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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.

results per page:
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Date State Bill No. Title Outcome
May 14, 2025 IA SF 615 Extends and Expands Medicaid Work Requirements Concurrence Vote Passed - House (56 - 30)
May 14, 2025 IA HF 1038 Authorizes Appropriations from the Opioid Settlement Fund Bill Passed - House (84 - 1)
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 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)
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 943 Prohibits Hazardous Liquid Pipelines from Being Granted Eminent Domain Rights Bill Passed - House (82 - 12)
March 26, 2025 IA HF 970 Limits SNAP Benefits Bill Passed - House (56 - 40)
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 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 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)
April 3, 2024 IA SF 2391 Prohibits Misbranding of Certain Food Products Bill Passed - House (60 - 34)
March 7, 2024 IA HF 2575 Increases Penalties for Intentionally or Unintentionally Ending a Pregnancy Without Consent Bill Passed - House (58 - 36)
Feb. 19, 2024 IA HF 2325 Amends the Standards for Tobacco Shop Inspections Bill Passed - House (88 - 3)
April 13, 2023 IA SF 494 Establishes New Eligibility Requirements for Families to Receive SNAP Benefits Bill Passed - House (58 - 41)
March 21, 2023 IA HF 595 Increases Penalties for the Manufacture, Distribution and Possession of Drugs Containing Fentanyl Bill Passed - House (91 - 3)
March 21, 2023 IA HF 265 Establishes a Midwife State Licensure Process 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)
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)
April 12, 2022 IA SF 2378 Amends the State Bottle and Can Redemption Program Bill Passed - House (73 - 17)
May 19, 2021 IA HF 847 Repeals Mask Mandates for Public School Students Concurrence Vote Passed - House (53 - 35)
April 28, 2021 IA HF 889 Prohibits the Implementation of COVID-19 Vaccine Passports Bill Passed - House (58 - 35)
March 25, 2021 IA HF 847 Repeals Mask Mandates for Public School Students Bill Passed - House (62 - 33)
Feb. 8, 2021 IA HF 263 Limits the Out of Pocket Cost for an Insulin Prescription at $100 Bill Passed - House (89 - 2)
June 5, 2020 IA SF 2338 Establishes Legal Protection to Businesses and Healthcare Providers during COVID-19 Bill Passed - House (52 - 44)
March 3, 2020 IA HF 684 Establishes Medical Amnesty for Under-Aged Individuals in Alcohol-Related Emergencies Bill Passed - House (95 - 3)
April 27, 2019 IA HF 766 Establishes a Health and Human Services Budget for FY 2019-2020 Concurrence Vote Passed - House (52 - 47)
April 27, 2019 IA HF 766 Establishes a Health and Human Services Budget for FY 2019-2020 Concurrence Vote Passed - House (52 - 47)
April 18, 2019 IA SF 548 Amends Land Purchase Regulations for Water Quality Testing Bill Passed - House (52 - 44)
April 22, 2017 IA HF 524 Authorizes the Use of Medical Marijuana Concurrence Vote Passed - House (83 - 11)
April 19, 2017 IA HF 653 Reduces Government Fund Allocations to Planned Parenthood Bill Passed - House (55 - 42)
April 19, 2017 IA HF 653 Reduces Government Fund Allocations to Planned Parenthood Bill Passed - House (55 - 42)
March 21, 2017 IA HF 524 Authorizes the Use of Medical Marijuana Bill Passed - House (96 - 0)
April 20, 2016 IA HF 2460 Appropriates Funding for Health and Human Services Bill Passed - House (56 - 42)
April 20, 2016 IA HF 2460 Appropriates Funding for Health and Human Services Bill Passed - House (56 - 42)
