Proyectos de ley › 91.ª Asamblea General
Relating to health-related matters, including health-related professions, nutrition, medication, and taxes on certain products, and including effective date and applicability provisions
Dónde está ahora
- Hecho: Presentado10 de febrero de 2026
- Hecho: Subcomité10 de febrero de 2026
- Hecho: Comité del Senado18 de febrero de 2026
- Hecho: Lo aprueba el Senado8 de abril de 202630–15
- Se saltó: Comité de la CámaraSe saltó
- Hecho: Lo aprueba la Cámara3 de marzo de 202665–30
- Hecho: A gobernador(a)11 de mayo de 2026
- Hecho: Firmado como ley20 de mayo de 2026
HF 2676 se hizo ley → La misma legislación se aprobó como HF 2676, así que esta versión se dejó de lado. Ir a HF 2676 ¿Qué es el embudo (funnel)?
Qué contiene
Resumen con IA This bill makes several changes to health and tax laws in Iowa. It requires certain medical professionals to take classes on nutrition, allows ivermectin to be sold without a prescription, and bans specific food dyes in school meals. It also creates new taxes on tobacco, vapor products, and hemp products to fund health care. Additionally, it helps psychologists work more easily across state lines and updates rules for food assistance programs. (Todavía no está traducido al español.)1
Lea la explicación oficial (en inglés)
_____ This bill relates to the regulation of health-related matters, including health-related professions, health facilities, nutrition, and taxation. The bill is organized in divisions. DIVISION I —— CONTINUING EDUCATION REQUIREMENTS —— NUTRITION AND METABOLIC HEALTH. The bill requires the board of medicine and the board of physician assistants to adopt rules requiring certain licensees to receive continuing education credits regarding nutritional and metabolic health as a condition of license renewal. DIVISION II —— CERTIFICATE OF NEED. The bill changes the definition of “new institutional health service” or “changed institutional health service”. The bill alters the list of items that are excluded from the provisions of Code chapter 135 (department of health and human services —— public health), subchapter VI (health facilities). The bill strikes a provision restricting the department of health and human services (HHS) from processing applications for an intermediate care facility for persons with an intellectual disability, or considering a new or changed institutional health service for an intermediate care facility for persons with an intellectual disability, unless the new or changed beds shall not result in an increase in the total number of medical assistance certified intermediate care facility beds for persons with an intellectual disability in the state, exclusive of those beds at the state resource centers or other state institutions, beyond 1,636 beds. The bill replaces a requirement that HHS hold a public hearing on an application for a certificate of need with a requirement that the department provide a period for the submission of written comments from affected persons. _____ expiring certificate of need. DIVISION III —— SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM —— SUMMER ELECTRONIC BENEFITS TRANSFER FOR CHILDREN PROGRAM. The bill requires HHS to continuously maintain state participation in the federal supplemental nutrition assistance program (SNAP) by administering the program in accordance with guidelines approved by the United States department of agriculture, food and nutrition service, to define “eligible foods” as “healthy foods”, as that term is defined by the department, and to seek any federal approval necessary to ensure that provision of benefits is continuous. The bill requires HHS to ensure that the provision of SNAP benefits to recipients is uninterrupted. The bill also allows HHS to participate in the summer electronic benefits transfer for children program, subject to federal approval of guidelines for eligible foods under the program that are similar to the guidelines for eligible foods under SNAP. DIVISION IV —— IVERMECTIN —— OVER-THE-COUNTER AVAILABILITY. The bill allows a pharmacist, pharmacy, or other person to distribute ivermectin for human consumption as an over-the-counter medicine. A pharmacist, pharmacy, or other person who distributes ivermectin pursuant to the bill shall not be subject to professional discipline or civil or criminal penalties. DIVISION V —— SCHOOL FOODS AND BEVERAGES. The bill prohibits school districts, certain charter schools, and innovation zone schools from serving meals to students as part of the school’s breakfast or lunch program that contain blue dye 1, blue dye 2, green dye 3, potassium bromate, propylparaben, red dye 40, yellow dye 5, or yellow dye 6, unless the foods or beverages in the meal were received as part of a direct delivery from the foods in schools program of the United States department of agriculture. _____ after the end of the school day. The bill requires nonpublic schools that use moneys appropriated by the general assembly to provide breakfast or lunch to students to ensure that the meals comply with the same prohibition on ingredients as school districts. This division of the bill applies to school years beginning on or after July 1, 2027. DIVISION VI —— PSYCHOLOGY INTERJURISDICTIONAL COMPACT. The bill creates an interstate compact to allow psychologists from other states to practice telepsychology with patients living in Iowa, to practice “face-to-face” psychology on a temporary basis in Iowa, and to allow Iowa psychologists to practice telepsychology with patients in other states. The compact is intended to authorize regulatory authorities to afford legal recognition, in a manner consistent with the terms of the compact, to psychologists licensed in another state. The compact does not apply when a psychologist is licensed in both the “home” and “receiving” states. A