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STATE OF IOWA
KIM REYNOLDS
GOVERNOR
June 11, 2025
The Honorable Paul Pate
Secretary of State of Iowa
State Capitol
Des Moines, Iowa 50319
Dear Mr. Secretary,
I hereby transmit:
House File 516, an Act relating to medical residency and fellowship positions, including
priority for admission to the university of Iowa's colleges of medicine and dentistry, and
hospitals and clinics.
The above House File is hereby approved on this date.
Sincerely,
im yno
Governor of Iowa
cc: Secretary of the Senate
Clerk of the House
STATE CAPITOL DES MOINES, IOWA 50319 515.281.5211 WWW.GOVERNOR.IOWA.GOV
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GENERAL ASSEMBLY 41°EL" ,.
House File 516
AN ACT
RELATING TO MEDICAL RESIDENCY AND FELLOWSHIP POSITIONS,
INCLUDING PRIORITY FOR ADMISSION TO THE UNIVERSITY OF
IOWA'S COLLEGES OF MEDICINE AND DENTISTRY, AND HOSPITALS AND
CLINICS.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
Section 1. Section 262.9, Code 2025, is amended by adding
the following new subsection:
NEW SUBSECTION. 39. a. Adopt a policy requiring that not
less than eighty percent of the students who are accepted at
the college of medicine in the doctor of medicine program,
and who are accepted at the college of dentistry at the state
university of Iowa be residents of Iowa or persons who were,
prior to applying to such college, enrolled in an eligible
postsecondary institution as defined in section 261E.2.
b. Adopt a policy that gives priority for admission to
residents of Iowa who apply for the college of medicine in the
doctor of medicine program or the college of dentistry at the
state university of Iowa.
C. Adopt a policy requiring an application for admission to
the college of medicine in the doctor of medicine program or
the college of dentistry at the state university of Iowa, or
for a residency at the university of Iowa hospitals and clinics
to include an applicant attestation that includes all of the
following:
House File 516, p. 2
( 1) I was born in Iowa or graduated from an Iowa high
school.
( 2) I have family members or in-laws who reside in Iowa, or
I graduated from a public or private university, a college, or
a community college located in Iowa.
( 3) I have resided in a rural community that has similar
characteristics to similarly sized rural Iowa communities such
as demographics or health disparities.
( 4) None of the above apply to me; however, I am interested
in practicing in Iowa after graduation.
( 5) None of the above apply to me; however, I am interested
in attending the college of medicine in the doctor of medicine
program or college of dentistry, or pursuing a residency at the
university of Iowa hospitals and clinics.
d. ( 1) Require the state university of Iowa and the
university of Iowa hospitals and clinics to submit an
annual report to the general assembly that contains, for the
immediately preceding calendar year, all of the following:
( a) The number of applicants who are residents of Iowa
who were accepted to the college of medicine in the doctor of
medicine program.
( b) The number of applicants who are residents of Iowa who
were accepted to the college of dentistry.
( c) The number of applicants who are residents of Iowa
who were accepted for a residency at the university of Iowa
hospitals and clinics.
( d) The number of applicants who are residents of Iowa who
were not accepted to the college of medicine in the doctor of
medicine program, and a brief statement related to why each
applicant was denied.
( e) The number of applicants who are residents of Iowa who
were not accepted to the college of dentistry, and a brief
statement related to why each applicant was denied.
( f) The number of applicants who are residents of Iowa who
were not accepted for a residency at the university of Iowa
hospitals and clinics, and a brief statement related to why
each applicant was denied.
( 2) Personal information regarding an applicant in an
annual report submitted pursuant to this paragraph shall
House File 516, p. 3
be kept confidential as required under the federal Family
Educational Rights and Privacy Act, 20 U.S.C. § 1232g, and in
the same manner as personal information in student records
maintained, created, collected, or assembled by or for a school
corporation or educational institution in accordance with
section 22.7, subsection 1.
e. For purposes of this subsection, " resident of Iowa means
any of the following:
( 1) An individual who graduated from an Iowa high school.
