Iowa Code

Iowa Code § 235B.2 (2026)

Definitions

✓ current as of July 2026
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As used in this chapter, unless the context otherwise requires:

1. “Caretaker” means a related or nonrelated person who has the responsibility for the protection, care, or custody of a dependent adult as a result of assuming the responsibility voluntarily, by contract, through employment, or by order of the court.

2. “Court” means the district court.

3. “Department” means the department of health and human services.

4. “Dependent adult” means a person eighteen years of age or older who is unable to protect the person’s own interests or unable to adequately perform or obtain services necessary to meet essential human needs, as a result of a physical or mental condition which requires assistance from another, or as defined by departmental rule.

5. a. “Dependent adult abuse” means:

(1) Any of the following as a result of the willful or negligent acts or omissions of a caretaker:

(a) Physical injury to, or injury which is at a variance with the history given of the injury, or unreasonable confinement, unreasonable punishment, or assault of a dependent adult.

(b) The commission of a sexual offense under chapter 709 or section 726.2 with or against a dependent adult.

(c) Exploitation of a dependent adult which means a fraudulent or otherwise illegal, unauthorized, or improper attempt, act, or process by a caretaker or fiduciary to use the physical or financial resources of a dependent adult for any of the following purposes:

(i) Monetary or personal benefit, profit, or gain. (ii) To deprive the dependent adult of the use of the dependent adult’s physical or financial resources, including any benefits, belongings, or assets.

(d) The deprivation of the minimum food, shelter, clothing, supervision, physical or mental health care, or other care necessary to maintain a dependent adult’s life or health.

(2) The deprivation of the minimum food, shelter, clothing, supervision, physical or mental health care, and other care necessary to maintain a dependent adult’s life or health as a result of the acts or omissions of the dependent adult.

(3) (a) Sexual exploitation of a dependent adult by a caretaker.

(b) “Sexual exploitation” means any consensual or nonconsensual sexual conduct with a dependent adult which includes but is not limited to kissing; touching of the clothed or unclothed inner thigh, breast, groin, buttock, anus, pubes, or genitals; or a sex act, as defined in section 702.17. “Sexual exploitation” includes the transmission, display, taking of electronic images of the unclothed breast, groin, buttock, anus, pubes, or genitals of a dependent adult by a caretaker for a purpose not related to treatment or diagnosis or as part of an ongoing assessment, evaluation, or investigation. Sexual exploitation does not include touching which is part of a necessary examination, treatment, or care by a caretaker acting within the scope of the practice or employment of the caretaker; the exchange of a brief touch or hug between the dependent adult and a caretaker for the purpose of reassurance, comfort, or casual friendship; or touching between spouses.

(4) (a) Personal degradation of a dependent adult by a caretaker.

(b) (i) “Personal degradation” means a willful act or statement by a caretaker intended to shame, degrade, humiliate, or otherwise harm the personal dignity of a dependent adult, or where the caretaker knew or reasonably should have known the act or statement would cause shame, degradation, humiliation, or harm to the personal dignity of a reasonable person. “Personal degradation” includes the taking, transmission, or display of an electronic image\n\nTue Dec 09 22:20:52 2025 Iowa Code 2026, Chapter 235B (45, 1) 3 DEPENDENT ADULT ABUSE SERVICES — INFORMATION REGISTRY, §235B.2\n\nof a dependent adult by a caretaker, where the caretaker’s actions constitute a willful act or statement intended to shame, degrade, humiliate, or otherwise harm the personal dignity of the dependent adult, or where the caretaker knew or reasonably should have known the act would cause shame, degradation, humiliation, or harm to the personal dignity of a reasonable person.

(ii) “Personal degradation” does not include any of the following: (A) The taking, transmission, or display of an electronic image of a dependent adult for the purpose of reporting dependent adult abuse to law enforcement, the department, or any other regulatory agency that oversees caretakers or enforces abuse or neglect provisions, or for the purpose of treatment or diagnosis or as part of an ongoing investigation. (B) The taking, transmission, or display of an electronic image by a caretaker who takes, transmits, or displays the electronic image in accordance with the confidentiality policy and release of information or consent policies of a contractor, employer, or facility or program not covered under section 235E.1, subsection 5, paragraph “a”, subparagraph (3). (C) A statement by a caretaker who is the spouse of a dependent adult that is not intended to shame, degrade, humiliate, or otherwise harm the personal dignity of the dependent adult spouse.

b. “Dependent adult abuse” does not include any of the following:

(1) Circumstances in which the dependent adult declines medical treatment if the dependent adult holds a belief or is an adherent of a religion whose tenets and practices call for reliance on spiritual means in place of reliance on medical treatment.

