CHAPTER 3
LICENSURE TO PRACTICE—REGISTERED NURSE/LICENSED PRACTICAL NURSE
655—3.1(17A,147,152,272C) Definitions.
“Applicant” means a person who is qualified to take the examination or apply for licensure by endorsement.
“Approved nursing program” means a nursing education program whose status has been recognized by the board or by a similar board in another jurisdiction that prepares individuals for licensure as a licensed practical nurse, registered nurse, or advanced registered nurse practitioner; or grants a baccalaureate, master’s or doctorate degree with a major in nursing.
“CGFNS” means the Commission on Graduates of Foreign Nursing Schools.
“Endorsement” means the process by which a registered nurse/licensed practical nurse licensed in another jurisdiction becomes licensed in Iowa.
“Examination” means the tests used to determine minimum competency prior to the issuance of a registered nurse/licensed practical nurse license.
“Fees” means those fees collected which are based upon the cost of sustaining the board’s mission to protect the public health, safety and welfare. The nonrefundable fees set by the board are as follows:
	1.	Application for original license based on the registered nurse examination, $93 (plus the fee for evaluation of the fingerprint cards and the criminal history background checks by the Iowa division of criminal investigation (DCI) and the Federal Bureau of Investigation (FBI)).
	2.	Application for original license based on the practical nurse examination, $93 (plus the fee for evaluation of the fingerprint cards and the criminal history background checks by the DCI and the FBI).
	3.	Application for registered nurse/licensed practical nurse license by endorsement, $119 (plus the fee for evaluation of the fingerprint cards and the criminal history background checks by the DCI and the FBI).
	4.	Application for original license or renewal as an advanced registered nurse practitioner, $81 for any period of licensure up to three years.
	5.	For a certified statement that a registered nurse/licensed practical nurse is licensed in this state or registered as an advanced registered nurse practitioner, $25.
	6.	For written verification of licensure status, not requiring certified statements, $3 per license.
	7.	For reactivation of a license to practice as a registered nurse/licensed practical nurse, $175 for a license lasting more than 24 months up to 36 months (plus the fee for evaluation of the fingerprint cards and the criminal history background checks by the DCI and the FBI).
	8.	For reactivation of a license to practice as an advanced registered nurse practitioner, $81 for any period of licensure up to three years.
	9.	For the renewal of a license to practice as a registered nurse/licensed practical nurse, $99 for a three-year period.
	10.	For a duplicate or reissued wallet card or original certificate to practice as a registered nurse, licensed practical nurse, or advanced registered nurse practitioner, $20.
	11.	For late renewal of a registered nurse/licensed practical nurse license, $50, plus the renewal fee as specified in paragraph “9” of this definition.
	12.	For a check returned for any reason, $15. If licensure/registration has been issued by the board office based on a check for the payment of fees and the check is later returned by the bank, the board shall request payment by certified check or money order.
	13.	For a certified copy of an original document, $20.
	14.	For the evaluation of the fingerprint cards and the DCI and FBI criminal history background checks, $50.
“IELTS™” means International English Language Testing System.
“Inactive license” means a registered nurse or licensed practical nurse license that has been placed on inactive status because it was not renewed by the fifteenth day of the month following the expiration date, or the board has received notification that a licensee has declared another compact state as primary state of residency.
“Late license” means a registered nurse or licensed practical nurse license that has not been renewed by the expiration date. The time between the expiration date and the fifteenth day of the month following the expiration date is considered a grace period.
“Licensee” means a person who has been issued a license to practice as a registered nurse, licensed practical nurse or advanced registered nurse practitioner under the laws of this state.
“NCLEX®” means National Council Licensure Examination for registered nurse/licensed practical nurse licensure.
“NCSBN” means the National Council of State Boards of Nursing, Inc.
“Nurse licensure compact” means an agreement between member states that allows mutual recognition of a nursing license. The definitions in the nurse licensure compact rules are incorporated for purposes of this chapter.
“Overpayment” means payment in excess of the required fee. Overpayment less than $10 received by the board shall not be refunded.
