Iowa 2025-2026 Regular Session Status: Enacted

SF 641 — A bill for an act relating to matters under the purview of the department of health and human services, including administrative services organizations, child foster care, child and dependent adult abuse, internal audit and examination information, and the region incentive fund in the mental health and disability services regional service fund, health maintenance organization’s premium tax, and making appropriations and including effective date and retroactive applicability provisions.

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 April 23, 2025. Enacted.

Signed by Governor Kim Reynolds (Republican) on June 06, 2025.

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 2 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.

Bill Text

What changed in the latest version

73 added · 133 removed

Plain-language change summary

The latest version of Senate File 641 includes a new section that specifies the roles and responsibilities of employees working for administrative services organizations and kinship caregivers involved in child welfare. This addition aims to clarify regulatory expectations related to licensed facilities and caregiver interactions with children. Such changes are important as they help ensure that suitable standards and protections are in place for vulnerable populations, ultimately enhancing the safety and quality of care provided.

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Senate File 641 - Reprinted SENATE FILE 641 BY COMMITTEE ON APPROPRIATIONS (SUCCESSOR TO SF 620) (SUCCESSOR TO SF 582) (SUCCESSOR TO SSB 1171) (As Amended and Passed by the Senate April 29, 2025) A BILL FOR An Act relating to matters under the purview of the department of health and human services, including administrative services organizations, child foster care, child and dependent adult abuse, internal audit and examination information, and the region incentive fund in the mental health and disability services regional service fund, health maintenance organization’s premium tax, and making appropriations and including effective date and retroactive applicability provisions.
Senate File 641 - Enrolled Senate File 641 AN ACT RELATING TO MATTERS UNDER THE PURVIEW OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, INCLUDING ADMINISTRATIVE SERVICES ORGANIZATIONS, CHILD FOSTER CARE, CHILD AND DEPENDENT ADULT ABUSE, INTERNAL AUDIT AND EXAMINATION INFORMATION, AND THE REGION INCENTIVE FUND IN THE MENTAL HEALTH AND DISABILITY SERVICES REGIONAL SERVICE FUND, HEALTH MAINTENANCE ORGANIZATION’S PREMIUM TAX, AND MAKING APPROPRIATIONS AND INCLUDING EFFECTIVE DATE AND RETROACTIVE APPLICABILITY PROVISIONS.
SF 641 (4) 91 dg/ko/mb S.F.
DIVISION I ADMINISTRATIVE SERVICES ORGANIZATIONS Section 1.
641 DIVISION I ADMINISTRATIVE SERVICES ORGANIZATIONS Section 1.
NEW SUBPARAGRAPH.
NEW SUBPARAGRAPH .
Sec.
Senate File 641, p.
2 Sec.
SF 641 (4) 91 -1- dg/ko/mb 1/30 S.F.
(d) An officer or employee of a disability access point.
641 (d) An officer or employee of a disability access point.
(4) An individual licensed to provide foster care pursuant to licensee or an approved kinship caregiver under chapter 237.
(4) An individual licensed to provide foster care pursuant Senate File 641, p.
If the child is placed with a licensed foster care provider an individual licensee or an approved kinship caregiver, the department shall assign decision-making authority to the foster care provider individual licensee or the approved kinship caregiver for the purpose of applying the reasonable and prudent parent standard during the child’s placement.
3 to licensee or an approved kinship caregiver under chapter 237.
If the child is placed with a licensed foster care provider an individual licensee or an approved kinship caregiver , the department shall assign decision-making authority to the foster care provider individual licensee or the approved kinship caregiver for the purpose of applying the reasonable and prudent parent standard during the child’s placement.
If the child is placed with a licensed foster care provider an individual licensee or an approved kinship caregiver, the department shall assign decision-making authority to the foster care provider individual licensee or approved kinship caregiver SF 641 (4) 91 -2- dg/ko/mb 2/30 S.F.
If the child is placed with a licensed foster care provider an individual licensee or an approved kinship caregiver, the department shall assign decision-making authority to the foster care provider individual licensee or approved kinship caregiver for the purpose of applying the reasonable and prudent parent standard during the child’s placement.
641 for the purpose of applying the reasonable and prudent parent standard during the child’s placement.
(2) The person aged out of foster care after reaching eighteen years of age and subsequently voluntarily applied for placement with an individual, as defined in section 237.1, licensed to provide foster care pursuant to licensee or approved kinship caregiver under chapter 237, or for placement in a supervised apartment living arrangement, in this state.
(2) The person aged out of foster care after reaching eighteen years of age and subsequently voluntarily applied for placement with an individual, as defined in section Senate File 641, p.
4 237.1, licensed to provide foster care pursuant to licensee or approved kinship caregiver under chapter 237, or for placement in a supervised apartment living arrangement, in this state.
