Iowa 2023-2024 Regular Session Status: Enacted

HF 424 — A bill for an act providing for the collaborative practice of physician assistants by allowing for the practice of certain physician assistants without supervision by a physician.

Last action — Signed by Governor.

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced February 22, 2023. Enacted.

Signed by Governor Kim Reynolds (Republican) on May 10, 2023.

Prognosis

Advancing 50% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

329 added · 347 removed

329 line(s) added, 347 removed.

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Kim Reynolds O f f i c e o f t h e G o v e r n o r A d a m Gregg G O V E R N O R L T g o v e r n o r May 10,2023 The Honorable Paul Pate SecretaryofStateofIowa StateCapitol Des Moines.Iowa 50319 DearMr.Secretary, 1herebytransmit:
House File 424 - Enrolled House File 424 AN ACT PROVIDING FOR THE COLLABORATIVE PRACTICE OF PHYSICIAN ASSISTANTS BY ALLOWING FOR THE PRACTICE OF CERTAIN PHYSICIAN ASSISTANTS WITHOUT SUPERVISION BY A PHYSICIAN.
HouseFile424,anActprovidingforthecollaborativepracticeofphysicianassistantsby allowingforthepracticeofphysicianassistantswithoutsupervisionbyaphysician.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
TheaboveHouseFileisherebyapprovedonthisdate.
Section 1.
Sincerely, K-rjiRe yn ^s\ GovernordCkiwa cc:
Section 135.24, subsection 7, paragraph d, Code 2023, is amended to read as follows:
SecretaryoftheSenate Clerk ofthe House state CAPITOL DES MOINES,IOWA 50319 515.281.5211 FAX 515.725.35WWW.G0VERN0R.I0WA.GOV gPBlZE »MOgVlli» WILL MAINTAI m m r a i n n m m n ■jjix a .
d.
m i m m m m r c :
“Health care provider” means a physician licensed under chapter 148;
H o u s eF i l e 4 2 4 A N A C T P R O V ID IN GFOR THE C O LLA B O R A T IV EP R A C T IC OF P H Y S IC IA N A S S IS T A N TBY A L L O W IN FOR TH E P R A C T IC OF C E R T A INP H Y S IC IA N A S S IS T A N TW ITHO UT S U P E R V IS IO BY A P H Y S IC IA N .
a chiropractor licensed under chapter 151;
BE IT ENACTED BY THE GENERAL ASSEM BLY OF THE STATE OF IO W A :
a physical therapist licensed pursuant to chapter 148A;
S ection 1.
an occupational therapist licensed pursuant to chapter 148B;
S ection 135.24, subsection 7, paragraph d.
a podiatrist licensed pursuant to chapter 149;
Code 0 2 3 ,is am ended to re a d as f o llo w s :
a physician assistant licensed and practicing under a supervising physician pursuant to chapter 148C;
d, ^Health care p ro v id e r" means a physician licensed under ch a p te r 148;
a licensed practical nurse, a registered nurse, or an advanced registered nurse practitioner licensed pursuant to chapter 152 or 152E;
a c h iro p ra c to r lic e n s e dunder ch a p te r 151;
a respiratory therapist licensed pursuant to chapter 152B;
a p h y s ic a l th e ra p is t lice n se d pursuant to chapter 148A;
a dentist, dental hygienist, or dental assistant registered or licensed to practice under chapter 153;
an o ccu p a tio n a l th e ra p is t lice n se d pursuant to chapter 148B;
an optometrist licensed pursuant to chapter 154;
a p o d ia tris t lic e n s e d pursuant to chapter 149;
a psychologist licensed pursuant to chapter 154B;
a p h ysicia n a s s is ta n t lice n se d and p ra c tic in g under a su p e rvisin g p h ysicia n pursuant to chapter 148C;
a social worker licensed pursuant to chapter 154C;
a lice n se d p ra c tic a l nurse, a re g is te re d nurse, or an advanced re g is te re d nurse p ra c titio n e r lice n se d pursuant to chapter 152 or 152E;
a mental health counselor, marital and family therapist, behavior analyst, or assistant behavior analyst licensed pursuant to chapter 154D;
a re s p ira to ry th e ra p is t lic e n s e d p u rsu a n t to ch a p te r 152B;
a speech pathologist or audiologist licensed pursuant to chapter 154F;
a d e n tis t, d e n ta l h y g ie n is t, or d e n ta l a s s is ta n t re g is te re d or lice n se d to p ra c tic e under chapter 153;
a pharmacist licensed pursuant to chapter 155A;
an o p to m e tris t lice n se d pursuant to chapter 154;
or an emergency medical care provider certified House File 424, p.
a p s y c h o lo g is t lice n se d pursuant to chapter 154B;
a s o c ia l w orker lic e n s e d p u rsu a n t to ch a p te r 154C;
a m ental h e a lth c o u n s e lo r,m a rita l and fa m ily th e r a p is t, b e h a vio r a n a ly s t, or a s s is ta n t behavior a n a ly s t lice n se d pursuant to ch a p te r 154D;
a speech p a th o lo g is t o r a u d io lo g is t lic e n s e d p u rsu a n t to ch a p te r 154F;
a p h a rm a cist lic e n s e d p u rsu a n t to ch a p te r 155A;
or an emergency m e d ica l care p ro v id e r c e r t if ie d House File 424, p.
Section 135G.1, subsection 8 , Code 2023, is amended t or e aa s f o l l o w s :
Section 135G.1, subsection 8, Code 2023, is amended to read as follows:
^Physician assistant" means a person licensed to practice under the auporvision of a physician as authorized in chaptcra and chapter 148C.