“Reactivation” means the process whereby an inactive licensee obtains a current license.
“Reinstatement,” pursuant to rule 655—20.36(17A,147,272C), means the process by which any person whose license to practice nursing has been suspended, revoked or voluntarily surrendered by order of the board may apply for license consideration.
“Temporary license” means a license issued on a short-term basis for a specified time pursuant to subrule 3.5(4).
“TOEFL®” means Test of English as a Foreign Language.
[ARC 1130C, IAB 10/30/13, effective 12/4/13; ARC 1815C, IAB 1/7/15, effective 2/11/15; ARC 2339C, IAB 1/6/16, effective 2/10/16; ARC 4413C, IAB 4/24/19, effective 5/29/19]
655—3.2(17A,147,152,272C) Mandatory licensure.
	3.2(1) A person who practices nursing in the state of Iowa as defined in Iowa Code section 152.1, outside of one’s family, shall have a current Iowa license, whether or not the employer is in Iowa and whether or not the person receives compensation. Any nurse who participates in the care of a patient situated in Iowa, whether that care is provided through telephonic, electronic or in-person means, and regardless of the location of the nurse, must obtain Iowa licensure unless specifically exempted.
	3.2(2) Current Iowa licensure is not mandatory when:
	a. 	A nurse who resides in another party state is recognized for licensure in this state pursuant to the nurse licensure compact contained in Iowa Code chapter 152E. The nurse licensure compact rules are available on the board’s website.
	b. 	A nurse who holds an active license in another state provides services to patients in Iowa only during interstate transit.
	c. 	A nurse who holds an active license in another state provides emergency services in an area in which the governor of Iowa has declared a state of emergency.
	3.2(3) A nurse who is enrolled in an approved nursing program shall hold an active license in the U.S. jurisdiction(s) in which the nurse provides patient care.
[ARC 1815C, IAB 1/7/15, effective 2/11/15; ARC 4413C, IAB 4/24/19, effective 5/29/19]
655—3.3(17A,147,152,272C) Licensure qualifications for registered nurse and licensed practical nurse. Applicants shall meet the requirements set forth in Iowa Code sections 147.3 and 152.7. Requirements include:
	1.	Graduation from an approved nursing program preparing registered nurses as defined in Iowa Code section 152.5(1) for registered nurse applicants or graduation from an approved nursing program preparing practical nurses as defined in Iowa Code section 152.5(1) for licensed practical nurse applicants.
	2.	Passing NCLEX® or the State Board Test Pool Examination, the national examination used prior to 1982.
	3.	Board approval of an applicant with a criminal history or a record of prior disciplinary action, regardless of jurisdiction.
[ARC 8222B, IAB 10/7/09, effective 11/11/09; ARC 1815C, IAB 1/7/15, effective 2/11/15; ARC 4413C, IAB 4/24/19, effective 5/29/19]
655—3.4(17A,147,152,272C) Licensure by examination.
	3.4(1) Board application. A graduate of an approved nursing program seeking initial licensure shall submit the following:
	a. 	A completed application for licensure by examination.
	b. 	Payment of the application fee.
	c. 	Two completed fingerprint cards and a signed waiver form to facilitate a national criminal history background check.
	d. 	Copies of relevant court documents if the applicant has a criminal history.
	e. 	Official transcript denoting the date of graduation and diploma or degree conferred sent directly to the board from the nursing program.
	3.4(2) Test registration. The applicant shall complete NCLEX® registration, including payment of applicable fees through the national test service agency.
	3.4(3) ADA accommodations. An applicant with a disability may submit a request to the board for testing accommodations. The request should include the nature of the disability and the specific testing accommodations being requested. A request must be accompanied by written documentation from the applicant’s health care provider describing the disability and the recommended accommodations, and documentation from the applicant’s nursing education program if testing accommodations were provided to the applicant during school. Approved accommodation requests will be communicated to the national test service agency.
