SCHOOL FOODS AND BEVERAGES Sec.
  12. Section 256E.7, subsection 2, Code 2026, is amended by adding the following new paragraph: NEW PARAGRAPH . 0t. Be subject to and comply with the requirements of section 283A.6 relating to the preparation of meals provided to students, and prohibited ingredients in meals provided to students, in the same manner as a school district, if the charter school provides a breakfast or lunch program through the national school lunch program or the school breakfast program administered by the food and nutrition service of the United States department of agriculture. Sec.
  13. Section 256F.4, subsection 2, Code 2026, is amended by adding the following new paragraph: NEW PARAGRAPH . v. Be subject to and comply with the requirements of section 283A.6 relating to the preparation of meals provided to students, and prohibited ingredients in meals provided to students, in the same manner as a school district, if the charter school or innovation zone school provides a breakfast or lunch program. Sec.
  14. NEW SECTION . 283A.6 School district breakfast and lunch programs —— food and beverages provided to students —— prohibited ingredients.
  15. a. A school district shall not serve a meal to students as part of the school district’s breakfast or lunch program that contains any of the following ingredients: (1) Blue dye
  16. (2) Blue dye
  17. (3) Green dye
  18. (4) Potassium bromate. (5) Propylparaben. (6) Red dye
  19. (7) Yellow dye
  20. (8) Yellow dye
  21. -3- SF 2367.3178 (2) 91 amending this SF 2367 to CONFORM to HF 2676 dg/ko 3/ 49 b. Paragraph “a” does not apply to food and beverages received as part of a direct delivery from the foods in schools program of the United States department of agriculture.
  22. An employee or contracted vendor of a school district shall not provide any food or beverages that contain an ingredient described in subsection 1 to a student enrolled in the school district during the school day.
  23. A school district shall not permit the sale to students of any foods or beverages that contain an ingredient described in subsection 1 on the school campus, as school campus is defined in 7 C.F.R. §210.11 as of January 1, 2026, unless the sale takes place outside of the school day, as school day is defined in 7 C.F.R. §210.11 as of January 1,
  24. Sec.
  25. Section 283A.10, Code 2026, is amended to read as follows: 283A.10 School breakfast or lunch in nonpublic schools. The authorities in charge of nonpublic schools may operate or provide for the operation of school breakfast or lunch programs in schools under their jurisdiction and may use funds appropriated to them by the general assembly, gifts, funds received from sale of school breakfasts or lunches under such programs, and any other funds available to the nonpublic school. However, school breakfast or lunch programs shall not be required in nonpublic schools. The department of education shall direct the disbursement of state funds to nonpublic schools for school breakfast or lunch programs in the same manner as state funds are disbursed to public schools. If a nonpublic school receives state funds for the operation of a school breakfast or lunch program, meals served under the program shall be nutritionally adequate meals, as defined in section 283A.1 , and shall comply with the requirements of section 283A.6 . Sec.
  26. APPLICABILITY. This division of this Act applies to school years beginning on or after July 1,
  27. DIVISION VI -4- SF 2367.3178 (2) 91 amending this SF 2367 to CONFORM to HF 2676 dg/ko 4/ 49 EDUCATIONAL STANDARDS Sec.
  28. Section 256.11, subsection 2, Code 2026, is amended to read as follows:
  29. a. The kindergarten program shall include experiences designed to develop healthy emotional and social habits and growth in the language arts and communication skills, as well as a capacity for the completion of individual tasks, and protect and increase physical well-being with attention given to experiences relating to the development of life skills and, subject to section 279.80 , age-appropriate and research-based human growth and development. The kindergarten program shall also include instruction related to nutrition that emphasizes all of the following: (1) The importance of animal-based protein, dairy, vegetables, and fruit. (2) The nutritional benefits of animal-based protein, dairy, vegetables, and fruit. (3) The role that animal-based protein, dairy, vegetables, and fruit play in a balanced diet. b. A kindergarten teacher shall be licensed to teach in kindergarten. c. An accredited nonpublic school must meet the requirements of this subsection only if the nonpublic school offers a kindergarten program; provided, however, that section 279.80 shall not apply to a nonpublic school. Sec.
