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.

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
As of 2018, Health plans offered to Iowa state employees cover transition-related services and procedures. More information about coverage for state of Iowa employees can be found here

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. 

Name and Gender Marker Changes 
For a comprehensive overview of how to change your name and gender markers on state and federal documents, please review the University of Iowa’s Guide to Changing Your Legal Identity Documents. Code sections vary by document but are comprehensively cited within the guide. 

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.*

*Note: As of March 8, 2019, this prohibition has been struck down by the Iowa Supreme Court and is no longer enforceable. However, the Iowa Legislature added a similar provision into the Iowa Civil Rights Act, which Gov. Reynolds claims “takes it back to the way it’s always been”. The ACLU of Iowa, Mika Covington, Aiden Vasquez, and One Iowa have challenged this law, and it’s currently making its way through our state’s court system.