Bills › 91st General Assembly
Establishing the medical spa oversight Act, and making penalties applicable
Topics:Health care
Where it is now
- Done: IntroducedJanuary 20, 2026
- Done: SubcommitteeJanuary 20, 2026
- Stopped: House committeeDied when the General Assembly ended
- Next: Passes the House
- 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 establishes the medical spa oversight Act. The bill defines “medical spa” (spa) as a business licensed to provide wellness services. The bill defines “responsible person” as a person licensed to perform medicine and surgery, osteopathic medicine and surgery, or pharmacy, and who has been designated by a medical spa. _____ service for which a person is not required to have a license for medicine and surgery, osteopathic medicine and surgery, or pharmacy to perform, and that is primarily used to enhance an individual’s health or physical appearance rather than address an underlying medical condition.
Read the full explanation
The bill lists several examples of services. The bill also defines “adverse event”, “biological product”, “bulk drug substance”, “prescription device” (device), “prescription drug” (drug), and “serious adverse event”. The bill prohibits a business from handling, storing, administering, dispensing, or distributing drugs unless the business is licensed by the board of medicine (board) as a spa. The bill also prohibits a business from providing services unless licensed by the board. The bill requires the board to maintain a public database on the board’s internet site of each spa and details the minimum information the database must include. Under the bill, a spa is a dispenser as defined in section 581 of the federal Drug Supply Chain Security Act and is required to comply with all requirements of a dispenser in that Act. The bill requires a spa to store drugs and devices in areas that are dry, well-lit, well-ventilated, and maintained in a clean and orderly condition. Drugs and devices requiring specific storage conditions, such as cold chain storage, must be stored according to instructions provided by the manufacturer of the drug or device. Drugs and devices must be maintained under appropriate supervision with controlled distribution. The bill requires a spa and the spa’s responsible person to ensure the spa has sufficient security controls and procedures to deter and detect the theft and diversion of drugs. _____ prior board approval. The responsible person must ensure each spa location for which the responsible person is designated complies with the bill. Under the bill, a person’s submission of an application for a spa license constitutes permission for the board or the board’s authorized agent to enter and inspect the person’s proposed spa facilities and audit the person’s proposed services. The bill requires an inspection and audit to occur prior to a person’s initial spa licensure and allows the board to conduct inspections and audits after the person’s initial licensure. The bill requires a spa to provide written notice to the board within five business days from the date a serious adverse event occurs at the spa. The bill details the information the notice must include.16 (consumer fraud) when a spa represents that a drug is of a particular standard, quality, or grade if the drug is not of that standard, quality, or grade; represents that a drug or a service has sponsorship, approval, characteristics, ingredients, uses, benefits, or quantities that it does not have; or represents that a drug or service is approved by the United States food and drug administration (FDA) when the FDA has not approved the drug or service. The bill allows the board to maintain an action in the name of the state for an injunction to restrain or prevent a violation of the bill or rules adopted pursuant to the bill. Upon the board’s request, the bill requires the attorney general to commence proceedings to enforce the bill and, at the request of the attorney general, a county attorney with jurisdiction must appear and prosecute the action. The bill allows the board to impose an administrative penalty of up to $500 per violation on a person as detailed in the bill. The assessment and payment of an administrative penalty shall not be considered a disciplinary action and shall be confidential. _____ the board into the general fund of the state. The bill requires the board to maintain a public record of disciplinary actions involving violations of the bill. The bill requires the board to adopt rules to implement and administer the bill.16.
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 January 20, 2026. On February 10, 2026 it recommended amendment and 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§135S.1§135S.10§135S.2§135S.3§135S.4§135S.5§135S.6§135S.7§135S.8§135S.9
Amends§714.16
Read from the bill as introduced. Each links to every bill touching that chapter of the Iowa Code. How the Code works
Lobbying
4 for · 1 against · 9 undecided · Who →