This bill mandates that the University of Iowa Hospitals and Clinics prioritize Iowa residents when awarding federal residency positions and fellowships. Specifically, applicants who are residents of Iowa, have earned an undergraduate degree from an Iowa college or university, or have obtained a medical degree from a medical school in Iowa will be given preference. This initiative aims to support local talent and ensure that the healthcare workforce reflects the community it serves.

Additionally, the bill stipulates that the University of Iowa Hospitals and Clinics must offer opportunities for rural rotations to individuals awarded primary care residency or fellowship positions, including those in psychiatry. This requirement is intended to enhance the exposure of residents and fellows to rural healthcare settings in Iowa, thereby addressing the healthcare needs of these areas.