All Roll Calls
Yes: 165 • No: 63
IowaSF 57291st General Assembly (2025–2026)SenateWALLET
A bill for an act prohibiting the licensure of certain entities of the People’s Republic of China, the Russian Federation, and the Democratic People’s Republic of Korea to establish, conduct, or maintain a hospital or health care facility. (Formerly SSB 1186.) Effective date: 07/01/2026.
Sponsored By: COMMITTEE ON COMMERCE
Signed by Governor
commerce
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 2 benefits, 0 costs, 1 mixed.
Licenses required to run hospitals and facilities
Hospitals, rural emergency hospitals, and health care facilities must have a state license to open or operate. The department enforces these rules. This applies statewide beginning 07/01/2026.
No hospital or facility licenses for China, Russia, North Korea
Beginning 07/01/2026, the department does not issue or renew licenses for hospitals, rural emergency hospitals, or health care facilities to entities tied to China, Russia, or North Korea. The ban covers government instrumentalities, citizens of those countries, and businesses mostly owned by them. It applies to new licenses and renewals.
Supported living: no license, funding approval
Supported community living services no longer need a license under chapter 135C. To get public funding, they must be approved under section 225C.21. This change starts 07/01/2026.
Sponsors & Cosponsors
Sponsor
COMMITTEE ON COMMERCE
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 3/23/2026
Passed House
Yes: 90 • No: 0
legislature vote • 3/23/2026
Motion to suspend rules for immediate consideration of amendment H-8249
Yes: 28 • No: 62
Senate vote • 3/25/2025
Passed Senate
Yes: 47 • No: 1
Actions Timeline
Signed by Governor.
4/9/2026GovernorReported correctly enrolled, signed by President and Speaker, and sent to Governor.
4/9/2026SenateExplanation of vote.
3/31/2026legislatureExplanation of vote.
3/31/2026legislatureExplanation of vote.
3/31/2026legislatureExplanation of vote.
3/30/2026legislatureExplanation of vote.
3/30/2026legislatureExplanation of vote.
3/30/2026legislatureExplanation of vote.
3/24/2026legislatureExplanation of vote.
3/24/2026legislatureExplanation of vote.
3/24/2026legislatureMessage from House.
3/23/2026HouseImmediate message.
3/23/2026legislaturePassed House, yeas 90, nays 0.
3/23/2026HouseMotion to suspend rules failed.
3/23/2026legislatureMotion to suspend rules for immediate consideration of amendment H-8249, yeas 28, nays 62.
3/23/2026legislaturePoint of order raised on amendment H-8249, ruled not germane.
3/23/2026legislatureMotion to suspend rules failed.
3/23/2026legislatureMotion to suspend rules for immediate consideration of amendment H-8251, yeas 28, nays 62.
3/23/2026legislaturePoint of order raised on amendment H-8251, ruled not germane.
3/23/2026legislatureAmendments H-8249 and H-8251 filed.
3/20/2026legislaturePlaced on calendar.
2/6/2026legislatureCommittee vote: Yeas, 23. Nays, 0. Excused, 0.
2/4/2026legislatureCommittee report, recommending passage.
2/4/2026legislatureSubcommittee recommends passage.
2/4/2026legislature
Bill Text
As Introduced
Enrolled
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