HF 2676 Iowa House · 2025-2026 Regular Session

A bill for an act relating to health-related matters, including health-related professions, nutrition, medication, and education, and including effective date and applicability provisions.

HF 2676 requires physicians in specific specialties (like family medicine, pediatrics, and surgery) to complete one hour of nutrition and metabolic health continuing education every four years to renew their licenses. It also mandates that Iowa medical schools require 40 hours of nutrition coursework for graduation starting in 2028. The bill prohibits schools from serving meals containing eight specific dyes (including blue dye 1 and red dye 40) during the school day and bans their sale on campus. Additionally, it allows pharmacists to distribute ivermectin as an over-the-counter medication without professional penalties. These provisions directly affect healthcare professionals, medical students, schools, and pharmacies.
Bill status signed all 5 stages cleared
Introduction
Feb 2026
Committee Review
House Passage
Apr 2026
Senate Passage
Apr 2026
Signed into Law
May 2026
Introduced Feb 23, 2026 Signed May 20, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

Enrolled with Governor's Action Reprinted · 4 edits
MODERATE
The bill was reprinted to reflect its official status as House File 2676, including a new title and a successor bill number. The substantive policy content regarding nutrition education, school food restrictions, and epinephrine access remains consistent with the previous version, though the reprinted text includes a new section allowing over-the-counter sales of ivermectin and modifies the language for SNAP program administration.
Scope change
The bill's scope was expanded to include a new provision for the over-the-counter availability of ivermectin, and the applicability dates for certain provisions were updated to reflect the 2026 legislative session.
REQUIREMENT

Added a new section allowing pharmacists to distribute ivermectin as an over-the-counter medicine without prescription, removing potential professional discipline or penalties for doing so.

Modified the language regarding the Supplemental Nutrition Assistance Program (SNAP) to require the department to continuously request federal approval to limit eligible foods to those meeting specific healthy food standards as of January 1, 2026.

DEFINITION

Added a new title identifying the bill as the 'Iowa Make America Healthy Again Act' and noted it as a successor to House Bill 694.

TECHNICAL

Changed the formatting from a line-by-line diff representation to a standard legislative reprint format, including page numbers and committee attribution.

Floor votes · Senate Apr 8, 2026

How they voted

3113
Passed · 5 other
Total votes 49
Apr 8, 2026
D Democratic15
13 Nay 2
86% Nay
R Republican34
31 Yea 3
91% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
47
Key actions
11
Committee
0
Amendments
17
May 20, 2026
Signed into law
Signed by Governor.
lower
Apr 27, 2026
Upper · Passed
Passed Senate, yeas 30, nays 16.
upper
Apr 27, 2026
Upper · Passed
Senate concurred with S-5202.
upper
Apr 21, 2026
Introduced
Message from House, with amendment S-5202.
upper
Apr 20, 2026
Lower · Passed
Passed House, yeas 61, nays 31.
lower
Apr 20, 2026
Lower · Passed
House concurred in Senate amendment H-8335, as amended.
lower
Apr 20, 2026
Introduced
Amendment H-8380 to amendment H-8335 filed, adopted.
lower
Apr 20, 2026
Introduced
Motion to suspend rules for immediate consideration of amendment H-8386 to amendment H-8335, yeas 31, nays 60.
lower
Apr 20, 2026
Introduced
Point of order raised on amend H-8386 to amendment H-8335, ruled not germane.
lower
Apr 20, 2026
Introduced
Amendment H-8386 filed.
lower
Apr 8, 2026
Introduced
Senate amendment H-8335 filed.
lower
Apr 8, 2026
Upper · Passed
Passed Senate, yeas 30, nays 15.
upper
Apr 8, 2026
Introduced
Amendment S-5173 filed, adopted.
upper
Mar 3, 2026
Lower · Passed
Passed House, yeas 65, nays 30.
lower
Mar 3, 2026
Lower · Passed
Amendment H-8071 adopted, as amended.
lower
Mar 3, 2026
Introduced
Amendment H-8134 to amendment H-8071 filed, adopted.
lower
Mar 3, 2026
Introduced
Motion to suspend rules for immediate consideration of amendment H-8089, yeas 29, nays 66.
lower
Mar 3, 2026
Introduced
Point of order raised on amendment H-8089, ruled not germane.
lower
Mar 3, 2026
Introduced
Motion to suspend rules for immediate consideration of amendment H-8082, yeas 30, nays 65.
lower
Mar 3, 2026
Introduced
Point of order raised on amendment H-8082, ruled not germane.
lower
Mar 3, 2026
Lower · Passed
Amendment H-8070, yeas 93, nays 2, adopted.
lower
Mar 3, 2026
Lower · Passed
Amendment H-8069, yeas 67, nays 28, adopted.
lower
Mar 3, 2026
Introduced
Amendment H-8083, yeas 35, nays 60, lost.
lower
Mar 3, 2026
Introduced
Amendment H-8084 out of order.
lower
Mar 3, 2026
Lower · Passed
Amendments H-8063 and H-8090 adopted.
lower
Mar 2, 2026
Introduced
Amendments H-8082, H-8083, H-8084, H-8089, and H-8090 filed.
lower
Mar 2, 2026
Introduced
Amendments H-8063, H-8068, H-8069, H-8070, and H-8071 filed.
lower
Feb 23, 2026
Introduced
Introduced, placed on calendar.
lower
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.