A bill for an act relating to the practice of reflexology.

Iowa House File 2178 (HF2178) is a bill introduced in January 2026 that aims to regulate the practice of reflexology in Iowa. The bill proposes establishing certification requirements for reflexologists, including completing a minimum of 200 hours of education covering anatomy, physiology, reflexology techniques, and business practices. Applicants must be at least 18 years old, have no recent adverse actions on professional licenses, and pass a board-approved exam. The certification would be valid for two years and subject to renewal. The bill also includes provisions for waiving the examination requirement for experienced practitioners who meet specific criteria.

Supporters of HF2178 argue that establishing certification requirements for reflexologists will enhance the credibility of the profession, ensure practitioners are adequately trained, and protect public health by setting clear standards for practice. They believe that formalizing the profession through certification will lead to better client outcomes and increased trust in reflexology services.

Critics of HF2178 express concerns that the proposed certification requirements may impose unnecessary barriers to entry for new practitioners, potentially limiting access to reflexology services. They argue that the additional education and examination requirements could be burdensome, especially for those who have been practicing reflexology effectively without formal certification. Some also question whether the regulation is necessary, given the non-invasive nature of reflexology.