“Physician assistant” means a person licensed to practice under the supervision of a physician as authorized in chapters 147 and chapter 148C.
Section 135P.1, subsection 2, Code 2023, is amended t or e a a sf o l l o w s :
Section 135P.1, subsection 2, Code 2023, is amended to read as follows:
'''Health care provider" means a physician or osteopathic physician licensed under chapter 148, a physician assistant licensed and practicing under a ouporviaing physician pursuant •fee chapter 148C, a podiatrist licensed under chapter 149, a chiropractor licensed under chapter 151, a licensed practical nurse, a registered nurse, or an advanced registered nurse practitioner licensed under chapter 152 or 152E, a dentist licensed under chapter 153, an optometrist licensed under chapter 154, a pharmacist licensed under chapter 155A, or any other person who is licensed, certified, or otherwise authorized or permitted by the law of this state to administer health care in the ordinary course of business or in the practice of a profession.
“Health care provider” means a physician or osteopathic physician licensed under chapter 148, a physician assistant licensed and practicing under a supervising physician pursuant to chapter 148C, a podiatrist licensed under chapter 149, a chiropractor licensed under chapter 151, a licensed practical nurse, a registered nurse, or an advanced registered nurse practitioner licensed under chapter 152 or 152E, a dentist licensed under chapter 153, an optometrist licensed under chapter 154, a pharmacist licensed under chapter 155A, or any other person who is licensed, certified, or otherwise authorized or permitted by the law of this state to administer health care in the ordinary course of business or in the practice of a profession.
Section 147.14, subsection 1, paragraph 1, Code 2023, is amended to read as follows:
Section 147.14, subsection 1, paragraph l, Code 2023, is amended to read as follows:
i.
l.
3 t o reada s f o l l o w s :
3 to read as follows:
A Notwithstanding subsection 1 and any other provision of this section to the contrary, a physician assistant may prescribe, dispense, order, administer, or procure prescription drugs, controlled substances, or medical devices necessary to complete a course of therapy pursuant to section 148C.4, Rules relating to the authority of physician assistants to prescribe drugs, controlled substances, and medical devices pursuant to this subsection shall be adopted by the board of physician assistants after consultation with the board o f medicine and board of pharmacy.
A Notwithstanding subsection 1 and any other provision of this section to the contrary, a physician assistant may prescribe, dispense, order, administer, or procure prescription drugs, controlled substances, or medical devices necessary to complete a course of therapy pursuant to section 148C.4.
Rules relating to the authority of physician assistants to prescribe drugs, controlled substances, and medical devices pursuant to this subsection shall be adopted by the board of physician assistants after consultation with the board of medicine and board of pharmacy.
Section 147.136A, subsection 1, paragraph a.
Section 147.136A, subsection 1, paragraph a, Code 2023, is amended to read as follows:
Code 2023, is amended to read as follows:
a.
a, '^'Health care provider*' means a hospital as defined in section 135B.1, a health care facility as defined in section 135C.1, a health facility as defined in section 135P.1, a physician or an osteopathic physician licensed under chapter 148, a physician assistant licensed and practicing under a supervising physician under chapter 148C, a podiatrist licensed under chapter 149, a chiropractor licensed under chapter 151, a licensed practical nurse, a registered nurse, or an advanced registered nurse practitioner licensed under chapter 152 or 152E, a dentist licensed under chapter 153, an optometrist licensed under chapter 154, a pharmacist licensed under chapter 155A, a professional corporation under chapter 496C that is owned by persons licensed to practice a profession listed in this paragraph, or any other person or entity who is licensed, certified, or otherwise authorized or permitted by the law of this state to administer health care in the ordinary course of business or in the practice of a profession.
“Health care provider” means a hospital as defined in section 135B.1, a health care facility as defined in section 135C.1, a health facility as defined in section 135P.1, a physician or an osteopathic physician licensed under chapter 148, a physician assistant licensed and practicing under a supervising physician under chapter 148C, a podiatrist licensed under chapter 149, a chiropractor licensed under chapter 151, a licensed practical nurse, a registered nurse, or an advanced registered nurse practitioner licensed under chapter 152 or 152E, a dentist licensed under chapter 153, an optometrist licensed under chapter 154, a pharmacist licensed under chapter 155A, a professional corporation under chapter 496C that is owned by persons licensed to practice a profession listed in this paragraph, or any other person or entity who is licensed, certified, or otherwise authorized or permitted by the law of this state to administer health care in the ordinary course of business or in the practice of a profession.
