---
type: "Bill"
title: "A bill for an act relating to the referral of a patient for diagnostic imaging by a physical therapist."
description: "A bill for an act relating to the referral of a patient for diagnostic imaging by a physical therapist."
jurisdiction: "us/states/ia"
legislature: "Iowa General Assembly"
session: "2023-2024"
identifier: "HF 174"
citation: "Iowa HF 174 (2023-2024)"
classification: ["bill"]
subjects: ["health-related professions", "magnetic resonance imaging", "medical care", "occupational therapy", "physical therapy", "x-rays"]
status: "enacted"
primary_sponsors: []
version_count: 5
action_count: 15
vote_count: 2
first_action: "2023-02-01"
last_action: "2023-06-01"
source: "openstates"
source_identifier: "ocd-bill/d88ecbf9-e022-47ec-b173-2fb6df32d7ea"
source_url: "https://www.legis.iowa.gov/legislation/billTracking/billHistory?billName=HF 174&ga=90"
source_hash: "9808f11dbe7703396c6c568f4d67b32810cf28b8c6260fb2eb873f254160295b"
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 174 (2023-2024) — A bill for an act relating to the referral of a patient for diagnostic imaging by a physical therapist.

## 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/HF174.html)
2. **Amendment H-1176** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/H1176.pdf)
3. **Reprinted** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGR/90/attachments/HF174.html)
4. **Signed Enrolled Bill (PDF)** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGE/90/Attachments/HF174_GovLetter.pdf)
5. **Enrolled** (enrolled) — [source](https://www.legis.iowa.gov/docs/publications/LGE/90/attachments/HF174.html)

## Votes

- Shall the bill pass? — **48–2** (pass) · upper
- Shall the bill pass? — **83–14** (pass) · lower

## Sponsors

- COMMITTEE ON HEALTH AND HUMAN SERVICES — primary (organization)

## Timeline

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

- **2023-02-01** Introduced, placed on calendar. `introduction`
- **2023-03-30** Placed on calendar under unfinished business.
- **2023-04-03** Amendment H-1176 filed. `amendment-introduction`
- **2023-04-04** Amendment H-1176 adopted. `amendment-passage`
- **2023-04-04** Passed House, yeas 83, nays 14. `passage`
- **2023-04-04** Immediate message.
- **2023-04-05** Message from House.
- **2023-04-05** Read first time, attached to SF 211. `reading-1`
- **2023-04-06** Placed on calendar under unfinished business.
- **2023-04-19** Substituted for SF 211.
- **2023-04-19** Passed Senate, yeas 48, nays 2. `passage`
- **2023-04-19** Immediate message.
- **2023-04-20** Message from Senate.
- **2023-05-09** Reported correctly enrolled, signed by Speaker and President, and sent to Governor.
- **2023-06-01** 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/d88ecbf9-e022-47ec-b173-2fb6df32d7ea`. Confidence: reported (aggregated from official Iowa legislature records).