Iowa Administrative Code

72.2(1) A local board of health representing a geographic area with a population of at least 15,000 is eligible to apply for status as an approved program pursuant to Iowa Code section 135.104, which sets forth the eligibility requirements contained in the application. 72.2(2) A …

“Administer” means to implement programs through contracts entered into by the department and selected private, governmental, and nonprofit organizations to provide programming directly to participants. “Administer” does not mean the evaluation of programs or the management of fe…

identification number to each distinct location of a nonprofit health care delivery system receiving funds from the department to administer programs under: 75.2(1) The Title X family planning program; 75.2(2) PREP; 75.2(3) SRAE; 75.2(4) FPP; and 75.2(5) CAPP grants. [ARC 9170C, …

subcontractor, and each distinct location of a nonprofit health care delivery system receiving funds from the department as enumerated in rule 641—75.2(88GA,ch85,90GA,ch19) shall provide to the department, on forms prescribed by the department, a signed attestation that abortions…

“Care/service coordination” or “care coordination” means a comprehensive, family-centered approach that proactively engages and links clients and families to needed health care services, including medical, dental, emotional, behavioral, and health education services. Care coordin…

health care under the program shall include the following requirements: 76.2(1) Age. a. Maternal health program—no age restrictions. b. Child health program—birth through 21 years of age. c. CYSHCN program—birth through 21 years of age. 76.2(2) Income. a. Income guidelines will b…

minor desiring direct health services other than those provided to children and youth with special health care needs may apply to a contract agency using a manner prescribed by the department. Individuals requesting presumptive eligibility must complete a form prescribed by the d…

“Core public health functions” means the functions of assessment, policy development, and assurance. 1. Assessment: regular collection, analysis, interpretation, and communication of information about health conditions, risks, and assets in a community. 2. Policy development: dev…

safeguarding the community’s health. This goal is pursued through three core functions: assessment, policy development and assurance. 77.2(1) Assessment: regularly and systematically collect, assemble, analyze, and make available information on the health of the community, includ…

77.3(1) Qualifications. Members of a local board of health should have experience or education related to the core public health functions, essential public health services, public health, environmental health services, personal health services, population-based services, or comm…

77.4(1) The following may be considered necessary expenses of local board of health members: a. Travel in private car on local board of health business at the same rate as provided for a public officer or employee in Iowa Code section 70A.9. b. Lodging and meal expenses, includin…

notice to the department. The notice shall set an effective date for the action. [ARC 9561C, IAB 9/17/25, effective 11/1/25]

more geographically contiguous counties may at any time submit to the department a written request to form a district board of health in accordance with Iowa Code section 137.106. [ARC 9561C, IAB 9/17/25, effective 11/1/25]

77.7(1) Upon receipt of the application form and all information contained in rule 641—77.6(137), the department will review such information and shall determine, within 30 days, whether the required elements have been presented by the proposed district and will provide notice of…

of health by submission and approval of a request as specified in Iowa Code sections 137.106 and 137.107. [ARC 9561C, IAB 9/17/25, effective 11/1/25]

district board of health by submitting a request for withdrawal to the department for approval. The request shall include a timeline and plan to reestablish a county board of health or to join a different district board of health to provide the core public health functions and es…

“Allocation” means the process to distribute funds. “Appropriation” means the funding amount approved in the state budget. “Contractor” means a local board of health. “Core public health functions” means the same as defined in 641—Chapter 77. “Elderly” means an individual aged 60…

delivery of essential public health services and public health interventions and will ensure the terms of its contract with the department are fulfilled. [ARC 9562C, IAB 9/17/25, effective 11/1/25]

time, salaries and benefits, and other necessary costs to implement the approved essential public health services and interventions. [ARC 9562C, IAB 9/17/25, effective 11/1/25]

80.4(1) Allocation for LPHS funds to each contractor is determined by the following formula: a. Eighteen percent of the total LPHS funds will be divided so that an equal amount is available for use in each county in the state. b. Eight percent of the total LPHS funds will be allo…

“Charitable organization” means the same as defined in Iowa Code section 135.24. “Defend” means that the office of the attorney general will provide the individual volunteer health care provider and protected clinic with legal representation at no cost to the individual volunteer…

volunteer health care provider’s protection agreement, sponsor entity protection agreement, or protected clinic’s protection agreement, the action will suspend or revoke future protection but will not negate defense and indemnification coverage for covered acts or omissions that …

88.11(1) Protection denied—appeal procedure. An applicant who has been denied protection by the VHCPP may appeal the decision according to the provisions set forth in 441—Chapter 7. 88.11(2) Reserved. [ARC 9956C, IAB 1/7/26, effective 3/1/26]

VHCPP of the initiation of a contested case against a protected individual volunteer health care provider or the imposition of disciplinary action, including providing copies of any contested case decision or settlement agreement with the protected individual volunteer health car…

volunteer health care provider or protected clinic as eligible for participation in the VHCPP by the applicable state licensing board and the department is solely a determination that the state will defend and indemnify the individual volunteer health care provider or the protect…

by the VHCPP to the participating protected clinic or sponsor entity at the time the protected clinic or sponsor entity agreement is approved by the VHCPP. Within 60 days following each calendar quarter, the protected clinic or sponsor entity will provide a report to the VHCPP. A…