This subsection An assignment of support under paragraph “a” shall not apply when a child is placed with a relative or fictive kin as those terms are defined in section 232.2, who unless the relative or fictive kin is not licensed an individual licensee or an approved kinship caregiver under SF 641 (4) 91 -3- dg/ko/mb 3/30 S.F.
This subsection An assignment of support under paragraph “a” shall not apply when a child is placed with a relative or fictive kin as those terms are defined in section 232.2, who unless the relative or fictive kin is not licensed an individual licensee or an approved kinship caregiver under chapter 237 to provide child foster care.
641 chapter 237 to provide child foster care.
“Approval” means the authorization granted to a kinship caregiver by the department through an expedited process under this chapter to provide child foster care, and allows the kinship caregiver to receive maximum financial support and to obtain the information and resources necessary to meet the needs of a child under a court-ordered placement with the kinship caregiver.
“Approval” means the authorization granted to a kinship caregiver by the department through an expedited process under Senate File 641, p.
5 this chapter to provide child foster care, and allows the kinship caregiver to receive maximum financial support and to obtain the information and resources necessary to meet the needs of a child under a court-ordered placement with the kinship caregiver.
SF 641 (4) 91 -4- dg/ko/mb 4/30 S.F.
a.
641 a.
5.
Senate File 641, p.
6 5.
SF 641 (4) 91 -5- dg/ko/mb 5/30 S.F.
8.
641 8.
“Relative” means an individual related to a child within the fourth degree of consanguinity or affinity by marriage or through adoption.
“Relative” means an individual related to a child within Senate File 641, p.
7 the fourth degree of consanguinity or affinity by marriage or through adoption.
It is the policy of this state to provide appropriate protection for children who are separated from the direct personal care of their parents, relatives, fictive kin, or guardians and, as a result, are subject to difficulty in SF 641 (4) 91 -6- dg/ko/mb 6/30 S.F.
It is the policy of this state to provide appropriate protection for children who are separated from the direct personal care of their parents, relatives, fictive kin, or guardians and, as a result, are subject to difficulty in achieving appropriate physical, mental, emotional, educational, or social development.
641 achieving appropriate physical, mental, emotional, educational, or social development.
Programs for education and in-service training of personnel.
Programs for education and in-service training of Senate File 641, p.
8 personnel.
The medical care SF 641 (4) 91 -7- dg/ko/mb 7/30 S.F.
The medical care policies shall include but are not limited to all of the following:
641 policies shall include but are not limited to all of the following:
(3) Provision for emergency health coverage of the child while the child is engaged in temporary, out-of-state travel with the child’s foster family individual licensee or approved kinship caregiver .
(3) Provision for emergency health coverage of the child while the child is engaged in temporary, out-of-state travel with the child’s foster family individual licensee or approved kinship caregiver.
(2) The department shall not promulgate adopt rules SF 641 (4) 91 -8- dg/ko/mb 8/30 S.F.
Senate File 641, p.
641 which that regulate individual licensees or approved kinship caregivers in the subject areas enumerated in this paragraph “g”.
9 (2) The department shall not promulgate adopt rules which that regulate individual licensees or approved kinship caregivers in the subject areas enumerated in this paragraph “g”.
Rules governing sanitation, water, and waste disposal standards for facilities shall be promulgated adopted by the SF 641 (4) 91 -9- dg/ko/mb 9/30 S.F.
Rules governing sanitation, water, and waste disposal standards for facilities shall be promulgated adopted by the department pursuant to section 135.11, after consultation with the director.
641 department pursuant to section 135.11, after consultation with the director .
In case of a conflict between rules promulgated adopted pursuant to subsections 3 and 4 and local rules ordinances, the more stringent requirement applies shall apply.
In case of a conflict between rules promulgated adopted Senate File 641, p.
10 pursuant to subsections 3 and 4 and local rules ordinances, the more stringent requirement applies shall apply.
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If an agency is accredited by the joint commission on the accreditation of health care organizations under the joint commission’s consolidated standards for residential settings, or by the council on accreditation of services for families and children , the department shall modify the facility licensure standards applied to the agency in order to avoid duplicating duplication of standards applied through accreditation.
If an agency is accredited by the joint commission on the accreditation of health care organizations under the joint commission’s consolidated standards for residential settings, or by the council on accreditation of services for families and children, the department shall modify the facility licensure standards applied to the agency in order to avoid duplicating duplication of standards applied through accreditation.
The department shall adopt rules to administer the exception to the definition of child care in section 237A.1, subsection 2, paragraph “l”, allowing allow a child care facility, for purposes of providing to provide respite care to in a foster family home, to provide care, supervision, SF 641 (4) 91 -10- dg/ko/mb 10/30 S.F.
