All Roll Calls
Yes: 132 • No: 0
IowaHF 268091st General Assembly (2025–2026)HouseWALLET
A bill for an act relating to certified medication aides. (Formerly HSB 729.) Effective date: 07/01/2026.
Sponsored By: COMMITTEE ON HEALTH AND HUMAN SERVICES
Signed by Governor
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 3 benefits, 0 costs, 0 mixed.
Easier Iowa certification for out-of-state medication aides
Beginning July 1, 2026, Iowa sets a clear path for medication aides certified in another state to get Iowa certification through department‑approved challenge exams. The law removes extra Iowa‑only steps, like needing prior Iowa employment. If you show written proof of your out‑of‑state certification, rules cannot add a separate nurse aide exam as a prerequisite. This makes it faster to qualify to work in Iowa facilities.
More testing sites and free exam proof
Starting July 1, 2026, more approved programs can give the medication aide challenge exam, not just area community colleges. If a written statement is needed to take the challenge exam instead of a course, approved programs beyond community colleges must accept it. The state also creates a free online registry where exam providers submit proof you passed, and no one pays a fee to submit or view it.
Old medication aide rules removed July 2026
On July 1, 2026, the state rescinds eleven listed administrative rules on medication aide training and qualifications. The code editor removes that language from the Iowa Administrative Code as soon as possible after that date. This clears older or conflicting text so the new certification rules can apply.
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Sponsors & Cosponsors
Sponsor
COMMITTEE ON HEALTH AND HUMAN SERVICES
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 4/1/2026
Passed Senate
Yes: 46 • No: 0
House vote • 3/5/2026
Passed House
Yes: 86 • No: 0
Actions Timeline
Signed by Governor.
4/16/2026GovernorReported correctly enrolled, signed by Speaker and President, and sent to Governor.
4/16/2026SenateMessage from Senate.
4/1/2026SenateImmediate message.
4/1/2026legislaturePassed Senate, yeas 46, nays 0.
4/1/2026SenateSubstituted for SF 2366.
4/1/2026legislaturePlaced on calendar under unfinished business.
3/19/2026legislatureRead first time, attached to SF 2366.
3/9/2026legislatureMessage from House.
3/9/2026HouseImmediate message.
3/5/2026legislaturePassed House, yeas 86, nays 0.
3/5/2026HouseIntroduced, placed on calendar.
2/23/2026legislature
Bill Text
As Introduced
Enrolled
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