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SF2432 • 2026

A bill for an act eliminating a city’s ability to create a city board of health or a city health department, and including effective date provisions. (Formerly SSB 3135 .)

A bill for an act eliminating a city’s ability to create a city board of health or a city health department, and including effective date provisions. (Formerly SSB 3135 .)

Passed Legislature

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

Sponsor
COMMITTEE ON LOCAL GOVERNMENT
Last action
2026-03-31
Official status
Amendment H-8277 filed. H.J. 786 .
Effective date
Not listed

Plain English Breakdown

The official source material does not provide information on the specific impacts on counties or details about resource distribution and transition plans.

Eliminating City Health Departments and Boards

This bill removes the ability of cities to create their own health departments or boards, requiring them to use county-level resources instead.

What This Bill Does

  • Removes the power for cities to establish a city board of health or a city health department.
  • Requires each city to perform public health services through its local board of health.

Who It Names or Affects

  • Cities that currently have or plan to establish a city board of health or city health department.
  • The state's public health system as it relates to local governance.

Terms To Know

Local Board of Health
A city, county, or district board responsible for overseeing public health services within its jurisdiction.
City Health Department
An administrative body in a city that manages and implements public health policies and programs.

Limits and Unknowns

  • The bill does not specify what happens to existing city boards of health or departments before the effective date.
  • It is unclear how this change will affect the distribution of resources for public health services in cities.

Bill History

  1. 2026-03-31 Iowa Legislature

    Amendment H-8277 filed. H.J. 786 .

  2. 2026-03-26 Iowa Legislature

    Placed on calendar under unfinished business. H.J. 760 .

  3. 2026-03-24 Iowa Legislature

    Amendment H-8260 filed. H.J. 744 .

  4. 2026-03-19 Iowa Legislature

    Placed on calendar. H.J. 709 .

  5. 2026-03-19 Iowa Legislature

    Committee vote: Yeas, 12. Nays, 9. H.J. 709 .

  6. 2026-03-19 Iowa Legislature

    Committee report, recommending passage. H.J. 709 .

  7. 2026-03-18 Iowa Legislature

    Subcommittee recommends passage.

  8. 2026-03-17 Iowa Legislature

    Subcommittee Meeting: 03/18/2026 12:15PM RM 304.

  9. 2026-03-12 Iowa Legislature

    Subcommittee: Wheeler, Watkins and Wichtendahl. H.J. 667 .

  10. 2026-03-12 Iowa Legislature

    Read first time, referred to Local Government. H.J. 639 .

  11. 2026-03-11 Iowa Legislature

    Message from Senate. H.J. 635 .

  12. 2026-03-10 Iowa Legislature

    Immediate message. S.J. 541 .

  13. 2026-03-10 Iowa Legislature

    Passed Senate , yeas 32, nays 13. S.J. 541 .

  14. 2026-03-10 Iowa Legislature

    Amendment S-5094 filed, adopted. S.J. 540 .

  15. 2026-02-23 Iowa Legislature

    Committee report, approving bill. S.J. 369 .

  16. 2026-02-23 Iowa Legislature

    Introduced, placed on calendar. S.J. 356 .

Official Summary Text

A bill for an act eliminating a city’s ability to create a city board of health or a city health department, and including effective date provisions. (Formerly SSB 3135 .)

Current Bill Text

Read the full stored bill text
Senate

File

2432

-

Reprinted

SENATE

FILE

2432

BY

COMMITTEE

ON

LOCAL

GOVERNMENT

(SUCCESSOR

TO

SSB

3135)

(As

Amended

and

Passed

by

the

Senate

March

10,

2026

)

A

BILL

FOR

An

Act

eliminating

a

city’s

ability

to

create

a

city

board

of

1

health

or

a

city

health

department,

and

including

effective

2

date

provisions.

3

BE

IT

ENACTED

BY

THE

GENERAL

ASSEMBLY

OF

THE

STATE

OF

IOWA:

4

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S.F.

2432

Section

1.

Section

135.105B,

subsection

3,

Code

2026,

is

1

amended

to

read

as

follows:

2

3.

Following

development

of

the

voluntary

guidelines,

3

cities

or

counties

may

elect

to

utilize

the

guidelines

in

4

developing

and

administering

local

programs

through

city

or

5

county

health

departments

on

a

city,

county,

or

multicounty

6

basis

or

may

request

that

the

state

develop

and

administer

7

the

local

program.

However,

cities

and

counties

are

not

8

required

to

develop

and

administer

local

programs

based

upon

9

the

guidelines.

10

Sec.

2.

Section

135I.1,

subsection

2,

Code

2026,

is

amended

11

to

read

as

follows:

12

2.

“Local

board

of

health”

means

a

city,

county,

or

district

13

board

of

health

the

same

as

defined

in

section

137.102

.

14

Sec.

3.

Section

137.102,

subsections

1

and

2,

Code

2026,

are

15

amended

by

striking

the

subsections.

16

Sec.

4.

Section

137.102,

subsection

10,

Code

2026,

is

17

amended

to

read

as

follows:

18

10.

“Local

board

of

health”

means

a

city,

county

,

board

or

a

19

district

board

of

health

.

20

Sec.

5.

Section

137.103,

subsection

1,

Code

2026,

is

amended

21

by

striking

the

subsection

and

inserting

in

lieu

thereof

the

22

following:

23

1.

A

city

shall

not

maintain

a

city

board

of

health

or

a

24

city

health

department.

Each

city

shall

perform

the

city’s

25

public

health

services

through

the

city’s

local

board

of

26

health.

27

Sec.

6.

NEW

SECTION

.

137.103A

County

boards.

28

1.

A

county

board

shall

execute

an

agreement

with

each

29

county

hospital

located

in

the

county

that

the

county

board

30

represents

to

allow

for

sharing

of

facilities,

health

care

31

services,

and

administrative

resources.

32

2.

A

county

board

may

submit

an

application

to

the

33

department

to

waive

the

requirement

in

subsection

1

by

34

providing

the

department

evidence

of

all

of

the

following:

35

-1-

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2

S.F.

2432

a.

The

county

board

has

access

to

an

alternative

means

of

1

providing

health

services

comparable

to

those

provided

by

the

2

county

hospital

with

which

the

county

board

would

otherwise

be

3

required

to

contract.

4

b.

The

alternative

means

of

providing

health

services

is

5

more

cost-effective

for

the

county

board

than

contracting

with

6

the

county

hospital.

7

3.

A

county

board

that

applies

for

a

waiver

under

subsection

8

2

must

submit

a

letter

explaining

the

county

board’s

decision

9

to

apply

for

the

waiver

to

the

county

board’s

county

board

of

10

supervisors.

11

Sec.

7.

Section

137.104,

subsection

1,

paragraph

b,

12

subparagraph

(1),

Code

2026,

is

amended

by

striking

the

13

subparagraph.

14

Sec.

8.

Section

137.105,

subsection

1,

paragraph

a,

Code

15

2026,

is

amended

by

striking

the

paragraph.

16

Sec.

9.

EFFECTIVE

DATE.

This

Act

takes

effect

January

1,

17

2027.

18

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2