commission is created to oversee the compact, which is effective upon the enactment into law by the seventh compact state. DIVISION VII —— CIGARETTE TAXATION.05 cents per cigarette.01. The bill also raises the tax on loose tobacco products inserted into a vending machine from which assembled cigarettes are dispensed.52 cents. By increasing the cigarette tax in the bill, the inventory tax is also assessed on cigarettes remaining in inventories taxed under the previous tax rate that is equal to the difference between the previous tax rate and the new tax rate.35A. _____ DIVISION VIII —— TAX ON TOBACCO PRODUCTS.43(1)(b) for a combined rate of 50 percent tax on the wholesale sales price. The bill combines the 22 percent rate and the 28 percent rate and raises the tax on tobacco products from the combined rate of 50 percent to 55 percent of the wholesale sales price. Currently, the tax on cigars is capped at 50 cents per cigar.43(1).19 per ounce. By increasing the tax on the wholesale sales price of tobacco products in the bill, the inventory tax is assessed on any tobacco products remaining in inventories taxed under the previous tax rate that is equal to the difference between the previous tax rate and the new tax rate.35A.43. DIVISION IX —— EXCISE TAX ON VAPOR PRODUCTS. The bill creates an excise tax on vapor products at a rate of 15 percent on the sales price from the retail sale, including a delivery sale, of vapor products to consumers. The excise tax is in addition to any other tax imposed by law. The excise tax shall be collected at the point of sale from the consumer. _____ product excise tax as nearly as possible in conjunction with the administration of the state sales and use tax law, except that portion of the law that implements the streamlined sales and use tax agreement.35A. The bill requires the department to adopt rules to administer the new excise tax. The bill makes other conforming changes to implement the new tax. DIVISION X —— EXCISE TAX ON CONSUMABLE HEMP PRODUCTS. The bill creates an excise tax on consumable hemp products at a rate of 15 percent on the sales price from the retail sale, including a delivery sale, of consumable hemp products to consumers. The excise tax is in addition to any other tax imposed by law. The bill requires the department to adopt rules to administer the new excise tax. The bill requires the director of revenue to administer the consumable hemp excise tax as nearly as possible in conjunction with the administration of the state sales and use tax law, except that portion of the law that implements the streamlined sales and use tax agreement.35A.
Cambiado después por las enmiendas S-5173, S-5062, H-8090, H-8071, H-8070, H-8069, H-8063; vea Enmiendas.
Texto completo del proyecto (en inglés) · Qué cambió antes de aprobarse2
Senate subcommittee
Named February 10, 2026. It hasn’t reported yet.
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
8 comentarios públicos por escrito a su subcomité: 26 de febrero de 2026 (1), 16 de febrero de 2026 (4), 12 de febrero de 2026 (3) · en el sitio de la Legislatura
Nota fiscal
Resumen con IA This bill addresses various health and education matters, including restrictions on certain ingredients in school meals and limits on digital instruction for young students. While there is no anticipated fiscal impact for the state, school districts may face increased meal costs beginning fiscal year 2028, and the administrative costs for state-level changes cannot be determined at this time. The bill also enters Iowa into an interstate compact to allow psychologists to practice across state lines via telepsychology or temporary face-to-face visits. (en inglés)3
Lea la nota fiscal (en inglés)
Description
House File 2676 relates to health-related matters, including health-related professions, nutrition, medication, and education, and includes effective date and applicability provisions. Division II requires the Board of Medicine to adopt administrative rules to implement the provisions of the Division. Division IX takes effect upon the issuance of final guidance for the administration of the presidential physical fitness test by the federal government.
The Bill is comprised of 11 divisions, 3 of which have or may have a fiscal impact and 8 of which do not.
The following divisions of the Bill have no fiscal impact:
- Division I — Short Title “Iowa Make America Healthy Again Act”
- Division II — Continuing Education Requirements — Nutrition and Metabolic Health
- Division III — Medical School Graduation Requirement — Nutrition
- Division IV — Supplemental Nutrition Assistance Program — Summer Electronic Benefits
Transfer for Children Program
- Division VI — Epinephrine Delivery Systems
- Division VII — Ivermectin — Over-the-Counter Availability
- Division IX — Presidential Physical Fitness Test
- Division X — Student Physical Activity Requirements
The following divisions of the Bill have or may have a fiscal impact and are described in further detail below:
- Division V — School Foods and Beverages
- Division VIII — Student Instructional Technology Standards
- Division XI — Psychology Interjurisdictional Compact
Division V — School Foods and Beverages
Description
Division V of the Bill requires school districts, charter schools, and innovation zone schools to not serve food and beverages with identified ingredients as part of a school district’s breakfast or lunch program unless the food and beverages are received as part of a direct delivery from the Foods in Schools program of the United States Department of Agriculture (USDA). The Bill prohibits an employee or contracted vendor of a school from providing food or beverages during the school day that contain identified ingredients and places limits on a school’s ability to sell food and beverages that contain identified ingredients.
