# Iowa HF 2676: 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. Iowa HF 2676, 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., is a 91st General Assembly (2025–2026) House bill sponsored by COMMITTEE ON HEALTH AND HUMAN SERVICES; status signed, last action 2026-05-22 (Fiscal note.); PRIA reads it as touching household money (as of 2026-10-18). - Canonical: https://policyrisk.com/state-bill/IA-HF2676-2025-2026 - As of: 2026-10-18 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Iowa HF 2676 - State: Iowa - Session: 91st General Assembly (2025–2026) - Title: 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. - Status: signed - Chamber: House - Introduced: 2026-02-23 - Last action: 2026-05-22, Fiscal note. - Sponsor: COMMITTEE ON HEALTH AND HUMAN SERVICES - Cosponsors: 0 - Touches household money: yes - Roll calls: 6 (246 yes, 218 no in all) - Economic provisions PRIA read: 9 ## Summary No summary available. ## Bill overview: provisions PRIA read - Broader emergency allergy treatment at schools: benefit, low. 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 th… - Iowa pharmacies can offer prescription-free ivermectin: benefit, low. 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: benefit, low. 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… - School credit for student legislative pages: benefit, low. 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 ph… - Fewer dyes and additives in school food: benefit, low. 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… - Less screen instruction for elementary students: benefit, low. 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 dedi… - More nutrition training for medical professionals: cost, low. 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, cardi… - New food rules for SNAP families: mixed, low. 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 foo… - More activity and fitness testing for students: mixed, low. 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 ac… ## Sponsors and cosponsors - Sponsor: COMMITTEE ON HEALTH AND HUMAN SERVICES ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-04-27 | Senate | Passed Senate | pass | 30 | 16 | | | 2026-04-20 | legislature | Motion to suspend rules for immediate consideration of amendment H-8386 to amendment H-8335 | fail | 31 | 60 | | | 2026-04-20 | House | Passed House | pass | 61 | 31 | | | 2026-04-08 | Senate | Passed Senate | pass | 30 | 15 | | | 2026-03-03 | House | Passed House | pass | 65 | 30 | | | 2026-03-03 | legislature | Motion to suspend rules for immediate consideration of amendment H-8089 | fail | 29 | 66 | | ## Actions (48) - 2026-05-22: Fiscal note. (legislature) - 2026-05-20: Signed by Governor. (House) - 2026-05-11: Reported correctly enrolled, signed by Speaker and President, and sent to Governor. (House) - 2026-04-27: Message from Senate. (House) - 2026-04-27: Immediate message. (Senate) - 2026-04-27: Passed Senate, yeas 30, nays 16. (Senate) - 2026-04-27: Senate concurred with S-5202. (Senate) - 2026-04-21: Fiscal note. (legislature) - 2026-04-21: Message from House, with amendment S-5202. (Senate) - 2026-04-20: Immediate message. (House) - 2026-04-20: Passed House, yeas 61, nays 31. (House) - 2026-04-20: House concurred in Senate amendment H-8335, as amended. (House) - 2026-04-20: Amendment H-8380 to amendment H-8335 filed, adopted. (House) - 2026-04-20: Motion to suspend rules failed. (House) - 2026-04-20: Motion to suspend rules for immediate consideration of amendment H-8386 to amendment H-8335, yeas 31, nays 60. (House) - 2026-04-20: Point of order raised on amend H-8386 to amendment H-8335, ruled not germane. (House) - 2026-04-20: Amendment H-8386 filed. (House) - 2026-04-15: Fiscal note. (legislature) - 2026-04-08: Senate amendment H-8335 filed. (House) - 2026-04-08: Message from Senate. (House) - 2026-04-08: Immediate message. (Senate) - 2026-04-08: Passed Senate, yeas 30, nays 15. (Senate) - 2026-04-08: Amendment S-5173 filed, adopted. (Senate) - 2026-04-08: Substituted for SF 2367. (Senate) - 