( 2) An individual who has lived in Iowa for at least four
consecutive years immediately preceding the date the individual
applies for admission to the college of medicine in the doctor
of medicine program or the college of dentistry at the state
university of Iowa, or for a residency at the university of
Iowa hospitals and clinics.
Sec. 2. Section 263.2, Code 2025, is amended to read as
follows:
263.2 Degrees — reports.
1. A person shall not be admitted to courses of instruction
in the university if the person has not completed the
elementary instruction in such branches as are taught in the
public or accredited nonpublic schools throughout the state.
2. Graduates of the university shall receive degrees or
diplomas, or other evidences of distinction such as are usually
conferred and granted by universities and are authorized by the
state board of regents.
3. The university of Iowa, in collaboration with the
university hospitals and clinics, shall submit an annual report
to the general assembly providing the following information:
a. The states in which members of each graduating class
from the college of dentistry and the college of medicine's
doctor of medicine program reside during the year immediately
following graduation. The information shall be divided by
residents of Iowa at the time of application to the college and
nonresidents at the time of application to the college.
b. The states in which the university of Iowa hospitals
and clinics primary care and specialty residents reside in the
year following completion of medical residency and whether
following residency such residents accepted fellowships. The
House File 516, p. 4
information shall be divided by primary care and various areas
of specialty, and whether the medical residents were residents
of Iowa prior to applying for admission at an undergraduate
college or university, received a baccalaureate degree from a
postsecondary institution in Iowa, or graduated from a medical
school in Iowa, whether or not the medical residents were
residents of Iowa at the time of acceptance into the university
of Iowa hospitals and clinics" residency programs and, if any
residents of Iowa accepted fellowships following residency, the
states in which the fellowships are offered and the areas of
specialty under the fellowships.
C. For purposes of this subsection, " resident of Iowa - means
the same as defined in section 262.9, subsection 39.
Sec. 3. NEW SECTION. 263.6 Residency and fellowship
positions — priority for certain candidates — rural rotations.
The university of Iowa hospitals and clinics shall give
priority in awarding federal residency positions as established
under the federal Balanced Budget Act of 1997, Pub. L. No.
105-33, and fellowships to applicants who are residents of
Iowa, attended and earned an undergraduate degree from an
Iowa college or university, or attended and earned a medical
degree from a medical school in Iowa. The university of Iowa
hospitals and clinics shall also provide the opportunity to
participate in a rural rotation to persons to whom a primary
care residency or fellowship position, including such positions
in psychiatry, is awarded in order to expose the resident or
fellow to rural areas of the state.
Sec. 4. MEDICAL RESIDENCY POSITIONS — APPLICANTS MEETING
CERTAIN CRITERIA — ANNUAL REPORT.
1. The university of Iowa hospitals and clinics shall offer
an interview for an available medical residency position to
any applicant who has a residency specialty in obstetrics and
gynecology, psychiatry, general surgery, emergency medicine,
neurology, or primary care, or an available cardiology
fellowship position to any applicant who has a fellowship
specialty in cardiology, and who also is a resident of Iowa,
attended and earned an undergraduate degree from an Iowa
college or university, or attended and earned a medical degree
from a medical school in Iowa.
House File 516, p. 5
2. The university of Iowa hospitals and clinics shall
submit a report to the governor and the general assembly by
January 15, annually, regarding the interviews as specified
in this section during the prior fiscal year. Specifically,
the report shall include for each interview the name of the
applicant's medical school, whether an applicant was offered
and participated in an interview, whether the applicant was
accepted for one of the residency or fellowship positions,
and the total number of available residency and fellowship
positions filled by an applicant meeting the criteria under
this section.
;,;* 11 11 PAT GRASSLE
Speaker of the House
AMY SIND AIR
•
President of the Senate
I hereby certify that this bill originated in the House and
is known as House File 516, Ninety-first General Assembly.
Approved I 2025
Chief CXerk of the House
KIM REY
Governor