A bill for an act relating to the licensing of, and granting of clinical privileges to, certain health care professionals.

Iowa House File 409 (HF409) is a bipartisan bill introduced in February 2025 by Representatives Megan Srinivas (D) and Ann Meyer (R). The bill aims to change how hospitals and licensing boards handle applications from healthcare professionals. Specifically, it prohibits these entities from asking applicants about their past history or diagnosis of mental illness, substance use disorders, or other physical or behavioral health conditions. However, they are allowed to inquire if the applicant currently has any condition that is not being appropriately treated and that impairs or adversely affects their ability to practice safely and competently. The goal is to reduce stigma and encourage healthcare professionals to seek necessary treatment without fear of professional repercussions.

Supporters of HF409 argue that the bill is a significant step toward reducing stigma associated with mental health and substance use disorders among healthcare professionals. By focusing on current impairments rather than past diagnoses, the bill encourages professionals to seek treatment without fear of jeopardizing their careers. This approach is seen as promoting a healthier and more supportive work environment in the healthcare sector.

Critics of HF409 express concerns that by removing questions about past mental health and substance use histories, hospitals and licensing boards may lack crucial information needed to assess an applicant's suitability for clinical privileges or licensure. They argue that understanding an applicant's full health history is essential to ensure patient safety and maintain high standards of care. There is apprehension that the bill could inadvertently lead to overlooking potential risks associated with untreated or recurring conditions.