Senate
File
2432
-
Reprinted
SENATE
FILE
2432
BY
COMMITTEE
ON
LOCAL
GOVERNMENT
(SUCCESSOR
TO
SSB
3135)
(As
Amended
and
Passed
by
the
Senate
March
10,
2026
)
A
BILL
FOR
An
Act
eliminating
a
city’s
ability
to
create
a
city
board
of
1
health
or
a
city
health
department,
and
including
effective
2
date
provisions.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
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Section
1.
Section
135.105B,
subsection
3,
Code
2026,
is
1
amended
to
read
as
follows:
2
3.
Following
development
of
the
voluntary
guidelines,
3
cities
or
counties
may
elect
to
utilize
the
guidelines
in
4
developing
and
administering
local
programs
through
city
or
5
county
health
departments
on
a
city,
county,
or
multicounty
6
basis
or
may
request
that
the
state
develop
and
administer
7
the
local
program.
However,
cities
and
counties
are
not
8
required
to
develop
and
administer
local
programs
based
upon
9
the
guidelines.
10
Sec.
2.
Section
135I.1,
subsection
2,
Code
2026,
is
amended
11
to
read
as
follows:
12
2.
“Local
board
of
health”
means
a
city,
county,
or
district
13
board
of
health
the
same
as
defined
in
section
137.102
.
14
Sec.
3.
Section
137.102,
subsections
1
and
2,
Code
2026,
are
15
amended
by
striking
the
subsections.
16
Sec.
4.
Section
137.102,
subsection
10,
Code
2026,
is
17
amended
to
read
as
follows:
18
10.
“Local
board
of
health”
means
a
city,
county
,
board
or
a
19
district
board
of
health
.
20
Sec.
5.
Section
137.103,
subsection
1,
Code
2026,
is
amended
21
by
striking
the
subsection
and
inserting
in
lieu
thereof
the
22
following:
23
1.
A
city
shall
not
maintain
a
city
board
of
health
or
a
24
city
health
department.
Each
city
shall
perform
the
city’s
25
public
health
services
through
the
city’s
local
board
of
26
health.
27
Sec.
6.
NEW
SECTION
.
137.103A
County
boards.
28
1.
A
county
board
shall
execute
an
agreement
with
each
29
county
hospital
located
in
the
county
that
the
county
board
30
represents
to
allow
for
sharing
of
facilities,
health
care
31
services,
and
administrative
resources.
32
2.
A
county
board
may
submit
an
application
to
the
33
department
to
waive
the
requirement
in
subsection
1
by
34
providing
the
department
evidence
of
all
of
the
following:
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a.
The
county
board
has
access
to
an
alternative
means
of
1
providing
health
services
comparable
to
those
provided
by
the
2
county
hospital
with
which
the
county
board
would
otherwise
be
3
required
to
contract.
4
b.
The
alternative
means
of
providing
health
services
is
5
more
cost-effective
for
the
county
board
than
contracting
with
6
the
county
hospital.
7
3.
A
county
board
that
applies
for
a
waiver
under
subsection
8
2
must
submit
a
letter
explaining
the
county
board’s
decision
9
to
apply
for
the
waiver
to
the
county
board’s
county
board
of
10
supervisors.
11
Sec.
7.
Section
137.104,
subsection
1,
paragraph
b,
12
subparagraph
(1),
Code
2026,
is
amended
by
striking
the
13
subparagraph.
14
Sec.
8.
Section
137.105,
subsection
1,
paragraph
a,
Code
15
2026,
is
amended
by
striking
the
paragraph.
16
Sec.
9.
EFFECTIVE
DATE.
This
Act
takes
effect
January
1,
17
2027.
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