20,160 sections across 1,928 Iowa regulatory chapters.
R.621—8.7 Failure to comply with employee organization requirements. The agency shall not certify
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an employee organization or may revoke the existing certification(s) of an employee organization for failure to file a registration report, its constitution and bylaws, or an annual report or otherwise fail to comply with Iowa Code section 20.25. 8.7(1) Upon completion of a valid…
R.621—9.1 Final decisions
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9.1(1) By board majority. When a majority of the board presides at the reception of the evidence in a contested case, the decision of the board is a final decision of the agency. 9.1(2) By presiding officer. When a majority of the board does not preside at the reception of the ev…
R.621—9.2 Appeals or petitions for the board’s review
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9.2(1) Notice of appeal or petition for review. An appeal to the board or a petition for review of a proposed decision in a contested case proceeding shall be commenced by the filing of a written notice of appeal or petition for review with the agency within 20 days of the filing…
R.621—9.3 Board’s review on its own motion. The board may determine to review the proposed
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decision within 20 days of the filing of the proposed decision by filing an order for review. [ARC 2916C, IAB 1/18/17, effective 2/22/17]
R.621—9.4 Petition for amicus curiae status. Any person, employee organization or public
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employer who has a significant interest in an outcome of an appeal or review pursuant to either rule 621—9.2(17A,20) or 621—9.3(17A,20) may petition the board for amicus curiae status. Where the petition is granted by the board, the amicus curiae may submit briefs and arguments a…
R.621—9.5 Board proceedings on appeal or review. On appeal from or review of a proposed
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decision, the board has all the power that it would have in initially making the final decision except as it may limit the issues after giving notice to the parties. 9.5(1) Procedure. The parties shall be given an opportunity to file briefs and, with the consent of the board, pre…
R.621—9.6 Rehearing
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9.6(1) Application. Any party may file an application for rehearing, stating the specific grounds for rehearing and the relief sought, within 20 days after the date of the issuance of any final decision by the agency in a contested case. An application for rehearing shall be deem…
R.621—9.7 Stays of agency action
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9.7(1) Application. A party may file an application for a stay of agency action. The board may, in its discretion and on such terms as it deems proper, grant or deny the application. 9.7(2) Method of filing. The application shall be electronically filed pursuant to 621―Chapter 16…
R.641—1.1 Definitions. For the purpose of these rules, the following definitions will apply:
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“AIDS” means the same as defined in Iowa Code chapter 141A. “Area quarantine” means the same as defined in Iowa Code chapter 139A. “Business” means the same as defined in Iowa Code chapter 139A. “Care provider” means the same as defined in Iowa Code chapter 139A. “Case” means an …
R.641—1.2 Authority. The director is the principal officer of the state to administer disease,
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poisoning and condition, and incident reporting and control. The Iowa Cancer Registry, administered by the Department of Epidemiology of the College of Public Health at the University of Iowa, is a public health authority for purposes of collecting cancer data in accordance with …
R.641—1.3 Reportable communicable and infectious diseases, poisonings or conditions,
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and cancers. Reportable communicable and infectious diseases, poisonings and conditions under this chapter are those listed in Appendices A and B. The director may also designate any disease, poisoning or condition or syndrome temporarily reportable for the purpose of a special i…
R.641—1.4 Reporting requirements
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1.4(1) Who is required to report. a. Communicable and infectious diseases, and poisonings. (1) Health care providers, hospitals, and clinical laboratories and other health care facilities are required to report cases of reportable diseases, poisonings and conditions. Health care …
R.641—1.5 Investigation of reportable diseases
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1.5(1) A health care provider and a public, private, or hospital clinical laboratory will provide the department, local board, or local department with all information necessary to conduct the investigation, including but not limited to medical records; exposure histories; medica…
R.641—1.6 Isolation and quarantine. Isolation and quarantine should be consistent with
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guidelines provided by the Centers for Disease Control and Prevention. 1.6(1) General provisions. a. Voluntary confinement. Prior to instituting mandatory isolation or quarantine pursuant to this rule, the department or a local board of health may request that an individual or gr…
R.641—1.7 Confidentiality. Reportable disease records and information, with the exception of
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AIDS and HIV records, that identify a person or a business named in a report may be disclosed under the following limited circumstances: 1.7(1) By and between department employees and agents who have a need for the record in the performance of their duties. 1.7(2) By and between …
R.641—1.8 Specimens for which the fee charged by the state hygienic laboratory will be
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waived. Pursuant to Iowa Code section 263.8, the state hygienic laboratory will waive testing fees for conditions deemed to be of public health significance by the department with approval from the state medical director or the state epidemiologist. A list of conditions and the c…
R.641—100.1 Definitions. For the purpose of this chapter, the definitions in 641—Chapter 95 shall
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apply. In addition, the following definitions shall apply solely to this chapter: “Abortion” means the same as defined in Iowa Code section 146B.1. “Adult,” when used in reference to the mutual consent voluntary adoption registry, means an individual who has reached the age of 18…