Section 147A.10, subsection 3 , Code 2023, is amended t or e a a sf o l l o w s :
Section 147A.10, subsection 3, Code 2023, is amended to read as follows:
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An act of commission or omission of any appropriately certified emergency medical care provider, registered nurse, or licensed practical nurse, or physician aooiotant^ while rendering emergency medical care under the responsible supervision and control of a physician to a person who is House File 424, p.
An act of commission or omission of any appropriately certified emergency medical care provider, registered nurse, or licensed practical nurse, or physician assistant, while rendering emergency medical care under the responsible supervision and control of a physician to a person who is House File 424, p.
provided that this section shall not relieve any person of liability for civil damages for any act o fc o m m i s o ro m i s sw h i cc o n s t i r e c k l e s s n e s s .
provided that this section shall not relieve any person of liability for civil damages for any act of commission or omission which constitutes recklessness.
Section 148C.1, subsection 5 , Code 2023, is amended by striking the subsection and inserting in lieu thereof the following:
Section 148C.1, subsection 5, Code 2023, is amended by striking the subsection and inserting in lieu thereof the following:
^Independent practice" means the practice of a physician assistant that is organized as a professional corporation under chapter 496C or a professional limited liability company under chapter 489.
“Independent practice” means the practice of a physician assistant that is organized as a professional corporation under chapter 496C or a professional limited liability company under chapter 489.
Section 148C.1, subsection 8 , Code 2023, is amended by striking the subsection and inserting in lieu thereof the following:
Section 148C.1, subsection 8, Code 2023, is amended by striking the subsection and inserting in lieu thereof the following:
'^Supervising physician" means a physician who supervises the medical services provided by a physician assistant engaged in independent practice consistent with the physician assistant's education, training, and experience.
“Supervising physician” means a physician who supervises the medical services provided by a physician assistant engaged in independent practice consistent with the physician assistant’s education, training, and experience.
Section 148C.1, subsection 6 , Code 2023, is amended t or e a a sf o l l o w s :
Section 148C.1, subsection 6, Code 2023, is amended to read as follows:
"^Physician" means a person who is currently licensed in Iowa to practice medicine and surgery or osteopathic medicine and surgery.
“Physician” means a person who is currently licensed in Iowa to practice medicine and surgery or osteopathic medicine and surgery.
Notwithstanding this subsection, a physician supervising a physician assistant practicing in a federal facility or under federal authority shall not bo required to obtain licensuro beyond liccnsuro roquiromcnts mandated by the federal government for supervising physicians.
Notwithstanding this subsection, a physician supervising a physician assistant practicing in a federal facility or under federal authority shall not be required to obtain licensure beyond licensure requirements mandated by the federal government for supervising physicians.
Section 148C.3, subsection 2, Code 2023, is amended t or e a a sf o l l o w s :
Section 148C.3, subsection 2, Code 2023, is amended to read as follows:
a.
5 the physician assistant has not previously practiced under a supervising physician or in collaboration with the appropriate physician or other health care professional for a period of at least two years.
5 the physician assistant has not previously practiced under a supervising physician or in collaboration with the appropriate physician or other health care professional for a period of at least two years .
The rules shall provide that not more than five physician aaaiatants shall be oupervised by a physician at one time determine the terms of collaboration for a physician assistant engaged in independent practice after the conclusion of two years of practice under a supervising physician.
The rules shall provide that not more than five physician assistants shall be supervised by a physician at one time determine the terms of collaboration for a physician assistant engaged in independent practice after the conclusion of two years of practice under a supervising physician.
