INTHE NAME AND BY THE AUTHORITY OF THE STATE OF Lowa.
PROCLAMATION OF DISASTER EMERGENCY
WHEREAS, the World Health Organization has reported an outbreak of thousands of
ceases of Novel Coronavirus 2019 (COVID-19) in multiple countries, causing illness and deaths;
and
WHEREAS, on January 31, 2020, the United States Department of Health and Human
‘Services declared a national public health emergency; and
WHEREAS, on March 9, 2020, a Proclamation of Disaster Emergency was issued to
‘coordinate the State of lowa’s response to this outbreak and such disaster continues to exist; and
WHEREAS, on March 11,2020 the World Health Organization declared the COVID-19
outbreak a global pandemic; and
WHEREAS, on March 13, 2020, President Donald J. Trump issued a proclamation
declaring that the COVID-19 outbreak in the United States constitutes a national emergency: and
WHEREAS, on March 17,2020, a Proclamation of Public Health Disaster Emergency
‘was issued to provide additional needed resources and measures o respond to this disaster, and
such public health disaster continues to exist and should be extended until April 30, 2020; and.
WHEREAS, the risk of transmission of COVID-19 may be substantially reduced by
continuing to temporarily close our public and nonpublic schools; and
WHEREAS, the risk of transmission of COVID-19 may be substantially reduced by
continuing to temporarily some of our businesses and establishments while permitted limited
reopening in certain counties; and
WHEREAS, strict compliance with the provisions of Towa law previously suspended
‘would continue to prevent, hinder, or delay necessary action in coping with this disaster in all
counties of our stat.
NOW THEREFORE, I, KIMBERLY K. REYNOLDS, Governor of the State of lows,
by the power and authority vested in me by the Iowa Constitution, Art IV, §§ 1, 8 and Towa
Code §§ 29C.6(1), 135.140(6), and 135.144 do hereby proclaim a STATE OF PUBLIC
HEALTH DISASTER EMERGENCY continues o exist throughout the entre state of lows
‘and do hereby ORDER and DIRECT the following:
PROTECTION OF VULNERABLE IOWANS
SECTION ONE. I strongly encourage all vulnerable Iowans, including those with
preexisting medical conditions and those older than 65, in all counties of the state to continue to
limit ther activities outside oftheir home, including their visits to businesses and other
‘establishments and their participation in gatherings of any size and any purpose. REOPENING OF BUSINESSES AND ESTABLISHMENTS,
(All counties except Allamakee, Benton, Black Hawk, Bremer, Dallas, Des Moines,
Dubuque, Fayette, Henry, Iowa, Jasper, Johnson, Linn, Louisa, Marshall, Muscatine, Polk,
Poweshick, Scott, Tama, Washington, or Woodbury County)
SECTION TWO. Pursuant to Towa Code § 135.144 (3), and in conjunction with the
Towa Department of Public Health, unless otherwise modified by subsequent proclamation or
order of the Iowa Department of Public Health, Thereby order that effective at 5:00 a.m. on May
1, 2020 and until 11:59 p.m. on May 15, 2020:
A. Restaurants: A restaurant may reopen to serve food and beverages on its premises,
B. Fitness cente
‘but only to the extent that it complies with the following requirements:
(1) Capacity limited: The restaurant must limit the numberof customers present
at indoor or outdoor spaces to 50% ofits normal operating capacity to ensure
adequate spacing of groups.
(@) Groups limited: The restaurant must ensure that no group of customers
seated together in the restaurant is larger than six people.
(@) Social distancing: The restaurant must ensure atleast six feet of physical
distance between each group or individual dining alone.
(&) Setf-service prohibited: The restaurant must not have any self-service of
food or beverages, including buffets or salad bars.
() Social distancing, hygiene, and public health measures: The restaurant
shall also implement reasonable measures under the circumstances of each
restaurant to ensure social distancing of employees and customers, increased
hygiene practices, and other public health measures to reduce the risk of
‘transmission of COVID-19 consistent with guidance issued by the lowa
Department of Inspections and Appeals and the Towa Department of Public
Health
‘This paragraph does not reopen a bar, which must remain closed to the public except
as provided in section 2, paragraph A of this Proclamation.
fitness center, health club, health spa, or gym may reopen, but
only to the extent that it complies with the following requirements
(2) Capacity limited: The establishment must limit the number of customers
present to 50% ofits maximum legal occupancy capacity.
@ Social distaneing: The establishment must ensure that all equipment, such as
treadmills, bikes, weight machines, benches, and power racks, are spaced at
least six feet apart or tke other appropriate measures to ensure that more
closely spaced equipment is not used.
G) Group activities: Any group activities or classes must be limited to ten or
{ewer people and all people participating must maintain a distance of six feet
‘apart tall times.
(4) Social distancing, hygiene, and public health measures: The establishment
shall also implement reasonable measures under the circumstances of each
establishment to ensure social distancing of employees and customers,
increased hygiene practices, and other public health measures to reduce the
tisk of transmission of COVID-19 consistent with guidance issued by the
Towa Department of Public Health.
(C. Malls: An enclosed mall may reopen, but only tothe extent that it complies withthe
following requirements:
(1) Capacity limited: The mall must limit the number of customers present to
50% of its maximum legal occupancy capacity @) Common seating areas: All common seating areas, such as food courts, shall
remain closed. Restaurants in food courts may operate on a carry-out basis.
(@) Play areas: Any play area or playground must remain closed.
(4) Social distancing, hygiene, and public health measures: The mall shall also
‘implement reasonable measures under the circumstances ofeach mall 10
censure social distancing of employees and customers, increased hygiene
practices, and other public health measures to reduce the risk of transmission
‘of COVID-19 consistent with guidance issued by the Iowa Department of
Public Health.
D. Libraries: A library may reopen provided tht it limits the number of patrons present
10 50% of its maximum legal occupancy capacity and implements reasonable
‘measures under the circumstances ofeach library to ensure social distancing of
‘employees and patrons, increased hygiene practices, and other public health measures
tw reduce the risk of transmission of COVID-19 consistent with guidance issued by
the Iowa Department of Public Health
E. Race tracks: A speedway or racetrack, other than a track conducting horse or dog
races, may reopen its operations provided that it does not permit any spectators to
attend its evens in person.
F. Other retail establishments: A retail establishments that was previously ordered to
‘pe closed statewide, and is now ordered tobe closed only in certain counties under
section 5, paragraph I, may reopen, but only tthe extent that imits the numberof
customers present to 50% ofits maximum legal occupancy capacity and implements
reasonable measures under the circumstances of each establishment to ensure socal
distancing of employees and customers, increased hygiene practice, and other public
Inalth measures to reduce the risk of transmission of COVID-19 consistent with
guidance issued by the Towa Department of Public Health
‘This section shall apply only to businesses and establishments located in an lowe county other
than Allamakee, Benton, Black Hawk, Bremer, Dallas, Des Moines, Dubuque, Fayette,
Henry, Iowa, Jasper, Johnson, Linn, Louisa, Marshall, Muscatine, Polk, Poweshiek, Scott,
Tama, Washington, or Woodbury counties.