The department shall adopt rules to administer the exception to the definition of child care in section 237A.1, subsection 2, paragraph “l”, allowing allow a child care facility, for purposes of providing to provide respite care to in a foster family home, to provide care, supervision, or guidance of a child for a period of twenty-four hours or more to a child who is placed with the licensed foster family home an individual licensee, as provided in section 237A.1, subsection 2, paragraph “l”.
641 or guidance of a child for a period of twenty-four hours or more to a child who is placed with the licensed foster family home an individual licensee, as provided in section 237A.1, subsection 2, paragraph “l”.
The department shall adopt rules to require the department or a representative of the department to visit a child placed with an individual licensee or approved kinship caregiver within two weeks of the child being placed with the individual licensee or approved kinship caregiver, and at least once each calendar month thereafter.
The department shall adopt rules to require the department or a representative of the department to visit a child placed with an individual licensee or approved kinship Senate File 641, p.
11 caregiver within two weeks of the child being placed with the individual licensee or approved kinship caregiver, and at least once each calendar month thereafter.
However, if the individual licensee has completed relevant training or has a combination of completed relevant training and experience, SF 641 (4) 91 -11- dg/ko/mb 11/30 S.F.
However, if the individual licensee has completed relevant training or has a combination of completed relevant training and experience, and the department deems such training or combination to be an acceptable equivalent to all or a portion of the initial licensure training requirement, or based upon the circumstances of the child and the individual licensee the department finds there is other good cause, the department may waive all or a portion of the training requirement.
641 and the department deems such training or combination to be an acceptable equivalent to all or a portion of the initial licensure training requirement, or based upon the circumstances of the child and the individual licensee the department finds there is other good cause, the department may waive all or a portion of the training requirement.
The training shall include but is not limited to physical care, education, learning disabilities, referral to and receipt of necessary professional services, behavioral assessment and modification, self-assessment, self-living skills, and biological parent contact.
The training shall include but is not limited to physical care, education, learning disabilities, referral to and receipt of necessary professional services, behavioral assessment and modification, Senate File 641, p.
12 self-assessment, self-living skills, and biological parent contact.
The department, after notice and opportunity for an evidentiary hearing, may deny an application for approval SF 641 (4) 91 -12- dg/ko/mb 12/30 S.F.
The department, after notice and opportunity for an evidentiary hearing, may deny an application for approval or continued approval if the applicant or approved kinship caregiver violates this chapter or rules adopted pursuant to this chapter.
641 or continued approval if the applicant or approved kinship caregiver violates this chapter or rules adopted pursuant to this chapter.
A licensee or approved kinship caregiver shall not furnish child foster care in a building or on premises not designated in the licensee’s license or the kinship caregiver’s approval.
A licensee or approved kinship caregiver shall not furnish child foster care in a building or on premises not designated in the licensee’s license or the kinship caregiver’s approval .
The department may issue multiple licenses authorizing separate and distinct parts of a an agency licensee’s facility to provide different categories of child foster care may be issued.
The department may issue multiple licenses authorizing separate and distinct parts of a an agency licensee’s facility Senate File 641, p.
13 to provide different categories of child foster care may be issued.
(1) If a person is being considered for licensure or approval under this chapter, or if a person is being considered for employment involving by an agency licensee and the employment involves direct responsibility for a child or, is in a facility where children reside, by a licensee under this chapter, or if a requires the person will to reside in a facility utilized by a an agency licensee, and if the person has been convicted of a crime or has a record of founded child SF 641 (4) 91 -13- dg/ko/mb 13/30 S.F.
(1) If a person is being considered for licensure or approval under this chapter, or if a person is being considered for employment involving by an agency licensee and the employment involves direct responsibility for a child or, is in a facility where children reside, by a licensee under this chapter , or if a requires the person will to reside in a facility utilized by a an agency licensee, and if the person has been convicted of a crime or has a record of founded child abuse, the record check evaluation system of the department, and the agency licensee for an a prospective employee of the agency licensee, shall perform an evaluation to determine whether the crime or founded child abuse warrants prohibition of licensure, approval, employment, or residence in the facility.
641 abuse, the record check evaluation system of the department, and the agency licensee for an a prospective employee of the agency licensee, shall perform an evaluation to determine whether the crime or founded child abuse warrants prohibition of licensure, approval, employment, or residence in the facility.
