HF 516 (LSB 1695HV (4) 91)

HOUSE FILE 516

BY  COMMITTEE ON HEALTH AND HUMAN SERVICES

(SUCCESSOR TO HF 137)

(As Amended and Passed by the House 2025-03-12)

A BILL FOR

An Act relating to medical residency and fellowship positions, including priority for admission to the university of Iowa’s colleges of medicine and dentistry, and hospitals and clinics.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  Section 262.9, Code 2025, is amended by adding the following new subsection:
   NEW SUBSECTION.  39.  Adopt a policy requiring that not less than eighty percent of the students who are accepted at the college of medicine in the doctor of medicine program, and who are accepted at the college of dentistry at the state university of Iowa be residents of Iowa or persons who were, prior to applying to such college, enrolled in an eligible postsecondary institution as defined in section 261E.2.
    Sec. 2.  Section 263.2, Code 2025, is amended to read as follows:
   263.2  Degrees —— reports.
   1.  A person shall not be admitted to courses of instruction in the university if the person has not completed the elementary instruction in such branches as are taught in the public or accredited nonpublic schools throughout the state.
   2.  Graduates of the university shall receive degrees or diplomas, or other evidences of distinction such as are usually conferred and granted by universities and are authorized by the state board of regents.
   3.  The university of Iowa, in collaboration with the university hospitals and clinics, shall submit an annual report to the general assembly providing the following information:
   a.  The states in which members of each graduating class from the college of dentistry and the college of medicine’s doctor of medicine program reside during the year immediately following graduation. The information shall be divided by residents of Iowa at the time of application to the college and nonresidents at the time of application to the college.
   b.  The states in which the university of Iowa hospitals and clinics primary care and specialty residents reside in the year following completion of medical residency and whether following residency such residents accepted fellowships. The information shall be divided by primary care and various areas of specialty, and whether the medical residents were residents of Iowa prior to applying for admission at an undergraduate college or university, received a baccalaureate degree from a postsecondary institution in Iowa, or graduated from a medical school in Iowa, whether or not the medical residents were residents of the state at the time of acceptance into the university of Iowa hospitals and clinics’ residency programs and, if any residents accepted fellowships following residency, the states in which the fellowships are offered and the areas of specialty under the fellowships.
    Sec. 3.  NEW SECTION.  263.6  Residency and fellowship positions —— priority for certain candidates —— rural rotations.
   The university of Iowa hospitals and clinics shall give priority in awarding federal residency positions as established under the federal Balanced Budget Act of 1997, Pub. L. No. 105-33, and fellowships to applicants who are residents of Iowa, attended and earned an undergraduate degree from an Iowa college or university, or attended and earned a medical degree from a medical school in Iowa. The university of Iowa hospitals and clinics shall also provide the opportunity to participate in a rural rotation to persons to whom a primary care residency or fellowship position, including such positions in psychiatry, is awarded in order to expose the resident or fellow to rural areas of the state.
    Sec. 4.  MEDICAL RESIDENCY POSITIONS —— APPLICANTS MEETING CERTAIN CRITERIA —— ANNUAL REPORT.
   1.  The university of Iowa hospitals and clinics shall offer an interview for an available medical residency position to any applicant who has a residency specialty in obstetrics and gynecology, psychiatry, general surgery, emergency medicine, neurology, or primary care, or an available cardiology fellowship position to any applicant who has a fellowship specialty in cardiology, and who also is a resident of Iowa, attended and earned an undergraduate degree from an Iowa college or university, or attended and earned a medical degree from a medical school in Iowa. 
   2.  The university of Iowa hospitals and clinics shall submit a report to the governor and the general assembly by January 15, annually, regarding the interviews as specified in this section during the prior fiscal year. Specifically, the report shall include for each interview the name of the applicant’s medical school, whether an applicant was offered and participated in an interview, whether the applicant was accepted for one of the residency or fellowship positions, and the total number of available residency and fellowship positions filled by an applicant meeting the criteria under this section.