EXTENSION OF CLOSURES AND ORDERS
(Statewide)
SECTION THREE. Pursuant to Iowa Code § 135.144 (3), and in conjunction with the
Iowa Department of Public Health, unless otherwise modified by subsequent proclamation or
‘order of the Iowa Department of Public Health I hereby extend the following orders until 11:59
pm. on May 15, 2020:
‘A. Bars: A bar shall continue to be closed tothe general public except that tothe extent
permitted by applicable law as modified by the suspensions in this Proclamation, and
Jn accordance with any recommendations of the Iowa Department of Publie Health,
food and beverages may be sold if such food or beverages are prompily taken from
the premises, such as on a carry-out or drive-through basis, or ifthe food or beverage
js delivered to customers off the premises, For the purposes of this section, a baris an
establishment where a customer may purchase alcoholic beverages and in which the
serving of food in incidental to the consumption of those beverages and is limited to
the service of ee, snack foods and the reheating of commercially prepared foods such
as fiozen pizza, pre-packaged sandwiches, or other prepackaged, ready-to-serve
products
B. Theaters: All theaters or other performance venues at which live performances or
‘motion pictures are shown shall continue to be closed,
C. Casinos and gaming facilities: All casinos and other facilities conducting pari-
‘mutuel wagering or gaming operations shall continue to be closed. D. Social and fraternal clubs: All social and fraternal clubs, including but not limited
to American Legion or VFW posts, Elks Clubs, country clubs, and golf course
clubhouses shal be closed, except that food and beverages may be Sold if such food
‘or beverages are prompily taken from the premises anda golf course clubhouse may
also be open to the minimal extent necessary to facilitate us ofthe golf course
provided appropiate social distancing practices are implemented.
E, Senior citizen centers and adult dayeare facilities: All facilities that conduct adult
day services or other senior citizen centers shall continue to be closed,
F, Amusements: All bingo halls, bowling alleys, pool halls, arcades, and amusement
parks shall continue to be closed,
G. Museums, aquariums, and zoos: All museums, aquariums, and 200s shall continue
to be closed.
1H, Skating rinks and skate parks: All indoor or outdoor roller or ice skating rinks and
skate parks shall continue to be closed.
1. Playgroun
continue to be closed. This order does not apply to playgrounds in private residences
or childcare facilities.
4. Campgrounds: All public and private campgrounds shall continue to be closed to
temporary recreational use. This order shall not prohibit the use of a campground by @
long-term or permanent tenant who resides at the campground. All cabins and yur in
state parks shall also continue to be closed to temporary residents.
K, Swimming pools: All swimming pools and spas, wading pools, water slides, wave
pools, spray pads, and bath houses, as defined in Towa Code § 1351.1, shall continue
tobe closed.
LL. Salons: All salons, including all establishments providing the services of
cosmetology, elecrology, esthetics, nail technology, manicuring, and pedicuring, all
as defined in Towa Code § 157.1, shall continue to be closed,
M. Barbershops: All Barbershops, as defined Iowa Code § 158.1, shall continue to be
closed.
1N, Medical spas: All medical spas, as defined in Towa Admin Code § 653-13.8(1), shall
continue 19 be closed.
(©. Tattoo establishments: All Tattoo establishments, as regulated by Towa Code §
135,37, shall continue to be closed,
P. Tanning facilities: All tanning facilities, as defined by Iowa Code § 136D.2(5) shall
continue to be closed.
Q. Massage therapy establishments: All establishments where an individual is
practicing massage therapy as defined by Iowa Code § 152C.1(3) shall continue to be
closed.
R. Door-to-door sales: All unsolicited door-to-door sales and solicitations at all homes
and residences shall continue to be prohibited
SECTION FOUR. [continue to direct all state agencies to coordinate expeditiously in
4eveloping and implementing plans to mitigate the economic effects ofthe closings necessitated
by this disaster, including potential financial suppor, regulatory relief, and other executive
actions. ADDITIONAL EXTENSION OF BUSINESS CLOSURES
(Allamakee, Benton, Black Hawk, Bremer, Dallas, Des Moines, Dubuque, Fayette, Henry,
Towa, Jasper, Johnson, Linn, Louisa, Marshall, Muscatine, Polk, Poweshiek, Scott, Tama,
‘Washington, and Woodbury counties)
SECTION FIVE. Pursuant to lowa Code § 135.144 (3), and in conjunction with the
Iowa Department of Public Health, unless otherwise modified by subsequent proclamation or
order of the Iowa Department of Public Health, Thereby extend the following orders until 11:59
pm. on May 15, 2020:
A. Restaurants and bars: Al restaurants and bars shall continue to be closed to the
general public except that tothe extent permitted by applicable lav, and in
‘accordance with any recommendations of the Iowa Department of Public Health, food
‘and beverages may be sold if such food or beverages are promptly taken from the
‘premises, such as on a carry-out or drive-through basis, or if the food or beverage is
delivered to customers off the premises.
B. Fitness centers: ll fitness centers, health clubs, health spas, gyms, aquatic centers
shall continue to be closed
. Swimming pools: All swimming pools and spas, wading pools, water slides, wave
‘pools, spray pads, and bath houses, as defined in lowa Code § 1351.1, shall continue
to be closed.
D. Salons: All salons, including all establishments providing the services of
‘cosmetology, electrology, esthetics, nail technology, manicuring, and pedicuring, all
‘as defined in Towa Code § 157.1, shall continue to be closed,
I Barbershops, as defined Iowa Code § 158.1, shall continue to be
F. Malls: All enclosed malls shall be closed, including interior common areas and any
‘retail establishment that only accessible tothe public from the interior common areas.
AA retail establishment that may be directly accessed from outside the mall is not
required to close by this paragraph.
G. Libraries: All libraries shall continue tobe closed to the public. This prokibition
does not limit library employees from being present in a closed library or the
provision of curbside service
HE Race tracks: All race tracks and speedway’ shall be closed and shall not host any
races, evens, or other gatherings.
I. Other nonessential retail establishments: All bookstores; clothing stores; shoe
stores; jewelry stores; luggage stores; cosmetic, beauty, or perfume stores; florists;
fumiture and home furnishing stores; tobacco, cigarette, cigar, or vaping stores; and
‘oy, gaming, music, instrument, movie, or adult entertainment stores shall continue to
‘be closed. These establishments may stil seve the public through online or telephone
sales, delivery, or curbside pick-up. They may also permit a customer to enter the
store on an appointment basis provided that no more than ten customers are present at
atime. This closure order does not affect other retail establishments, such as discount
stores, grocery stores, or pharmacies that sll these goods in addition to other
essential food, medical supplies, and household goods.
‘This section shall apply only to businesses and establishments located in ANlamakee, Benton,
Black Hawk, Bremer, Dallas, Des Moines, Dubuque, Fayette, Henry, Towa, Jasper,
Johnson, Linn, Louisa, Marshall, Muscatine, Polk, Poweshiek, Scott, Tama, Washington,
‘and Woodbury counties
MASS GATHERINGS
SECTION SIX. Pursuant to lowa Code § 135.144 (3), and in conjunction withthe Towa
Department of Public Health, unless otherwise modified by subsequent proclamation or order of
‘the Iowa Department of Public Health, social, community, recreational, leisure, and sporting gatherings and events of more than 10 people shall continue to be prohibited at all locations and
‘Yenues, including but not limited to parades, festivals, conventions, and fundraisers effective
12:01 am. on May 1, 2020 and until 11:59 p.m. on May 15, 2020.