(2) If the criminal and child abuse record checks conducted in this state under subparagraph (1) for an individual a person being considered for licensure as an agency licensee under this chapter, or for employment involving by an agency licensee and the employment involves direct responsibility for a child or, is in a facility where children reside, by a licensee under this chapter, or for an individual who will requires the person to reside in a facility utilized by a an agency licensee, have been completed and the individual person either does not have a record of crime or founded child abuse or the record check evaluation system’s evaluation of the record has determined that prohibition of the individual’s licensure or employment is not warranted, the individual person may be provisionally approved for licensure or employment licensed or employed pending the outcome of the fingerprint-based criminal history check conducted pursuant to subparagraph (4).
(2) If the criminal and child abuse record checks conducted in this state under subparagraph (1) for an individual a person being considered for licensure as an agency licensee under this chapter, or for employment involving by an agency licensee and the employment involves direct responsibility for a child or, is in a facility where children reside, by a licensee under this chapter, or for an individual who will requires the person to reside in a facility utilized by a an agency licensee, have been completed and the individual person either does not have Senate File 641, p.
(3) An individual A person being considered for licensure as an agency licensee under this chapter, or a person being considered for employment involving by an agency licensee if the employment involves direct responsibility for a child or, is in a facility where children reside, by a licensee under this chapter , or for an individual who will requires the person to reside in a facility utilized by a an agency licensee, shall not be granted a license or be employed and an evaluation shall not be performed under this subsection, if the individual SF 641 (4) 91 -14- dg/ko/mb 14/30 S.F.
14 a record of crime or founded child abuse or the record check evaluation system’s evaluation of the record has determined that prohibition of the individual’s licensure or employment is not warranted, the individual person may be provisionally approved for licensure or employment licensed or employed pending the outcome of the fingerprint-based criminal history check conducted pursuant to subparagraph (4).
641 person has been convicted of any of the following felony offenses:
(3) An individual A person being considered for licensure as an agency licensee under this chapter, or a person being considered for employment involving by an agency licensee if the employment involves direct responsibility for a child or, is in a facility where children reside, by a licensee under this chapter , or for an individual who will requires the person to reside in a facility utilized by a an agency licensee, shall not be granted a license or be employed and an evaluation shall not be performed under this subsection, if the individual person has been convicted of any of the following felony offenses:
(4) If an individual a person is being considered for licensure or approval under this chapter, or if a person is being considered for employment involving by an agency licensee and the employment involves direct responsibility for a child or, is in a facility where children reside, by a licensee under this chapter, or if an individual will requires the person to reside in a facility utilized by a an agency licensee, or if an individual is subject to licensure under this chapter as a foster parent, in addition to the record checks conducted under subparagraph (1), the individual’s person’s fingerprints shall be provided to the department of public safety for submission through the state criminal history repository to the United States department of justice, federal bureau of investigation for a national criminal history check.
(4) If an individual a person is being considered for licensure or approval under this chapter, or if a person is being considered for employment involving by an agency licensee and the employment involves direct responsibility for a child or, is in a facility where children reside, by a licensee under this chapter , or if an individual will requires the person to reside in a facility utilized by a an agency licensee, or if an individual is subject to licensure under this chapter as a foster parent, in addition to the record checks conducted under subparagraph (1), the individual’s person’s fingerprints shall be provided to the department of public safety for submission through the state criminal history repository to the United States department of justice, federal bureau of Senate File 641, p.
15 investigation for a national criminal history check.
(5) If the criminal and child abuse record checks conducted in this state under subparagraph (1) for an individual a person being considered for licensure as a foster parent an individual licensee or for approval as an approved kinship caregiver have been completed and the individual person either does not have a record of crime or founded abuse, or the record check evaluation system’s evaluation of the record has determined that prohibition of the individual’s person’s licensure or approval is not warranted, the individual person may be SF 641 (4) 91 -15- dg/ko/mb 15/30 S.F.
