What’s Up with the Ivermectin Bill in Iowa?

I’m trying to find out what’s happening with Governor Reynolds’ MAHA bill (HF 2676) which includes allowing Iowa pharmacists to provide ivermectin without a prescription to those who prefer taking it, most likely for something else other than what’s indicated for, which is treating parasitic infections. The risk is that persons will try to use it to self-treat other diseases such as Covid 19 infections, for which there is no convincing evidence supporting ivermectin’s effectiveness.

There’s a list of bills signed into law by the governor as of April 16, 2026 which doesn’t include HF 2676. My understanding is that this year’s legislative session would be ending maybe as soon as tomorrow.

I found one source on the web which indicates the Iowa House passed it. It then went to the Senate, which passed the bill with the ivermectin part intact and it was returned to the House. It’s not clear whether Governor Reynolds actually needs to sign it into law.

My usual go-to news source for Iowa lawmaker news is the Iowa Capital Dispatch, but it doesn’t seem to have any recent updates on this bill.

The language of the bill regarding so-called over-the-counter ivermectin is permissive, meaning pharmacists may (not must) provide ivermectin, not making it mandatory for Iowa pharmacists to hand over ivermectin to anyone who requests it. And pharmacists would be exempt from “…professional discipline or civil or criminal penalties for distributing ivermectin…”

It doesn’t look like anyone considered what recourse patients might have if they suffer injury as a result of taking ivermectin for a non-FDA approved (off label) condition.

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Author: James Amos

I'm a retired consult-liaison psychiatrist. I navigated the path in a phased retirement program through the hospital where I was employed. I was fully retired as of June 30, 2020. This blog chronicles my journey.

2 thoughts on “What’s Up with the Ivermectin Bill in Iowa?”

  1. I looked up whether pharmacists in Iowa can be sued for malpractice and apparently (according to Google) – they can for breaching the standard of care. Ivermectin for anything but parasites would appear to do that – but the people requesting it probably are more interested in proving that it works for whatever they want it to work for. Carl Sagan warned us about this 30 years ago. A related issue that comes to mind is substitute decision making (minors, people under guardianship, etc). If there is a question of injury by not giving necessary effective medicine or comisssion due to ivermectin use – there could be legal problems.

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