A bill for an act relating to certified medication aides.
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HF 2680 — A bill for an act relating to certified medication aides.
Last action — Signed by Governor.
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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✓Passed House
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✓Passed Senate
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced February 23, 2026. Enacted.
Signed by Governor Kim Reynolds (Republican) on April 16, 2026.
Prognosis
Where this bill stands today.
Odds of enactment
HighHow often bills like it became law.
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Enacted
Current position in the legislative process.
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1 sponsor
1 primary, 0 co-sponsors signed on.
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Cleared a recorded vote
Passed 3 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.
Bill Text
What changed in the latest version
106 added · 131 removedPlain-language change summary
The amendments to House File 2680 streamline the certification process for medication aides by clarifying that individuals who pass certain examinations won't face additional certification requirements, such as needing prior employment in the state. Additionally, the bill establishes a medication aide certification registry on the department's website without charging any fees for submitting or accessing proof of certification completion. These changes aim to make it easier for qualified individuals to become certified medication aides, thereby addressing workforce needs in the healthcare sector.
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Husele8,antrligoetideiainae.BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
Teaoeoueieseeyapoednhsa.Section 1.
Scry,Section Km^^lds135C.34, GvrorfoaCode c:2026, is amended to read as follows:
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heThe patmntdepartment fof npcins,-ppal,inspections, ndliesig,appeals, and licensing, in oprtincooperation ithwith herother prpiaeappropriate gecis,agencies, hllshall salihestablish a rceueprocedure oto llwallow a rsnperson howho sis rtfidcertified sas aedcaiona ademedication naide oterin tteanother ostate eoeto crifedbecome ncertified hsin taethis pnstate Hueupon FleHouse 60,File .2680, p.
2 cmpetoncompletion dand asagepassage fof thboth ethe erifedcertified usenurse deaide ndand crtfidcertified eictinmedication ideaide alegechallenge xmn--onsexaminations amntin,examination, wthutwithout diioaladditional euiemnsrequirements frfor etiicton,certification, nldigincluding btbut otnot iiedlimited o,to, quredrequired poyentemployment nin isthis atestate iorprior oto crtfiaion.certification.
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The mdiatondepartment deshall etiictinestablish egsry hll low aeson ofeig a patmntaproedmedication diatonaide iecertification eriictinregistry eamnainon othe ubitdepartment’s rofinternet atsite. n nivdal ucesflly cmpetd he patmntaprved diaton ie etiictin eamnain.
The patmntmedication allaide tcertification hageregistry aeeshall rallow a rsnperson tooffering bmta rdepartment-approved cessmedication ofaide tatcertification nexamination diidalto ucssulysubmit cmpetdproof aeprten-aprvdthat edcaionan deindividual etfiatonsuccessfully eamnain■completed 3.the department-approved medication aide certification examination.
heb. patmnt hll opt les ruat o hatr 1A to miiter is eton.
Sc.The department shall not charge a fee for a person to submit or access proof that an individual successfully completed a department-approved medication aide certification examination.
EW3. ETIN.
35.3AThe Mdiaiondepartment dsshall —adopt uls.rules pursuant to chapter 17A to administer this section.
TeSec. earmet hal dpt ues usunt o aper 1A ovring oprly aied rsns hrgd ih he rspnsbliy f dmniteig edcaios r alas f mdiaios t esdetil ae acliis, urig acliis, rsienil are ciites th heebed o v-bd secalzd lcnss, nereiae are ciiies r he iteletaly isbld, nd trmdite ae ailtis or prsns th etal lns, s ppicbe:
A2. ule thrzig a patmntaprved diaton ade hlene xaintin o e dinstrd y n aea omniy olege al lso thrie ter dpatmn-aprved mptecy alaton rgams o amiiter aearmet-proed eictin ie calege eamnain.
ANEW uleSECTION. ich aes ht efre n diidal ay ke a dpatmn-aprved diaton de hllnge aintin n pacef tkng aedctin ide ure, e idviual st povde o e omunty olge apeifed iten tteet, ad lo tae hat hr dprten-aprvd cmetncy ealaion ogams n ecie he tteet.
Hue135C.34A FleMedication 60,aides .—— rules.
