SF 2198 — A bill for an act relating to the authority of an attorney in fact under a durable power of attorney for health care.

SSenate TFile A2198 T- EEnrolled OSenate FFile I2198 OAN WACT ARELATING KTO ITHE MAUTHORITY ROF EAN YATTORNEY NIN OFACT LUNDER DA SDURABLE GPOWER OOF VATTORNEY EFOR RHEALTH NCARE. O R April09,2026 The Honorable Paul Pate SecretaryofStateofIowa StateCapitol Des Moines,Iowa50319 DearMr.Secretary, Iherebytransmit:

SenateFile2198,anActrelatingtotheauthorityofanattorneyinfactunderadurableBE powerofattorneyforhealthcare.IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

The aboveSenateFileisherebyapprovedonthisdate.

merely KiimReynolds^ Governor ofIowa cc:

SecretaryoftheSenate Clerk of the House STATE CAPITOL DES MOINES,IOWA 50319 515.281.5211 WWW.GOVERNOR.IOWA.GOV ^ WLl MAINTAt ::llil:g[llli;t!IE!lPI G K N E R A I .

A S S K M B I A lunniiiiiniiiHiiiiiniiiirriiiiiiiiiiiiiimtimniinniJiHiHiiniaiiiiiiinniiuiiinninaiiniBraRBniiiinnniniraHiiiiHUiHiniuiinniiiniiiiUHBiHiniinini S e n a t e F2 1 9 8 A NA C T R E L A T I N G T O T H E A U T H O R I T YIN F A C U N D A D U R A B L E P O W EO FA T T O RF O RH E A LC A R E , B E IT E N A C T E D BY T H E G E N E R A L A S S E M B L Y O P T H E S T A T E O F I O W A ;

Section 144B.6, subsection 2, Code 2026, is aamended mto eread nas dtfollows: oread a s f o l l o w s :

In exercising the authority under the durable power of attorney for health care, the attorney in fact has a duty to act in accordance with the desires of the principal as expressed in the durable power of attorney for health care^care, a declaration executed by the principal pursuant to section 144A.3, or otherwise made known to the attorney in fact at any time.

A declaration oxocutedexecuted by the principal pursuant to the lifelife-sustaining sustaining procedures Act^Act, chapter 144A, shall not bobe interpreted aaas oxprcasingexpressing an intent to prohibit the withdrawal of hydration or nutrition when required to be provided paronterallyparenterally or through intubation and ohallshall not otherwioootherwise restrict the The authority of the attorney in fact shall not be restricted by the desires of the principal as expressed verbally to a person other than the attorney in fact or in any other document unless either the declaration or, in a separate section of the durable power of attorney for health care, the principal expressly provides otherwise states that the durable power of attorney for health care is limited and includes the limitations on the authority of the attorney in fact.

If the principal'sprincipal’s desires are unknown, the attorney in Senate File 2198/2198, p.

2 fact has a duty to act in the best interests of the principal/principal, taking into account the principal'sprincipal’s overall medical condition and prognosis.

AMY______________________________ SINC^IR______________________________ PAMY rSINCLAIR ePAT sGRASSLEY iPresident dof e the SSenate e n a t e Speaker of the House I hereby certify that this bill originated in the Senate and is known as Senate File 2198, Ninety-first General Assembly.

W______________________________ .CW. H A R LS M I T H S O N Secretary o f t h e S e n a t e Approved 2 0 2 6 G o v e r n o r

CHARLES SMITHSON Secretary of the Senate Approved _______________, 2026 ______________________________ KIM REYNOLDS Governor