Iowa 2025-2026 Regular Session Status: Enacted

HF 309 — A bill for an act relating to the review by the department of inspections, appeals, and licensing of certain deficient practices by nursing facilities.

Last action — Signed by Governor.

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  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 February 10, 2025. Enacted.

Signed by Governor Kim Reynolds (Republican) on April 18, 2025.

Prognosis

Advancing 54% · 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.

  • Mixed recorded votes

    6 passed, 1 failed in 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

22 added · 56 removed

Plain-language change summary

The changes to House File 309 involve simplifying the wording and consolidating the information about the review process of nursing facilities by the Department of Inspections, Appeals, and Licensing. Specifically, unnecessary details from the initial version were removed to streamline the focus on how facilities are monitored for compliance with health regulations. This matters because clearer legislation helps ensure that the review process is effective and understandable, which can lead to better oversight of nursing facilities and improved care for residents.

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STATE OF IOWA KIM REYNOLDS GOVERNOR pil8,05 heHnralealPte ertryfSaeofoa tteaiol esMie,Ioa5319 earr.ertr, heeytasi:
House File 309 - Enrolled House File 309 AN ACT RELATING TO THE REVIEW BY THE DEPARTMENT OF INSPECTIONS, APPEALS, AND LICENSING OF CERTAIN DEFICIENT PRACTICES BY NURSING FACILITIES.
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A1 , 11 SSFI N 1 B 1 , Y I!II 1lJIl l I!1iI I l il l!f I House File 309 AN ACT RELATING TO THE REVIEW BY THE DEPARTMENT OF INSPECTIONS, APPEALS, AND LICENSING OF CERTAIN DEFICIENT PRACTICES BY NURSING FACILITIES.
Section 1 .
Section 1.
Section 135C.40, subsection 1 , paragraph d , subparagraph ( 1), Code 2025, is amended to read as follows:
Section 135C.40, subsection 1, paragraph d, subparagraph (1), Code 2025, is amended to read as follows:
Representatives of the nursing facility issued such a citation may participate in the review to provide context a ad or evidence for the department to consider in determining if a final finding of immediate jeopardy or substandard quality of House File 309, p.
Representatives of the nursing facility issued such a citation may participate in the review to provide context and or evidence for the department to consider in determining if a final finding of immediate jeopardy or substandard quality of House File 309, p.
C.L•GGci• 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 309, 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 309, Ninety-first General Assembly.
MEGHNN NELSON ChiLf Cle of the House Approved 4 191,0 , KIM Governor
______________________________ MEGHAN NELSON Chief Clerk of the House Approved _______________, 2025 ______________________________ KIM REYNOLDS Governor
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Amendments

4 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. Message from Senate.

  4. Immediate message.

  5. Passed Senate, yeas 39, nays 9.

  6. Amendment S-3084 filed, lost.

  7. Amendment S-3083 filed, ruled out of order.

  8. Amendment S-3082 filed, ruled out of order.

  9. Amendment S-3081 filed, ruled out of order.

  10. Deferred.

  11. Substituted for SF 385.

  12. Placed on calendar under unfinished business.

  13. Read first time, attached to SF 385.

  14. Message from House.

  15. Immediate message.

  16. Explanation of vote.

  17. Passed House, yeas 91, nays 1.

  18. Introduced, placed on calendar.

Sponsors

  • COMMITTEE ON HEALTH AND HUMAN SERVICES · Primary

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 147 not signed on · 45 voted No

Sponsors (1)

  • COMMITTEE ON HEALTH AND HUMAN SERVICES

Co-sponsors (0)

None.

Not signed on (147)

147 members have not signed on to this bill.

Show all 147 →

"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 amendment S-3084 be adopted?

