90th General Assembly · Funnel one-pager · Monday, November 9, 2026

HF 2577: Relating to end-of-life care under guardianships of adults

Died when the session ended · The 2024 session adjourned on April 19, 2024, the General Assembly’s last regular session. Bills that didn’t pass both chambers died.

What it does

This bill relates to end-of-life care decisions under guardianships of adults. Under current law, a court may grant a guardian the ability to make decisions regarding the care, maintenance, health, education, welfare, and safety of the protected person except as otherwise limited by the court, which the guardian may exercise thereafter without prior court approval. The bill provides that this includes end-of-life care decisions (hospice, palliative care, and life-sustaining interventions, and the power to execute, reaffirm, or revoke a do-not-resuscitate or do-not-intubate order).

Cost

Cost: up to $129,000

The total fiscal impact of HF 2577 would be approximately $129,000 per year in increased case costs to the HHS.

House subcommittee · named February 6, 2024

Rep. Bill Gustoff (R) · bill.gustoff@legis.iowa.gov
Rep. Sami Scheetz (D)
Rep. Charley Thomson (R) · charley.thomson@legis.iowa.gov

Lobbying · 3 for, 1 against

For: EveryStep; Hospice and Palliative Care Association; Iowa Nurse Practitioners Society

Against: Disability Rights Iowa

In plain words

February 6, 2024Filed in the House and sent to the Judiciary committee · as HSB 660
February 6, 2024House subcommittee named: Gustoff, Scheetz, Thomson and C · as HSB 660
February 7, 2024Subcommittee recommended passing it · as HSB 660
February 14, 2024Approved by the House committee · as HSB 660
February 19, 2024Filed in the House
February 19, 2024Approved by the House committee, and given a new number: HF 2577 · as HSB 660
March 6, 2024Cost estimate (fiscal note) posted