The bill mandates that the Department of Inspections, Appeals, and Licensing (DIAL) establish rules requiring hospitals, critical access hospitals, and ambulatory surgical centers in Iowa to implement policies aimed at eliminating surgical smoke. This must be achieved through the use of smoke evacuation systems for all procedures that generate surgical smoke from energy-based devices, such as electrosurgical devices and lasers. The deadline for these entities to adopt such policies is set for January 1, 2027.

Additionally, the bill provides definitions for key terms, including "ambulatory surgical center," "critical access hospital," "smoke evacuation system," and "surgical smoke." These definitions clarify the scope and intent of the legislation, ensuring that all relevant parties understand their responsibilities in relation to the management of surgical smoke in medical settings.