A bill for an act relating to the practice of reflexology.

HF 2178 establishes a certification system for reflexologists in Iowa. It requires applicants to complete a 200-hour approved education program covering anatomy, reflexology techniques, and ethics; pass an approved exam; provide proof of active certification from the American Reflexology Certification Board (or equivalent); meet age and background check requirements; and pay fees ($50 initial, $40 renewal). The bill defines reflexology as manual techniques applied to feet/hands for wellness support (not medical diagnosis), and allows certification for those already certified in other states. The Iowa Board of Medicine will administer the certification process and set related rules.