Iowa 2025-2026 Regular Session Status: Enacted

HF 933 — A bill for an act relating to pediatric palliative care centers, and including effective date 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 March 12, 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 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

58 added · 86 removed

Plain-language change summary

The latest version of House File 933 adds definitions specifically for "pediatric palliative care patients" and establishes a special classification for facilities that focus on providing palliative care and hospice services to children under 21 with life-threatening illnesses. This change is important because it helps ensure that care centers can be properly recognized and regulated, making it easier for families to access specialized care for their children during difficult times. Overall, these amendments aim to enhance support for vulnerable youth in need of compassionate end-of-life care.

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STATE OF IOWA KIMREYNOLDS GOVERNOR May,205 heHnralealPte ertryfSaeofoa tteaiol esMies,oa5319 earr.ertr, Ieeytasi:
House File 933 - Enrolled House File 933 AN ACT RELATING TO PEDIATRIC PALLIATIVE CARE CENTERS, AND INCLUDING EFFECTIVE DATE PROVISIONS.
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:'iGiiYCGl I l1 iYGlI10 House File 933 AN ACT RELATING TO PEDIATRIC PALLIATIVE CARE CENTERS, AND INCLUDING EFFECTIVE DATE PROVISIONS.
This Act shall be known as -Mason's Law -.
This Act shall be known as “Mason’s Law”.
2 .
2.
NEW SUBSECTION.
NEW SUBSECTION .
Pediatric palliative care patient" means an individual described by all of the following:
“Pediatric palliative care patient” means an individual described by all of the following:
House File 933, p .
House File 933, p.
The individual has been diagnosed with a chronic, complex, life-threatening illness that is expected to shorten the individual's life expectancy.
The individual has been diagnosed with a chronic, complex, life-threatening illness that is expected to shorten the individual’s life expectancy.
NEW SUBSECTION.
NEW SUBSECTION .
The department shall establish a special classification within the residential care facility category for residential care facilities which have the primary purpose of serving pediatric palliative care patients and that only provides respite care services and the services of a hospice program as defined in section 1351.1.
The department shall establish a special classification within the residential care facility category for residential care facilities which have the primary purpose of serving pediatric palliative care patients and that only provides respite care services and the services of a hospice program as defined in section 135J.1.
The department of health and human services may adopt emergency rules under section 17A.4, subsection 3 , and section 17A.5, subsection 2 , paragraph "b", to implement the provisions of this Act and the rules shall be effective immediately upon filing unless a later date is specified in the rules.
The department of health and human services may adopt emergency rules under section 17A.4, subsection 3, and section 17A.5, subsection 2, paragraph “b”, to implement the provisions of this Act and the rules shall be effective immediately upon filing unless a later date is specified in the rules.
PA GRASSEE 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 933, 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 933, Ninety-first General Assembly.
If MEff'AN NELSON Ch' -f Clerk the House A p p r o v e A M , 2025 KI • EYNOLDS Governor
______________________________ MEGHAN NELSON Chief Clerk of the House Approved _______________, 2025 ______________________________ KIM REYNOLDS Governor
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Amendments

3 amendments

Click Show changes on an amendment above to see how it modifies the bill.

Action History

  1. Signed by Governor.

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

  3. Explanation of vote.

  4. Message from House.

  5. Immediate message.

  6. Passed House, yeas 84, nays 0.

  7. House concurred in Senate amendment H-1282.

  8. Senate amendment H-1282 filed.

  9. Message from Senate.

  10. Immediate message.

  11. Passed Senate, yeas 47, nays 0.

  12. Amendment S-3131 filed, adopted.

  13. Explanation of vote.

  14. Placed on calendar under unfinished business.

  15. Placed on calendar.

  16. Committee report, recommending passage.

  17. Subcommittee recommends passage.

  18. Subcommittee Meeting: 04/02/2025 11:00AM Room 217 Conference Room.

  19. Subcommittee: Sweeney, Trone Garriott, and Warme.

  20. Referred to Health and Human Services.

  21. Read first time, passed on file.

  22. Message from House.

  23. Immediate message.

  24. Passed House, yeas 97, nays 0.

  25. Amendment H-1160 adopted.

  26. Amendment H-1160 filed.

  27. 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.

