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Enacted

Iowa Prohibits Health Facility and Hospital Licensure for Entities and Citizens of China, Russia, and North Korea

Original title: A bill for an act prohibiting the licensure of certain entities of the People’s Republic of China, the Russian Federation, and the Democratic People’s Republic of Korea to establish, conduct, or maintain a hospital or health care facility. (Formerly SSB 1186 .) Effective date: 07/01/2026.

Last action · April 9, 2026: Signed by Governor . S.J. 772 .

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Does

Iowa law now prohibits the issuance or renewal of licenses for hospitals, rural emergency hospitals, and health care facilities to governments, citizens, or majority-owned business entities of the People's Republic of China, the Russian Federation, and the Democratic People's Republic of Korea, effective July 1, 2026.

Why it matters

The measure restricts specific foreign governments and nationals from owning or operating licensed medical and long-term care facilities in the state, altering regulatory eligibility under Iowa Code chapters 135B and 135C.

Who It Affects

Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.

Directly affected

Citizens and entities of China, Russia, and North Korea

They are prohibited from obtaining or renewing licenses to establish, conduct, or maintain hospitals or health care facilities in Iowa.

Directly affected

Iowa health facility regulators

They must enforce the new ownership and citizenship restrictions when reviewing hospital and health care facility license applications and renewals.

Key Facts

  • Senate File 572 prohibits issuing or renewing hospital or rural emergency hospital licenses to any instrumentality, citizen, or majority-owned business entity of the People's Republic of China, the Russian Federation, or the Democratic People's Republic of Korea.
  • The legislation similarly prohibits issuing or renewing health care facility licenses to any instrumentality, citizen, or majority-owned business entity of those three nations.
  • The law takes effect on July 1, 2026.

Frequently Asked Questions

Which countries are subject to the new licensing restrictions?
The restrictions apply to the People's Republic of China, the Russian Federation, and the Democratic People's Republic of Korea.
When does this law take effect?
The effective date of the act is July 1, 2026.
What types of facilities are covered by the licensing prohibition?
The prohibition covers hospitals, rural emergency hospitals, and health care facilities under Iowa Code chapters 135B and 135C.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Current status: Signed into law.

