Legislation: batch A — AK AL AR AZ CO CT DE GA HI IA ID

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>

legislation/us/states/ia/2023-2024/hf-424.md

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+---
+type: "Bill"
+title: "A bill for an act providing for the collaborative practice of physician assistants by allowing for the practice of certain physician assistants without supervision by a physician."
+description: "A bill for an act providing for the collaborative practice of physician assistants by allowing for the practice of certain physician assistants without supervision by a physician."
+jurisdiction: "us/states/ia"
+legislature: "Iowa General Assembly"
+session: "2023-2024"
+identifier: "HF 424"
+citation: "Iowa HF 424 (2023-2024)"
+classification: ["bill"]
+subjects: ["health-related professions", "medical care", "physician assisting", "professional licensure", "surgery"]
+status: "enacted"
+primary_sponsors: []
+version_count: 7
+action_count: 29
+vote_count: 4
+first_action: "2023-02-22"
+last_action: "2023-05-10"
+source: "openstates"
+source_identifier: "ocd-bill/b1e0b371-d3f9-4307-8bbb-69c2568e64d8"
+source_url: "https://www.legis.iowa.gov/legislation/billTracking/billHistory?billName=HF 424&ga=90"
+source_hash: "9a3c019d6079f158eb56af171a80b3ea86ad1bce535e838da6c445ecf6fca9ba"
+vintage: "2026-07-01"
+source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
+retrieved_at: "2026-07-06"
+confidence: "reported"
+tags: ["legislation", "bill", "us-ia"]
+---
+
+# Iowa HF 424 (2023-2024) — A bill for an act providing for the collaborative practice of physician assistants by allowing for the practice of certain physician assistants without supervision by a physician.
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **Introduced** (filed) — [source](https://www.legis.iowa.gov/docs/publications/LGI/90/attachments/HF424.html)
+2. **Amendment H-1059** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/H1059.pdf)
+3. **Amendment H-1280** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/H1280.pdf)
+4. **Amendment S-3159** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/S3159.pdf)
+5. **Amendment S-3167** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/S3167.pdf)
+6. **Signed Enrolled Bill (PDF)** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGE/90/Attachments/HF424_GovLetter.pdf)
+7. **Enrolled** (enrolled) — [source](https://www.legis.iowa.gov/docs/publications/LGE/90/attachments/HF424.html)
+
+## Votes
+
+- Shall the bill pass? — **90–8** (pass) · lower
+- Shall the bill pass? — **48–1** (pass) · upper
+- Shall amendment H-1059 be adopted? — **30–68** (fail) · lower
+- Shall the bill pass? — **88–6** (pass) · lower
+
+## Sponsors
+
+- COMMITTEE ON HEALTH AND HUMAN SERVICES — primary (organization)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2023-02-22** Introduced, placed on calendar. `introduction`
+- **2023-03-06** Amendment H-1059 filed. `amendment-introduction`
+- **2023-03-07** Amendment H-1059, yeas 30, nays 68, lost.
+- **2023-03-07** Passed House, yeas 90, nays 8. `passage`
+- **2023-03-07** Immediate message.
+- **2023-03-07** Message from House.
+- **2023-03-07** Read first time, passed on file. `reading-1`
+- **2023-03-08** Referred to State Government. `referral-committee`
+- **2023-03-14** Subcommittee: Driscoll, Jochum, and Koelker.
+- **2023-03-14** Subcommittee Meeting: 03/15/2023 3:30PM Room 217 Conference Room.
+- **2023-03-16** Subcommittee recommends passage. []. `committee-passage-favorable`
+- **2023-03-21** Committee report, recommending passage. `committee-passage`
+- **2023-04-06** Placed on calendar under unfinished business.
+- **2023-04-19** Amendment S-3159 filed. `amendment-introduction`
+- **2023-04-20** Amendment S-3167 to S-3159 filed, adopted.
+- **2023-04-20** Amendment S-3159 adopted, as amended. `amendment-passage`
+- **2023-04-20** Passed Senate, yeas 48, nays 1. `passage`
+- **2023-04-20** Immediate message.
+- **2023-04-20** Message from Senate.
+- **2023-04-20** Senate amendment H-1280 filed. `amendment-introduction`
+- **2023-05-01** House concurred in Senate amendment H-1280.
+- **2023-05-01** Passed House, yeas 88, nays 6. `passage`
+- **2023-05-02** Explanation of vote.
+- **2023-05-03** Explanation of vote.
+- **2023-05-03** Explanation of vote.
+- **2023-05-01** Immediate message.
+- **2023-05-02** Message from House.
+- **2023-05-09** Reported correctly enrolled, signed by Speaker and President, and sent to Governor.
+- **2023-05-10** Signed by Governor. `executive-signature`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b1e0b371-d3f9-4307-8bbb-69c2568e64d8`. Confidence: reported (aggregated from official Iowa legislature records).
+