All Roll Calls
Yes: 246 • No: 218
IowaHF 267691st General Assembly (2025–2026)HouseWALLET
A bill for an act relating to health-related matters, including health-related professions, nutrition, medication, and education, and including effective date and applicability provisions. (Formerly HSB 694.) Effective Date: Conditional, 07/01/2026. Applicability date: 07/01/2027.
Sponsored By: COMMITTEE ON HEALTH AND HUMAN SERVICES
Signed by Governor
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Bill Overview
Analyzed Economic Effects
9 provisions identified: 6 benefits, 1 costs, 2 mixed.
Broader emergency allergy treatment at schools
Beginning July 1, 2026, Iowa school medication rules cover epinephrine delivery systems, not just auto-injectors. Schools may stock these systems, and trained, authorized staff may provide or administer them for suspected severe allergic reactions. Staff must reasonably and in good faith believe the person is having an anaphylactic reaction. The broader wording also applies to prescribing, student self-carry, and related liability protections.
Iowa pharmacies can offer prescription-free ivermectin
Beginning July 1, 2026, Iowa pharmacists and pharmacies may distribute ivermectin for human use without a prescription. Distribution under this law is protected from professional discipline and civil or criminal penalties. The law does not set a price or change insurance coverage rules.
More psychology care across state lines
Beginning July 1, 2027, Iowa participates in the interstate psychology compact, which takes effect after seven states enact it. Qualifying psychologists licensed in member states can provide remote care across participating states with an active E.Passport. Temporary in-person practice requires an active interjurisdictional practice certificate and is limited to 30 days per calendar year. Psychologists must meet compact qualifications and state rules; their home states must meet complaint, reporting, background-check, and compliance requirements.
School credit for student legislative pages
Beginning July 1, 2027, Iowa districts and accredited nonpublic schools must adopt credit policies for student legislative pages. Students who complete a full regular General Assembly session receive one-half unit of social studies credit. While participating, students are excused from specified physical education and activity requirements. They must still meet other applicable graduation requirements.
Fewer dyes and additives in school food
For school years beginning on or after July 1, 2027, covered Iowa schools must exclude specified ingredients from meals. The list includes blue dyes 1 and 2, green dye 3, red dye 40, yellow dyes 5 and 6, potassium bromate, and propylparaben. Staff and vendors cannot provide students food or drinks containing them during the school day. Campus sales are allowed outside the school day, and direct USDA Foods in Schools deliveries are exempt from the meal ban. Charter and innovation zone schools are covered when providing the specified breakfast or lunch programs.
Less screen instruction for elementary students
Beginning July 1, 2026, districts, charter schools, and innovation zone schools must cap K–5 digital instruction at 60 minutes daily. Exceptions cover IEP or Section 504 needs, assistive technology, teacher demonstrations without individual device use, specified assessments and monitoring, and dedicated computer science or technology classes. Students in the specified state-authorized online learning program are exempt. Districts must publish technology policies, ban devices during recess, support foundational learning, and notify parents they can request less screen time. Before adopting or renewing one-to-one device programs, districts must keep a checklist covering learning goals, age suitability, filtering, and student data practices.
More nutrition training for medical professionals
Beginning July 1, 2026, covered Iowa physicians and physician assistants need at least one hour of nutrition and metabolic-health training every four years for license renewal. Covered specialties are family medicine, internal medicine, pediatrics, psychiatry, endocrinology, gastroenterology, cardiology, oncology, rheumatology, and neurology. They also include nephrology, dermatology, pulmonology, surgery, immunology, hematology, obstetrics, and gynecology. Students graduating from Iowa medical or osteopathic medical schools on or after July 1, 2028, must complete at least 40 hours of nutrition and metabolic-health coursework.
New food rules for SNAP families
Beginning July 1, 2026, Iowa must maintain a SNAP healthy-food waiver once the federal government approves it. The state director or designee defines eligible healthy foods. SNAP benefits must continue without interruption when federal funding is available, regardless of federal approval of the food limits. Iowa may also join Summer EBT for children, but participation is optional and depends on federal approval and funding. Its approved foods must match those allowed under the SNAP waiver.
More activity and fitness testing for students
Beginning July 1, 2026, Iowa districts and accredited nonpublic schools must require daily activity for physically able elementary students. Kindergarten through grade four students need at least 40 minutes per school day; fifth graders need at least 30 minutes. Physical education must emphasize activities useful outside school and after graduation. Once final federal guidance is issued, schools must assess physically able students using the presidential physical fitness test.
Sponsors & Cosponsors
Sponsor
COMMITTEE ON HEALTH AND HUMAN SERVICES
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 4/27/2026
Passed Senate
Yes: 30 • No: 16
legislature vote • 4/20/2026
Motion to suspend rules for immediate consideration of amendment H-8386 to amendment H-8335
Yes: 31 • No: 60
House vote • 4/20/2026
Passed House
Yes: 61 • No: 31
Senate vote • 4/8/2026
Passed Senate
Yes: 30 • No: 15
House vote • 3/3/2026
Passed House
Yes: 65 • No: 30
legislature vote • 3/3/2026
Motion to suspend rules for immediate consideration of amendment H-8089
Yes: 29 • No: 66
Actions Timeline
Fiscal note.
5/22/2026legislatureSigned by Governor.
5/20/2026HouseReported correctly enrolled, signed by Speaker and President, and sent to Governor.
5/11/2026HouseMessage from Senate.
4/27/2026HouseImmediate message.
4/27/2026SenatePassed Senate, yeas 30, nays 16.
4/27/2026SenateSenate concurred with S-5202.
4/27/2026SenateFiscal note.
4/21/2026legislatureMessage from House, with amendment S-5202.
4/21/2026SenateImmediate message.
4/20/2026HousePassed House, yeas 61, nays 31.
4/20/2026HouseHouse concurred in Senate amendment H-8335, as amended.
4/20/2026HouseAmendment H-8380 to amendment H-8335 filed, adopted.
4/20/2026HouseMotion to suspend rules failed.
4/20/2026HouseMotion to suspend rules for immediate consideration of amendment H-8386 to amendment H-8335, yeas 31, nays 60.
4/20/2026HousePoint of order raised on amend H-8386 to amendment H-8335, ruled not germane.
4/20/2026HouseAmendment H-8386 filed.
4/20/2026HouseFiscal note.
4/15/2026legislatureSenate amendment H-8335 filed.
4/8/2026HouseMessage from Senate.
4/8/2026HouseImmediate message.
4/8/2026SenatePassed Senate, yeas 30, nays 15.
4/8/2026SenateAmendment S-5173 filed, adopted.
4/8/2026SenateSubstituted for SF 2367.
4/8/2026SenateFiscal note.
3/19/2026legislature
Bill Text
As Introduced
Enrolled
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