88.2(1) Individual volunteer health care provider eligibility. To be eligible for protection as an employee of the state under Iowa Code chapter 669 for a claim arising from covered health care services, an individual volunteer health care provider shall satisfy each of the follo…

88.3(1) Licensure. The sponsor entity or protected clinic shall be licensed to the extent directed by law for the facility in question. 88.3(2) If the sponsor entity or protected clinic is a charitable organization within the meaning of Section 501(c)(3) of the Internal Revenue C…

current protection agreement with the VHCPP will be afforded the protection of an employee of the state under Iowa Code chapter 669, and a protected clinic holding a current protection agreement with the VHCPP will be afforded protection as an agency of the state under Iowa Code …

volunteer health care provider or a protected clinic for a claim arising from the VHCPP only to the extent provided by Iowa Code chapter 669 and section 135.24. Persons or entities other than the participating individual volunteer health care provider or protected clinic are not …

88.6(1) Individual volunteer health care provider. The protection agreement with the VHCPP will expire five years from the date of execution. Individual volunteer health care providers may apply for renewal by filing an application at least 30 days prior to expiration of the prot…

88.7(1) Upon obtaining knowledge or becoming aware of any injury allegedly arising out of the negligent rendering of, or the negligent failure to render, covered health care services under the VHCPP, a participating individual volunteer health care provider, protected clinic, or …

agreement of an individual volunteer health care provider, protected clinic or sponsor entity for cause, including but not limited to: 1. Failure to comply with the protection agreement or sponsor entity agreement with the VHCPP. 2. Violation of state law governing the respective…

volunteer health care provider’s protection agreement or a protected clinic’s protection agreement or a sponsor entity’s agreement for participation will be conducted as a contested case proceeding pursuant to Iowa Code chapter 17A. Iowa Code section 17A.18 does not preclude emer…

“Abortion” means an abortion as defined in Iowa Code chapter 146C. “Court” means juvenile court. “Grandparent” means the same as defined in Iowa Code chapter 135L. “Licensed physician” means a physician as licensed by the Iowa board of medicine. “Medical emergency” means the same…

89.2(1) Notification is made to the parent pursuant to Iowa Code section 135L.3, unless a judicial waiver is granted as provided in Iowa Code section 135L.3, or unless any of the conditions of rule

a. The notification form shall be in duplicate and may be provided by the department and include, at a minimum, the following: (1) The name of the minor. (2) Notification of the intent to terminate the pregnancy. (3) The name, address, and relationship of the person to be notifie…

“Child abuse assessment” means an assessment performed in accordance with Iowa Code section 232.71B. “Child fatality” means the death of a child under the age of 18. “Committee” means the state mortality review committee. “Maternal death” means any death occurring while a woman i…

liability, civil or criminal, as established in Iowa Code section 135.43(8). A person who releases or discloses confidential data, records, or any other type of information in violation of this chapter is guilty of a serious misdemeanor. [ARC 8971C, IAB 2/19/25, effective 4/1/25]…

department will provide staffing and administrative support to the committee. [ARC 8971C, IAB 2/19/25, effective 4/1/25]

135.43(2). [ARC 8971C, IAB 2/19/25, effective 4/1/25]

deemed necessary by the committee. Officers will be elected at the first meeting of each fiscal year. Vacancy in the office of the chairperson will be filled by elevation of the vice chairperson. Vacancy in the office of the vice chairperson will be filled by election at the next…

90.5(1) The committee may establish temporary or permanent subcommittees pursuant to Iowa Code sections 135.40, 135.43 and 135.110. 90.5(2) The committee shall establish appointment provisions, membership terms, operating guidelines, and other operational requirements for any sub…

[ARC 8971C, IAB 2/19/25, effective 4/1/25]

[ARC 8971C, IAB 2/19/25, effective 4/1/25]

90.8(1) The committee will be responsible for the duties established in Iowa Code sections 135.43(3) and 135.110(1). 90.8(2) The committee will conduct comprehensive, multidisciplinary reviews of maternal deaths or other deaths in Iowa to residents to identify factors associated …

90.9(1) The committee and subcommittees shall have access to patient records and other confidential information. In preparation for review of an individual death by the committee or subcommittee, the chairperson of the committee or the chairperson’s designee is authorized to gath…

“Child abuse” means the same as defined in Iowa Code section 232.68(2). “Child protection center” or “child advocacy center” means a comprehensive, child-focused program, designed by communities to meet their needs, based in a facility that allows law enforcement, child protectio…

1. To provide consistent and expedient response and follow-up to abuse reports. 2. To coordinate activities to investigate, prosecute, and treat child abuse. 3. To advocate for medical and mental health resources to effectively help the child and the child’s family. 4. To reduce …

94.3(1) The department will establish a request for proposal and application process for organizations eligible to receive funding. The department will establish a process to review applications, including receiving input from a review committee. The review process and review cri…