Iowa Administrative Code

osteopathic medicine and surgery or administrative medicine. 651.4(1) Fees for permanent licensure. a. Initial licensure, $450 plus the $45 fee for evaluation of the fingerprint packet and the criminal history background checks by the DCI and FBI. b. Reactivation of application f…

examination scores. 651.5(1) Verification fees. a. Physicians shall use VeriDoc to secure a certified statement that verifies Iowa licensure status for any state medical board that accepts VeriDoc. VeriDoc is accessible at www.veridoc.org. The fee for this service is $30. b. A ph…

651.6(1) Public records available at no cost. The following records are available at no cost to the public: a. Public action taken by the board against a licensee may be found under the licensee’s name on the board’s website under “Find A Physician.” Public actions are posted on …

the following information about each licensee: full name, year of birth, work address and telephone number (or other contact information on file if licensee’s work address and telephone number are not available), Iowa county (if applicable), medical school (if applicable), year o…

any reason. If a license had been issued by the board office based on a check that is later returned by the bank, the board shall request payment by certified check or money order. If the fees are not paid within two weeks of notification of the returned check by certified mail, …

the practice of medicine or acupuncture are available at www.legis.iowa.gov at no cost. Printed copies of these laws and rules are available for a fee. [ARC 9111C, IAB 4/16/25, effective 5/21/25; Editorial change: IAC Supplement 6/11/25]

“ABMS” means the American Board of Medical Specialties. “ACGME” means the Accreditation Council for Graduate Medical Education. “AMA” means the American Medical Association. “Any jurisdiction” means any state, the District of Columbia or territory of the United States of America …

652.10(1) Issuance. Upon the granting of permanent or administrative medicine licensure, staff will issue a license to practice that will expire on the first day of the licensee’s birth month. a. Licenses of persons born in even-numbered years shall expire in an even-numbered yea…

652.11(1) Change of contact information. A licensee shall notify the board of any change in the home address, the address of the place of practice, home or practice telephone number, or personal email address regularly used by the applicant or licensee for correspondence with the…

652.12(1) Licensee obligation. The licensee is responsible for renewing the license prior to its expiration. Failure of the licensee to receive notice does not relieve the licensee of responsibility for renewing that license. 652.12(2) Renewal application requirements. A licensee…

652.14(1) Reactivation within one year of the license’s becoming inactive. An individual whose license is in inactive status for up to one year and who wishes to reinstate the license shall submit a completed renewal application; the reinstatement fee; documentation of continuing…

suspended or revoked following a disciplinary proceeding is required to seek reinstatement pursuant to 481—Chapter 663. [ARC 9112C, IAB 4/16/25, effective 5/21/25; Editorial change: IAC Supplement 6/11/25]

medicine and surgery, osteopathic medicine and surgery, or administrative medicine shall be deemed relinquished if the person fails to apply for renewal or reactivation of the license within five years after its expiration. 652.16(1) A license will not be reinstated, reissued, or…

652.17(1) Application. An application for an administrative medicine license shall be made to the board of medicine pursuant to the requirements established in Iowa Code section 148.3 and this chapter. An applicant for an administrative medicine license shall be subject to all of…

652.18(1) Requirements for seeking a Letter of Qualification from the board of medicine. An applicant shall meet all of the following requirements: a. Designate Iowa as state of principal license. To designate Iowa as state of principal license, the physician must possess a full,…

IMLC, or termination of a license issued through the IMLC. 652.19(1) Preliminary notice of denial. Prior to the denial of licensure to an applicant, the board shall issue a preliminary notice of denial that shall be sent to the applicant by regular, first-class mail at the addres…

652.2(1) Licensure required. Licensure is required for practice in Iowa as identified in Iowa Code section 148.1; the exceptions are identified in subrule 652.2(2). 652.2(2) Licensure not required. The following persons are not required to obtain a license to practice in Iowa: a.…

652.3(1) Requirements. To be eligible for permanent or administrative medicine licensure, an applicant shall: a. Fulfill the application requirements specified in rule 481—652.4(147,148). b. Hold a medical degree from an educational institution approved by the board at the time t…

652.4(1) Requirements. To apply for licensure, an applicant shall: a. Pay a nonrefundable initial application fee and fee for the evaluation of the fingerprint packet and the criminal history background checks by the division of criminal investigation (DCI) and the Federal Bureau…

following: 652.5(1) Eligibility. A person may seek licensure by verification if the person is currently licensed as a physician in at least one other jurisdiction that has a scope of practice substantially similar to that of Iowa. 652.5(2) Board application. The applicant must su…