	3.4(4) Authorization to test. An applicant will not receive authorization to test until all of the requirements in subrules 3.4(1) and 3.4(2) are met. An applicant shall self-schedule the examination with an approved testing center and must test within 91 days of receiving authorization to test. An applicant who does not test within 91 days of receiving authorization to test is required to submit a new completed application for licensure by examination and fee to the board. An applicant who does not appear for a testing appointment or does not complete the examination must follow the requirements for reexamination.
	3.4(5) Reexamination. An applicant who fails the examination and reapplies within 12 months of submitting a prior application to the board shall be required to complete the requirements in paragraphs 3.4(1)“a” and “b” and subrule 3.4(2). An applicant who fails the examination and reapplies after 12 months of submitting a prior application to the board shall be required to complete all requirements in subrules 3.4(1) and 3.4(2).
	3.4(6) Licensure. Upon satisfactory review of the documentation described in subrule 3.4(1) and proof of successful completion of the examination, the applicant will be issued a certificate of license by examination and a current license to practice as a registered nurse or licensed practical nurse.
	3.4(7) Failure to complete the licensure process. Once an application is initiated, the applicant has 12 months to complete the licensure process. The board reserves the right to destroy any applications and supporting documents after 12 months if the applicant has not completed the licensure process. Applicants who fail to complete the licensure process within 12 months are required to start the application process anew.
[ARC 4413C, IAB 4/24/19, effective 5/29/19]
655—3.5(17A,147,152,272C) Licensure by endorsement.
	3.5(1) Board application. A graduate of an approved nursing program seeking licensure in Iowa who has been licensed in another state shall submit the following:
	a. 	A completed application for licensure by endorsement.
	b. 	Payment of the application fee.
	c. 	Two completed fingerprint cards and a signed waiver form to facilitate a national criminal history background check.
	d. 	Copies of relevant court documents if the applicant has a criminal history.
	e. 	Copies of relevant disciplinary documents if the applicant has had disciplinary action taken by another state.
	f. 	Verification of the license from the original state of licensure, which may be done through www.nursys.com or using the verification form depending on the requirements of the original state of licensure.
	g. 	Proof of active licensure in any jurisdiction within the previous five years from the date of application or proof of completion of a nurse refresher course in accordance with rule 655—3.10(152) taken within the 12 months prior to the date of application.
	h. 	Official transcript denoting the date of graduation and diploma or degree conferred sent directly to the board from the nursing program. An applicant may be excused from this requirement if the nursing program is closed and records are no longer available.
	3.5(2) Temporary license. An applicant who has submitted all documentation described in paragraphs 3.5(1)“a” to “g” may request a temporary license for up to 30 days to practice in Iowa pending receipt of official transcripts from the nursing program.
	3.5(3) Licensure. Upon satisfactory review of the documentation described in subrule 3.5(1), the applicant will be issued a certificate of license by endorsement and a current license to practice as a registered nurse or licensed practical nurse.
	3.5(4) Failure to complete the licensure process. Once an application is initiated, the applicant has 12 months to complete the licensure process. The board reserves the right to destroy any applications and supporting documents after 12 months if the applicant has not completed the licensure process. Applicants who fail to complete the licensure process within 12 months are required to start the application process anew.
[ARC 4413C, IAB 4/24/19, effective 5/29/19]
655—3.6(17A,147,152,272C) Applicants educated in a foreign country or in a U.S. territory that is not a member of NCSBN.
	3.6(1) Applicant for licensure. An applicant seeking licensure in Iowa who was educated in a foreign country or in a U.S. territory that is not a member of NCSBN shall apply for licensure by examination pursuant to rule 655—3.4(17A,147,152,272C) or licensure by endorsement pursuant to rule 655—3.5(17A,147,152,272C), as applicable, but instead of submitting an official transcript, shall submit one of the following documents issued by CGFNS:
	a. 	Credentials evaluation service professional report.
	b. 	VisaScreen certificate or certificate verification letter verifying that a VisaScreen certificate was issued.
	c. 	Certification program CGFNS certificate or certificate verification letter verifying that a certification program CGFNS certificate was issued.