(5) If the criminal and child abuse record checks conducted in this state under subparagraph (1) for an individual a person being considered for licensure as a foster parent an individual licensee or for approval as an approved kinship caregiver have been completed and the individual person either does not have a record of crime or founded abuse, or the record check evaluation system’s evaluation of the record has determined that prohibition of the individual’s person’s licensure or approval is not warranted, the individual person may be provisionally approved for licensure licensed or approved pending the outcome of the fingerprint-based criminal history check conducted pursuant to subparagraph (4).
641 provisionally approved for licensure licensed or approved pending the outcome of the fingerprint-based criminal history check conducted pursuant to subparagraph (4).
In an evaluation, the record check evaluation system, and the agency licensee for an employee or prospective employee of the agency licensee shall consider the nature and seriousness of the crime or founded child abuse in relation to the position sought or held, the time elapsed since the commission of the crime or founded child abuse, the circumstances under which the crime or founded child abuse was committed, the degree of rehabilitation, the likelihood that the person will commit the crime or founded child abuse again, and the number of crimes SF 641 (4) 91 -16- dg/ko/mb 16/30 S.F.
In an evaluation, the record check evaluation system, and Senate File 641, p.
641 or founded child abuses committed by the person involved.
16 the agency licensee for an employee or prospective employee of the agency licensee shall consider the nature and seriousness of the crime or founded child abuse in relation to the position sought or held, the time elapsed since the commission of the crime or founded child abuse, the circumstances under which the crime or founded child abuse was committed, the degree of rehabilitation, the likelihood that the person will commit the crime or founded child abuse again, and the number of crimes or founded child abuses committed by the person involved.
A An agency licensee shall inform all new applicants for employment of the possibility of the performance of a record check and shall obtain, from the applicant, a signed acknowledgment of the receipt of the information.
A An agency licensee shall inform all new applicants for employment of the possibility of the performance of a Senate File 641, p.
17 record check and shall obtain, from the applicant, a signed acknowledgment of the receipt of the information.
SF 641 (4) 91 -17- dg/ko/mb 17/30 S.F.
Do you have a record of founded child or dependent adult abuse, or have you ever been convicted of a crime, in this state or any other state? Sec.
641 Do you have a record of founded child or dependent adult abuse, or have you ever been convicted of a crime, in this state or any other state? Sec.
237.10 Child foster care providers Individual licensees and approved kinship caregivers.
237.10 Child foster care providers Individual licensees and approved kinship caregivers .
The department shall notify an individual licensee or approved kinship caregiver of any appropriate meetings relating to the case permanency plan of a child in the care of the individual licensee or approved kinship caregiver.
The department shall notify an individual licensee or approved kinship caregiver of any appropriate meetings relating to the case permanency plan of a child in the care of the individual licensee or approved kinship caregiver .
The department shall notify an individual licensee or SF 641 (4) 91 -18- dg/ko/mb 18/30 S.F.
The department shall notify an individual licensee or Senate File 641, p.
641 approved kinship caregiver of any medical appointments required or scheduled in consultation with the department relating to a child in the care of the individual licensee or approved kinship caregiver.
18 approved kinship caregiver of any medical appointments required or scheduled in consultation with the department relating to a child in the care of the individual licensee or approved kinship caregiver .
The department shall provide written notice to SF 641 (4) 91 -19- dg/ko/mb 19/30 S.F.
The department shall provide written notice to an individual licensee, or an approved kinship caregiver, a minimum of ten days prior to the removal of a child from the care of the individual licensee or approved kinship caregiver.
641 an individual licensee, or an approved kinship caregiver, a minimum of ten days prior to the removal of a child from the care of the individual licensee or approved kinship caregiver .
b.
Senate File 641, p.
This subsection shall not apply if the health or safety of the child or another person is threatened by the child’s presence in the child’s current placement home, if the court orders the removal of a child from the individual licensee or the approved kinship caregiver , if the child is absent from the home placement without authorization, if the child is being moved to the home of a biological parent or legal guardian, or if the individual licensee or approved kinship caregiver is alleged to have committed child abuse or neglect.
19 b.
This subsection shall not apply if the health or safety of the child or another person is threatened by the child’s presence in the child’s current placement home , if the court orders the removal of a child from the individual licensee or the approved kinship caregiver, if the child is absent from the home placement without authorization, if the child is being moved to the home of a biological parent or legal guardian, or if the individual licensee or approved kinship caregiver is alleged to have committed child abuse or neglect.
