Iowa 2025-2026 Regular Session

Iowa Senate Bill SF117

Filed/Introduced
2/13/25  
Introduced
1/23/25  

Caption

A bill for an act relating to the prescribing, ordering, dispensing, and administering authority of pharmacists and practitioners.(See SF 313.)

Summary

Senate File 117 would limit the ability of licensing boards and employers to interfere with a pharmacist’s or practitioner’s prescribing, ordering, dispensing, or administering decisions when those decisions are within the person’s lawful scope of practice. The bill says boards created under chapter 147, including the Board of Pharmacy and other health-related professional boards, may not impose restrictions that deter a pharmacist or practitioner from using a medication or treatment based on their best professional judgment. The bill also makes prohibited employer restrictions unenforceable, whether they appear in a contract, agreement, employee handbook, amendment, or any other form. In addition, a pharmacist or practitioner who acts consistently with their scope of practice and best professional judgment would be protected from license discipline under the bill. The measure is framed as a professional autonomy and scope-of-practice bill for licensed health professionals who prescribe or dispense medications.

Impact

If enacted, SF 117 would add a new section to Iowa Code chapter 155A and constrain both regulatory boards and employers from imposing policies that limit lawful medication-related decision-making by pharmacists and other practitioners. It would create a statutory protection against employer discipline and board discipline when the professional acts within scope of practice and in accordance with best professional judgment. The bill could affect pharmacy chains, hospitals, clinics, and other health care employers by invalidating restrictive policies that are more limiting than state law allows.

Sentiment

The available legislative history shows the bill advanced in committee and was renumbered as SF 313, which suggests it received at least enough support to move forward. No vote breakdowns or transcript excerpts are available, so there is no detailed record of debate in the provided materials. Based on the bill’s structure, the general sentiment appears to favor professional autonomy for pharmacists and practitioners, with the measure presented as a protection against outside interference in clinical judgment.

Contention

The main point of potential contention is the balance between professional independence and the authority of employers or licensing boards to set practice standards, workplace policies, and safety controls. Supporters would likely view the bill as preventing undue interference with lawful prescribing and dispensing decisions, while opponents or cautious stakeholders may worry it limits employer oversight, compliance programs, or board enforcement tools. Another possible issue is how broadly “best professional judgment” and “deterrent” would be interpreted in practice, since those terms could affect disputes over workplace policies and disciplinary actions.

Companion Bills

IA SF313

Similar To A bill for an act relating to the prescribing, ordering, dispensing, and administering authority of pharmacists and practitioners.(Formerly SF 117.)

Previously Filed As

IA SF313

A bill for an act relating to the prescribing, ordering, dispensing, and administering authority of pharmacists and practitioners.(Formerly SF 117.)

IA HF2205

A bill for an act relating to the prescribing, ordering, dispensing, and administering authority of pharmacists and practitioners.

IA HF183

A bill for an act relating to the ordering, administering, and dispensing of point-of-care HIV-related tests and prophylaxis drugs by a pharmacist.

IA HF605

A bill for an act relating to the prescribing and dispensing of self-administered hormonal contraceptives.

IA AB346

Establishes provisions governing the prescribing, dispensing and administering of medication designed to end the life of a patient. (BDR 40-600)

IA HB112

Provides relative to the prescribing, administering, and dispensing of drugs for off-label use

IA HB12

Enact the Jeff, Dave, and Angie Patient Right to Try Act

IA HB855

Relating to promoting, prescribing, administering, or dispensing prescription drugs for off-label use.

IA HB1976

Modifies provisions relating to the ordering and administration of vaccines by pharmacists

IA SF336

A bill for an act relating to the ordering and dispensing of self-administered hormonal contraceptives by a pharmacist pursuant to statewide protocols.

Similar Bills

IA SF313

A bill for an act relating to the prescribing, ordering, dispensing, and administering authority of pharmacists and practitioners.(Formerly SF 117.)

IA HF2205

A bill for an act relating to the prescribing, ordering, dispensing, and administering authority of pharmacists and practitioners.

NC S357

Pharmacists/Collaborative Practice

MA H4014

Authorizing pharmacists to provide opioid use disorder treatment

AZ HB2291

Opioids; containers; labeling; requirements; repeal

CA AB1503

Pharmacy.

NJ S2891

Prohibits certain steering and marketing practices involving dispensing of prescription drugs and drug samples.

NJ A4181

Permits pharmacists to dispense certain drugs in emergency without prescription.