The rules shall also provide that a physician assistant shall notify the board of the identity of the physician assistant's supervising physician and of any change in the status of the supervisory relationship.
The rules shall also provide that a physician assistant shall notify the board of the identity of the physician assistant’s supervising physician and of any change in the status of the supervisory relationship.
For purposes of this chapter, ^supervision'* does not require the personal presence of the physician at the place where medical services are rendered except insofar as the personal presence is expressly required by this chapter or by rules of the board adopted pursuant to chapter 17A.
For purposes of this chapter, “supervision” does not require the personal presence of the physician at the place where medical services are rendered except insofar as the personal presence is expressly required by this chapter or by rules of the board adopted pursuant to chapter 17A.
Section 148C.4, subsections 2 and 3, Code 2023, are a m e n dt or e aa s f o l l o w s :
Section 148C.4, subsections 2 and 3, Code 2023, are amended to read as follows:
a-i- Notwithstanding subsection 1, a physician assistant licensed pursuant to this chapter or authorized to practice in any other state or federal jurisdiction who voluntarily and gratuitously, and other than in the ordinary course of the physician assistant's employment or practice, responds to a need for medical care created by an emergency or a state or local disaster may render such care that the physician assistant is able to provide without ouporvision as dGscribod in this section or with such supervision as is available.
a.
b-.—A physician who supcrvisco a physician assistant providing medical care pursuant to this subsection shall not bo required to meet the roquirGmonts of rules adopted pursuant to section 1480.3#—subsection 2#—relating to supervision by physicians.
Notwithstanding subsection 1, a physician assistant licensed pursuant to this chapter or authorized to practice in any other state or federal jurisdiction who voluntarily and gratuitously, and other than in the ordinary course of the physician assistant’s employment or practice, responds to a need for medical care created by an emergency or a state or local disaster may render such care that the physician assistant is able to provide without supervision as described in this section or with such supervision as is available.
A physician providing physician assistant supervision purauant to this subsection or a physician assistant, who voluntarily and gratuitously, and other than in the ordinary course of the physician assistant's employment or practice, responds to a need for medical care created by an emergency or a state or local disaster shall not be subject to criminal liability by reason of having issued or executed House File 424, p.
b.
6 the orders for provided such care, and shall not be liable for civil damages for acts or omissions relating to the iasuanco or GXGCution o f the orders such care unless the a c t s or omissions c o n s t i r e c k l e s s n e s s .
A physician who supervises a physician assistant providing medical care pursuant to this subsection shall not be required to meet the requirements of rules adopted pursuant to section 148C.3, subsection 2, relating to supervision by physicians.
A physician providing physician assistant supervision pursuant to this subsection or a physician assistant, who voluntarily and gratuitously, and other than in the ordinary course of the physician assistant’s employment or practice, responds to a need for medical care created by an emergency or a state or local disaster shall not be subject to criminal liability by reason of having issued or executed House File 424, p.
6 the orders for provided such care, and shall not be liable for civil damages for acts or omissions relating to the issuance or execution of the orders such care unless the acts or omissions constitute recklessness.
A physician ohall be accGsoiblG at all times for consultation with a physician assistant unless the physician assistant is providing Gmergency medical services pursuant to 645 lAC 327.1(1)(n).—The supervising physician shall have ultimate responsibility for determining the medical care provided by the supervising physician-physician assistant team A physician assistant shall be responsible for the services performed by the physician assistant that are not performed under the supervision of a physician.
A physician shall be accessible at all times for consultation with a physician assistant unless the physician assistant is providing emergency medical services pursuant to 645 IAC 327.1(1)(n).
The supervising physician shall have ultimate responsibility for determining the medical care provided by the supervising physician-physician assistant team A physician assistant shall be responsible for the services performed by the physician assistant that are not performed under the supervision of a physician .