An individual licensee or an approved kinship caregiver shall be allowed to provide child foster care, according to the individual licensee’s or the approved kinship caregiver’s own culture and beliefs, if such child foster care does not actively discourage a child to disregard the child’s own SF 641 (4) 91 -20- dg/ko/mb 20/30 S.F.
An individual licensee or an approved kinship caregiver shall be allowed to provide child foster care, according to the individual licensee’s or the approved kinship caregiver’s own culture and beliefs, if such child foster care does not actively discourage a child to disregard the child’s own culture and beliefs and a biological parent whose parental rights have not been terminated or a legal guardian for the child does not object to the practice or activity that is consistent with the individual licensee’s or the approved kinship caregiver’s own culture and beliefs.
641 culture and beliefs and a biological parent whose parental rights have not been terminated or a legal guardian for the child does not object to the practice or activity that is consistent with the individual licensee’s or the approved kinship caregiver’s own culture and beliefs.
The department or the department’s agent shall consider the needs and scheduling demands of a child, the child’s parents, the child’s siblings, and the individual licensee or approved kinship caregiver caring for the child when scheduling supervised or any other visitation between the child and the child’s siblings, family members, or fictive kin.
The department or the department’s agent shall consider the needs and scheduling demands of a child, the child’s parents, the child’s siblings, and the individual Senate File 641, p.
20 licensee or approved kinship caregiver caring for the child when scheduling supervised or any other visitation between the child and the child’s siblings, family members, or fictive kin.
SF 641 (4) 91 -21- dg/ko/mb 21/30 S.F.
1.
641 1.
The department shall use moneys in the fund to provide home and property coverage for foster parents to cover damages to property resulting from the actions of a foster child residing in a foster family home or to reimburse foster parents for the cost of purchasing foster care liability insurance and to perform the administrative functions necessary to carry out this section.
The department shall use moneys in the fund to provide home and property coverage for foster parents to cover damages to property resulting from the actions of a foster child residing in a foster family home or to reimburse foster parents for the cost of purchasing foster care liability insurance and Senate File 641, p.
21 to perform the administrative functions necessary to carry out this section.
Section 237.14A, Code 2025, is amended to read as SF 641 (4) 91 -22- dg/ko/mb 22/30 S.F.
Section 237.14A, Code 2025, is amended to read as follows:
641 follows:
Sec.
Senate File 641, p.
22 Sec.
Standards established by the department under this SF 641 (4) 91 -23- dg/ko/mb 23/30 S.F.
Standards established by the department under this chapter shall at a minimum address the basic health and educational needs of children;
641 chapter shall at a minimum address the basic health and educational needs of children;
The background check requirements shall be substantially equivalent to those applied under chapter 237 for a child foster care facility provider licensee or an approved kinship caregiver .
The background check requirements shall be substantially equivalent to those applied under chapter 237 for a child foster care facility provider licensee or an approved kinship caregiver.
A child who is living in a licensed individual or agency child foster care facility, or with an approved kinship caregiver, as those terms are defined in section 237.1, or in an unlicensed relative foster care placement, shall remain enrolled in and attend an accredited school in the school district in which the child resided and is enrolled at the time of placement, unless it is determined by the juvenile court or the public or private agency of this state that has responsibility for the child’s placement that remaining in such school is not in the best interests of the child.
A child who is living in a licensed individual or agency child foster care facility, or with an approved kinship caregiver, as those terms are defined in section 237.1, or in an unlicensed relative foster care placement, shall remain enrolled in and attend an accredited school in the school district in which the child resided and is enrolled at the time of placement, unless it is determined by the juvenile Senate File 641, p.
23 court or the public or private agency of this state that has responsibility for the child’s placement that remaining in such school is not in the best interests of the child.
“Family home” means a community-based residential home which is licensed as a residential care facility under chapter 135C or as a child foster care facility under chapter 237 to provide room and board, personal care, habilitation services, and supervision in a family environment exclusively for not more than eight persons with a developmental disability or SF 641 (4) 91 -24- dg/ko/mb 24/30 S.F.
“Family home” means a community-based residential home which is licensed as a residential care facility under chapter 135C or as a child foster care facility under chapter 237 to provide room and board, personal care, habilitation services, and supervision in a family environment exclusively for not more than eight persons with a developmental disability or brain injury and any necessary support personnel.
