Bills › 91st General Assembly

HF 2680Signed by Governor · April 16, 2026

Relating to certified medication aides

Sponsored by the House Health and Human Services Committee

Topics:Health careProfessional licensing

Same legislation: SSB 3141, HSB 729, SF 2366

Where it is now

  1. Done: IntroducedFebruary 11, 2026
  2. Done: SubcommitteeFebruary 11, 2026
  3. Done: House committeeFebruary 17, 2026
  4. Done: Passes the HouseMarch 5, 202686–0
  5. Done: Senate committeeMarch 19, 2026
  6. Done: Passes the SenateApril 1, 202646–0
  7. Done: To the GovernorApril 16, 2026
  8. Done: Signed into lawApril 16, 2026

Signed into law What’s a funnel?

What’s in it

AI summary Iowa will create a free online registry to track people who pass their medication aide certification exams. The state will also set new rules for how these aides are trained and qualified to work in care facilities. These changes affect the state department that licenses medication aides and the people working in residential and nursing care centers.1

Read the official explanation

This bill relates to certified medication aides (medication aides). The bill requires the department of inspections, appeals, and licensing (DIAL) to establish a medication aide certification registry (registry) on DIAL’s internet site. The registry shall allow a person offering a DIAL-approved medication aide certification examination (examination) to submit proof that an individual successfully completed the examination. The bill prohibits DIAL from charging a fee for a person to submit or access proof that an individual successfully completed an examination. Under current law, a medication aide includes certain persons responsible for administering medications or a class of medications at residential care facilities, nursing facilities, residential care facilities with three-bed to five-bed specialized licenses, intermediate care facilities for the intellectually disabled, and intermediate care facilities for persons with mental illness. The bill requires DIAL to adopt rules that include specified provisions relating to qualifications of medication aides. The specified provisions relate to procedures for DIAL-approved medication aide courses, DIAL-approved medication aide challenge examinations, and medication aides certified in other states. The bill also requires DIAL to adopt any rules necessary to ensure consistency in all provisions relating to medication aide training and qualifications at such facilities. The bill rescinds specified DIAL rules relating to DIAL-approved medication aide courses and DIAL-approved medication aide challenge examinations for medication aides at such care facilities. The bill requires DIAL to engage in rulemaking to make any conforming changes to rules necessary to implement the bill.

Why it matters. The department of inspections, appeals, and licensing will create an online registry to track medication aide certification exam results without charging a fee for accessing or submitting proof of completion. This change affects medication aides working in nursing facilities, residential care facilities, and intermediate care facilities by establishing new rules for their training, qualifications, and certification processes.2

Full bill text · What changed before it passed3

House subcommittee

Named February 11, 2026 (as HSB 729). Meeting: Wednesday, February 18 · 8:30 AM · House Lounge (Cancelled).

Three legislators hear a bill first and recommend what the committee should do; it’s the best time to weigh in. How to take part

Iowa Code it changes

Creates§135C.34A

Amends§135C.34

How the Code works4

Lobbying

5 for · 0 against · 6 undecided · Who →

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