‘A. Spiritual and religious gatherings are not prohibited by this section, but a church,
‘synagogue, or other host ofa spiritual or religious gathering shall implement
reasonable measures under the circumstances of each gathering to ensure social
distancing of employees, volunteers, and other participants, increased hygiene
practices, and other public health measures to reduce the risk of transmission of
‘COVID-19 consistent with guidance issued by the Iowa Department of Public Health
Although wedding and funeral ceremonies are not covered by this section, wedding
receptions of more than 10 people are social gatherings that are prohibited.
'B. A gathering of people inside parked ears, trucks, or other enclosed motor vehicles
‘hall not constitute a gathering of more than 10 people if no more than 10 people are
inside each vehicle, all people remain inside the vehicle at all times.
CC. Planned large gatherings and events must be canceled or postponed until after
termination ofthis disaster.
FARMERS MARKETS.
SECTION SEVEN. Pursuant to Jowa Code § 135.144(3), and in conjunction with the
Iowa Department of Public Health, 1 continue to order that until 11:59 p.m, on May 15, 2020,
farmers markets, as defined in Towa Code § 137F shall not be prohibited as a mass gathering
under this Proclamation of Disaster Emergency, but only to the extent that the farmers market
complies with the following requirements:
A. Farm Products and Food: The farmers market may only permit vendors who sell
{farm products or food. Vendors selling other goods or services are not permitted.
B. Entertainment and Activities Prohibited: Musical performances, children's
activities, contests, or other entertainment or activities organized by the farmers
market or vendors are prohibited.
C. Common Seating Prohibited: Farmers markets must eliminate all eommon seating
areas, picnic tables, or dining areas and shall prohibit vendors from having any
seating for the public to congregate or eat food on the premises.
D. Vendor Spacing: Farmers markets shall space all vendor booths or assigned parking
areas so that there is six feet or more of empty space from the edge one vendor's
assigned areas to the neighboring vendor.
E. Social distancing, hygiene, and public health measures: Farmers markets shal also
‘implement reasonable measures under the circumstances of each market to ensure
social distancing of vendors and customers, increased hygiene practices, and other
public health measures to reduce the risk of transmission of COVID-19 at farmers
‘markets consistent with guidance issued by the Towa Department of Public Health,
‘Towa Department of Agriculture and Land Stewardship, lowa Department of
Inspections and Appeals, and Iowa State University Extension and Outreach,
Any other farmers market, festival, or community gathering often or more people that does not
‘comply with these requirement is prohibited. Customers of farmers markets are strongly
encouraged to engage in social distancing, wear a mask or other protective face-covering if
‘unable to maintain a distance of six feet from others, practice good hygiene practices, and attend
the market alone without other family members.
AUCTIONS:
SECTION EIGHT. Pursuant to Lowa Code § 135.144 (3), and in conjunction withthe
Towa Department of Public Health, unless otherwise modified by subsequent proclamation or
order of the Iowa Department of Public Health, all auctions with more than 10 people present in
person continue to be prohibited until 11:59 p.m. on May 15, 2020, at all locations and venues,
‘except for livestock auctions that only include food animals and farm product auctions, which ‘may continu to operate so long as there are no more than 25 people present in person. People
‘who remain inside parked cars, trucks, or other enclosed motor vehicles shall not be counted in
‘considering the number of people present, provided all people remain inside the vehicle at all
times.
ELECTION ACTIVITIES
SECTION NINE. Pursuant to Iowa Code § 135.144(3), and in conjunction withthe
Towa Department of Public Health, unless otherwise modified by subsequent proclamation or
‘order of the Iowa Department of Public Health, I hereby order that:
A. Voting and Election Training: The prohibitions on certain mass gatherings inthis
Proclamation of Disaster Emergency shall not be construed to limit any person from.
‘voting or attending training for precinct election officials.
B. Use of Facilities: The closures of any school, establishment or other facilites in this
Proclamation of Disaster Emergency shall not be construed to prohibit the operation
of. polling place or in-person absentee voting location at the school, establishment,
‘or other facility
NONESSENTIAL OR ELECTIVE SURGERIES AND PROCEDURES
SECTION TEN. Pursuant to Towa Code § 135.144(3), and in conjunetion with the Iowa
Department of Public Health, unless otherwise modified by subsequent proclamation or order of
the Iowa Department of Public Health I continue to order that until 11:59 p.m. on May 15, 2020:
A. A hospital, outpatient surgery provider, or outpatient procedure provider may conduct,
‘in-patient surgeries and procedures thai, if further delayed, will pose a significant risk
to quality of life and any outpatient surgeries or procedures ifthe hospital or provider
‘complies with the following requirements:
(1) A hospital or provider must have:
(@) Adequate inventories of personal protective equipment (PPE) and access
to arelabl supply chain without relying on stat of local government
PPE stockpiles to support continued operations and respond to an
‘unexpected surge in atimely manner, and
(b) A plan to conserve PPE consistent with guidance from the CDC and Iowa
Department of Public Health;
(@) A hospital or provider must have a plan for timely COVID-19 testing of
symptomatic patents and staff to rapidly mitigate potential clusters of
infection and as otherwise clinically indicated. Providers must comply with
‘any relevant guidance related to testing requirements for patients and staf
issued by the Iowa Department of Public Health, the CDC, or a provider's
professional specialty society. For scheduled surgeries patients should have a
negative COVID-19 test performed within 48 hours of surgery date. Ifa
COVID-19 tests not available, a hospital or provider should consider
alternative methods to determine the patient's probability of COVID-19. Ifthe
patient has symptoms of fever, cough, or low oxygen saturation, then
postponing the surgery is recommended.
(@) A hospital must continue to accept and treat COVID-19 patients and must not
‘tansfer COVID-19 patients to create capacity for elective procedure.
(4) A hospital must reserve at least 30% of intensive care unit (ICU) beds and
30% of medical/surgical beds for COVID-19 patients.
(5) A hospital or provider that begins conducting surgeries or procedures as
authorized by this paragraph but is no longer able to satisfy all these
requirements must cease conducting such surgeries or procedures except as
authorized by paragraph B. All hospitals and providers shall have a plan in place to monitor compliance and a transition plan to reduce or suspend
Procedures and surgeries as necessary
B. Except as provided in paragraph A, all nonessential or elective surgeries and
‘procedures that utilize PPE must not be conducted by any hospital, outpatient surgery
‘provider, or outpatient procedure provider, whether public, private, or nonprofit.
C. A nonessential surgery or procedure is one that can be delayed without undue risk to
‘the current or future health of patent, considering all appropriate factors including,
bt not limited to any: (1) threat tothe patient's life ifthe surgery or procedure is not
performed; (2) threat of permanent dysfimetion ofan extremity or organ system: (3)
risk of metastasis o progression of staging: and (4) risk of rapidly worsening to
severe Symptoms
D. Each hospital, outpatient surgery provider, and outpatient procedure provider shall
limit all nonessential individuals in surgery and procedure suites and patient care
areas where PPE is required. Only individuals essential to conducting the surgery or
procedure shall be present in such areas
E. Fach hospital, outpatient surgery provider, and outpatient procedure provider shall
establish an intemal governance structure to ensure that the principles outlined above
are followed.