641 brain injury and any necessary support personnel.
Sec.
Senate File 641, p.
24 Sec.
Section 235A.1, subsection 1, paragraph b, Code SF 641 (4) 91 -25- dg/ko/mb 25/30 S.F.
Section 235A.1, subsection 1, paragraph b, Code 2025, is amended to read as follows:
641 2025, is amended to read as follows:
Section 235B.3, subsection 7, Code 2025, is amended to read as follows:
Section 235B.3, subsection 7, Code 2025, is amended Senate File 641, p.
25 to read as follows:
Upon a showing of probable cause that there has been exploitation of a dependent adult has been financially SF 641 (4) 91 -26- dg/ko/mb 26/30 S.F.
Upon a showing of probable cause that there has been exploitation of a dependent adult has been financially exploited, a court may authorize a person, also authorized by the department, to make an evaluation, and to gain access to the financial records that the department reasonably believes are related to the resources of the dependent adult.
641 exploited, a court may authorize a person, also authorized by the department, to make an evaluation, and to gain access to the financial records that the department reasonably believes are related to the resources of the dependent adult.
(2) Registry or department personnel when necessary to the performance of their official duties, or a person, an instrumentality of the state, or an agency under contract with the department to carry out official duties and functions of the registry.
(2) Registry or department personnel when necessary to the performance of their official duties, or a person, an instrumentality of the state, or an agency under contract with the department to carry out official duties and functions of the registry .
NEW SUBSECTION .
NEW SUBSECTION.
An internal audit or examination conducted by or on behalf of the department shall be conducted in accordance with the most recent global internal audit standards published by the institute of internal auditors.
An internal audit or examination conducted by or on behalf of the department shall be conducted in accordance with the most recent global internal audit standards published by Senate File 641, p.
26 the institute of internal auditors.
Information created or received by the department in the course of an internal audit or examination conducted by SF 641 (4) 91 -27- dg/ko/mb 27/30 S.F.
Information created or received by the department in the course of an internal audit or examination conducted by or on behalf of the department, including any allegations of misconduct or noncompliance, and all internal audit or examination workpapers, shall be treated as confidential.
641 or on behalf of the department, including any allegations of misconduct or noncompliance, and all internal audit or examination workpapers, shall be treated as confidential.
Notwithstanding any provision of law to the contrary, there is appropriated from the region incentive fund created in section 225C.7A, subsection 8, to the department of health and human services for the fiscal year beginning July 1, 2024, and ending June 30, 2025, an amount necessary to ensure the continuity of care for persons transferring from the mental SF 641 (4) 91 -28- dg/ko/mb 28/30 S.F.
Notwithstanding any provision of law to the contrary, there is appropriated from the region incentive fund created in section 225C.7A, subsection 8, to the department of health and human services for the fiscal year beginning July 1, 2024, and ending June 30, 2025, an amount necessary to ensure the continuity of care for persons transferring from the mental health and disability services system to the behavioral Senate File 641, p.
641 health and disability services system to the behavioral health services system, and for distribution to administrative services organizations to be used for expenses related to the duties of the administrative services organizations under the behavioral health services system.
27 health services system, and for distribution to administrative services organizations to be used for expenses related to the duties of the administrative services organizations under the behavioral health services system.
Pursuant to section 514B.31, subsection 3, a health maintenance organization contracting with the department of health and human services to administer the medical assistance program under chapter 249A, shall pay as taxes to the director of the department of revenue for deposit in the Medicaid managed care organization premiums fund created in section 249A.13, an amount equal to two and one-half the applicable SF 641 (4) 91 -29- dg/ko/mb 29/30 S.F.
Pursuant to section 514B.31, subsection 3, a health maintenance organization contracting with the department of health and human services to administer the medical assistance program under chapter 249A, shall pay as taxes to the director of the department of revenue for deposit in the Medicaid managed care organization premiums fund created in section 249A.13, an amount equal to two and one-half the applicable percent, as provided in section 432.1, subsection 2, of the premiums received and taxable under section 514B.31, subsection 3.
641 percent, as provided in section 432.1, subsection 2, of the premiums received and taxable under section 514B.31, subsection 3.
Sec.
Senate File 641, p.
28 Sec.
SF 641 (4) 91 -30- dg/ko/mb 30/30
______________________________ ______________________________ 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 641, Ninety-first General Assembly.
______________________________ W.
CHARLES SMITHSON Secretary of the Senate Approved _______________, 2025 ______________________________ KIM REYNOLDS Governor
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Amendments

