Iowa 2025-2026 Regular Session Status: Enacted

HF 299 — A bill for an act relating to the provision of information relating to immunization exemptions.

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 10, 2025. Enacted.

Signed by Governor Kim Reynolds (Republican) on May 27, 2025.

Prognosis

Likely to advance 70% · 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.

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

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.

In plain language

The bill mandates sharing information about immunization exemptions in various educational settings.

This legislation requires schools and childcare centers to provide information about immunization exemptions to parents and guardians. Communication must include details regarding the exemptions when informing about immunizations.

What this means for you
  • Families: Parents will receive detailed information about immunization exemptions when their children are informed about immunization requirements.

Bill Text

What changed in the latest version

105 added · 129 removed

Plain-language change summary

The updated version of House File 299 now mandates that child care centers and schools must provide information about immunization exemptions to parents and guardians when discussing required immunizations. This includes details about the exemptions available under a specific section of the law. These changes aim to ensure that parents have access to important information regarding immunization options and requirements, which can help them make informed decisions about their children's health.

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Latest
STATE OF IOWA KIMREYNOLDS GOVERNOR May7,05 TeHnoalealPte Sceayofaeofoa Steaiol DsMins,oa5019 Darr.ertr, Ieeytasi:
House File 299 - Enrolled House File 299 AN ACT RELATING TO THE PROVISION OF INFORMATION RELATING TO IMMUNIZATION EXEMPTIONS.
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A A ` - L • , , • • ^ > ...1IIIIII\II•1IIIiI:"16WIIIII •6L•R17af•.J9:al T".91:11f.111 IS.1 I-I'11 181 GENERAL A S S I A N 1B IA S71i1I157111I1:1 I House File 299 AN ACT RELATING TO THE PROVISION OF INFORMATION RELATING TO IMMUNIZATION EXEMPTIONS.
Section 1 .
Section 1.
Section 139A.8, subsection 4 , Code 2025, is amended by adding the following new paragraph:
Section 139A.8, subsection 4, Code 2025, is amended by adding the following new paragraph:
NEW PARAGRAPH.
NEW PARAGRAPH .
Information regarding exemptions and the requirements for an exemption under this subsection shall be included in any public communication following the recommendation of an immunization by the department pursuant to subsection 2 , shall be included in any communication regarding immunizations to a parent or legal guardian from a school, and shall be published on the internet sites of and included in registration documentation for all elementary schools, secondary schools, and licensed child care centers.
Information regarding exemptions and the requirements for an exemption under this subsection shall be included in any public communication following the recommendation of an immunization by the department pursuant to subsection 2, shall be included in any communication regarding immunizations to a parent or legal guardian from a school, and shall be published on the internet sites of and included in registration documentation for all elementary schools, secondary schools, and licensed child care centers.
House File 299, p .
House File 299, p.
Each child care center, child care facility, child care home, and child development home shall include information regarding the exemptions and requirements for an exemption described in section 139A.8, subsection 4 , in any communication to the parent or guardian of a child that is related to the immunizations required under section 139A.8.
Each child care center, child care facility, child care home, and child development home shall include information regarding the exemptions and requirements for an exemption described in section 139A.8, subsection 4, in any communication to the parent or guardian of a child that is related to the immunizations required under section 139A.8.
NEW SUBSECTION.
NEW SUBSECTION .
Adopt rules under chapter 17A that require school districts, accredited nonpublic schools, charter schools, and innovation zone schools to include information regarding the exemptions and requirements for an exemption described in section 139A.8, subsection 4 , in any communication to the parent or guardian of a student that is related to the immunizations required under section 139A.8.
Adopt rules under chapter 17A that require school districts, accredited nonpublic schools, charter schools, and innovation zone schools to include information regarding the exemptions and requirements for an exemption described in section 139A.8, subsection 4, in any communication to the parent or guardian of a student that is related to the immunizations required under section 139A.8.
Section 256.183, subsection 1 , unnumbered paragraph 1, Code 2025, is amended to read as follows:
4.
"Accredited private institution - means an institution of higher learning located in Iowa which is operated privately and not controlled or administered by any state agency or any subdivision of the state and which meets the criteria in paragraphs " a- and "b- and all of the criteria in paragraphs "d through — " k -, except that institutions defined in paragraph -c- of this subsection are exempt from the requirements of paragraphs -a- and 'b Sec.
Section 256.183, subsection 1, unnumbered paragraph 1, Code 2025, is amended to read as follows:
Section 256.183, subsection 1 , Code 2025, is amended by adding the following new paragraph:
“Accredited private institution” means an institution of higher learning located in Iowa which is operated privately and not controlled or administered by any state agency or any subdivision of the state and which meets the criteria in paragraphs “a” and “b” and all of the criteria in paragraphs “d” through “j” “k”, except that institutions defined in paragraph “c” of this subsection are exempt from the requirements of paragraphs “a” and “b”:
