20,160 sections across 1,928 Iowa regulatory chapters.
R.641—155.2 Licensing. In accordance with Iowa Code section 125.13, a person shall not maintain
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or conduct a substance use disorder program without having first obtained a license for the program from the department, and in accordance with Iowa Code section 135.150, a person shall not maintain or conduct a problem gambling treatment program funded by the department unless t…
R.641—155.20 Inspection. An applicant or licensee agrees as a condition of licensure:
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155.20(1) To permit properly designated representatives of the department to enter into and inspect any and all programs and facilities for which a license has been applied or issued to verify information contained in the application or to ensure compliance with all laws, rules, …
R.641—155.21 General standards for all programs. The following standards apply to all
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programs. For programs for which both the general standards and specific standards apply, both sets of standards shall be met. 155.21(1) Governing body. The program shall have a formally designated governing body that complies with Iowa Code chapter 504 and that is the ultimate a…
R.641—155.22 Inpatient and residential program facilities. Specific standards apply for
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programs providing clinically managed low-intensity residential treatment, clinically managed medium- intensity residential treatment, clinically managed high-intensity residential treatment, medically monitored intensive inpatient treatment, and medically managed intensive inpat…
R.641—155.23 Specific standards for inpatient and residential programs. The program’s
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policies and procedures shall address each standard. 155.23(1) Hours of operation. Inpatient and residential programs shall operate seven days per week, 24 hours per day. 155.23(2) Meals. Inpatient and residential programs shall provide a minimum of three meals per day to each pa…
R.641—155.24 Specific standards for inpatient and residential programs licensed to provide
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services to juveniles. Inpatient and residential programs that provide services to juveniles under the age of 18 shall also comply with the following standards. The program’s policies and procedures shall address each standard. 155.24(1) Personal possessions. A program shall allo…
R.641—155.25 Specific standards for substance use assessment and OWI evaluation-only
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programs. Programs that provide substance use assessment and OWI evaluation-only services shall also comply with the following standards. The program’s policies and procedures shall address each standard. 155.25(1) A program conducting OWI evaluations on persons convicted of oper…
R.641—155.26 to 155.33
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R.641—155.3 Types of licenses
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155.3(1) The department may issue an initial license for 270 days to a new applicant scoring a minimum rating of 70 percent in each standards category on the licensure weighting report. An initial license shall expire in 270 days and shall not be extended or renewed. 155.3(2) The…
R.641—155.34 Specific standards for enhanced treatment services
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155.34(1) Standards. Substance use disorder and problem gambling treatment programs licensed to provide enhanced treatment services shall also comply with the following standards. The program’s policies and procedures shall address each standard. 155.34(2) Personnel. The program …
R.641—155.35 Specific standards for opioid treatment programs. All programs that use
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methadone or other medications approved by the Food and Drug Administration under Section 505 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355 as amended to August 1, 2025) and by the state of Iowa for use in the treatment of opioid addiction shall comply with this rule…
R.641—155.36 Reserved
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R.641—155.37 Definitions. For the purpose of these rules, the following definitions shall apply:
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“Bacille Calmette-Guerin vaccination” or “BCG vaccination” means a vaccine for tuberculosis (TB). BCG is used in many countries with a high prevalence of TB to prevent childhood tuberculosis meningitis and military disease. BCG is not generally recommended for use in the United S…
R.641—155.38 Tuberculosis screening of staff and residents
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155.38(1) TB risk assessment. Annually, each facility shall conduct a TB risk assessment to evaluate the risk for transmission of M. tuberculosis, regardless of whether a person with suspected or confirmed TB disease is expected to be encountered in the facility. The TB risk asse…
R.641—155.4 Nonassignability
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155.4(1) A license issued by the department for the operation of a program applies both to the licensee and the facility in which the program is operated. A license is not transferable. 155.4(2) A closing program is one that intends to cease providing licensed program services. T…
R.641—155.5 Application procedures. The department will provide license application forms on
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its website and at its office. An applicant shall submit application materials to the department. The department will proceed with inspection of the applicant upon receipt of a complete application. To be complete, an application must include all required materials and be respons…
R.641—155.6 Technical assistance. The department may provide technical assistance to an
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applicant or licensee. 155.6(1) An applicant may request technical assistance regarding these rules and the licensure process. 155.6(2) A licensee may request technical assistance regarding these rules and the licensure process or to bring areas of noncompliance with these rules …
