Bills › 91st General Assembly
Relating to medication abortions including required informed consent and the dispensing of abortion-inducing drugs to patients within the state
Sponsored by the House Health and Human Services Committee
Topics:Health careReproductive rights
Same legislation: HSB 186
Where it is now
- Done: IntroducedFebruary 17, 2025
- Done: SubcommitteeFebruary 17, 2025
- Done: House committeeFebruary 26, 2025
- Stopped: Passes the HouseDied when the General Assembly ended
- Next: Senate committeeFunnel: by March 20, 2026
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Died when the session ended The General Assembly adjourned on October 2, 2026. Bills that didn’t pass both chambers died. What’s a funnel?
What’s in it
This bill relates to medication abortions. The bill requires a private office, freestanding organized outpatient health facility, hospital, or other facility in which medication abortions are performed to conspicuously post a sign in a location as described in the bill relating to the effectiveness and possibility of avoiding, ceasing, or even reversing the effects of a medication abortion. The bill requires that, except in the case of a medical emergency, in addition to compliance with the abortion prerequisites of Code chapter 146A, a physician shall not perform or attempt to perform a medication abortion unless the physician who will perform the medication abortion, the referring physician, or an agent of either physician obtains written certification from the pregnant woman.
Read the full explanation
The written certification shall provide that the woman has been informed, by telephone or in person, prior to the medication abortion, of all of the risks commonly associated with a medication abortion, that it may be possible to reverse the intended effects of a medication abortion if the woman changes her mind but that time is of the essence, and that information on and assistance with reversing the effects of a medication abortion is available on the department of health and human services (HHS) internet site. Following the dispensing of an abortion-inducing drug, the attending physician or an agent of the attending physician shall provide written medical discharge instructions to the woman which must include the statement specified in the bill. The bill requires HHS to publish and to make available on HHS’s internet site, materials designed to inform a woman of the possibility of reversing the effects of a medication abortion if the woman changes her mind, and information on and assistance with the resources that may be available to help reverse the effects of a medication abortion. The bill also prohibits a person from dispensing mifepristone to a patient in this state for use by such patient in inducing a medication abortion unless the mifepristone is dispensed directly to such patient in a health care setting. Failure of a physician to comply with the bill is grounds for licensee discipline. The bill also provides that the bill shall not be construed to create or recognize a right to an abortion or to impose civil or criminal liability on a woman upon whom an abortion is performed.
From the explanation printed with the bill as introduced, written by the Legislative Services Agency. Amendments adopted later aren’t reflected. Full bill text
House subcommittee
Named February 17, 2025 (as HSB 186). On February 25, 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
Iowa Code it changes
Creates§146F.1§146F.2§146F.3§146F.4§146F.5§146F.6§146F.7
Read from the bill as introduced. Each links to every bill touching that chapter of the Iowa Code. How the Code works
Lobbying
10 for · 12 against · 3 undecided · Who →
Family tree
Where this legislation came from and where it went: earlier tries, the versions it moved through this Assembly, and later bills built on it.
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91st General Assembly
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