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in committee · Iowa · Senate Jan 23, 2025

S 229: DTC Act of 2025

The DTC Act of 2025 requires pharmaceutical companies to disclose the wholesale acquisition cost (WAC) for a 30-day supply (or typical treatment course) of prescription drugs in direct-to-consumer advertisements. This applies to drugs covered by Medicare or Medicaid, excluding those with a WAC under $35 per 30-day supply. The bill mandates clear, conspicuous display of the WAC in ads, along with a note that actual patient costs may vary based on insurance coverage. It takes effect July 1, 2026, and includes penalties for noncompliance, such as civil fines up to $100,000 per violation. The law aims to increase price transparency for consumers seeing drug ads, particularly affecting patients with high-deductible plans or Medicare beneficiaries.
Richard J. Durbin (D) · 9 co-sponsors
in committee · Iowa · House Jan 23, 2025

HR 679: To nullify the modifications made by the Food and Drug Administration in January 2023 to the risk evaluation and mitigation strategy for the abortion pill mifepristone, and for other purposes.

HR 679 nullifies specific changes the Food and Drug Administration (FDA) made in January 2023 to the safety rules (REMS) for the abortion pill mifepristone. The bill prohibits the FDA from implementing any future safety rules for mifepristone that are substantially similar to the nullified changes. This directly affects the FDA's regulatory authority over mifepristone, which could impact how healthcare providers prescribe the medication and how patients access it. The bill focuses solely on reversing the FDA's 2023 modifications without altering the drug's broader approval status.
Diana Harshbarger (R) · 18 co-sponsors
in committee · Iowa · House Jan 23, 2025

HR 661: MIRACLE Medical Technology Act of 2025

HR 661, the MIRACLE Medical Technology Act of 2025, establishes a formal US-Israel program to coordinate collaboration on developing and delivering healthcare products and services. It directs the Secretary of Health and Human Services to create joint initiatives - including shared research on medical devices and pharmaceuticals, regulatory alignment (like FDA-Israel regulatory data sharing), innovation hubs for startups, and telemedicine infrastructure - leveraging $8 million annually from 2026-2030. The bill directly affects US health agencies (HHS, FDA), Israeli health authorities, and medical technology companies in both countries. Key mechanisms include creating a US-Israel Health Care Collaboration Center, promoting joint manufacturing facilities for biological products, and standardizing data sharing for research. This focuses on concrete policy changes to enhance bilateral medical innovation and healthcare delivery.
Vern Buchanan (R) · 3 co-sponsors
in committee · Iowa · House Jan 23, 2025

HR 685: SAVE Moms and Babies Act of 2025

HR 685, the SAVE Moms and Babies Act of 2025, prohibits the FDA from approving new abortion drugs or allowing investigational use of existing ones. It restricts existing abortion drugs to in-person administration by certified healthcare providers in clinics or hospitals (not pharmacies), limits use to pregnancies under 70 days gestation, and requires providers to certify they can handle complications like severe bleeding or ectopic pregnancies. The bill mandates reporting of adverse events (such as hospitalizations or infections) to the FDA without patient identifiers and defines "abortion drug" broadly as any drug intended to terminate pregnancy, excluding specific medical exceptions. This directly affects FDA approval processes, healthcare providers prescribing these drugs, and drug manufacturers.
Robert E. Latta (R) · 78 co-sponsors
in committee · Iowa · House Jan 23, 2025

HR 703: Main Street Tax Certainty Act

HR 703, the Main Street Tax Certainty Act, makes a key tax deduction permanent for small business owners. It removes the temporary sunset provision (subsection (i)) from Section 199A of the tax code, ensuring the qualified business income deduction remains available for eligible small businesses. This change directly affects pass-through business owners (like S-corps, partnerships, and sole proprietorships) who currently qualify for this deduction. The permanent change takes effect for tax years starting after December 31, 2025.
Lloyd Smucker (R) · 192 co-sponsors
in committee · Iowa · House Jan 23, 2025

HR 682: Heartbeat Protection Act of 2025

HR 682, the Heartbeat Protection Act of 2025, prohibits physicians from performing abortions without first checking for a detectable fetal heartbeat according to standard medical practice and informing the patient of the results. It directly affects physicians and clinics performing abortions, requiring them to document heartbeat checks and comply with strict exceptions for life-threatening conditions, rape (with 48-hour documentation of counseling/treatment), or incest involving minors (with proof of prior report to authorities). Violations could result in fines or up to five years in prison, though the bill explicitly states it does not create or recognize a right to abortion. The law adds detailed documentation requirements for exceptions and mandates retention of medical records per federal health privacy rules.
Mike Kelly (R) · 42 co-sponsors
in committee · Iowa · House Jan 22, 2025

HJRES 27: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Trichloroethylene (TCE); Regulation Under the Toxic Substances Control Act (TSCA)".

