H.F. 2269 Section 1. Section 147.74, subsection 17, Code 2026, is 1 amended to read as follows: 2 17. A person who qualifies for licensure as a physician 3 assistant licensed associate under chapter 148C may use the 4 words “physician assistant associate ” after the person’s name 5 or signify the same by the use of the letters “P. A.” after the 6 person’s name. 7 Sec. 2. PHYSICIAN ASSISTANT TITLE CHANGE. 8 1. Notwithstanding any provision of law to the contrary, 9 all references in the Iowa Code and Iowa Administrative 10 Code to “physician assistant” shall be revised to “physician 11 associate”. The terms “physician assistant”, “physician 12 associate”, and “P.A.” are synonymous, and all rights and 13 responsibilities of a physician assistant under current law are 14 unaffected by the change in title to “physician associate”. 15 2. All persons or entities employing, coordinating 16 treatment with, following orders from, training, educating, or 17 contracting with a person licensed as a physician assistant 18 or educating individuals in an accredited physician assistant 19 or physician associate education program, including but not 20 limited to a hospital or other health care facility, physician, 21 third-party payor, the federal government, and malpractice 22 insurance carriers, shall continue the relationship without 23 interruption or alteration as a result of the change in 24 title to “physician associate”. A person or entity shall not 25 discriminate against an individual in contracting with the 26 individual, employment, or otherwise solely as a result of the 27 individual’s use of the title “physician associate”. 28 3. During the time before the title “physician associate” 29 enters common usage, a person eligible for licensure under 30 chapter 148C may use the title “physician assistant”, 31 “physician associate”, or “P.A.”. A person or entity 32 interacting with a person using the title “physician associate” 33 is entitled to rely on the person having all rights and 34 responsibilities of a physician assistant. 35 -1- LSB 5433HV (1) 91 ss/ko 1/ 3

H.F. 2269 4. The change in title from “physician assistant” to 1 “physician associate” does not expand or alter the scope of 2 practice of a person licensed under chapter 148C. 3 5. Not later than January 1, 2027, each agency shall, as 4 soon as practicable and in the most cost-efficient manner 5 possible, make amendments to active versions of sub-regulatory 6 guidance, documents, and forms to reflect the change in title 7 from “physician assistant” to “physician associate”. 8 Sec. 3. CODE EDITOR DIRECTIVE —— TERMINOLOGY CHANGES. 9 1. The Code editor is directed to change all references 10 to “physician assistant” and its derivatives to “physician 11 associate” and its derivatives, as appropriate, wherever they 12 appear in the Code, including in sections 90A.1, 90A.8, 96.5, 13 124E.2, 135.1, 135.17, 135.24, 135.39D, 135.105D, 135.146, 14 135.190A, 135.194, 135B.1, 135B.7, 135G.1, 135G.3, 135H.3, 15 135J.1, 135P.1, 136A.2, 136C.3, 137.105, 139A.2, 139A.8, 16 139A.22, 139A.35, 139A.41, 141A.1, 141A.5, 141A.6, 141A.7, 17 142C.8, 144.26, 144.28, 144A.2, 144A.4, 144A.7A, 144B.1, 18 144B.5, 144B.6, 144D.1, 144D.2, 144D.3, 144D.4, 144F.2, 147.1, 19 147.2, 147.13, 147.14, 147.77, 147.107, 147.136, 147.136A, 20 147.138, 147A.1, 147A.8, 147A.9, 147A.10, 147A.13, 148C.1, 21 148C.2, 148C.3, 148C.4, 148C.5, 148C.8, 148C.9, 148C.11, 22 148C.13, 148F.7, 148G.1, 148H.4, 152.1, 152B.1, 152C.9, 152D.4, 23 152D.7, 154C.7, 154D.4, 154F.2, 155A.3, 155A.23, 189A.6, 225.9, 24 225.12, 225.15, 225.16, 228.1, 229.22, 232.68, 232.71B, 232.78, 25 232.79, 232.95, 233.1, 234.22, 235A.13, 237A.5, 237A.13, 249.3, 26 249A.4, 249A.4B, 249N.2, 252E.1, 256.222, 272C.1, 272C.2C, 27 280.13C, 280.16, 280A.1, 321.34, 321.186, 321.375, 321.446, 28 321J.7, 321J.11, 321L.2, 321L.2A, 411.5, 462A.14A, 489.1101, 29 489.1102, 489.1105, 496C.2, 496C.4, 496C.7, 514C.11, 514C.17, 30 514C.18, 514C.20, 514C.25, 514C.28, 514F.6, 614.1, 622.10, 31 668A.1, 669.2, 702.8, 707A.1, 730.5, and 915.46. 32 2. The Code editor is directed to make changes in any Code 33 sections or other noncodified enactments amended or enacted 34 by any other Act to correspond with the changes made in this 35 -2- LSB 5433HV (1) 91 ss/ko 2/ 3

H.F. 2269 Act if there appears to be no doubt as to the proper method of 1 making the changes and the changes would not be contrary to or 2 inconsistent with the purposes of this Act or any other Act. 3 Sec. 4. AMENDMENTS TO ADMINISTRATIVE RULES. 4 Notwithstanding any provision of chapter 17A to the contrary, 5 an agency may submit amendments to administrative rules in 6 accordance with this Act to the administrative code editor to 7 be updated editorially. Such amendments shall be limited to 8 updating the term “physician assistant” and its derivatives to 9 “physician associate” and corresponding derivatives. 10 EXPLANATION 11 The inclusion of this explanation does not constitute agreement with 12 the explanation’s substance by the members of the general assembly. 13 This bill relates to the usage of the titles “physician 14 assistant” and “physician associate”. The bill directs 15 the Iowa Code editor to change all references to “physician 16 assistant” throughout the Code and in any Code sections or 17 other noncodified enactments amended or enacted by any other 18 bill to “physician associate”. The bill does not change the 19 rights, responsibilities, or scope of practice of a person 20 licensed as a physician assistant. The bill prohibits a person 21 with a business relationship with a physician assistant from 22 altering that relationship as a result of the title change to 23 “physician associate”. The bill allows a person who qualifies 24 for licensure under Code chapter 148C (physician assistants), 25 and persons licensed under Code chapter 148C, to use the title 26 “physician assistant” or “physician associate” during the time 27 before the use of the title “physician associate” becomes 28 common. The bill requires agencies to update active versions 29 of sub-regulatory guidance, documents, and forms to reflect the 30 changes in the bill by January 1, 2027. 31 The bill allows an agency to submit amendments to the 32 administrative code editor to editorially update references in 33 rules to “physician assistant” to “physician associate”. 34 -3- LSB 5433HV (1) 91 ss/ko 3/ 3