NONESSENTIAL DENTAL SERVICES
SECTION ELEVEN. Pursuant to lowa Code § 135.144(3), and in conjunction with the
Jowa Deparment of Public Health, unless otherwise modified by subsequent proclamation or
onder of the Iowa Department of Public Health, I continue to order that until 11:59 pm. May 15,
2020:
‘A. All dentists and ther staff shall refrain from performing elective dental procedures,
including: any cosmetic oF aesthetic procedures; all routine hygiene; any orthodontic
procedures other than those necessary to relieve pain or infection or to restore normal
oral functioning initiation of erowns, bridges, or dentures that do not address or
prevent pain or restore normal oral functioning; any periodontal plastic surgery:
extraction of asymptomatic non-caious teth; recall visits for periodontally-heathy
patients; and all appointments for high-risk patients, including ASA 2 and 3 patients,
unless emergent
BB. This order does not prohibit the provision of emergeney dental services. This order
also does not prohibit the provision of dental surgeries conducted at a hospital that
complies with the requirements of section 10, paragraph A
2
This order shall be enforced by Iowa Dental Board investigators or ther designees
‘who, pusuant to Towa Code §153.33()(), shall have the powers and status of peace
officers when enforcing this order.
D. The Iowa Dental Board shall provide additional guidance to its licensees pursuant 19
Towa Code § 29C.19 regarding the nature and scope ofthis restriction, to the extent
necessary to protect the public health and ensure continuity of services to Towans.
MANDATORY SCREENING OF HEALTH FACILITY STAFF
SECTION TWELVE. Pursuant to Iowa Code § 135.144(3), and in conjunction with
the Towa Department of Public Health, I continue to order all hospitals, nursing facilities,
intermediate care facilities, residential care facilities, hospice programs, and assisted living
programs to screen all staff at the beginning of their shift fr fever or respiratory symptoms,
absence or shortness of breath, new Or change in cough, or sore throat, take the employee's
‘temperature, and take any preventative measures based on that screening to prevent the spread of
COVID-19 within the hospitals, nursing facilites, intermediate cae facilities, hospice programs,
residential care facilities, and assisted living programs SCHOOL CLOSURES
SECTION THIRTEEN. Pursuant to Iowa Code § 135.144 (13), and in conjunction
‘with the Iowa Department of Public Health and the Iowa Department of Education, unless
‘otherwise modified by subsequent proclamation, Thereby order that all public schools and
nonpublic schools, as defined in Towa Code § 280.2, shall remain closed for the remainder ofthe
regularly scheduled school year, to prevent and control the transmission of COVID-19.
SECTION FOURTEEN. Pursuant to SF. 2408, section 13, subsection 2, Thereby
‘waive the instructional time requirements of section 279.10, subsection 1, and the minimum.
school day requirements of section 256.7, subsection 19, from April 13, 2020, until the end of
the school year, for those school districts and accredited nonpublic schools that adopted a plan
for offering continuous learning and submit it tothe Iowa Department of Education by April 10,
2020 and continue to implement such a plan. Consistent with any continuing learning guidance
‘rom the Department, such a plan may offer Voluntary Educational Enrichment Opportunities or
provide Required Educational Services and must be submitted through the Consolidated
‘Accountability and Support Application (CASA) system,
SECTION FIFTEEN. Pursuant to lowa Code § 29C.6(6), I continue to temporarily
suspend the regulatory provisions of lowa Code §§ 256.7(26)(2) and 256.11(5) and Towa Admin.
Code rule 281- 12.5(5), requiring curriculum standards and completion of specific units of credit
for completion of a high school program of study, to the extent such provisions would hinder
Towa school districts in assisting the Iowa high school graduating class of 2020 in completing a
course of study during this disaster emergency.
SECTION SIXTEEN. Pursuant to lowa Code § 29C.6(6), I continue to temporarily
‘suspend the regulatory provisions of Iowa Code § 256.11(6)(c) and lowa Admin. Code rule 281-
12.5(20), requiring each Iowa pupil physically able to do so fo complete a psychomotor course
that leads to certification in cardiopulmonary resuscitation (CPR) inorder to graduate from high
school, tothe extent such provisions would hinder Iowa school districts in assisting the Iowa
high school graduating class of 2020 in completing a course of study during this disaster
‘emergency.
SECTION SEVENTEEN. Pursuant to lowa Code § 29C.6 (6), Leontinue to termporarily
suspend the regulatory provisions of lowa Code § 256.16(1)(@)(2)(@) and (m) and Towa Admin
(Code rules 281-77.10 (9), 281-79.14(5), and 281-79.14(7), tothe extent that they require a
‘minimum number of hours of field experience ifthe higher education institution providing
practitioner preparation program determines thatthe student has completed sufficient field
experience to determine thatthe student should be recommended fr licensure
SECTION EIGHTEEN. Pursuant to Iowa Code §29C.6(6), I continue to temporarily
suspend the regulatory provisions of lowa Code § 100.31, prescribing that not less than four fire
drills and not less than four tomado drills be conducted in all school buildings each school year,
‘with not less than two drills of each type be conducted between January 1 and June 30 of each
year,
REGULATORY RELIEF TO HEALTH CARE SYSTEM.
SECTION NINETEEN. Pursuant to Lowa Code § 29C.6 (6) I continue to temporarily
suspend the regulatory provisions of Iowa Code §§ 135.61 through 135.73 reqy
institutional health facility to obtain a certificate of need prior to operating additional bed
capacity. Suspension ofthese provisions is limited to the duration of this proclamation and is
further limited tothe provision of medical assistance and treatment of victims of this public
health emergeney.
SECTION TWENTY. Pursuant to Towa Code § 29C.6(6), I continue to temporarily
‘suspend the regulatory provisions of lowa Code § 135C.33 and lowa Admin Code rules 481-
50.9(3) & (9) and 67.19(3), requiring a health care facility and assisted living program to
‘complete a criminal history check prior to employment of an individual in a health care facility
or assisted living program, to the extent that a health care facility or assisted living program may
‘employ an individual once that criminal history check is submitted, pending completion. SECTION TWENTY-ONE. Pursuant to Iowa Code § 29C.6(6), I continue to
temporarily suspend the regulatory provisions of Iowa Code § 135C.8 and Towa Admin Code
rules 481-58.3(3\(), requiring a nursing facility to submit renewal applications atleast 30 days
in advance of license expiration
SECTION TWENTY-TWO. Pursuant to lowa Code § 29C.6(6), continue to
temporarily suspend the regulatory provisions of lowa Admin Code rules 481-S8.21(6)(4) &
65.17(1)), requiring nursing students to administer medications in nursing facilities and
‘immediate care facilities for persons with mental illness only after successful completion of a
‘medication aide course or challenge exam, to the extent the nursing student meets the
requirements of Towa Admin Code rules 481-58.21(6)(4)1), 2), & (4), and 65.17(1)(@(1), 2),
‘& (4) and the facility has documentation that it has implemented training and supervision
‘measures to ensure the student's competency in safe medication administration.
SECTION TWENTY-THREE. Pursuant to Iowa Code § 29C.6(6), I continue to
temporarily suspend the regulatory provisions of Iowa Admin Code rules 481-57.20(1) &
58.23(1)(a), requiring residential care facilities and nursing facilities assist residents to obtain
regular and emergency dental services, tothe extent those facilites continue to assist residents in
obtaining emergency dental services.
SECTION TWENTY-FOUR. Pursuant to lowa Code § 29C.6(6) and lowa Code
§ 135.1446), in conjunction with the Iowa Department of Public Healt, I continue to
temporarily suspend the regulatory provisions of lowa Admin Code rules 481-57.23(1) &
58.26(1) requiring group activities provided by residential care facilities and nursing facilites.