1 amendment

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Action History

  1. Signed by Governor.

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

  3. Explanation of vote.

  4. NOBA: Final

  5. Message from House.

  6. Immediate message.

  7. Passed House, yeas 91, nays 0.

  8. Substituted for HF 1042.

  9. Read first time, passed on file.

  10. Message from Senate.

  11. NOBA: Senate Floor

  12. Immediate message.

  13. Passed Senate, yeas 48, nays 0.

  14. Amendment S-3140 filed, adopted.

  15. NOBA: Senate Full Approps

  16. Committee report, approving bill.

  17. Introduced, placed on Appropriations calendar.

Sponsors

  • COMMITTEE ON APPROPRIATIONS · Primary

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 149 not signed on

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 91 Yea · 0 Nay · 9 Other
Party YeaNayPresentNot Voting
Democrat 29004
Unaffiliated 3000
Republican 61005
Total 93009
% of votes cast 91%0%0%9%
How each member voted (102)
Member Party Vote
Jr. — Yea
Kniff — Yea
Sexton — Yea
Adam Zabner Democrat Yea
Aime Wichtendahl Democrat Yea
Amy Nielsen Democrat Yea
Angel Ramirez 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 Not Voting
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 Not Voting
Tracy A. Ehlert Democrat Not Voting
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 Yea
Brett Barker Republican Yea
Brian K. Lohse Republican Not Voting
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 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 Not Voting
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 48 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Republican 30002
Democrat 16000
Unaffiliated 2000
Total 48002
% of votes cast 96%0%0%4%
How each member voted (50)
Member Party Vote
Celsi — Yea
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 Yea
William A. Dotzler Jr. Democrat Yea
Zach Wahls Democrat Yea
Adrian Dickey Republican Yea
Amy Sinclair Republican Yea
Annette Sweeney Republican Not Voting
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 →

Subjects

public-safety healthcare labor health-insurance
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Frequently asked questions

Who sponsors SF 641?
SF 641 is sponsored by COMMITTEE ON APPROPRIATIONS.
What is the current status of SF 641?
This bill has been enacted into law. Introduced April 23, 2025. Enacted.
Where can I track SF 641?
Track SF 641 free on One Click Politics — get push/email alerts when it moves.

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