652.6(1) USMLE. a. The USMLE is a multipart examination consisting of Step 1, Step 2, and Step 3. Steps 1 and 2 are administered by NBME and ECFMG. The board contracts with FSMB for the administration of Step 3. b. Applications are available at Department of Examination Services,…

review each application. Priority is be given to processing a licensure application when a written request is received in the board office from an applicant whose practice will primarily involve provision of services to underserved populations, including but not limited to person…

652.8(1) Failure to submit application materials. If the applicant does not submit all materials, including a completed fingerprint packet, within 90 days of the board’s initial request for further information, the application will be considered inactive. 652.8(2) Reactivation of…

the board may determine that any applicant for licensure is subject to the following: 652.9(1) The board may impose limits or restrictions on the practice of any applicant in this state that are equal in force to the limits or restrictions imposed on the applicant by any jurisdic…

“ABMS” means the American Board of Medical Specialties. “ACGME” means the Accreditation Council for Graduate Medical Education. “AMA” means the American Medical Association. “Any jurisdiction” means any state, the District of Columbia or territory of the United States of America …

section 148.1; the exceptions are identified in 481—subrule 652.2(2). [ARC 9113C, IAB 4/16/25, effective 5/21/25; Editorial change: IAC Supplement 6/11/25]

653.3(1) General provisions. a. The resident physician license authorizes the licensee to practice as an intern, resident or fellow while under the supervision of a licensed practitioner of medicine and surgery or osteopathic medicine and surgery in a board-approved resident trai…

653.4(1) General provisions. a. The board may grant a special license to a physician who is an academic staff member of a college of medicine or osteopathic medicine if that physician does not meet the qualifications for permanent licensure but is held in high esteem for unique c…

physician to participate in a board-approved activity in Iowa. Temporary licensure is granted on a case- by-case basis and depends upon the applicant’s education and training, experience and licensure status elsewhere and upon the intended use of the temporary license. 653.5(1) G…

653.6(1) General provisions. a. The board may grant a provisional license to a foreign medical graduate who meets the qualifications provided in Iowa Code chapter 148J and these rules. b. A provisional license may be issued for a period of not more than one year and may be renewe…

“ABMS” means the American Board of Medical Specialties. The board recognizes specialty board certification by ABMS. “Accredited provider” means an organization approved as a provider of category 1 credit by one of the following board-approved accrediting bodies: Accreditation Cou…

654.2(1) Continuing education credit may be obtained by attending category 1 credits as defined in this chapter. 654.2(2) The board accepts the following as equivalent to 50 hours of category 1 credit: participation in an approved resident training program or board certification …

licensee shall meet the requirements in this rule to qualify for renewal of a permanent license, an administrative medicine license, or special license or to qualify for reactivation of a permanent license or an administrative medicine license. 654.3(1) Continuing education and t…

identifying and reporting abuse. 654.4(1) Disagreement over whether material submitted fulfills the requirements specified in rule 481—654.3(272C). a. Staff will work with a licensee or applicant to resolve any discrepancy concerning credit for renewal or reinstatement. b. When r…

dispensed by a physician. 655.1(1) A physician shall dispense a prescription drug only in a container that meets the requirements of the Poison Prevention Packaging Act of 1970, 15 U.S.C. Sections 1471-1476 (2001), unless otherwise requested by the patient, and of Section 502G of…

bronchodilator canisters, bronchodilator canisters and spacers, or opioid antagonists in the name of an authorized facility. 655.10(1) Definition. For purposes of this rule: “Authorized facility” means a facility as defined in Iowa Code section 135.185(1), a school district, or a…

terminal illness. 655.11(1) Exemption from discipline. To the extent consistent with state law, the board will not revoke, fail to renew, suspend, or take any action against a physician’s license based solely on the physician’s recommendations to an eligible patient regarding acc…

655.12(1) Exemption from discipline. A person licensed by the board under Iowa Code chapter 148 shall not be subject to discipline under this chapter or the board’s enabling statute based solely on the physician’s recommendation or provision of a treatment method for Lyme disease…

655.13(1) Definitions. For purposes of this rule: “Bordering state” means the same as defined in Iowa Code section 331.910. “Debilitating medical condition” means any of the following: 1. Cancer, if the underlying condition or treatment produces one or more of the following: • Se…

655.14(1) Written certification. At least 24 hours prior to performing an abortion, a physician shall obtain written certification from the pregnant woman of each prerequisite as required in Iowa Code sections 146A.1(1)“a” through 146A.1(1)“d”(1). The written certification shall …

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…

may 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 documentat…

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…