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Iowa Health and Health Care Key Votes

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Vote Smart provides easy access to congressional and state voting records and maintains a collection of key votes grouped by issue. Vote Smart uses the following criteria to select key votes:

  1. The vote should be helpful in portraying how a member stands on a particular issue
  2. The vote should be clear for any person to understand
  3. The vote has received media attention
  4. The vote was passed or defeated by a very close margin
  5. Occasionally, if a specific bill is consistently inquired about on the Voter's Research Hotline, the vote will be added

Vote Smart provides a summary of the version of the bill text associated with each selected key vote. Our summaries are written by Vote Smart's staff and interns, who adhere to our strict policies and procedures in order to guarantee absolute impartiality and accuracy. They do not necessarily reflect the content of the final version of the bill, but rather the version voted on in that stage. While many procedural votes take place before a full chamber vote, our voting stages reflect the final reading of each chamber vote. Each key vote selection is reviewed by the project's community of advisors, who are political scientists and journalists from all fifty states.

For more information about the legislative process, see here.

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Date State Bill No. Title Outcome
May 3, 2026 IA HF 2694 Restricts the Powers of the Governor During Emergency Situations (31 - 14)
May 3, 2026 IA HF 2788 Requires an In-Person Examination Prior to any Abortion Procedure Bill Passed - Senate (30 - 11)
May 3, 2026 IA HF 2788 Requires an In-Person Examination Prior to any Abortion Procedure Bill Passed - Senate (30 - 11)
May 2, 2026 IA SF 2480 Establishes an Additional Tax on Alternative Nicotine Products Bill Passed - House (67 - 18)
May 1, 2026 IA HF 2788 Requires an In-Person Examination Prior to any Abortion Procedure Bill Passed - House (58 - 29)
May 1, 2026 IA HF 2788 Requires an In-Person Examination Prior to any Abortion Procedure Bill Passed - House (58 - 29)
March 24, 2026 IA HF 2527 Limits the Liability of Defendants for Damages Caused by Greenhouse Gas Emissions Bill Passed - Senate (33 - 13)
March 10, 2026 IA HF 2694 Restricts the Powers of the Governor During Emergency Situations Bill Passed - House (67 - 23)
Feb. 26, 2026 IA HF 2527 Limits the Liability of Defendants for Damages Caused by Greenhouse Gas Emissions Bill Passed - House (66 - 24)
May 14, 2025 IA SF 615 Extends and Expands Medicaid Work Requirements Concurrence Vote Passed - House (56 - 30)
May 14, 2025 IA HF 1049 Increases Medicaid Beneficiaries' Monthly Personal Needs Allowance from $50 to $55 Each Month Bill Passed - Senate (31 - 15)
May 14, 2025 IA HF 1038 Authorizes Appropriations from the Opioid Settlement Fund Bill Passed - House (84 - 1)
May 13, 2025 IA SF 615 Extends and Expands Medicaid Work Requirements Concurrence Vote Passed - Senate (33 - 13)
May 13, 2025 IA HF 972 Requires the Iowa Health and Human Services Department (HHS) to Use No More than $150 Million Federal Funds to Create 115 New Medical Residency Slots at State Teaching Hospitals Bill Passed - Senate (41 - 4)
May 13, 2025 IA HF 1049 Increases Medicaid Beneficiaries' Monthly Personal Needs Allowance from $50 to $55 Each Month Bill Passed - House (63 - 28)
