All Roll Calls
Yes: 231 • No: 0
IowaHF 243491st General Assembly (2025–2026)HouseWALLET
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. (Formerly HSB 506.) Effective date: 07/01/2026.
Sponsored By: COMMITTEE ON HEALTH AND HUMAN SERVICES
Signed by Governor
commerce
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
Fair coverage for out-of-network primary care referrals
Beginning July 1, 2026, if you have a direct primary care agreement with an out-of-network primary care provider, your plan cannot deny covered care just because the referral came from that provider. Your deductible, coinsurance, and copays for the referred care cannot be higher than for an in-network referral. Your insurer can ask your doctor to provide proof of your direct primary care agreement, by attestation or a copy. The Insurance Commissioner can set rules to enforce these protections.
Sponsors & Cosponsors
Sponsor
COMMITTEE ON HEALTH AND HUMAN SERVICES
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 4/7/2026
Passed House
Yes: 92 • No: 0
Senate vote • 4/6/2026
Passed Senate
Yes: 47 • No: 0
House vote • 2/25/2026
Passed House
Yes: 92 • No: 0
Actions Timeline
Signed by Governor.
4/16/2026GovernorReported correctly enrolled, signed by Speaker and President, and sent to Governor.
4/16/2026SenateMessage from House.
4/8/2026HouseImmediate message.
4/7/2026legislaturePassed House, yeas 92, nays 0.
4/7/2026HouseHouse concurred in Senate amendment H-8304.
4/7/2026SenateSenate amendment H-8304 filed.
4/6/2026SenateMessage from Senate.
4/6/2026SenateImmediate message.
4/6/2026legislaturePassed Senate, yeas 47, nays 0.
4/6/2026SenateAmendment S-5117 adopted.
4/6/2026legislaturePlaced on calendar under unfinished business.
3/26/2026legislaturePlaced on calendar.
3/19/2026legislatureAmendment S-5117 filed.
3/19/2026legislatureCommittee report, recommending amendment and passage.
3/19/2026legislatureSubcommittee recommends passage.
3/9/2026legislatureSubcommittee Meeting: 03/09/2026 12:30PM Room G15.
3/5/2026legislatureSubcommittee: Warme, Driscoll, and Knox.
3/3/2026legislatureRead first time, referred to Commerce.
2/25/2026legislatureMessage from House.
2/25/2026HouseImmediate message.
2/25/2026legislaturePassed House, yeas 92, nays 0.
2/25/2026HouseAmendment H-8030 adopted.
2/25/2026legislatureAmendment H-8030 filed.
2/24/2026legislatureIntroduced, placed on calendar.
2/12/2026legislature
Bill Text
As Introduced
Enrolled
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