IowaHF 64491st General Assembly (2025–2026)HouseWALLET

A bill for an act relating to the delegation of custodial rights and duties with respect to a child. (Formerly HF 374.) Effective Date: Conditional, 07/01/2025.

Sponsored By: COMMITTEE ON HEALTH AND HUMAN SERVICES

Signed by Governor

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Faster care decisions for kids in state custody

When a court gives legal custody of a child to the Department of Human Services, the Department can consent to emergency care. It can also consent to routine medical care and to the child’s individualized education program (IEP). Routine care includes wellness visits, nonemergency exams and lab tests, and needed medicines like antibiotics, but not vaccinations. The Department may delegate these consent rights to a licensed caregiver. If Senate File 582, House File 757, or a successor is enacted by July 1, 2025, it may also delegate to an approved kinship caregiver. When it delegates medical consent, the Department must notify the caregiver and the child’s parents or guardians; for IEP consent, it must also notify the Department of Education. Beginning July 1, 2025, these rules apply only if one of those bills is enacted by that date; otherwise, a similar framework applies but delegation is limited to licensed caregivers.

Sponsors & Cosponsors

Sponsor

  • COMMITTEE ON HEALTH AND HUMAN SERVICES

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 257 • No: 68

House vote 4/24/2025

Passed House

Yes: 89 • No: 0

Senate vote 4/22/2025

Passed Senate

Yes: 46 • No: 0

legislature vote 3/13/2025

Amendment H-1068

Yes: 31 • No: 64

House vote 3/13/2025

Passed House

Yes: 91 • No: 4

Actions Timeline

  1. Signed by Governor.

    6/11/2025Governor
  2. Reported correctly enrolled, signed by Speaker and President, and sent to Governor.

    5/19/2025Senate
  3. Message from House.

    4/28/2025House
  4. Immediate message.

    4/24/2025legislature
  5. Passed House, yeas 89, nays 0.

    4/24/2025House
  6. House concurred in Senate amendment H-1269.

    4/24/2025Senate
  7. Senate amendment H-1269 filed.

    4/22/2025Senate
  8. Message from Senate.

    4/22/2025Senate
  9. Immediate message.

    4/22/2025legislature
  10. Passed Senate, yeas 46, nays 0.

    4/22/2025Senate
  11. Amendment S-3058 adopted.

    4/22/2025legislature
  12. Amendment S-3037 withdrawn.

    4/22/2025legislature
  13. Substituted for SF 554.

    4/22/2025legislature
  14. Placed on calendar under unfinished business.

    4/3/2025legislature
  15. Amendment S-3058 filed.

    3/26/2025legislature
  16. Amendment S-3037 filed.

    3/20/2025legislature
  17. Read first time, attached to SF 554.

    3/17/2025legislature
  18. Message from House.

    3/17/2025House
  19. Explanations of votes.

    3/17/2025legislature
  20. Immediate message.

    3/13/2025legislature
  21. Passed House, yeas 91, nays 4.

    3/13/2025House
  22. Amendment H-1068, yeas 31, nays 64, lost.

    3/13/2025legislature
  23. Amendment H-1068 filed.

    3/12/2025legislature
  24. Introduced, placed on calendar.

    2/28/2025legislature

Bill Text

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