Section 148C.5, subsection 1 , Code 2023, is amended t or e aa s f o l l o w s :
Section 148C.5, subsection 1, Code 2023, is amended to read as follows:
If the board commences a contested case hearing against a physician assistant by delivering a statement of charges and notice of hearing to the physician assistant, the board shall deliver a copy of the statement of charges and notice of hearing to the physician assistant's supervising physician, if applicable.
If the board commences a contested case hearing against a physician assistant by delivering a statement of charges and notice of hearing to the physician assistant, the board shall deliver a copy of the statement of charges and notice of hearing to the physician assistant’s supervising physician, if applicable.
1 6 .
16.
Section 148C.9, Code 2023, is amended to read as f o l l o w s :
Section 148C.9, Code 2023, is amended to read as follows:
A physician assistant shall not be permitted to prcscribG lensGOi prismsi or contact lenses for the aid,—relief# or correction of human vision.
A physician assistant shall not be permitted to prescribe lenses, prisms, or contact lenses for the aid, relief, or correction of human vision.
7 s u cs e r v i c e r e n d e r e d .
7 such services are rendered.
Section 148F.7, Code 2023, is amended to read as f o l l o w s :
Section 148F.7, Code 2023, is amended to read as follows:
A licensed orthotist, prosthetist, or pedorthist may provide care or services only if the care or services are provided pursuant to an order from a licensed physician, a licensed podiatric physician, an advanced registered nurse practitioner licensed pursuant to chapter 152 or 152E, or a physician assistant who has boon dclogatod the authority to order the servicGo of an orthotist/ proathctiat or pedorthist by the assistant's supervising physician licensed under chapter 1480.
A licensed orthotist, prosthetist, or pedorthist may provide care or services only if the care or services are provided pursuant to an order from a licensed physician, a licensed podiatric physician, an advanced registered nurse practitioner licensed pursuant to chapter 152 or 152E, or a physician assistant who has been delegated the authority to order the services of an orthotist, prosthetist, or pedorthist by the assistant’s supervising physician licensed under chapter 148C.
Section 154F.2, subsection 1, paragraph a.
Section 154F.2, subsection 1, paragraph a, Code 2023, is amended to read as follows:
Code 2023, is amended to read as follows:
Licensed physicians and surgeons, licensed osteopathic physicians and surgeons, and licensed physician assistants^ an4 registered nurses acting under the supervision of a physician or osteopathic physician, persons conducting hearing tests under the direct supervision of a licensed physician and surgeon or licensed osteopathic physician and surgeon, or students of medicine or surgery or osteopathic medicine and surgery pursuing a course of study in a medical school or college of osteopathic medicine and surgery approved by the board of medicine while performing functions incidental to their course of study.
Licensed physicians and surgeons, licensed osteopathic physicians and surgeons, and licensed physician assistants, and registered nurses acting under the supervision of a physician or osteopathic physician, persons conducting hearing tests under the direct supervision of a licensed physician and surgeon or licensed osteopathic physician and surgeon, or students of medicine or surgery or osteopathic medicine and surgery pursuing a course of study in a medical school or college of osteopathic medicine and surgery approved by the board of medicine while performing functions incidental to their course of study.
(1) A comprehensive set of wraparound services for persons who have had or are at imminent risk of having acute or crisis mental health symptoms that do not permit the persons to remain in or threatens removal of the persons from their home and community, but who have been determined by a mental health professional and a licensed health care professional, subject to the professional's scope of practice, not to need inpatient acute hospital services.
(1) A comprehensive set of wraparound services for persons who have had or are at imminent risk of having acute or crisis mental health symptoms that do not permit the persons to remain in or threatens removal of the persons from their home and community, but who have been determined by a mental health professional and a licensed health care professional, subject to the professional’s scope of practice, not to need inpatient acute hospital services.
For the purposes of this subparagraph, ^mental health professional'' means the same as defined in section 228.1 and ^licensed health care professional" means a person licensed under chapter 148 to practice medicine and surgery or osteopathic medicine and surgery, an advanced House File 424, p.
