Compare IA HF 571 (2026) and IA SF 220 (2026)
The introduced text of these two bills, side by side, with the wording they share.
- IA HF 571 (2026) · Iowa · 2026 · Enacted
- IA SF 220 (2026) · Iowa · 2026 · Failed
2,780 shared 8-word phrases found in the introduced text of these two bills.
This highlights wording the two bills share in their introduced text. A shared passage may include text that both bills quote from the same existing law, not only language either one drafted. A match shows that the texts overlap; it does not show who drafted a bill, and filing order alone does not show which bill copied which.
| IA HF 571 (2026) | IA SF 220 (2026) |
|---|---|
| A BILL FOR An Act relating to protections for medical practitioners, 1 health care institutions, and health care payors including 2 those related to the exercise of conscience, whistleblower 3 activities, and free speech, and providing penalties. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB | A BILL FOR An Act relating to protections for medical practitioners, 1 health care institutions, and health care payors including 2 those related to the exercise of conscience, whistleblower 3 activities, and free speech, and providing penalties. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB |
| F. 571 Section 1. SHORT TITLE. This Act shall be known and may be 1 cited as the “Medical Ethics Defense Act”. 2 Sec. 2. NEW SECTION . 135S.1 Definitions. 3 As used in this chapter, unless the context otherwise 4 requires: 5 1. a. “Conscience” means the ethical, moral, or religious 6 beliefs or principles held by a medical practitioner, health 7 care institution, or health care payor. 8 b. With respect to persons who are institutions, 9 corporations, or other legal entities, “conscience” is 10 determined by reference to that entity’s governing documents 11 including but not limited to published ethical, moral, or 12 religious guidelines or directives, mission statements, 13 constitutions, a… | F. 220 Section 1. SHORT TITLE. This Act shall be known and may be 1 cited as the “Medical Ethics Defense Act”. 2 Sec. 2. NEW SECTION . 135S.1 Definitions. 3 As used in this chapter, unless the context otherwise 4 requires: 5 1. a. “Conscience” means the ethical, moral, or religious 6 beliefs or principles held by a medical practitioner, health 7 care institution, or health care payor. 8 b. With respect to persons who are institutions, 9 corporations, or other legal entities, “conscience” is 10 determined by reference to that entity’s governing documents 11 including but not limited to published ethical, moral, or 12 religious guidelines or directives, mission statements, 13 constitutions, a… |
| F. 571 health service corporation, health maintenance organization, 1 or any similar corporation or organization, or an employer 2 offering self-insurance, that provides a health benefit plan; 3 or any other entity that pays for or arranges for payment, in 4 whole or in part, for a health care service. 5 5. “Health care service” means medical research and medical 6 care provided to a patient or client at any time during the 7 patient’s or client’s course of treatment, including but 8 not limited to testing; diagnosis; record making; referral; 9 prescribing, dispensing, or administering any drug, medication, 10 or device; therapy or counseling; and preparation or 11 arrangement for a surgica… | F. 220 health service corporation, health maintenance organization, 1 or any similar corporation or organization, or an employer 2 offering self-insurance, that provides a health benefit plan; 3 or any other entity that pays for or arranges for payment, in 4 whole or in part, for a health care service. 5 5. “Health care service” means medical research and medical 6 care provided to a patient or client at any time during the 7 patient’s or client’s course of treatment, including but 8 not limited to testing; diagnosis; record making; referral; 9 prescribing, dispensing, or administering any drug, medication, 10 or device; therapy or counseling; and preparation or 11 arrangement for a surgica… |
| F. 571 institution, or health care payor may have to participate in or 1 pay for a health care service that does not violate the medical 2 practitioner’s conscience. 3 b. A medical practitioner, health care institution, or 4 health care payor who refuses to participate in a health care 5 service under this section shall not be discriminated against 6 for the medical practitioner’s, health care institution’s, or 7 health care payor’s exercise of conscience. 8 2. A health care payor shall not decline to pay for a health 9 care service due to a medical practitioner’s, health care 10 institution’s, or health care payor’s refusal to participate 11 in a health care service under this section if t… | F. 220 institution, or health care payor may have to participate in or 1 pay for a health care service that does not violate the medical 2 practitioner’s conscience. 3 b. A medical practitioner, health care institution, or 4 health care payor who refuses to participate in a health care 5 service under this section shall not be discriminated against 6 for the medical practitioner’s, health care institution’s, or 7 health care payor’s exercise of conscience. 8 2. A health care payor shall not decline to pay for a health 9 care service due to a medical practitioner’s, health care 10 institution’s, or health care payor’s refusal to participate 11 in a health care service under this section if t… |