(2) Circumstances in which the dependent adult’s caretaker, acting in accordance with the dependent adult’s stated or implied consent, declines medical treatment if the dependent adult holds a belief or is an adherent of a religion whose tenets and practices call for reliance on spiritual means in place of reliance on medical treatment.

(3) The withholding or withdrawing of health care from a dependent adult who is terminally ill in the opinion of a licensed physician, when the withholding or withdrawing of health care is done at the request of the dependent adult or at the request of the dependent adult’s next of kin, attorney in fact, or guardian pursuant to the applicable procedures under chapter 125, 144A, 144B, 222, 229, or 633.

6. “Director” means the director of health and human services.

7. “Emergency shelter services” means and includes, but is not limited to, secure crisis shelters or housing for victims of dependent adult abuse.

8. “Family or household member” means a spouse, a person cohabiting with the dependent adult, a parent, or a person related to the dependent adult by consanguinity or affinity, but does not include children of the dependent adult who are less than eighteen years of age.

9. “Immediate danger to health or safety” means a situation in which death or severe bodily injury could reasonably be expected to occur without intervention.

10. “Individual employed as an outreach person” means a natural person who, in the course of employment, makes regular contacts with dependent adults regarding available community resources.

11. “Legal holiday” means a legal public holiday as defined in section 1C.1.

12. “Person” means person as defined in section 4.1.

13. “Recklessly” means that a person acts or fails to act with respect to a material element of a public offense, when the person is aware of and consciously disregards a substantial and unjustifiable risk that the material element exists or will result from the act or omission. The risk must be of such a nature and degree that disregard of the risk constitutes a gross deviation from the standard conduct that a reasonable person would observe in the situation.

14. “Serious injury” means the same as defined in section 702.18.

15. “Support services” includes but is not limited to community-based services including area agency on aging assistance, mental health services, fiscal management, home health services, housing-related services, counseling services, transportation services, adult day services, respite services, legal services, and advocacy services. 87 Acts, ch 182, §9; 88 Acts, ch 1238, §3; 91 Acts, ch 231, §2; 92 Acts, ch 1143, §6, 7; 93 Acts, ch 76, §7; 95 Acts, ch 51, §3; 96 Acts, ch 1130, §2; 2001 Acts, ch 64, §7; 2006 Acts, ch 1030,\n\nTue Dec 09 22:20:52 2025 Iowa Code 2026, Chapter 235B (45, 1) §235B.2, DEPENDENT ADULT ABUSE SERVICES — INFORMATION REGISTRY 4\n\n§26; 2008 Acts, ch 1093, §3; 2009 Acts, ch 107, §1; 2010 Acts, ch 1073, §1; 2019 Acts, ch 39, §1; 2019 Acts, ch 122, §1; 2023 Acts, ch 19, §716; 2025 Acts, ch 135, §41 Referred to in §235B.3, 235B.16A, 249A.4, 502.801, 633B.116, 633B.118, 692A.102, 726.26, 726.28, 915.84 Subsection 5, paragraph a, subparagraph (1), subparagraph division (c) amended \n

