A bill for an act relating to health care decisions related to palliative care, hospice programs, life-sustaining procedures, out-of-hospital do-not-resuscitate orders, durable power of attorney for health care, and probate court guardianship reports.
This Iowa bill clarifies who can make healthcare decisions for patients who are terminally ill and unable to communicate. It establishes a priority order for decision-makers: first an attorney in fact (designated in a health care power of attorney), then a court-appointed guardian, spouse, or adult children. The law specifically applies to decisions about hospice care, palliative care, life-sustaining treatments, and out-of-hospital do-not-resuscitate orders. It ensures that designated representatives or family members can guide end-of-life care when patients cannot express their wishes.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2026
Committee Review
Mar 2026
House Passage
Apr 2026
Senate Passage
Apr 2026
Signed into Law
May 2026
Introduced Feb 6, 2026
Signed May 2, 2026
Maddy AI version diff · 4 comparisons
What changed between versions
Enrolled with Governor's Action
→
Reprinted
·
1 edit
MINOR
The bill was reprinted with minor formatting corrections and the addition of a header indicating it is a successor to a previous bill. No substantive policy changes, new definitions, or scope modifications were made in this version.
TECHNICAL
Added a header identifying the bill as a successor to HF 708 and including committee action dates.
Floor votes · Senate Apr 16, 2026
How they voted
46–0
Passed · 3 other
Total votes 49
Apr 16, 2026
D
Democratic15
93% Yea
R
Republican34
94% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
29
Key actions
11
Committee
4
Amendments
8
May 2, 2026
Signed into law
Signed by Governor.
lower
Apr 21, 2026
Lower · Passed
Passed House, yeas 93, nays 0.
lower
Apr 21, 2026
Lower · Passed
House concurred in Senate amendment H-8377.
lower
Apr 16, 2026
Introduced
Senate amendment H-8377 filed.
lower
Apr 16, 2026
Upper · Passed
Passed Senate, yeas 47, nays 0.
upper
Apr 16, 2026
Introduced
Amendments S-5140 and S-5122 out of order.
upper
Apr 16, 2026
Upper · Passed
Amendment S-5185 adopted.
upper
Apr 15, 2026
Introduced
Amendment S-5185 filed.
upper
Mar 30, 2026
Introduced
Amendment S-5140 filed.
upper
Mar 19, 2026
Introduced
Amendment S-5122 filed.
upper
Mar 19, 2026
Upper · Passed
Committee report, recommending amendment and passage.
upper
Mar 16, 2026
Legislature · Passed
Subcommittee recommends passage.
legislature
Mar 11, 2026
Legislature · Passed
Subcommittee Meeting: 03/16/2026 12:30PM Room 217 Conference Room.
legislature
Mar 11, 2026
Upper · Passed
Subcommittee: Costello, Salmon, and Trone Garriott.
upper
Mar 5, 2026
Lower · Passed
Passed House, yeas 86, nays 0.
lower
Mar 5, 2026
Lower · Passed
Amendment H-8020 adopted.
lower
Feb 23, 2026
Introduced
Amendment H-8020 filed.
lower
Feb 6, 2026
Introduced
Introduced, placed on calendar.
lower
0 primary · 0 co-sponsors
Sponsors
No sponsor information available.
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