---
type: "Bill"
title: "A bill for an act relating to mental health and disability services, including the establishment of a children’s behavioral health system and a children’s behavioral health system state board, and requiring certain children’s behavioral health core services. (Formerly HSB 206.) Effective 7-1-19."
description: "A bill for an act relating to mental health and disability services, including the establishment of a children’s behavioral health system and a children’s behavioral health system state board, and requiring certain children’s behavioral health core services. (Formerly HSB 206.) Effective 7-1-19."
jurisdiction: "us/states/ia"
legislature: "Iowa General Assembly"
session: "2019-2020"
identifier: "HF 690"
citation: "Iowa HF 690 (2019-2020)"
classification: ["bill"]
subjects: ["boards", "commissions", "and councils", "children", "community mental health centers", "disabilities", "human services", "human services department", "low-income health care", "medical assistance", "medical care", "mental health", "psychiatric care"]
status: "enacted"
primary_sponsors: []
version_count: 11
action_count: 35
vote_count: 3
first_action: "2019-03-11"
last_action: "2019-05-01"
source: "openstates"
source_identifier: "ocd-bill/14008a4f-1131-4ed0-894b-4fa144c851da"
source_url: "https://www.legis.iowa.gov/legislation/billTracking/billHistory?billName=HF 690&ga=88"
source_hash: "1ef1b4ce41d2c3d40cacb059456b46b789da89a8d518cf862fc5c0da99fb0b3a"
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 690 (2019-2020) — A bill for an act relating to mental health and disability services, including the establishment of a children’s behavioral health system and a children’s behavioral health system state board, and requiring certain children’s behavioral health core services. (Formerly HSB 206.) Effective 7-1-19.

## 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/88/attachments/HF690.html)
2. **Amendment H-1023** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/88/H1023.pdf)
3. **Amendment H-1038** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/88/H1038.pdf)
4. **Amendment H-1041** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/88/H1041.pdf)
5. **Amendment H-1046** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/88/H1046.pdf)
6. **Amendment H-1069** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/88/H1069.pdf)
7. **Amendment S-3164** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/88/S3164.pdf)
8. **Amendment S-3167** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/88/S3167.pdf)
9. **Reprinted** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGR/88/attachments/HF690.html)
10. **Reprinted Marked Up** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGRM/88/attachments/HF690.html)
11. **Enrolled** (enrolled) — [source](https://www.legis.iowa.gov/docs/publications/LGE/88/attachments/HF690.html)

## Votes

- Shall the bill pass? — **83–14** (pass) · lower
- Shall the bill pass? — **46–2** (pass) · upper
- Shall the rules be suspended to consider amendment H-1069? — **45–52** (fail) · lower

## Timeline

The legislative action history — every referral, reading, and vote.

- **2019-03-11** Introduced, placed on calendar. `introduction`
- **2019-03-12** Amendment H-1023 filed. `amendment-introduction`
- **2019-03-18** Amendment H-1038 filed. `amendment-introduction`
- **2019-03-18** Amendment H-1041 filed. `amendment-introduction`
- **2019-03-19** Fiscal note.
- **2019-03-19** Amendment H-1046 filed. `amendment-introduction`
- **2019-03-20** Amendment H-1069 filed. `amendment-introduction`
- **2019-03-21** Amendment H-1041 withdrawn.
- **2019-03-21** Amendment H-1046 to H-1041 out of order.
- **2019-03-21** Point of order raised on H-1069, ruled not germane.
- **2019-03-21** Asked unanimous consent to suspend the rules for consideration of H-1069
- **2019-03-21** Objection filed.
- **2019-03-21** Motion to suspend rules for consideration of H-1069.
- **2019-03-25** Explanation of vote.
- **2019-03-21** Motion to suspend rules failed.
- **2019-03-21** Amendment H-1038 adopted. `amendment-passage`
- **2019-03-21** Amendment H-1023 adopted. `amendment-passage`
- **2019-03-21** Passed House, yeas 83, nays 14. `passage`
- **2019-03-25** Explanation of vote.
- **2019-03-21** Immediate message.
- **2019-03-25** Message from House.
- **2019-03-25** Read first time and attached to similar SF 479. `reading-1`
- **2019-04-04** Placed on calendar under unfinished business.
- **2019-04-16** Substituted for SF 479.
- **2019-04-16** Deferred.
- **2019-04-16** Amendment S-3164 filed. `amendment-introduction`
- **2019-04-16** Point of order raised on S-3164, deferred.
- **2019-04-16** Deferred.
- **2019-04-16** Amendment S-3167 filed, lost. `amendment-introduction`
- **2019-04-16** Amendment S-3164 withdrawn.
- **2019-04-16** Passed Senate, yeas 46, nays 2. `passage`
- **2019-04-16** Immediate message.
- **2019-04-16** Message from Senate.
- **2019-04-29** Reported correctly enrolled, signed by Speaker and President, and sent to Governor.
- **2019-05-01** 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/14008a4f-1131-4ed0-894b-4fa144c851da`. Confidence: reported (aggregated from official Iowa legislature records).