Bills › 89th General Assembly

Where it is now

  1. Done: IntroducedJanuary 14, 2021
  2. Done: SubcommitteeJanuary 14, 2021
  3. Done: House committeeJanuary 27, 2021
  4. Skipped: Passes the HouseContinued as HF 263
  5. Next: Senate committee
  6. Next: Passes the Senate
  7. Next: To the Governor
  8. Next: Signed into law

Became HF 263 → Its progress continues under the new number. Go to HF 263 What’s a funnel?

What’s in it

AI summary Health insurance plans in Iowa would be required to limit how much people pay out-of-pocket for certain types of insulin. For a 31-day supply of rapid, short, intermediate, or long-acting insulin used to treat diabetes, the cost-sharing amount cannot be more than $100. This rule applies to specific insurance policies and contracts issued or renewed in the state.1

Read the official explanation

This bill relates to prescription insulin drugs and coverage by policies, contracts, or plans providing for third-party payment or prepayment of health or medical expenses that provide coverage for prescription drugs. _____ expenses that provides coverage for prescription drugs to cap the total amount of cost-sharing that a covered person is required to pay per prescription filled to an amount not to exceed $100 for up to a 31-day supply of at least one type of each of rapid-acting prescription insulin drugs, short-acting prescription insulin drugs, intermediate-acting prescription insulin drugs, or long-acting prescription insulin drugs. “Prescription insulin drug” is defined in the bill as a prescription drug that contains insulin, is used to treat diabetes, has been prescribed as medically necessary by a covered person’s health care professional, and is a benefit covered by a covered person’s policy, contract, or plan. The bill defines “cost-sharing” as any coverage limit, copayment, coinsurance, deductible, or other out-of-pocket expense imposed on a covered person. The bill does not prohibit a policy, contract, or plan providing for third-party payment or prepayment of health or medical expenses from reducing a covered person’s cost-sharing to less than $100 for a 31-day supply of a prescription insulin drug. The bill applies to third-party payment provider contracts, policies, or plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2022, by the third-party payment providers enumerated in the bill. The bill specifies the types of specialized health-related insurance which are not subject to the coverage requirements of the bill. The commissioner of insurance may adopt rules to administer the requirements of the bill.

Full bill text2

House subcommittee

Named January 14, 2021. On January 21, 2021 it recommended passage.

Three legislators hear a bill first and recommend what the committee should do; it’s the best time to weigh in. How to take part

Iowa Code it changes

Creates§514C.18A

How the Code works3

Lobbying

13 for · 0 against · 22 undecided · Who →

Family tree

Earlier and later bills are matched by wording or an identical title.

Tried before

This idea has been filed in an earlier General Assembly. None became law, though one got through a chamber.

  • HF 2138 Relating to insurance coverage for prescription insulin drugs
    88th General Assembly · Passed House · nearly identical
    Passed a chamber

Similar bills this General Assembly

  • HF 405 Relating to insurance coverage for prescription insulin drugs
    91st General Assembly · In committee
    Nearly identical
  • HF 658 Relating to insurance coverage for prescription insulin drugs
    91st General Assembly · In committee
    Nearly identical
  • SF 2047 Relating to insurance coverage for prescription insulin drugs
    91st General Assembly · In committee
    Nearly identical
  • HF 502 Relating to insurance coverage for prescription insulin drugs
    90th General Assembly · In committee
    Nearly identical
  • HF 694 Relating to insurance coverage for prescription insulin drugs
    90th General Assembly · In committee
    Nearly identical
  • SF 2062 Relating to insurance coverage for prescription insulin drugs
    90th General Assembly · In committee
    Nearly identical
  • SF 2322 Relating to insurance coverage for prescription insulin drugs
    91st General Assembly · In committee
    Very similar
  • SF 2214 Relating to insurance coverage for prescription insulin drugs
    90th General Assembly · Approved by committee
    Very similar
  • HF 2511 Relating to prescription refills in emergency situations and insurance coverage for prescr…
    89th General Assembly · In committee
    Very similar

Matched by wording or an identical title.