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SF202 • 2026

A bill for an act relating to ensuring the provision of accessible prescription-related measures for persons who are blind, have a visual impairment, or otherwise have print disabilities.

A bill for an act relating to ensuring the provision of accessible prescription-related measures for persons who are blind, have a visual impairment, or otherwise have print disabilities.

Healthcare
Passed Legislature

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

Sponsor
BISIGNANO
Last action
2025-02-11
Official status
Subcommittee: Klimesh, Costello, and Petersen. S.J. 243 .
Effective date
Not listed

Plain English Breakdown

Checked against official source text during the last sync.

Making Prescription Information Accessible for People with Vision or Print Disabilities

This bill requires the board of pharmacy to create rules by October 31, 2025, ensuring that prescription drug labels, bag tags, and medical guides are accessible at no extra cost to people who are blind, have a visual impairment, or cannot read print.

What This Bill Does

  • Requires the board of pharmacy to adopt rules by October 31, 2025, to ensure accessibility for those with vision or print disabilities.
  • Ensures that accessible prescription information is provided at no extra cost and in a timely manner.
  • Includes guidelines from a U.S. Government Accountability Office report on best practices for accessible labels.
  • Requires the board to gather input from people who are blind, have visual impairments, or cannot read print when making these rules.

Who It Names or Affects

  • People who are blind, visually impaired, or unable to read printed materials due to a disability.
  • Pharmacies and pharmacy boards that must follow new accessibility guidelines.

Terms To Know

Print disabilities
Conditions that make it hard for someone to read standard print material, such as blindness or visual impairments.
Prescription drug labels
Labels on medication bottles that provide important information about the medicine.

Limits and Unknowns

  • The bill does not specify how pharmacies will be funded to cover the costs of providing accessible materials.
  • It is unclear if there are specific penalties for non-compliance with these rules.

Bill History

  1. 2025-02-11 Iowa Legislature

    Subcommittee: Klimesh, Costello, and Petersen. S.J. 243 .

  2. 2025-02-04 Iowa Legislature

    Introduced, referred to Health and Human Services. S.J. 188 .

Official Summary Text

A bill for an act relating to ensuring the provision of accessible prescription-related measures for persons who are blind, have a visual impairment, or otherwise have print disabilities.

Current Bill Text

Read the full stored bill text
Senate

File

202

-

Introduced

SENATE

FILE

202

BY

BISIGNANO

A

BILL

FOR

An

Act

relating

to

ensuring

the

provision

of

accessible

1

prescription-related

measures

for

persons

who

are

2

blind,

have

a

visual

impairment,

or

otherwise

have

print

3

disabilities.

4

BE

IT

ENACTED

BY

THE

GENERAL

ASSEMBLY

OF

THE

STATE

OF

IOWA:

5

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(1)

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lh/ko

S.F.

202

Section

1.

NEW

SECTION

.

155A.49

Accessible

1

prescription-related

measures

for

persons

who

are

blind,

2

visually

impaired,

or

otherwise

have

print

disabilities

——

rules.

3

1.

The

board

shall

adopt

rules

pursuant

to

chapter

17A

4

to

ensure

that

no

later

than

October

31,

2025,

a

person

who

5

is

blind,

has

a

visual

impairment,

or

otherwise

has

a

print

6

disability

has

appropriate

access

to

prescription

drug

labels,

7

bag

tags,

and

medical

guides.

The

accessibility

measures

shall

8

meet

all

of

the

following

requirements:

9

a.

Be

provided

at

no

additional

cost

to

such

persons.

10

b.

Provide

information

in

a

format

that

is

fully

accessible

11

to

a

person

who

is

blind,

has

a

visual

impairment,

or

otherwise

12

has

a

print

disability.

13

c.

Provide

information

to

a

person

who

is

blind,

has

a

14

visual

impairment,

or

otherwise

has

a

print

disability

within

15

a

time

frame

comparable

to

the

time

frame

within

which

the

16

information

is

provided

to

a

person

who

is

not

blind,

does

not

17

have

a

visual

impairment,

or

does

not

otherwise

have

a

print

18

disability.

19

2.