HJRES 27 is a procedural resolution seeking to block an Environmental Protection Agency (EPA) rule regulating Trichloroethylene (TCE), a chemical used in industrial cleaning. It asks Congress to disapprove the EPA's final rule (published December 17, 2024, in Federal Register 89 Fed. Reg. 102568) under the Toxic Substances Control Act (TSCA), which would have restricted TCE use. If passed, this resolution would prevent the EPA rule from taking effect, directly affecting industries and facilities that use TCE. The bill does not create new rules but aims to halt an existing EPA regulation through congressional disapproval.
Diana Harshbarger (R) · 1 co-sponsor
in committee · Iowa · House Jan 22, 2025

HJRES 28: Proposing an amendment to the Constitution of the United States to require that the Supreme Court of the United States be composed of nine justices.

HJRES 28 proposes a constitutional amendment to permanently fix the number of justices on the U.S. Supreme Court at nine. This would require ratification by 38 state legislatures (three-fourths of states) within seven years to become part of the Constitution. The amendment directly affects the structure of the Supreme Court, which has had nine justices since 1869 but could otherwise be altered by future congressional action. It does not change current court operations or create new laws, but instead seeks to make the nine-justice composition a permanent constitutional requirement.
Dusty Johnson (R) · 108 co-sponsors
in committee · Iowa · House Jan 22, 2025

HRES 56: Memorializing the unborn by lowering the United States flag to half-staff on the 22d day of January each year.

HRES 56 is a non-binding resolution proposing to memorialize unborn children by encouraging the public to lower the U.S. flag to half-staff on January 22 each year. It cites the anniversary of Roe v. Wade's 1973 ruling and the 2022 overturning of that decision, referencing the claim that over 62 million unborn children have "perished" since 1973. The resolution specifically urges the public to observe this day as the "Day of Tears," encourages flag lowering to "mourn and honor" those affected, and promotes legislative efforts to "affirm the sanctity of life" regarding abortion. As a symbolic gesture, it does not create new law but seeks to influence public observance. The resolution was introduced by multiple House members and referred to the Oversight Committee.
Andrew S. Clyde (R) · 14 co-sponsors
in committee · Iowa · Senate Jan 22, 2025

S 178: Ensuring Accurate and Complete Abortion Data Reporting Act of 2025

This bill requires states receiving Medicaid funds for family planning services to submit standardized abortion data to the CDC annually. States must report specific details like maternal age, race, ethnicity, procedure type, gestational age, and whether a child survived the procedure. Data must be submitted by December 31 each year, and states providing false information could lose Medicaid funding for a year. The goal is to create consistent national abortion statistics, addressing current gaps where many states don’t report data reliably.
Joni Ernst (R) · 11 co-sponsors
in committee · Iowa · Senate Jan 22, 2025

S 186: No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2025

This bill prohibits federal funds from being used for abortions or health plans covering abortion. It amends the Affordable Care Act to block premium tax credits and cost-sharing reductions for health plans that include abortion coverage (except for rape/incest cases or life-threatening conditions), and requires clear disclosure of abortion coverage and related surcharges in plan materials. The law explicitly exempts abortions performed due to rape, incest, or to preserve a mother's life, and allows separate abortion coverage using non-federal funds. It applies to all federal health programs and ACA marketplace plans, effective for plan years beginning after 2025.
Roger F. Wicker (R) · 50 co-sponsors
in committee · Iowa · Senate Jan 22, 2025

S 187: ALIGN Act

S 187, the ALIGN Act, permanently allows businesses to immediately deduct the full cost of qualified property (like machinery or equipment) instead of depreciating it over time. This directly affects businesses that purchase qualifying property after September 27, 2017, by eliminating the previous requirement to spread deductions across multiple years. The key provision changes the tax code to set the "applicable percentage" for such property at 100% permanently. This simplifies tax treatment for eligible investments without altering other tax rules. The bill does not change tax rates or affect individual taxpayers.
James Lankford (R) · 13 co-sponsors
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