20,160 sections across 1,928 Iowa regulatory chapters.
R.641—11.14 Ryan White program
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11.14(1) General purpose and incorporation. The Ryan White program is a state-administered program that provides support services and assistance with the costs of health insurance and treatment medications for eligible low-income individuals diagnosed with HIV when adequate state…
R.641—11.2 HIV testing—obtaining consent—voluntary HIV-related tests for adults who are
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not pregnant. 11.2(1) Prior to conducting a voluntary HIV-related test on an adult, the health care provider requesting the test shall provide information to the subject of the test concerning HIV testing and where to obtain additional information regarding HIV infection and risk…
R.641—11.3 HIV testing—obtaining consent—voluntary HIV-related tests for minors who
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are not pregnant. 11.3(1) Patient consent for testing must be obtained as detailed in Iowa Code section 141A.6. A minor shall have the legal capacity to act and give consent pursuant to Iowa Code section 139A.35. 11.3(2) Prior to conducting a voluntary HIV-related test on a minor…
R.641—11.4 HIV testing—obtaining consent—voluntary HIV-related tests for pregnant women
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11.4(1) Health care providers that offer prenatal care to women shall provide HIV testing to all pregnant women as described in Iowa Code section 141A.4. No written or oral consent shall be required. 11.4(2) The testing shall occur as early as possible during each pregnancy. 11.4…
R.641—11.5 HIV test results—posttest counseling. Upon informing the subject of an HIV-related
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test of a confirmed positive test result, the health care provider who requested the test or other designated personnel shall initiate counseling concerning the emotional and physical health effects of HIV infection as described in Iowa Code section 141A.7. [ARC 8409C, IAB 11/27/…
R.641—11.6 Reporting of diagnoses and HIV-related tests, events, and conditions to the
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department. 11.6(1) The following constitute reportable events related to HIV infection: a. A test result indicating HIV infection, including: (1) Confirmed positive results on any HIV-related test or combination of tests, including antibody tests, antigen tests, cultures, and nu…
R.641—11.7 Confidentiality of information. In addition to the entities described in Iowa Code
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section 141A.9, medical information secured pursuant to Iowa Code section 141A.9(1) may be shared between employees and agents of the department and employees and agents of tribes and tribal public health authorities that have a need for the information in the duties related to H…
R.641—11.8 HIV and AIDS training programs where occupational exposure to blood or other
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potentially infectious materials may occur. 11.8(1) Personnel covered by the rule. a. Nonemergency personnel. All supervisory and patient care personnel of any agency listed below: (1) A licensed hospice, (2) A homemaker-home health aide provider agency that receives state homema…
R.641—11.9 Partner notification program
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11.9(1) The department will maintain a partner notification program for persons known to have tested positive for sexually transmitted diseases or infections pursuant to the procedures described in Iowa Code sections 141A.5 and 139A.33. 11.9(2) Services provided include but are n…
R.641—110.1 Purpose and scope. The following rules developed by the department of public health
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govern the organization of the center for rural health and primary care within the department of public health. [ARC 4076C, IAB 10/10/18, effective 11/14/18; ARC 4703C, IAB 10/9/19, effective 11/13/19]
R.641—110.11 Purpose. The purpose of the PRIMECARRE health care workforce and community
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support grant program is to support community efforts which are part of the community’s long-term community health services assessment and developmental plan. The application process is based upon the department’s strategic plan. A community or region applying for assistance must…
R.641—110.12 to 110.15 Reserved
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PRIMECARRE PRIMARY CARE PROVIDER LOAN REPAYMENT PROGRAM
R.641—110.16 Purpose. A primary care provider loan repayment program is established to increase the
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number of health professionals practicing primary care in federally designated health professional shortage areas of the state. If sufficient state funds are available, applications will be considered for loan repayment for primary care providers practicing in communities not loc…
R.641—110.2 Definitions
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“Center for rural health and primary care” means the department of public health administrative entity that is responsible for provision of technical planning assistance to rural communities and counties, administration of a comprehensive primary care provider recruitment and ret…
R.641—110.3 Responsibilities of the center
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110.3(1) The center for rural health and primary care shall provide technical planning assistance to rural communities and counties exploring innovative means of delivering rural health services through community health services assessment, planning, and implementation, including…
R.641—110.4 Advisory committee to the center for rural health and primary care. Rescinded ARC
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4703C, IAB 10/9/19, effective 11/13/19.
