House File 309 - Enrolled House File 309 AN ACT RELATING TO THE REVIEW BY THE DEPARTMENT OF INSPECTIONS, APPEALS, AND LICENSING OF CERTAIN DEFICIENT PRACTICES BY NURSING FACILITIES. BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: Section 1. Section 135C.40, subsection 1, paragraph d, subparagraph (1), Code 2025, is amended to read as follows: (1) The department shall establish and maintain a process to review each deficient practice identified by the department for which a citation may be issued to a nursing facility for immediate jeopardy or substandard quality of care prior to issuance of final findings under section 135C.40A . Representatives of the nursing facility issued such a citation may participate in the review to provide context and or evidence for the department to consider in determining if a final finding of immediate jeopardy or substandard quality of House File 309, p. 2 care should be issued. The review shall ensure consistent and accurate application of federal and state inspection protocols and defined regulatory standards. ______________________________ PAT GRASSLEY Speaker of the House ______________________________ AMY SINCLAIR President of the Senate I hereby certify that this bill originated in the House and is known as House File 309, Ninety-first General Assembly. ______________________________ MEGHAN NELSON Chief Clerk of the House Approved _______________, 2025 ______________________________ KIM REYNOLDS Governor