A bill for an act providing for paid medical leave and providing penalties and remedies.

HF 686 requires Iowa employers to provide employees with at least 10 days of paid medical leave each year for health conditions affecting the employee, their child, parent, or spouse. Leave pay must equal the employee's regular earnings, calculated based on their typical pay period, with specific rules for variable income. Employers may request advance notice for foreseeable leave and written documentation from a healthcare provider within one week of returning from leave, consistent with privacy laws. The bill is enforced by Iowa's Department of Inspections, Appeals, and Licensing under existing labor laws.