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HF589 • 2026

A bill for an act creating the compassion and care for medically challenging pregnancies Act.(See HF 807 .)

A bill for an act creating the compassion and care for medically challenging pregnancies Act.(See HF 807 .)

Passed Legislature

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

Sponsor
YOUNG, GEHLBACH and ANDREWS
Last action
2025-03-31
Official status
Withdrawn. H.J. 871 .
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 creating the compassion and care for medically challenging pregnancies Act.(See HF 807 .)

A bill for an act creating the compassion and care for medically challenging pregnancies Act.(See HF 807 .)

What This Bill Does

  • A bill for an act creating the compassion and care for medically challenging pregnancies Act.(See HF 807 .)

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. 2025-03-31 Iowa Legislature

    Withdrawn. H.J. 871 .

  2. 2025-03-05 Iowa Legislature

    Committee report approving bill, renumbered as HF 807 .

  3. 2025-03-03 Iowa Legislature

    Committee vote: Yeas, 20. Nays, 0. Excused, 1. H.J. 505 .

  4. 2025-03-03 Iowa Legislature

    Committee report, recommending passage. H.J. 505 .

  5. 2025-03-03 Iowa Legislature

    Subcommittee recommends passage.

  6. 2025-02-27 Iowa Legislature

    Subcommittee Meeting: 03/03/2025 12:45PM House Lounge 2.

  7. 2025-02-27 Iowa Legislature

    Subcommittee: Gehlbach, Andrews and Wessel-Kroeschell. H.J. 463 .

  8. 2025-02-25 Iowa Legislature

    Introduced, referred to Health and Human Services. H.J. 423 .

Official Summary Text

A bill for an act creating the compassion and care for medically challenging pregnancies Act.(See HF 807 .)

Current Bill Text

Read the full stored bill text
House

File

589

-

Introduced

HOUSE

FILE

589

BY

YOUNG

,

GEHLBACH

,

and

ANDREWS

A

BILL

FOR

An

Act

creating

the

compassion

and

care

for

medically

1

challenging

pregnancies

Act.

2

BE

IT

ENACTED

BY

THE

GENERAL

ASSEMBLY

OF

THE

STATE

OF

IOWA:

3

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589

Section

1.

NEW

SECTION

.

135S.1

Title.

1

This

chapter

shall

be

known

as

the

“Compassion

and

Care

for

2

Medically

Challenging

Pregnancies

Act”

.

3

Sec.

2.

NEW

SECTION

.

135S.2

Definitions.

4

For

the

purposes

of

this

chapter,

unless

the

context

5

otherwise

requires:

6

1.

“Department”

means

the

department

of

health

and

human

7

services.

8

2.

“Health

care

practitioner”

means

a

physician

licensed

9

pursuant

to

chapter

148,

an

advanced

registered

nurse

10

practitioner

licensed

pursuant

to

chapter

152,

or

an

advanced

11

practice

registered

nurse

under

chapter

152E.

12

3.

“Lethal

fetal

anomaly”

means

a

fetal

condition

diagnosed

13

before

birth

that

will,

with

reasonable

certainty,

result

in

14

the

death

of

the

child

three

months

after

birth.

15

4.

“Perinatal

hospice

service”

means

comprehensive

16

support

to

a

pregnant

woman

and

her

family

that

includes

17

support

from

the

time

of

diagnosis

of

a

lethal

fetal

anomaly,

18

through

the

time

of

birth

and

the

death

of

the

infant,

and

19

through

the

postpartum

period.

“Perinatal

hospice

services”

20

may

include

but

are

not

limited

to

counseling

and

medical

21

care

by

maternal-fetal

medical

specialists,

obstetricians,

22

neonatologists,

anesthesia

specialists,

clergy,

social

workers,

23

and

specialty

nurses

focused

on

alleviating

fear

and

ensuring

24

that

the

pregnant

woman

and

her

family

experience

the

life

and

25

death

of

the

child

in

a

comfortable

and

supportive

environment.