	3.6(2) CGFNS documentation. The documentation issued by CGFNS shall verify all of the following:
	a. 	Completion of education equivalent to approved nursing programs for licensed practical nurse and registered nurse applicants.
	b. 	The applicant’s licensure or registration as a nurse in the applicant’s country or U.S. territory of origin, current country or U.S. territory of residence, or country or U.S. territory where educated.
	c. 	The ability to read, write, speak, and understand the English language as determined by passing the TOEFL® or IELTS™ test. A passing score is as follows: 560 for the TOEFL® paper-based test; 220 for the TOEFL® computer-based test; 84 for the TOEFL® Internet-based test; and an overall score of 6.5 and a speaking score of 7.0 for the IELTS™ test. An applicant shall be exempt from taking either the TOEFL® or IELTS™ test when all of the following are met: (1) the nursing education was completed in a college, university, or professional school located in Australia, Barbados, Canada (except Quebec), Ireland, Jamaica, New Zealand, South Africa, Trinidad and Tobago, or the United Kingdom; (2) the language of instruction in the nursing program was English; and (3) the language of the textbooks in the nursing program was English.
	3.6(3) Social security number. To be eligible for a multistate license, an applicant must have a social security number. An applicant who does not have a social security number shall submit documentation of lawful presence and will only be eligible for a single state license.
[ARC 4413C, IAB 4/24/19, effective 5/29/19]
655—3.7(17A,147,152,272C) License cycle.
	3.7(1) Name and address changes. Written notification to the board of name and address changes is required within 30 days of the event. Licensure documents are mailed to the licensee at the address on file in the board office. There is no fee for a change of name or address in board records.
	3.7(2) New licenses. The board shall issue licenses by endorsement and examination for a 24- to 36-month period. When the license is renewed, it will be placed on a three-year renewal cycle. Expiration shall be on the fifteenth day of the licensee’s birth month.
	3.7(3) Renewal. The licensee may renew the license beginning 60 days prior to license expiration.
	a. 	The licensee shall:
	(1)	Attest that Iowa is the primary state of residence or that the primary state of residence is a noncompact state. The board may request evidence of residency.
	(2)	Submit the renewal application and the renewal fee as specified in rule 655—3.1(17A,147,152, 272C).
	(3)	Meet the continuing education requirement as set forth in 655—Chapter 5, prior to license renewal.
	(4)	Complete the required mandatory reporter training set forth in paragraph 3.7(3)“b.”
	b. 	Mandatory reporter training.
	(1)	The course shall be a curriculum approved by the Iowa department of public health.
	(2)	A licensee who regularly examines, attends, counsels or treats children in Iowa shall indicate on the renewal application completion of two hours of training in child abuse identification and reporting in the previous five years or condition(s) for rule suspension as identified in subparagraph 3.7(3)“b”(6).
	(3)	A licensee who regularly examines, attends, counsels or treats adults in Iowa shall indicate on the renewal application completion of two hours of training in dependent adult abuse identification and reporting in the previous five years or condition(s) for rule suspension as identified in subparagraph 3.7(3)“b”(6).
	(4)	A licensee who regularly examines, attends, counsels or treats both adults and children in Iowa shall indicate on the renewal application completion of training on abuse identification and reporting in dependent adults and children or condition(s) for rule suspension as identified in subparagraph 3.7(3)“b”(6). Training may be completed through separate courses as identified in subparagraphs 3.7(3)“b”(2) and (3) or in one combined two-hour course that includes curricula for identifying and reporting child abuse and dependent adult abuse.
	(5)	The licensee shall maintain written documentation for five years after mandatory training as identified in subparagraphs 3.7(3)“b”(2) to (4), including program date(s), content, duration, and proof of participation.
	(6)	The requirement for mandatory training for identifying and reporting child and dependent adult abuse shall be suspended if the board determines that suspension is in the public interest or that a person at the time of license renewal:
	1.	Is engaged in active duty in the military service of this state or the United States.
	2.	Holds a current exemption based on evidence of significant hardship in complying with training requirements, including an exemption of continuing education requirements or extension of time in which to fulfill requirements due to a physical or mental disability or illness as identified in 655—Chapter 5.