This Division is applicable to school years beginning on or after July 1, 2027 (FY 2028).
Background
The USDA reimburses schools for each meal they serve, with higher reimbursements for reduced-price and free meals. Participating schools must offer free or reduced-price meals to eligible students, and meals must meet USDA nutrition standards. Decisions about specific food and beverages to serve and food preparation standards are made by local school food authorities. Meal reimbursement rates are adjusted annually, and additional funding is available for nutrition standards compliance, severe need schools, and State reimbursement. Meal reimbursement rates for the 2024-2025 school year are as follows:
- $2.37, Breakfast — Free
- $2.07, Breakfast — Reduced-Price
- $0.39, Breakfast — Paid
- $4.43, Lunch — Free
- $4.03, Lunch — Reduced-Price
- $0.42, Lunch — Paid
Total meal reimbursements in Iowa for the 2023-2024 school year were approximately $40.3 million for breakfast and $145.0 million for lunch. The Department of Education (DE) also receives an estimated $23.0 million in federal funds that is used to purchase a portion of the food used by schools for school meals. The DE is required to spend the moneys on specific food items procured by the USDA. State-specific ingredient restrictions would not be considered under the federal procurement process. If specific food items identified by the USDA contain the prohibited ingredients, the school would be responsible for identifying and purchasing food items that do not include the prohibited ingredients.
The United States Department of Health and Human Services and the United States Food and Drug Administration recently announced measures to phase out several of the listed ingredients in this Division.
Assumptions
- School food service programs in Iowa are primarily federally funded under the Food and Nutrition Service of the USDA.
- The DE currently receives a General Fund appropriation for School Food Service in the amount of $2.2 million annually to meet the federal funds maintenance of effort requirement.
- School meal menus are specific to each school district and may contain the ingredients prohibited by the Bill.
- Schools maintain a food and nutrition fund supported with meal fees and federal funds. The total amount of federal funds received for school nutrition for FY 2025 is approximately $245.1 million.
- For reduced-price meals, the meal fee charged by schools is typically the difference between the free reimbursement rate and the reduced-price reimbursement rate. For breakfast, this rate difference is $0.30, and for lunch, the rate difference is $0.40. Meals being provided for free are subject to the USDA reimbursement received, and additional funding is not provided through an additional charge by the school.
- An increase in the cost of school meals may be reflected in increased school meal fees for students not receiving free or reduced-price meals, or increased costs may be absorbed by the school district.
Fiscal Impact
While there is no anticipated fiscal impact for the State, school districts may have increased meal item costs to meet the requirements of the Bill beginning July 1, 2027 (FY 2028). Because school districts are independent of each other, including school menus, food and beverage items, and supply resources, any increased costs would be specific to each individual school district and cannot be determined at this time.
Division VIII — Student Instructional Technology Standards
Description
Division VIII requires a 60-minute restriction on digital instruction per school day for students enrolled in kindergarten through grade five and allows parents to opt out of digital instruction participation. This Division also requires the board of directors of each school district to write, adopt, and post a technology policy applicable to students enrolled in kindergarten through grade five, publishing a list on the district’s website of the one-to-one digital device programs in use.
This Division directs the DE, in collaboration with the Department of Health and Human Services (HHS) to convene and provide administrative support to a working group that will examine research related to the impact of school-provided technology on the cognitive function and academic performance of students in grades 6 through 12. The working group will consist of educators, mental health professionals, and parents of school-age children. The working group will submit a report with recommendations and findings to the General Assembly by December 31, 2026.
Background
In 2024, the DE published the Iowa Comprehensive State Literacy Plan (CSLP) for years 2024-2032, which outlines the approach and standards for improving literacy and proficiency for students from birth through grade 12. The CSLP focuses on reading, writing, and language development, utilizing technology to meet standards for various age ranges. Utilizing technology in writing instruction is a standard outlined in the plan for elementary through high school.
The DE has selected EPS Learning, a literacy framework provider, to provide an online literacy program called EPS Reading Assistant to Iowa schools at no cost, with up to 200,000 licenses. Utilized in this program are AI-driven reading tutors, such as reading assistant Amira, which provide individualized literacy instruction for students who need targeted intervention.
