IowaSF 56591st General Assembly (2025–2026)SenateWALLET

A bill for an act providing for the continuation of health insurance in certain circumstances for the surviving spouse and each surviving child of employees of the state of Iowa and including retroactive applicability provisions. (Formerly SSB 1039.) Effective date: 07/01/2025. Applicability date: 01/01/2024.

Sponsored By: COMMITTEE ON STATE GOVERNMENT

Signed by Governor

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Iowa worker survivors can keep health coverage

Beginning July 1, 2025, qualifying Iowa state employees’ surviving spouses and children can keep or rejoin their previous state health coverage. The law applies retroactively to January 1, 2024. The employee must have been enrolled in a state group health or medical plan when they died. Iowa’s Department of Administrative Services must find that a traumatic injury suffered while doing work duties directly caused the death. Coverage must continue during review when the employee is reasonably expected to qualify. Deaths from stress, strain, occupational illness, or chronic or congenital illness are excluded unless the traumatic injury substantially contributed. Exclusions also cover intentional misconduct, intent to cause one’s own death, voluntary intoxication, and grossly negligent work. Coverage is not required for a survivor who substantially contributed to the death. It is also not required after a survivor loses eligibility under plan rules, including remarriage or state-law limits for children. The state may pay all, some, or none of the cost; survivors can elect coverage by paying the unpaid share. The employee’s state employer bears any cost the state agrees to pay. The state must notify the insurer which survivors receive coverage. This coverage pays last, after other available coverage, to the extent federal law allows.

Sponsors & Cosponsors

Sponsor

  • COMMITTEE ON STATE GOVERNMENT

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 135 • No: 0

House vote • 4/24/2025

Passed House

Yes: 89 • No: 0

Senate vote • 4/22/2025

Passed Senate

Yes: 46 • No: 0

Actions Timeline

  1. Signed by Governor.

    5/19/2025Senate
  2. Reported correctly enrolled, signed by President and Speaker, and sent to Governor.

    5/19/2025Senate
  3. Message from House.

    4/28/2025Senate
  4. Immediate message.

    4/24/2025House
  5. Passed House, yeas 89, nays 0.

    4/24/2025House
  6. Substituted for HF 1016.

    4/24/2025House
  7. Read first time, passed on file.

    4/22/2025House
  8. Message from Senate.

    4/22/2025House
  9. Immediate message.

    4/22/2025Senate
  10. Passed Senate, yeas 46, nays 0.

    4/22/2025Senate
  11. Amendment S-3122 filed, adopted.

    4/22/2025Senate
  12. Placed on calendar under unfinished business.

    4/3/2025Senate
  13. Committee report, approving bill.

    3/10/2025Senate
  14. Introduced, placed on calendar.

    3/10/2025Senate

Bill Text

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