A bill for an act relating to insurance coverage for prescription drugs used in the treatment of metastatic cancer and associated conditions.

SF 197 requires Iowa health insurance plans to cover prescription drugs for advanced (stage 4) cancer and related symptoms without forcing patients to try cheaper alternatives first. It applies to most health insurance policies (like employer plans and HMOs) starting January 1, 2026, but excludes accident-only, Medicare supplement, and workers' compensation plans. Coverage must be provided for FDA-approved drugs that are medically necessary for metastatic cancer and supported by scientific evidence. This directly affects insurers selling plans in Iowa and benefits patients with advanced cancer needing these specific treatments.