Meeting Public Comments

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A bill for an act relating to protections for medical practitioners, health care institutions, and health care payors including those related to the exercise of conscience, whistleblower activities, and free speech, and providing penalties.
Subcommittee members: Taylor-CH, Blake, Green
Date: Tuesday, February 11, 2025
Time: 3:30 PM - 4:00 PM
Location: Room 315
Comments Submitted:
The purpose of comments is to provide information to members of the subcommittee.
Names and comments are public records. Remaining information is considered a confidential record.

02-07-2025
Lyra Dosch
I am writing to express my strong opposition to any policy or rule that would allow medical providers to discriminate against transgender patients based on personal religious beliefs. Denying medical care based on someone's identity is unethical, harmful, and fundamentally unjust.The purpose of healthcare is to provide care to *all* individuals, regardless of their personal characteristics or beliefs. Allowing providers to refuse treatment based on religious objections creates a dangerous precedent, jeopardizing the health and wellbeing of vulnerable populations. It undermines the core principles of the medical profession, which prioritize patient care and wellbeing above personal biases.Transgender individuals already face significant barriers to accessing healthcare, including discrimination and lack of culturally competent care. Policies that permit discrimination will only exacerbate these challenges, leading to poorer health outcomes and further marginalization. Everyone deserves access to quality medical care, and allowing personal beliefs to dictate who receives treatment is a grave violation of that fundamental right.I urge you to reject any policy that permits discrimination in healthcare based on religious beliefs. Please uphold the principles of equality, compassion, and patientcentered care by ensuring that all individuals, including transgender patients, have access to the medical services they need.
02-07-2025
Morgan Hockey
I strongly oppose this bill, and urge the subcommittee not to advance it. Aside from the medical discrimination this would open LGBTQ Iowans to, this bill is incredibly vague in what it would allow providers, hospitals, and insurers to deny. Sec 3.1.a of the bill states "A medical practitioner, healthcare institution, or healthcare payor has the right not to participate in or pay for a healthcare service that violates the medical practitioners, healthcare institutions, or healthcare payors conscience. This paragraph shall not be construed to waive or modify a duty a medical practitioner, healthcare institution, or healthcare payor may have to participate in or pay for a healthcare service that does not violate the medical practitioners conscience."Based on the definitions in Sec 2, practitioners, institutions, and payors could deny care or payment for ANYTHING. What's to stop an insurer from creating a written policy stating their moral objection to the treatment of type 2 diabetes? If they view a lifestyle that could lead to type 2 diabetes as a personal moral failing, why shouldn't they be able to deny treatment under this bill? If someone broke their arm while skateboarding, and a practitioner believes skateboarding promotes an immoral lifestyle, what's to stop them from denying followup care after the initial ER visit?Health insurance is also a forprofit business, with an incentive to deny payment any way possible. The target of this bill is clearly LGBTQ healthcare, and I can't imagine a business that wouldn't jump at the chance to cut costs by making blanketdenials for LGBTQ healthcare on the basis of "moral objections". If you give these companies an easy out, they will take it, and health outcomes will be negatively impacted for ALL Iowans, not just your latest scapegoat.This is a bad bill for many reasons, and it needs to be thrown in the trash.
02-07-2025
emma denney
i OPPOSE SF 220. this is a direct attack on Iowans' access to contraceptives, PrEP, HRT, gender affirming medical care of all kinds, and essentially any medical care that the conservative majority in the legislature has an ideological issue with. This bill exists to make people afraid to seek out necessary, safe, and scientifically supported medical care, for fear that they will be denied it, or that their insurance company will pull the rug out from under them. Further, this bill empowers many bodies within the medical system to deny patients care that their doctors recommend. medical decisions should be made my patients and their doctors, not by the state. this bill is callous, cruel, and will force people out of Iowa, which is perhaps it's key and central focus.SF 220 does this using deceptive language about "protecting medical practitioners," when it's real aim is to shield people who discriminate against women, transgender people, disabled people, or anyone else simply trying to live safe, healthy lives outside of what this legislature deems acceptable. This is a diversion tactic, an attempt at plausible deniability, and an attempt to use vague, broad language to misrepresent the real scope and focus of the bill.stand up to hate. stand up to government overreach. vote NO on SF 220 and leave Iowans' medical decisions in the hands of Iowans.
02-07-2025
Vero Hernandez
Im commenting my strong opposition to SF220 and any bill of similar composition. This bill would singlehandedly allow for transgender individuals to be legally discriminated against by healthcare providers and insurance companies. This is bill absolutely benefits no one. Vote No to discrimination.
