Iowa 2025-2026 Regular Session Status: Enacted

SF 469 — A bill for an act creating an emeritus license to practice medicine and surgery or osteopathic medicine and surgery.

Last action — Signed by Governor.

  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 February 27, 2025. Enacted.

Signed by Governor Kim Reynolds (Republican) on June 02, 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 3 recorded votes 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

The bill creates an emeritus license for retired physicians to practice medicine.

This bill establishes a new emeritus license allowing retired medical doctors and osteopathic doctors to continue practicing. It aims to provide a way for experienced practitioners to remain engaged in the healthcare field.

What this means for you
  • Healthcare: This means healthcare facilities may have access to experienced, retired physicians for support and consultation.

Bill Text

What changed in the latest version

46 added · 72 removed

Plain-language change summary

The changes made to Senate File 469 focus on the creation of an emeritus license for practicing medicine and surgery. The updated version clarifies that this license is intended for physicians who are at least 60 years old and primarily engaged in supervising and training new doctors. This matters because it supports mentorship in the medical field, allowing experienced physicians to continue contributing to healthcare without the full responsibilities of active practice.

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Latest
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Senate File 469 - Enrolled Senate File 469 AN ACT CREATING AN EMERITUS LICENSE TO PRACTICE MEDICINE AND SURGERY OR OSTEOPATHIC MEDICINE AND SURGERY.
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The board shall grant an emeritus license to a physician and surgeon or osteopathic physician and surgeon who is at least sixty years of age, who is or will be primarily engaged in the practice of supervising and training resident physicians, and who submits an application on a form prescribed by the board.
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An emeritus license issued pursuant to this section shall entitle the licensee to maintain the same scope of practice as the licensee had as a physician and surgeon or osteopathic physician and surgeon.
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An emeritus license issued pursuant to this section shall be valid for three years from the date of issue and may be renewed once.
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4.
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Notwithstanding any provision of law to the contrary, a licensee licensed pursuant to this section is not required to complete continuing education credits to maintain or renew an emeritus license.
5.
The application and renewal fee for an emeritus license shall be one half of the application and renewal fees for a license to practice medicine and surgery or osteopathic medicine and surgery.
Senate File 469, p.
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The board shall adopt rules for the implementation of this section, including a rule that defines “primarily engaged in the practice of supervising and training resident physicians”.
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The board shall not issue a license pursuant to this section prior to January 1, 2026.
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______________________________ ______________________________ 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 469, Ninety-first General Assembly.
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CHARLES SMITHSON Secretary of the Senate Approved _______________, 2026 ______________________________ KIM REYNOLDS Governor
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Action History

  1. Signed by Governor.

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

  3. Message from House.

  4. Immediate message.

  5. Explanations of votes.

  6. Passed House, yeas 58, nays 27.

  7. Placed on Ways and Means calendar.

  8. Committee vote: Yeas, 17. Nays, 7. Excused, 1.

  9. Committee report, recommending passage.

  10. Rereferred to Ways and Means.

  11. Placed on Ways and Means calendar.

  12. Committee vote: Yeas, 14. Nays, 5. Excused, 6.

  13. Committee report, recommending passage.

  14. Subcommittee recommends passage.

  15. Subcommittee Meeting: 04/24/2025 12:00PM House Lounge.

  16. Subcommittee: Nordman, Baeth and Lundgren.

  17. Pursuant to Rule 31.7, referred to Ways and Means.

  18. Committee vote: Yeas, 14. Nays, 7.

  19. Committee report, recommending passage.

  20. Subcommittee recommends passage.

  21. Subcommittee Meeting: 03/25/2025 8:15AM RM 304.

  22. Subcommittee: Ingels, Baeth and Weldon.

  23. Read first time, referred to Health and Human Services.

  24. Message from Senate.

  25. Immediate message.

  26. Passed Senate, yeas 40, nays 6.

  27. Committee report, approving bill.

  28. 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 · 12 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 40 Yea · 6 Nay · 4 Other
Party YeaNayPresentNot Voting
Republican 31001
Democrat 8602
Unaffiliated 1001
Total 40604
% of votes cast 80%12%0%8%
How each member voted (50)
Member Party Vote
Celsi — Not Voting
De Witt — Yea
Art Staed Democrat Nay
Cindy Winckler Democrat Nay
Herman C. Quirmbach Democrat Yea
Izaah Knox Democrat Not Voting
Janet Petersen Democrat Not Voting
Janice Weiner Democrat Nay
Liz Bennett Democrat Nay
Matt Blake Democrat Yea
Mike Zimmer Democrat Yea
Molly Donahue Democrat Yea
Sarah Trone Garriott Democrat Yea
Sarah Trone Garriott Democrat Yea
Thomas Townsend Democrat Yea
Tony Bisignano Democrat Nay
William A. Dotzler Jr. Democrat Nay
Zach Wahls Democrat Yea
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 Zumbach Republican Yea
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 Not Voting
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 49 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Republican 27001
Democrat 12000
Unaffiliated 10000
Total 49001
% of votes cast 98%0%0%2%
How each member voted (50)
Member Party Vote
Boulton — Yea
Brown — Yea
Celsi — Yea
Cournoyer — Yea
Edler — Yea
Giddens — Yea
Jochum — Yea
Zaun — Yea
De Witt — Yea
Taylor, T. — 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
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 Yea
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 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 Not Voting
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

Official roll call →

Shall the bill pass?

Passed 29 Yea · 18 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 71203
Republican 22100
Democrat 0600
Total 291903
% of votes cast 57%37%0%6%
How each member voted (51)
Member Party Vote
Brown — Yea
Carlin — Yea
Chapman — Yea
Cournoyer — Yea
Edler — Yea
Goodwin — Yea
Shipley — Yea
Bolkcom — Nay
Boulton — Nay
Celsi — Nay
Giddens — Nay
Hogg — Nay
Jochum — Nay
Kinney — Nay
Lykam — Nay
Mathis — Nay
Ragan — Nay
Trone — Nay
Nunn — Not Voting
Whiting — Not Voting
Zaun — Not Voting
Taylor, T. — Nay
Herman C. Quirmbach Democrat Nay
Janet Petersen Democrat Nay
Sarah Trone Garriott 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 Yea
Carrie Koelker Republican Yea
Craig P. Johnson Republican Yea
Craig Steven Williams Republican Yea
Dan Dawson Republican Yea
Dan Zumbach 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
Jennifer J. Smith Republican Yea
Jennifer J. Smith Republican Nay
Jesse Green Republican Yea
Julian B. Garrett Republican Yea
Ken Rozenboom Republican Yea
Mark Costello Republican Yea
Mark S. Lofgren Republican Yea
Mike Klimesh Republican Yea
Tim Kraayenbrink Republican Yea

Official roll call →

Subjects

healthcare labor
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 SF 469?
SF 469 is sponsored by COMMITTEE ON HEALTH AND HUMAN SERVICES.
What is the current status of SF 469?
This bill has been enacted into law. Introduced February 27, 2025. Enacted.
Where can I track SF 469?
Track SF 469 free on One Click Politics — get push/email alerts when it moves.

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