Iowa 2023-2024 Regular Session Status: Enacted

SF 477 — A bill for an act relating to health care, including the licensure of internationally trained physicians and electronic protected health information, and including effective date provisions.

Last action — Signed by Governor.

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

This bill has been enacted into law. Introduced March 01, 2023. Enacted.

Signed by Governor Kim Reynolds (Republican) on May 03, 2024.

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

163 added · 191 removed

163 line(s) added, 191 removed.

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KMRENODS OFFICEOF THE GOVERNOR ADAMGEG GVENOR LTOVRNR May,04 heonrblealPte ertryfSaefIoa tteaiol esoie,Ioa5319 erMr.erty, Ieeytast:
Senate File 477 - Enrolled Senate File 477 AN ACT RELATING TO HEALTH CARE, INCLUDING THE LICENSURE OF INTERNATIONALLY TRAINED PHYSICIANS AND ELECTRONIC PROTECTED HEALTH INFORMATION, AND INCLUDING EFFECTIVE DATE PROVISIONS.
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L N S I S E N 1B IJ Z ' dV1 I I .' l1 ! •91 I1 31 •IlI61l131I dV11I 61II Senate File 477 AN ACT RELATING TO HEALTH CARE, INCLUDING THE LICENSURE OF INTERNATIONALLY TRAINED PHYSICIANS AND ELECTRONIC PROTECTED HEALTH INFORMATION, AND INCLUDING EFFECTIVE DATE PROVISIONS.
DIVISION I LICENSURE OF INTERNATIONALLY TRAINED PHYSICIANS Section 1 .
DIVISION I LICENSURE OF INTERNATIONALLY TRAINED PHYSICIANS Section 1.
"Board - means the board of medicine established pursuant to chapter 147.
“Board” means the board of medicine established pursuant to chapter 147.
'Health care facility" means all of the following:
“Health care facility” means all of the following:
C.
c.
'International medical program - means a medical school, residency program, medical internship program, or entity that provides physicians with a medical education or training outside of the United States that is substantially similar to the practice of medicine and surgery or osteopathic medicine and surgery in Iowa and that has been evaluated by the educational commission on foreign medical graduates.
“International medical program” means a medical school, residency program, medical internship program, or entity that provides physicians with a medical education or training outside of the United States that is substantially similar to the practice of medicine and surgery or osteopathic medicine and surgery in Iowa and that has been evaluated by the educational commission on foreign medical graduates.
-International physician - means an individual who meets all of the following requirements:
“International physician” means an individual who meets all of the following requirements:
Senate File 477, p .
Senate File 477, p.
Has been in good standing with the medical licensing or regulatory institution of the individual's resident country during the immediately preceding five years and has no pending discipline before the licensing or regulatory institution.
Has been in good standing with the medical licensing or regulatory institution of the individual’s resident country during the immediately preceding five years and has no pending discipline before the licensing or regulatory institution.
Has completed a residency or substantially similar postgraduate medical training in the individual's resident country.
Has completed a residency or substantially similar postgraduate medical training in the individual’s resident country.
148J.2 International physicians provisional licenses.
148J.2 International physicians —— provisional licenses.
A provisional license granted pursuant to paragraph may be converted to a full license to practice medicine and surgery or osteopathic medicine and surgery after three years, unless the license has been revoked pursuant to subsection 2 or surrendered by the licensee.
A provisional license granted pursuant to paragraph “a” may be converted to a full license to practice medicine and surgery or osteopathic medicine and surgery after three years, unless the license has been revoked pursuant to subsection 2 or surrendered by the licensee.
The board may revoke a provisional license granted pursuant to subsection 1 , paragraph -a-, if the board finds by clear and compelling evidence that the licensee has violated a provision of section 148.6.
The board may revoke a provisional license granted pursuant to subsection 1, paragraph “a”, if the board finds by clear and compelling evidence that the licensee has violated a provision of section 148.6.
The board may revoke a provisional license granted pursuant to subsection 1 , paragraph -a-, if the international Senate File 477, p.
The board may revoke a provisional license granted pursuant to subsection 1, paragraph “a”, if the international Senate File 477, p.
Complete a licensure application as required by the board e.
Complete a licensure application as required by the board.
e.
This division of this Act takes effect January 1 , 2025.
This division of this Act takes effect January 1, 2025.
135.194 Electronic protected health information of minor — disclosure to legal guardian — option to provide printed copy.
135.194 Electronic protected health information of minor —— disclosure to legal guardian —— option to provide printed copy.
A health care provider or facility that maintains or transmits electronic protected health information shall disclose to the legal guardian of a minor the minor's electronic protected health information, with the following exceptions:
A health care provider or facility that maintains or transmits electronic protected health information shall disclose to the legal guardian of a minor the minor’s electronic protected health information, with the following exceptions:
In lieu of disclosing the minor's electronic protected health information to the legal guardian of a minor as required pursuant to subsection 1 , a health care provider or facility may comply with this section by providing a printed copy of the minor's electronic protected health information, subject to the exceptions prescribed pursuant to subsection 1 , and at no Senate File 477, p .
In lieu of disclosing the minor’s electronic protected health information to the legal guardian of a minor as required pursuant to subsection 1, a health care provider or facility may comply with this section by providing a printed copy of the minor’s electronic protected health information, subject to the exceptions prescribed pursuant to subsection 1, and at no Senate File 477, p.
"Disclosure -means the release, transfer, provision of access to, or divulging in any manner of electronic protected health information outside the entity holding the electronic protected health information.
“Disclosure” means the release, transfer, provision of access to, or divulging in any manner of electronic protected health information outside the entity holding the electronic protected health information.
Electronic media -means electronic storage material on which data is or may be recorded electronically and transmission media used to exchange information already in electronic storage media.
“Electronic media” means electronic storage material on which data is or may be recorded electronically and transmission media used to exchange information already in electronic storage media.
C.
c.
Electronic protected health information - means protected health information that is transmitted or maintained by or in electronic media.
“Electronic protected health information” means protected health information that is transmitted or maintained by or in electronic media.
Facility -means a health care delivery system location that provides a range of primary, secondary, and tertiary inpatient, outpatient, and physician services;
“Facility” means a health care delivery system location that provides a range of primary, secondary, and tertiary inpatient, outpatient, and physician services;
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'Health care -means care, services, or supplies related to the health of a person and includes but is not limited to:
“Health care” means care, services, or supplies related to the health of a person and includes but is not limited to:
IF.
f.
'Health care provider - means a physician or osteopathic physician licensed under chapter 148, a physician assistant licensed 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 Senate File 477, p.
“Health care provider” means a physician or osteopathic physician licensed under chapter 148, a physician assistant licensed 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 Senate File 477, p.
Health information"" means health information as defined in 45 C.F.R.
“Health information” means health information as defined in 45 C.F.R.
'Legal guardian -means a person appointed by a court as the guardian of a minor pursuant to chapter 633, or the parent or other person responsible for the care of the minor.
“Legal guardian” means a person appointed by a court as the guardian of a minor pursuant to chapter 633, or the parent or other person responsible for the care of the minor.
'Protected health information - means protected health information as defined in 45 C.F.R.
“Protected health information” means protected health information as defined in 45 C.F.R.
AMY SINCLAIIR PAT"GRASSLEY President of the Senate Speaker of the House I hereby certify that this bill originated in the Senate and is known as Senate File 477, Ninetieth General Assembly.
______________________________ ______________________________ AMY SINCLAIR PAT GRASSLEY President of the Senate Speaker of the House I hereby certify that this bill originated in the Senate and is known as Senate File 477, Ninetieth General Assembly.
W.
______________________________ W.
CHARLES SMITHSON Secretar f the Senate Approved , 2024 V 0• KIM REYNOLD Governor
CHARLES SMITHSON Secretary of the Senate Approved _______________, 2024 ______________________________ 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 President and Speaker, and sent to Governor.

