---
type: "Bill"
title: "A bill for an act relating to direct health care agreements, and including effective date and applicability provisions. (Formerly HF 625, HF 289.) Effective date: 05/12/2022. Applicability date: 05/12/2022."
description: "A bill for an act relating to direct health care agreements, and including effective date and applicability provisions. (Formerly HF 625, HF 289.) Effective date: 05/12/2022. Applicability date: 05/12/2022."
jurisdiction: "us/states/ia"
legislature: "Iowa General Assembly"
session: "2021-2022"
identifier: "HF 2200"
citation: "Iowa HF 2200 (2021-2022)"
classification: ["bill"]
subjects: ["health", "health insurance", "insurance", "medical care"]
status: "enacted"
primary_sponsors: []
version_count: 6
action_count: 14
vote_count: 2
first_action: "2022-02-01"
last_action: "2022-05-12"
source: "openstates"
source_identifier: "ocd-bill/683a6ac8-4ade-4e23-b9d4-0b401cb3557f"
source_url: "https://www.legis.iowa.gov/legislation/billTracking/billHistory?billName=HF 2200&ga=89"
source_hash: "f46ba2b09cc9a5ffe046520a2dc54ddad57b612a199969f28444b02cdf3d19df"
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 2200 (2021-2022) — A bill for an act relating to direct health care agreements, and including effective date and applicability provisions. (Formerly HF 625, HF 289.) Effective date: 05/12/2022. Applicability date: 05/12/2022.

## 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/89/attachments/HF2200.html)
2. **Amendment H-8104** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/89/H8104.pdf)
3. **Reprinted** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGR/89/attachments/HF2200.html)
4. **Reprinted Marked Up** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGRM/89/attachments/HF2200.html)
5. **Signed Enrolled Bill (PDF)** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGE/89/Attachments/HF2200_GovLetter.pdf)
6. **Enrolled** (enrolled) — [source](https://www.legis.iowa.gov/docs/publications/LGE/89/attachments/HF2200.html)

## Votes

- Shall the bill pass? — **33–16** (pass) · upper
- Shall the bill pass? — **90–9** (pass) · lower

## Timeline

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

- **2022-02-01** Introduced, placed on calendar. `introduction`
- **2022-03-01** Amendment H-8104 filed. `amendment-introduction`
- **2022-03-02** Amendment H-8104 adopted. `amendment-passage`
- **2022-03-02** Passed House, yeas 90, nays 9. `passage`
- **2022-03-02** Immediate message.
- **2022-03-02** Message from House.
- **2022-03-02** Read first time, attached to similar SF 2276. `reading-1`
- **2022-03-17** Placed on calendar under unfinished business.
- **2022-03-22** Substituted for SF 2276.
- **2022-03-22** Passed Senate, yeas 33, nays 16. `passage`
- **2022-03-22** Immediate message.
- **2022-03-22** Message from Senate.
- **2022-05-12** Reported correctly enrolled, signed by Speaker and President, and sent to Governor.
- **2022-05-12** 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/683a6ac8-4ade-4e23-b9d4-0b401cb3557f`. Confidence: reported (aggregated from official Iowa legislature records).