Bills › 91st General Assembly

HF 309Signed by Governor · April 18, 2025

Relating to the review by the department of inspections, appeals, and licensing of certain deficient practices by nursing facilities

Sponsored by the House Health and Human Services Committee

Proposed by the Department of Inspections, Appeals, and Licensing · all agency proposals

Topics:Health careFamilies & human services

Same legislation: HSB 1, SSB 1081, SF 385

Where it is now

  1. Done: IntroducedJanuary 14, 2025
  2. Done: SubcommitteeJanuary 14, 2025
  3. Done: House committeeFebruary 6, 2025
  4. Done: Passes the HouseFebruary 20, 202591–1
  5. Done: Senate committeeFebruary 20, 2025
  6. Done: Passes the SenateApril 8, 202539–9
  7. Done: To the GovernorApril 17, 2025
  8. Done: Signed into lawApril 18, 2025

Signed into law What’s a funnel?

What’s in it

AI summary The state's inspection department must create a new process to review mistakes made by nursing homes before they officially issue a citation. This allows nursing home representatives to share evidence or explain what happened before a final decision is made. This change ensures facilities have a chance to provide context regarding their practices.1

Read the official explanation

This bill relates to the review by the department of inspections, appeals, and licensing (DIAL) of certain deficient practices by nursing facilities (facilities). Under current law, if the director of DIAL determines, based on the findings of an inspection or investigation of a facility, that the facility is in violation of Code chapter 135C (health care facilities) or rules adopted under that chapter, the director may issue a written citation to the facility within five days of the determination. After receiving a citation, the facility may send representatives to provide context and evidence for DIAL to consider when determining a final finding on the matter. A citation issued for noncompliance that has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident is a citation for immediate jeopardy. Under the bill, DIAL must establish and maintain a process to review each deficient practice for which a citation may be issued to a facility so that representatives of the facility may provide context or evidence to DIAL prior to DIAL issuing a citation.

Why it matters. Nursing facilities would have the opportunity to provide context or evidence to the department of inspections, appeals, and licensing regarding potential violations before a formal citation is issued. This change requires the department to establish and maintain a review process for each deficient practice identified during inspections or investigations.2

Full bill text · What changed before it passed3

House subcommittee

Named January 14, 2025 (as HSB 1). On January 21, 2025 it recommended passage.

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

1 written public comment to its subcommittee: January 21, 2025 (1) · on the Legislature’s site

Iowa Code it changes

Amends§135C.40

How the Code works4

Lobbying

3 for · 2 against · 8 undecided · Who →

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