Iowa Administrative Code

139.7(1) A training program may conduct or authorize other entities to provide continuing education courses. 139.7(2) Each training program shall assign a sponsor number to each core continuing education course using an assignment system approved by the department. 139.7(3) Cours…

training program approval or renewal. 139.8(1) This rule is not subject to waiver pursuant to 441—Chapter 6 or any other provision of law. 139.8(2) Method of discipline. The department has the authority to impose the following disciplinary sanctions against a training program: a.…

139.9(1) All complaints regarding an emergency medical care student, training programs or continuing education providers or those purporting to be or operating as the same shall be reported to the department in writing. 139.9(2) Any emergency medical care provider, emergency medi…

“Ambulance service” means the same as defined in 641—132.1(147A). “CEHs” means the same as defined in 641—131.1(147A,147D,272C). “Continuing education” means the same as defined in 641—131.1(147A,147D,272C). “County EMS association” means a countywide group of EMS providers and v…

board to develop and maintain the countywide EMS system strategic plan and to provide leadership on related EMS system development funding needs and objectives. [ARC 9080C, IAB 4/2/25, effective 6/1/25]

proposals at the regional, county, and local level are available through a grant process from the department to county boards of supervisors or local boards of health for equipment, training, and support of infrastructure needs as identified in the countywide EMS strategic plan a…

“Adult” means an individual 18 years of age or older. “Attending physician” means a physician selected by, or assigned to, the patient who has primary responsibility for the treatment and care of the patient. “Attending physician assistant” means the physician assistant selected …

142.2(1) OOH DNR physician or physician assistant order. The department designates the OOH DNR order form contained in Appendix A as the uniform OOH DNR order form to be used statewide. If an attending physician or attending physician assistant issues an OOH DNR order for a quali…

142.3(1) Uniform protocol. EMS providers shall act in accordance with the department’s OOH DNR protocol when implementing an OOH DNR order. EMS service programs shall incorporate the OOH DNR protocol as part of their service protocols and, using educational materials consistent w…

order to encourage understanding and implementation of OOH DNR orders and protocols throughout Iowa and honor a qualified patient’s wishes and intent regarding the provision of life-sustaining procedures in an out-of-hospital setting consistent with the requirements of Iowa Code …

deemed revoked at any time that a patient, or an individual authorized to act on the patient’s behalf as designated on the OOH DNR order, is able to communicate in any manner the intent that the order be revoked, without regard to the mental or physical condition of the patient. …

to act on the patient’s behalf. The personal wishes of family members or other individuals who are not authorized in the order to act on the patient’s behalf cannot supersede a valid OOH DNR order. [ARC 9081C, IAB 4/2/25, effective 6/1/25]

142.7(1) An attending physician or attending physician assistant who is unwilling to comply with an OOH DNR order or who is unwilling to comply with the provisions of Iowa Code section 144A.7A shall take all reasonable steps to effect the transfer of the patient to another physic…

142.8(1) An OOH DNR order or similar order executed prior to September 10, 2003, is valid and shall be honored in accordance with the then-applicable provisions of the law. 142.8(2) Health care providers may honor an OOH DNR order or identifier from another state if it can be val…

“Automated external defibrillator” or “AED” means an external semiautomatic device that determines whether defibrillation is required. [ARC 9082C, IAB 4/2/25, effective 6/1/25]

143.2(1) Ensure that the AED is maintained and inspected in accordance with the manufacturer’s guidelines. 143.2(2) Ensure that the AED is programmed to conform to nationally accepted guidelines for treatment of cardiac arrest patients. [ARC 9082C, IAB 4/2/25, effective 6/1/25] T…

“Comprehensive stroke center” means a hospital certified as a comprehensive stroke center by a nationally recognized certifying body with certification criteria consistent with the most current nationally recognized, evidence-based stroke guidelines related to reducing the occurr…

146.2(1) Iowa statewide stroke database. The department designates the Get with the Guidelines stroke module of the American Heart Association/American Stroke Association as the Iowa stroke database established in Iowa Code section 135.191. 146.2(2) Who is required to report. All…

146.3(1) Stroke centers shall report the required stroke care information for any reportable stroke case no later than 120 days after the patient was discharged, transferred to another hospital, or pronounced dead. 146.3(2) Reports shall meet the data quality, format, and timelin…

law and other health information and data collection, storage, and sharing requirements of the department. [ARC 9084C, IAB 4/2/25, effective 6/1/25]

comply with the reporting requirements, the department may request a review of the certification of the comprehensive or primary stroke center by the certifying entity. [ARC 9084C, IAB 4/2/25, effective 6/1/25] These rules are intended to implement Iowa Code section 135.191. [Fil…

participate in Iowa’s regionalized system of perinatal health care and will select the hospital’s level of participation in the regionalized system. A hospital having determined to participate in the regionalized system must comply with the rules appropriate to the levels of part…

conveyed, that it is a participating hospital in Iowa’s regionalized system of perinatal health care, or that uses any other term, such as a designated level of care, to indicate or imply that the hospital is a participating hospital in the regionalized system of perinatal health…

restrict a hospital from providing any services for which it is duly authorized. [ARC 9178C, IAB 4/30/25, effective 7/1/25] These rules are intended to implement Iowa Code section 135.11. [Filed 1/21/99, Notice 11/18/98—published 2/10/99, effective 3/17/99] [Filed 1/10/07, Notice…

“Categorization” means a preliminary determination by the department that a hospital is capable of providing maternal care and neonatal care at Level I, Level II, Level III, or Level IV. “Certificate of verification” means a document awarded by the department that identifies a ho…

