All Roll Calls
Yes: 137 • No: 0
IowaHF 33091st General Assembly (2025–2026)HouseWALLET
A bill for an act relating to insurance coverage for covered individuals for the treatment of autism spectrum disorder and including applicability provisions. (Formerly HF 5.) Effective date: 07/01/2025. Applicability date: 01/01/2026.
Sponsored By: COMMITTEE ON COMMERCE
Signed by Governor
commerce
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 1 benefits, 0 costs, 3 mixed.
More autism coverage in group plans
Beginning January 1, 2026, qualifying group health plans in Iowa cannot use yearly or lifetime dollar caps on autism care. Plans must cover at least 30 inpatient days and 52 outpatient visits each year. They cannot cap the number of outpatient visits for applied behavior analysis or for visits to autism service providers. Deductibles, copays, and coinsurance must match what the plan uses for other medical care.
Autism coverage for state employee families
Beginning January 1, 2026, state employee group plans must cover diagnostic assessment and treatment of autism for covered people under 21. Insurer payments are capped at $36,000 per year at first. The Insurance Commissioner adjusts the cap each year based on the Consumer Price Index; the new cap applies to policies issued or renewed after the next January 1. Payments for unrelated health conditions do not count toward the autism cap.
ABA therapy coverage, with plan limits
Beginning January 1, 2026, certain third‑party plans and public‑employee plans (not state employee plans) must cover applied behavior analysis for covered people under 19 when there is a treatment plan. Insurers may require prior authorization and may limit the number of ABA visits. Deductibles, copays, and coinsurance can apply the same as for other medical care. These rules apply when the plan is delivered, issued, continued, or renewed on or after that date.
When these autism rules start
The law takes effect July 1, 2025. Plan changes apply to policies and plans delivered, issued, continued, or renewed on or after January 1, 2026. That date covers the group‑plan autism rules, the state employee coverage, and the ABA rules listed above.
Sponsors & Cosponsors
Sponsor
COMMITTEE ON COMMERCE
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 4/21/2025
Passed Senate
Yes: 45 • No: 0
House vote • 2/20/2025
Passed House
Yes: 92 • No: 0
Actions Timeline
Signed by Governor.
6/11/2025GovernorReported correctly enrolled, signed by Speaker and President, and sent to Governor.
5/19/2025SenateMessage from Senate.
4/21/2025SenateImmediate message.
4/21/2025legislaturePassed Senate, yeas 45, nays 0.
4/21/2025SenatePlaced on calendar under unfinished business.
4/10/2025legislaturePlaced on calendar.
4/2/2025legislatureCommittee report, recommending passage.
4/2/2025legislatureSubcommittee recommends passage.
3/12/2025legislatureSubcommittee Meeting: 03/12/2025 2:30PM Senate Lounge.
3/11/2025SenateSubcommittee: Driscoll, Trone Garriott, and Warme.
3/5/2025legislatureRead first time, referred to Commerce.
2/24/2025legislatureMessage from House.
2/24/2025HouseImmediate message.
2/20/2025legislaturePassed House, yeas 92, nays 0.
2/20/2025HouseAmendment H-1018 withdrawn.
2/20/2025legislatureAmendment H-1018 filed.
2/19/2025legislatureIntroduced, placed on calendar.
2/11/2025legislature
Bill Text
As Introduced
Enrolled
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