For the purposes of this subparagraph, “mental health professional” means the same as defined in section 228.1 and “licensed health care professional” means a person licensed under chapter 148 to practice medicine and surgery or osteopathic medicine and surgery, an advanced House File 424, p.
8 registered nurse practitioner licensed under chapter 152 or 152E, or a physician assistant licensed to practice under -felae supervision of a phyaician as authorigcd in chapters 147 and chapter 148C.
8 registered nurse practitioner licensed under chapter 152 or 152E, or a physician assistant licensed to practice under the supervision of a physician as authorized in chapters 147 and chapter 148C.
Section 228.1, subsection 7, paragraph b.
Section 228.1, subsection 7, paragraph b, Code 2023, is amended to read as follows:
Code 2023, is amended to read as follows:
For the purposes of this paragraph, ^collaboration^ means the same as defined in section 4 8 C .
For the purposes of this paragraph, “collaboration” means the same as defined in section 148C.1.
1 .
Section 280.16, subsection 1, paragraph d.
Section 280.16, subsection 1, paragraph d, Code 2023, is amended to read as follows:
Code 2023, is amended to read as follows:
^^Licensed health care professional^' means a person licensed under chapter 148 to practice medicine and surgery or osteopathic medicine and surgery, an advanced registered nurse practitioner licensed under chapter 152 or 152E and registered with the board of nursing, or a physician assistant licensed practico under the supervision of a physician ao authorigcd in chapters 147 and chapter 148C.
“Licensed health care professional” means a person licensed under chapter 148 to practice medicine and surgery or osteopathic medicine and surgery, an advanced registered nurse practitioner licensed under chapter 152 or 152E and registered with the board of nursing, or a physician assistant licensed to practice under the supervision of a physician as authorized in chapters 147 and chapter 148C.
Section 489.1102, subsection 2, paragraph b.
Section 489.1102, subsection 2, paragraph b, Code 2023, is amended to read as follows:
Code 2023, is amended to read as follows:
Nothing in this section shall be construed to expand the scope of practice of a physician assistant or modify the roquircmont in section 148C.4 that a physician assistant perform medical services under tho supervision of a licensed physician.
Nothing in this section shall be construed to expand the scope of practice of a physician assistant or modify the requirement in section 148C.4 that a physician assistant perform medical services under the supervision of a licensed physician.
Section 489.1105, subsection 2, paragraph b.
Section 489.1105, subsection 2, paragraph b, Code 2023, is amended to read as follows:
Code 2023, is amended to read as follows:
Nothing in this section shall be construed to expand the scope of practice of a physician assistant or modify the House Pile 424, p.
Nothing in this section shall be construed to expand the scope of practice of a physician assistant or modify the House File 424, p.
9 roquiromont in section 148C.4 that a physician assistant perform mGdical sorvicGa under the ouporvision of a liconoGd phyoician.
9 requirement in section 148C.4 that a physician assistant perform medical services under the supervision of a licensed physician .
Section 496C.4, subsection 2, paragraph b.
Section 496C.4, subsection 2, paragraph b, Code 2023, is amended to read as follows:
Code 2023, is amended to read as follows:
Nothing in this section shall be construed to expand the scope of practice of a physician assistant or modify the rGquiromont in ooction 148C.4 that a physician aooiatant perform medical SGrvicoa under the supervision of a licGnaod phyoician.
Nothing in this section shall be construed to expand the scope of practice of a physician assistant or modify the requirement in section 148C.4 that a physician assistant perform medical services under the supervision of a licensed physician .
Section 4960.7, subsection 3, paragraph b.
Section 496C.7, subsection 3, paragraph b, Code 2023, is amended to read as follows:
Code 2023, is amended to read as follows:
PAT GRA^EY AMY SINgJiAIR Speaker of the House President of the Senate I hereby certify that this bill originated in the House and is known as House File 424, Ninetieth General Assembly.
______________________________ ______________________________ PAT GRASSLEY AMY SINCLAIR Speaker of the House President of the Senate I hereby certify that this bill originated in the House and is known as House File 424, Ninetieth General Assembly.
Hk MEGHi^ NELSON C h i C l e ro ft h H o u s e Approved \ , 2023 f KIM REYNOLITS' G o v e r n o r
______________________________ MEGHAN NELSON Chief Clerk of the House Approved _______________, 2023 ______________________________ KIM REYNOLDS Governor
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Amendments

