Healthcare (Insurance)

died · Iowa · House Mar 9, 2026

HF 2193: A bill for an act relating to living organ donors and life insurance, disability insurance, and long-term care insurance.

HF 2193 prohibits Iowa insurance companies from discriminating against living organ donors in life, disability, or long-term care insurance. The bill specifically bans insurers from denying coverage, limiting benefits, charging higher prices, or restricting coverage solely because a person is a living organ donor. It also prevents insurers from requiring donors to give up their ability to donate organs as a condition of coverage. The law defines a "living organ donor" as someone who has donated part or all of an organ while alive, and requires the Iowa Insurance Commissioner to create rules for enforcement. This directly affects individuals who have donated organs and seek or maintain insurance coverage.

Topics ✓ HealthcareSupports HealthcareProhibits insurance discrimination against organ donors, protecting healthcare access and patient rights in coverage.95% confidence

Sub-Topics Insurance Long-Term Care

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in committee · Iowa · Senate Jan 27, 2026

SF 2102: A bill for an act relating to health care coverage of certain public school district personnel under the state health insurance plan, providing fees, making appropriations, and including effective date provisions.

SF 2102 allows public school district employees and elected officials who are not covered by collective bargaining agreements for health insurance (defined as "nonstate public employees") to enroll in Iowa’s state health insurance plan. School districts must apply for this coverage, pay monthly premiums matching rates for state employees plus administrative fees, and deposit payments into a new trust fund. Unpaid premiums incur interest, and the state may withhold other district funds until payments are made. The bill requires annual reports on coverage costs and enrollment, effective July 1, 2027.

Topics ✓ HealthcareSupports HealthcareExpands state health insurance coverage to public school employees previously excluded from collective bargaining health plans.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentExpands health insurance benefits for non-union public school employees, enhancing workplace benefits without restricting rights or collective bargaining.90% confidence

Sub-Topics Insurance Collective Bargaining

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in committee · Iowa · Senate Jan 21, 2026

SF 2048: A bill for an act relating to insurance coverage and Medicaid coverage for annual lung cancer screenings for at-risk individuals.

This bill requires health insurance plans and Medicaid to cover annual low-dose CT scans for lung cancer screening for specific at-risk individuals. It defines "at-risk" as people aged 40+ who smoke, have a family history of lung cancer, or have regular exposure to certain carcinogens like asbestos or radon. Private insurance must cover these screenings without cost-sharing (like deductibles or copays), effective January 1, 2027, for most health plans. Medicaid coverage is contingent on securing a federal waiver, after which it must also cover these screenings. The bill excludes certain specialized insurance types, such as accident-only or dental coverage, from these requirements.

Topics ✓ HealthcareSupports HealthcareMandates insurance/Medicaid coverage for lung cancer screenings without cost-sharing, expanding access to at-risk populations.95% confidence

Sub-Topics Insurance Medicaid

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in committee · Iowa · House Feb 12, 2026

HSB 506: A bill for an act relating to insurance coverage for health care services provided pursuant to a referral by an out-of-network primary care provider.

This bill requires insurance companies to cover health care services referred by a patient's out-of-network primary care provider (PCP) without denying coverage solely because the PCP isn't in-network. It also mandates that cost-sharing (like deductibles or copays) for these services must match what would apply if the PCP were in-network. Insurance companies may ask for proof the PCP has a direct primary care agreement with the patient, but the rule only applies to referrals made on or after July 1, 2026.

Topics ✓ HealthcareSupports HealthcareRequires insurers to cover out-of-network referrals without denial or higher cost-sharing, expanding access and protecting patient rights under health insurance coverage.95% confidence

Sub-Topics Insurance Primary Care

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signed · Iowa · House May 15, 2026

HF 2185: A bill for an act relating to cost sharing for health savings accounts and qualified high-deductible health plans.

HF 2185 ensures that people enrolled in qualified high-deductible health plans (HDHPs) with health savings accounts (HSAs) can maintain their HSA eligibility. It requires that copays, coinsurance, or deductibles paid by the enrollee only count toward their deductible *after* they’ve met their minimum deductible, unless the service is preventive care. This prevents cost-sharing payments from accidentally making someone ineligible for an HSA. The bill applies to group health insurance and accident/health insurance plans in Iowa.

Topics ✓ HealthcareSupports HealthcarePreserves HSA eligibility for HDHP enrollees, preventing accidental loss of tax-advantaged healthcare savings access.95% confidence

Sub-Topics Insurance Primary Care

in committee · Iowa · House Jan 15, 2026

HSB 502: A bill for an act relating to health insurers’ credentialing process.

