All Roll Calls
Yes: 139 • No: 0
IowaHF 218591st General Assembly (2025–2026)HouseWALLET
A bill for an act relating to cost sharing for health savings accounts and qualified high-deductible health plans. (Formerly HSB 518.) Effective date: 07/01/2026.
Sponsored By: COMMITTEE ON COMMERCE
Signed by Governor
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Health savings account eligibility gets new protection
Beginning July 1, 2026, Iowa limits cost sharing for affected qualified high-deductible health plans to protect health savings account eligibility. The rule applies when a copayment, coinsurance, or deductible could make an enrollee ineligible for the plan’s associated health savings account. That cost sharing applies only after the enrollee meets the plan’s minimum deductible. Preventive care defined by federal tax law, section 223(c)(2)(C), is exempt from this restriction.
Sponsors & Cosponsors
Sponsor
COMMITTEE ON COMMERCE
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 4/15/2026
Passed Senate
Yes: 47 • No: 0
House vote • 4/1/2026
Passed House
Yes: 92 • No: 0
Actions Timeline
Signed by Governor.
5/15/2026HouseReported correctly enrolled, signed by Speaker and President, and sent to Governor.
5/6/2026HouseMessage from Senate.
4/15/2026HouseImmediate message.
4/15/2026SenatePassed Senate, yeas 47, nays 0.
4/15/2026SenateSubstituted for SF 2452.
4/15/2026SenateRead first time, attached to SF 2452.
4/2/2026SenateMessage from House.
4/2/2026SenateImmediate message.
4/1/2026HousePassed House, yeas 92, nays 0.
4/1/2026HousePlaced on calendar under unfinished business.
3/19/2026HouseIntroduced, placed on calendar.
1/28/2026House
Bill Text
As Introduced
Enrolled
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