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90th General Assembly · Funnel one-pager · Monday, November 9, 2026

HF 2157: Relating to insurance coverage for biomarker testing

Became HF 2492 · Its progress continues under the new number.

What it does

This bill relates to health insurance coverage for biomarker testing. The bill defines “biomarker testing” as an analysis of an individual’s tissue, blood, or other biospecimen for the presence of a biomarker. “Biomarker” is also defined in the bill. The bill requires a health carrier that offers individual, group, or small group contracts, policies, or plans in this state that provide for third-party payment or prepayment of health or medical expenses to offer coverage for biomarker testing for purposes of diagnosing, treating, appropriately managing, or monitoring cancer in a covered person when the test has demonstrated clinical utility as detailed in the bill.

Sponsors

Not listed

Cost

See the fiscal note

House File 2668 is estimated to increase costs to the State by approximately $86,000 in FY 2025 and $171,000 annually beginning in FY 2026. Data to estimate potential cost savings is not currently available; therefore, potential cost savings as a result of the…

House subcommittee · named January 31, 2024

  • Rep. Brian K. Lohse (R) · brian.lohse@legis.iowa.gov
  • Rep. Megan L. Srinivas (D) · megan.srinivas@legis.iowa.gov
  • Rep. David E. Young (R) · david.young@legis.iowa.gov

Lobbying · 19 for, 0 against

For: American Cancer Society Cancer Action Network (ACS CAN); American Lung Association; Bayer U.S. LLC; Brain Injury Alliance of Iowa; Easterseals Iowa; Genentech, Inc., A Member of the Roche Group; Iowa Academy of Family Physicians; Iowa Affiliate of the American College of Nurse-Midwives; Iowa Army of Pink; Iowa Association of Rural Health Clinics; Iowa Chapter of the National Association of Pediatric Nurse Practitioners; Iowa Mental Health Advocacy; and 7 more

In plain words

  1. January 25, 2024Filed in the House and sent to the Commerce committee
  2. January 31, 2024House subcommittee named: Lohse, Srinivas and Young
  3. February 6, 2024Subcommittee recommended passing it with changes
  4. February 8, 2024Approved by the House committee
  5. February 13, 2024Approved by the House committee, and given a new number: HF 2492
  6. March 27, 2024Withdrawn

From public records at legis.iowa.gov, compiled by Funnel (iowafunnel.com), an independent, nonpartisan site. Current as of Monday, November 9, 2026. https://iowafunnel.com/bills/90/HF2157