A bill for an act relating to health care facilities, providing penalties, making an appropriation, and including effective date and retroactive applicability provisions.

SF 532 affects state-funded nursing homes and long-term care facilities in Iowa. It bans facilities from requiring residents to sign arbitration agreements that limit their right to seek full court review of disputes, and adds retaliation against residents or staff who file complaints as a serious violation. The bill also mandates more frequent unannounced inspections (at least one per facility every 12 months), increases penalties for repeated safety violations (tripling fines for second offenses), and includes new funding for oversight. These changes aim to strengthen resident protections and enforcement of facility safety standards.