May 12, 2025 IA SF 383 Establishes New Standards for Pharmacy Benefit Managers Bill Passed - House (75 - 15)
May 12, 2025 IA SF 383 Establishes New Standards for Pharmacy Benefit Managers Bill Passed - House (75 - 15)
May 8, 2025 IA HF 933 Establishes Pediatric Hospice Centers Concurrence Vote Passed - House (84 - 0)
May 8, 2025 IA HF 933 Establishes Pediatric Hospice Centers Concurrence Vote Passed - House (84 - 0)
April 29, 2025 IA HF 299 Requires All Schools Using the Tuition Grant Program to Include Information on Vaccine Requirement Exemptions Bill Passed - Senate (32 - 16)
April 28, 2025 IA SF 383 Establishes New Standards for Pharmacy Benefit Managers Bill Passed - Senate (36 - 14)
April 28, 2025 IA SF 383 Establishes New Standards for Pharmacy Benefit Managers Bill Passed - Senate (36 - 14)
April 23, 2025 IA HF 933 Establishes Pediatric Hospice Centers Bill Passed - Senate (47 - 0)
April 23, 2025 IA HF 933 Establishes Pediatric Hospice Centers Bill Passed - Senate (47 - 0)
April 22, 2025 IA HF 516 Requires 80% of Students Admitted to the University of Iowa's Medical and Dentistry Colleges to be Iowa Residents Concurrence Vote Passed - House (61 - 30)
April 21, 2025 IA HF 978 Establishes a Psilocybin Production Establishment Licensing Board Within the Iowa Department of Health and Human Services Bill Passed - House (84 - 6)
April 21, 2025 IA HF 978 Establishes a Psilocybin Production Establishment Licensing Board Within the Iowa Department of Health and Human Services Bill Passed - House (84 - 6)
April 17, 2025 IA SF 175 Requires Incorporating Provisions Related to Pregnancy and Fetal Development into the Human Growth and Development and Health Curricula Bill Passed - House (60 - 31)
April 17, 2025 IA HF 989 Establishes Regulations On-Farm Anaerobic Digesters to Protect Air and Water Quality Bill Passed - House (80 - 13)
April 14, 2025 IA HF 516 Requires 80% of Students Admitted to the University of Iowa's Medical and Dentistry Colleges to be Iowa Residents Bill Passed - Senate (34 - 11)
April 9, 2025 IA HF 969 Expands Cancer Care Coverage for First Responders Bill Passed - Senate (46 - 1)
April 8, 2025 IA HF 309 Authorizes Nursing Homes to Provide Additional Context and Evidence before the Department of Inspections, Appeals, and Licensing Bill Passed - Senate (39 - 9)
April 7, 2025 IA SF 304 Establishes an Exemption to a Minor's Legal Capacity to Consent to Vaccinations Without Their Parent's Permission Bill Passed - Senate (33 - 14)
March 26, 2025 IA SF 615 Extends and Expands Medicaid Work Requirements Bill Passed - House (61 - 35)
March 26, 2025 IA HF 571 Authorizes Medical Practitioners, Health Care Institutions, or Health Care Payors to Refuse to Participate in or Pay for a Health Care Service that Violates Their Conscience Bill Passed - House (64 - 32)
March 26, 2025 IA HF 571 Authorizes Medical Practitioners, Health Care Institutions, or Health Care Payors to Refuse to Participate in or Pay for a Health Care Service that Violates Their Conscience Bill Passed - House (64 - 32)
March 26, 2025 IA HF 943 Prohibits Hazardous Liquid Pipelines from Being Granted Eminent Domain Rights Bill Passed - House (82 - 12)
March 26, 2025 IA HF 972 Requires the Iowa Health and Human Services Department (HHS) to Use No More than $150 Million Federal Funds to Create 115 New Medical Residency Slots at State Teaching Hospitals Bill Passed - House (95 - 1)
March 26, 2025 IA HF 970 Limits SNAP Benefits Bill Passed - House (56 - 40)
