Iowa Administrative Code

induce abortions—definitions—detection of fetal heartbeat—fetal heartbeat exceptions—discipline. 655.15(1) Standards of practice. This rule sets forth the standards of practice for physicians who perform or induce abortions. More information is contained in Iowa Code section 146E…

and approved by the American Medical Association and the Code of Ethics (2002-2003) prepared and approved by the American Osteopathic Association is utilized by the board as guiding principles in the practice of medicine and surgery and osteopathic medicine and surgery in this st…

be staffed on an authorized emergency medical services (EMS) program provided the physician can document equivalency through education and additional skills training essential in the delivery of out-of- hospital emergency care. The equivalency shall be accepted when documentation…

655.2(1) Standards. This rule establishes standards of practice for the management of acute and chronic pain. The board encourages the use of nonopioid pharmacologic therapy and nonpharmacologic therapy. a. This rule is intended to encourage appropriate pain management, including…

diamine tetra acetic acid (EDTA) may only be used for the treatment of heavy metal poisoning or in the clinical setting when a licensee experienced in clinical investigations conducts a carefully controlled clinical investigation of its effectiveness in treating other diseases or…

dispenses prescription drugs via an automated dispensing system or a dispensing system that employs technology may delegate nonjudgmental dispensing functions to staff assistants in the absence of a pharmacist or physician provided that the physician utilizes an internal quality …

655.5(1) Termination of the physician-patient relationship. A physician may choose whom to serve. Having undertaken the care of a patient, the physician may not neglect the patient. A physician must provide a patient written notice of the termination of the physician-patient rela…

supervision of medical aesthetic services performed by qualified licensed or certified nonphysician persons or qualified laser technicians. This rule establishes standards of practice for a physician or surgeon or osteopathic physician or surgeon who serves as a medical director …

establishes standards of practice for the practice of interventional chronic pain management. The purpose of this rule is to assist physicians who consider interventional techniques to treat patients with chronic pain. 655.7(1) Definition. As used in this rule: “Interventional ch…

inducing drugs. 655.8(1) Definition. As used in this rule: “Abortion-inducing drug” means a drug, medicine, mixture, or preparation, when it is prescribed or administered with the intent to terminate the pregnancy of a woman known to be pregnant. 655.8(2) Review of patient record…

practice for the practice of medicine using telemedicine. 655.9(1) Definitions. As used in this rule: “Asynchronous store-and-forward transmission” means the collection of a patient’s relevant health information and the subsequent transmission of the data from an originating site…

Iowa Code chapter 148E. In accordance with Iowa Code section 148E.3, the rules in this chapter do not apply to the following: 1. A person otherwise licensed by the state to practice medicine and surgery, osteopathic medicine and surgery, chiropractic, podiatry, or dentistry who i…

addition to those listed below. “Accreditation Commission for Acupuncture and Oriental Medicine” or “ACAOM” means the United States-based accreditation commission that certifies acupuncture and oriental medicine training programs and colleges. “Acupuncture needle” means a solid-c…

656.3(1) Eligibility requirements. To be licensed to practice acupuncture by the board, a person shall meet all of the following requirements: a. Fulfill all the application requirements as specified in rule 481—656.4(147,148E). b. Hold current active status as a diplomate in NCC…

656.4(1) Application for licensure. To apply for a license to practice acupuncture, an applicant shall: a. Submit the completed application form provided by the board, including required credentials and documents, a completed fingerprint packet and a sworn statement by the applic…

148E.2, a license expires on October 31 of even-numbered years and can be renewed for the fee identified in 481—paragraph 651.2(2)“c.” The applicant for renewal shall provide an NCCAOM certificate that demonstrates that the applicant holds current active status as a diplomate in …

656.6(1) Reactivation requirements. Licensees who allow their licenses to go inactive by failing to renew may apply for reactivation of a license. Pursuant to Iowa Code section 147.11, applicants for reactivation shall: a. Submit completed application for reactivation of a licens…

current active status as a diplomate from the NCCAOM. The NCCAOM requires 60 points of professional development activity every four years. Active NCCAOM certification satisfies the continuing education requirements established in Iowa Code section 272C.2. [ARC 9116C, IAB 4/16/25,…

656.8(1) Diagnostic and treatment modalities. Diagnostic and treatment modalities used by licensees under this chapter may include one or more of the following acupunctural services: a. The stimulation or piercing of the skin with an acupuncture needle for any of the following pu…

rules as its own: 481—883.1(148,154B), 481—883.3(148,154B), 481—883.4(148,154B),

prescribing psychologist. A supervising physician shall be a person who is licensed to practice medicine and surgery or osteopathic medicine in Iowa who regularly prescribes psychotropic medications for the treatment of mental disorders as part of the physician’s normal course of…

psychologist. A collaborating physician shall be a person who is licensed to practice medicine and surgery or osteopathic medicine in Iowa, who regularly prescribes psychotropic medications for the treatment of mental disorders as part of the physician’s normal course of practice…

rules may be subject to disciplinary action by the board of medicine. [ARC 9117C, IAB 4/16/25, effective 5/21/25; Editorial change: IAC Supplement 6/11/25] These rules are intended to implement Iowa Code chapters 148 and 154B. [Filed ARC 4249C (Notice ARC 3905C, IAB 8/1/18), IAB …

1. A physician or surgeon or an osteopathic physician or surgeon licensed under Iowa Code chapter 148, a registered nurse or an advanced registered nurse practitioner licensed under Iowa Code chapter 152, a physician assistant licensed under Iowa Code chapter 148C, or other perso…

