A bill for an act prohibiting the licensure of certain entities of the People's Republic of China, the Russian Federation, and the Democratic People's Republic of Korea to establish, conduct, or maintain a hospital or health care facility. (Formerly SSB 1186.) Effective date: 07/01/2026.

The bill prohibits certain entities from China, Russia, and North Korea from obtaining licenses to operate hospitals or healthcare facilities in Iowa. This means that these countries will not be allowed to establish or run healthcare services in the state. The law is set to take effect on July 1, 2026.

Supporters of the bill argue that it is a necessary measure to protect the health and safety of Iowans by preventing foreign adversaries from having control over critical healthcare infrastructure. They believe that this legislation will help ensure that healthcare remains in the hands of trusted entities and safeguard national security.

Critics contend that the bill could limit access to healthcare resources and investment opportunities from foreign entities that may have the capability to enhance Iowa's healthcare system. They argue that the legislation could be seen as xenophobic and may hinder collaboration and innovation in the healthcare sector.