All Roll Calls
Yes: 231 • No: 0
IowaHF 30391st General Assembly (2025–2026)HouseWALLET
A bill for an act relating to prior authorization and utilization review organizations. (Formerly HSB 19.) Effective date: 07/01/2025.
Sponsored By: COMMITTEE ON COMMERCE
Signed by Governor
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 3 benefits, 0 costs, 0 mixed.
Fewer prior authorizations for routine care
Beginning July 1, 2025, review organizations must check at least once a year which services still need prior authorization. They must drop a prior authorization when requests are approved so often that the rule no longer improves quality or lowers costs enough to justify the hassle. They may keep a rule only when solid medical or scientific evidence supports it. Each year they must report what they reviewed, what they removed and why, items kept even with 80%+ approvals, counts of requests and providers for removed items, and any 10% or larger change in average claims per provider after removal. The Insurance Commissioner must post this report online within 60 days.
Public prior authorization scorecards and complaints
Beginning July 1, 2025, each review organization must send the Insurance Commissioner a yearly report on prior authorization results. The report shows totals and percentages approved and denied for urgent and nonurgent requests, and average and median decision times. The Commissioner must post it online within 60 days. Anyone can file a complaint with the Iowa Insurance Division about compliance, and the Division tells the organization. Complaints are confidential and are not public records.
Faster prior authorization decisions and notice
Beginning July 1, 2025, urgent prior authorization requests must be decided within 48 hours. Nonurgent requests must be decided within 10 days. For nonurgent requests that are complex or during unusually high volume, the deadline is 15 days. The provider must get a receipt notice within 24 hours after the request is received.
Sponsors & Cosponsors
Sponsor
COMMITTEE ON COMMERCE
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 4/22/2025
Passed House
Yes: 92 • No: 0
Senate vote • 4/16/2025
Passed Senate
Yes: 47 • No: 0
House vote • 2/20/2025
Passed House
Yes: 92 • No: 0
Actions Timeline
Signed by Governor.
5/27/2025GovernorReported correctly enrolled, signed by Speaker and President, and sent to Governor.
5/19/2025SenateMessage from House.
4/23/2025HouseImmediate message.
4/22/2025legislaturePassed House, yeas 92, nays 0.
4/22/2025HouseHouse concurred in Senate amendment H-1244.
4/22/2025SenateSenate amendment H-1244 filed.
4/17/2025SenateMessage from Senate.
4/17/2025SenateImmediate message.
4/16/2025legislaturePassed Senate, yeas 47, nays 0.
4/16/2025SenateAmendment S-3015 adopted.
4/16/2025legislatureSubstituted for SF 231.
4/16/2025legislaturePlaced on calendar under unfinished business.
4/3/2025legislatureAmendment S-3015 filed.
3/4/2025legislatureRead first time, attached to SF 231.
2/24/2025legislatureMessage from House.
2/24/2025HouseImmediate message.
2/20/2025legislaturePassed House, yeas 92, nays 0.
2/20/2025HouseIntroduced, placed on calendar.
2/10/2025legislature
Bill Text
As Introduced
Enrolled
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