May 2026

Iowa has enacted significant reforms to its Certificate of Need (CON) program through House File 2635, signaling a clear shift toward a more limited regulatory framework for healthcare capital projects and service expansion.

For healthcare providers, the practical takeaway is straightforward: fewer projects will require CON review, and those that do will face

This monthly update highlights key regulatory developments, enforcement trends, and compliance issues affecting health-care providers across the continuum – from solo practices to hospitals and large physician groups. Each section includes practical action items to help you assess risk and prepare for upcoming obligations.


Regulatory Developments

Continued Enforcement Focus on Data Security and Billing Integrity

Brick Gentry’s Managing Partner, Paul Drey, presented the Hospitals’ and Physicians’ Perspective on the federal Affordable Care Act (ACA), as part of the Health Care Track of the Iowa State Bar Association‘s Annual  Meeting.

The federal Affordable Care Act presents a number of challenges and opportunities for hospitals and physicians in the evolving healthcare