All Roll Calls
Yes: 162 • No: 69
IowaHF 51691st General Assembly (2025–2026)HouseWALLET
A bill for an act relating to medical residency and fellowship positions, including priority for admission to the university of Iowa’s colleges of medicine and dentistry, and hospitals and clinics. (Formerly HF 137.) Effective date: 07/01/2025.
Sponsored By: COMMITTEE ON HEALTH AND HUMAN SERVICES
Signed by Governor
health and human services
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 1 benefits, 0 costs, 2 mixed.
More Iowa seats in medicine and dentistry
Beginning July 1, 2025, the University of Iowa must ensure at least 80% of accepted students in the MD and Dentistry programs are Iowa residents or previously enrolled at an eligible Iowa college. The university must give Iowa residents admission priority. You count as an Iowa resident if you graduated from an Iowa high school or lived in Iowa for four straight years right before you apply. Applications to these programs and to UI Hospitals residencies must include a short attestation about Iowa ties, rural experience, or interest in training or practicing in Iowa.
Residency priority and interviews for Iowa applicants
Beginning July 1, 2025, UI Hospitals and Clinics must give priority for federally funded residency and fellowship slots to applicants who are Iowa residents, earned an Iowa undergraduate degree, or earned an Iowa medical degree. The hospital must offer interviews for open residencies in OB‑GYN, psychiatry, general surgery, emergency medicine, neurology, and primary care, and for cardiology fellowships, to applicants with those Iowa ties. Awardees of primary care residencies or fellowships, including psychiatry, must be offered a rural rotation in Iowa.
Yearly reports on admissions, interviews, outcomes
Starting July 1, 2025, the University of Iowa and its hospitals must send yearly reports to lawmakers. One report lists, for the prior calendar year, how many Iowa‑resident applicants were accepted and denied for the MD program, Dentistry, and residencies, with brief denial reasons. Another report shows where graduates live one year after finishing and separates Iowa residents at application from nonresidents. It also shows where residents live after training, whether they took fellowships, and the specialty and Iowa ties. By January 15 each year, the hospitals must also report for each interview: the applicant’s medical school, whether an interview was offered and attended, whether the applicant was accepted, and how many positions went to Iowa‑affiliated applicants. Personal information stays confidential under FERPA and Iowa student‑records law.
Sponsors & Cosponsors
Sponsor
COMMITTEE ON HEALTH AND HUMAN SERVICES
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 4/22/2025
Passed House
Yes: 61 • No: 30
Senate vote • 4/14/2025
Passed Senate
Yes: 34 • No: 11
House vote • 3/12/2025
Passed House
Yes: 67 • No: 28
Actions Timeline
Fiscal note.
6/11/2025legislatureSigned by Governor.
6/11/2025GovernorReported correctly enrolled, signed by Speaker and President, and sent to Governor.
5/19/2025SenateMessage from House.
4/23/2025HouseImmediate message.
4/22/2025legislaturePassed House, yeas 61, nays 30.
4/22/2025HouseHouse concurred in Senate amendment H-1227.
4/22/2025SenateSenate amendment H-1227 filed.
4/15/2025SenateMessage from Senate.
4/15/2025SenateImmediate message.
4/14/2025legislaturePassed Senate, yeas 34, nays 11.
4/14/2025SenateAmendment S-3069 adopted, as amended.
4/14/2025legislatureAmendment S-3097 to S-3069 filed, adopted.
4/14/2025legislatureAmendment S-3100 filed, lost.
4/14/2025legislatureDeferred.
4/14/2025legislaturePlaced on calendar under unfinished business.
4/10/2025legislaturePlaced on calendar.
4/7/2025legislatureAmendment S-3069 filed.
4/7/2025legislatureCommittee report, recommending amendment and passage.
4/7/2025legislatureFiscal note.
4/3/2025legislatureSubcommittee recommends amendment and passage.
3/25/2025legislatureSubcommittee Meeting: 03/25/2025 4:00PM Senate Lounge.
3/24/2025SenateSubcommittee: Klimesh, Rowley, and Trone Garriott.
3/19/2025legislatureExplanation of vote.
3/19/2025legislatureRead first time, referred to Health and Human Services.
3/13/2025legislature
Bill Text
As Introduced
Enrolled
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