Senate File 2432 S-5094 Amend Senate File 2432 as follows: 1 1. By striking everything after the enacting clause and 2 inserting: 3 < Section 1. Section 135.105B, subsection 3, Code 2026, is 4 amended to read as follows: 5 3. Following development of the voluntary guidelines, 6 cities or counties may elect to utilize the guidelines in 7 developing and administering local programs through city or 8 county health departments on a city, county, or multicounty 9 basis or may request that the state develop and administer 10 the local program. However, cities and counties are not 11 required to develop and administer local programs based upon 12 the guidelines. 13 Sec. 2. Section 135I.1, subsection 2, Code 2026, is amended 14 to read as follows: 15 2. “Local board of health” means a city, county, or district 16 board of health the same as defined in section 137.102 . 17 Sec. 3. Section 137.102, subsections 1 and 2, Code 2026, are 18 amended by striking the subsections. 19 Sec. 4. Section 137.102, subsection 10, Code 2026, is 20 amended to read as follows: 21 10. “Local board of health” means a city, county , board or a 22 district board of health . 23 Sec. 5. Section 137.103, subsection 1, Code 2026, is amended 24 by striking the subsection and inserting in lieu thereof the 25 following: 26 1. A city shall not maintain a city board of health or a 27 city health department. Each city shall perform the city’s 28 public health services through the city’s local board of 29 health. 30 Sec. 6. NEW SECTION . 137.103A County boards. 31 1. A county board shall execute an agreement with each 32 county hospital located in the county that the county board 33 represents to allow for sharing of facilities, health care 34 services, and administrative resources. 35 -1- SF 2432.3344 (2) 91 dg/ko 1/ 2 #1.
2. A county board may submit an application to the 1 department to waive the requirement in subsection 1 by 2 providing the department evidence of all of the following: 3 a. The county board has access to an alternative means of 4 providing health services comparable to those provided by the 5 county hospital with which the county board would otherwise be 6 required to contract. 7 b. The alternative means of providing health services is 8 more cost-effective for the county board than contracting with 9 the county hospital. 10 3. A county board that applies for a waiver under subsection 11 2 must submit a letter explaining the county board’s decision 12 to apply for the waiver to the county board’s county board of 13 supervisors. 14 Sec. 7. Section 137.104, subsection 1, paragraph b, 15 subparagraph (1), Code 2026, is amended by striking the 16 subparagraph. 17 Sec. 8. Section 137.105, subsection 1, paragraph a, Code 18 2026, is amended by striking the paragraph. 19 Sec. 9. EFFECTIVE DATE. This Act takes effect January 1, 20 2027. > 21 2. Title page, by striking lines 1 through 4 and inserting 22 < An Act eliminating a city’s ability to create a city board of 23 health or a city health department, and including effective 24 date provisions. > 25 ______________________________ MIKE BOUSSELOT -2- SF 2432.3344 (2) 91 dg/ko 2/ 2 #2.