Notes of Decisions
Cited in 18 cases (1 in the last 5 years), 1995–2021 · leading case: Mosher v. Dep't of Inspections & Appeals, Health Facilities Div., 671 N.W.2d 501 (Iowa 2003).
Mosher v. Dep't of Inspections & Appeals, Health Facilities Div., 671 N.W.2d 501 (Iowa 2003). · cites it 27× “With this analytical framework in mind, we consider whether DIA has been granted the discretion to interpret or elaborate the definitions contained in section 235B.2.- DIA argues it has been granted discretion to interpret the statutory definitions set forth in chapter 235B for…”
State of Iowa v. Bradley Elroy Wickes, 910 N.W.2d 554 (Iowa 2018). · cites it 8× “We reached our conclusion in Romer in part by reference to Iowa's parallel statute restricting a caretaker from engaging in sexual conduct with a dependent adult under Iowa Code section 235B.2( a )(3). Id. at 180 . This section, which has not changed since Romer , states that…”
Smith v. Iowa Dep't of Human Servs., 755 N.W.2d 135 (Iowa 2008). · cites it 25× “2(5)(a)(3) facially unconstitutional based on her claim that the language of the statute impermissibly includes caretakers who are nonconsensual victims of sexual conduct perpetrated by a dependent adult.”
Maxine Gail Veatch v. City of Waverly & Jason Leonard, Individually & in His Off. Capacity, 858 N.W.2d 1 (Iowa 2015). · cites it 7× “§ 235B.2(1). The term “dependent adult abuse” includes “[pjhysical injury to, or .”
Wyatt v. Iowa Dep't of Human Servs., 744 N.W.2d 89 (Iowa 2008). · cites it 12× “Iowa Code section 235B.2 establishes four categories of dependent adult abuse.”
State v. Johnson, 528 N.W.2d 638 (Iowa 1995). · cites it 4× “” For purposes of this section the definitions in section 235B.2 are used. Iowa Code section 235B.”
Romoke Olutunde v. Iowa Dep't of Human Servs., Charles M. Palmer, Dir. (Iowa Ct. App. 2018). · cites it 23× “Dependent adult abuse exists as defined in Iowa Code section 235B.2. c. A caretaker exists in reports of physical injury to or unreasonable confinement or cruel punishment of a dependent adult; commission of a sexual offense; exploitation; and deprivation by another person of…”
Anisa Mikah Smith Vs. Iowa Dep't Of Human Servs. & Iowa Dep't Of Inspections & Appeals (Iowa 2008). · cites it 23× “2(5)(a)(3) facially unconstitutional based on her claim that the language of the statute impermissibly includes caretakers who are nonconsensual victims of sexual conduct perpetrated by a dependent adult.”
State of Iowa v. Dani Rochelle Rogers (Iowa Ct. App. 2016). · cites it 9× “” See Iowa Code § 235B.2(1). On appeal Rogers argues she did not fit that definition because she did nothing more than run errands for Gill at his request.”
State of Iowa v. Napoleon Mbonyunkiza (Iowa Ct. App. 2016). · cites it 8× “§ 235B.2(1). “Dependent adult” is defined as “a person eighteen years of age or older who is unable to protect the person’s own interests or unable to adequately perform or obtain services necessary to meet essential human needs, as a result of a physical or mental condition…”
State of Iowa v. Bradley Elroy Wickes (Iowa 2018). · cites it 8× “Iowa Code § 235B.2(5)(a)(3)(b). In Smith v.”
Kim Wyatt Vs. Iowa Dep't Of Human Servs. &/or Iowa Dep't Of Inspections & Appeals (Iowa 2008). · cites it 10× “Iowa Code section 235B.2 establishes four categories of dependent adult abuse.”
— Iowa Code § 235B.2(1) — 7 cases
Mosher v. Dep't of Inspections & Appeals, Health Facilities Div., 671 N.W.2d 501 (Iowa 2003). “With this analytical framework in mind, we consider whether DIA has been granted the discretion to interpret or elaborate the definitions contained in section 235B.2.- DIA argues it has been granted discretion to interpret the statutory definitions set forth in chapter 235B for…”
Maxine Gail Veatch v. City of Waverly & Jason Leonard, Individually & in His Off. Capacity, 858 N.W.2d 1 (Iowa 2015). “§ 235B.2(1). The term “dependent adult abuse” includes “[pjhysical injury to, or .”
Smith v. Iowa Dep't of Human Servs., 755 N.W.2d 135 (Iowa 2008). “2(5)(a)(3) facially unconstitutional based on her claim that the language of the statute impermissibly includes caretakers who are nonconsensual victims of sexual conduct perpetrated by a dependent adult.”
Romoke Olutunde v. Iowa Dep't of Human Servs., Charles M. Palmer, Dir. (Iowa Ct. App. 2018). “Dependent adult abuse exists as defined in Iowa Code section 235B.2. c. A caretaker exists in reports of physical injury to or unreasonable confinement or cruel punishment of a dependent adult; commission of a sexual offense; exploitation; and deprivation by another person of…”