Failed 15 Yea · 33 Nay · 2 Other
Party YeaNayPresentNot Voting
Democrat 15001
Republican 13100
Unaffiliated 0101
Total 163202
% of votes cast 32%64%0%4%
How each member voted (50)
Member Party Vote
Celsi — Not Voting
De Witt — Nay
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 Not Voting
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 Nay
Amy Sinclair Republican Nay
Annette Sweeney Republican Nay
Carrie Koelker Republican Nay
Charlie McClintock Republican Nay
Cherielynn Westrich Republican Nay
Dan Zumbach Republican Nay
Dave Sires Republican Nay
David D. Rowley Republican Nay
Dawn Driscoll Republican Nay
Dennis Guth Republican Nay
Doug Campbell Republican Nay
Jack Whitver Republican Nay
Jason Schultz Republican Nay
Jeff Reichman Republican Nay
Jeff Taylor Republican Nay
Jesse Green Republican Nay
Julian B. Garrett Republican Nay
Kara Warme Republican Nay
Ken Rozenboom Republican Nay
Kerry Gruenhagen Republican Nay
Kevin Alons Republican Nay
Lynn Evans Republican Nay
Mark Costello Republican Nay
Mark S. Lofgren Republican Yea
Mike Bousselot Republican Nay
Mike Klimesh Republican Nay
Mike Pike Republican Nay
Sandy Salmon Republican Nay
Scott Webster Republican Nay
Tim Kraayenbrink Republican Nay
Tom Shipley Republican Nay

Official roll call →

Shall the bill pass?

Passed 39 Yea · 9 Nay · 2 Other
Party YeaNayPresentNot Voting
Republican 32000
Democrat 6901
Unaffiliated 1001
Total 39902
% of votes cast 78%18%0%4%
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 Nay
Izaah Knox Democrat Yea
Janet Petersen Democrat Nay
Janice Weiner Democrat Nay
Liz Bennett Democrat Not Voting
Matt Blake Democrat Yea
Mike Zimmer Democrat Yea
Molly Donahue Democrat Nay
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 Nay
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 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 91 Yea · 1 Nay · 8 Other
Party YeaNayPresentNot Voting
Democrat 29003
Unaffiliated 4001
Republican 60104
Total 93108
% of votes cast 91%1%0%8%
How each member voted (102)
Member Party Vote
Jr. — Yea
Kniff — Yea
Scheetz — Yea
Sexton — Yea
Open — Not Voting
Adam Zabner Democrat Yea
Aime Wichtendahl Democrat Yea
Amy Nielsen Democrat Not Voting
Austin Baeth Democrat Yea
Beth Wessel-Kroeschell Democrat Not Voting
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 Not Voting
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 Yea
Sean Bagniewski Democrat Yea
Timi M. Brown-Powers Democrat Yea
Tracy A. Ehlert Democrat Yea
Ann Meyer Republican Yea
Austin Harris Republican Nay
Barb Kniff McCulla Republican Yea
Bill Gustoff Republican Not Voting
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 Yea
Dean Fisher Republican Yea
Derek Wulf Republican Yea
Devon Wood Republican Yea
Dr. Steven P. Bradley Republican Yea
Eddie Andrews Republican Not Voting
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 Not Voting
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 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 Not Voting
Tom Shipley Republican Yea
Travis M. Sitzmann Republican Yea
Zach Dieken Republican Yea

Official roll call →

Shall the bill pass?

Passed 45 Yea · 1 Nay · 4 Other
Party YeaNayPresentNot Voting
Democrat 6000
Unaffiliated 20002
Republican 20102
Total 46104
% of votes cast 90%2%0%8%
How each member voted (51)
Member Party Vote
Bolkcom — Yea
Boulton — Yea
Brown — Yea
Carlin — Yea
Celsi — Yea
Chapman — Yea
Cournoyer — Yea
Edler — Yea
Giddens — Yea
Goodwin — Yea
Jochum — Yea
Kinney — Yea
Lykam — Yea
Mathis — Yea
Ragan — Yea
Shipley — Yea
Trone — Yea
Whiting — Yea
Zaun — Yea
Hogg — Not Voting
Nunn — Not Voting
Taylor, T. — Yea
Herman C. Quirmbach Democrat Yea
Janet Petersen 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
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 Yea
Jesse Green Republican Yea
Julian B. Garrett Republican Nay
Ken Rozenboom Republican Not Voting
Mark Costello Republican Yea
Mark S. Lofgren Republican Not Voting
Mike Klimesh Republican Yea
Tim Kraayenbrink Republican Yea

Official roll call →

Shall the bill pass?

