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HF2040 • 2026

A bill for an act relating to damage awards against health care providers, and including applicability provisions.

A bill for an act relating to damage awards against health care providers, and including applicability provisions.

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
KRESSIG
Last action
2026-01-14
Official status
Introduced, referred to Judiciary. H.J. 75 .
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

A bill for an act relating to damage awards against health care providers, and including applicability provisions.

A bill for an act relating to damage awards against health care providers, and including applicability provisions.

What This Bill Does

  • A bill for an act relating to damage awards against health care providers, and including applicability provisions.

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Bill History

  1. 2026-01-14 Iowa Legislature

    Introduced, referred to Judiciary. H.J. 75 .

Official Summary Text

A bill for an act relating to damage awards against health care providers, and including applicability provisions.

Current Bill Text

Read the full stored bill text
House

File

2040

-

Introduced

HOUSE

FILE

2040

BY

KRESSIG

A

BILL

FOR

An

Act

relating

to

damage

awards

against

health

care

providers,

1

and

including

applicability

provisions.

2

BE

IT

ENACTED

BY

THE

GENERAL

ASSEMBLY

OF

THE

STATE

OF

IOWA:

3

TLSB

5139YH

(2)

91

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H.F.

2040

Section

1.

Section

147.136A,

subsection

1,

paragraph

b,

1

Code

2026,

is

amended

to

read

as

follows:

2

b.

(1)

“Noneconomic

damages”

means

damages

arising

from

3

pain,

suffering,

inconvenience,

physical

impairment,

mental

4

anguish,

emotional

pain

and

suffering,

loss

of

chance,

loss

of

5

consortium,

or

any

other

nonpecuniary

damages.

6

(2)

“Noneconomic

damages”

does

not

include

the

loss

of

7

dependent

care,

including

the

loss

of

child

care,

due

to

the

8

death

of

or

severe

injury

to

a

spouse

or

parent

who

is

the

9

primary

caregiver

of

a

child

under

the

age

of

eighteen

or

a

10

disabled

adult.

Such

damages

shall

be

considered

economic

11

damages.

12

Sec.

2.

Section

147.136A,

subsection

2,

Code

2026,

is

13

amended

to

read

as

follows:

14

2.

Subject

to

subsection

4

,

the

The

total

amount

recoverable

15

in

any

civil

action

for

noneconomic

damages

for

personal

injury

16

or

death,

whether

in

tort,

contract,

or

otherwise,

against

a

17

health

care

provider

for

any

occurrence

resulting

in

injury

18

or

death

of

a

patient

regardless

of

the

number

of

plaintiffs,

19

derivative

claims,

theories

of

liability,

or

defendants

in

20

the

civil

action,

shall

not

exceed

two

hundred

fifty

thousand

21

dollars

unless

the

jury

determines

that

there

is

a

substantial

22

or

permanent

loss

or

impairment

of

a

bodily

function,

23

substantial

disfigurement,

loss

of

pregnancy,

or

death,

which

24

warrants

a

finding

that

imposition

of

such

a

limitation

would

25

deprive

the

plaintiff

of

just

compensation

for

the

injuries

26

sustained

,

in

which

case

the

amount

recoverable

shall

not

27

exceed

one

million

dollars,

or

two

million

dollars

if

the

civil

28

action

includes

a

hospital

as

defined

in

section

135B.1

.

29

Sec.

3.

Section

147.136A,

subsection

4,

Code

2026,

is

30

amended

by

striking

the

subsection.

31

Sec.

4.

Section

668A.1,

subsection

2,

paragraphs

a

and

b,

32

Code

2026,

are

amended

to

read

as

follows:

33

a.

If

the

answer

or

finding

pursuant

to

subsection

1

,

34

paragraph

“b”

,

is

affirmative,

or

if

the

claim

is

against

any

35

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H.F.

2040

physician

and

surgeon,

osteopathic

physician

and

surgeon,

1

dentist,

podiatric

physician,

optometrist,

pharmacist,

2

chiropractor,

physician

assistant,

or

nurse,

licensed

under

3

chapter

147

,

or

a

hospital

licensed

under

chapter

135B

,

arising

4

out

of

patient

care,

or

if

the

claim

is

part

of

a

civil

action

5

involving

the

operation

of

a

commercial

motor

vehicle,

then

the

6

full

amount

of

the

punitive

or

exemplary

damages

awarded

shall

7

be

paid

to

the

claimant.

8

b.