R.641—100.2 Forms—property of department. All forms, certificates and reports pertaining to the
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registration of vital events are the property of the department and shall be surrendered to the state registrar upon demand. 100.2(1) The forms supplied or approved for reporting vital events will be used for official purposes as provided for by law, rules and instructions of the…
R.641—100.3 Declaration of paternity registry established. Pursuant to Iowa Code section 144.12A,
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there is established in the department a registry for the declaration of paternity of a putative father who wishes to register prior to the birth of a child and no later than the date of the filing of the petition for termination of parental rights. 100.3(1) The putative father w…
R.641—100.4 Mutual consent voluntary adoption registry established. There is established in the
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department a mutual consent voluntary adoption registry. Adult adopted children, adult siblings, and the biological parents of adult adoptees may register with the mutual consent voluntary adoption registry to obtain identifying birth information. 100.4(1) All identifying informa…
R.641—100.5 Statistical report of termination of pregnancy report. A health care provider who
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initially identifies and diagnoses a spontaneous termination of pregnancy or who induces a termination of pregnancy shall file with the department a Statistical Report of Termination of Pregnancy form for each termination. 100.5(1) The health care provider shall make a good-faith…
R.641—106.1 Definitions
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“Rural area” means all nonmetropolitan (metro) counties and all metro census tracts with rural-urban commuting area (RUCA) codes 4 through 10. The U.S. Department of Agriculture’s (USDA’s) Economic Research Service (ERS) creates RUCA codes using U.S. Census data. “Underserved are…
R.641—106.2 Fellowship cost reimbursement to participating teaching hospital
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106.2(1) A teaching hospital may apply to the department of health and human services through a request for proposal (RFP) process if the teaching hospital intends to administer an obstetrics (OB) fellowship program and request reimbursement for expenses from the family medicine …
R.641—107.1 Definitions. For the purposes of these rules, the following definitions will apply:
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“Board-certified assistant behavior analyst” or “BCaBA” means a person who has a bachelor’s degree from an accredited university, has completed approved coursework as defined by the international Behavior Analyst Certification Board, has completed a defined period of supervised p…
R.641—107.2 Eligibility criteria. To be eligible for a grant, the applicant shall:
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107.2(1) Be an Iowa resident or nonresident. 107.2(2) Be accepted for admission to or be attending a university, a community college, or an accredited private institution, within or outside the state of Iowa; be enrolled in a program, offered at a physical location or online, tha…
R.641—107.3 Priority in grant awards. Priority in the awarding of a grant will be given to resident
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applicants. [ARC 9957C, IAB 1/7/26, effective 3/1/26]
R.641—107.4 Amount of a grant. The department will award funds based upon the amount set aside in
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the special fund as identified in Iowa Code section 135.181. Moneys appropriated to, and all other moneys specified for deposit in, the fund will be dedicated to the BCBA/BCaBA grants program as established in Iowa Code section 135.181. These rules will be implemented only to the…
R.641—107.5 Use of funds. Funds awarded may be used to offset the costs attributable to tuition and
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fees for the accredited behavior analyst or assistant behavior analyst program. [ARC 9957C, IAB 1/7/26, effective 3/1/26]
R.641—107.6 Review process
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107.6(1) An applicant shall complete and submit an application to the program in the manner specified by the department. An applicant, if awarded a grant, shall enter into a contract with the department. The department will follow the requirements for competitive bid appeals cont…
R.641—108.1 Scope and purpose. The medical residency training state matching grants program is
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established to provide greater access to health care by increasing the number of practicing physicians in Iowa through the expansion of residency positions in Iowa. The department shall provide funding to sponsors of accredited graduate medical education residency programs for th…
R.641—108.2 Definitions. For the purposes of these rules, the following definitions shall apply:
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“Accredited medical residency training program” means a graduate medical education program approved by the Accreditation Council for Graduate Medical Education (ACGME) or by the American Osteopathic Association (AOA). “Department” means the Iowa department of public health. “Dire…
R.641—108.3 Eligibility criteria—establishment or expansion. To be eligible for a matching grant
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for the establishment or expansion of medical residency training programs, a sponsor shall satisfy the following requirements and qualifications: 108.3(1) A sponsor shall be financially and organizationally responsible for a residency training program that is accredited by the AC…
R.641—108.4 Eligibility criteria—support. To be eligible for a matching grant for the support of
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medical residency training program liability costs, a sponsor shall satisfy the following requirements and qualifications: 108.4(1) A sponsor shall be financially and organizationally responsible for a residency training program that is accredited by the ACGME or by the AOA. 108.…
R.641—108.5 Amount of grant
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108.5(1) The department shall award funds based upon the funds budgeted as demonstrated in the request, as identified in subrule 108.3(2) or 108.4(3). 108.5(2) Grant award per activity. a. The total amount of a grant awarded to a sponsor proposing the establishment of a new or al…