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 84 Yea · 0 Nay · 16 Other
Party YeaNayPresentNot Voting
Democrat 23009
Unaffiliated 1003
Republican 61005
Total 850017
% of votes cast 83%0%0%17%
How each member voted (102)
Member Party Vote
Jr. — Yea
Kniff — Not Voting
Open — Not Voting
Sexton — Not Voting
Adam Zabner Democrat Not Voting
Aime Wichtendahl Democrat Not Voting
Amy Nielsen Democrat Not Voting
Austin Baeth Democrat Yea
Beth Wessel-Kroeschell Democrat Yea
Bob Kressig Democrat Yea
Brian Meyer Democrat Yea
Daniel Gosa Democrat Yea
David Jacoby Democrat Not Voting
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 Not Voting
Jennifer Konfrst Democrat Yea
Jerome Amos Jr. Democrat Yea
Josh Turek Democrat Yea
Ken Croken Democrat Not Voting
Kenan Judge Democrat Yea
Larry McBurney Democrat Yea
Lindsay James Democrat Not Voting
Mary Lee Madison Democrat Not Voting
Monica Kurth Democrat Yea
Rick L. Olson Democrat Yea
Rob Johnson 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 Not Voting
Bill Gustoff Republican Yea
Blaine C. Watkins Republican Yea
Bob Henderson Republican Yea
Bobby Kaufmann Republican Yea
Brent Siegrist Republican Yea
Brett Barker Republican Yea
Brian K. Lohse Republican Yea
Brooke Boden Republican Yea
Carter F. Nordman Republican Yea
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 Not Voting
Dean Fisher Republican Yea
Derek Wulf Republican Not Voting
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
Jason Gearhart Republican Yea
Jennifer J. Smith Republican Yea
John H. Wills Republican Yea
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 Yea
Skyler Wheeler Republican Not Voting
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 Not Voting

Official roll call →

Shall the bill pass?

Passed 47 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Republican 31001
Democrat 15001
Unaffiliated 1001
Total 47003
% of votes cast 94%0%0%6%
How each member voted (50)
Member Party Vote
Celsi — Not Voting
De Witt — Yea
Art Staed 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
Sarah Trone Garriott Democrat Yea
Sarah Trone Garriott Democrat Yea
Thomas Townsend Democrat Yea
Tony Bisignano Democrat Not Voting
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 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 97 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Democrat 31001
Unaffiliated 4000
Republican 64002
Total 99003
% of votes cast 97%0%0%3%
How each member voted (102)
Member Party Vote
Jr. — Yea
Kniff — Yea
Scheetz — Yea
Sexton — Yea
Adam Zabner Democrat Yea
Aime Wichtendahl Democrat Yea
Amy Nielsen Democrat Yea
Austin Baeth Democrat Yea
Beth Wessel-Kroeschell Democrat Yea
Bob Kressig Democrat Yea
Brian Meyer Democrat Yea
Daniel Gosa 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
Larry McBurney Democrat Yea
Lindsay James Democrat Yea
Mary Lee Madison Democrat Yea
Monica Kurth Democrat Yea
Rick L. Olson Democrat Yea
Rob Johnson 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
Blaine C. Watkins Republican Yea
Bob Henderson Republican Yea
Bobby Kaufmann Republican Yea
Brent Siegrist Republican Not Voting
Brett Barker Republican Yea
Brian K. Lohse Republican Yea
Brooke Boden Republican Yea
Carter F. Nordman Republican Yea
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 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
Jason Gearhart Republican Yea
Jennifer J. Smith Republican Yea
John H. Wills Republican Yea
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 Not Voting
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 Yea
Travis M. Sitzmann Republican Yea
Zach Dieken Republican Yea

Official roll call →

Subjects

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 933?
HF 933 is sponsored by COMMITTEE ON HEALTH AND HUMAN SERVICES.
What is the current status of HF 933?
This bill has been enacted into law. Introduced March 12, 2025. Enacted.
Where can I track HF 933?
Track HF 933 free on One Click Politics — get push/email alerts when it moves.

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Last checked for changes 3 months ago · updated continuously

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