HSB 139 Iowa House · 2025-2026 Regular Session

A bill for an act relating to protections for medical practitioners, health care institutions, and health care payors including those related to the exercise of conscience, whistleblower activities, and free speech, and providing penalties.

HSB 139, the "Medical Ethics Defense Act," protects medical practitioners, healthcare institutions, and health care payors who refuse services based on conscience (e.g., religious or ethical beliefs). It prohibits discrimination against them for such refusals, requires health care payors to cover services they’re contractually obligated to pay for, and provides immunity from civil/criminal liability for exercising conscience. The bill also shields whistleblowers who report violations of these protections to authorities like the attorney general or federal agencies. It directly affects healthcare providers, insurers, and facilities by allowing conscience-based refusal of services while maintaining emergency care obligations. The law does not override existing duties to provide emergency care under federal law.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 6, 2025 Last action Feb 24, 2025
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
7
Key actions
6
Committee
6
Feb 24, 2025
Legislature · Passed
Committee report approving bill, renumbered as HF 571.
legislature
Feb 20, 2025
Lower · Passed
Committee vote: Yeas, 13. Nays, 4. Excused, 4.
lower
Feb 20, 2025
Lower · Passed
Committee report, recommending passage.
lower
Feb 12, 2025
Legislature · Passed
Subcommittee recommends passage.
legislature
Feb 11, 2025
Legislature · Passed
Subcommittee Meeting: 02/12/2025 3:00PM RM 102.
legislature
Feb 6, 2025
Lower · Passed
Subcommittee: Gustoff, Holt and James.
lower
Feb 6, 2025
Introduced
Introduced, referred to Judiciary.
lower
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.