| F. 571 criminally, or administratively liable for the exercise of 1 conscience by a medical practitioner employed, contracted, or 2 granted admitting privileges by the health care institution. 3 Sec. 5. NEW SECTION . 135S.4 Whistleblower protections. 4 1. A medical practitioner, health care institution, or 5 health care payor shall not be discriminated against because 6 the medical practitioner, health care institution, or health 7 care payor does any of the following: 8 a. Provides, causes to be provided, or intends to provide 9 or cause to be provided information relating to a suspected 10 violation of this chapter to the medical practitioner’s, 11 health care institution’s, or health car… | F. 220 criminally, or administratively liable for the exercise of 1 conscience by a medical practitioner employed, contracted, or 2 granted admitting privileges by the health care institution. 3 Sec. 5. NEW SECTION . 135S.4 Whistleblower protections. 4 1. A medical practitioner, health care institution, or 5 health care payor shall not be discriminated against because 6 the medical practitioner, health care institution, or health 7 care payor does any of the following: 8 a. Provides, causes to be provided, or intends to provide 9 or cause to be provided information relating to a suspected 10 violation of this chapter to the medical practitioner’s, 11 health care institution’s, or health car… |
| F. 571 person from the requirements of the federal Health Insurance 1 Portability and Accountability Act of 1996, Pub. L. No. 2 104-191, including amendments thereto and regulations 3 promulgated thereunder, or any other applicable confidentiality 4 and patient or client privacy requirements. 5 Sec. 6. NEW SECTION . 135S.5 Free speech protections —— 6 notification of complaints —— penalty. 7 1. The department of health and human services, a licensing 8 board designated under chapter 147, or any other state 9 licensing or certifying entity of a medical practitioner shall 10 not reprimand, sanction, or revoke or threaten to revoke a 11 license or certification of a medical practitioner, healt… | F. 220 person from the requirements of the federal Health Insurance 1 Portability and Accountability Act of 1996, Pub. L. No. 2 104-191, including amendments thereto and regulations 3 promulgated thereunder, or any other applicable confidentiality 4 and patient or client privacy requirements. 5 Sec. 6. NEW SECTION . 135S.5 Free speech protections —— 6 notification of complaints —— penalty. 7 1. The department of health and human services, a licensing 8 board designated under chapter 147, or any other state 9 licensing or certifying entity of a medical practitioner shall 10 not reprimand, sanction, or revoke or threaten to revoke a 11 license or certification of a medical practitioner, healt… |
| F. 571 b. If the department, licensing board, or other licensing or 1 certifying entity fails to provide a copy of the complaint to 2 the medical practitioner, health care institution, or health 3 care payor within twenty-one days of receipt, the department, 4 licensing board, or other certifying entity shall pay the 5 medical practitioner, health care institution, or health care 6 payor an administrative penalty of five hundred dollars for 7 each day of noncompliance. 8 3. The state shall not contract with, recognize, approve, 9 or require a medical practitioner, health care institution, 10 or health care payor to obtain a certification or credential 11 issued or approved by the department… | F. 220 b. If the department, licensing board, or other licensing or 1 certifying entity fails to provide a copy of the complaint to 2 the medical practitioner, health care institution, or health 3 care payor within twenty-one days of receipt, the department, 4 licensing board, or other certifying entity shall pay the 5 medical practitioner, health care institution, or health care 6 payor an administrative penalty of five hundred dollars for 7 each day of noncompliance. 8 3. The state shall not contract with, recognize, approve, 9 or require a medical practitioner, health care institution, 10 or health care payor to obtain a certification or credential 11 issued or approved by the department… |
