--- type: "Bill" title: "A bill for an act relating to health care decisions related to palliative care, hospice programs, life-sustaining procedures, out-of-hospital do-not-resuscitate orders, durable power of attorney for health care, and probate court guardianship reports." description: "A bill for an act relating to health care decisions related to palliative care, hospice programs, life-sustaining procedures, out-of-hospital do-not-resuscitate orders, durable power of attorney for health care, and probate court guardianship reports." jurisdiction: "us/states/ia" legislature: "Iowa General Assembly" session: "2025-2026" identifier: "HF 2305" citation: "Iowa HF 2305 (2025-2026)" classification: ["bill"] subjects: ["affidavits", "health", "health and human services department", "hospice services", "life support", "medical care", "out-of-hospital do-not-resuscitate orders", "power of attorney", "probate code", "terminal illnesses"] status: "enacted" primary_sponsors: [] version_count: 10 action_count: 29 vote_count: 1 first_action: "2026-02-06" last_action: "2026-05-02" source: "openstates" source_identifier: "ocd-bill/36570ebb-fc37-4e4c-85ef-6609470686ff" source_url: "https://www.legis.iowa.gov/legislation/billTracking/billHistory?billName=HF 2305&ga=91" source_hash: "04d709b7f75ae8c332e67bb0ae8531f6c9ddcf471cf1c526128b72118640f00b" 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 2305 (2025-2026) — A bill for an act relating to health care decisions related to palliative care, hospice programs, life-sustaining procedures, out-of-hospital do-not-resuscitate orders, durable power of attorney for health care, and probate court guardianship reports. ## 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/91/attachments/HF2305.html) 2. **Amendment H-8020** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/91/H8020.pdf) 3. **Amendment H-8377** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/91/H8377.pdf) 4. **Amendment S-5122** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/91/S5122.pdf) 5. **Amendment S-5140** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/91/S5140.pdf) 6. **Amendment S-5185** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/91/S5185.pdf) 7. **Enrolled with Governor's Action** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGEG/91/attachments/HF2305.html) 8. **Reprinted** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGR/91/attachments/HF2305.html) 9. **Signed Enrolled Bill (PDF)** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGE/91/Attachments/HF2305_GovLetter.pdf) 10. **Enrolled** (enrolled) — [source](https://www.legis.iowa.gov/docs/publications/LGE/91/attachments/HF2305.html) ## Votes - Shall the bill pass? — **47–0** (pass) · upper ## Sponsors - COMMITTEE ON HEALTH AND HUMAN SERVICES — primary (organization) ## Timeline The legislative action history — every referral, reading, and vote. - **2026-02-06** Introduced, placed on calendar. `introduction` - **2026-02-23** Amendment H-8020 filed. `amendment-introduction` - **2026-03-05** Amendment H-8020 adopted. `amendment-passage` - **2026-03-05** Passed House, yeas 86, nays 0. `passage` - **2026-03-05** Immediate message. - **2026-03-09** Message from House. - **2026-03-09** Read first time, referred to Health and Human Services. `reading-1` - **2026-03-11** Subcommittee: Costello, Salmon, and Trone Garriott. - **2026-03-11** Subcommittee Meeting: 03/16/2026 12:30PM Room 217 Conference Room. - **2026-03-16** Subcommittee recommends passage. `committee-passage-favorable` - **2026-03-19** Committee report, recommending amendment and passage. `committee-passage` - **2026-03-19** Amendment S-5122 filed. `amendment-introduction` - **2026-03-19** Placed on calendar. - **2026-03-26** Placed on calendar under unfinished business. - **2026-03-30** Amendment S-5140 filed. `amendment-introduction` - **2026-04-15** Amendment S-5185 filed. `amendment-introduction` - **2026-04-16** Amendment S-5185 adopted. `amendment-passage` - **2026-04-16** Amendments S-5140 and S-5122 out of order. - **2026-04-16** Passed Senate, yeas 47, nays 0. `passage` - **2026-04-16** Immediate message. - **2026-04-16** Message from Senate. - **2026-04-16** Senate amendment H-8377 filed. `amendment-introduction` - **2026-04-21** House concurred in Senate amendment H-8377. - **2026-04-21** Passed House, yeas 93, nays 0. `passage` - **2026-05-01** Explanation of vote. - **2026-04-21** Immediate message. - **2026-04-22** Message from House. - **2026-05-02** Reported correctly enrolled, signed by Speaker and President, and sent to Governor. - **2026-05-02** 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/36570ebb-fc37-4e4c-85ef-6609470686ff`. Confidence: reported (aggregated from official Iowa legislature records).