Health and Safety

LGBT Non-Discrimination in Affordable Care Act (ACA) Exchanges – Sexual Orientation
Iowa Health Insurance Marketplace
ACA coverage in Iowa is administered through the federal health insurance exchange, which includes protections against discrimination based on sexual orientation.

LGBT Non-Discrimination in Affordable Care Act (ACA) Exchanges – Gender Identity
Iowa Health Insurance Marketplace
ACA coverage in Iowa is administered through the federal health insurance exchange, which includes protections against discrimination based on gender identity.

Ban on Insurance Exclusions for Trans Health Care
Iowa law does not prevent the exclusion of transition-related health care services from health insurance coverage.

Name Change Law – Driver’s License
Iowa Administrative Code § 601.5(5)
Iowa Administrative Code § 601.5(5) sets the procedure for the Iowa Department of Transportation to change the name on a driver’s license, which requires an affidavit accompanied by a court order to establish the legal name change. Additionally, § 601.5(7) permits the Iowa Department of Transportation to change the sex designation on a driver’s license if the applicant “submits a certified amended birth certificate that documents the change of sex designation and that meets the requirements of paragraph 601.5(1)(b), or submits a court-ordered change of sex designation.”

Name Change Law – Birth Certificate
Iowa Code § 144.23(3)
Iowa law does not explicitly allow a trans individual to change the name on their birth certificate. Iowa Code § 144.23(3) requires the state registrar to issue a new birth certificate upon receipt of “a notarized affidavit by a licensed physician and surgeon or osteopathic physician and surgeon stating that by reason of surgery or other treatment by the licensee, the sex designation of the person has been changed.” However, the registrar is allowed to “make a further investigation or require further information necessary to determine whether a sex change has occurred.”

Behavioral Risk Factor Surveillance System (BRFSS) Data Collection – Sexual Orientation
Iowa Department of Public Health BRFSS
Starting in 2014, the Iowa Department of Public Health began collecting BRFSS data on sexual orientation as recommended by the Centers for Disease Control and Prevention. This information will be analyzed and made available in forthcoming annual reports.

Behavioral Risk Factor Surveillance System (BRFSS) Data Collection – Gender Identity
Iowa Department of Public Health BRFSS
Starting in 2014, the Iowa Department of Public Health began collecting BRFSS data on gender identity as recommended by the Centers for Disease Control and Prevention. This information will be analyzed and made available in forthcoming annual reports.

Youth Risk Behavior Survey (YRBS) Data Collection – Sexual Orientation
Iowa 2013 State and Local Youth Risk Behavior Survey
Iowa’s Youth Risk Behavior Survey does collect information about sexual orientation.

Youth Risk Behavior Survey (YRBS) Data Collection – Gender Identity
Iowa 2013 State and Local Youth Risk Behavior Survey
Iowa’s Youth Risk Behavior Survey limits gender identity identification to only male or female.

Family Medical Leave Pertaining to Children
Iowa Administrative Code § 11-64.3(1) (state employees only)
Iowa Administrative Code § 11-64.3(1) explains the conditions under which Iowa state employees can take leave under the federal Family and Medical Leave Act. The language of the statute consistently refers to “employees” and “spouses,” suggesting that LGBT individuals or same-sex couples should be eligible for FMLA leave to care for their children.

Trans Inclusive Health Benefits for State Employees
Iowa Administrative Code § 64.1
Health plans offered to Iowa state employees do not cover transition-related services or procedures.

Sodomy Criminalization
Iowa does not have laws which criminalize sodomy

AIDS/HIV Criminalization
Iowa Code § 709D(3)
In 2014, S.F. 2297 repealed existing Iowa Code § 709C, and replaced it with § 709D. Under the new law, intentional transmission is a Class B felony. Intent with no transmission OR transmission with reckless disregard are Class D felonies. Reckless disregard without transmission is a serious misdemeanor. Affirmative defense for good faith compliance with a treatment regimen *and* adherence to behavioral recommendations. Also includes Hepatitis, TB, and meningococcal disease in addition to HIV/AIDS. Although S.F. 2297 went into effect on May 30, 2014, the text of the Iowa Code has not yet been updated to reflect the changes.

Laws Prohibiting Trans People from Changing IDs
Iowa Administrative Code § 601.5
Iowa does not have laws which prohibit trans people from changing their IDs. Iowa Administrative Code § 601.5(5) requires a court order to changes the name on a petitioner’s driver’s license. § 601.5(7) permits the Iowa Department of Transportation to change the sex designation on a driver’s license if “applicant submits a certified amended birth certificate that documents the change of sex designation and that meets the requirements of paragraph 601.5(1)(b),” or on the basis of a Court order.

Exceptions in State Medicaid
Iowa Administrative Code § 441.78.1(4)(d)
The Iowa Administrative Code excludes from Medicaid coverage any surgical procedure “which is performed primarily for psychological purposes… but which does not correct or materially improve the bodily functions.” Sex reassignment surgery is specifically listed under § 441.78.1(4)(d)(15) as a procedure excluded from coverage under those criteria.