R.641—155.7 Inspection of applicants
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155.7(1) Inspection of applicants. The department will inspect each applicant. Inspection will include review of the complete application and may include but may not be limited to review of patient records, review of applicant data reporting, and interviews with staff and patient…
R.641—155.8 License—approval. The department will issue a license upon approval of an
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application. The license will be effective upon approval. [ARC 9499C, IAB 8/20/25, effective 10/1/25]
R.641—155.9 Written corrective action plan
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155.9(1) A program approved for a license shall submit a written corrective action plan to the department within 30 days following approval to bring any area of noncompliance with these rules into compliance. 155.9(2) The written corrective action plan shall include but may not b…
R.641—156.1 Definitions. For the purpose of these rules, the following terms have the meanings
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indicated in this chapter. The definitions set out in Iowa Code section 204.2 are incorporated verbatim herein. “Accredited laboratory” means a laboratory accredited in accordance with the International Organization for Standardization/International Electrotechnical Commission (I…
R.641—156.10 Public examination of records
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156.10(1) Public information. Generally, information collected by the department and contractors is considered public information. Records are stored in computer files and are not matched with any other data system. Information is available for public review and will be provided …
R.641—156.11 Appeals. All decisions of the department may be contested by an adversely affected
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party in accordance with 441—Chapter 7. [ARC 8178C, IAB 8/7/24, effective 7/17/24] These rules are intended to implement Iowa Code section 124.506 and Iowa Code chapter 204 as amended by 2024 Iowa Acts, House File 2605. [Filed ARC 5404C (Notice ARC 5265C, IAB 11/4/20), IAB 1/27/2…
R.641—156.2 Registration and posting. A consumable hemp establishment shall not engage in
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manufacturing, processing, packing, holding, preparing, distributing, or selling a consumable hemp product in Iowa or to purchasers located in Iowa until it has submitted a consumable hemp registration that is approved by the department. 156.2(1) Consumable hemp manufactures/dist…
R.641—156.3 Testing requirements and documentation
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156.3(1) Approved hemp source; certificate of analysis. A consumable hemp product cannot be distributed or sold unless: a. The consumable hemp product is from an approved hemp source and is accompanied by documentation that identifies the jurisdiction of origin. Documentation tha…
R.641—156.4 Packaging and labeling
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156.4(1) Contents. Each consumable hemp product intended for individual retail sale is labeled such that a reasonable consumer would plainly identify the product as a consumable hemp product and contains the following information: a. Lot number for the batch; b. Expiration date; …
R.641—156.5 Applicability of other laws and regulations
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156.5(1) A consumable hemp establishment shall comply with all relevant Iowa laws and regulations applicable to the manufacturing, processing, storage, distribution, and sale of food, including but not limited to Iowa Code chapter 137F, Iowa Code chapter 137D, and regulations pro…
R.641—156.6 Prohibitions
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156.6(1) A consumable hemp establishment cannot manufacture, process, pack, hold, prepare, distribute, or sell consumable hemp products: a. On the premises of a private residence, except a portion of a private residence that is distinctly separate from any living space, that is d…
R.641—156.7 Violations and enforcement
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156.7(1) Any consumable hemp product introduced into commerce by an individual or entity without a consumable hemp registration approved by the department in accordance with rule 641—156.2(204) is subject to immediate embargo. 156.7(2) A consumable hemp product that is adulterate…
R.641—156.8 Denial, suspension, or revocation of registration. The department may deny, suspend,
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or revoke a registration in any case where the department finds there has been repeated failure on the part of the consumable hemp establishment to comply with the provisions of this chapter, or for any of the following reasons: 156.8(1) Failure to register. An individual or enti…
R.641—156.9 Inspection and access to records. The department may enter a consumable hemp
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establishment at any reasonable hour to assess compliance with Iowa Code chapter 204 and these rules. The manager or person in charge of the consumable hemp establishment will afford free access to every part of the premises, including access to records related to consumable hemp…
R.641—157.1 Definitions. Unless otherwise indicated, the following definitions apply to the specific
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terms used in these rules: “Assessment” means the ongoing process of identifying a diagnosis, ruling out other diagnoses, and determining the level of care needed by the client. “Course for drinking drivers” means an approved course designed to inform the offender about drinking …
R.641—157.2 Screening, evaluation, treatment, and drinking drivers course. Persons who are
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charged with operating a motor vehicle while intoxicated (OWI) under Iowa Code section 321J.2 and whose driver’s license or nonresident operating privileges are revoked under Iowa Code chapter 321J shall be assigned to undergo a substance abuse evaluation and, if recommended, tre…
R.641—157.3 Screening, evaluation, treatment, and drinking drivers course completion. The