  3. Fiscal note.

  4. Message from Senate.

  5. Immediate message.

  6. Passed Senate, yeas 48, nays 0.

  7. Senate concurred with S-5075.

  8. Fiscal note.

  9. Message from House, with amendment S-5075.

  10. Immediate message.

  11. Passed House, yeas 96, nays 0.

  12. Amendment H-8173 adopted, as amended.

  13. Amendment H-8211 to amendment H-8173 filed, adopted.

  14. Amendment H-8173 filed.

  15. Placed on calendar.

  16. Committee report, recommending passage.

  17. Subcommittee recommends passage. Vote Total: 3-0.

  18. Subcommittee Meeting: 03/06/2024 8:00AM RM 19.

  19. Subcommittee: Young, Baeth and Wills, J.

  20. Subcommittee recommends passage. Vote Total: 3-0.

  21. Subcommittee Meeting: 03/21/2023 10:30AM House Lounge.

  22. Fiscal note.

  23. Subcommittee: Young, Baeth and Harris.

  24. Read first time, referred to State Government.

  25. Message from Senate.

  26. Immediate message.

  27. Passed Senate, yeas 47, nays 1.

  28. Amendment S-3080 filed, adopted.

  29. Fiscal note.

  30. Committee report, approving bill.

  31. Introduced, placed on calendar.

Sponsors

  • COMMITTEE ON STATE GOVERNMENT · Primary

Sponsorship breakdown

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

Sponsors (1)

  • COMMITTEE ON STATE GOVERNMENT

Co-sponsors (0)

None.

Not signed on (149)

149 members have not signed on to this bill.

Show all 149 →

"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.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

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Frequently asked questions

Who sponsors SF 477?
SF 477 is sponsored by COMMITTEE ON STATE GOVERNMENT.
What is the current status of SF 477?
This bill has been enacted into law. Introduced March 01, 2023. Enacted.
Where can I track SF 477?
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