Iowa 2025-2026 Regular Session

Iowa Senate Bill SF2198

Introduced
2/4/26  
Engrossed
2/24/26  
Enrolled
4/9/26  

Caption

A bill for an act relating to the authority of an attorney in fact under a durable power of attorney for health care. (Formerly SSB 3020.) Effective date: 07/01/2026.

Impact

The bill is poised to clarify and strengthen the framework regarding end-of-life care decisions in the state. By explicitly stating the obligations of an attorney in fact, it aims to protect the interests of principals who may be incapacitated and unable to express their wishes directly. This legislation has the potential to eliminate ambiguity in healthcare directives, thus ensuring that the decisions made by the appointed attorney are aligned with the principal's values and preferences.

Summary

Senate File 2198 addresses the authority granted to an attorney in fact under a durable power of attorney specifically for healthcare decisions. The bill amends existing legislation to clarify the duties of the attorney in fact concerning the wishes expressed by the principal, particularly in the context of life-sustaining procedures. It emphasizes that the attorney in fact must act in accordance with the principal's documented desires, but also provides guidance on situations where the principal's desires may be unclear or not officially documented.

Sentiment

Overall sentiment around SF2198 appears to be supportive, with broad backing evident from the voting history, where it passed with a significant majority of 93-0. This suggests a general agreement on the importance of clearly defining the roles and responsibilities of attorneys in fact in healthcare contexts, indicating that lawmakers recognize the need for policies that empower individuals in making vital healthcare decisions.

Contention

While the bill has garnered substantial support, it may still evoke discussion concerning the balance between patient autonomy and the authority exercised by the attorney in fact. Critics may contend that too much power is granted to the attorney without sufficient checks, especially in emotionally charged situations where life-sustaining treatments are involved. Proponents assert, however, that the bill serves to honor the patient's wishes, thereby ensuring that their healthcare decisions remain respected regardless of their current capacity.

Companion Bills

IA SSB3020

Related A bill for an act relating to the authority of an attorney in fact under a durable power of attorney for health care.(See SF 2198.)

Previously Filed As

IA HF2570

A bill for an act relating to the authority of an attorney in fact under a durable power of attorney for health care.(Formerly HSB 161.)

IA SSB3020

A bill for an act relating to the authority of an attorney in fact under a durable power of attorney for health care.(See SF 2198.)

IA HSB161

A bill for an act relating to the authority of an attorney in fact under a durable power of attorney for health care.(See HF 2570.)

IA HF2305

A bill for an act relating to health care decisions related to palliative care, hospice programs, life-sustaining procedures, out-of-hospital do-not-resuscitate orders, durable power of attorney for health care, and probate court guardianship reports. (Formerly HF 708.) Effective date: 07/01/2026.

IA HF549

A bill for an act relating to the review of an officer-involved shooting case by a county attorney. (Formerly HF 42.) Effective date: 07/01/2025.

IA HF2562

A bill for an act relating to care facility placement decisions for certain adults, and including effective date provisions. (Formerly HSB 653.) Effective Date: Conditional, 07/01/2026.

IA S1138

Clarifying a right of a durable power of attorney

IA H1911

Clarifying a right of a durable power of attorney

IA SF2137

A bill for an act relating to the definition of qualified education expenses. (Formerly SSB 3027.) Effective date: 07/01/2026.

IA SB595

Relating To Powers Of Attorney.

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