SECTION TWENTY-FIVE. Pursuant to lowa Code § 29C.6(6) and low Code
§135.144G), in conjunetion with the Iowa Department of Pubic Healt, I continue to
temporarily suspend the regulatory provisions of Towa Admin. Code rule 481-58.47, permiting
Jnrperson visits with residents in musing facilities
SECTION TWENTY-SIX. Pursuant to lowa Code § 29C.6(6), 1 continue to
temporarily suspend the regulatory provisions of Towa Cade § 231C.3(1)() and lowa Admin
Code rules 481-69.22(2) & 481-57.22(3) requiring an assisted living program and residential
care facility to update a tenant's or residents service plan within thirty days of occupancy or
admission.
SECTION TWENTY-SEVEN. Pursuant to Iowa Code §29C.6(6),Teontinue to
temporarily suspend the regulatory provisions of Towa Code § 231C.8(1) and lowa Admin. Code
rule 481-67.13(1) requiring an assisted living program to submit any additional or rebuttal
information tothe department within two working days ofan exit interview at the conclusion of
monitoring evaluation or complaint investigation,
SECTION TWENTY-EIGHT. Pursuant to Iowa Code § 29C.6(6),I continue to
‘temporarily suspend the regulatory provisions of Iowa Admin. Code rule 481-67-5(2) requiring a
person administering medications in an assisted living program have, at a minimum, passed a
‘medication manager course and examination. Suspension of this provision i effective on April
15, 2020, the date upon which that rule becomes effective
SECTION TWENTY-NINE. Pursuant to lowa Code § 29C.6(6), Leontiaue to
temporarily suspend the regulatory provisions of Towa Admin. Code rule 481-69.29(5) & (6)
requiring a new program manager and delegating nurse in asisted living programs complete an
assisted living management class and/or an assisted living nursing class within six months of |
employment.
SECTION THIRTY. Pursuant to lowa Code § 29C.6(6) and lowa Code § 135.144(3),
{in conjunction with the Iowa Department of Public Health, I continue to temporarily suspend the
regulatory provisions of lowa Admin. Code rule 481-57.11(6) requiring a residential care facility
employee have a physical examination no longer than twelve months prior to beginning
cmployment, tothe extent it is not feasible fora facility to obtain the required paysical
‘examination prior to beginning employment.
SECTION THIRTY-ONE, Pursuant to Towa Code § 29C.6(6) and lowa Code
{§ 135.1443), in conjunction with the Iowa Department of Public Healt, I continue to temporarily suspend the regulatory provisions of Iowa Admin. Code rule 481-57.11(6) requiring
‘residential care facility sereen and test an employee for tuberculosis pursuant to 481-Chapter
59 if itis not feasible fora facility to do so, tothe extent the facility continues to perform and
{document sign/symptom review of new health care workers and residents and places the health
care worker or resident on a callback list to test as soon as possible.
SECTION THIRTY-TWO. Pursuant to Iowa Code § 29C.6(6) and Iowa Code
135.1440), in conjunction with the Iowa Department of Public Health, I continue to
temporarily suspend the regulatory provisions of Iowa Admin. Code rules 481-S7-19(3X@) &
(64.4(9)(b) requiring « person administering medications ina residential care facility and
intermediate care facility forthe intellectually disabled to complete a department-approved
‘medication aide course and pass a department-approved medication aide exam, to the extent the
person has successfully completed a state-approved medication manager course and passed a
state-approved medication manager exam to administer medications.
SECTION THIRTY-THREE. Pursuant to Iowa Code § 29C:6(6), continue to
temporarily suspend the regulatory provisions of lowa Admin, Code rule 481-57.22(1) requiring
a residential eare facility provide orientation within twenty-four hours of admission, tothe extent
the facility must continue to provide review ofthe resident's rights and the facility's evacuation
plan,
SECTION THIRTY-FOUR. Pursuant to Iowa Code § 29C.6(6),I continue to
temporarily suspend the regulatory provisions of Iowa Code § 135C.36 and lowa Admin. Code
rules 481-562 & 67.17, requiting fines fora health care facility or assisted living program, to the
extent those fines may be issued in suspension.
SECTION THIRTY-FIVE. Pursuant 10 lowa Code § 29C.6(6) and Iowa Code
{§135.144(3), and in conjunction with the Towa Department of Public Health, I continue to
temporarily suspend the regulatory provisions of Iowa Admin. Code r 641-136.2(2) related to
trauma data registry reporting by trauma care facilities within certain timeframes. [hereby direct
the lowa Department of Public Health o provide additional guidance to trauma care facilities
regarding the effect of this suspension
SECTION THIRTY-SIX. Pursuant to Iowa Code § 29C.6(6) and Iowa Code
§ 135.144), and in conjunction with the Jowa Department of Public Health Icoatinue to
temporarily suspend the regulatory provisions of Towa Admin, Code r 641-137.2 and 137.3
related to intial and continuing trauma education requirements for trauma team members. [
hereby direct the Towa Department of Public Health to provide additional guidance to trauma
care facilities and trauma team members regarding the effect of this suspension
‘SECTION THIRTY-SEVEN. Pursuant to lowa Code § 29C.6(6) and lowa Code
§ 135.1443), and in conjunction with the Iowa Department of Public Health, T continue to
temporarily suspend the regulatory provisions of lowa Code § 135B,9(1)(@) requiring bospital
Inspectors be free of conflicts of interest.
SECTION THIRTY-FIGHT. Pursuant o Towa Code § 29C.6(6) and Iowa Code
§ 135.1443), and in conjunction with the Iowa Department of Public Health I continue to
‘temporarily suspend the regulatory provisions of Iowa Code § 135B.20(1) and lowa Adin
Code rule 481-51.1, and any statute or rule using terms defined in those provisions, defining a
“doctor” and “medical staf?” as requiring all doctors and medical staff be licensed to practice in
this state, to the extent that individual is licensed to practice in another state or in accordance
with Section 75 of ths Proclamation of Disaster Emergency.
SECTION THIRTY-NINE. Pursuant to lowa Code § 29C.6(6) and lowa Code
§ 135.144), and in conjunction withthe Iowa Department of Public Health, I contin 10
‘temporarily suspend the regulatory provisions of Towa Code § 1358.34 and fowa Admin Code
rule 481-5141, requiring a hospital to complete a criminal history check prior to employment of
an individual, fo the extent that a hospital may employ an individual once that criminal history
check i submitted, pending completion
SECTION FORTY. Pursuant to Iowa Code § 29C.6(6) and Iowa Code § 135.144(3),
‘and in conjunction withthe Iowa Department of Public Health, I continue to temporarily suspend
‘the regulatory provisions of Iowa Admin Code rule 481-51.4, requiring physical separation and distinction between a long-term acute care hospital located within a general hospital, tothe
extent that it is not feasible fora hospital todo so.
SECTION FORTY-ONE. Pursuant to Iowa Code § 29C.6(6) and Iowa Code
§ 135.1443), and in conjunction with the Iowa Department of Public Health, I continue to
temporarily suspend the regulatory provisions of lowa Admin Code rule 481-51.5(4), requiring
‘written criteria for the granting of clinical privileges, tothe extent that policies shall not be
required to be rewritten to accommodate waivers provided by the State or the Centers for
Medicare and Medicaid Services.
SECTION FORTY-TWO. Pursuant o Towa Code § 29C.6(6) and Towa Code
§ 135.1443), and in conjunction with the Iowa Department of Public Health, I continue to
temporarily suspend the regulatory provisions of Iowa Admin Code rule 481-51.6, requiring
hospitals to adopt a statement of principles relating to patient rights and responsibilities, to the
extent that policies shall not be require tobe rewritten to accommodate waivers provided by the
State or the Centers for Medicare and Medicaid Services.