2026-03-19: Fiscal note. (legislature) - 2026-03-19: Placed on calendar under unfinished business. (Senate) - 2026-03-04: Read first time, attached to SF 2367. (Senate) - 2026-03-04: Message from House. (Senate) - 2026-03-03: Immediate message. (House) - 2026-03-03: Passed House, yeas 65, nays 30. (House) - 2026-03-03: Amendment H-8071 adopted, as amended. (House) - 2026-03-03: Amendment H-8134 to amendment H-8071 filed, adopted. (House) - 2026-03-03: Motion to suspend rules failed. (House) - 2026-03-03: Motion to suspend rules for immediate consideration of amendment H-8089, yeas 29, nays 66. (House) - 2026-03-03: Point of order raised on amendment H-8089, ruled not germane. (House) - 2026-03-03: Motion to suspend rules failed. (House) - 2026-03-03: Motion to suspend rules for immediate consideration of amendment H-8082, yeas 30, nays 65. (House) - 2026-03-03: Point of order raised on amendment H-8082, ruled not germane. (House) - 2026-03-03: Amendment H-8070, yeas 93, nays 2, adopted. (House) - 2026-03-03: Amendment H-8069, yeas 67, nays 28, adopted. (House) - 2026-03-03: Amendment H-8068 withdrawn. (House) - 2026-03-03: Amendment H-8083, yeas 35, nays 60, lost. (House) - 2026-03-03: Amendment H-8084 out of order. (House) - 2026-03-03: Amendments H-8063 and H-8090 adopted. (House) - 2026-03-02: Fiscal note. (legislature) - 2026-03-02: Amendments H-8082, H-8083, H-8084, H-8089, and H-8090 filed. (House) - 2026-03-02: Amendments H-8063, H-8068, H-8069, H-8070, and H-8071 filed. (House) - 2026-02-23: Introduced, placed on calendar. (House) ## Bill text - As Introduced: [PDF](https://www.legis.iowa.gov/docs/publications/LGI/91/HF2676.pdf) - Enrolled: [PDF](https://www.legis.iowa.gov/docs/publications/LGE/91/HF2676.pdf) ## Related bills - HF 2801: A bill for an act modifying the major economic growth attraction program, and including effective date provisions. (Formerly HSB 785.) Effective date: 10/02/20… (signed) - SF 2472: A bill for an act relating to state and local government taxes, fees, financial authority, and budgets, by modifying property assessment provisions, divisions… (signed) - HF 2601: A bill for an act relating to campaign finance, including participation in ballot issue campaigns by foreign nationals and investigations of election misconduc… (signed) - SF 2399: A bill for an act relating to bail and bond amounts and conditions. (Formerly SSB 3162.) Effective date: 07/01/2026. (signed) - SF 2471: A bill for an act relating to fees for lifetime fur harvester licenses. (Formerly SF 2317, SSB 3121.) Effective date: 07/01/2026. (signed) - SF 2299: A bill for an act relating to the district-to-community college sharing or concurrent enrollment program. (Formerly SF 2176.) Vetoed 6-2-26. (vetoed) ## Sources - [As Introduced (PDF)](https://www.legis.iowa.gov/docs/publications/LGI/91/HF2676.pdf) - [Enrolled (PDF)](https://www.legis.iowa.gov/docs/publications/LGE/91/HF2676.pdf) ## Related - [HF 2801: A bill for an act modifying the major economic growth attraction program, and i…](https://policyrisk.com/state-bill/IA-HF2801-2025-2026) - [SF 2472: A bill for an act relating to state and local government taxes, fees, financial…](https://policyrisk.com/state-bill/IA-SF2472-2025-2026) - [HF 2601: A bill for an act relating to campaign finance, including participation in ball…](https://policyrisk.com/state-bill/IA-HF2601-2025-2026) - [SF 2399: A bill for an act relating to bail and bond amounts and conditions. (Formerly S…](https://policyrisk.com/state-bill/IA-SF2399-2025-2026) - [SF 2471: A bill for an act relating to fees for lifetime fur harvester licenses. (Former…](https://policyrisk.com/state-bill/IA-SF2471-2025-2026) - [SF 2299: A bill for an act relating to the district-to-community college sharing or conc…](https://policyrisk.com/state-bill/IA-SF2299-2025-2026) - [Iowa bills](https://policyrisk.com/states/iowa/bills) - [Iowa state hub](https://policyrisk.com/states/iowa) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/IA-HF2676-2025-2026 (as of 2026-10-18).