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

HF 265: Relating to midwife licensure, providing for fees, and making penalties applicable

Signed into law

What it does

This bill relates to the practice of midwifery in Iowa. The bill requires a person practicing midwifery in Iowa to obtain a license to practice beginning July 1, 2024. The bill exempts from regulation health care providers providing services consistent with midwifery, members of Native American tribes or Mennonite or Amish communities providing traditional midwife services, persons who gratuitously engage in the practice of the religious tenets of a church or a religious act, student midwives, and persons rendering emergency aid.

Cost

Cost: up to $149,000

The HHS reports that initial start-up costs of establishing a new licensing board would require an estimated $149,000 in FY 2024. Of this amount, $94,000 is attributable to database modification costs, $25,000 is for administrative and staffing costs, and $30,…

Senate subcommittee · named April 4, 2023

Sen. Jason Schultz (R) · jason.schultz@legis.iowa.gov
Sen. Pam Jochum (D)
Sen. Carrie Koelker (R) · carrie.koelker@legis.iowa.gov

Lobbying · 6 for, 5 against

For: Broadlawns Medical Center; Iowa Affiliate of the American College of Nurse-Midwives; Iowa Chapter of the National Association of Pediatric Nurse Practitioners; Iowa Nurse Practitioners Society; Iowa Nurses Association; VALOR Iowa

Against: Genesis Health System; Iowa Hospital Association; Iowa Independent Physician Group; Iowa Medical Society; Wellmark, Inc.

In plain words

February 13, 2023Filed in the House and sent to the State Government committee
February 20, 2023House subcommittee named: Kaufmann, Golding and Nielsen
February 27, 2023Subcommittee recommended passing it
February 28, 2023Approved by the House committee
March 8, 2023Cost estimate (fiscal note) posted
March 21, 2023Passed the House, 91–3
March 22, 2023Arrived in the Senate
March 23, 2023Senate subcommittee named: Webster, Jochum and Schultz
March 28, 2023Subcommittee recommended passing it
March 29, 2023Approved by the Senate committee
April 3, 2023Sent to the Senate Ways and Means committee
April 4, 2023Senate subcommittee named: Schultz, Jochum and Koelker
April 5, 2023Approved by the Senate committee
May 3, 2023Passed the Senate, 46–2
May 3, 2023Cost estimate (fiscal note) posted
May 3, 2023Passed the House, 91–2
May 10, 2023Cost estimate (fiscal note) posted
May 11, 2023Sent to the Governor
June 1, 2023Signed into law