All Roll Calls
Yes: 183 • No: 0
IowaSF 23391st General Assembly (2025–2026)SenateWALLET
A bill for an act relating to the right to try Act. (Formerly SF 56.) Effective date: 07/01/2025.
Sponsored By: COMMITTEE ON HEALTH AND HUMAN SERVICES
Signed by Governor
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 1 benefits, 0 costs, 3 mixed.
Who can access investigational treatments
Beginning July 1, 2025, very sick patients can seek investigational or custom gene‑based treatments under two paths. Path A: a doctor attests you have a terminal illness, you tried or rejected all approved options, and you sign written consent. Path B: a doctor attests you have a life‑threatening or severely disabling illness, approved options are exhausted, and the doctor recommends a gene‑based treatment based on your genomic testing. Covered products have finished Phase 1 FDA trials, and custom products are made only for you. Care must be delivered by an eligible research facility that follows federal human‑subject protections.
Who pays for investigational care
Beginning July 1, 2025, makers and eligible facilities do not have to offer these treatments. If they do, they can give them free or charge you for the product or its manufacture. Health plans, third‑party administrators, and government are not required to cover these treatments or related services, and hospitals do not have to add new services. If a patient dies while getting the treatment, the patient’s heirs are not responsible for unpaid treatment debt unless another law requires it.
Clear consent before trying treatments
Beginning July 1, 2025, you and your doctor must sign a detailed consent before you try an investigational treatment. It must name the treatment, explain likely, best, and worst outcomes, and note it could hasten death. It must say insurers or government may not pay and how hospice could be affected. It must state you may owe related costs and that heirs are generally not liable unless another law or contract says so.
Access protections and limited lawsuits
Beginning July 1, 2025, state officials cannot block an eligible patient’s access to an investigational or individualized treatment. Doctors are protected from license or Medicare certification actions taken solely because they recommended such access, as allowed by state and federal law. The law does not create a private right to sue manufacturers or facilities that act in good faith and use reasonable care.
Sponsors & Cosponsors
Sponsor
COMMITTEE ON HEALTH AND HUMAN SERVICES
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 4/22/2025
Passed Senate
Yes: 46 • No: 0
House vote • 3/20/2025
Passed House
Yes: 89 • No: 0
Senate vote • 3/18/2025
Passed Senate
Yes: 48 • No: 0
Actions Timeline
Signed by Governor.
5/19/2025GovernorReported correctly enrolled, signed by President and Speaker, and sent to Governor.
5/19/2025SenateMessage from Senate.
4/22/2025SenateImmediate message.
4/22/2025legislaturePassed Senate, yeas 46, nays 0.
4/22/2025SenateSenate concurred with S-3038.
4/22/2025SenateExplanations of votes.
3/25/2025legislatureExplanation of vote.
3/25/2025legislatureMessage from House, with amendment S-3038.
3/24/2025HouseImmediate message.
3/20/2025legislaturePassed House, yeas 89, nays 0.
3/20/2025HouseAmendment H-1132 adopted.
3/20/2025legislatureSubstituted for HF 802.
3/20/2025legislatureAmendment H-1132 filed.
3/19/2025legislaturePlaced on calendar under unfinished business.
3/18/2025legislatureRead first time, passed on file.
3/18/2025legislatureMessage from Senate.
3/18/2025SenateImmediate message.
3/18/2025legislaturePassed Senate, yeas 48, nays 0.
3/18/2025SenateCommittee report, approving bill.
2/10/2025legislatureIntroduced, placed on calendar.
2/10/2025legislature
Bill Text
As Introduced
Enrolled
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