02-07-2025
Danetta Dobre
I strongly oppose SF 220 and ask you to vote against it. I don't want my pharmacist to deny me birth control because they know I'm unmarried and don't agree with sex before marriage. I don't want my obstetrician to deny me the ultrasound I took time off from work for because my samesex spouse came with me. I don't want my insurance provider to deny me STD treatment because their policy is that an STD is an indicator of an immoral lifestyle. I don't want my doctor to deny me HRT because they believe trans people are confused at best and predators at worst. Iowa already has a healthcare shortage, particularly in rural areas of the state, and empowering providers and insurance companies to arbitrarily deny care through this bill will only harm Iowans. Please vote against this bill to safeguard the health of ALL Iowans.
02-08-2025
Anastasia Scholze-Wang
I greatly disagree with this policy and strongly urge the subcommittee not to advance it. Its too vague; from what I understand of this bill ANY medical professional/insurance payor could deny an individual coverage/treatment on moral grounds and the push of their conscience. Besides the obvious horrible ways this will disproportionately affect LGBTQ+ folks and women, what happens when a doctor or insurance companys conscience or religious beliefs doesnt allow them to prescribe meds for. Type 2 diabetes? Asthma? Its already hard enough to find good healthcare in this state and country. I know people (and myself) who have to wait 6+ months for specialist appointments. And you want to make getting medications and care harder on the slippery and subjective grounds of conscience and moral obligation? Absolutely immediately oppose. I urge the subcommittee to dig deep into their own conscience and see how this only harms the vulnerable.
02-08-2025
Moira Clark
I oppose SF 220. This bill puts the livelihoods of all Iowans at risk. Health insurance companies do not have a conscience, they have shareholders. Appeasing those shareholders by increasing the fiscal burden on Iowans is the ultimate goal of this bill. This bill would further enact unconscionable harm on minorities here in Iowa, many of whom are already struggling to secure adequate healthcare in our state. Putting this power to readily discriminate on "conscience" in the hands of executives means they WILL utilize it to further pad their bottom lines at the health, safety, and lives of Iowans. If you're unwilling to stop this bill for your constituents then stop it for the health of your donors, lobbyists, and health insurance executives such as Ames native, Brian Thompson. Passing this bill will result in the deaths of Iowans.
02-08-2025
Sora Anderson
Obviously, I strongly oppose anything that opens up the possibility for trans people and others to be discriminated against. I thought the whole idea of Jesus was to love your neighbor and take care of the sick and the poor? This goes against everything that Jesus has taught us! Jesus loves his transgender children as much as he loves everyone. I'm not religious but I don't believe in discrimination! It's wrong, and NOBODY should be denied healthcare based on their gender identity or anything else! It's wrong and unethical! Whoever came up with this bill should be ashamed of themselves! Strongly oppose! Trans rights are human rights and Healthcare should be a human right! Stop using stupid harmful bills to punch down on the transgender community and focus on actually helping people for once! Maybe raise the Iowa minimum wage so people can have more of a livable income and not have to struggle so much? Just a thought.
02-08-2025
Rebekah Jacobs
This subcommittee should vote OPPOSED to SF 220. This bill would grant insurance companies the ability to deny coverage for any surgery that requires a blood transfusion, provided they revise their mission statements to align with Jehovah's Witnesses' views on blood. The reality is that a corporation's conscience is solely determined by what impacts its bottom line, not by any ethical or moral considerations. This bill is a joke.
02-08-2025
stella armstrong
i strongly oppose SF 220. this bill is incredibly harmful and should not make it out of subcommittee. genuinely appalling that were even considering these things. a persons personal beliefs should not instruct their care as a medical provider. doing such is irresponsible and goes against the very oath they swore. regardless of that, this bill will easily be abused by bigoted people in all sorts of places. vote NO on SF 220.
02-08-2025
P McDonald
I am opposed to this bill because it can open up any reason for insurance companies to turn down a patient.What if a healthcare person decided that not being vaccinated was a reason to turn down a person with measles?What if a healthcare person was paid by an insurance company to make up reasons to turn down anyone who has an expensive procedure?Most of all, I'm opposed to this bill because it flies in the face of the Hippocratic oath, on which we depend as citizens who need to trust the people who care for our health.
02-09-2025
Laura carlson Laura carlson
I am in favor of this bill. Forcing a medical provider to act in a manner against his or her value and belief is abhorrent. Every person is entitled to personal choice. Permitting staff to split work situations would provide each patient with care they desire without forcing medical staff to violate their moral code. Please don't force someone to act in a manner against their believes.
02-09-2025
Sandy Wilson [Citizen Engagement]
Citizen Engagement declares IN FAVOR of SF 220. Please advance the bill.