	(7)	The board may select licensees for audit of compliance with the requirements in subparagraphs 3.7(3)“b”(1) to (6).
	3.7(4) Late renewal. The license shall become late when the license has not been renewed by the expiration date. The licensee shall be assessed a late fee as specified in rule 655—3.1(17A,147,152,272C).
To renew a late license, the licensee shall complete the renewal requirements and submit the late fee before the fifteenth day of the month following the expiration date.
	3.7(5) Inactive status. The license shall become inactive when the license has not been renewed by the fifteenth day of the month following the expiration date or the board office has been notified by another compact state that a licensee has declared a new primary state. The former home state license shall no longer be valid upon the issuance of a new home state license.
	a. 	If the inactive license is not reactivated, it shall remain inactive.
	b. 	If the licensee resides in Iowa or a noncompact state, the licensee shall not practice nursing in Iowa until the license is reactivated to active status. If the licensee is identified as practicing nursing with an inactive license, disciplinary proceedings may be initiated.
	c. 	The licensee is not required to obtain continuing education credit or pay fees while the license is inactive.
	d. 	To reactivate the license, the licensee shall complete the reactivation requirements.
	(1)	The licensee shall be provided an application, a continuing education report form, two fingerprint cards, a waiver form, and statement of the fees. The reactivation fee and criminal history background check fee are specified in the definition of “fees” in rule 655—3.1(17A,147,152,272C).
	(2)	The licensee shall have obtained 36 contact hours of continuing education, as specified in 655—Chapter 5, within the 36 months prior to reactivation.
	(3)	A licensee who has not held an active license in any jurisdiction for the previous five years shall be required to complete a nurse refresher course in accordance with rule 655—3.10(152) within the 12 months prior to reactivation.
	(4)	Upon receipt of the completed reactivation application, required continuing education materials, certificate of completion of a nurse refresher course (if applicable), two completed fingerprint cards and a signed waiver form to facilitate a national criminal history background check, fees for both the reactivation and the criminal history background check and verification that the primary state of residence is Iowa or a noncompact state, the licensee shall be issued a license for a 24- to 36-month period. At the time of the next renewal, the license will be placed on a three-year renewal cycle. Expiration shall be on the fifteenth day of the licensee’s birth month. The board staff may issue a certificate of license prior to receipt of a report on the applicant from the DCI/FBI.
	(5)	An applicant who fails to complete the reactivation of licensure process within 12 months from the date of initial application must reapply. All fees are nonrefundable.
	3.7(6) Duplicate wallet card or certificate.  The licensee shall be issued a duplicate wallet card or certificate upon receipt of an application for a duplicate wallet card or certificate and receipt of the fee as specified in rule 655—3.1(17A,147,152,272C). If the licensee notifies the board that the wallet card or certificate has not been received within 60 days after being issued, no fee shall be required. A fee is applicable when the licensee fails to notify the board of a name or address change.
	3.7(7) Reissue of a certificate or wallet card. The board shall reissue a certificate or current wallet card upon receipt of a written request from the licensee, return of the original document and payment of the fee as specified in rule 655—3.1(17A,147,152,272C). No fee shall be required if an error was made by the board on the original document.
[ARC 8222B, IAB 10/7/09, effective 11/11/09; ARC 1815C, IAB 1/7/15, effective 2/11/15; ARC 3465C, IAB 11/22/17, effective 1/1/18; ARC 4413C, IAB 4/24/19, effective 5/29/19]
655—3.8(17A,147,152,272C) Verification. Upon written request from the licensee or another jurisdiction and payment of the verification fee as specified in rule 655—3.1(17A,147,152,272C), the board shall provide a certified statement to another jurisdiction or entity that the license of a registered nurse, licensed practical nurse or advanced registered nurse practitioner is active, inactive or encumbered/disciplined in Iowa.