4 amendments

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Action History

  1. Signed by Governor.

  2. Reported correctly enrolled, signed by Speaker and President, and sent to Governor.

  3. Explanation of vote.

  4. Explanation of vote.

  5. Message from House.

  6. Explanation of vote.

  7. Immediate message.

  8. Passed House, yeas 88, nays 6.

  9. House concurred in Senate amendment H-1280.

  10. Senate amendment H-1280 filed.

  11. Message from Senate.

  12. Immediate message.

  13. Passed Senate, yeas 48, nays 1.

  14. Amendment S-3159 adopted, as amended.

  15. Amendment S-3167 to S-3159 filed, adopted.

  16. Amendment S-3159 filed.

  17. Placed on calendar under unfinished business.

  18. Committee report, recommending passage.

  19. Subcommittee recommends passage. [].

  20. Subcommittee Meeting: 03/15/2023 3:30PM Room 217 Conference Room.

  21. Subcommittee: Driscoll, Jochum, and Koelker.

  22. Referred to State Government.

  23. Read first time, passed on file.

  24. Message from House.

  25. Immediate message.

  26. Passed House, yeas 90, nays 8.

  27. Amendment H-1059, yeas 30, nays 68, lost.

  28. Amendment H-1059 filed.

  29. Introduced, placed on calendar.

Sponsors

  • COMMITTEE ON HEALTH AND HUMAN SERVICES · Primary

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 149 not signed on

Sponsors (1)

  • COMMITTEE ON HEALTH AND HUMAN SERVICES

Co-sponsors (0)

None.

Not signed on (149)

149 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

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Subjects

healthcare labor
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Frequently asked questions

Who sponsors HF 424?
HF 424 is sponsored by COMMITTEE ON HEALTH AND HUMAN SERVICES.
What is the current status of HF 424?
This bill has been enacted into law. Introduced February 22, 2023. Enacted.
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