3The .department shall adopt rules pursuant to chapter 17A governing properly trained persons charged with the responsibility of administering medications or a class of medications at residential care facilities, nursing facilities, residential care facilities with three-bed to five-bed specialized licenses, intermediate care facilities for the intellectually disabled, and intermediate care facilities for persons with mental illness, as applicable:
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AnyA lesrule cesryauthorizing oa nuredepartment-approved nssenymedication naide llchallenge povsonsexamination laingto obe rtfedadministered eictinby iean tanigarea ndcommunity qalfcaios.college shall also authorize other department-approved competency evaluation programs to administer a department-approved medication aide challenge examination.
Sc.2.
DMNITRTVEA UES.rule which states that before an individual may take a department-approved medication aide challenge examination in place of taking a medication aide course, the individual must provide to the community college a specified written statement, and also state that other department-approved competency evaluation programs can receive the statement.
RecisinHouse fFile dinstatve2680, ue.p.
The3 llwig3. oa dmnitrtie ues re scndd s of ly , 26:
()A 41rule owaauthorizing miitrtiean od,individual uewho 5.9,has uruewritten ,documentation prarphof d.certification as a medication aide in another state to become a medication aide in Iowa shall not include successful completion of a department-approved nurse aide competency examination as a requirement for doing so.
()4. 41 owa miitrtie od, ue 5.9, urue , prarph f, ecnd etnc.
()Any 41rules owanecessary miitrtieto od,ensure ueconsistency 5.1,in urueall ,provisions prarphrelating c.to certified medication aide training and qualifications.
()Sec. 41 owa miitrtie od, ue 5.1, urue , prarph d, ubargrph ).
()3. 41 owa miitrtie od, ue 5.1, urue , prarph e, nnmbred rgrph .
()ADMINISTRATIVE 41RULES. owa miitrtie od, ue 6.6, urue , prarph d.
()1. 41 owa miitrtie od, ue 6.6, urue , prarph f, ecnd etnc.
()Rescission 41of owaadministrative miitrtierules. od, ue 4., ubule,9 prarph c",ubargrph ).
Show all 61 changed lines (21 more)
()a. 41 owa miitrtie od, ue 6.7, urue , prarph c.
(0)The 81following oaIowa dmnstatveadministrative oe,rules ueare 517,rescinded brleas ,of prarphJuly d,1, ubargrph2026: ).
(1) 81481 oaIowa dmnstatveadministrative oe,code, uerule 517,57.19, brlesubrule ,3, prarphparagraph e,“d”. nnmbred rgrph .
As(2) on481 sIowa ratcaleadministrative fercode, uyrule ,57.19, 06,subrule he3, waparagraph amiisrtie“f”, odesecond itrsentence. hll eove e anuge f he Iwa diisraive les feeced n rarph a" om he Iwa diisraive d.
Cofomig(3) hags481 oIowa uls.administrative code, rule 58.21, subrule 6, paragraph “c”.
Te(4) earmet481 fIowa Hueadministrative Flecode, 60,rule .58.21, subrule 6, paragraph “d”, subparagraph (4).
4(5) ispcios,481 peas,Iowa ndadministrative cesngcode, hllrule nae58.21, nsubrule rlmaing6, prsatparagraph o“e”, haterunnumbered Aparagraph o2. ae ny ofomng hngs o uls ncesay o mleent is t.
MY(6) ICLIR481 PeidntIowa fadministrative hecode, nterule Ihrey63.16, erifysubrule at3, isparagraph il“d”. riintd n he ose d is on s oue ile 8, intyfist eeal seml.
MEGHAN(7) NELSON481 CifiCekIowa headministrative usecode, KIMIY0DSrule Gvrnr63.16, subrule 3, paragraph “f”, second sentence.
(8) 481 Iowa administrative code, rule 64.4, subrule 9, paragraph “c”, subparagraph (4).
(9) 481 Iowa administrative code, rule 65.17, subrule 1, paragraph “c”.
(10) 481 Iowa administrative code, rule 65.17, subrule 1, paragraph “d”, subparagraph (4).
(11) 481 Iowa administrative code, rule 65.17, subrule 1, paragraph “e”, unnumbered paragraph 2.
b.
As soon as practicable after July 1, 2026, the Iowa administrative code editor shall remove the language of the Iowa administrative rules referenced in paragraph “a” from the Iowa administrative code.
