All Roll Calls
Yes: 135 • No: 0
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
3 provisions identified: 1 benefits, 1 costs, 1 mixed.
Survivors keep state health coverage
Beginning July 1, 2025, a surviving spouse and each surviving child of an eligible Iowa state employee can keep or reenroll in the employee’s group health plan. The employee must have been enrolled at death, and the death must be from a traumatic on‑the‑job injury. Deaths from stress or illness alone do not qualify unless the trauma substantially contributed. Deaths caused by self‑harm, intoxication, or gross negligence do not qualify. The state may keep coverage in place while it decides eligibility and must tell the insurer who the survivors are. The law applies back to January 1, 2024.
When survivor coverage stops or is denied
Starting July 1, 2025, there is no continuation if the surviving spouse or child, through their actions, was a substantial cause of the employee’s death. Coverage also ends if the survivor later becomes ineligible for other reasons, like the spouse’s remarriage or a child no longer qualifying under section 509A.13B.
Who pays and payer order for survivors
Starting July 1, 2025, the state is not required to pay survivor health premiums. It may choose to pay some or all; when it does, the employing agency covers that amount. Survivors must pay any part not paid by the state to keep coverage. This continuation coverage pays last after any other insurance you have, as federal law allows.
Sponsors & Cosponsors
Sponsor
COMMITTEE ON STATE GOVERNMENT
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 4/24/2025
Passed House
Yes: 89 • No: 0
Senate vote • 4/22/2025
Passed Senate
Yes: 46 • No: 0
Actions Timeline
Signed by Governor.
5/19/2025GovernorReported correctly enrolled, signed by President and Speaker, and sent to Governor.
5/19/2025SenateMessage from House.
4/28/2025HouseImmediate message.
4/24/2025legislaturePassed House, yeas 89, nays 0.
4/24/2025HouseSubstituted for HF 1016.
4/24/2025legislatureRead first time, passed on file.
4/22/2025legislatureMessage from Senate.
4/22/2025SenateImmediate message.
4/22/2025legislaturePassed Senate, yeas 46, nays 0.
4/22/2025SenateAmendment S-3122 filed, adopted.
4/22/2025legislaturePlaced on calendar under unfinished business.
4/3/2025legislatureCommittee report, approving bill.
3/10/2025legislatureIntroduced, placed on calendar.
3/10/2025legislature
Bill Text
As Introduced
Enrolled
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