April 30, 2014 IA SF 2360 Authorizes Medical Marijuana Oil Bill Passed - House (77 - 20)
May 23, 2013 IA SF 446 2013-2014 Health and Human Services Budget Conference Report Adopted - House (80 - 17)
May 1, 2013 IA SF 446 2013-2014 Health and Human Services Budget Bill Passed - House (52 - 46)
May 9, 2012 IA SF 2315 Amends the Mental Health and Disability Services Program Conference Report Adopted - House (66 - 31)
Feb. 2, 2011 IA HF 111 Purchase of Health Care Bill Passed - House (59 - 39)
Feb. 2, 2011 IA HF 111 Purchase of Health Care Bill Passed - House (59 - 39)
Feb. 18, 2009 IA HF 311 Health Insurance Coverage for Prosthetics Bill Passed - House (64 - 33)
April 25, 2008 IA SF 2425 2008-2009 Health and Human Services Budget Conference Report Adopted - House (53 - 45)
April 10, 2008 IA SJR 2002 Natural Resources Trust Fund Joint Resolution Passed - House (88 - 10)
April 8, 2008 IA HF 2212 Smoking Ban Conference Report Adopted - House (54 - 45)
March 20, 2008 IA HF 2145 Mandatory HPV Vaccination Coverage Bill Passed - House (81 - 16)
March 20, 2008 IA HF 2145 Mandatory HPV Vaccination Coverage Bill Passed - House (81 - 16)
March 12, 2008 IA HF 2212 Smoking Ban Concurrence Vote Passed - House (59 - 40)
March 5, 2008 IA HF 2359 Veterans Trust Fund Bill Passed - House (75 - 21)
Feb. 19, 2008 IA HF 2212 Smoking Ban Bill Passed - House (56 - 44)
April 20, 2007 IA HF 909 2007-2008 Health and Human Services Budget Bill Passed - House (53 - 44)
April 18, 2007 IA SF 485 Greenhouse Gas Emissions Bill Passed - House (66 - 32)
March 29, 2007 IA HF 611 Research-Based Sex Education Bill Passed - House (55 - 40)
March 13, 2007 IA SF 128 Tobacco Tax Increase Bill Passed - House (58 - 40)
Feb. 22, 2007 IA SF 162 Stem Cell Research and Penalties Bill Passed - House (52 - 46)
May 3, 2006 IA HF 2540 2006-2007 Agriculture and Natural Resources Budget Conference Report Adopted - House (62 - 32)
May 3, 2006 IA SF 2377 Confinement Feeding Operations Bill Passed - House (66 - 25)
March 6, 2006 IA HF 2540 2006-2007 Agriculture and Natural Resources Budget Bill Passed - House (52 - 47)
Date No. Title Outcome
5/14 SF 615 Extends and Expands Medicaid Work Requirements Concurrence Vote Passed - House (56 - 30)
5/14 HF 1038 Authorizes Appropriations from the Opioid Settlement Fund Bill Passed - House (84 - 1)
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)
4/22 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)
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 943 Prohibits Hazardous Liquid Pipelines from Being Granted Eminent Domain Rights Bill Passed - House (82 - 12)
3/26 HF 970 Limits SNAP Benefits Bill Passed - House (56 - 40)
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 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)
3/25 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)
4/03 SF 2391 Prohibits Misbranding of Certain Food Products Bill Passed - House (60 - 34)
3/07 HF 2575 Increases Penalties for Intentionally or Unintentionally Ending a Pregnancy Without Consent Bill Passed - House (58 - 36)
2/19 HF 2325 Amends the Standards for Tobacco Shop Inspections Bill Passed - House (88 - 3)
4/13 SF 494 Establishes New Eligibility Requirements for Families to Receive SNAP Benefits Bill Passed - House (58 - 41)
3/21 HF 595 Increases Penalties for the Manufacture, Distribution and Possession of Drugs Containing Fentanyl Bill Passed - House (91 - 3)
3/21 HF 265 Establishes a Midwife State Licensure Process 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)
