The bill amends various sections of the Iowa Code to eliminate a city's ability to establish its own board of health or health department. Specifically, it removes references to "city" in the definitions and provisions related to local boards of health, thereby restricting public health services to be managed through county or district boards only. The bill also introduces a new section that requires county boards to execute agreements with county hospitals for sharing health services and resources, while allowing for a waiver process if the county can demonstrate a more cost-effective alternative for providing health services.

Additionally, the bill includes several deletions of existing legal language that pertain to city health departments and boards, reinforcing the shift of public health responsibilities away from cities. The effective date for the implementation of this Act is set for January 1, 2027.

Statutes affected:
Introduced: 137.101, 137.102, 137.103, 137.113, 331.101, 137.106, 137.109, 137.110, 331.324, 137.112, 135.140, 331.307, 143.1, 137.107, 28G.4, 28G.2, 135.1, 135.11, 135.17, 135.19, 135.27, 135.34, 135.39D, 135.102, 135.103, 135.104, 135.105B, 135.107, 135.119, 135.146, 135A.2, 135A.8, 135C.1, 135I.1, 135I.2, 135I.4, 136A.5B, 136A.3, 137C.2, 137C.6, 137C.35, 137F.13, 138.12, 138.14, 139A.2, 139A.4, 139A.7, 139A.8, 139A.10, 139A.11, 139A.12, 139A.13A, 139A.14, 139A.15, 139A.17, 139A.25, 139A.31, 139A.33, 139A.34, 163.17, 195.6, 239B.12, 263.7, 263.8, 331.304, 331.321, 346A.1, 351.36, 455B.172, 455B.303
Reprinted: 135.105B, 135I.1, 137.102, 137.103, 137.104, 137.105