March 25, 2025 IA SF 615 Extends and Expands Medicaid Work Requirements Bill Passed - Senate (33 - 15)
March 25, 2025 IA HF 933 Establishes Pediatric Hospice Centers Bill Passed - House (97 - 0)
March 25, 2025 IA HF 933 Establishes Pediatric Hospice Centers Bill Passed - House (97 - 0)
March 19, 2025 IA HF 851 Requires the Department of Education to Apply for a Waiver Under the Federal National School Lunch Act of 1966 Bill Passed - House (60 - 36)
March 12, 2025 IA HF 516 Requires 80% of Students Admitted to the University of Iowa's Medical and Dentistry Colleges to be Iowa Residents Bill Passed - House (67 - 28)
March 10, 2025 IA HF 315 Authorizes School Districts Impacted by a Natural Disaster to be Eligible for an Additional Year of Budget Guarantees Bill Passed - House (88 - 1)
March 10, 2025 IA HF 299 Requires All Schools Using the Tuition Grant Program to Include Information on Vaccine Requirement Exemptions Bill Passed - House (58 - 30)
Feb. 18, 2025 IA SF 175 Requires Incorporating Provisions Related to Pregnancy and Fetal Development into the Human Growth and Development and Health Curricula Bill Passed - Senate (31 - 13)
April 3, 2024 IA SF 2391 Prohibits Misbranding of Certain Food Products Bill Passed - House (60 - 34)
April 2, 2024 IA SF 2412 Prohibits Lawsuits Against Pesticide Companies if they are Following E.P.A. Warning Guidelines Bill Passed - Senate (30 - 19)
March 7, 2024 IA HF 2575 Increases Penalties for Intentionally or Unintentionally Ending a Pregnancy Without Consent Bill Passed - House (58 - 36)
March 4, 2024 IA SF 2196 Requires Schools Include Information on Vaccine Exemptions on Any Communications to Parents Bill Passed - Senate (31 - 15)
Feb. 27, 2024 IA SF 2391 Prohibits Misbranding of Certain Food Products Bill Passed - Senate (49 - 0)
Feb. 21, 2024 IA SF 2369 Authorizes a Patients Choice of Blood Donation Source Bill Passed - Senate (30 - 16)
Feb. 19, 2024 IA SF 2251 Extends the Length of Time Individuals can Receive Medicaid Postpartum Coverage Bill Passed - Senate (34 - 13)
Feb. 19, 2024 IA HF 2325 Amends the Standards for Tobacco Shop Inspections Bill Passed - House (88 - 3)
April 24, 2023 IA HF 425 Amends the Newborn Safe Haven Act Bill Passed - Senate (47 - 2)
April 13, 2023 IA SF 494 Establishes New Eligibility Requirements for Families to Receive SNAP Benefits Bill Passed - House (58 - 41)
March 22, 2023 IA SF 494 Establishes New Eligibility Requirements for Families to Receive SNAP Benefits Bill Passed - Senate (34 - 16)
March 21, 2023 IA HF 265 Establishes a Midwife State Licensure Process Bill Passed - House (91 - 3)
March 21, 2023 IA HF 595 Increases Penalties for the Manufacture, Distribution and Possession of Drugs Containing Fentanyl Bill Passed - House (91 - 3)
March 15, 2023 IA SF 507 Prohibits Investment of Public Funds from Management by Firms that Account for "Environmental, Social and Governance Factors" Bill Passed - House (63 - 34)
March 15, 2023 IA SF 326 Increases Birth Control Restrictions for Minors Bill Passed - Senate (45 - 3)
March 14, 2023 IA SF 319 Authorizes Drug Testing of Private Sector Employees Bill Passed - Senate (32 - 15)
March 7, 2023 IA SF 507 Prohibits Investment of Public Funds from Management by Firms that Account for "Environmental, Social and Governance Factors" Bill Passed - Senate (33 - 16)
Feb. 8, 2023 IA HF 161 Establishes a $1 Million Cap on Noneconomic Damages in Medical Malpractice Lawsuits Bill Passed - Senate (29 - 20)
