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SF2345 • 2026

A bill for an act relating to notice of immunization exemptions and providing civil penalties.

A bill for an act relating to notice of immunization exemptions and providing civil penalties.

Passed Legislature

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

Sponsor
GREEN
Last action
2026-02-18
Official status
Subcommittee recommends amendment and passage.
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 notice of immunization exemptions and providing civil penalties.

A bill for an act relating to notice of immunization exemptions and providing civil penalties.

What This Bill Does

  • A bill for an act relating to notice of immunization exemptions and providing civil penalties.

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. 2026-02-18 Iowa Legislature

    Subcommittee recommends amendment and passage.

  2. 2026-02-17 Iowa Legislature

    Subcommittee Meeting: 02/18/2026 12:00PM Room 315.

  3. 2026-02-16 Iowa Legislature

    Subcommittee: Salmon, Donahue, and Guth. S.J. 296 .

  4. 2026-02-16 Iowa Legislature

    Introduced, referred to Health and Human Services. S.J. 292 .

Official Summary Text

A bill for an act relating to notice of immunization exemptions and providing civil penalties.

Current Bill Text

Read the full stored bill text
Senate

File

2345

-

Introduced

SENATE

FILE

2345

BY

GREEN

A

BILL

FOR

An

Act

relating

to

notice

of

immunization

exemptions

and

1

providing

civil

penalties.

2

BE

IT

ENACTED

BY

THE

GENERAL

ASSEMBLY

OF

THE

STATE

OF

IOWA:

3

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2345

Section

1.

Section

139A.8,

subsection

4,

paragraph

c,

Code

1

2026,

is

amended

to

read

as

follows:

2

c.

Information

regarding

exemptions

and

the

requirements

3

for

an

exemption

under

this

subsection

shall

be

included

in

4

any

public

communication

following

the

recommendation

of

an

5

immunization

by

the

department

pursuant

to

subsection

2

,

shall

6

be

included

in

any

communication

distributed

to

the

public

by

7

a

local

public

health

department,

and

in

any

communication

8

regarding

immunizations

to

a

parent

or

legal

guardian

from

a

9

school

,

and

.

The

information

shall

also

be

published

on

the

10

internet

sites

of

and

included

in

registration

documentation

11

for

all

elementary

schools,

secondary

schools,

and

licensed

12

child

care

centers.

13

Sec.

2.

Section

139A.8,

subsection

4,

Code

2026,

is

amended

14

by

adding

the

following

new

paragraph:

15

NEW

PARAGRAPH

.

d.

A

violation

of

this

subsection

shall

16

be

subject

to

a

civil

penalty

in

the

amount

of

one

thousand

17

dollars

per

violation,

to

be

collected

by

the

department.

18

Moneys

from

civil

penalties

shall

be

deposited

in

the

general

19

fund

of

the

state.

20

Sec.

3.

Section

237A.3C,

Code

2026,

is

amended

to

read

as

21

follows:

22

237A.3C

Immunization

information

——

penalty

.

23

1.

Each

child

care

center,

child

care

facility,

child

care

24

home,

and

child

development

home

shall

include

information

25

regarding

the

exemptions

and

requirements

for

an

exemption

26

described

in

section

139A.8,

subsection

4

,

in

any

communication

27

to

the

parent

or

guardian

of

a

child

that

is

related

to

the

28

immunizations

required

under

section

139A.8

.

29

2.

A

child

care

center,

child

care

facility,

child

care

30

home,

or

child

development

home

that

violates

this

section

31

shall

be

subject

to

a

civil

penalty

in

the

amount

of

one

32

thousand

dollars

per

violation,

to

be

collected

by

the

33

department.

Moneys

from

civil

penalties

shall

be

deposited

in

34

the

general

fund

of

the

state.

35

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S.F.

2345

Sec.

4.

NEW

SECTION

.

256.45A

Immunization

information

——

1

penalty.

2

A

school

district,

accredited

nonpublic

school,

charter

3

school,

innovation

zone

school,

or

eligible

institution

as

4

defined

in

section

256.183

that

fails

to

adhere

to

the

policies

5

adopted

by

the

department

pursuant

to

section

256.7,

subsection

6

15,

and

section

256.183,

subsection

1,

paragraph

“k”

,

shall

7

be

subject

to

a

civil

penalty

in

the

amount

of

one

thousand

8

dollars

per

violation,

to

be

collected

by

the

department

of

9

health

and

human

services.

Moneys

from

civil

penalties

shall

10

be

deposited

in

the

general

fund

of

the

state.

11

Sec.

5.

Section

256.183,

subsection

3,

Code

2026,

is

amended

12

to

read

as

follows:

13

3.