State of Iowa v. Dani Rochelle Rogers (Iowa Ct. App. 2016). “” See Iowa Code § 235B.2(1). On appeal Rogers argues she did not fit that definition because she did nothing more than run errands for Gill at his request.”
— Iowa Code § 235B.2(13) — 1 case
State of Iowa v. Napoleon Mbonyunkiza (Iowa Ct. App. 2016). “§ 235B.2(1). “Dependent adult” is defined as “a person eighteen years of age or older who is unable to protect the person’s own interests or unable to adequately perform or obtain services necessary to meet essential human needs, as a result of a physical or mental condition…”
— Iowa Code § 235B.2(3) — 1 case
Mosher v. Dep't of Inspections & Appeals, Health Facilities Div., 671 N.W.2d 501 (Iowa 2003). “With this analytical framework in mind, we consider whether DIA has been granted the discretion to interpret or elaborate the definitions contained in section 235B.2.- DIA argues it has been granted discretion to interpret the statutory definitions set forth in chapter 235B for…”
— Iowa Code § 235B.2(4) — 10 cases
Mosher v. Dep't of Inspections & Appeals, Health Facilities Div., 671 N.W.2d 501 (Iowa 2003). “With this analytical framework in mind, we consider whether DIA has been granted the discretion to interpret or elaborate the definitions contained in section 235B.2.- DIA argues it has been granted discretion to interpret the statutory definitions set forth in chapter 235B for…”
Maxine Gail Veatch v. City of Waverly & Jason Leonard, Individually & in His Off. Capacity, 858 N.W.2d 1 (Iowa 2015). “§ 235B.2(1). The term “dependent adult abuse” includes “[pjhysical injury to, or .”
Smith v. Iowa Dep't of Human Servs., 755 N.W.2d 135 (Iowa 2008). “2(5)(a)(3) facially unconstitutional based on her claim that the language of the statute impermissibly includes caretakers who are nonconsensual victims of sexual conduct perpetrated by a dependent adult.”
Romoke Olutunde v. Iowa Dep't of Human Servs., Charles M. Palmer, Dir. (Iowa Ct. App. 2018). “Dependent adult abuse exists as defined in Iowa Code section 235B.2. c. A caretaker exists in reports of physical injury to or unreasonable confinement or cruel punishment of a dependent adult; commission of a sexual offense; exploitation; and deprivation by another person of…”
State of Iowa v. Dani Rochelle Rogers (Iowa Ct. App. 2016). “” See Iowa Code § 235B.2(1). On appeal Rogers argues she did not fit that definition because she did nothing more than run errands for Gill at his request.”
— Iowa Code § 235B.2(5) — 7 cases
State of Iowa v. Bradley Elroy Wickes, 910 N.W.2d 554 (Iowa 2018). “We reached our conclusion in Romer in part by reference to Iowa's parallel statute restricting a caretaker from engaging in sexual conduct with a dependent adult under Iowa Code section 235B.2( a )(3). Id. at 180 . This section, which has not changed since Romer , states that…”
Mosher v. Dep't of Inspections & Appeals, Health Facilities Div., 671 N.W.2d 501 (Iowa 2003). “With this analytical framework in mind, we consider whether DIA has been granted the discretion to interpret or elaborate the definitions contained in section 235B.2.- DIA argues it has been granted discretion to interpret the statutory definitions set forth in chapter 235B for…”
Wyatt v. Iowa Dep't of Human Servs., 744 N.W.2d 89 (Iowa 2008). “Iowa Code section 235B.2 establishes four categories of dependent adult abuse.”
Smith v. Iowa Dep't of Human Servs., 755 N.W.2d 135 (Iowa 2008). “2(5)(a)(3) facially unconstitutional based on her claim that the language of the statute impermissibly includes caretakers who are nonconsensual victims of sexual conduct perpetrated by a dependent adult.”
Kim Wyatt Vs. Iowa Dep't Of Human Servs. &/or Iowa Dep't Of Inspections & Appeals (Iowa 2008). “Iowa Code section 235B.2 establishes four categories of dependent adult abuse.”
— Iowa Code § 235B.2(5)(1)(c) — 2 cases
State of Iowa v. Dani Rochelle Rogers (Iowa Ct. App. 2016). “” See Iowa Code § 235B.2(1). On appeal Rogers argues she did not fit that definition because she did nothing more than run errands for Gill at his request.”
State of Iowa v. Loni Hayes Nelson (Iowa Ct. App. 2015).
— Iowa Code § 235B.2(5)(1)(d) — 1 case
Romoke Olutunde v. Iowa Dep't of Human Servs., Charles M. Palmer, Dir. (Iowa Ct. App. 2018). “Dependent adult abuse exists as defined in Iowa Code section 235B.2. c. A caretaker exists in reports of physical injury to or unreasonable confinement or cruel punishment of a dependent adult; commission of a sexual offense; exploitation; and deprivation by another person of…”