NEW PARAGRAPH.
Sec.
5.
Section 256.183, subsection 1, Code 2025, is amended by adding the following new paragraph:
NEW PARAGRAPH .
k.
Section 256.183, subsection 3 , Code 2025, is amended to read as follows:
6.
Section 256.183, subsection 3, Code 2025, is amended to read as follows:
Eligible institution" means an institution of higher learning located in Iowa which is operated privately and not controlled or administered by any state agency or any subdivision of the state, which is not exempt from taxation under section 501(c)(3) of the Internal Revenue Code, and which House File 299, p .
“Eligible institution” means an institution of higher learning located in Iowa which is operated privately and not controlled or administered by any state agency or any subdivision of the state, which is not exempt from taxation under section 501(c)(3) of the Internal Revenue Code, and which House File 299, p.
3 meets all of the criteria in subsection 1 , paragraphs -d through 2 - k -, and is a school of barbering and cosmetology arts and sciences licensed under chapter 157 and is accredited by a national accrediting agency recognized by the United States department of education.
3 meets all of the criteria in subsection 1, paragraphs “d” through “j” “k”, and is a school of barbering and cosmetology arts and sciences licensed under chapter 157 and is accredited by a national accrediting agency recognized by the United States department of education.
For the fiscal year beginning July 1, 2017, such a school of barbering and cosmetology arts and sciences shall provide a matching aggregate amount of institutional financial aid equal to at least seventy-five percent of the amount received by the institution's students for Iowa tuition grant assistance under section 256.191.
For the fiscal year beginning July 1, 2017, such a school of barbering and cosmetology arts and sciences shall provide a matching aggregate amount of institutional financial aid equal to at least seventy-five percent of the amount received by the institution’s students for Iowa tuition grant assistance under section 256.191.
For the fiscal year beginning July 1 , 2018, the school of barbering and cosmetology arts and sciences shall provide a matching aggregate amount of institutional financial aid equal to at least eighty-five percent of the amount received in that fiscal year.
For the fiscal year beginning July 1, 2018, the school of barbering and cosmetology arts and sciences shall provide a matching aggregate amount of institutional financial aid equal to at least eighty-five percent of the amount received in that fiscal year.
Commencing with the fiscal year beginning July 1 , 2019, and each succeeding fiscal year, the matching aggregate amount of institutional financial aid shall be at least equal to the match provided by eligible institutions under section 261.9, subsection 3 , paragraph 'at, Code 2023.
Commencing with the fiscal year beginning July 1, 2019, and each succeeding fiscal year, the matching aggregate amount of institutional financial aid shall be at least equal to the match provided by eligible institutions under section 261.9, subsection 3, paragraph “a”, Code 2023.
NEW SUBSECTION.
NEW SUBSECTION .
NEW SUBSECTION.
NEW SUBSECTION .
In accordance with section 25B.2, subsection 3 , the state cost of requiring compliance with any state mandate included in this Act shall be paid by a school district from state school foundation aid received by the school district under section 257.16.
In accordance with section 25B.2, subsection 3, the state cost of requiring compliance with any state mandate included in this Act shall be paid by a school district from state school foundation aid received by the school district under section 257.16.
This specification of the payment of the state cost shall be deemed to meet all of the state funding-related requirements of House File 299, p .
This specification of the payment of the state cost shall be deemed to meet all of the state funding-related requirements of House File 299, p.
4 section 25B.2, subsection 3 , and no additional state funding shall be necessary for the full implementation of this Act by and enforcement of this Act against all affected school districts.
4 section 25B.2, subsection 3, and no additional state funding shall be necessary for the full implementation of this Act by and enforcement of this Act against all affected school districts.
PAT GRASSLE AMY SINC_•IR Speaker of the House President of the Senate I hereby certify that this bill originated in the House and is known as House File 299, Ninety-first 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 299, Ninety-first General Assembly.
Chi Cle of the House Approve KIM NOLDS Governor
______________________________ MEGHAN NELSON Chief Clerk of the House Approved _______________, 2025 ______________________________ KIM REYNOLDS Governor
View plain text versions (4)

How this bill changes current law

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AI-generated reading aid from the bill's amendatory text — verify against the official bill.

The bill mandates the inclusion of information regarding immunization exemptions in communications from schools and childcare facilities to parents and guardians.

  • Section 139A.8, subsection 4

    Information regarding exemptions and the requirements for an exemption under this subsection shall be included in any public communication following the recommendation of an immunization by the department pursuant to subsection 2, shall be included in any communication regarding immunizations to a parent or legal guardian from a school, and shall be published on the internet sites of and included in registration documentation for all elementary schools, secondary schools, and licensed child care centers.

