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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)
March 24, 2026 IA HF 2527 Limits the Liability of Defendants for Damages Caused by Greenhouse Gas Emissions Bill Passed - Senate (33 - 13)
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 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)
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 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 25, 2025 IA SF 615 Extends and Expands Medicaid Work Requirements Bill Passed - Senate (33 - 15)
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 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 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)
April 24, 2023 IA HF 425 Amends the Newborn Safe Haven Act Bill Passed - Senate (47 - 2)
March 22, 2023 IA SF 494 Establishes New Eligibility Requirements for Families to Receive SNAP Benefits Bill Passed - Senate (34 - 16)
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)
May 23, 2022 IA SF 2367 Repeals Sales Tax on Menstrual Products Concurrence Vote Passed - Senate (44 - 0)
May 23, 2022 IA SF 2374 Establishes Regulations for Retail Alcohol Licenses, Food Delivery Services Concurrence Vote Passed - Senate (44 - 1)
April 25, 2022 IA HF 2549 Establishes Mental Health Professional Loan Repayment Program Bill Passed - Senate (44 - 0)
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 5, 2021 IA HF 889 Prohibits the Implementation of COVID-19 Vaccine Passports Bill Passed - Senate (32 - 16)
April 6, 2021 IA SF 587 Rescinds the Property Tax Levy on Mental Health Bill Passed - Senate (30 - 17)
March 17, 2021 IA SF 361 Establishes Guidelines for Drug Testing Bill Passed - Senate (30 - 17)
June 10, 2020 IA SF 2338 Establishes Legal Protection to Businesses and Healthcare Providers during COVID-19 Concurrence Vote Passed - Senate (31 - 18)
June 10, 2020 IA HF 684 Establishes Medical Amnesty for Under-Aged Individuals in Alcohol-Related Emergencies Bill Passed - Senate (47 - 2)
March 16, 2020 IA SF 2408 Appropriates Funds, Expands Power of Governor, and Waives School Time Requirements in Response to Coronavirus Outbreak Bill Passed - Senate (43 - 0)
April 27, 2019 IA HF 732 Increases THC Allowance for Medical Marijuana Bill Passed - Senate (40 - 7)
April 26, 2019 IA HF 766 Establishes a Health and Human Services Budget for FY 2019-2020 Bill Passed - Senate (31 - 19)
April 26, 2019 IA HF 766 Establishes a Health and Human Services Budget for FY 2019-2020 Bill Passed - Senate (31 - 19)
March 27, 2019 IA SF 513 Authorizes Women to Buy Birth Control Without Prescriptions Bill Passed - Senate (42 - 6)
March 20, 2019 IA SF 548 Amends Land Purchase Regulations for Water Quality Testing Bill Passed - Senate (32 - 17)
March 19, 2019 IA SF 538 Establishes Medicaid Work Requirements Bill Passed - Senate (32 - 17)
April 22, 2017 IA HF 524 Authorizes the Use of Medical Marijuana Concurrence Vote Passed - Senate (33 - 7)
April 20, 2017 IA HF 653 Reduces Government Fund Allocations to Planned Parenthood Bill Passed - Senate (28 - 21)
April 20, 2017 IA HF 653 Reduces Government Fund Allocations to Planned Parenthood Bill Passed - Senate (28 - 21)
April 13, 2017 IA HF 524 Authorizes the Use of Medical Marijuana Bill Passed - Senate (49 - 0)
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)
3/24 HF 2527 Limits the Liability of Defendants for Damages Caused by Greenhouse Gas Emissions Bill Passed - Senate (33 - 13)
5/14 HF 1049 Increases Medicaid Beneficiaries' Monthly Personal Needs Allowance from $50 to $55 Each Month Bill Passed - Senate (31 - 15)
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)
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)
4/14 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)
3/25 SF 615 Extends and Expands Medicaid Work Requirements Bill Passed - Senate (33 - 15)
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)
4/02 SF 2412 Prohibits Lawsuits Against Pesticide Companies if they are Following E.P.A. Warning Guidelines Bill Passed - Senate (30 - 19)
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)
4/24 HF 425 Amends the Newborn Safe Haven Act Bill Passed - Senate (47 - 2)
3/22 SF 494 Establishes New Eligibility Requirements for Families to Receive SNAP Benefits Bill Passed - Senate (34 - 16)
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)
5/23 SF 2367 Repeals Sales Tax on Menstrual Products Concurrence Vote Passed - Senate (44 - 0)
5/23 SF 2374 Establishes Regulations for Retail Alcohol Licenses, Food Delivery Services Concurrence Vote Passed - Senate (44 - 1)
4/25 HF 2549 Establishes Mental Health Professional Loan Repayment Program Bill Passed - Senate (44 - 0)
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)
5/05 HF 889 Prohibits the Implementation of COVID-19 Vaccine Passports Bill Passed - Senate (32 - 16)
4/06 SF 587 Rescinds the Property Tax Levy on Mental Health Bill Passed - Senate (30 - 17)
3/17 SF 361 Establishes Guidelines for Drug Testing Bill Passed - Senate (30 - 17)
6/10 SF 2338 Establishes Legal Protection to Businesses and Healthcare Providers during COVID-19 Concurrence Vote Passed - Senate (31 - 18)
6/10 HF 684 Establishes Medical Amnesty for Under-Aged Individuals in Alcohol-Related Emergencies Bill Passed - Senate (47 - 2)
3/16 SF 2408 Appropriates Funds, Expands Power of Governor, and Waives School Time Requirements in Response to Coronavirus Outbreak Bill Passed - Senate (43 - 0)
4/27 HF 732 Increases THC Allowance for Medical Marijuana Bill Passed - Senate (40 - 7)
4/26 HF 766 Establishes a Health and Human Services Budget for FY 2019-2020 Bill Passed - Senate (31 - 19)
4/26 HF 766 Establishes a Health and Human Services Budget for FY 2019-2020 Bill Passed - Senate (31 - 19)
3/27 SF 513 Authorizes Women to Buy Birth Control Without Prescriptions Bill Passed - Senate (42 - 6)
3/20 SF 548 Amends Land Purchase Regulations for Water Quality Testing Bill Passed - Senate (32 - 17)
3/19 SF 538 Establishes Medicaid Work Requirements Bill Passed - Senate (32 - 17)
4/22 HF 524 Authorizes the Use of Medical Marijuana Concurrence Vote Passed - Senate (33 - 7)
4/20 HF 653 Reduces Government Fund Allocations to Planned Parenthood Bill Passed - Senate (28 - 21)
4/20 HF 653 Reduces Government Fund Allocations to Planned Parenthood Bill Passed - Senate (28 - 21)
4/13 HF 524 Authorizes the Use of Medical Marijuana Bill Passed - Senate (49 - 0)
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