“Eligible

institution”

means

an

institution

of

higher

14

learning

located

in

Iowa

which

is

operated

privately

and

15

not

controlled

or

administered

by

any

state

agency

or

any

16

subdivision

of

the

state,

which

is

not

exempt

from

taxation

17

under

section

501(c)(3)

of

the

Internal

Revenue

Code,

and

which

18

meets

all

of

the

criteria

in

subsection

1

,

paragraphs

“d”

19

through

“k”

,

and

or

is

a

school

of

barbering

and

cosmetology

20

arts

and

sciences

licensed

under

chapter

157

and

is

accredited

21

by

a

national

accrediting

agency

recognized

by

the

United

22

States

department

of

education.

For

the

fiscal

year

beginning

23

July

1,

2017,

such

a

school

of

barbering

and

cosmetology

arts

24

and

sciences

shall

provide

a

matching

aggregate

amount

of

25

institutional

financial

aid

equal

to

at

least

seventy-five

26

percent

of

the

amount

received

by

the

institution’s

students

27

for

Iowa

tuition

grant

assistance

under

section

256.191

.

For

28

the

fiscal

year

beginning

July

1,

2018,

the

school

of

barbering

29

and

cosmetology

arts

and

sciences

shall

provide

a

matching

30

aggregate

amount

of

institutional

financial

aid

equal

to

at

31

least

eighty-five

percent

of

the

amount

received

in

that

fiscal

32

year.

Commencing

with

the

fiscal

year

beginning

July

1,

2019,

33

and

each

succeeding

fiscal

year,

the

matching

aggregate

amount

34

of

institutional

financial

aid

shall

be

at

least

equal

to

the

35

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2345

match

provided

by

eligible

institutions

under

section

261.9,

1

subsection

3

,

paragraph

“a”

,

Code

2023.

2

Sec.

6.

NEW

SECTION

.

260C.10B

Immunization

information

——

3

penalty.

4

A

community

college

that

fails

to

comply

with

the

rules

5

adopted

by

the

department

pursuant

to

section

260C.14,

6

subsection

26,

shall

be

subject

to

a

civil

penalty

in

the

7

amount

of

one

thousand

dollars

per

violation,

to

be

collected

8

by

the

department

of

health

and

human

services.

Moneys

from

9

civil

penalties

shall

be

deposited

in

the

general

fund

of

the

10

state.

11

Sec.

7.

NEW

SECTION

.

262.34C

Immunization

information

——

12

penalty.

13

An

institution

of

higher

education

under

the

control

of

the

14

board

that

fails

to

comply

with

the

rules

adopted

pursuant

15

to

section

262.9,

subsection

42,

shall

be

subject

to

a

civil

16

penalty

in

the

amount

of

one

thousand

dollars

per

violation,

to

17

be

collected

by

the

department

of

health

and

human

services.

18

Moneys

collected

from

civil

penalties

shall

be

deposited

in

the

19

general

fund

of

the

state.

20

EXPLANATION

21

The

inclusion

of

this

explanation

does

not

constitute

agreement

with

22

the

explanation’s

substance

by

the

members

of

the

general

assembly.

23

This

bill

relates

to

notice

of

immunization

exemptions.

24

Under

current

law,

all

children

enrolled

in

any

licensed

25

child

care

center

or

elementary

or

secondary

school

in

the

26

state

are

required

to

have

certain

immunizations,

subject

27

to

specific

religious

and

health

exemptions

(exemptions).

28

Local

public

health

departments

are

not

required

to

include

29

information

about

exemptions

or

the

requirements

for

obtaining

30

an

exemption

in

any

public

communication.

Child

care

centers,

31

child

care

facilities,

child

care

homes,

child

development

32

homes,

school

districts,

accredited

nonpublic

schools,

charter

33

schools,

innovation

zone

schools,

eligible

institutions

as

34

defined

in

Code

section

256.183,

community

colleges,

and

35

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S.F.

2345

institutions

of

higher

education

under

the

control

of

the

board

1

of

regents

are

required

by

statute,

rule,

or

policy

to

include

2

such

information

in

immunization-related

communications.

The

3

bill

amends

the

definition

of

eligible

institution

under

Code

4

section

256.183.

5

The

bill

requires

local

public

health

departments

to

6

include

information

about

exemptions

and

the

requirements

for

7

obtaining

an

exemption

in

all

communications

distributed

to

the

8

public

following

the

recommendation

of

an

immunization

by

the

9

department

of

health

and

human

services

(HHS).

10

The

bill

provides

for

a

civil

penalty

of

$1,000

per

violation

11

for

a

failure

to

comply

with

the

laws

of

this

state,

or

to

12

adhere

to

a

rule

or

policy

adopted

by

the

department

of

13

education

or

the

board

of

regents

relating

to

information

on

14

exemptions.

Moneys

collected

from

civil

penalties

by

HHS

shall

15

be

deposited

in

the

general

fund

of

the

state.

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