Passed 84 Yea · 9 Nay · 7 Other
Party YeaNayPresentNot Voting
Unaffiliated 38503
Republican 34001
Democrat 12403
Total 84907
% of votes cast 84%9%0%7%
How each member voted (100)
Member Party Vote
Abdul-Samad — Yea
Anderson — Yea
Bacon — Yea
Baxter — Yea
Best — Yea
Bohannan — Yea
Breckenridge — Yea
Brink — Yea
Bush — Yea
Cohoon — Yea
Deyoe — Yea
Dolecheck — Yea
Forbes — Yea
Gobble — Yea
Graber — Yea
Gustafson — Yea
Hein — Yea
Hite — Yea
Hunter — Yea
Jacobsen — Yea
Kerr — Yea
Klein — Yea
Mascher — Yea
Maxwell — Yea
Mitchell — Yea
Oldson — Yea
Osmundson — Yea
Paustian — Yea
Running-Marquardt — Yea
Sexton — Yea
Shipley — Yea
Steckman — Yea
Sunde — Yea
Thede — Yea
Thorup — Yea
Wolfe — Yea
Worthan — Yea
Hall — Nay
Hansen — Nay
Isenhart — Nay
McConkey — Nay
Prichard — Nay
Cahill — Not Voting
Fry — Not Voting
Landon — Not Voting
Thompson, P. — Yea
Amy Nielsen Democrat Not Voting
Art Staed Democrat Yea
Beth Wessel-Kroeschell Democrat Yea
Bob Kressig Democrat Yea
Brian Meyer Democrat Yea
Cindy Winckler Democrat Not Voting
David Jacoby Democrat Yea
Eric J. Gjerde Democrat Yea
Jennifer Konfrst Democrat Yea
Kenan Judge Democrat Yea
Lindsay James Democrat Nay
Liz Bennett Democrat Nay
Molly Donahue Democrat Nay
Monica Kurth Democrat Nay
Rick L. Olson Democrat Yea
Ross Wilburn Democrat Yea
Ruth Ann Gaines Democrat Not Voting
Timi M. Brown-Powers Democrat Yea
Tracy A. Ehlert Democrat Yea
Ann Meyer Republican Yea
Bobby Kaufmann Republican Yea
Brent Siegrist Republican Yea
Brian K. Lohse Republican Yea
Brooke Boden Republican Not Voting
Carter F. Nordman Republican Yea
Chad Ingels Republican Yea
Charlie McClintock Republican Yea
Cherielynn Westrich Republican Yea
Craig Steven Williams Republican Yea
David Sieck Republican Yea
Dean Fisher Republican Yea
Dr. Steven P. Bradley Republican Yea
Eddie Andrews Republican Yea
Gary M. Mohr Republican Yea
Henry Stone Republican Yea
Jacob Bossman Republican Yea
Jane Bloomingdale Republican Yea
Jennifer J. Smith Republican Yea
John H. Wills Republican Yea
Mark Cisneros Republican Yea
Matt W. Windschitl Republican Yea
Megan Jones Republican Yea
Michael R. Bergan Republican Yea
Norlin G. Mommsen Republican Yea
Pat Grassley Republican Yea
Ray Sorensen Republican Yea
Sandy Salmon Republican Yea
Shannon Latham Republican Yea
Shannon Lundgren Republican Yea
Skyler Wheeler Republican Yea
Steven C. Holt Republican Yea
Thomas Gerhold Republican Yea
Thomas Jay Moore Republican Yea
Thomas M. Jeneary Republican Yea

Official roll call →

Shall the bill pass?

Passed 50 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 31000
Republican 15000
Democrat 4000
Total 50000
% of votes cast 100%0%0%0%
How each member voted (50)
Member Party Vote
Allen — Yea
Bertrand — Yea
Bolkcom — Yea
Bowman — Yea
Boulton — Yea
Breitbach — Yea
Brown — Yea
Chapman — Yea
Chelgren — Yea
Kinney — Yea
Lykam — Yea
Mathis — Yea
McCoy — Yea
Ragan — Yea
Schneider — Yea
Segebart — Yea
Zaun — Yea
Anderson — Yea
Johnson, D. — Yea
Shipley — Yea
Danielson — Yea
Dix — Yea
Dvorsky — Yea
Edler — Yea
Feenstra — Yea
Greene — Yea
Hart — Yea
Hogg — Yea
Horn — Yea
Jochum — Yea
Kapucian — Yea
Herman C. Quirmbach Democrat Yea
Janet Petersen Democrat Yea
Tony Bisignano Democrat Yea
William A. Dotzler Jr. Democrat Yea
Amy Sinclair Republican Yea
Chad Behn Republican Yea
Craig P. Johnson Republican Yea
Dan Dawson Republican Yea
Dan Zumbach Republican Yea
Dennis Guth Republican Yea
Jack Whitver Republican Yea
Jason Schultz Republican Yea
Jeff Taylor Republican Yea
Jennifer J. Smith Republican Yea
Julian B. Garrett Republican Yea
Ken Rozenboom Republican Yea
Mark Costello Republican Yea
Mark S. Lofgren Republican Yea
Tim Kraayenbrink Republican Yea