Feb. 8, 2023 IA HF 161 Establishes a $1 Million Cap on Noneconomic Damages in Medical Malpractice Lawsuits Bill Passed - House (54 - 46)
May 23, 2022 IA SF 529 Prohibits Fraud in Assisted Reproduction Concurrence Vote Passed - House (83 - 1)
May 23, 2022 IA SF 2374 Establishes Regulations for Retail Alcohol Licenses, Food Delivery Services Concurrence Vote Passed - Senate (44 - 1)
May 23, 2022 IA SF 2367 Repeals Sales Tax on Menstrual Products Concurrence Vote Passed - Senate (44 - 0)
April 25, 2022 IA HF 2549 Establishes Mental Health Professional Loan Repayment Program Bill Passed - Senate (44 - 0)
April 12, 2022 IA SF 2378 Amends the State Bottle and Can Redemption Program Bill Passed - House (73 - 17)
March 29, 2022 IA SF 2378 Amends the State Bottle and Can Redemption Program Bill Passed - Senate (31 - 18)
May 19, 2021 IA HF 847 Repeals Mask Mandates for Public School Students Concurrence Vote Passed - Senate (29 - 17)
May 19, 2021 IA HF 847 Repeals Mask Mandates for Public School Students Concurrence Vote Passed - House (53 - 35)
May 5, 2021 IA HF 889 Prohibits the Implementation of COVID-19 Vaccine Passports Bill Passed - Senate (32 - 16)
Date No. Title Outcome
5/03 HF 2694 Restricts the Powers of the Governor During Emergency Situations (31 - 14)
5/03 HF 2788 Requires an In-Person Examination Prior to any Abortion Procedure Bill Passed - Senate (30 - 11)
5/03 HF 2788 Requires an In-Person Examination Prior to any Abortion Procedure Bill Passed - Senate (30 - 11)
5/02 SF 2480 Establishes an Additional Tax on Alternative Nicotine Products Bill Passed - House (67 - 18)
5/01 HF 2788 Requires an In-Person Examination Prior to any Abortion Procedure Bill Passed - House (58 - 29)
5/01 HF 2788 Requires an In-Person Examination Prior to any Abortion Procedure Bill Passed - House (58 - 29)
3/24 HF 2527 Limits the Liability of Defendants for Damages Caused by Greenhouse Gas Emissions Bill Passed - Senate (33 - 13)
3/10 HF 2694 Restricts the Powers of the Governor During Emergency Situations Bill Passed - House (67 - 23)
2/26 HF 2527 Limits the Liability of Defendants for Damages Caused by Greenhouse Gas Emissions Bill Passed - House (66 - 24)
5/14 SF 615 Extends and Expands Medicaid Work Requirements Concurrence Vote Passed - House (56 - 30)
5/14 HF 1049 Increases Medicaid Beneficiaries' Monthly Personal Needs Allowance from $50 to $55 Each Month Bill Passed - Senate (31 - 15)
5/14 HF 1038 Authorizes Appropriations from the Opioid Settlement Fund Bill Passed - House (84 - 1)
5/13 SF 615 Extends and Expands Medicaid Work Requirements Concurrence Vote Passed - Senate (33 - 13)
5/13 HF 972 Requires the Iowa Health and Human Services Department (HHS) to Use No More than $150 Million Federal Funds to Create 115 New Medical Residency Slots at State Teaching Hospitals Bill Passed - Senate (41 - 4)
5/13 HF 1049 Increases Medicaid Beneficiaries' Monthly Personal Needs Allowance from $50 to $55 Each Month Bill Passed - House (63 - 28)
5/12 SF 383 Establishes New Standards for Pharmacy Benefit Managers Bill Passed - House (75 - 15)
5/12 SF 383 Establishes New Standards for Pharmacy Benefit Managers Bill Passed - House (75 - 15)
5/08 HF 933 Establishes Pediatric Hospice Centers Concurrence Vote Passed - House (84 - 0)
5/08 HF 933 Establishes Pediatric Hospice Centers Concurrence Vote Passed - House (84 - 0)
4/29 HF 299 Requires All Schools Using the Tuition Grant Program to Include Information on Vaccine Requirement Exemptions Bill Passed - Senate (32 - 16)