2.
Conforming changes to rules.
The department of House File 2680, p.
4 inspections, appeals, and licensing shall engage in rulemaking pursuant to chapter 17A to make any conforming changes to rules necessary to implement this Act.
______________________________ ______________________________ 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 2680, Ninety-first General Assembly.
______________________________ MEGHAN NELSON Chief Clerk of the House Approved _______________, 2026 ______________________________ KIM REYNOLDS Governor
Show all 61 changed rows (21 more)
View plain text versions (4)
- Enrolled Enrolled with Governor's Action pdf
- Enrolled View text pdf
- Enrolled Signed Enrolled Bill (PDF) Current pdf
- Introduced View text pdf
Action History
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Signed by Governor.
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Reported correctly enrolled, signed by Speaker and President, and sent to Governor.
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Message from Senate.
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Immediate message.
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Passed Senate, yeas 46, nays 0.
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Substituted for SF 2366.
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Placed on calendar under unfinished business.
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Read first time, attached to SF 2366.
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Message from House.
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Immediate message.
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Passed House, yeas 86, nays 0.
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Introduced, placed on calendar.
Sponsors
- COMMITTEE ON HEALTH AND HUMAN SERVICES · Primary
Sponsorship breakdown
Export CSV (upgrade) →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.
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.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 30 | 0 | 0 | 3 |
| Democrat | 17 | 0 | 0 | 1 |
| Total | 47 | 0 | 0 | 4 |
| % of votes cast | 92% | 0% | 0% | 8% |
How each member voted (51)
| Member | Party | Vote |
|---|---|---|
| Art Staed | Democrat | Yea |
| Catelin Drey | Democrat | Yea |
| Cindy Winckler | Democrat | Yea |
| Herman C. Quirmbach | Democrat | Yea |
| Izaah Knox | Democrat | Yea |
| Janet Petersen | Democrat | Yea |
| Janice Weiner | Democrat | Yea |
| Liz Bennett | Democrat | Yea |
| Matt Blake | Democrat | Yea |
| Mike Zimmer | Democrat | Yea |
| Molly Donahue | Democrat | Yea |
| Renee Hardman | Democrat | Yea |
| Sarah Trone Garriott | Democrat | Yea |
| Sarah Trone Garriott | Democrat | Yea |
| Thomas Townsend | Democrat | Yea |
| Tony Bisignano | Democrat | Yea |
| William A. Dotzler Jr. | Democrat | Yea |
| Zach Wahls | Democrat | Not Voting |
| 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 | Yea |
| 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 | Not Voting |
| 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 |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 29 | 0 | 0 | 0 |
| Democrat | 10 | 0 | 0 | 1 |
| Unaffiliated | 8 | 0 | 0 | 2 |
| Total | 47 | 0 | 0 | 3 |
| % of votes cast | 94% | 0% | 0% | 6% |
How each member voted (50)
| Member | Party | Vote |
|---|---|---|
| Boulton | — | Yea |
| Brown | — | Yea |
| Celsi | — | Yea |
| Cournoyer | — | Yea |
| Edler | — | Yea |
| Giddens | — | Yea |
| Jochum | — | Yea |
| Zaun | — | Not Voting |
| De Witt | — | Not Voting |
| Taylor, T. | — | Yea |
| Cindy Winckler | Democrat | Yea |
| Herman C. Quirmbach | Democrat | Yea |
| Izaah Knox | Democrat | Yea |
| Janet Petersen | Democrat | Yea |
| Janice Weiner | Democrat | Yea |
| Molly Donahue | Democrat | Yea |
| Sarah Trone Garriott | Democrat | Yea |
| Sarah Trone Garriott | Democrat | Yea |