Official roll call →

Shall the bill pass?

Passed 99 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 68001
Democrat 11000
Republican 21000
Total 100001
% of votes cast 99%0%0%1%
How each member voted (101)
Member Party Vote
Abdul-Samad — Yea
Bacon — Yea
Baltimore — Yea
Baudler — Yea
Baxter — Yea
Bearinger — Yea
Best — Yea
Breckenridge — Yea
Carlin — Yea
Carlson — Yea
Cohoon — Yea
Hagenow — Yea
Hall — Yea
Hanusa — Yea
Heartsill — Yea
Heddens — Yea
Heaton — Yea
Hein — Yea
Highfill — Yea
Hinson — Yea
Holz — Yea
Hunter — Yea
Huseman — Yea
Isenhart — Yea
Kacena — Yea
Kearns — Yea
Kerr — Yea
Klein — Yea
Koester — Yea
Lensing — Yea
Landon — Yea
Mascher — Yea
Maxwell — Yea
McConkey — Yea
McKean — Yea
Nunn — Yea
Oldson — Yea
Ourth — Yea
Paustian — Yea
Pettengill — Yea
Prichard — Yea
Rizer — Yea
Rogers — Yea
Running-Marquardt — Not Voting
Sexton — Yea
Sheets — Yea
Steckman — Yea
Thede — Yea
Upmeyer — Yea
Watts — Yea
Wolfe — Yea
Worthan — Yea
Anderson — Yea
Hager — Yea
Hanson — Yea
Cownie — Yea
Deyoe — Yea
Dolecheck — Yea
Finkenauer — Yea
Forbes — Yea
Forristall — Yea
Fry — Yea
Gaskill — Yea
Gassman — Yea
Gustafson — Yea
Meyer — Yea
Miller — Yea
Speaker — Yea
Vander Linden — Yea
Amy Nielsen Democrat Yea
Art Staed Democrat Yea
Beth Wessel-Kroeschell Democrat Yea
Bob Kressig Democrat Yea
Cindy Winckler Democrat Yea
David Jacoby Democrat Yea
Liz Bennett Democrat Yea
Monica Kurth Democrat Yea
Rick L. Olson Democrat Yea
Ruth Ann Gaines Democrat Yea
Timi M. Brown-Powers Democrat Yea
Bobby Kaufmann Republican Yea
Dan Zumbach Republican Yea
David Sieck Republican Yea
Dean Fisher Republican Yea
Gary M. Mohr Republican Yea
Jane Bloomingdale Republican Yea
Jeff Taylor Republican Yea
Jeff Taylor Republican Yea
Jennifer J. Smith Republican Yea
Jennifer J. Smith Republican Yea
John H. Wills Republican Yea
Matt W. Windschitl Republican Yea
Megan Jones Republican Yea
Michael R. Bergan Republican Yea
Norlin G. Mommsen Republican Yea
Pat Grassley Republican Yea
Sandy Salmon Republican Yea
Shannon Lundgren Republican Yea
Skyler Wheeler Republican Yea
Steven C. Holt Republican Yea
Thomas Jay Moore Republican Yea

Official roll call →

Subjects

public-safety healthcare labor
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Frequently asked questions

Who sponsors HF 309?
HF 309 is sponsored by COMMITTEE ON HEALTH AND HUMAN SERVICES.
What is the current status of HF 309?
This bill has been enacted into law. Introduced February 10, 2025. Enacted.
Where can I track HF 309?
Track HF 309 free on One Click Politics — get push/email alerts when it moves.

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