[ARC 1815C, IAB 1/7/15, effective 2/11/15; ARC 4413C, IAB 4/24/19, effective 5/29/19]
655—3.9(17A,272C) License denial.
	3.9(1) Prior to the denial of licensure to an applicant, the board shall issue a preliminary notice of denial that cites the factual and legal basis for denying the application, notifies the applicant of the appeal process and specifies the date upon which the denial will become final if not appealed.
	3.9(2) An applicant who has been issued a preliminary notice of denial may appeal the notice and request a hearing on the issues related to the preliminary notice of denial by serving a request for hearing upon the executive director within 30 days following the date the preliminary notice of denial was mailed. The request for hearing shall specify the factual or legal errors in the preliminary notice of denial and provide any additional written information or documents in support of the licensure.
	3.9(3) All hearings held pursuant to this rule shall be held in accordance with the process outlined in 655—Chapter 20.
	3.9(4) If an applicant does not appeal a preliminary notice of denial, the preliminary notice of denial automatically becomes final and a notice of denial will be issued.
[ARC 7664B, IAB 3/25/09, effective 4/29/09; ARC 1815C, IAB 1/7/15, effective 2/11/15; ARC 2339C, IAB 1/6/16, effective 2/10/16; ARC 4413C, IAB 4/24/19, effective 5/29/19]
655—3.10(152) Nurse refresher course.
	3.10(1) A nurse refresher course shall meet the following requirements:
	a. 	A minimum of 80 hours of theory, with content in basic nursing skills, pharmacology, physical assessment, IV therapy (RN only), and legal and ethical considerations in healthcare; and
	b. 	A minimum of 80 hours of hands-on supervised clinical learning experiences.
	3.10(2) To participate in the clinical component of a nurse refresher course in Iowa, a licensee must have an active license to practice nursing in Iowa or a limited authorization issued by the board. A licensee shall request the limited authorization from the board prior to beginning the clinical component of a nurse refresher course.
	3.10(3) To receive a certificate of completion from the nurse refresher course, a licensee must complete all requirements of the nurse refresher course to the satisfaction of the course provider. The course provider shall submit proof of completion of the nurse refresher course directly to the board.
[ARC 4413C, IAB 4/24/19, effective 5/29/19]
These rules are intended to implement Iowa Code chapters 17A, 147, 152, and 272C.
[Filed 5/12/70]
[Filed 5/12/70; amended 8/11/70]1
[Filed 2/20/76, Notice 12/29/75—published 3/8/76, effective 4/12/76]1
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[Filed emergency after Notice 4/15/86, Notice 2/26/86—published 5/7/86, effective 4/18/86]
[Filed 9/22/86, Notice 8/13/86—published 10/8/86, effective 11/12/86]
[Filed 4/30/87, Notice 2/25/87—published 5/20/87, effective 6/24/87]
[Filed emergency 7/29/87—published 8/26/87, effective 7/29/87]
[Filed 10/2/87, Notice 7/15/87—published 10/21/87, effective 11/25/87]
[Filed 2/17/88, Notice 12/16/87—published 3/9/88, effective 4/13/88]
[Filed 3/10/88, Notice 9/9/87—published 4/6/88, effective 7/1/88]
[Filed emergency 4/15/88 after Notice 2/24/88—published 5/4/88, effective 4/15/88]
[Filed 8/4/88, Notice 4/20/88—published 8/24/88, effective 9/28/88]