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program shall report substance use disorder screening, assessment, evaluation and treatment completion to the department of transportation and to the district court in accordance with Iowa Code sections 125.37, 125.84 and 125.86; the federal confidentiality regulations, “Confiden…
R.641—157.4 Cost of evaluation and treatment
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157.4(1) Screening and evaluation. The program shall charge no more than $125 for the cost of screening and evaluation. The individual or the individual’s insurance provider shall be responsible for the costs of the screening and evaluation. 157.4(2) Treatment. Qualifying program…
R.641—157.5 Timeliness. The program shall conduct and complete substance abuse evaluations and
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treatment at the program’s earliest convenience. [ARC 9179C, IAB 4/30/25, effective 7/1/25]
R.641—157.6 Confidentiality. Programs will abide by the standards for patient records set forth in rule
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641—155.21(125,135). [ARC 9179C, IAB 4/30/25, effective 7/1/25]
R.641—157.7 Records. Programs shall maintain records in accordance with 641—subrule 155.21(10)
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[ARC 9179C, IAB 4/30/25, effective 7/1/25]
R.641—157.8 Reciprocity. For a resident of a state other than Iowa or an Iowa resident obtaining
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evaluation or treatment outside the state, screening, evaluation or treatment services shall be provided by programs licensed or approved by that state’s substance abuse authority. Programs shall submit the results of the screening, evaluation and treatment to the department for …
R.641—177.1 Definitions. For purposes of this chapter, the following definitions shall apply:
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“Confidential record” means a record that is not available as a matter of right for examination and copying by members of the public under applicable provisions of law. Confidential records include records or information contained in records that the agency is prohibited by law f…
R.641—177.2 Description of data to be submitted
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177.2(1) The department shall collect information from other state agencies for the purpose of public dissemination of health data. 177.2(2) Hospitals shall submit data to the contractor selected through the request for proposal process, which shall serve as an intermediary for t…
R.641—177.3 Fees. Fees charged for data provided by the department shall not exceed
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administrative costs. Such charges may include copying, postage, supervisory, computer programming, time, and medium fees. The department will work to provide requestors with an estimate of the charges to be assessed for copies and labor prior to producing copies of records. [ARC…
R.641—177.4 Patient confidentiality. The department shall protect patient confidentiality
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Confidential records or parts of such records collected as a part of this process shall be kept confidential. All health data shall be collected, maintained, and disseminated only in accordance with Iowa and federal law. [ARC 8044C, IAB 5/29/24, effective 7/3/24] These rules are …
R.641—192.1 Definitions. For the purpose of this chapter, the following definitions apply:
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“Applicant” means an individual who is seeking the issuance of a license. “Certificate of noncompliance” means a document as defined in Iowa Code section 252J.1 that is provided by child support services certifying that the applicant or licensee has defaulted on an obligation owe…
R.641—192.2 Denial of issuance or renewal of a license or suspension or revocation of a license
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The licensing authority will deny the issuance or renewal of a license or suspend or revoke a license upon the receipt of a certificate of noncompliance from child support services according to the procedures in Iowa Code chapter 252J. In addition to the procedures set forth in I…
R.641—192.3 Sharing of information. Notwithstanding any statutory confidentiality
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provision, the licensing authority may share information with child support services through manual or automated means for the sole purpose of identifying applicants or licensees subject to enforcement under Iowa Code chapter 252J or 598. [ARC 0077D, IAB 2/18/26, effective 4/1/26…
R.641—194.1 Definitions. For the purpose of this chapter, the following definitions shall apply
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“Applicant” means an individual who is seeking the issuance of a license. “Centralized collection unit” means the centralized collection unit of the Iowa department of revenue. “Certificate of noncompliance” means the same as defined in Iowa Code section 272D.1. “Denial notice” m…
R.641—194.2 Denial of issuance or renewal of a license or suspension or revocation of a license
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The licensing authority shall deny the issuance or renewal of a license or suspend or revoke a license upon the receipt of a certificate of noncompliance from the centralized collection unit per the procedure set forth in Iowa Code chapter 272D. This rule shall apply in addition …
R.641—194.3 Sharing of information. The department may share applicant or licensee information
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with the centralized collection unit pursuant to Iowa Code chapter 272D. [ARC 8127C, IAB 7/10/24, effective 8/14/24] These rules are intended to implement Iowa Code chapter 272D. [Filed ARC 7671B (Notice ARC 7540B, IAB 1/28/09), IAB 4/8/09, effective 5/13/09] [Filed ARC 8127C (No…
R.641—196.1 Definitions
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“License” means the same as defined in Iowa Code section 272D.1. “Licensing authority” means the same as defined in Iowa Code section 272D.1. “Military service” means honorably serving on federal active duty, state active duty, or national guard duty, as defined in Iowa Code sect…