This bill requires health insurers in Iowa to respond to credentialing requests from physicians, advanced registered nurse practitioners, and physician assistants within 56 calendar days. If a request is denied, insurers must provide a written explanation. It expands current law by explicitly including all "health care professionals" (as defined by state law) in these requirements, not just physicians. The goal is to streamline the process for providers seeking to join insurer networks and receive reimbursement for patient care.

Topics ✓ HealthcareSupports HealthcareRequires insurers to respond to credentialing requests within 56 days with written explanations, improving provider network access and patient care access per bill's goal.90% confidence

Sub-Topics Healthcare Workforce Insurance Medical Licensing

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in committee · Iowa · House Feb 10, 2026

HF 2029: A bill for an act relating to health care coverage of public school district personnel under the state health insurance plan, providing fees, making appropriations, and including effective date provisions.

This bill allows public school district employees and elected officials to enroll in Iowa's state health insurance plan, matching the premium rates paid by state employees. School districts must apply for coverage and pay monthly premiums plus administrative fees, deposited into a dedicated trust fund for the program. Unpaid premiums incur interest, and the state may withhold district funding until payments are made. Annual reports on enrollment, costs, and program impact are required. The bill takes effect July 1, 2027.

Topics ✓ EducationSupports EducationProvides health insurance coverage for school staff, supporting educator benefits and retention through state-matched premium rates.95% confidence ✓ HealthcareSupports HealthcareExpands health insurance coverage to public school personnel under state plan, matching state employee rates and requiring enrollment funding.95% confidence

Sub-Topics K-12 Education Insurance

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in committee · Iowa · Senate Feb 25, 2025

SSB 1174: A bill for an act relating to the establishment of the work without worry program under the medical assistance program for employed individuals with disabilities, and including effective date provisions.

SSB 1174 establishes Iowa's "Work Without Worry" program, allowing employed individuals with disabilities to keep Medicaid coverage while working without losing benefits due to income. It removes standard income and resource limits for eligibility, instead charging a premium of 6% of an individual's "countable income" (basic needs income). The program automatically enrolls people receiving Supplemental Security Income (SSI), covers traditional Medicaid services plus additional community-based supports, and includes a 6-month grace period for temporary job loss. It directly affects Iowans aged 18-65 with disabilities who work and earn taxable income, ensuring continuous health coverage without penalty for employment.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid access for employed disabled individuals by removing income limits and preventing benefit loss, ensuring continued healthcare coverage while working.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentRemoves Medicaid income barriers for employed disabled workers, enabling continued employment without loss of health coverage, directly advancing labor & employment rights.95% confidence

Sub-Topics Insurance Medicaid

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passed · Iowa · House Jan 22, 2026

HF 986: A bill for an act relating to matters under the purview of the department of insurance and financial services, the utilities commission, and the department of transportation, including financial literacy and exploitation, tax confidentiality, health insurance rates, health savings accounts, insurer withdrawals, property insurance, service contracts, the Iowa individual health benefit reinsurance association, and the Iowa cemetery Act, motor vehicle financial liability coverage, and including penalties and effective date provisions.

HF 986 establishes new funds and initiatives to enhance financial literacy and prevent financial exploitation for the public. It creates a Financial Literacy and Investor Education Fund and a Financial Exploitation Prevention Fund, which are partially funded by reallocating a portion of agent registration fees. The bill also establishes a Senior Health Insurance Information Program Fund to provide educational materials on health insurance for older Iowans. These provisions aim to educate Iowans on financial topics and assist potential victims of financial exploitation.

Topics ✓ Budget & TaxesSupports Budget & TaxesCreates new funds (Financial Literacy, Exploitation Prevention) via reallocated agent fees, advancing fiscal responsibility through targeted budgeting.95% confidence ✓ HealthcareSupports HealthcareCreates Senior Health Insurance Information Program Fund to educate seniors on health insurance options, improving access to coverage understanding.75% confidence

Sub-Topics Insurance

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in committee · Iowa · House Mar 14, 2025

HF 905: A bill for an act relating to the establishment of the work without worry program under the medical assistance program for employed individuals with disabilities, and including effective date provisions.

HF 905 establishes Iowa's "Work Without Worry" program, providing Medicaid coverage to employed individuals with disabilities aged 18-64 who meet specific criteria. The program removes standard income and asset limits by requiring a monthly premium of 6% of countable income (rounded down to the nearest dollar), with automatic enrollment for Supplemental Security Income recipients. It includes a six-month grace period for temporary job loss or health crises, maintaining coverage during this time with ongoing premium payments. Administered by Iowa's Department of Health and Human Services, the program requires federal approval to implement under Medicaid rules.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid coverage to employed disabled adults (18-64) by removing income/asset limits, adding premium (6% income), and including grace period for job loss/health crises.95% confidence

Sub-Topics Insurance Medicaid

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