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[Filed 10/6/88, Notice 8/24/88—published 11/2/88, effective 12/7/88]
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[Filed 3/15/90, Notice 1/10/90—published 4/4/90, effective 5/9/90]
[Filed 12/20/91, Notice 10/16/91—published 1/8/92, effective 2/12/92]
[Filed emergency 2/10/93 after Notice 1/6/93—published 3/3/93, effective 2/10/93]
[Filed 12/8/93, Notice 10/13/93—published 1/5/94, effective 2/9/94]
[Filed 6/16/94, Notice 4/13/94—published 7/6/94, effective 8/10/94]
[Filed 9/30/94, Notice 7/6/94—published 10/26/94, effective 11/30/94]
[Filed 6/15/95, Notice 4/12/95—published 7/5/95, effective 8/9/95]
[Filed 10/5/95, Notice 7/5/95—published 10/25/95, effective 11/29/95]
[Filed 12/14/95, Notice 10/25/95—published 1/3/96, effective 2/7/96]
[Filed 4/29/99, Notice 3/24/99—published 5/19/99, effective 6/23/99]
[Filed 8/17/99, Notice 6/30/99—published 9/8/99, effective 10/13/99]
[Filed 9/28/99, Notice 8/25/99—published 10/20/99, effective 11/24/99]
[Filed 12/10/99, Notice 10/20/99—published 12/29/99, effective 2/2/00]
[Filed emergency 6/9/00—published 6/28/00, effective 6/30/00]
[Filed 9/15/00, Notice 6/28/00—published 10/4/00, effective 11/8/00]
[Filed emergency 11/9/00—published 11/29/00, effective 11/9/00]
[Filed 3/15/01, Notice 1/10/01—published 4/4/01, effective 5/9/01]
[Filed 9/28/01, Notice 6/27/01—published 10/17/01, effective 11/21/01]
[Filed 12/7/01, Notice 10/17/01—published 12/26/01, effective 1/30/02]
[Filed 2/8/02, Notice 12/26/01—published 3/6/02, effective 4/10/02]
[Filed emergency 6/7/02—published 6/26/02, effective 7/1/02]
[Filed 6/7/02, Notice 3/20/02—published 6/26/02, effective 7/31/02]
[Filed 7/18/02, Notice 5/15/02—published 8/7/02, effective 9/11/02]
[Filed 9/12/02, Notice 6/26/02—published 10/2/02, effective 11/6/02]
[Filed 12/6/02, Notice 10/2/02—published 12/25/02, effective 1/29/03]◊
[Filed 6/6/03, Notice 4/2/03—published 6/25/03, effective 7/30/03]
[Filed 6/6/03, Notice 4/30/03—published 6/25/03, effective 7/30/03]
[Filed 12/5/03, Notice 10/1/03—published 12/24/03, effective 1/28/04]
[Filed 10/1/04, Notice 7/7/04—published 10/27/04, effective 1/3/05]
[Filed 6/16/05, Notice 4/13/05—published 7/6/05, effective 8/10/05]◊
[Filed 3/22/06, Notice 1/4/06—published 4/12/06, effective 5/17/06]
[Filed 6/19/07, Notice 3/28/07—published 7/18/07, effective 8/22/07]
[Filed ARC 7664B (Notice ARC 7485B, IAB 1/14/09), IAB 3/25/09, effective 4/29/09]
[Filed ARC 8222B (Notice ARC 7889B, IAB 7/1/09), IAB 10/7/09, effective 11/11/09]
[Filed ARC 8810B (Notice ARC 8675B, IAB 4/7/10), IAB 6/2/10, effective 7/7/10]
[Filed ARC 1130C (Notice ARC 0810C, IAB 6/26/13), IAB 10/30/13, effective 12/4/13]
[Filed ARC 1131C (Notice ARC 0876C, IAB 7/24/13), IAB 10/30/13, effective 12/4/13]
[Filed ARC 1815C (Notice ARC 1569C, IAB 8/6/14), IAB 1/7/15, effective 2/11/15]
[Filed ARC 2339C (Notice ARC 2109C, IAB 8/19/15), IAB 1/6/16, effective 2/10/16]
[Filed ARC 3465C (Notice ARC 3046C, IAB 5/10/17), IAB 11/22/17, effective 1/1/18]
[Filed ARC 4413C (Notice ARC 4286C, IAB 2/13/19), IAB 4/24/19, effective 5/29/19]
◊	Two or more ARCs
1	History relating also to “Licensure to Practice—Licensed Practical Nurse,” Ch 4 prior to IAC 5/23/84.
2	Effective date of 11/9/88 delayed 70 days by the Administrative Rules Review Committee at its October meeting. Delay lifted by ARRC 11/16/88.