26

Sec.

3.

NEW

SECTION

.

135S.3

Perinatal

hospice

services

——

27

health

care

practitioner

role

——

list

and

information.

28

1.

A

health

care

practitioner

who

diagnoses

a

lethal

fetal

29

anomaly

may

do

any

of

the

following:

30

a.

Inform

the

pregnant

woman,

orally

and

in

person,

that

31

perinatal

hospice

services

are

available

and

offer

to

refer

the

32

pregnant

woman

for

such

services.

33

b.

Provide

the

pregnant

woman

with

the

list

and

information

34

sheet

regarding

available

perinatal

hospice

services

compiled

35

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H.F.

589

and

provided

by

the

department

pursuant

to

subsection

2.

1

2.

a.

The

department

shall

compile

a

geographically

2

organized

list

of,

and

an

information

sheet

regarding,

3

perinatal

hospice

services

available

in

Iowa

and

nationally.

4

b.

The

department

shall

post

the

list

and

information

sheet

5

compiled

under

this

subsection,

available

in

both

English

and

6

Spanish,

on

the

department’s

internet

site.

7

c.

The

internet

site

and

information

sheet

shall

include

all

8

of

the

following:

9

(1)

A

statement

indicating

that

perinatal

hospice

services

10

are

an

innovative

and

compassionate

model

of

support

for

a

11

pregnant

woman

who

is

informed

that

her

baby

has

a

lethal

fetal

12

anomaly

and

chooses

to

continue

her

pregnancy.

13

(2)

A

general

description

of

the

perinatal

hospice

services

14

available.

15

(3)

At

the

request

of

a

perinatal

hospice

service

included

16

on

the

list,

the

perinatal

hospice

service’s

informational

17

materials

and

contact

information,

including

whether

18

twenty-four-hour

perinatal

hospice

services

are

available.

19

EXPLANATION

20

The

inclusion

of

this

explanation

does

not

constitute

agreement

with

21

the

explanation’s

substance

by

the

members

of

the

general

assembly.

22

This

bill

creates

the

“Compassion

and

Care

for

Medically

23

Challenging

Pregnancies

Act”.

24

The

bill

provides

definitions

for

“department”,

“health

care

25

practitioner”,

“lethal

fetal

anomaly”,

and

“perinatal

hospice

26

service”

as

used

in

the

bill.

27

The

bill

provides

that

a

health

care

practitioner

who

28

diagnoses

a

lethal

fetal

anomaly

may

inform

the

pregnant

29

woman,

orally

and

in

person,

that

perinatal

hospice

services

30

are

available

and

offer

to

refer

the

pregnant

woman

for

31

such

services;

or

provide

the

pregnant

woman

with

the

list

32

and

information

sheet

regarding

available

perinatal

hospice

33

services

compiled

and

provided

by

the

department

of

health

and

34

human

services

(HHS).

35

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H.F.

589

The

bill

requires

HHS

to

compile

a

geographically

organized

1

list

of,

and

an

information

sheet

regarding,

perinatal

hospice

2

services

available

in

Iowa

and

nationally.

HHS

shall

post

3

the

list

and

information

sheet,

available

in

both

English

4

and

Spanish,

on

HHS’s

internet

site.

The

internet

site

and

5

information

sheet

shall

include

a

statement

indicating

that

6

perinatal

hospice

services

are

an

innovative

and

compassionate

7

model

of

support

for

the

pregnant

woman

who

is

informed

that

8

her

baby

has

a

lethal

fetal

anomaly

and

chooses

to

continue

9

her

pregnancy;

a

general

description

of

the

perinatal

hospice

10

services

available;

and

at

the

request

of

a

perinatal

hospice

11

service

included

on

the

list,

the

perinatal

hospice

service’s

12

informational

materials

and

contact

information,

including

13

whether

24-hour

perinatal

hospice

services

are

available.

14

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