All Roll Calls
Yes: 88 • No: 40
IowaHF 278891st General Assembly (2025–2026)House
A bill for an act relating to abortions including definitions, informed consent, dispensing of abortion-inducing drugs, and other abortion-related provisions. (Formerly HF 2563, HSB 704.) Effective date: 07/01/2026.
Sponsored By: COMMITTEE ON APPROPRIATIONS
Signed by Governor
appropriations
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 1 benefits, 1 costs, 2 mixed.
Patients gain claims against unlawful dispensing
Beginning July 1, 2026, a woman who receives or attempts a medication abortion, or her personal representative, can sue for unlawful dispensing. Claims cover damages caused by the drug, and winning plaintiffs receive court costs and reasonable attorney fees. Dispensers subject to physician or pharmacy license discipline are immune from this civil liability. Court filings must hide the woman's identifying details unless a court orders otherwise; courts can add privacy protections. These provisions create no civil or criminal liability for the woman undergoing the abortion.
New abortion exams and patient protections
Beginning July 1, 2026, physicians must examine patients in person before abortions or dispensing abortion drugs. They must screen for coercion or abuse and refer patients for care when needed. Before prescribing or dispensing abortion drugs, physicians must get signed FDA patient forms and written confirmation of required risk information. Patients must receive information about pregnancy-stage and drug risks, possible trauma, recommended follow-up in 7–14 days, and emergency surgery access. The drug-consent requirements have a medical-emergency exception; these provisions create no civil or criminal liability for patients. Physicians face license discipline for violations, and the Board of Medicine must issue rules.
Patients face abortion drug pickup limits
Beginning July 1, 2026, authorized dispensers must give abortion drugs directly to the patient prescribed them in a health care setting. These settings include pharmacies, clinics, medical offices, and hospitals. The restrictions do not apply when dispensing responds to a medical emergency. License holders who violate the dispensing rules may face professional discipline.
Pregnancy loss exclusions and reporting rules
Beginning July 1, 2026, Iowa's revised abortion definitions exclude miscarriage care, removal of remaining tissue after incomplete or inevitable pregnancy loss, and ectopic pregnancy treatment. Abortion reports must state whether mifepristone or misoprostol was used. Miscarriage reporting must account for either drug taken within the prior 14 calendar days. Losses at 20 weeks or later require fetal-death reporting. The law also repeals Iowa Code chapter 146C, the earlier abortion-regulation framework.
Sponsors & Cosponsors
Sponsor
COMMITTEE ON APPROPRIATIONS
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 5/3/2026
Passed Senate
Yes: 30 • No: 11
House vote • 5/1/2026
Passed House
Yes: 58 • No: 29
Actions Timeline
Signed by Governor.
5/19/2026HouseReported correctly enrolled, signed by Speaker and President, and sent to Governor.
5/18/2026HouseMessage from Senate.
5/3/2026HouseImmediate message.
5/3/2026SenatePassed Senate, yeas 30, nays 11.
5/3/2026SenateCommittee report, recommending passage.
5/3/2026SenateSubcommittee: Costello, Blake, et al.
5/2/2026SenateRead first time, referred to Appropriations.
5/2/2026SenateMessage from House.
5/2/2026SenateImmediate message.
5/1/2026HouseExplanation of vote.
5/1/2026HousePassed House, yeas 58, nays 29.
5/1/2026HouseAmendment H-8432 adopted, as amended.
5/1/2026HouseAmendment H-8433 to amendment H-8432 adopted.
5/1/2026HouseAmendments H-8432 and H-8433 filed.
4/29/2026HouseIntroduced, placed on Appropriations calendar.
4/29/2026House
Bill Text
As Introduced
Enrolled
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