4/28 SF 383 Establishes New Standards for Pharmacy Benefit Managers Bill Passed - Senate (36 - 14)
4/28 SF 383 Establishes New Standards for Pharmacy Benefit Managers Bill Passed - Senate (36 - 14)
4/23 HF 933 Establishes Pediatric Hospice Centers Bill Passed - Senate (47 - 0)
4/23 HF 933 Establishes Pediatric Hospice Centers Bill Passed - Senate (47 - 0)
4/22 HF 516 Requires 80% of Students Admitted to the University of Iowa's Medical and Dentistry Colleges to be Iowa Residents Concurrence Vote Passed - House (61 - 30)
4/21 HF 978 Establishes a Psilocybin Production Establishment Licensing Board Within the Iowa Department of Health and Human Services Bill Passed - House (84 - 6)
4/21 HF 978 Establishes a Psilocybin Production Establishment Licensing Board Within the Iowa Department of Health and Human Services Bill Passed - House (84 - 6)
4/17 SF 175 Requires Incorporating Provisions Related to Pregnancy and Fetal Development into the Human Growth and Development and Health Curricula Bill Passed - House (60 - 31)
4/17 HF 989 Establishes Regulations On-Farm Anaerobic Digesters to Protect Air and Water Quality Bill Passed - House (80 - 13)
4/14 HF 516 Requires 80% of Students Admitted to the University of Iowa's Medical and Dentistry Colleges to be Iowa Residents Bill Passed - Senate (34 - 11)
4/09 HF 969 Expands Cancer Care Coverage for First Responders Bill Passed - Senate (46 - 1)
4/08 HF 309 Authorizes Nursing Homes to Provide Additional Context and Evidence before the Department of Inspections, Appeals, and Licensing Bill Passed - Senate (39 - 9)
4/07 SF 304 Establishes an Exemption to a Minor's Legal Capacity to Consent to Vaccinations Without Their Parent's Permission Bill Passed - Senate (33 - 14)
3/26 SF 615 Extends and Expands Medicaid Work Requirements Bill Passed - House (61 - 35)
3/26 HF 571 Authorizes Medical Practitioners, Health Care Institutions, or Health Care Payors to Refuse to Participate in or Pay for a Health Care Service that Violates Their Conscience Bill Passed - House (64 - 32)
3/26 HF 571 Authorizes Medical Practitioners, Health Care Institutions, or Health Care Payors to Refuse to Participate in or Pay for a Health Care Service that Violates Their Conscience Bill Passed - House (64 - 32)
3/26 HF 943 Prohibits Hazardous Liquid Pipelines from Being Granted Eminent Domain Rights Bill Passed - House (82 - 12)
3/26 HF 972 Requires the Iowa Health and Human Services Department (HHS) to Use No More than $150 Million Federal Funds to Create 115 New Medical Residency Slots at State Teaching Hospitals Bill Passed - House (95 - 1)
3/26 HF 970 Limits SNAP Benefits Bill Passed - House (56 - 40)
3/25 SF 615 Extends and Expands Medicaid Work Requirements Bill Passed - Senate (33 - 15)
3/25 HF 933 Establishes Pediatric Hospice Centers Bill Passed - House (97 - 0)
3/25 HF 933 Establishes Pediatric Hospice Centers Bill Passed - House (97 - 0)
3/19 HF 851 Requires the Department of Education to Apply for a Waiver Under the Federal National School Lunch Act of 1966 Bill Passed - House (60 - 36)
3/12 HF 516 Requires 80% of Students Admitted to the University of Iowa's Medical and Dentistry Colleges to be Iowa Residents Bill Passed - House (67 - 28)
3/10 HF 315 Authorizes School Districts Impacted by a Natural Disaster to be Eligible for an Additional Year of Budget Guarantees Bill Passed - House (88 - 1)
