HSB 653 Iowa House · 2025-2026 Regular Session

A bill for an act relating to care facility placement decisions for certain adults.

This bill establishes a process for making care facility placement decisions for adults who cannot consent to their own care. It defines "person authorized to consent" as family members in a specific priority order (spouse, adult children, parents, or siblings) and requires physicians to certify in medical records when an adult cannot consent and no family member is available. Facilities must then assist the authorized person in finding the least restrictive, appropriate care facility and applying for health insurance coverage. If no decision-maker is found after good-faith efforts, the facility or physician may petition a court for placement approval. The bill directly affects vulnerable adults in care facilities, their families, and healthcare providers.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2026
Committee Review
Floor Vote
Governor
Introduced Feb 3, 2026 Last action Feb 16, 2026
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
7
Key actions
6
Committee
6
Feb 16, 2026
Legislature · Passed
Committee report approving bill, renumbered as HF 2562.
legislature
Feb 12, 2026
Lower · Passed
Committee vote: Yeas, 13. Nays, 7. Excused, 1.
lower
Feb 12, 2026
Lower · Passed
Committee report, recommending amendment and passage.
lower
Feb 5, 2026
Legislature · Passed
Subcommittee recommends passage.
legislature
Feb 4, 2026
Legislature · Passed
Subcommittee Meeting: 02/05/2026 8:30AM RM 19.
legislature
Feb 3, 2026
Lower · Passed
Subcommittee: Ingels, Ehlert and Gehlbach.
lower
Feb 3, 2026
Introduced
Introduced, referred to Health and Human Services.
lower
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.