Iowa Administrative Code

nonrefundable. 507.17(1) Initial license fee. a. The initial license fee for a respiratory care practitioner license is $75, plus the cost for evaluation of the fingerprint packet and the criminal history background checks by the Iowa division of criminal investigation (DCI) and …

nonrefundable. 507.18(1) License fee for license to practice interpreting or transliterating is $120. 507.18(2) License fee for temporary license to practice interpreting or transliterating is $120. 507.18(3) Biennial license renewal fee for each biennium is $120. 507.18(4) Late …

507.19(1) License fee for license to practice social work is $120. 507.19(2) Biennial license renewal fee for a license at the bachelor’s level is $72; at the master’s level, $120; and at the independent level, $144. 507.19(3) Late fee for failure to renew before expiration is $6…

507.20(1) License fee for license to practice speech pathology or audiology, temporary clinical license, license by endorsement, or license by reciprocity is $120. 507.20(2) Biennial license renewal fee for each biennium is $96. 507.20(3) Late fee for failure to renew before expi…

507.3(1) License fee for license to practice marital and family therapy or mental health counseling is $120. 507.3(2) Temporary license fee for license to practice marital and family therapy or mental health counseling is $120. 507.3(3) License fee for license to practice as a be…

507.4(1) License fee for license to practice chiropractic is $270. 507.4(2) Fee for issuance of annual temporary certificate is $120. 507.4(3) Biennial license renewal fee is $120. 507.4(4) Late fee for failure to renew before the expiration date is $60. 507.4(5) Reactivation fee…

nonrefundable. 507.5(1) License fee for license to practice barbering and cosmetology arts and sciences, license by endorsement, license by reciprocity, or an instructor’s license is $60. 507.5(2) Biennial license renewal fee for each license for each biennium is $60. 507.5(3) La…

507.6(1) License fee for license to practice dietetics, license by endorsement, or license by reciprocity is $120. 507.6(2) Biennial license renewal fee for each biennium is $120. 507.6(3) Late fee for failure to renew before expiration is $60. 507.6(4) Reactivation fee is $180. …

507.7(1) Application fee for a license to practice by examination, endorsement, or reciprocity is $156. 507.7(2) Renewal of license fee is $60. 507.7(3) Temporary permit fee is $42. 507.7(4) Late fee is $60. 507.7(5) Reactivation fee is $120. 507.7(6) Duplicate or reissued licens…

507.8(1) License fee for license to practice massage therapy is $120. 507.8(2) Biennial license renewal fee for each biennium is $60. 507.8(3) Temporary license fee for up to one year is $120. 507.8(4) Late fee for failure to renew before expiration is $60. 507.8(5) Reactivation …

507.9(1) License fee for license to practice funeral directing is $120. 507.9(2) Biennial funeral director’s license renewal fee for each biennium is $120. 507.9(3) Late fee for failure to renew before expiration is $60. 507.9(4) Reactivation fee for a funeral director is $180 an…

definitions apply: “Critical access hospital” means any hospital located in a rural area and certified by the Iowa department of health and human services as being a necessary provider of health care services to residents of the area. A “critical access hospital” makes available …

51.10(1) Medical records. Accurate and complete medical records shall be maintained for all patients and signed by the appropriate provider. These records shall be filed and stored in an accessible manner and in accordance with the statute of limitations as specified in Iowa Code…

51.11(1) General requirements. Hospital pharmaceutical services shall be licensed in accordance with Iowa board of pharmacy rules. 51.11(2) Medication administration. All drugs and biologicals must be administered by, or under the supervision of, nursing or other trained personne…

practitioner within a period not to exceed 30 days following a patient’s discharge. When verbal or electronic mechanisms are used to transmit orders, the orders must be accepted only by personnel who are authorized to do so by hospital policies and procedures in a manner consiste…

51.13(1) The hospital must maintain, or have available, radiological services to meet the needs of the patients. 51.13(2) All radiological services shall be furnished in compliance with any applicable state law or state rules, including 641—Chapters 38 through 42. [ARC 7887C, IAB…

51.14(1) The hospital must maintain, or have available, adequate laboratory and pathology services and facilities to meet the needs of its patients. The medical staff determine which laboratory tests are necessary to be performed on site to meet the needs of the patients. 51.14(2…

51.15(1) Food and nutrition service definitions. “Food service” means providing safe, satisfying, and nutritionally adequate food for patients through the provision of appropriate staff, space, equipment, and supplies. “Nutrition service” means providing assessment and education …

utilized in accordance with the manufacturer’s specifications and the needs of the patients. [ARC 7887C, IAB 5/1/24, effective 6/5/24]

and control of communicable diseases, including compliance with the current rules for the control of communicable disease as provided by the Iowa department of health and human services and current Centers for Disease Control and Prevention (CDC) guidelines for isolation precauti…

and equipped to provide for the safe and aseptic treatment of surgical patients. 51.18(1) Written policies and procedures governing surgical services shall be developed and implemented in consultation with the hospital’s medical staff and, at a minimum, provide for: a. Surgical s…

51.19(1) There shall be written policies and procedures governing anesthesia services that are consistent with the needs and resources of the hospital. Written policies and procedures governing anesthesia services shall be developed and implemented in consultation with and with t…

51.2(1) All hospitals subject to licensure under this chapter will be classified as a critical access hospital, general hospital, long-term acute care hospital, rural emergency hospital, or specialized hospital. The license issued by the department will clearly identify the class…