  30. Section 256.11, subsection 3, paragraph a, subparagraph (5), Code 2026, is amended to read as follows: (5) Health. The health curriculum shall include the all of the following: (a) The characteristics of communicable diseases. (b) Instruction related to nutrition that emphasizes all of the following: (i) The importance of animal-based protein, dairy, vegetables, and fruit. (ii) The nutritional benefits of animal-based protein, -5- SF 2367.3178 (2) 91 amending this SF 2367 to CONFORM to HF 2676 dg/ko 5/ 49 dairy, vegetables, and fruit. (iii) The role that animal-based protein, dairy, vegetables, and fruit play in a balanced diet. Sec.
  31. Section 256.11, subsection 4, paragraph a, subparagraphs (5) and (7), Code 2026, are amended to read as follows: (5) Health. The health curriculum shall include age-appropriate all of the following: (a) Age-appropriate and research-based information regarding the characteristics of sexually transmitted diseases. (b) Instruction related to nutrition that emphasizes all of the following: (i) The importance of animal-based protein, dairy, vegetables, and fruit. (ii) The nutritional benefits of animal-based protein, dairy, vegetables, and fruit. (iii) The role that animal-based protein, dairy, vegetables, and fruit play in a balanced diet. (7) Career instruction, exploration, and development, which shall include career investigation, career connections, and career intentions. Career exploration and development shall be designed so that students are appropriately prepared to create an individualized career and academic plan pursuant to section 279.61, incorporate foundational career and technical education concepts aligned with the six career and technical education service areas as defined in subsection 5, paragraph “h” , incorporate relevant twenty-first century skills to facilitate career readiness, and introduce students to career opportunities within the local community and across this state. This subparagraph shall not apply to the teaching of career exploration and development in nonpublic schools. Sec.
  32. Section 256.11, subsection 4, paragraph b, Code 2026, is amended to read as follows: b. Computer science instruction incorporating the standards established under section 256.7, subsection 26 , paragraph “a” , -6- SF 2367.3178 (2) 91 amending this SF 2367 to CONFORM to HF 2676 dg/ko 6/ 49 subparagraph (4), shall be offered in at least one grade level commencing with the school year beginning July 1,
  33. Career exploration and development shall be designed so that students are appropriately prepared to create an individual career and academic plan pursuant to section 279.61 , incorporate foundational career and technical education concepts aligned with the six career and technical education service areas as defined in subsection 5 , paragraph “h” , incorporate relevant twenty-first century skills to facilitate career readiness, and introduce students to career opportunities within the local community and across this state. Sec.
  34. Section 256.11, subsection 5, paragraph h, subparagraph (1), subparagraph division (a), Code 2026, is amended to read as follows: (a) Agriculture, food, and natural resources , which shall include instruction relating to food production and the benefits of local sourcing . Sec.
  35. Section 256.11, subsection 5, paragraph j, subparagraph (1), Code 2026, is amended to read as follows: (1) One unit of health education which may include personal health; food and nutrition; environmental health; safety and survival skills; consumer health; family life; age-appropriate and research-based human growth and development that incorporates the standards established under section 279.50, subsection 3 , paragraph “b” ; substance use disorder and nonuse; emotional and social health; health resources; cardiopulmonary resuscitation; and prevention and control of disease, including age-appropriate and research-based information regarding sexually transmitted diseases. The one unit of health education shall include instruction related to nutrition that emphasizes all of the following: (a) The importance of animal-based protein, dairy, vegetables, and fruit. (b) The nutritional benefits of animal-based protein, dairy, vegetables, and fruit. -7- SF 2367.3178 (2) 91 amending this SF 2367 to CONFORM to HF 2676 dg/ko 7/ 49 (c) The role that animal-based protein, dairy, vegetables, and fruit play in a balanced diet. Sec.