SECTION FORTY-THREE. Pursuant to Lowa Code § 29C.6(6) and lowa Code
§ 135.144G), and in conjunction with the Iowa Department of Public Health, continue to
‘temporarily suspend the regulatory provisions of Iowa Admin Code rule 481-51.9(1), requiring
the clear definition of authority, responsiblity, and function of each nurse, to the extent that there
is evidence that each nurse has been assessed competent in any area where they function.
SECTION FORTY-FOUR. Pursuant to lowa Code § 29C.6(6) and Iowa Code §
135.144(3), and in conjunction with the Towa Department of Public Health, I continue to
‘temporarily suspend the regulatory provisions of lowa Admin Code rule 481-51.9(2), requiring
utilization of the nursing process, to the extent that it is not feasible to do so,
SECTION FORTY-FIVE, Pursuant to lowa Code § 29C.6(6) and Iowa Code §
135.144(3), and in conjunction with the Iowa Department of Public Health, I continue to
‘temporarily suspend the regulatory provisions of lowa Admin Code rule 481-51.9(4, to the
‘extent that all nurses employed in a hospital who practice nursing as a registered nurse or
licensed practical nurse must hold an active Towa license, an active license in another state and
be recognized for licensure inthis state pursuant tothe nurse licensure compact in Iowa Code
section 152E.1, or be qualified for employment in accordance with Section 75 of this
‘Proclamation of Disaster Emergency.
SECTION FORTY-SIX. Pursuant to Iowa Code § 29C.6(6) and lowa Code
§ 135.144), and in conjunction with the lowa Department of Public Health, I continue to
‘temporarily suspend the regulatory provisions of Iowa Admin Code rule 481-51.9(8), requiring
the nursing service to have adequate numbers of licensed registered nurses, licensed practical
‘nurses, and other personnel to provide nursing cae, to the exten that the hospital has made all
reasonable efforts to maintain sufficient staffing levels
SECTION FORTY-SEVEN. Pursuant to lowa Code § 29C.6(6) and lowa Code
§ 135.144), and in conjunction with the Iowa Department of Public Health, I continue to
temporarily suspend the regulatory provisions of Iowa Admin Code rule 481-51.9(9), requiring
‘written policies and procedures be established for the administrative and technical guidance of
‘the personnel inthe hospital and that each employee be familiar with those policies or
procedures
SECTION FORTY-EIGHT. Pursuant to lowa Code § 29C.6(6) and lowa Code
§ 135.1443), and in conjunction with the Iowa Department of Public Health, I continue to
temporarily suspend the regulatory provisions of Iowa Admin Code rule 481-51.12, requiring
hospital medical record and report maintenance, tothe extent that records shall continue to be
‘maintained as required by federal regulation
SECTION FORTY-NINE. Pursuant to Towa Code § 29C.6(6) and lows Code
§135.144(3), and in conjunction with the Iowa Department of Public Health, I continue to
temporarily suspend the regulatory provisions of Iowa Admin Code rules 481-51.14G), 51.14(4),
and 51.15, requiring procedures for authentication of verbal orders and standing orders, to the
extent that hospitals comply with federal regulation related to such orders, SECTION FIFTY. Pursuant to Jowa Code § 29C.6(6) and Iowa Code § 135.1443), and
{in conjunction with the Towa Department of Public Health, I continue to temporarily suspend the
regulatory provisions of lowa Admin Code rules 481-51.20(2)(@), requiring maintenance of a
current diet manual, tothe extent those manuals would be maintained at surge capacity sits.
SECTION FIFTY-ONE. Pursuant to lova Code § 29C.6(6) and Iowa Code
§ 135.144G), and in conjunction with the Iowa Department of Public Health, I continue to
‘temporarily suspend the regulatory provisions of Iowa Admin Code rule 481-51.22, requiring
‘hospital equipment be selected, maintained and utilized in accordance with the manufacturer's
specifications, to the extent it isnot feasible to do so.
SECTION FIFTY-TWO. Pursuant to lowa Code § 29C.6(6) and lows Code
§ 135.144@), and in conjunction with the Iowa Department of Public Health, I continue to
‘temporarily suspend the regulatory provisions of Towa Admin Code rule 481-51.24(1), requiring
segregation of patients’ beds, tothe extent hospitals take all reasonable precautions to provide
for the prevention of ross-infections and the control of communicable diseases.
SECTION FIFTY-THREE, Pursuant to Towa Code § 29C.6(6) and lowa Code
§ 135.144(3), and in conjunction with the Iowa Department of Public Health, I continue to
temporarily suspend the regulatory provisions of lowa Admin, Code rule 481-51.24(3), requiring
‘a hospital perform a health assessment and screen and test an employee for tuberculosis pursuant
‘0 481-Chapter 59 if tis not feasible for a hospital to do so, to the extent the hospital continues
‘to assess new employees for infectious or communicable diseases and perform and document
sign/symptom review of new health eare workers and residents and places the health care worker
‘or resident on a callback listo test as soon as possible.
SECTION FIFTY-FOUR. Pursuant to Towa Code § 29C.6(6) and lowa Code
§ 135.144(3), and in conjunction with the Jowa Department of Public Health, I continue to
‘temporarily suspend the regulatory provisions of Towa Admin Code rule 481-51.30, requiring a
hospital to have written policies and procedures specifying the scope and conduet of patient care
to be provided in the emergency service to the extent that policies shall not be required to be
rewritten to accommodate this public health disaster emergency.
SECTION FIFTY-FIVE. Pursuant to lowa Code § 29C.6(6) and Iowa Code
§ 135.144(), and in conjunction with the Iowa Department of Public Health, Icontinve to
temporarily suspend the regulatory provisions of Iowa Admin Code rule 481-51.50, requiring
‘minimum standards of construction for hospitals, to the extent that the Department of Inspections
‘and Appeals and State Fire Marshal's Office have approved the location as one that sufficiently
addresses safety and comfort for patents and staff.
SECTION FIFTY-SIX. Pursuant to lowa Code § 29C.6(6) and lowa Code
§ 135.144(), and in conjunction with the Iowa Department of Public Health, Icontinve to
‘temporarily suspend the regulatory provisions of lowa Admin Code rule 481-51.53(4), requiring
critical access hospitals maintain no more than 25 acute care inpatient beds.
SECTION FIFTY-SEVEN. Pursuant o Iowa Code §29C-6(6) and Iowa Code
§ 135.1446), and in conjunction with the owa Department of Public Health, I ontinve to
temporarily suspend the regulatory provisions of lowa Admin Code rule 481-51.53(5), requiring
ritieal access hospitals meet the Medicare conditions of participation as described in 42 CFR.
