IA HSB632

Directs the Iowa Supreme Court to revise criminal procedure rule 2.22(8)(e)(1) governing commitment hearings for defendants acquitted by reason of insanity.

Prohibits courts from using the absence of recent overt acts of dangerousness as the sole factor in determining whether a defendant remains mentally ill and dangerous, especially when the absence may result from confinement in a highly structured environment.

Requires courts to consider multiple factors including: the nature of the original offense, behavioral history, psychiatric history and treatment adherence, substance use disorder history, institutional behavior and ability to function independently, environmental influences, and expert risk assessments.

Mandates consideration of whether structured settings like hospitals or secured facilities may suppress dangerous behaviors that could emerge in less controlled conditions.

Revised rules must be submitted to the legislative council for review no later than October 14, 2026.