  36. Section 256E.7, subsection 2, paragraph h, Code 2026, is amended by adding the following new subparagraphs: NEW SUBPARAGRAPH . (01) The educational standards established in section 256.11, subsections 2, 3, and 4, and section 256.11, subsection 5, paragraph “j” , subparagraph (1), related to instruction on nutrition. NEW SUBPARAGRAPH . (3) The educational standards established in section 256.11, subsection 5, paragraph “h” , subparagraph (1), subparagraph division (a), related to instruction relating to food production and the benefits of local sourcing. Sec.
  37. Section 256F.4, subsection 2, Code 2026, is amended by adding the following new paragraphs: NEW PARAGRAPH . 0p. Be subject to and comply with the requirements of section 256.11, subsections 2, 3, and 4, and section 256.11, subsection 5, paragraph “j” , subparagraph (1), related to instruction on nutrition in the same manner as a school district. NEW PARAGRAPH . w. Be subject to and comply with the requirements of section 256.11, subsection 5, paragraph “h” , subparagraph (1), subparagraph division (a), related to instruction relating to food production and the benefits of local sourcing in the same manner as a school district. Sec.
  38. NEW SECTION . 283A.14 Application for waiver —— updated nutritional guidelines —— joint committee.
  39. The general assembly finds and declares all of the following: a. The nutritional needs and cultural preferences of the students in Iowa might be better served by localizing nutritional standards. b. Unique regional food sources, including corn, pork, and dairy, are not adequately addressed by federal guidelines. c. Flexibility in nutritional standards can enhance the -8- SF 2367.3178 (2) 91 amending this SF 2367 to CONFORM to HF 2676 dg/ko 8/ 49 ability of schools to provide meals that are both nutritious and appealing to students, which may increase student participation in school breakfast and lunch programs.
  40. Within ninety days after the effective date of this Act, the department of education shall apply for a waiver under the provisions of the federal National School Lunch Act of 1966, 42 U.S.C. §1751 et seq., and the federal Child Nutrition Act of 1966, 42 U.S.C. §1771 et seq., to request all of the following: a. An exemption from sodium limits, whole grain requirements, and fruit and vegetable variety stipulations in school breakfast and lunch programs. b. Permission to substitute or modify federal requirements with state-specific nutritional guidelines that align with Iowa’s dietary recommendations or cultural food practices.
  41. If the waiver applied for by the department of education under subsection 2 is granted, the department of education shall adopt updated guidelines for what constitutes a nutritionally adequate meal. The department shall consult with the department of agriculture and land stewardship, experts in nutrition, educators, parents, local farmers, and other stakeholders during the process of adopting updated guidelines for what constitutes a nutritionally adequate meal. The guidelines for what constitutes a nutritionally adequate meal may reflect local preferences, regional food sources, including corn, pork, and dairy, and cultural considerations. The guidelines for what constitutes a nutritionally adequate meal must satisfy all of the following requirements: a. Be at least as stringent in promoting health and preventing chronic diseases as the federal guidelines. b. Maintain a commitment to nutritional health and student well-being. c. Prioritize the following food groups, in the order listed: (1) Animal-based protein, including but not limited to beef, pork, poultry, fish, and eggs. -9- SF 2367.3178 (2) 91 amending this SF 2367 to CONFORM to HF 2676 dg/ko 9/ 49 (2) Dairy products, including but not limited to milk, cheese, and yogurt. (3) Vegetables, including but not limited to local and seasonal produce. (4) Fresh fruit or dried or frozen fruit when fresh fruit is not seasonally available.
  42. If the waiver applied for by the department of education under subsection 2 is granted, the department of education and the department of agriculture and land stewardship shall establish a joint committee to do all of the following: a. Oversee the implementation of the guidelines for what constitutes a nutritionally adequate meal. b. Review the outcomes associated with the guidelines for what constitutes a nutritionally adequate meal. c. Study the nutritional science associated with the guidelines for what constitutes a nutritionally adequate meal and seek feedback from schools, parents, and agricultural stakeholders related to the guidelines. d. Provide recommendations to the department of education related to changes that may need to be made to the guidelines for what constitutes a nutritionally adequate meal.