| F. 571 limited to reinstatement of a medical practitioner to the 1 medical practitioner’s previous position, or reinstatement 2 or reactivation of licensure or certification of a medical 3 practitioner, or reactivation or reinstatement of licensure of 4 a health care institution or a health care payor. 5 b. Monetary damages for injuries suffered. 6 c. Reasonable costs and attorney fees. 7 3. The rights, remedies, and prohibitions contained in this 8 chapter shall be in addition to and cumulative of any other 9 right, remedy, or prohibition accorded by common law or state 10 or federal law. This chapter shall not be construed to deny, 11 abrogate, or impair any such common law or statutory r… | F. 220 limited to reinstatement of a medical practitioner to the 1 medical practitioner’s previous position, or reinstatement 2 or reactivation of licensure or certification of a medical 3 practitioner, or reactivation or reinstatement of licensure of 4 a health care institution or a health care payor. 5 b. Monetary damages for injuries suffered. 6 c. Reasonable costs and attorney fees. 7 3. The rights, remedies, and prohibitions contained in this 8 chapter shall be in addition to and cumulative of any other 9 right, remedy, or prohibition accorded by common law or state 10 or federal law. This chapter shall not be construed to deny, 11 abrogate, or impair any such common law or statutory r… |
| F. 571 health care payors (payor), involving exercise of conscience, 1 whistleblower activities, and free speech. 2 The bill provides definitions for “conscience”, 3 “discrimination”, “health care institution”, “health care 4 payor”, “health care services”, “medical practitioner”, and 5 “participate in a health care service”. 6 The bill provides that a practitioner, institution, or 7 payor has the right not to participate in or pay for a health 8 care service (service) that violates the practitioner’s, 9 institution’s, or payor’s conscience. A practitioner, 10 institution, or payor who refuses to participate in a service 11 due to exercise of conscience shall not be discriminated 12 against… | F. 220 health care payors (payor), involving exercise of conscience, 1 whistleblower activities, and free speech. 2 The bill provides definitions for “conscience”, 3 “discrimination”, “health care institution”, “health care 4 payor”, “health care services”, “medical practitioner”, and 5 “participate in a health care service”. 6 The bill provides that a practitioner, institution, or 7 payor has the right not to participate in or pay for a health 8 care service (service) that violates the practitioner’s, 9 institution’s, or payor’s conscience. A practitioner, 10 institution, or payor who refuses to participate in a service 11 due to exercise of conscience shall not be discriminated 12 against… |
| F. 571 information as described in the bill. The bill is not to 1 be construed to exempt a person from the requirements of the 2 federal Health Insurance Portability and Accountability Act. 3 The bill also provides that the department of health 4 and human services (HHS), a health professional licensing 5 board, or any other state licensing or certifying entity of 6 a practitioner, institution, or payor shall not reprimand, 7 sanction, or revoke or threaten to revoke a license or 8 certification of a practitioner, institution, or payor 9 for engaging in speech, expressive activity (activity), 10 or association protected under the first amendment unless 11 HHS, the licensing board, or other… | F. 220 information as described in the bill. The bill is not to 1 be construed to exempt a person from the requirements of the 2 federal Health Insurance Portability and Accountability Act. 3 The bill also provides that the department of health 4 and human services (HHS), a health professional licensing 5 board, or any other state licensing or certifying entity of 6 a practitioner, institution, or payor shall not reprimand, 7 sanction, or revoke or threaten to revoke a license or 8 certification of a practitioner, institution, or payor 9 for engaging in speech, expressive activity (activity), 10 or association protected under the first amendment unless 11 HHS, the licensing board, or other… |
| F. 571 The bill provides that it is unlawful for a person to 1 interfere or attempt to interfere with the right not to 2 participate in or pay for a service, or with the whistleblower 3 or free speech rights and protections authorized under the 4 bill. An institution, payor, or practitioner injured by 5 unlawful interference under the bill is entitled to bring a 6 civil action that, if successful, may result in relief as 7 detailed in the bill. The bill shall not be construed to deny, 8 abrogate, or impair a common law or statutory right, remedy, 9 or prohibition. An additional burden or expense arising from 10 another practitioner’s, institution’s, or payor’s exercise 11 of conscience is n… | F. 220 The bill provides that it is unlawful for a person to 1 interfere or attempt to interfere with the right not to 2 participate in or pay for a service, or with the whistleblower 3 or free speech rights and protections authorized under the 4 bill. An institution, payor, or practitioner injured by 5 unlawful interference under the bill is entitled to bring a 6 civil action that, if successful, may result in relief as 7 detailed in the bill. The bill shall not be construed to deny, 8 abrogate, or impair a common law or statutory right, remedy, 9 or prohibition. An additional burden or expense arising from 10 another practitioner’s, institution’s, or payor’s exercise 11 of conscience is n… |