HF 2523 Iowa House · 2025-2026 Regular Session

A bill for an act establishing the right of a parent or guardian of a minor child to consent to and authorize certain medical services over the minor child’s objection.

HF 2523 allows parents or legal guardians to seek substance use or mental health treatment for minors (under 18) without court involvement. It protects confidentiality by prohibiting disclosure of a minor’s treatment to law enforcement or others without consent, and ensures minors can consent to treatment themselves in some cases. The bill amends Iowa law to clarify that facilities must admit minors for treatment when parents/guardians apply, with referral options if denied. This directly affects minors needing treatment and their families, streamlining access while safeguarding privacy. The bill is currently under review by the Health and Human Services Subcommittee.
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
Apr 2026
Introduced Feb 16, 2026 Signed Apr 30, 2026
Maddy AI version diff · 3 comparisons

What changed between versions

Enrolled Enrolled with Governor's Action · 5 edits · Apr 30, 2026
MODERATE
This bill establishes a legal framework allowing parents or guardians to consent to and authorize certain medical services for minor children even if the child objects. The changes shift the process from direct parental consent to a judicial review system where a juvenile court must approve hospitalization over a minor's objection, ensuring the minor's rights are protected through legal representation and advocacy.
Scope change
The scope expanded to include specific procedural requirements for hospitalizing minors against their will, including mandatory court hearings, legal representation, and family counseling.
REQUIREMENT

Added a requirement that a juvenile court must approve hospitalization of a minor over their objection, ensuring judicial oversight.

Mandated that the court assign an attorney to represent the minor if they cannot afford one, and appointed an advocate to represent the minor's interests.

Required the court to determine that hospitalization is in the minor's best interest and that no less restrictive setting is feasible before ordering admission.

Established a requirement for family counseling sessions during the minor's hospital stay and potential family therapy to facilitate the minor's return home.

Confirmed that parents retain the fundamental right to consent to medical care for minors, even if the minor objects, subject to strict judicial scrutiny.

Floor votes · Senate Apr 6, 2026

How they voted

460
Passed · 3 other
Total votes 49
Apr 6, 2026
D Democratic15
14 Yea 1
93% Yea
R Republican34
32 Yea 2
94% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
31
Key actions
13
Committee
4
Amendments
6
Apr 30, 2026
Signed into law
Signed by Governor.
lower
Apr 21, 2026
Upper · Passed
Passed Senate, yeas 44, nays 0.
upper
Apr 21, 2026
Upper · Passed
Senate concurred with S-5181.
upper
Apr 15, 2026
Introduced
Message from House, with amendment S-5181.
upper
Apr 14, 2026
Lower · Passed
Passed House, yeas 87, nays 6.
lower
Apr 14, 2026
Lower · Passed
House concurred in Senate amendment H-8303, as amended.
lower
Apr 14, 2026
Lower · Passed
Amendment H-8352 to Senate amendment H-8303 adopted.
lower
Apr 13, 2026
Introduced
Amendments H-8348 and H-8352 filed.
lower
Apr 6, 2026
Introduced
Senate amendment H-8303 filed.
lower
Apr 6, 2026
Upper · Passed
Passed Senate, yeas 47, nays 0.
upper
Apr 6, 2026
Upper · Passed
Amendment S-5121 adopted.
upper
Mar 19, 2026
Introduced
Amendment S-5121 filed.
upper
Mar 19, 2026
Upper · Passed
Committee report, recommending amendment and passage.
upper
Mar 5, 2026
Legislature · Passed
Subcommittee recommends passage.
legislature
Mar 4, 2026
Legislature · Passed
Subcommittee Meeting: 03/05/2026 8:30AM Room 315.
legislature
Mar 3, 2026
Upper · Passed
Subcommittee: Alons, Donahue, and Evans.
upper
Feb 25, 2026
Lower · Passed
Passed House, yeas 70, nays 21.
lower
Feb 16, 2026
Introduced
Introduced, placed on calendar.
lower
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.