  43. If the waiver applied for by the department of education under subsection 2 is granted, the department of education shall submit to the general assembly an annual report, beginning on or before the first June 30 after the implementation of the new guidelines, which describes the impact of the guidelines related to what constitutes a nutritionally adequate meal, including information related to school breakfast and lunch program participation, student health outcomes, feedback from school districts, progress in implementing the guidelines, challenges associated with implementing the guidelines, and recommendations for further enhancement of the guidelines.
  44. If the waiver applied for by the department of education under subsection 2 is granted, the department of education -10- SF 2367.3178 (2) 91 amending this SF 2367 to CONFORM to HF 2676 dg/ko 10/ 49 shall conduct an evaluation to assess the effectiveness of the guidelines for what constitutes a nutritionally adequate meal compared to the comparable federal standards within five years after the effective date of the waiver. Sec.
  45. EFFECTIVE DATE. The following, being deemed of immediate importance, takes effect upon enactment: The section of this division of this Act enacting section 283A.14. Sec.
  46. APPLICABILITY. The following apply to school years beginning on or after July 1, 2027:
  47. The section of this division of this Act amending section 256.11, subsections 2, 3, and
  49. The section of this division of this Act amending section 256.11, subsection 5, paragraph “h”, subparagraph (1), subparagraph division (a).
  50. The section of this division of this Act amending section 256.11, subsection 5, paragraph “j”, subparagraph (1).
  51. The section of this division of this Act amending section 256E.7, subsection 2, paragraph “h”.
  52. The section of this division of this Act amending section 256F.4, subsection
  53. DIVISION VII STUDENT INSTRUCTIONAL TECHNOLOGY STANDARDS Sec.
  54. Section 256E.7, subsection 2, Code 2026, is amended by adding the following new paragraph: NEW PARAGRAPH . 0s. Be subject to and comply with the requirements of section 279.89 relating to student instructional technology standards in the same manner as a school district. Sec.
  55. Section 256F.4, subsection 2, Code 2026, is amended by adding the following new paragraph: NEW PARAGRAPH . w. Be subject to and comply with the requirements of section 279.89 relating to student instructional technology standards in the same manner as a school district. -11- SF 2367.3178 (2) 91 amending this SF 2367 to CONFORM to HF 2676 dg/ko 11/ 49 Sec.
  56. NEW SECTION . 279.89 Student instructional technology standards.
  57. As used in this section, unless the context otherwise requires: a. “Digital instruction” means lessons, assignments, assessments, or instructional activities delivered through instructional technology. b. “Instructional technology” means a laptop, tablet, computer, smart device, software platform, or other similar device or platform used for student learning. c. “One-to-one digital device program” means a program through which a school district provides or assigns a digital device to each student for instructional use.
  58. a. For students enrolled in grades kindergarten through five, digital instruction shall not exceed sixty minutes per school day. b. The following uses shall not count toward the daily limit: (1) Use required pursuant to an individualized education program or a plan developed pursuant to section 504 of the federal Rehabilitation Act of
  59. (2) Assistive or adaptive technology necessary to provide a student access to instruction. (3) Teacher-directed demonstrations using a projector, smartboard, or similar display device when students are not individually operating a digital device. (4) State assessments and progress monitoring that requires the use of a one-to-one digital device. (5) Dedicated computer science and technology curriculum.
  60. a. The board of directors of each school district shall adopt a written technology use policy applicable to grades kindergarten through five. b. The policy shall include all of the following: (1) The district’s daily digital instruction limits. (2) A list of digital platforms and applications used for -12- SF 2367.3178 (2) 91 amending this SF 2367 to CONFORM to HF 2676 dg/ko 12/ 49 instruction. (3) Notice of a parent’s or guardian’s right to request additional reductions in the parent’s or guardian’s child’s digital instruction. (4) A statement that instructional technology shall support, and not supplant, foundational learning. (5) A prohibition on the use of digital devices during recess. c. The policy shall be published on each elementary school’s internet site.

Shortened here; the full amendment is in the official document.

Official amendment (PDF) · In the Bill Book