— Iowa Code § 235B.2(5)(a) — 2 cases
Wyatt v. Iowa Dep't of Human Servs., 744 N.W.2d 89 (Iowa 2008). “Iowa Code section 235B.2 establishes four categories of dependent adult abuse.”
Kim Wyatt Vs. Iowa Dep't Of Human Servs. &/or Iowa Dep't Of Inspections & Appeals (Iowa 2008). “Iowa Code section 235B.2 establishes four categories of dependent adult abuse.”
— Iowa Code § 235B.2(5)(a)(1) — 3 cases
Wyatt v. Iowa Dep't of Human Servs., 744 N.W.2d 89 (Iowa 2008). “Iowa Code section 235B.2 establishes four categories of dependent adult abuse.”
Kim Wyatt Vs. Iowa Dep't Of Human Servs. &/or Iowa Dep't Of Inspections & Appeals (Iowa 2008). “Iowa Code section 235B.2 establishes four categories of dependent adult abuse.”
State of Iowa v. Chaka Khan Fielder (Iowa Ct. App. 2019).
— Iowa Code § 235B.2(5)(a)(1)(a) — 3 cases
Wyatt v. Iowa Dep't of Human Servs., 744 N.W.2d 89 (Iowa 2008). “Iowa Code section 235B.2 establishes four categories of dependent adult abuse.”
State of Iowa v. Erick Byicaza (Iowa Ct. App. 2019).
— Iowa Code § 235B.2(5)(a)(1)(b) — 1 case
State of Iowa v. Napoleon Mbonyunkiza (Iowa Ct. App. 2016). “§ 235B.2(1). “Dependent adult” is defined as “a person eighteen years of age or older who is unable to protect the person’s own interests or unable to adequately perform or obtain services necessary to meet essential human needs, as a result of a physical or mental condition…”
— Iowa Code § 235B.2(5)(a)(1)(c) — 2 cases
Romoke Olutunde v. Iowa Dep't of Human Servs., Charles M. Palmer, Dir. (Iowa Ct. App. 2018). “Dependent adult abuse exists as defined in Iowa Code section 235B.2. c. A caretaker exists in reports of physical injury to or unreasonable confinement or cruel punishment of a dependent adult; commission of a sexual offense; exploitation; and deprivation by another person of…”
— Iowa Code § 235B.2(5)(a)(3) — 2 cases
Smith v. Iowa Dep't of Human Servs., 755 N.W.2d 135 (Iowa 2008). “2(5)(a)(3) facially unconstitutional based on her claim that the language of the statute impermissibly includes caretakers who are nonconsensual victims of sexual conduct perpetrated by a dependent adult.”
Anisa Mikah Smith Vs. Iowa Dep't Of Human Servs. & Iowa Dep't Of Inspections & Appeals (Iowa 2008). “2(5)(a)(3) facially unconstitutional based on her claim that the language of the statute impermissibly includes caretakers who are nonconsensual victims of sexual conduct perpetrated by a dependent adult.”
— Iowa Code § 235B.2(5)(a)(3)(b) — 1 case
State of Iowa v. Bradley Elroy Wickes (Iowa 2018). “Iowa Code § 235B.2(5)(a)(3)(b). In Smith v.”
— Iowa Code § 235B.2(5)(a)(l)(a) — 1 case
Maxine Gail Veatch v. City of Waverly & Jason Leonard, Individually & in His Off. Capacity, 858 N.W.2d 1 (Iowa 2015). “§ 235B.2(1). The term “dependent adult abuse” includes “[pjhysical injury to, or .”
— Iowa Code § 235B.2(5)(a)(l)(c) — 1 case
Mosher v. Dep't of Inspections & Appeals, Health Facilities Div., 671 N.W.2d 501 (Iowa 2003). “With this analytical framework in mind, we consider whether DIA has been granted the discretion to interpret or elaborate the definitions contained in section 235B.2.- DIA argues it has been granted discretion to interpret the statutory definitions set forth in chapter 235B for…”
— Iowa Code § 235B.2(5)(a)(l)(d) — 1 case
In the Interest of E.Z., 585 N.W.2d 214 (Iowa 1998).
— Iowa Code § 235B.2(5)(d) — 1 case
Romoke Olutunde v. Iowa Dep't of Human Servs., Charles M. Palmer, Dir. (Iowa Ct. App. 2018). “Dependent adult abuse exists as defined in Iowa Code section 235B.2. c. A caretaker exists in reports of physical injury to or unreasonable confinement or cruel punishment of a dependent adult; commission of a sexual offense; exploitation; and deprivation by another person of…”
— Iowa Code § 235B.2(5)(o)(3) — 1 case
Smith v. Iowa Dep't of Human Servs., 755 N.W.2d 135 (Iowa 2008). “2(5)(a)(3) facially unconstitutional based on her claim that the language of the statute impermissibly includes caretakers who are nonconsensual victims of sexual conduct perpetrated by a dependent adult.”
— Iowa Code § 235B.2(a)(3) — 1 case
State of Iowa v. Bradley Elroy Wickes (Iowa 2018). “Iowa Code § 235B.2(5)(a)(3)(b). In Smith v.”
Annotations are extracted automatically from the opinions in the Syfert caselaw corpus and ranked by authority, recency, and treatment. Dots show Syfertize treatment of the citing case itself.