02-09-2025
Kevin Hendress
I am in support of this bill, this helps maintain a trustworthy and ethical healthcare system for everyone. Healthcare workers should be allowed to speak up and also not be forced to participate in an operation or procedure that goes against their religious beliefs. We had a shortage of workers in Iowa, lets make it more attractive for all workers.
02-09-2025
Theresa McEod
Please supper SF220. The truth is written on your hearts. You know and thank you.
02-09-2025
Nancy Gronewold
I support this bill. Medical workers have a right not to be forced to take action against their beliefs, and to be protected from discrimination when reporting something wrong. No one should be forced to leave their first amendment rights when walking through the door into work. Please support this bill.
02-09-2025
Sandra McLaughlin
No one should ever be forced to commit an act against their conscience! There will always be an alternative provider for medical interventions. We are not cookie cutter humans. We are individuals with our own beliefs. Healthcare workers should never be coerced because of some tiny minority who desire particular interventions. No one is denying those interventions. We just are not forcing a worker to participate against his or her conscience!
02-10-2025
Victory Moore
Support SF 220! This bill is crucial for honest & ethical medical providers. Freedom of Belief: Healthcare workers shouldnt be forced to do procedures that go against their personal or religious beliefs.Speaking Up Safely: If healthcare workers see something wrong or dangerous, they should feel safe to report it without fear of losing their jobs or facing punishment. Protects providers from discrimination if they refuse to participate in a medical service or product.Right to Free Speech: Healthcare workers should be able to share their honest opinions and information without being silenced or punished.Protection for All: These protections also apply to hospitals, clinics, and insurance companies, ensuring they can operate according to their values and speak out when necessary.
02-10-2025
Chelsie Garcia
I oppose SF 220. This bill is discriminatory and written in a way that could open the flood gates for denials based on personal preferences. Healthcare should not be a biased field. It should be provided to everyone equally and without bias.
02-10-2025
M Ree
Please allow individuals to choose whats right for them! It is important to have dedicated healthcare workers and equally important that their choices and rights are still respected.
02-10-2025
Cheryl Schelling [Walnut Grove Dairy Inc]
I am in favor of bill SF 220. Please advance.
02-10-2025
Courtney Collier
Please pass SF 220 vote yes.
02-10-2025
Barbara Holmes
I support bill SF 220
02-10-2025
Scott Wosepka
Please support SF220. The harm we saw happening to our health care workers during the Covid pandemic was unacceptable. Please stop this by supporting this bill. Thank you for your consideration.
02-10-2025
Nancy White
Please support this bill. As a RN, I do not want to be forced or coerced into doing something that is against my religious beliefs. I would like to have the freedom to express my concerns without fearing retaliation. We need healthcare workers at the moment and freedom is important. I am no longer working as a nurse because of the treatment I received during Covid. Please help protect our rights. Thanks!
02-10-2025
Jonathan Hutton
Conscience, whistleblower and free speech rights for healthcare professionals and payors are foundational to the practice of medicine just as it should be in anyone's employment. As secular employers and government officials increasingly seek to force healthcare professionals to participate, facilitate, and advertise for procedures to which many have deeplyheld beliefs and conscientious objections, it is even more important that conscientious objectors be free from discrimination and never have to choose between violating their conscience and losing their job. I believe that many healthcare workers have been lost because of forced institutional measures that go against their sincerely held beliefs. Also, in an industry like healthcare, the ability of some insurance providers to object gives consumers more options. If every insurance plan in America, without exception, had to cover and include abortion, would faith based organizations be able to provide employerbased health insurance? This was the problem facing faithbased nonprofits in New Hampshire when their legislature passed a bill that would have required them to cover abortions if they cover any pregnancyrelated health expense. Fortunately, that bill was vetoed because Governor Sununu understood how illogical it would be to force these employers to stop covering everything to avoid covering abortion, something everyone in their organizations fundamentally opposeand may have even signed a faith statement opposingas part of their employment.I am in favor of this bill, please advance.
02-10-2025
Ann Kreitman
I oppose SF 220 because this is a violent and unlawful proposal. This bill will permit horrific violence on young trans and queer people. These are PEOPLE not political props or property. Can Sandy Salmon please stop spending every legislative cycle proposing violent anti trans legislation and actually get to work on what need to be done in Iowa?! This happens every year.
02-10-2025
Kayden Ellis
I vehemently oppose this bill. Medical practitioners swore to the Hippocratic oath, meaning they care for everyone, regardless of exterior circumstances or ulterior motives. Regardless of their sworn oath, medicine cannot and should not be withheld because of moral beliefs: that is not what medicine is nor what is does. People are entitled to the care they seek, and their medical staff should not have a MORAL grandstand or strawman interfering in the delivery of their care. Give the people their pills.