Society of Genetic Counselors shall be utilized by the board as guiding principles in the practice of genetic counseling in this state. [ARC 9118C, IAB 4/16/25, effective 5/21/25; Editorial change: IAC Supplement 6/11/25]

658.11(1) A genetic counselor whose ABGC certification has lapsed or whose certification has been revoked by the ABGC shall surrender the genetic counselor’s license to the board. 658.11(2) A provisional licensee who loses active candidate status with the ABGC must immediately ce…

listed below, apply to this chapter. “American Board of Genetic Counseling” or “ABGC” means the United States-based commission, or its equivalent or successor organization, that validates entry-level competency in the practice of genetic counseling through professional certificat…

words “genetic counselor” or “licensed genetic counselor” or the corresponding abbreviation “LGC” after the person’s name. Persons who possess a provisional license shall add the designation “provisional licensed genetic counselor.” [ARC 9118C, IAB 4/16/25, effective 5/21/25; Edi…

658.4(1) Each applicant for licensure under Iowa Code chapter 148H shall: a. Submit an application form and supporting documentation. b. Hold active certification as a genetic counselor by the American Board of Genetic Counseling, as a genetic counselor by the American Board of M…

an applicant who meets all of the requirements for licensure except for the certification component and who has been granted active candidate status by the American Board of Genetic Counseling or the American Board of Medical Genetics and Genomics. 658.5(1) The applicant shall su…

658.6(1) Application for licensure. To apply for a license to practice genetic counseling, an applicant shall: a. Submit the completed application, including required credentials and documents, a completed fingerprint packet, and a sworn statement by the applicant attesting to th…

658.7(1) Display of license. Licensed genetic counselors shall display the license issued by the board in a conspicuous place in their primary place of business. 658.7(2) Change of contact information. Licensees shall notify the board within one month of a change in home address,…

148H.3, a license expires on October 31 of odd-numbered years and can be renewed for the fee identified in 481—paragraph 651.14(2)“c.” 658.8(1) Application. The applicant for renewal shall provide: a. A renewal application. b. A letter sent directly from the ABGC or ABMGG to the …

658.9(1) Reactivation requirements. Licensees who allow their licenses to go inactive by failing to renew may apply for reactivation of a license. Pursuant to Iowa Code section 147.11, applicants for reactivation shall: a. Submit a completed application for reactivation of a lice…

temporary Iowa license who is actively engaged in the practice of medicine in Iowa may supervise a physician assistant. A physician is ineligible to supervise a physician assistant for any of the following reasons: 659.1(1) The physician does not hold an active, permanent, specia…

659.2(1) A physician working in a federal facility or under federal authority when the provisions of this chapter conflict with federal regulations. 659.2(2) A physician who supervises a physician assistant providing medical care created by an emergency or a state or local disast…

board of the supervisory relationship within 60 days of the provision of initial supervision and at the time of the physician’s license renewal. [ARC 9703C, IAB 11/12/25, effective 12/17/25; Editorial change: IAC Supplement 2/4/26]

supervising can be found in rules 481—780.4(148C) through 481—780.6(148C). [ARC 9703C, IAB 11/12/25, effective 12/17/25; Editorial change: IAC Supplement 2/4/26]

supervising a physician assistant in violation of these rules, 481—Chapter 661, or 481—Chapter 780, which relate to duties and responsibilities for physician supervision of physician assistants. Grounds for discipline also include: 659.5(1) The physician supervises a physician as…

supervise a physician assistant as part of a disciplinary sanction following a contested case proceeding if the reason for the disciplinary action impacts the ability of the physician to supervise a physician assistant. The board shall notify the board of physician assistants whe…

all physician assistant supervisees within one workday upon receiving disciplinary action from the board or any other change in status that affects the physician’s eligibility to supervise a physician assistant. [ARC 9703C, IAB 11/12/25, effective 12/17/25; Editorial change: IAC …

“Activities of daily living” means the following self-care tasks: bathing, dressing, grooming, eating, transferring, toileting, and ambulation. “Affiliated person or entity” means an individual operating as a sole proprietorship who is related within the third degree of consangui…

66.2(1) A boarding home shall complete and submit the boarding home registration form located on the department’s website within 60 days of commencing operations. 66.2(2) The registration form may be submitted electronically via the department’s website or by mail to the Departme…

66.3(1) Each boarding home shall update its boarding home registration form with the department annually between January 1 and January 31 as provided in subrule 66.2(2). 66.3(2) The owner or lessee shall include the following information on the occupancy report. If the owner or l…

66.4(1) Complaints. a. Any person with a concern regarding the operation of a boarding home may file a complaint with the department in writing, by use of the complaint hotline at 1.877.686.0027 or through the department’s website at dial.iowa.gov. b. When the nature of the compl…

a penalty for violation of Iowa Code chapter 135O or rules adopted thereunder and the amount of the penalty: 1. The duration of the noncompliance; 2. The nature of the noncompliance; 3. The response of the owner or lessee upon notification of noncompliance; 4. The number of tenan…

66.7(1) Public disclosure. The following records are open and available for inspection: a. Registration forms and accompanying materials; b. Final findings of investigations, unless otherwise confidential by law, such as investigative findings of the division of criminal investig…

licensees, will report to the board and provide a copy of every adverse judgment and settlement of a claim against the licensee in a malpractice action within 30 days from the date of said judgment or settlement. Failure to report judgments or settlements within the 30-day period…

660.2(1) Definitions. For the purposes of this rule, the following definitions apply: “Knowledge” means any information or evidence of reportable conduct acquired by personal observation, from a reliable or authoritative source, or under circumstances causing the licensee to beli…