Par. 485, Subpart F, othe extent waivers have been issued by the Centers for Medicare and
Mesiaid Series
SECTION FIFTY-EIGHT. Pursuant to lowa Code § 29C.6(6) and Iowa Code
§ 135.144G), and in conjunction with the Iowa Department of Public Health, I continue to
‘temporarily suspend the regulatory provisions of lowa Admin Code rule 481-58.11(1)(),
requiring a nurse aide who has not completed the state-approved 75-hour nurse's aide program
be required to participate ina structured on-the-job training program of 20 hours’ duration, to the
‘exten thatthe individual has completed a comparable taining course approved by the
‘department of inspections and appeals or has completed at least 20 hours of the state-approved
7S-hour nurse's aide program and the facility has documentation that it has implemented taining
and supervision measures to ensure the individual's competency in any tasks performed. SECTION FIFTY-NINE. Pursuant to lowa Code § 29C.6(6) and Towa Code
§ 135.144G), and in conjunction with the Iowa Department of Public Health, I continue to
‘temporarily suspend the regulatory provisions of lowa Admin Code rule 481-58.11(1)(K),
requiring that certified nurse aides who have received training other than the Lowa state-approved
‘program must pass a challenge examination, to the extent that the individual is able to
‘demonstrate competeney in skills and techniques necessary to care for residents’ needs as
required by 42 CFR § 483.35(c) and (CVG).
SECTION SIXTY. Pursuant to Towa Code § 29C.6(6) and lowa Code § 135.144(3), and
in conjunction with the Iowa Department of Public Health, I continue to temporarily suspend the
regulatory provisions of lowa Admin Code rule 441-81.13(19)(e)2)Q), requiring that a facility
‘not use any person working in the facility as a nurse aide for more than four months unless that
person has completed a training and competency evaluation program approved by the department
‘of inspections and appeals, to the extent thatthe individual is able to demonstrate competency in
skills and techniques necessary to care for residents’ needs as required by 42 CFR § 483.35(6)
and (C0).
SECTION SIXTY-ONE. Pursuant to Iowa Code § 29C.6(6) and Iowa Code
§ 135.1443), and in conjunction with the Iowa Department of Public Health, | continue to
‘temporarily suspend the regulatory provisions of lowa Admin Code rule 441-81.16(5){0)2)3)
and (5)(c)(S)Q), requiring thatthe department of inspections and appeals remove certified nurse
sides from the Towa Direct Care Workers Registry if they have performed no nursing or nursing-
related services for monetary compensation for a period of 24 consecutive months, to the extent
that the individual is able to demonstrate competency in skills and techniques necessary to care
for residents’ needs as required by 42 CFR § 483.35(¢) and (AI)
SECTION SIXTY-TWO. Pursuant to Towa Code § 29C.6(6) and lowa Code
§ 135.144), and in conjunction with the lowa Department of Public Health I continue to
temporarily suspend the regulatory provisions of lowa Admin Code rule 441-81.16(3), requiring
‘minimum standards for nurse aide training and competency evaluation programs the department
‘of inspections and appeals may approve, to the extent thatthe program has been approved by the
Centers for Medicare and Medicaid Services.
SECTION SIXTY-THREE. Pursuant to lowa Code § 29C.6(6) and lowa Code
§ 135.144(3), and in conjunction with the Towa Department of Public Health, Icontinue to
temporarily suspend the regulatory provisions of Iowa Admin Code rules 481-57.19(2)(0,
58.21(6)(), 64.4(9)(@), and 65.17(1)(@) requiring a person who has written documentation of
certification as a medication aide in another state complete a department-approved nurse aide
‘competency examination and medication aide challenge examination, to the extent the individual
is able to demonstrate competency in safe medication administration,
SECTION SIXTY-FOUR. Pursuant to lowa Code § 29C.6(6) and Iowa Code
§ 135.144(), and in conjunction with the Iowa Department of Public Health I continue to
‘temporarily suspend the regulatory provisions of Iowa Admin, Code rules 481-57.26 and 67.3(6),
1 the extent those provisions permit in-person visits in residential care facilities or with tenants,
inan adult day service.
SECTION SIXTY-FIVE. Pursuant to Towa Code § 29C.6(6) and lowa Code
§ 135.144G), and in conjunction with the lowa Department of Public Health, I continue to
‘temporarily suspend the regulatory provisions of lowa Code § 135C.16(1), 135C.38(1), and
135C.40(1)(@) to the extent those provisions require on-site inspections of heath care facilites.
SECTION SIXTY-SIX. Pursuant o Towa Code § 29C.6(6) and Iowa Code
§ 135.144G), and in conjunction with the Iowa Department of Public Health, I continue to
‘temporarily suspend the regulatory provisions of lowa Code §§ 232.69 and 235B.3, and any
provisions ofthe Iowa Administrative Code implementing those chapters, tothe extent they
‘equire a person who is subject to the mandatory reporting requirements af those provisions to
‘complete a training provided by the Department of Human Services within six months of initial
‘employment. Suspension ofthese provisions does not affect the requirement that a person report
‘eases of child or dependent adult abuse tothe proper authorities. ‘TELEHEALTH SERVICES
SECTION SIXTY-SEVEN. Pursuant to Iowa Code § 29C.6(6) and Iowa Code
§ 135.144G), and in conjunction with the lowa Department of Public Healt, I continue to
suspend the regulatory provision of Iowa Code chapters § 514C.34 to the extent that it excludes
from the definition oftelehealth the provision of services through audio-only telephone
‘ansmission, and I direct the Insurance Commissioner to use all available means, including the
authority of lowa Code §§ 505.8(1) (7, and 29C.19, to ensure that any health carie, as defined
in owa Code § 514J.102, shall reimburse a health care professional, as defined in Iowa Code
§ 5141-102, for medically necessary, clinically appropriate covered services by telehealth, as
defined in § S14C.34(1) or via audio-only telephone transmission, provided to a covered person,
as defined in Iowa Code § 514.102, on the same basis and at the same rate asthe health carrier
‘would apply to the same health care services provided toa covered person by the health care
professional in person forthe duration of this proclamation. I also encourage all Iowa businesses
‘take any necessary action to remove cost-sharing or other financial barrier tothe use of
‘elehealth in their health insurance plan.
SECTION SIXTY-EIGHT. Pursuant to lowa Code § 29C.6 (6), I continue to suspend
‘the regulatory provisions of Iowa Code § 147.137 and Iowa Admin, Code rule 653-13.11, rule
641-155.2, and other implementing administrative rules establishing preconditions, limitations,
or restrictions on the provision of telchealth or telemedicine services, and I continue to
temporarily suspend the regulatory provisions of lowa Admin. Code rules 641-155.21(19) and
155.23(4) and other administrative rules which requite face-to-face interactions with health care
providers and impose requirements for residential and outpatient substance use disorder
treatment and for face-to-face visitations.
PHARMACY THERAPEUTIC SUBSTITUTION
SECTION SIXTY-NINE. Pursuant to lowa Code § 29C.6(6) and Iowa Code
§§135.144(3), and in conjunction with the lowa Department of Public Health I continue to
‘temporarily suspend the regulatory provisions of lowa Code § 155.32 and any implementing
administrative rules to the extent they prohibit the practice of therapeutic substitution by a
pharmacist without prior consent by the prescriber. Suspension of this provision shall extend
through the duration of this Proclamation and any further extension of this suspension. [hereby
direct the board of pharmacy to provide additional guidance o licensees regarding the effect of
this suspension.
‘SUSPENSION OF INVOLUNTARY DISCHARGE FOR NONPAYMENT.
