HF 676 requires Iowa employers to provide reasonable accommodations to employees with pregnancy- or childbirth-related medical conditions upon the employee's request, supported by their healthcare provider's advice. It defines "reasonable accommodations" to include accessible workspaces, modified equipment, job restructuring, or adjusted schedules, but explicitly states these actions must not impose an undue hardship on the employer. The bill applies directly to employees experiencing pregnancy-related medical conditions and their employers in Iowa. Failure to provide these accommodations would trigger penalties under existing discrimination laws. The bill does not mandate specific accommodations but sets clear parameters for what qualifies as reasonable.
SF 438 establishes a state-funded 988 emergency service fund to support suicide and crisis lifeline services in Iowa. It allocates $3 million annually from the state general fund starting in fiscal year 2025-2026 to the fund, controlled by the Department of Health and Human Services. The fund will provide financial support to organizations operating the 988 service if federal funding for these services is interrupted, delayed, or reduced. This directly affects crisis hotline providers who rely on the 988 system (accessible by dialing 9-8-8 or texting) to maintain uninterrupted emergency mental health support.
HF 372 establishes a state grant program under Iowa's Department of Justice to fund nonprofit organizations operating sexual assault forensic examination centers. Eligible nonprofits must be state-incorporated, employ sexual assault nurse examiners, maintain survivor-focused facilities, and prioritize sexual assault care as their main mission. The program requires grantees to provide medical forensic services to all survivors - including adults, children, people with disabilities, and rural Iowans - and offer trainings for medical staff, law enforcement, and the public on sexual assault services and prevention. Grantees must submit annual reports and may seek additional funding while receiving state reimbursement for operating costs, though they are not classified as state agencies.
HF 612 regulates kratom sales in Iowa by requiring sellers (processors, retailers, and food service establishments) to register annually with the Department of Health and Human Services. It mandates lab testing for safety, limits 7-hydroxymitragynine content to under 2%, bans child-attractive packaging, and prohibits dangerous additives like synthetic drugs. All kratom products must carry specific labels warning against use by those under 21, pregnant/breastfeeding individuals, and including FDA disclaimers. The bill also requires clear labeling of ingredients, serving sizes, and safety instructions for consumers.
HF 737 creates a competitive grant program within Iowa's Department of Education to help schools develop cardiac emergency response plans. The bill requires participating schools to establish response teams, place automated external defibrillators (AEDs) within three minutes of cardiac emergencies, maintain AEDs, provide staff training in CPR and AED use, conduct annual drills, and share plan details with emergency services. It directly affects all Iowa public school districts, accredited nonpublic schools, and charter schools, applying to emergencies during school hours, physical education, and athletic activities starting in 2026. Grants cover costs for implementing these specific protocols but must supplement, not replace, existing school funding for similar purposes.
This bill requires employers with 15 or more employees to continue health insurance coverage for workers injured on the job (with valid workers' compensation claims) for at least six months after they leave employment, if the employer provided coverage at the time of injury. Employers failing to comply must reimburse employees for uncovered medical costs related to the injury. The bill also clarifies definitions of "independent contractor" in Iowa law (amending Sections 85.61 and 91A.2), specifying criteria like worker independence from employer control and excluding such workers from "employee" definitions for benefits purposes. These provisions apply to injuries occurring on or after the bill's effective date.
HF 139 modifies procedures for involuntary commitment cases involving substance use disorders or mental health treatment. It allows any interested person to file a verified application in any county, requiring courts to transfer cases to the respondent's current county if filed elsewhere. The bill explicitly authorizes law enforcement officers to take respondents into custody in any county for placement at a treatment facility under court orders. It also requires facilities to report on treatment progress to courts within 15 days and mandates law enforcement to locate and return individuals who leave treatment without authorization. These changes aim to streamline custody and treatment processes while clarifying jurisdiction and enforcement authority.
HF 874 requires dental insurance companies (dental carriers) to honor prior authorizations for covered dental services, meaning they must reimburse providers at the agreed rate if services were pre-approved. It mandates that dental carriers notify providers when a patient’s plan is state-regulated (via online portal and ID cards starting July 2025). The bill also sets strict rules for recovering overpayments: carriers must provide written notice of errors within 365 days and allow providers a 90-day appeal period. These provisions directly affect dental providers, insurance companies, and patients covered under state-regulated dental plans.
HF 637 establishes rules for dental carriers to recover overpayments made to dental providers. It requires carriers to provide written notice of overpayments within 365 days of payment, including details of the error, and to create clear appeal processes allowing providers 90 days to dispute recovery attempts. Carriers may recover overpayments by withholding or reducing future payments, but must give providers written notice within 28 days of the action, detailing the original overpayment and affected payment. The bill prohibits carriers from bypassing these rules through contracts, ensuring providers have formal processes to challenge disputed overpayments.
HF 1016 provides for the continuation of health insurance coverage for the surviving spouse and each surviving child of eligible employees of the state of Iowa. An "eligible employee" is defined as a state employee whose death was the direct result of a traumatic personal injury incurred while performing work duties, under specific conditions. The state must permit these survivors to continue or re-enroll in existing health insurance. While the state is not required to pay the cost, it may choose to cover all or part of the expenses, otherwise, the surviving family can elect to pay the remaining portion. This bill applies retroactively to January 1, 2024.