02-10-2025
Michelle Larson
No person should be forced or coerced into doing anything against their will or better judgement, especially upon the body of another. Forcing a healthcare worker to do something they are uncomfortable with puts patients at risk. "Harm him/her or yourself" is a tool of terrorism. Allowing freedom to be honest allows for a closer doctorpatient relationships, providing higherquality & safer healthcare. Truth & freedom of conscience go handinhand. If Iowa has not adopted these values, then Iowans are not a free people. Please SUPPORT SF220.
02-10-2025
Gwendolyn Neal
I strongly oppose this measure. This is only the most recent step in a naked attempt to make it as difficult as possible to live out a transgender life in Iowa. Trans medicine is crucial for trans life, and besides, this bill could give doctors leeway to reject Trans patients regardless of whether the care they need is related to gender. Denying a patient necessary medical care is an act of cruelty against another person that cannot be justified by an appeal to religion, much like how ritual murder is not acceptable religious expression.
02-10-2025
Chris Krebill
I strongly oppose this bill. All this bill will do is allow doctors to discriminate against patients. Its UnAmerican how some people think they can tell others what care they need or what's right for them. It'll be a sad day in our state's history if this gets anywhere close to becoming law.
02-10-2025
Kelly Bailey
I strongly oppose the SF 2200 bill. The Hippocratic oath states "...I shall try to establish a friendly relationship with my patients and shall accept each one in a nonjudgmental manner, appreciating the validity and worth of different value systems and according to each person a full measure of human dignity." If this bill passes, it will allow every healthcare provider/entity to completely disregard the oath they took to serve the public. It will pave the way for any and all types of discrimination based on whatever arbitrary excuse they can find. Healthcare is a need, not a want. Additionally, Mercy (a Catholic based healthcare system) is one of the largest in our state. Should they be allowed to deny care to any nonCatholics? Or maybe someone who hasn't been to a Mass recently? This bill is clearly an attempt to legislate discrimination and should be trashed.
02-10-2025
Teri Patrick
I am IN FAVOR of SF 220. Please advance the bill.
02-11-2025
Keri Jones
Please support this bill. As a healthcare worker and a friend of many healthcare workers, we must be allowed to choose for ourselves!
02-11-2025
Katie Freeman
I OPPOSE SF 220. This bill would legalize medical discrimination. Many populations already struggle to find good and safe medical care within the state of Iowa. Allowing anyone within the medical system to deny service based on their own opinions is not only wrong but also unconstitutional. No to SF 220.
02-11-2025
Moni Rain
This bill should be opposed and there should be no question about that. No one should be scared to seek medical care of any kind. No one should worry that they may not receive the care they need or that a medical provider might say, "I don't want to help you" because of that providers personal beliefs. Medical care should be free of judgement. It is about helping and healing people, not turning people away because of religion or beliefs. This bill would put people's lives at risk and it must be opposed.
02-11-2025
Courtney Collier
Please support this bill SF 220 with a YES vote.
02-11-2025
Jonah Propp [University of Iowa]
This is a dangerous bill that puts LGBT youths at risk of being forced to undergo conversion therapy (a proven harmful form of therapy) based on adoptive parents religious beliefs. This only serves to hurt LGBT youth. I implore you to reconsider the effect would have on our states minors.
02-11-2025
Lisa Martincik
I object strongly to SF 220, which ignores the oaths, obligations, and expertise of healthcare providers. The Hippocratic Oath is not an accident, and the legislative choice to debase the foundational concept of service to all, especially in privileging the personal preferences of sponsoring legislators and of certain healthcare providers over the universal principles acknowledged and undertaken by healthcare providers, is to introduce uncertainty and chaos into the already stressful situation of patients seeking healthcare. This bill is merely a base and misguided gesture that would destabilize an already fraught medical system, and as well as tacit permission to enact bigotry.Our healthcare system needs real support, not ticky tacky complications providing protections for bad faith actors and placing yet more burden on residents of Iowa in need of care. Please reject this and move on to something that will help your constituents.
02-11-2025
Jessica Chrystal [Parent ]
Keep your twisted personal religious views out of Government and public policy!!!You have to follow a pretty shitty religion if it mandates you to punch down on my kid and 1% of the state population!!This kind of bill and religious extremism passes in Russia. Go serve there and stop embrassing yourselves.No Iowan asked for this bill and none of you ran on it. Stop sucking up to The Family Leader & Bigots 4 Liberty.This does nothing to change the price of eggs,solve the underfunding of public schools and the cost of daycare.Your stupid culture wars and unoriginal ideas (we know this exact bill is being introduced around the country)are why no one wants to live and work in this state.
02-11-2025
Rachael Stegall
Please support this bill.