Assumptions
- The DE provides training for tutoring and individualized learning programs.
- The DE partners with EPS Learning to provide up to 200,000 licenses to provide digital resources for literacy.
- Nondigital materials will be needed to replace digital materials that would otherwise be used for education instruction.
- Expenses incurred by a member of the working group will be the responsibility of the individual member or respective entity represented by the member.
Fiscal Impact
Division VIII of the Bill will have administrative costs to the State that cannot be determined at this time. Costs associated with the development of non-computer-based tutoring and learning programs cannot be determined at this time. Procurement of nondigital materials, such as textbooks, that would otherwise be online may incur costs, but those costs cannot be determined at this time.
Costs incurred by a member of the working group will be the responsibility of the individual member or the respective entity they represent.
Division XI — Psychology Interjurisdictional Compact
Description
Division XI of the Bill enacts and enters Iowa into an interstate compact to allow psychologists from other states to practice telepsychology with patients living in Iowa and to practice face-to-face psychology on a temporary basis in Iowa and to allow Iowa psychologists to practice telepsychology with patients in other states.
Background
Currently, if a psychologist from another state wants to practice telepsychology with patients living in Iowa, the psychologist needs to be licensed in Iowa. Additionally, if an Iowa psychologist wants to practice telepsychology with patients in other states, the Iowa psychologist needs to be licensed in each state in which the psychologist practices. The Psychology Interjurisdictional Compact (Compact or PSYPACT) does not apply when a psychologist is licensed in both the home and receiving states.
The Compact became operational in 2019 and currently has 41 participating states plus the District of Columbia and the Northern Mariana Islands. In addition to Iowa, legislation to enact the Compact has been introduced in Alaska, Hawaii, Massachusetts, and New York.
Assumptions
- Implementation of the Compact occurs after the Administrative Licensing and Inspection Governance Network (ALIGN) project is completed.
- The Department of Management’s (DOM’s) Division of Information Technology (DoIT) will integrate the Department of Inspections, Appeals, and Licensing’s (DIAL’s) ALIGN system with the systems used by the Compact (PSYPACT and Coordinated Licensure Information System). The work will be completed by the DOM DoIT’s project director and project manager at a $140-per-hour rate and $110-per-hour rate, respectively.
- Both of the Compact Commission’s systems reside on Amazon Web Services, which provides cloud computing platforms and application programming interfaces (APIs).
Fiscal Impact
Division XI of the Bill is anticipated to increase information technology (IT) costs to the DOM DoIT between $148,000 and $216,000. The one-time IT costs related to the implementation of the Compact are shown in Figure 1 below.
Figure 1 — Estimated Psychology Interjurisdictional Compact-Related IT Costs
Component
Hours
(Low-End)
Hours
(High-End) Rate Cost (Low-End)
Cost
(High-End)
User Experience Design and
Content 80 120 $ 140 $ 11,000 $ 17,000 Portal Development 200 300 140 28,000 42,000
Temporary Authorization to Practice
Tracker Feature 160 240 140 22,000 34,000 API Integration 220 320 140 31,000 45,000
Security and Identity Access
Management Setup 130 190 140 18,000 27,000
Quality Assurance and User
Acceptance Testing 80 120 140 11,000 17,000 Project Management 240 320 110 26,000 35,000 Total 1,110 1,610 $ 148,000 $ 216,000 NOTE: Numbers may not sum due to rounding
Fiscal Impact Summary
The fiscal impacts of Division V and Division VIII cannot be determined. Division XI is estimated to increase expenditures between $148,000 and $216,000 in FY 2027.
Sources
- Department of Health and Human Services
- Department of Inspections, Appeals, and Licensing
- Department of Management, Division of Information Technology
- Department of Education
- United States Department of Agriculture
- Urban Education Network
- Final Fiscal Note — Medical Licensing and Prescribing · 22 de mayo de 2026
- Medical Licensing and Prescribing · 21 de abril de 2026
- Medical Licensing and Prescribing · 15 de abril de 2026
- Medical Licensing and Prescribing · 19 de marzo de 2026
- Medical Licensing and Prescribing · 2 de marzo de 2026
Lo que cambia del Código de Iowa (Iowa Code)
Crea§126.24§147M.1§234.12B§283A.6§453A.47D§453F.1§453F.2
Modifica§135.61§135.62§135.65§135.70§148.3§148C.3§204.7§234.1§256E.7§256F.4§283A.10§331.303§331.653§331.756§453A.1§453A.15§453A.24§453A.32§453A.33§453A.35§453A.35A§453A.39§453A.40§453A.42§453A.43§453A.45§453A.51§453A.6
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91st General Assembly