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91st General Assembly · Funnel one-pager · Monday, November 9, 2026

HF 224: Eliminating certificate of need requirements and the state health facilities council

Died when the session ended · The General Assembly adjourned on October 2, 2026. Bills that didn’t pass both chambers died.

What it does

This bill eliminates certificate of need (CON) requirements and the state health facilities council (council). Under current law, certain health care providers are required to obtain a CON from the department of inspections, appeals, and licensing (DIAL) prior to creating or expanding a medical facility or introducing certain medical services within a specific area. To obtain a CON, a health care provider must proceed through an application process implemented and administered by DIAL and the council.

Sponsors

Rep. Zach Dieken (R)

Cost

No fiscal note

Lobbying · 7 for, 1 against

For: Americans For Prosperity; Iowa Affiliate of the American College of Nurse-Midwives; Iowa Chapter of the National Association of Pediatric Nurse Practitioners; Iowa Independent Physician Group; Iowa Nurse Practitioners Society; Iowa Physician Assistant Society; Iowa Primary Care Association

Against: Iowa Integrated Health Planning and Advisory Council

In plain words

  1. February 6, 2025Filed in the House and sent to the Health and Human Services committee

From public records at legis.iowa.gov, compiled by Funnel (iowafunnel.com), an independent, nonpartisan site. Current as of Monday, November 9, 2026. https://iowafunnel.com/bills/91/HF224