3/10 HF 299 Requires All Schools Using the Tuition Grant Program to Include Information on Vaccine Requirement Exemptions Bill Passed - House (58 - 30)
2/18 SF 175 Requires Incorporating Provisions Related to Pregnancy and Fetal Development into the Human Growth and Development and Health Curricula Bill Passed - Senate (31 - 13)
4/03 SF 2391 Prohibits Misbranding of Certain Food Products Bill Passed - House (60 - 34)
4/02 SF 2412 Prohibits Lawsuits Against Pesticide Companies if they are Following E.P.A. Warning Guidelines Bill Passed - Senate (30 - 19)
3/07 HF 2575 Increases Penalties for Intentionally or Unintentionally Ending a Pregnancy Without Consent Bill Passed - House (58 - 36)
3/04 SF 2196 Requires Schools Include Information on Vaccine Exemptions on Any Communications to Parents Bill Passed - Senate (31 - 15)
2/27 SF 2391 Prohibits Misbranding of Certain Food Products Bill Passed - Senate (49 - 0)
2/21 SF 2369 Authorizes a Patients Choice of Blood Donation Source Bill Passed - Senate (30 - 16)
2/19 SF 2251 Extends the Length of Time Individuals can Receive Medicaid Postpartum Coverage Bill Passed - Senate (34 - 13)
2/19 HF 2325 Amends the Standards for Tobacco Shop Inspections Bill Passed - House (88 - 3)
4/24 HF 425 Amends the Newborn Safe Haven Act Bill Passed - Senate (47 - 2)
4/13 SF 494 Establishes New Eligibility Requirements for Families to Receive SNAP Benefits Bill Passed - House (58 - 41)
3/22 SF 494 Establishes New Eligibility Requirements for Families to Receive SNAP Benefits Bill Passed - Senate (34 - 16)
3/21 HF 265 Establishes a Midwife State Licensure Process Bill Passed - House (91 - 3)
3/21 HF 595 Increases Penalties for the Manufacture, Distribution and Possession of Drugs Containing Fentanyl Bill Passed - House (91 - 3)
3/15 SF 507 Prohibits Investment of Public Funds from Management by Firms that Account for "Environmental, Social and Governance Factors" Bill Passed - House (63 - 34)
3/15 SF 326 Increases Birth Control Restrictions for Minors Bill Passed - Senate (45 - 3)
3/14 SF 319 Authorizes Drug Testing of Private Sector Employees Bill Passed - Senate (32 - 15)
3/07 SF 507 Prohibits Investment of Public Funds from Management by Firms that Account for "Environmental, Social and Governance Factors" Bill Passed - Senate (33 - 16)
2/08 HF 161 Establishes a $1 Million Cap on Noneconomic Damages in Medical Malpractice Lawsuits Bill Passed - Senate (29 - 20)
2/08 HF 161 Establishes a $1 Million Cap on Noneconomic Damages in Medical Malpractice Lawsuits Bill Passed - House (54 - 46)
5/23 SF 529 Prohibits Fraud in Assisted Reproduction Concurrence Vote Passed - House (83 - 1)
5/23 SF 2374 Establishes Regulations for Retail Alcohol Licenses, Food Delivery Services Concurrence Vote Passed - Senate (44 - 1)
5/23 SF 2367 Repeals Sales Tax on Menstrual Products Concurrence Vote Passed - Senate (44 - 0)
4/25 HF 2549 Establishes Mental Health Professional Loan Repayment Program Bill Passed - Senate (44 - 0)
4/12 SF 2378 Amends the State Bottle and Can Redemption Program Bill Passed - House (73 - 17)
3/29 SF 2378 Amends the State Bottle and Can Redemption Program Bill Passed - Senate (31 - 18)
5/19 HF 847 Repeals Mask Mandates for Public School Students Concurrence Vote Passed - Senate (29 - 17)
5/19 HF 847 Repeals Mask Mandates for Public School Students Concurrence Vote Passed - House (53 - 35)
5/05 HF 889 Prohibits the Implementation of COVID-19 Vaccine Passports Bill Passed - Senate (32 - 16)
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