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STATE OF IOWA
KIM REYNOLDS
GOVERNOR
April 18, 2025
The Honorable Paul Pate
Secretary of State of Iowa
State Capitol
Des Moines, Iowa 50319
Dear Mr. Secretary,
I hereby transmit:
House File 309, an Act relating to the review by the department of inspections, appeals,
and licensing of certain deficient practices by nursing facilities.
The above House File is hereby approved on this date.
Sincerely,
Kim IMyno
Governor of Iowa
cc: Secretary of the Senate
Clerk of the House
STATE CAPITOI. DES MOINES, IOWA 50319 515.281.5211 FAX 515.725.3527 WWW.GOVERNOR.IOWA.GOV
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House File 309
AN ACT
RELATING TO THE REVIEW BY THE DEPARTMENT OF INSPECTIONS,
APPEALS, AND LICENSING OF CERTAIN DEFICIENT PRACTICES BY
NURSING FACILITIES.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
Section 1. Section 135C.40, subsection 1, paragraph d,
subparagraph ( 1), Code 2025, is amended to read as follows:
( 1) The department shall establish and maintain a
process to review each deficient practice identified by the
department for which a citation may be issued to a nursing
facility for immediate jeopardy or substandard quality of care
prior to issuance of final findings under section 135C.40A.
Representatives of the nursing facility issued such a citation
may participate in the review to provide context a- ad or
evidence for the department to consider in determining if a
final finding of immediate jeopardy or substandard quality of
House File 309, p. 2
care should be issued. The review shall ensure consistent and
accurate application of federal and state inspection protocols
and defined regulatory standards.
PAT GRASSLEY// AMY SINCLAIR
Speaker of the House
•C.L•GGci•
President of the Senate
I hereby certify that this bill originated in the House and
is known as House File 309, Ninety-first General Assembly.
Approved 4 1 91,000 , 2025
MEGH ,NN NELSON
ChiLf Cle of the House
KIM
Governor