Iowa 2025-2026 Regular Session Status: Enacted

HF 2788 — A bill for an act relating to abortions including definitions, informed consent, dispensing of abortion-inducing drugs, and other abortion-related provisions.

Last action — Signed by Governor.

  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 April 29, 2026. Enacted.

Signed by Governor Kim Reynolds (Republican) on May 19, 2026.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 70% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 1 recorded vote so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

This bill regulates abortions, including informed consent and the dispensing of abortion-inducing drugs.

The bill establishes definitions related to abortion, requires informed consent measures, and sets rules for dispensing abortion-inducing drugs. It includes provisions for screening for coercion and mandates that specific information be provided to women prior to an abortion.

Bill Text

What changed in the latest version

193 added · 214 removed

Plain-language change summary

The revised version of House File 2788 now requires that before a physician performs an abortion, they must conduct an in-person examination of the pregnant woman to check for signs of coercion or abuse. If any issues are identified during this examination, the physician is obligated to refer the woman to a suitable healthcare provider for further assistance. This amendment is important because it aims to ensure the safety and well-being of women by giving them the opportunity to receive help if they are experiencing pressure or harm related to their pregnancy decision.

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S T A T E O F I O W A K I M R E Y N O L D S G O V E R N O R May 19,2026 The Honorable Paul Pate SecretaryofStateofIowa StateCapitol Des Moines,Iowa50319 DearMr.Secretary, Iherebytransmit:
House File 2788 - Enrolled House File 2788 AN ACT RELATING TO ABORTIONS INCLUDING DEFINITIONS, INFORMED CONSENT, DISPENSING OF ABORTION-INDUCING DRUGS, AND OTHER ABORTION-RELATED PROVISIONS.
HouseFile2788,anActrelatingtoabortionsincludingdefinitions,informedconsent, dispensingofabortion-inducingdmgs,and otherabortion-relatedprovisions.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
The aboveHouseFileisherebyapprovedonthisdate.
DIVISION I ABORTION —— DEFINED Section 1.
Sincerely, Govemor ofIowa cc:
Section 146B.1, subsection 1, Code 2026, is amended to read as follows:
SecretaryoftheSenate Clerk of the House STATE CAPITOL DES MOINES,IOWA 50319 515.281.5211 WWW.GOVERNOR.IOWA.GOV R BIGHT .
lUlUUi WILL UAIHTAI n m n n m i t iriillS o i :
n i :
r a i .
a s s k m b i .
y niinnmiiiiiHHiiDiitKtrKHiHniiiii»iuitnKiiBniiinHiiKiiniiiiiiiitniiiiiHiiiiiiiiiinKiitHmnoi(iiiitiJiiiiiini»iiiHnR!KiHniiiiHKiiiiiiui!i!RiiiBHiiiiiiniiiHniii» H o u s e F 2 7 8 8 A NA C T RELATING TO ABORTIONS INCLUDING DEFINITIONS, INFORMED CONSENT, DISPENSING OF ABORTION-INDUCING DRUGS, AND OTHER A B O R T I O N - R E L A T E D P R O V I S I O N S .
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE O F IOWA:
D I V I S I O N A B O R T I D E F I N E D Section 1, Section 146B.1, subsection 1, Code 2026, is a m e n dt o reada s f o l l o w s ;
'^Abortion"raeans the termination of a human pregnancy with the intent other than to produce a live birth or to remove a dead fetus.
“Abortion” means the termination of a human pregnancy with the intent other than to produce a live birth or to remove a dead fetus.
^Abortion" does not include any of the following;
“Abortion” does not include any of the following:
Section 146E.1, subsection 1, Code 2026, is amended t oread a s f o l l o w s :
Section 146E.1, subsection 1, Code 2026, is amended to read as follows:
'^^Abortion'*means the termination of a human pregnancy with the intent other than to produce a live birth or to remove a dead fetus same as defined in section 146B.1.
“Abortion” means the termination of a human pregnancy with the intent other than to produce a live birth or to remove a dead fetus same as defined in section 146B.1.
2 D I V I S I I N I N F O RC O N S E N T Sec.
2 DIVISION II INFORMED CONSENT Sec.
NEW SUBSECTION.
NEW SUBSECTION .
lA.
1A.
A physician shall, if necessary, refer the woman to an appropriate health care provider for treatment consistent with t h e e x a m i nr e s u l t s .
A physician shall, if necessary, refer the woman to an appropriate health care provider for treatment consistent with the examination results.
NEW PARAGRAPH.
NEW PARAGRAPH .
Oa, '^'^Abortion'' means the same as defined in s e c t i o n 1 4 6 B .
0a.
1 .
“Abortion” means the same as defined in section 146B.1.
NEW PARAGRAPH.
NEW PARAGRAPH .
00a, '^Health care provider" means a person who is licensed, certified, or otherwise authorized or permitted by the laws of this state to administer health care in the ordinary course of business or in the practice of a profession.
00a.
NEW PARAGRAPH.
“Health care provider” means a person who is licensed, certified, or otherwise authorized or permitted by the laws of this state to administer health care in the ordinary course of business or in the practice of a profession.
Ob, "^Physician" means the same as defined i n s e c t i o n 1 4 6 B .
NEW PARAGRAPH .
1 .
0b.
“Physician” means the same as defined in section 146B.1.
146A.2 Prerequisites for dispensing abortion-inducing drugs — licensee discipline.
146A.2 Prerequisites for dispensing abortion-inducing drugs —— licensee discipline.
a, "^Abortion-inducing drug" means the same as defined in s e c t i o n 1 4 6 F .
a.
1 .
“Abortion-inducing drug” means the same as defined in section 146F.1.
b, "''Chemical abortion" means the same as defined in section 4 6 F .
b.
1 .
“Chemical abortion” means the same as defined in section 146F.1.
c, "^Dispense" means the same as defined in section 146F.1.
c.
d, ""Medical emergency" means the same as defined in section 4 6 A .
“Dispense” means the same as defined in section 146F.1.
1 .
d.
e, ""Pregnant" or ""pregnancy" means the human female reproductive condition of having a living unborn child within the pregnant woman's body throughout every stage of the unborn child's life and development, from fertilization to full gestation and childbirth.
“Medical emergency” means the same as defined in section 146A.1.
e.
“Pregnant” or “pregnancy” means the human female reproductive condition of having a living unborn child within the pregnant woman’s body throughout every stage of the unborn child’s life and development, from fertilization to full gestation and childbirth.
