---
type: "Bill"
title: "A bill for an act relating to health care, including the licensure of internationally trained physicians and electronic protected health information, and including effective date provisions."
description: "A bill for an act relating to health care, including the licensure of internationally trained physicians and electronic protected health information, and including effective date provisions."
jurisdiction: "us/states/ia"
legislature: "Iowa General Assembly"
session: "2023-2024"
identifier: "SF 477"
citation: "Iowa SF 477 (2023-2024)"
classification: ["bill"]
subjects: ["health-related professions", "immigration", "international relations", "medical care", "medicine", "osteopathic medicine", "professional licensure", "surgery"]
status: "enacted"
primary_sponsors: []
version_count: 9
action_count: 31
vote_count: 3
first_action: "2023-03-01"
last_action: "2024-05-03"
source: "openstates"
source_identifier: "ocd-bill/edf4e47c-9632-4175-837f-c340202bf8bb"
source_url: "https://www.legis.iowa.gov/legislation/billTracking/billHistory?billName=SF 477&ga=90"
source_hash: "d9878d4acfb8c0ebb2276aa63f6dd8c01e078caae6ff07a5f81616bad57d2e3d"
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 SF 477 (2023-2024) — A bill for an act relating to health care, including the licensure of internationally trained physicians and electronic protected health information, and including effective date provisions.

## 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/SF477.html)
2. **Amendment H-8173** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/H8173.pdf)
3. **Amendment H-8211** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/H8211.pdf)
4. **Amendment S-3080** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/S3080.pdf)
5. **Amendment S-5075** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/S5075.pdf)
6. **Reprinted** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGR/90/attachments/SF477.html)
7. **Reprinted Marked Up** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGRM/90/attachments/SF477.html)
8. **Signed Enrolled Bill (PDF)** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGE/90/Attachments/SF477_GovLetter.pdf)
9. **Enrolled** (enrolled) — [source](https://www.legis.iowa.gov/docs/publications/LGE/90/attachments/SF477.html)

## Votes

- Shall the bill pass? — **96–0** (pass) · lower
- Shall the bill pass? — **47–1** (pass) · upper
- Shall the bill pass? — **48–0** (pass) · upper

## Sponsors

- COMMITTEE ON STATE GOVERNMENT — primary (organization)

## Timeline

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

- **2023-03-01** Introduced, placed on calendar. `introduction`
- **2023-03-01** Committee report, approving bill. `committee-passage`
- **2023-03-15** Fiscal note.
- **2023-03-15** Amendment S-3080 filed, adopted. `amendment-introduction, amendment-passage`
- **2023-03-15** Passed Senate, yeas 47, nays 1. `passage`
- **2023-03-15** Immediate message.
- **2023-03-15** Message from Senate.
- **2023-03-15** Read first time, referred to State Government. `reading-1`
- **2023-03-16** Subcommittee: Young, Baeth and Harris.
- **2023-03-20** Fiscal note.
- **2023-03-20** Subcommittee Meeting: 03/21/2023 10:30AM House Lounge.
- **2023-03-21** Subcommittee recommends passage. Vote Total: 3-0. `committee-passage-favorable`
- **2024-03-05** Subcommittee: Young, Baeth and Wills, J.
- **2024-03-05** Subcommittee Meeting: 03/06/2024 8:00AM RM 19.
- **2024-03-06** Subcommittee recommends passage. Vote Total: 3-0. `committee-passage-favorable`
- **2024-03-06** Committee report, recommending passage. `committee-passage`
- **2024-03-06** Placed on calendar.
- **2024-03-07** Amendment H-8173 filed. `amendment-introduction`
- **2024-03-18** Amendment H-8211 to amendment H-8173 filed, adopted. `amendment-introduction, amendment-passage`
- **2024-03-18** Amendment H-8173 adopted, as amended. `amendment-passage`
- **2024-03-18** Passed House, yeas 96, nays 0. `passage`
- **2024-03-18** Immediate message.
- **2024-03-18** Message from House, with amendment S-5075.
- **2024-03-26** Fiscal note.
- **2024-03-26** Senate concurred with S-5075.
- **2024-03-26** Passed Senate, yeas 48, nays 0. `passage`
- **2024-03-26** Immediate message.
- **2024-03-27** Message from Senate.
- **2024-04-29** Fiscal note.
- **2024-04-29** Reported correctly enrolled, signed by President and Speaker, and sent to Governor.
- **2024-05-03** 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/edf4e47c-9632-4175-837f-c340202bf8bb`. Confidence: reported (aggregated from official Iowa legislature records).