Procedural history

50 actions
  1. Apr 9, 2026SenateEnrolled
    Signed by Governor . S.J. 772 .
  2. Apr 9, 2026Senate
    Reported correctly enrolled, signed by President and Speaker, and sent to Governor. S.J. 771 .
  3. Mar 31, 2026House
    Explanation of vote. H.J. 784 .
  4. Mar 31, 2026House
    Explanation of vote. H.J. 784 .
  5. Mar 31, 2026House
    Explanation of vote. H.J. 784 .
  6. Mar 30, 2026House
    Explanation of vote. H.J. 765 .
Show 44 earlier actions
  1. Mar 30, 2026House
    Explanation of vote. H.J. 765 .
  2. Mar 30, 2026House
    Explanation of vote. H.J. 765 .
  3. Mar 24, 2026House
    Explanation of vote. H.J. 743 .
  4. Mar 24, 2026House
    Explanation of vote. H.J. 743 .
  5. Mar 24, 2026House
    Explanation of vote. H.J. 743 .
  6. Mar 23, 2026House
    Message from House. S.J. 624 .
  7. Mar 23, 2026House
    Immediate message. H.J. 724 .
  8. Mar 23, 2026HouseFloor
    Passed House , yeas 90, nays 0. H.J. 723 .
  9. Mar 23, 2026House
    Motion to suspend rules failed. H.J. 723 .
  10. Mar 23, 2026House
    Motion to suspend rules for immediate consideration of amendment H-8249 , yeas 28, nays 62. H.J. 722 .
  11. Mar 23, 2026House
    Point of order raised on amendment H-8249 , ruled not germane. H.J. 722 .
  12. Mar 23, 2026House
    Motion to suspend rules failed. H.J. 722 .
  13. Mar 23, 2026House
    Motion to suspend rules for immediate consideration of amendment H-8251 , yeas 28, nays 62. H.J. 721 .
  14. Mar 23, 2026House
    Point of order raised on amendment H-8251 , ruled not germane. H.J. 720 .
  15. Mar 20, 2026House
    Amendments H-8249 and H-8251 filed. H.J. 714 .
  16. Feb 6, 2026House
    Placed on calendar. H.J. 229 .
  17. Feb 4, 2026House
    Committee vote: Yeas, 23. Nays, 0. Excused, 0. H.J. 229 .
  18. Feb 4, 2026House
    Committee report, recommending passage. H.J. 229 .
  19. Feb 4, 2026Iowa Legislature
    Subcommittee recommends passage.
  20. Feb 3, 2026House
    Subcommittee Meeting: 02/04/2026 7:45AM House Lounge.
  21. Jan 29, 2026House
    Subcommittee: Wills, J., Lawler and Zabner. H.J. 178 .
  22. Dec 31, 2025Iowa Legislature
    * * * * * END OF 2025 ACTIONS * * * * *
  23. May 15, 2025House
    Rereferred to Commerce. H.J. 1222 .
  24. Apr 10, 2025House
    Placed on calendar under unfinished business. H.J. 928 .
  25. Apr 2, 2025House
    Placed on calendar. H.J. 883 .
  26. Apr 2, 2025House
    Committee vote: Yeas, 19. Nays, 0. Excused, 3. H.J. 883 .
  27. Apr 2, 2025House
    Committee report, recommending passage. H.J. 883 .
  28. Apr 1, 2025Iowa Legislature
    Subcommittee recommends passage.
  29. Mar 31, 2025Iowa Legislature
    Subcommittee Meeting: 04/01/2025 12:30PM RM 304.
  30. Mar 27, 2025House
    Subcommittee: Wills, J., Nordman and Zabner. H.J. 868 .
  31. Mar 26, 2025HouseIntroduced
    Read first time, referred to Commerce. H.J. 816 .
  32. Mar 25, 2025House
    Message from Senate. H.J. 810 .
  33. Mar 25, 2025Senate
    Immediate message. S.J. 637 .
  34. Mar 25, 2025SenateFloor
    Passed Senate , yeas 47, nays 1. S.J. 636 .
  35. Mar 25, 2025Senate
    Amendment S-3052 filed, ruled out of order. S.J. 636 .
  36. Mar 25, 2025SenateFloor
    Amendment S-3053 filed, adopted. S.J. 636 .
  37. Mar 25, 2025Senate
    Deferred. S.J. 629 .
  38. Mar 10, 2025Senate
    Committee report, approving bill. S.J. 468 .
  39. Mar 10, 2025SenateIntroduced
    Introduced, placed on calendar. S.J. 460 .
  40. Mar 6, 2025Iowa Legislature
    Committee report approving bill, renumbered as SF 572 .
  41. Mar 4, 2025Iowa Legislature
    Subcommittee recommends passage.
  42. Feb 26, 2025Senate
    Subcommittee Meeting: 03/04/2025 11:00AM Senate Lounge.
  43. Feb 25, 2025Iowa Legislature
    Subcommittee: Bousselot, Bisignano, and Klimesh.
  44. Feb 25, 2025Iowa LegislatureIntroduced
    Introduced, referred to Commerce.

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

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Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Connected Entities

W. Charles Smithson, Paul Pate, Democratic People's Republic of Korea and 5 more
PersonW. Charles Smithson“Secretary of the Senate”Map →
PersonPaul Pate“Secretary of State of Iowa”Map →
locationDemocratic People's Republic of Korea“Country subject to facility licensure restrictions”Map →
locationPeople's Republic of China“Country subject to facility licensure restrictions”Map →
locationRussian Federation“Country subject to facility licensure restrictions”Map →
PersonKim Reynolds“Governor of Iowa approving Senate File 572”Map →
PersonAmy Sinclair“President of the Senate”Map →
PersonPat Grassley“Speaker of the House”Map →

Sources

Open source document

www.legis.iowa.gov

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy65
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz40
    Current news / social attention level

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