Show all 78 changed rows (38 more)
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Obtain the signature of the woman on the United States food and drug administration patient agreement form required for each abortion-inducing drug authorized to be manufactured or sold in t h e UniteS t a t e s .
Obtain the signature of the woman on the United States food and drug administration patient agreement form required for each abortion-inducing drug authorized to be manufactured or sold in the United States.
(3) That the United States federal food and drug administration recommends that the pregnant woman follow up with the woman's health care provider approximately seven to fourteen calendar days after the administration of an abortion-inducing drug to confirm complete termination of pregnancy has occurred and to evaluate the degree of bleeding.
(3) That the United States federal food and drug administration recommends that the pregnant woman follow up with the woman’s health care provider approximately seven to fourteen calendar days after the administration of an abortion-inducing drug to confirm complete termination of pregnancy has occurred and to evaluate the degree of bleeding.
(4) That women using abortion-inducing drugs have suffered trauma from seeing the remains of the unborn child in the process of a chemical abortion, c.
(4) That women using abortion-inducing drugs have suffered trauma from seeing the remains of the unborn child in the process of a chemical abortion.
c.
D I V I S I I I D I S P E NA B O R T I O N - ID R U G SI N G S e c6 .
DIVISION III DISPENSING ABORTION-INDUCING DRUGS Sec.
N E S E C T I 1 4 6 F D e f i n i t i o n s .
6.
NEW SECTION.
146F.1 Definitions.
'^Abortion-inducing drug'' means any drug, chemical, or other substance that is prescribed or administered with the intent of performing an abortion.
“Abortion-inducing drug” means any drug, chemical, or other substance that is prescribed or administered with the intent of performing an abortion.
'^Abortion-inducing drug" does not include a drug, chemical, or other substance that is prescribed or administered for a purpose other than to perform an abortion, even if the drug may be known to cause an a b o r t i o n .
“Abortion-inducing drug” does not include a drug, chemical, or other substance that is prescribed or administered for a purpose other than to perform an abortion, even if the drug may be known to cause an abortion.
'^Chemical abortion" means an abortion performed by the administration or use of an abortion-inducing drug.
“Chemical abortion” means an abortion performed by the administration or use of an abortion-inducing drug.
''^Dispense" means to distribute, administer, or send an abortion-inducing drug to the ultimate user.
“Dispense” means to distribute, administer, or send an abortion-inducing drug to the ultimate user.
'^Health care setting" means a pharmacy, clinic, medical office, or hospital.
“Health care setting” means a pharmacy, clinic, medical office, or hospital.
'^Hospital" means the same as defined in section 135B.1.
“Hospital” means the same as defined in section 135B.1.
'^Interested party" means any of the following persons:
“Interested party” means any of the following persons:
a, A woman upon whom a chemical abortion was performed or attempted.
a.
A woman upon whom a chemical abortion was performed or attempted.
"^Medical emergency" means the same as defined in section 4 6 A .
“Medical emergency” means the same as defined in section 146A.1.
1 .
"^Personal representative" means an administrator or an executor, or if there is no such personal representative appointed, then a person legally authorized to perform substantially the same functions.
“Personal representative” means an administrator or an executor, or if there is no such personal representative appointed, then a person legally authorized to perform substantially the same functions.
146P.2 Dispensing of abortion-inducing drugs — restrictions.
146F.2 Dispensing of abortion-inducing drugs —— restrictions.
8 .
8.
146F.4 Private cause of action civil liability.
146F.4 Private cause of action —— civil liability.
A person who dispenses an abortion-inducing drug House Pile 2788r p.
A person who dispenses an abortion-inducing drug House File 2788, p.
NEW SECTION, 146F.5 Licensee discipline.
NEW SECTION.
146F.5 Licensee discipline.
D I V I SI VO N A B O R T I O N - R E L A T E D P R O V I S I O N S Sec.
DIVISION IV ABORTION-RELATED PROVISIONS Sec.
Section 144.29A, subsection 1, paragraph k.
Section 144.29A, subsection 1, paragraph k, Code 2026, is amended to read as follows:
Code 2026, is amended to read as follows:
NEW PARAGRAPH.
NEW PARAGRAPH .
1 , If a spontaneous termination of pregnancy, whether the patient ingested mifepristone or misoprostol within fourteen calendar days prior to the date of the spontaneous termination of pregnancy.
l.
If a spontaneous termination of pregnancy, whether the patient ingested mifepristone or misoprostol within fourteen calendar days prior to the date of the spontaneous termination of pregnancy.
Section 144.29A, subsection 7, paragraph c.
Section 144.29A, subsection 7, paragraph c, Code 2026, is amended to read as follows:
Code 2026, is amended to read a s follows:
c.
c, '^Spontaneous termination of pregnancy"t commonly known as a miscarriage, means the occurrence of an unintended termination of pregnancy at any time during the period from conception to twenty weeks gestation and which is not a House Pile 2788, p.
“Spontaneous termination of pregnancy”, commonly known as a miscarriage, means the occurrence of an unintended termination of pregnancy at any time during the period from conception to twenty weeks gestation and which is not a House File 2788, p.
Chapter 145C, Code 2026, is repealed.
Chapter 146C, Code 2026, is repealed.
P A G R A S S L E Y A m S I N C L A I R Speaker of t/e House P r e s i d e ntheoS e n a t e I hereby certify that this bill originated in the House and is known as House File 2788, Ninety-first General Assembly, MEGHAN NELSON C M e fClerk o fthe H o u s e Approved Mnja 2 0 2 6 K 3 M R E Y N O L D G o v e r n o r
______________________________ ______________________________ 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 2788, Ninety-first General Assembly.
______________________________ MEGHAN NELSON Chief Clerk of the House Approved _______________, 2026 ______________________________ KIM REYNOLDS Governor
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Amendments