R.641—110.5 Organization. Rescinded ARC 4703C, IAB 10/9/19, effective 11/13/19
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R.641—110.6 Meetings. Rescinded ARC 4703C, IAB 10/9/19, effective 11/13/19
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R.641—110.7 to 110.10
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PRIMECARRE HEALTH CARE WORKFORCE AND COMMUNITY SUPPORT GRANT PROGRAM
R.641—111.1 Scope and purpose. The Iowa needs nurses now infrastructure account is established to
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award grants for clinical simulators, laboratory facilities, health information technology and other infrastructure to improve the education of nurses and nurse educators in the state and to enhance the clinical experience for nurses. Moneys in the account shall consist of moneys…
R.641—111.2 Definitions. For the purposes of these rules, the following definitions shall apply:
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“Department” means the Iowa department of public health. “Iowa Needs Nurses Now Coalition” means the coalition of nurse, health, education and business leaders who understand that nurses are important to families and communities. [ARC 9247B, IAB 12/1/10, effective 1/5/11]
R.641—111.3 Eligibility and criteria. To be eligible for an Iowa needs nurses now infrastructure grant,
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an organization shall: 111.3(1) Be an educational institution with prelicensure nursing education programs approved by the Iowa board of nursing. 111.3(2) Address the long-term sustainability of the infrastructure project to be funded through the grant. [ARC 9247B, IAB 12/1/10, e…
R.641—111.4 Review process
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111.4(1) The department shall follow requirements for competitive selection contained in 641—Chapter 176 in awarding grants pursuant to this chapter. 111.4(2) The department shall establish a request for proposal and application process for organizations eligible to receive fundi…
R.641—111.5 Performance standards. A grantee shall provide clinical experiences for nurses and
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nurse educators that: 1. Expand the capacity of its nursing program in terms of opportunities for increased learning by the students completing the program. 2. Offer educational opportunities in geographic areas where there is limited access to clinical facilities due to geograph…
R.641—111.6 Appeals. An applicant may appeal the denial of a properly submitted grant application
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Appeals shall be governed by rule 641—176.8(135,17A). [ARC 9247B, IAB 12/1/10, effective 1/5/11] These rules are intended to implement 2009 Iowa Code Supplement section 135.175(5) as amended by 2010 Iowa Acts, Senate File 2384, section 5. [Filed ARC 9247B (Notice ARC 9096B, IAB 9…
R.641—113.1 Definitions. For purposes of this chapter, the following definitions apply:
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“Defend” means that the office of the Iowa attorney general shall provide a public health response team member with legal representation at no cost to the public health response team member. “Disaster medical assistance team” or “DMAT” means a public health response team that is …
R.641—113.2 Public health response team members
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113.2(1) Registration and approval. An individual may apply to the department to be a public health response team member. The applicant shall apply on the Iowa statewide registry of volunteers (iSERV) website or on a form approved by the department and shall provide all requested…
R.641—113.3 Public health response team
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113.3(1) General requirements. a. An individual may make application to be a member of a PHRT pursuant to subrule 113.2(1). b. The department established the Iowa Volunteer Public Health Response Team Operational Procedures Manual as amended to August 1, 2024. The operational pro…
R.641—113.4 Legal and other protections. A PHRT member acting pursuant to Iowa Code section
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135.143 and this chapter shall be considered an employee of the state under Iowa Code section 29C.21 and chapter 669; shall be afforded protection as an employee of the state under Iowa Code section 669.21 whom the state shall defend and indemnify; and shall be considered an empl…
R.641—113.5 Reporting requirements and duties
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113.5(1) Upon obtaining knowledge or becoming aware of any injury allegedly arising out of the negligent rendering of, or the negligent failure to render, medical or other services as a PHRT member, the member shall provide written notice to the department, as soon as practicable…
R.641—12.1 Definitions. For the purpose of these rules, the following definitions apply:
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“Alcohol or drug testing” means analysis of a sample for the purpose of detecting the presence or absence of alcohol or other drugs, or their metabolites, in the sample tested. “CLIA” means the Clinical Laboratory Improvement Amendments of 1988. “CMS” means the Centers for Medica…
R.641—12.10 Reporting of confirmed positive test results to the medical review officer
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12.10(1) Each report shall identify the alcohol or other drugs, or their metabolites, being tested with the results of positive/negative or detected/nondetected clearly recorded. 12.10(2) Approved confirmatory laboratories shall have available a written summary of the established…
R.641—12.11 Reporting requirements to department. Pursuant to Iowa Code section 730.5(16),
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approved confirmatory laboratories shall file a report with the department by March 1 of each year. The report shall include the number of positive and negative drug or alcohol test results for the previous calendar year for the following if available to the laboratory: 1. Employ…
R.641—12.12 Approval, renewal, and inspection fees. At the time of initial application and each year
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thereafter, laboratories shall remit to the department a fee in an amount sufficient to reimburse the department for expenses incurred in administering the confirmatory laboratory approval program. All fees shall be made payable to the department and are as follows: 12.12(1) Appr…