    Adds a requirement for schools and childcare centers to include exemption information in their public communications regarding immunizations.

  • Section 237A.3C

    Each child care center, child care facility, child care home, and child development home shall include information regarding the exemptions and requirements for an exemption described in section 139A.8, subsection 4, in any communication to the parent or guardian of a child that is related to the immunizations required under section 139A.8.

    Requires childcare facilities to provide exemption information in communications about immunizations.

  • Section 256.7

    Adopt rules under chapter 17A that require school districts, accredited nonpublic schools, charter schools, and innovation zone schools to include information regarding the exemptions and requirements for an exemption described in section 139A.8, subsection 4, in any communication to the parent or guardian of a student that is related to the immunizations required under section 139A.8.

    Requires school districts and similar institutions to inform parents about immunization exemptions.

  • Section 256.183, subsection 1

    "Accredited private institution - means an institution of higher learning located in Iowa which is operated privately and not controlled or administered by any state agency or any subdivision of the state and which meets the criteria in paragraphs " a- and "b- and all of the criteria in paragraphs "d through – " k -, except that institutions defined in paragraph "c- of this subsection are exempt from the requirements of paragraphs "a- and 'b → Accredited private institution - means an institution of higher learning located in Iowa which is operated privately and not controlled or administered by any state agency or any subdivision of the state and which meets the criteria in paragraphs " a- and "b- and all of the criteria in paragraphs "d through – " k -, except that institutions defined in paragraph "c- of this subsection are exempt from the requirements of paragraphs "a- and 'b.

    Clarifies the definition of accredited private institutions.

  • Section 256.183, subsection 1

    Adopts a policy that requires the institution to include in any communication to students that is related to immunization requirements information regarding exemptions to such requirements.

    Mandates institutions of higher learning to provide exemption information in communications related to immunization requirements.

  • Section 260C.14

    Adopt rules that require the community college to include in any communication to students that is related to immunization requirements information regarding exemptions to such requirements.

    Requires community colleges to inform students about immunization exemptions.

  • Section 262.9

    Direct the institutions of higher education under its control to adopt a policy that requires the institution to include in any communication to students that is related to immunization requirements information regarding exemptions to such requirements.

    Instructs higher education institutions to communicate exemption information regarding immunization requirements.

Action History

  1. Signed by Governor.

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

  3. Message from Senate.

  4. Immediate message.

  5. Passed Senate, yeas 32, nays 16.

  6. Substituted for SF 6.

  7. Placed on calendar under unfinished business.

  8. Explanation of vote.

  9. Read first time, attached to SF 6.

  10. Message from House.

  11. Immediate message.

  12. Passed House, yeas 58, nays 30.

  13. 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 · 44 voted No

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.

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

Votes

Shall the bill pass?

Passed 32 Yea · 16 Nay · 2 Other
Party YeaNayPresentNot Voting
Republican 30002
Unaffiliated 1100
Democrat 01600
Total 311702
% of votes cast 62%34%0%4%
How each member voted (50)
Member Party Vote
Celsi — Nay
De Witt — Yea
Art Staed Democrat Nay
Cindy Winckler Democrat Nay
Herman C. Quirmbach Democrat Nay
Izaah Knox Democrat Nay
Janet Petersen Democrat Nay
Janice Weiner Democrat Nay
Liz Bennett Democrat Nay
Matt Blake Democrat Nay
Mike Zimmer Democrat Nay
Molly Donahue Democrat Nay
Sarah Trone Garriott Democrat Nay
Sarah Trone Garriott Democrat Nay
Thomas Townsend Democrat Nay
Tony Bisignano Democrat Nay
William A. Dotzler Jr. Democrat Nay
Zach Wahls Democrat Nay
Adrian Dickey Republican Yea
Amy Sinclair Republican Yea
Annette Sweeney Republican Not Voting
Carrie Koelker Republican Yea
Charlie McClintock Republican Yea
Cherielynn Westrich Republican Yea
Dan Zumbach Republican Not Voting
Dave Sires Republican Yea
David D. Rowley Republican Yea
Dawn Driscoll Republican Yea
Dennis Guth Republican Yea
Doug Campbell Republican Yea
Jack Whitver Republican Yea
Jason Schultz Republican Yea
Jeff Reichman Republican Yea
Jeff Taylor Republican Yea
Jesse Green Republican Yea
Julian B. Garrett Republican Yea
Kara Warme Republican Yea
Ken Rozenboom Republican Yea
Kerry Gruenhagen Republican Yea
Kevin Alons Republican Yea
Lynn Evans Republican Yea
Mark Costello Republican Yea
Mark S. Lofgren Republican Yea
Mike Bousselot Republican Yea
Mike Klimesh Republican Yea
Mike Pike Republican Yea
Sandy Salmon Republican Yea
Scott Webster Republican Yea
Tim Kraayenbrink Republican Yea
Tom Shipley Republican Yea

Official roll call →

Shall the bill pass?