SECTION SEVENTY. Pursuant 10 Iowa Code § 29C.6(6) and Iowa Code § 135.1443),
in conjunetion with the lowa Department of Public Health, [continue to temporarily suspend the
regulatory provisions of Iowa Admin Code rules 481-57.14(1)(¢) and 58.40(1)(), permitting a
residential care facility or nursing facility to involuntarily discharge or transfer a resident for
‘nonpayment for the residents stay
COUNTY HOSPITAL BORROWING
SECTION SEVENTY-ONE. Pursuant to Towa Code § 29C.6(6) and fowa Code
§ 135.1443), and in conjunction with the Lowa Department of Public Health, and atthe request
‘of local governing body, I continue to temporarily suspend the regulatory provisions of lowa
Code § 347.1444), to the extent i prohibits a board of trustees of a county hospital from
borrowing moneys, secured solely by hospital revenues, forthe purpose of providing working
capital or for general financing needs to sustain the hospitals operations.
SECTION SEVENTY-TWO. Pursuant to lowa Code § 29C.6(6) and Iowa Code §
135.144(3), and in conjunction with the Iowa Department of Public Health, T continue to
temporarily suspend the regulatory provisions of Iowa Code §§ 331.478(2) and 331.478(3) to the
{extent those provisions prevent a board of trustees of a county hospital from authorizing
noncurrent debt for the purpose of providing working capital or for general financing needs to
sustain the hospital's operations and in the form of natural disaster loans from the state or federal
‘government. SECTION SEVENTY-THREE. Pursuant to Towa Code § 29C.6(6) and Iowa Code §
135.144(), and in conjunction with the Iowa Department of Public Health, I continue to
‘temporarily suspend the regulatory provisions of lowa Code §§ 331.478(2) and 331.479 to the
«extent those provisions require notice and publication ofthe proposed action prior to the
authorization of noncurreat debt for the purpose of providing working capital or for general
financing needs to sustain the hospital's operations, so long as the board complies with the notice
requirements contained Iowa Code § 21.4
PROFESSIONAL LICENSING RELIEF
SECTION SEVENTY-FOUR. Pursuant to lowa Code § 29C.6(6) and lowa Code
§ 135.1446), and in conjunetion withthe Iowa Department of Public Health, I continue to
temporarily suspend the regulatory provisions of Towa Code chapters §§ 147.2, 148.3, 148.5,
148C3, 152.7, 152B.7A, and any other implementing administrative rules tothe extent they
prohibit the practice of medicine and surgery, osteopathic medicine and surgery, nursing,
respiratory care, and practice asa physician asistan for an individual who has nt yet obtained
an inital licens, if the licensing board determines thatthe individual has completed suficient
education and shouldbe granted an emergency license to practice in accordance with any
suidance issued by the board {hereby direct all regulatory agencies or boards governed by these
provisions to provide additional guidance to licensees regarding the effect ofthese suspensions.
SECTION SEVENTY-FIVE. Pursuant to Towa Code § 29C.6 (6), continue to
temporarily suspend the regulatory provisions of Towa Code § 147.10 and lowa Admin, Code
ries 653-9.13(6) and 9.14, rules 655-373), ules 645-261 8, and rules 645-326.9(8), and all
other implementing administrative rules which prohibit the practice of medicine and surgery,
‘osteopathic medicine and surgery, nursing, respiratory care, and practice as physician assistant,
by a licensee whose license is inactive or lapsed. Suspension of these provisions is limited to
licenses which have lapsed or expired within the five (5) years prior to this Proclamation and is
farther limited to the provision of medical and nursing care and treatment of vietims ofthis
public health disaster emergency and solely forthe duration of this Proclamation.
SECTION SEVENTY-SIX. Pursuant to lowa Code § 29C.6(6), I continue to
temporarily suspen the regulatory provisions of owa Code § 152.5 and lowa Admin. Code
655-2.10(7)(), which imi the numberof clinical hours tat canbe satisfied through simulation
activities for nursing education programs. Suspension ofthis provision shall extend through the
duration of ths Proclamation and any future extension ofthis suspension. I continue to direct
the nursing board to provide additional guidance to licensees reparding the effect ofthis
suspension including guidance on obtaining an emergency license pursuant to this Proclamation
SECTION SEVENTY-SEVEN. Pursuant to lowa Code § 29C.6(6), I continu to
temporarily suspen the regulatory provisions of Iowa Admin. Code rules 650-1120), 113),
11,5), 11.62),13.202), and 20.6(2)(6\(8) requiring an applicant for initial censure in dentistry,
dental hygiene, assisting, or fr a faculty permit to attest o eurentcetifiation in
cardiopulmonary resuscitation.
SECTION SEVENTY-EIGHT. Pursuant to lowa Code § 29C.6(6) and lowa Code
§ 135.144(3) and in conjunction with the Iowa Department of Public Health, I continue to
temporarily suspend the regulatory provisions of lowa Code § 47.10 and lowa Admin. Coder
6657-2.3,2.11@), 3.5(1), and any other implementing administrative rules which prohibit the
practice of pharmacy by a pharmacist licensee whose license is inactive or lapsed, or by a
‘Pharmacy technician trainee who is unable to become nationally certied du o closed testing
locations. Suspension ofthese provision is Kimited to pharmacist licenses which have lapsed ot
expired within the five (5) years prior to this Proclamation, and is limited to pharmacy technician
trainees whose trance registration expires between March 18, 2020, and May 31, 2020, and who
are unable to sit forthe examination due to closed testing locations, and is solely for the duration
ofthis Proclamation.
SECTION SEVENTY-NINE. Pursuant to lowa Code § 29C.6(6) and lowa Code
§ 135.144G), and in conjunction with the Iowa Department of Public Health, I continve to
‘temporarily suspend the regulatory provisions of lowa Code chapters 80A, 88A, 8§B, 89, 89A,
904, 91C, 99D, 99F, 100C, 100D, 101A, 103, 105, 124, 126, 135, 136B, 136C, 147, 147A,
147B, 148, 148A, 148B, 148C, 148E, 148F, 149, 151, 152, 152A, 152B, 152C, 152D, 153, 154,
154A, 154B, 154C, 154D, 1548, 154F, 155, 155A, 156, 157, 158, 159, 169, 192, 206, 272, 272, 321, 441, 455B, 459B, 481, 502, 522B, $39B, 542, $42B, 543B, 543D, S444, 544B,
‘S44C, and any provisions of the lowa Administrative Code implementing those chapters, tothe
‘extent they impose requirements for in-person continuing education as a condition of
professional license renewal or impose continuing education deadlines or requirements that are
“unable tobe satisfied due to this Disaster Emergency. Suspension of these provisions shall
cextend through the duration ofthis Proclamation and any future extension of this suspension. I
hereby direct all regulatory agencies or boards governed by these provisions to provide
‘additional guidance to licensees regarding the effect of these suspensions
SECTION EIGHTY. Pursuant io lowa Code § 29C-6(6), I continue to temporarily
suspend the regulatory provisions of Iowa Code chapters 804, 88A, 88B, $9, 89A, 90A, 91C,
99D, 99F, 100€, 100D, 101A, 103, 105, 124, 126, 135, 136B, 136C, 147, 147A, 147B, 148,
148A, 148B, 148C, 148E, 148F, 149, 151, 152, 152A, 152B, 152C, 152D, 153, 154, 154A,
154B, 154C, 154D, 1S4E, 154F, 155, 155A, 156, 157, 158, 158, 169, 192, 272, 272C, 321, 41,
455B, 459B, 481, 502, 22B, 535B, 542, 342B, 543B, 543D, 544A, 544B, S44C, and any
provisions ofthe Towa Administrative Code implementing those chapters, tothe extent they set
‘an expiration date orreneveal requirement for a professional license that expires during the
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