R.641—108.6 Application and review process
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108.6(1) The department shall follow requirements for competitive selection contained in 641—Chapter 176 in awarding these funds. 108.6(2) The department shall establish a request for proposal process for sponsors eligible to receive funding. The request for proposal and review p…
R.641—109.1 Definitions. For purposes of this chapter, the following definitions apply:
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“Centralized repository” means an entity approved by the contractor and licensed pursuant to applicable regulations of the board of pharmacy that accepts donated drugs, conducts a safety inspection of the drugs, and ships the donated drugs to a local repository to be dispensed in…
R.641—109.10 Prescription drug donation repository in disaster emergencies. The following are
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the requirements for the department to receive and distribute prescription drugs and supplies in preparation for a disaster emergency proclaimed by the governor or in preparation for a public health disaster. 109.10(1) The department may receive prescription drugs and supplies di…
R.641—109.2 Eligibility criteria for program participation by medical facilities and pharmacies
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109.2(1) To be eligible for participation in the prescription drug donation repository program, a medical facility or pharmacy shall be in compliance with all applicable federal and state laws, including laws applicable to the storage and distribution of drugs and the appropriate…
R.641—109.3 Standards and procedures for accepting donated prescription drugs and supplies
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109.3(1) Any individual who is 18 years of age or older may donate legally obtained prescription drugs or supplies to the centralized repository or a local repository if the drugs or supplies meet the requirements of this rule as determined by a pharmacist who is employed by or u…
R.641—109.4 Standards and procedures for inspecting and storing donated prescription drugs
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and supplies. 109.4(1) A licensed pharmacist employed by or under contract with the centralized repository or a local repository shall inspect donated prescription drugs and supplies to determine, to the extent reasonably possible in the judgment of the pharmacist, that the drugs…
R.641—109.5 Standards and procedures for dispensing donated prescription drugs and
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supplies. 109.5(1) Donated drugs and supplies may be dispensed only if the drugs or supplies are prescribed by a health care practitioner for use by an eligible individual and are dispensed by a licensed pharmacist, physician, physician assistant or nurse practitioner. 109.5(2) A…
R.641—109.6 Eligibility criteria for individuals to receive donated prescription drugs and
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supplies. 109.6(1) An individual who requests drugs from the prescription drug donation repository program shall certify to the repository that the individual is a resident of Iowa and meets one or both of the following criteria: a. Is indigent; and b. Has no active third-party p…
R.641—109.7 Forms and recordkeeping
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109.7(1) The following forms developed for the administration of this program shall be utilized by participants of the program and are available on the department’s website: a. Prescription drug donation repository program notice of participation or withdrawal. b. Prescription dr…
R.641—109.8 Handling fee. A repository may charge the recipient of a donated drug a handling fee,
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not to exceed a maximum of 200 percent of the Medicaid professional dispensing fee as established by rule. A prescription drug dispensed through the prescription drug donation repository program shall not be eligible for reimbursement under the medical assistance program. [ARC 97…
R.641—109.9 List of drugs and supplies program will accept. All prescription drugs, excluding
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controlled substances, that have been approved for medical use in the United States, that are listed in the USP or National Formulary (USP/NF), and that meet the criteria for donation established by these rules may be accepted for donation under the prescription drug donation rep…
R.641—11.1 Definitions
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“AIDS” means the same as defined in Iowa Code section 141A.1. “AIDS-related condition” means the same as defined in Iowa Code section 141A.1. “Alleged offender” means the same as defined in Iowa Code section 915.40. “Benefits and drug assistance program” or “BDAP” means the Iowa …
R.641—11.10 Direct notification of an identifiable third party by a physician, physician assistant
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or the department. 11.10(1) Direct notification shall be used when a person diagnosed with HIV is having continuing contact with a sexual or needle-sharing partner who is unaware of the person’s infection and when both of the following situations exist: a. A physician or physicia…
R.641—11.11 Care provider notification upon exposure to contagious or infectious diseases
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—exposures in nonclinical settings. 11.11(1) If a care provider sustains a significant exposure from a patient while rendering health care or other services, other than home-health or respite care services, outside of a health care facility or hospital, the care provider shall fi…
R.641—11.12 Care provider notification upon exposure to contagious or infectious diseases
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—exposures in clinical settings. 11.12(1) If a care provider sustains a significant exposure from a patient while rendering health care services or other services within a hospital, clinic, or other health care facility or while delivering home- health or respite care services, t…
R.641—11.13 Testing, reporting, and counseling of convicted or alleged sexual assault assailants
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11.13(1) Prior to ordering an HIV-related test on a convicted or alleged offender pursuant to Iowa Code sections 915.40 through 915.43, the physician or practitioner shall provide information to the subject of the test concerning testing and where to obtain additional information…