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)
4/12 SF 2378 Amends the State Bottle and Can Redemption Program Bill Passed - House (73 - 17)
5/19 HF 847 Repeals Mask Mandates for Public School Students Concurrence Vote Passed - House (53 - 35)
4/28 HF 889 Prohibits the Implementation of COVID-19 Vaccine Passports Bill Passed - House (58 - 35)
3/25 HF 847 Repeals Mask Mandates for Public School Students Bill Passed - House (62 - 33)
2/08 HF 263 Limits the Out of Pocket Cost for an Insulin Prescription at $100 Bill Passed - House (89 - 2)
6/05 SF 2338 Establishes Legal Protection to Businesses and Healthcare Providers during COVID-19 Bill Passed - House (52 - 44)
3/03 HF 684 Establishes Medical Amnesty for Under-Aged Individuals in Alcohol-Related Emergencies Bill Passed - House (95 - 3)
4/27 HF 766 Establishes a Health and Human Services Budget for FY 2019-2020 Concurrence Vote Passed - House (52 - 47)
4/27 HF 766 Establishes a Health and Human Services Budget for FY 2019-2020 Concurrence Vote Passed - House (52 - 47)
4/18 SF 548 Amends Land Purchase Regulations for Water Quality Testing Bill Passed - House (52 - 44)
4/22 HF 524 Authorizes the Use of Medical Marijuana Concurrence Vote Passed - House (83 - 11)
4/19 HF 653 Reduces Government Fund Allocations to Planned Parenthood Bill Passed - House (55 - 42)
4/19 HF 653 Reduces Government Fund Allocations to Planned Parenthood Bill Passed - House (55 - 42)
3/21 HF 524 Authorizes the Use of Medical Marijuana Bill Passed - House (96 - 0)
4/20 HF 2460 Appropriates Funding for Health and Human Services Bill Passed - House (56 - 42)
4/20 HF 2460 Appropriates Funding for Health and Human Services Bill Passed - House (56 - 42)
4/30 SF 2360 Authorizes Medical Marijuana Oil Bill Passed - House (77 - 20)
5/23 SF 446 2013-2014 Health and Human Services Budget Conference Report Adopted - House (80 - 17)
5/01 SF 446 2013-2014 Health and Human Services Budget Bill Passed - House (52 - 46)
5/09 SF 2315 Amends the Mental Health and Disability Services Program Conference Report Adopted - House (66 - 31)
2/02 HF 111 Purchase of Health Care Bill Passed - House (59 - 39)
2/02 HF 111 Purchase of Health Care Bill Passed - House (59 - 39)
2/18 HF 311 Health Insurance Coverage for Prosthetics Bill Passed - House (64 - 33)
4/25 SF 2425 2008-2009 Health and Human Services Budget Conference Report Adopted - House (53 - 45)
4/10 SJR 2002 Natural Resources Trust Fund Joint Resolution Passed - House (88 - 10)
4/08 HF 2212 Smoking Ban Conference Report Adopted - House (54 - 45)
3/20 HF 2145 Mandatory HPV Vaccination Coverage Bill Passed - House (81 - 16)
3/20 HF 2145 Mandatory HPV Vaccination Coverage Bill Passed - House (81 - 16)
3/12 HF 2212 Smoking Ban Concurrence Vote Passed - House (59 - 40)
3/05 HF 2359 Veterans Trust Fund Bill Passed - House (75 - 21)
2/19 HF 2212 Smoking Ban Bill Passed - House (56 - 44)
4/20 HF 909 2007-2008 Health and Human Services Budget Bill Passed - House (53 - 44)
4/18 SF 485 Greenhouse Gas Emissions Bill Passed - House (66 - 32)
3/29 HF 611 Research-Based Sex Education Bill Passed - House (55 - 40)
3/13 SF 128 Tobacco Tax Increase Bill Passed - House (58 - 40)
2/22 SF 162 Stem Cell Research and Penalties Bill Passed - House (52 - 46)
5/03 HF 2540 2006-2007 Agriculture and Natural Resources Budget Conference Report Adopted - House (62 - 32)
5/03 SF 2377 Confinement Feeding Operations Bill Passed - House (66 - 25)
3/06 HF 2540 2006-2007 Agriculture and Natural Resources Budget Bill Passed - House (52 - 47)
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