| Tony Bisignano | Democrat | Yea |
| William A. Dotzler Jr. | Democrat | Yea |
| Zach Wahls | Democrat | Not Voting |
| 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 |
| David D. Rowley | Republican | Yea |
| Dawn Driscoll | Republican | Yea |
| Dennis Guth | 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 |
| 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 |
| Sandy Salmon | Republican | Yea |
| Scott Webster | Republican | Yea |
| Tim Kraayenbrink | Republican | Yea |
| Tom Shipley | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 18 | 0 | 0 | 2 |
| Democrat | 27 | 0 | 0 | 2 |
| Republican | 52 | 0 | 0 | 1 |
| Total | 97 | 0 | 0 | 5 |
| % of votes cast | 95% | 0% | 0% | 5% |
How each member voted (102)
| Member | Party | Vote |
|---|---|---|
| Abdul-Samad | — | Yea |
| Jr. | — | Yea |
| Buck | — | Yea |
| Cahill | — | Yea |
| Carlson | — | Yea |
| Deyoe | — | Yea |
| Forbes | — | Yea |
| Fry | — | Yea |
| Graber | — | Yea |
| Gustafson | — | Yea |
| Isenhart | — | Yea |
| Kniff | — | Yea |
| Osmundson | — | Yea |
| Sexton | — | Yea |
| Sherman | — | Yea |
| Steckman | — | Yea |
| Stoltenberg | — | Yea |
| Best | — | Not Voting |
| Scheetz | — | Not Voting |
| Thompson, P. | — | Yea |
| Adam Zabner | Democrat | Yea |
| Amy Nielsen | Democrat | Yea |
| Art Staed | Democrat | Yea |
| Austin Baeth | Democrat | Yea |
| Beth Wessel-Kroeschell | Democrat | Yea |
| Bob Kressig | Democrat | Yea |
| Brian Meyer | Democrat | Yea |
| David Jacoby | Democrat | Yea |
| Dr. Megan L. Srinivas | Democrat | Yea |
| Elinor A. Levin | Democrat | Yea |
| Elizabeth Wilson | Democrat | Yea |
| Eric J. Gjerde | Democrat | Yea |
| Heather Matson | Democrat | Yea |
| J.D. Scholten | Democrat | Yea |
| Jeff Cooling | Democrat | Yea |
| Jennifer Konfrst | Democrat | Yea |
| Jerome Amos Jr. | Democrat | Yea |
| Josh Turek | Democrat | Yea |
| Ken Croken | Democrat | Yea |
| Kenan Judge | Democrat | Yea |
| Lindsay James | Democrat | Not Voting |
| Mary Lee Madison | Democrat | Yea |
| Monica Kurth | Democrat | Yea |
| Rick L. Olson | Democrat | Yea |
| Ross Wilburn | Democrat | Yea |
| Ruth Ann Gaines | Democrat | Not Voting |
| Sean Bagniewski | Democrat | Yea |
| Timi M. Brown-Powers | Democrat | Yea |
| Tracy A. Ehlert | Democrat | Yea |
| Ann Meyer | Republican | Yea |
| Austin Harris | Republican | Yea |
| Barb Kniff McCulla | Republican | Yea |
| Bill Gustoff | Republican | Yea |
| Bob Henderson | Republican | Yea |
| Bobby Kaufmann | Republican | Yea |
| Brent Siegrist | Republican | Yea |
| Brian K. Lohse | Republican | Yea |
| Brooke Boden | Republican | Yea |
| Carter F. Nordman | Republican | Yea |
| Chad Ingels | Republican | Yea |
| Charley Thomson | Republican | Yea |
| Cindy Golding | Republican | Yea |
| Craig P. Johnson | Republican | Yea |
| Dan Gehlbach | Republican | Yea |
| David E. Young | Republican | Yea |
| David Sieck | Republican | Yea |
| Dean Fisher | Republican | Yea |
| Derek Wulf | Republican | Yea |
| Devon Wood | Republican | Yea |
| Dr. Steven P. Bradley | Republican | Yea |
| 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 | Yea |
| John H. Wills | Republican | Yea |
| Jon Dunwell | Republican | Yea |
| Joshua Meggers | 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 |
| Shannon Latham | Republican | Yea |
| Shannon Lundgren | Republican | Yea |
| 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 | Not Voting |
| Zach Dieken | Republican | Yea |
Subjects
Frequently asked questions
- Who sponsors HF 2680?
- HF 2680 is sponsored by COMMITTEE ON HEALTH AND HUMAN SERVICES.
- What is the current status of HF 2680?
- This bill has been enacted into law. Introduced February 23, 2026. Enacted.
- Where can I track HF 2680?
- Track HF 2680 free on One Click Politics — get push/email alerts when it moves.
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