HF 2635 sets new rules for health insurance companies and claim review organizations (utilization review organizations) in Iowa, directly affecting health care providers and patients. It prohibits using artificial intelligence as the sole method to deny, delay, or downgrade prior authorizations for medically necessary services, requiring instead a qualified physician review. The bill also establishes strict timelines for audits (45 days to complete after receiving documents) and appeals (30 days for a final decision), with penalties including 10% interest for violations. These changes apply to most health insurance plans in Iowa starting January 1, 2027, but exclude certain coverages like dental, Medicare supplements, and short-term policies.
HF 2645 requires Iowa's state court administrator to establish an opt-out electronic notification system for criminal cases by July 1, 2027. The system will send text messages to people involved in criminal cases - including defendants, victims, witnesses, and their attorneys - providing reminders for court dates, fee notifications, and payment options. It mandates clear opt-out options, protects nonpublic case information, and limits system use to enrolled individuals. The bill does not require participation, and the system may be run by Iowa courts or a qualified outside vendor.
This bill makes it illegal to use automated software (bots) to purchase event tickets online. It directly affects consumers who use such bots to buy tickets and ticket sellers who enable or facilitate automated purchases. Violators face civil penalties, meaning they could be fined for breaking the law. The bill passed the Senate unanimously and was signed into law by the Governor in June 2025.
This bill requires Iowa school districts, charter schools, and innovation zone schools to adopt policies by July 1, 2025, that restrict student use of personal electronic devices during classroom instructional time. The Department of Education will develop model policies for schools to consider. These policies must identify methods for parents to communicate with students during school hours and emergencies, establish disciplinary actions for violations, and outline secure storage protocols for devices. They must also include provisions allowing students to maintain access to devices for legitimate physical or mental health reasons, or as required by an individualized education program (IEP) or 504 plan. Additionally, school districts are mandated to revise their emergency operations plans by July 1, 2025, to align with these new policies on electronic device use.
HF 948 establishes work requirements for Iowa's Health and Wellness Plan (IHAWP), requiring most participants to work at least 80 hours monthly to maintain benefits, with exemptions for children, seniors, people with disabilities, and others. It creates an Information Technology Fund to modernize state health systems, transferring unspent funds from a previous public assistance modernization fund. The bill also updates eligibility for Iowa's Medicaid for Employed People with Disabilities program to disregard certain income and asset limits (up to $10,000 for individuals), and mandates a state review of similar programs in other states by December 2025. These changes directly affect low-income Iowans enrolled in IHAWP or the Medicaid program for employed people with disabilities.