If

the

answer

or

finding

pursuant

to

subsection

1

,

9

paragraph

“b”

,

is

negative,

and

if

the

claim

is

not

against

10

any

physician

and

surgeon,

osteopathic

physician

and

surgeon,

11

dentist,

podiatric

physician,

optometrist,

pharmacist,

12

chiropractor,

physician

assistant,

or

nurse,

licensed

under

13

chapter

147

,

or

a

hospital

licensed

under

chapter

135B

,

14

arising

out

of

patient

care,

and

if

the

claim

is

not

part

of

15

a

civil

action

involving

the

operation

of

a

commercial

motor

16

vehicle,

then

after

payment

of

all

applicable

costs

and

fees,

17

an

amount

not

to

exceed

twenty-five

percent

of

the

punitive

or

18

exemplary

damages

awarded

may

be

ordered

paid

to

the

claimant,

19

with

the

remainder

of

the

award

to

be

ordered

paid

into

a

20

civil

reparations

trust

fund

administered

by

the

state

court

21

administrator.

Funds

placed

in

the

civil

reparations

trust

22

shall

be

under

the

control

and

supervision

of

the

executive

23

council,

and

shall

be

disbursed

only

for

purposes

of

indigent

24

civil

litigation

programs

or

insurance

assistance

programs.

25

Sec.

5.

APPLICABILITY.

This

Act

applies

to

causes

of

action

26

accrued

on

or

after

the

effective

date

of

this

Act.

27

EXPLANATION

28

The

inclusion

of

this

explanation

does

not

constitute

agreement

with

29

the

explanation’s

substance

by

the

members

of

the

general

assembly.

30

This

bill

relates

to

damage

awards

against

health

care

31

providers.

32

Current

law

does

not

include

the

loss

of

dependent

or

child

33

care

due

to

the

death

or

severe

injury

to

a

spouse

or

parent

34

who

is

the

primary

caregiver

as

noneconomic

damages

when

35

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5139YH

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91

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2/

4

H.F.

2040

determining

damage

awards

against

a

health

care

provider.

The

1

bill

strikes

this

limitation

on

noneconomic

damages.

2

Current

law

provides

a

limit

of

$250,000

that

may

be

3

recovered

in

any

civil

action

for

noneconomic

damages

for

4

personal

injury

or

death

against

a

health

care

provider

unless

5

there

is

a

substantial

or

permanent

loss

or

impairment

of

a

6

bodily

function,

substantial

disfigurement,

loss

of

pregnancy,

7

or

death.

The

bill

removes

loss

of

pregnancy

as

an

exception

8

to

this

noneconomic

damage

limit.

9

Current

law

limits

the

amount

of

noneconomic

damages

that

10

a

jury

can

award

a

plaintiff

if

there

is

a

substantial

or

11

permanent

loss

or

impairment

of

a

bodily

function,

substantial

12

disfigurement,

loss

of

pregnancy,

or

death

to

$1

million,

or

13

$2

million

if

the

civil

action

includes

a

hospital.

The

bill

14

strikes

this

limitation

on

the

amount

of

noneconomic

damages

15

a

jury

can

award

a

plaintiff.

16

The

bill

strikes

the

2.1

percent

increase

to

the

$250,000,

$1

17

million,

and

$2

million

caps

under

current

law.

18

The

bill

strikes

the

requirement

that

an

award

for

punitive

19

or

exemplary

damages

shall

be

paid

to

the

claimant

if

the

claim

20

is

against

any

physician

and

surgeon,

osteopathic

physician

and

21

surgeon,

dentist,

podiatric

physician,

optometrist,

pharmacist,

22

chiropractor,

physician

assistant,

nurse,

or

a

hospital,

23

arising

out

of

patient

care.

24

Current

law

provides

that

if

a

jury

or

court

finds

that

25

the

conduct

of

the

defendant

was

not

directed

specifically

at

26

the

claimant,

or

the

person

from

which

the

claimant’s

claim

27

is

derived,

and

if

the

claim

is

not

against

any

physician

and

28

surgeon,

osteopathic

physician

and

surgeon,

dentist,

podiatric

29

physician,

optometrist,

pharmacist,

chiropractor,

physician

30

assistant,

nurse,

or

a

hospital

licensed,

arising

out

of

31

patient

care,

and

if

the

claim

is

not

part

of

a

civil

action

32

involving

the

operation

of

a

commercial

motor

vehicle,

then

no

33

more

than

25

percent

of

the

punitive

or

exemplary

damages

shall

34

be

paid

to

the

claimant.

The

bill

strikes

the

requirement

that

35

-3-

LSB

5139YH

(2)

91

lh/jh

3/

4

H.F.

2040

the

claim

not

be

against

any

physician

and

surgeon,

osteopathic

1

physician

and

surgeon,

dentist,

podiatric

physician,

2

optometrist,

pharmacist,

chiropractor,

physician

assistant,

3

nurse,

or

a

hospital

licensed,

arising

out

of

patient

care.

4

The

bill

applies

to

causes

of

action

accrued

on

or

after

July

5

1,

2026.

6

-4-

LSB

5139YH

(2)

91

lh/jh

4/

4