51.20(1) All hospitals shall provide for emergency services that offers reasonable care within the medical capabilities of the facility in determining whether an emergency exists, renders care appropriate to the facility and, at a minimum, renders lifesaving first aid and makes a…

properly organized and equipped to provide accommodations for mothers and newborn infants. The supervision of the maternity area shall be under the direction of a qualified registered nurse. [ARC 7887C, IAB 5/1/24, effective 6/5/24]

and equipped to provide appropriate accommodations for children. The supervision of the pediatric area shall be under the direction of a qualified registered nurse. [ARC 7887C, IAB 5/1/24, effective 6/5/24]

51.23(1) General requirements. Any hospital operating as a psychiatric hospital or operating a psychiatric unit shall: a. Be a hospital or unit primarily engaged in providing, by or under the supervision of a doctor of medicine or osteopathy, psychiatric services for the diagnosi…

51.24(1) Long-term care service definition. Long-term care service means any building or distinct part of a building utilized by the hospital for the provision of a service that would fall within the definition of a health care facility in Iowa Code chapter 135C if it was not ope…

for criminal, dependent adult abuse, and child abuse records checks applicable to health care facilities set forth in rule 481—50.9(135C) are applicable to hospitals. [ARC 7887C, IAB 5/1/24, effective 6/5/24]

51.26(1) Minimum standards. The following construction standards are applicable to hospitals and off-site premises licensed under this chapter: a. Construction shall be in accordance with the standards set forth in the Guidelines for Design and Construction of Hospitals, 2018 edi…

of participation as a critical access hospital as described in 42 CFR Part 485, Subpart F, as amended to November 7, 2023, and any federal interpretive guidelines. The requirements of this chapter applicable to hospitals are generally applicable to critical access hospitals unles…

conditions of participation for rural emergency hospitals, as set forth in 42 CFR Part 485, Subpart E, as amended to January 1, 2023, and any federal interpretive guidelines. The requirements of this chapter applicable to hospitals are generally applicable to rural emergency hosp…

hospital. The diagnosis, treatment or care at a specialized hospital shall be administered by or performed under the direction of persons especially qualified in the diagnosis and treatment of the particular illness, injury, or infirmity. [ARC 7887C, IAB 5/1/24, effective 6/5/24]…

51.3(1) There shall be an ongoing hospitalwide quality improvement program. This program is to be designed to improve, as needed, the quality of patient care by: a. Assessing clinical patient care; b. Assessing nonclinical and patient-related services within the hospital; c. Deve…

51.4(1) A long-term acute care hospital shall meet the requirements for a general hospital, including emergency services, except that obstetrical facilities are not required, and, if the long-term acute care hospital is located within a separately licensed hospital and does not p…

51.5(1) A roster of medical staff members shall be kept. 51.5(2) All hospitals shall have one or more licensed physicians designated for emergency call service at all times. 51.5(3) A hospital shall not deny clinical privileges as set forth in Iowa Code section 135B.7(2). 51.5(4)…

statement of principles relating to patient rights and responsibilities that is made available to patients of the hospital and addresses, at a minimum: 51.6(1) Access to treatment regardless of age, race, creed, ethnicity, religion, culture, language, physical or mental disabilit…

51.7(1) Definitions. “Abuse” means the willful infliction of injury, unreasonable confinement, intimidation, or punishment, with resulting physical harm, pain or mental anguish. Neglect is a form of abuse and is defined as the failure to provide goods and services necessary to av…

protocols for organ, tissue and eye donation consistent with Iowa Code chapter 142C and 42 CFR 482.45 as amended to November 7, 2023, or 42 CFR 485.643 as amended to November 7, 2023. [ARC 7887C, IAB 5/1/24, effective 6/5/24]

51.9(1) The hospital shall have an organized nursing service that provides complete and efficient nursing care to each patient. The authority, responsibility and function of each nurse shall be clearly defined. 51.9(2) Registered nurses shall utilize the nursing process in the pr…

herein by reference. For purposes of this chapter, unless the context otherwise requires, the following definitions apply: “Caretaker” means a person who is a staff member of a facility or program who provides care, protection, or services to a dependent adult voluntarily, by con…

52.2(1) The following persons shall report suspected dependent adult abuse in accordance with subrule 52.2(2): a. A staff member. Specifically excluded from the definition of “staff member” only for purposes of the requirements set forth in this subrule are individuals who have n…

52.3(1) Receipt and evaluation of reports. The department receives and evaluates reports of dependent adult abuse in facilities and programs. Upon receipt of a report, the department will conduct an intake sufficient to determine whether the allegation constitutes dependent adult…

facility or program, the facility or program shall separate the victim and the alleged perpetrator of dependent adult abuse immediately and maintain that separation until the department’s abuse investigation is completed and the abuse determination is made. Note: Facilities that …

52.5(1) Entering and examination of evidence. An inspector of the department may enter any facility or program without a warrant and may examine all records and items pertaining to residents, employees, former employees, and the alleged perpetrator of dependent adult abuse and an…

that subsequently employs a founded dependent adult abuser in accordance with Iowa Code section 235E.2(11). [ARC 9270C, IAB 5/14/25, effective 6/18/25] These rules are intended to implement Iowa Code chapter 235E. [Filed ARC 8294B (Notice ARC 7828B, IAB 6/3/09; Amended Notice ARC…