In

adopting

rules

under

this

section,

the

board

shall

20

solicit

input

from

persons

who

are

blind,

have

a

visual

21

impairment,

or

otherwise

have

a

print

disability.

22

3.

The

rules

adopted

under

this

section

shall

meet

all

of

23

the

following

requirements:

24

a.

Comply

with

the

guidelines

and

recommendations

in

the

25

United

States

government

accountability

office

report

published

26

in

December

2016,

entitled

“Prescription

Drug

Labels:

Actions

27

Needed

to

Increase

Awareness

of

Best

Practices

for

Accessible

28

Labels

for

Individuals

Who

are

Blind

or

Visually

Impaired”.

29

b.

Include

a

method

for

providing

notice

to

the

public

30

that

accessible

prescription

drug

labels,

bag

tags,

and

31

medical

guides

are

available,

including

notice

regarding

the

32

availability

of

the

prescription

drug

labels,

bag

tags,

and

33

medical

guides

in

audio

format.

34

4.

The

board

shall

submit

a

report

to

the

governor

and

the

35

-1-

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1/

3

S.F.

202

general

assembly

by

January

1,

2026,

which

includes

information

1

regarding

progress

in

the

implementation

of

the

rules,

2

recommendations

regarding

additional

measures

for

improving

3

accessibility,

and

projected

costs

of

implementing

enhanced

4

dispensing

fees

to

defray

the

costs

of

providing

accessible

5

prescription

drug

labels,

bag

tags,

and

medical

guides

to

6

persons

who

are

blind,

have

a

visual

impairment,

or

otherwise

7

have

a

print

disability.

8

EXPLANATION

9

The

inclusion

of

this

explanation

does

not

constitute

agreement

with

10

the

explanation’s

substance

by

the

members

of

the

general

assembly.

11

This

bill

requires

the

board

of

pharmacy

to

adopt

12

administrative

rules

no

later

than

October

31,

2025,

to

13

ensure

that

a

person

who

is

blind,

has

a

visual

impairment,

14

or

otherwise

has

a

print

disability

has

appropriate

access

to

15

prescription

drug

labels,

bag

tags,

and

medical

guides.

The

16

accessibility

measures

shall

be

provided

at

no

additional

cost

17

to

such

person,

provide

information

in

a

format

that

is

fully

18

accessible

to

a

person

who

is

blind,

has

a

visual

impairment,

19

or

otherwise

has

a

print

disability,

and

provide

information

to

20

a

person

who

is

blind,

has

a

visual

impairment,

or

otherwise

21

has

a

print

disability

within

a

time

frame

comparable

to

the

22

time

frame

within

which

the

information

is

provided

to

a

23

person

who

is

not

blind,

does

not

have

a

visual

impairment,

or

24

otherwise

does

not

have

a

print

disability.

25

The

board

is

required

to

solicit

input

in

developing

the

26

rules

from

persons

who

are

blind,

have

a

visual

impairment,

27

or

otherwise

have

a

print

disability.

The

rules

shall

comply

28

with

the

guidelines

and

recommendations

in

the

United

States

29

government

accountability

office

report

published

in

December

30

2016,

entitled

“Prescription

Drug

Labels:

Actions

Needed

to

31

Increase

Awareness

of

Best

Practices

for

Accessible

Labels

for

32

Individuals

Who

are

Blind

or

Visually

Impaired”,

and

shall

33

include

a

method

for

providing

notice

to

the

public

that

34

accessible

prescription

drug

labels,

bag

tags,

and

medical

35

-2-

LSB

2046XS

(1)

91

lh/ko

2/

3

S.F.

202

guides

are

available.

1

The

board

shall

submit

a

report

to

the

governor

and

the

2

general

assembly

by

January

1,

2026,

which

includes

information

3

regarding

progress

in

the

implementation

of

the

rules,

4

recommendations

regarding

additional

measures

for

improving

5

accessibility,

and

projected

costs

of

implementing

enhanced

6

dispensing

fees

to

defray

the

costs

of

providing

accessible

7

prescription

drug

labels,

bag

tags,

and

medical

guides

to

8

persons

who

are

blind,

have

a

visual

impairment,

or

otherwise

9

have

a

print

disability.

10

-3-

LSB

2046XS

(1)

91

lh/ko

3/

3