Passed 58 Yea · 30 Nay · 12 Other
Party YeaNayPresentNot Voting
Republican 57107
Unaffiliated 3201
Democrat 02804
Total 6031012
% of votes cast 58%30%0%12%
How each member voted (103)
Member Party Vote
Kniff — Yea
Sexton — Yea
Speaker — Yea
Jr. — Nay
Scheetz — Nay
Open — Not Voting
Adam Zabner Democrat Nay
Aime Wichtendahl Democrat Not Voting
Amy Nielsen Democrat Nay
Austin Baeth Democrat Nay
Beth Wessel-Kroeschell Democrat Nay
Bob Kressig Democrat Nay
Brian Meyer Democrat Nay
Daniel Gosa Democrat Nay
David Jacoby Democrat Nay
Dr. Megan L. Srinivas Democrat Nay
Elinor A. Levin Democrat Nay
Elizabeth Wilson Democrat Not Voting
Eric J. Gjerde Democrat Nay
Heather Matson Democrat Nay
J.D. Scholten Democrat Nay
Jeff Cooling Democrat Nay
Jennifer Konfrst Democrat Nay
Jerome Amos Jr. Democrat Nay
Josh Turek Democrat Not Voting
Ken Croken Democrat Not Voting
Kenan Judge Democrat Nay
Larry McBurney Democrat Nay
Lindsay James Democrat Nay
Mary Lee Madison Democrat Nay
Monica Kurth Democrat Nay
Rick L. Olson Democrat Nay
Rob Johnson Democrat Nay
Ross Wilburn Democrat Nay
Ruth Ann Gaines Democrat Nay
Sean Bagniewski Democrat Nay
Timi M. Brown-Powers Democrat Nay
Tracy A. Ehlert Democrat Nay
Ann Meyer Republican Yea
Austin Harris Republican Not Voting
Barb Kniff McCulla Republican Yea
Bill Gustoff Republican Yea
Bob Henderson Republican Yea
Bobby Kaufmann Republican Yea
Brent Siegrist Republican Not Voting
Brett Barker Republican Yea
Brian K. Lohse Republican Nay
Brooke Boden Republican Yea
Carter F. Nordman Republican Not Voting
Chad Behn Republican Yea
Chad Ingels Republican Yea
Charley Thomson Republican Yea
Christian A. Hermanson Republican Yea
Cindy Golding Republican Yea
Craig P. Johnson Republican Yea
Craig Steven Williams Republican Yea
Dan Gehlbach Republican Yea
David E. Young Republican Yea
David L. Blom Republican Yea
David Sieck Republican Yea
Dean Fisher Republican Yea
Derek Wulf Republican Yea
Devon Wood Republican Yea
Dr. Steven P. Bradley Republican Not Voting
Eddie Andrews Republican Yea
Gary M. Mohr Republican Yea
Hans C. Wilz Republican Yea
Heather Hora Republican Yea
Helena Hayes Republican Yea
Henry Stone Republican Yea
Jacob Bossman Republican Yea
Jane Bloomingdale Republican Not Voting
Jason Gearhart Republican Yea
Jennifer J. Smith Republican Yea
John H. Wills Republican Not Voting
Jon Dunwell Republican Yea
Joshua Meggers Republican Yea
Judd Lawler Republican Yea
Mark Cisneros Republican Yea
Mark I. Thompson Republican Yea
Matt W. Windschitl Republican Yea
Matthew Rinker Republican Yea
Megan Jones Republican Yea
Michael R. Bergan Republican Yea
Mike Vondran Republican Yea
Norlin G. Mommsen Republican Yea
Pat Grassley Republican Yea
Ray Sorensen Republican Yea
Ryan Weldon Republican Yea
Sam Wengryn Republican Yea
Samantha Fett Republican Yea
Shannon Latham Republican Yea
Shannon Lundgren Republican Not Voting
Skyler Wheeler Republican Yea
Steven C. Holt Republican Yea
Taylor R. Collins Republican Yea
Thomas Gerhold Republican Yea
Thomas Jay Moore Republican Yea
Thomas M. Jeneary Republican Yea
Tom Determann Republican Yea
Tom Shipley Republican Yea
Travis M. Sitzmann Republican Yea
Zach Dieken Republican Yea

Official roll call →

Subjects

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Frequently asked questions

Who sponsors HF 299?
HF 299 is sponsored by COMMITTEE ON HEALTH AND HUMAN SERVICES.
What is the current status of HF 299?
This bill has been enacted into law. Introduced February 10, 2025. Enacted.
Where can I track HF 299?
Track HF 299 free on One Click Politics — get push/email alerts when it moves.

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