R.641—12.13 Renewal. Laboratories wishing to continue confirmatory testing for alcohol or other
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drugs, or their metabolites, in Iowa must renew their certification annually. The request for renewal shall include the following: 1. Name and address of laboratory. 2. Renewal fee. 3. Information that reflects any changes that occurred during the current approval period. 4. Copy…
R.641—12.14 Reciprocity
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12.14(1) Confirmatory laboratories certified, licensed, or approved by another state to conduct testing for alcohol or other drugs, or their metabolites, may request Iowa approval through reciprocity by: a. Completing and submitting the department’s application package, and b. In…
R.641—12.15 Changes during approval periods. The following changes that occur during an approval
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period shall be submitted to the department within five working days from the date the change took place: 1. Change in laboratory director. 2. Change of address. 3. Change in supervisor. 4. Change in confirmation procedures. 5. Change in proficiency testing program. 6. Addition o…
R.641—12.16 Enforcement. Upon a determination of noncompliance by the director that these rules
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have been violated, the director may immediately move to suspend, modify, or revoke any approval issued under these rules. [ARC 9167C, IAB 4/30/25, effective 7/1/25]
R.641—12.17 Denial, suspension, modification or revocation of approval. Any one of the following
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can result in denial, suspension, modification or revocation of approval. Failure of the confirmatory laboratory to: 1. Remain in compliance with the requirements of these rules. 2. Provide required documentation, including documentation of laboratory personnel and proficiency te…
R.641—12.18 Restoration of approval. A confirmatory laboratory whose approval has been
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suspended, modified, or revoked may be reinstated within 90 days following the receipt of the following: 1. Documentation of actions that correct the reasons for suspension, modification, or revocation. 2. Documentation of a successful on-site inspection, if necessary, conducted …
R.641—12.19 Appeals process
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12.19(1) Denial, suspension, modification, or revocation. The department will send written notice of denial, suspension, modification, or revocation by certified mail, return receipt requested, pursuant to 441—Chapter 16. The adverse action will become effective 30 days after rec…
R.641—12.2 Powers and duties. The department is responsible for the following actions:
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12.2(1) Processing applications from laboratories requesting approval to conduct confirmatory testing pursuant to Iowa Code section 730.5(7)“f.” 12.2(2) Developing an application package. a. The department will make an application package available to all laboratories requesting …
R.641—12.20 Complaints
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12.20(1) The department will accept complaints of alleged problems relating to confirmatory laboratory procedures. The information shall state in as specific a manner as possible the basis for the complaint. The complaint shall be presented to the department in writing, in person…
R.641—12.3 Application procedures and requirements. Laboratories desiring to conduct
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confirmatory testing for Iowa’s employers shall apply to the department for approval. Each laboratory requesting Iowa approval to conduct confirmatory testing shall provide the following to the department: 12.3(1) A completed laboratory survey checklist on a form provided by the …
R.641—12.4 Requirements of laboratory personnel involved in confirmatory testing for alcohol or
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other drugs, or their metabolites. 12.4(1) The laboratory director shall be a pathologist or doctoral level individual who qualifies as a clinical laboratory director under CLIA regulations. 12.4(2) Supervisors of analysts shall possess at least a bachelor of science degree in ch…
R.641—12.5 Quality assurance program and procedure manual requirements. All approved
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confirmatory laboratories shall have a written quality assurance program and a procedure manual that encompasses all aspects of the alcohol or drug testing process. 12.5(1) Approved laboratories shall have written procedures for performing alcohol or drug testing that shall inclu…
R.641—12.6 Analytical quality control. The number and position of control specimens tested within a
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batch and the number of calibrators used for each batch of specimens shall be consistent with generally accepted laboratory practice for the methodology used to conduct confirmatory testing. 12.6(1) Positive and negative controls shall be used in testing each batch of specimens. …
R.641—12.7 Sample security and confidentiality of test results. Samples and reports must never be
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left unattended or unsecured. 12.7(1) Complete chain of custody documentation shall be maintained for each sample from the time of collection from the employee or prospective employee to the time the sample is discarded. Each time the sample is handled or transferred, the individ…
R.641—12.8 Confirmatory testing
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12.8(1) Reports for alcohol shall be confirmed by gas chromatography, or a test that is recognized by the department as an equivalent test before being reported as positive (or negative). 12.8(2) Reports for drugs or their metabolites, other than alcohol, shall not be issued in t…
R.641—12.9 Documentation of the confirmatory testing process. The following documents shall be
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retained for at least two years and, if requested, made available for inspection. 12.9(1) Chain of custody documentation shall be maintained for each sample tested with the identification of the sample, the person(s) handling and testing the sample, the storage of the sample, and…