2 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. Message from Senate.

  4. Immediate message.

  5. Passed Senate, yeas 30, nays 11.

  6. Committee report, recommending passage.

  7. Subcommittee: Costello, Blake, et al..

  8. Read first time, referred to Appropriations.

  9. Message from House.

  10. Immediate message.

  11. Explanation of vote.

  12. Passed House, yeas 58, nays 29.

  13. Amendment H-8432 adopted, as amended.

  14. Amendment H-8433 to amendment H-8432 adopted.

  15. Amendments H-8432 and H-8433 filed.

  16. Introduced, placed on Appropriations calendar.

Sponsors

  • COMMITTEE ON APPROPRIATIONS · Primary

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 149 not signed on · 11 voted No

Sponsors (1)

  • COMMITTEE ON APPROPRIATIONS

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 30 Yea · 11 Nay · 9 Other
Party YeaNayPresentNot Voting
Republican 30003
Democrat 01107
Total 3011010
% of votes cast 59%22%0%20%
How each member voted (51)
Member Party Vote
Art Staed Democrat Not Voting
Catelin Drey Democrat Nay
Cindy Winckler Democrat Nay
Herman C. Quirmbach Democrat Not Voting
Izaah Knox Democrat Nay
Janet Petersen Democrat Nay
Janice Weiner Democrat Nay
Liz Bennett Democrat Nay
Matt Blake Democrat Not Voting
Mike Zimmer Democrat Nay
Molly Donahue Democrat Not Voting
Renee Hardman Democrat Nay
Sarah Trone Garriott Democrat Not Voting
Sarah Trone Garriott Democrat Not Voting
Thomas Townsend Democrat Nay
Tony Bisignano Democrat Not Voting
William A. Dotzler Jr. Democrat Nay
Zach Wahls Democrat Nay
Adrian Dickey Republican Yea
Amy Sinclair Republican Yea
Annette Sweeney Republican Yea
Carrie Koelker Republican Yea
Charlie McClintock Republican Yea
Cherielynn Westrich Republican Yea
Dan Dawson Republican Yea
Dan Zumbach Republican Yea
Dave Sires Republican Yea
David D. Rowley Republican Not Voting
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 Not Voting
Jesse Green Republican Yea
Julian B. Garrett Republican Not Voting
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 →

Subjects

civil-rights healthcare
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors HF 2788?
HF 2788 is sponsored by COMMITTEE ON APPROPRIATIONS.
What is the current status of HF 2788?
This bill has been enacted into law. Introduced April 29, 2026. Enacted.
Where can I track HF 2788?
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