1. Promote evidence-based and evidence-informed care of pregnant women and newborns. 2. Provide education and consultation to regional and primary providers of perinatal care. 3. Provide chart review to assess quality of care provided and additional education required. 4. Promote…

1. Certify a hospital’s capacity to provide perinatal health care in accordance with criteria established under these rules. 2. Provide technical assistance to the hospitals that choose to participate. 3. Review the submitted levels-of-care assessment tool from all participating …

and verification of hospitals participating in Iowa’s regionalized system of perinatal health care will be made by the department based on national recommendations from the American Academy of Pediatrics and the American Congress of Obstetricians and Gynecologists. 150.5(1) Appli…

I, specialty care Level II, subspecialty care Level III and regional perinatal health care Level IV. The levels reflect the overall evidence for risk-appropriate care in a hospital through the availability of appropriate personnel, physical space, equipment, technology, and organi…

of perinatal care. A hospital participating in the regionalized system of perinatal health care must be familiar with its own resources and capabilities in dealing with obstetrical and neonatal complications. In most instances, maternal-fetal transport is preferable to neonatal t…

specialty care Level II, and subspecialty intensive care Level III and Level IV. The levels reflect the overall evidence for risk-appropriate care through the availability of appropriate functional criteria, physical facilities, medical and nursing personnel, outreach education, a…

150.9(1) Upon receipt of the levels-of-care assessment tool and the on-site survey results, if required, the department will within 90 days issue its decision to grant or deny the hospital a certificate of verification. The department may deny verification or may give a citation …

142D.2 and the following definitions apply: “Ashtray” means any receptacle, including a can, bottle, bowl, tray, or other vessel that is used for extinguishing or disposing of any lighted cigar, cigarette, pipe, or other tobacco product in any manner or form including ash, cigare…

control of a public place, place of employment, area declared nonsmoking pursuant to Iowa Code chapter 142D or outdoor areas where smoking is prohibited. 153.2(1) The employer, owner, operator, manager, or person having custody or control of a place where smoking is prohibited un…

all areas where smoking is prohibited pursuant to Iowa Code chapter 142D comply with the provisions of these rules and Iowa Code chapter 142D. [ARC 8756C, IAB 1/8/25, effective 7/1/25]

153.4(1) Duties of department. The department will maintain a system for receiving and investigating complaints against persons who own, operate, manage, or otherwise have custody or control of a place where smoking is prohibited and who fail to comply with the provisions of Iowa…

administrative rule or federal regulation that prohibits smoking. [ARC 8756C, IAB 1/8/25, effective 7/1/25] These rules are intended to implement Iowa Code chapter 142D. [Filed emergency 6/30/08—published 7/30/08, effective 7/1/08] [Filed 11/12/08, Notice 7/30/08—published 12/3/0…

“Acceptance criteria” means the specified limits placed on characteristics of an item or method that are used to determine data quality. “Action level” means the threshold value that provides the criterion for determining whether a sample passes or fails a test performed pursuant…

Code section 124E.11(1). 154.10(1) Personally identifiable information of patients and primary caregivers will be maintained as confidential and is not accessible to the public. The department will release aggregate and statistical information regarding the registration card prog…

section 124E.4. [ARC 8124C, IAB 7/10/24, effective 8/14/24]

124E.12, patients and caregivers are entitled to a complete and affirmative defense for unlawful possession of marijuana. Medical cannabidiol is intended to be consumed privately, and patients are subject to all applicable laws regarding public impairment and operating a vehicle,…

154.13(1) Modification of allowable forms. Allowable forms of medical cannabidiol may be modified by approval of a recommendation by the medical cannabidiol board, subsequent approval of the board of medicine, and adoption of the recommendations by the department. 154.13(2) Allow…

agencies and the department of public safety of the locations of manufactures and dispensaries. If the department has sufficient cause to believe that there is a threat to public safety, the department shall notify local law enforcement agencies and the department of public safet…

154.15(1) To be eligible for licensure, an applicant manufacturer or dispensary shall complete a background investigation pursuant to Iowa Code section 124E.19. Applicants must provide information on forms and in a manner required by the department of public safety. 154.15(2) The…

are nonrefundable, shall be retained by the department, and shall be considered repayment receipts as defined in Iowa Code section 8.2. 154.16(1) Fees to the department for manufacturers and dispensaries. a. Fees for manufacturing applicants are established by Iowa Code section 1…

154.17(1) A licensed manufacturer or dispensary shall apply to renew its license with the department at least six months before the license expires. The application shall be submitted on a form on the department’s website. 154.17(2) The department shall notify a manufacturer or d…

154.18(1) The department may suspend or revoke a manufacturer or dispensary license upon any of the following grounds: a. Submission of false, inaccurate, misleading, or fraudulent information to the department in the application or inspection processes. b. Failure to submit requ…

penalty of up to $1,000 per violation of Iowa Code chapter 124E or these rules in addition to other applicable penalties. [ARC 8124C, IAB 7/10/24, effective 8/14/24]

154.2(1) Prior to a patient’s submission of an application for a medical cannabidiol registration card pursuant to this rule, a health care practitioner shall follow all provisions of Iowa Code section 124E.3, this chapter and requests from the department for more information. a.…

154.20(1) A manufacturer or dispensary shall notify the department at least six months before the closure of the manufacturing facility. 154.20(2) If a manufacturer or dispensary ceases operation, the manufacturer or dispensary shall work with the department to verify the remaini…