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

HF 2488: Relating to prior authorizations and exemptions by health benefit plans and utilization review organizations

Died when the session ended · The 2024 session adjourned on April 19, 2024, the General Assembly’s last regular session. Bills that didn’t pass both chambers died.

What it does

This bill relates to prior authorizations and exemptions by health benefit plans and utilization review organizations. The bill requires a utilization review organization (organization) to respond to a request for prior authorization (authorization) from a health care provider (provider) within hours after receipt for urgent requests or within calendar days for nonurgent requests, unless there are complex or unique circumstances, or the organization is experiencing an unusually high volume of authorization requests, then an organization must respond within calendar days.

Sponsors

Commerce committee

Cost

Cost: up to $340,000

Division I may increase costs to the State of Iowa Insurance Plan and the BOR Insurance Plans beginning in CY 2025. Increased costs to the BOR Insurance Plans are estimated to be minimal. 1%, which would reflect a $340,000 increase. The duration of the pilot p…

Senate subcommittee · named March 6, 2024

  • Sen. Jeff Edler (R)
  • Sen. Mark Costello (R) · mark.costello@legis.iowa.gov
  • Sen. Janet Petersen (D) · janet.petersen@legis.iowa.gov

Lobbying · 18 for, 3 against

For: Alliance for Patient Access; American Association of Marriage and Family Therapy; American Diabetes Association; Americans For Prosperity; Autism Speaks; Iowa Chapter-American Academy of Pediatrics; Iowa Dental Association; Iowa Hospital Association; Iowa Independent Physician Group; Iowa Medical Society; Iowa Mental Health Advocacy; Iowa Mental Health Counselors Association; and 6 more

Against: Americas Health Insurance Plans (AHIP); Medica; Pharmaceutical Care Management Association

In plain words

  1. January 31, 2024Filed in the House and sent to the Commerce committee · as HSB 641
  2. January 31, 2024House subcommittee named: Lohse, Lundgren and Srinivas · as HSB 641
  3. February 7, 2024Subcommittee recommended passing it · as HSB 641
  4. February 8, 2024Approved by the House committee · as HSB 641
  5. February 13, 2024Filed in the House
  6. February 13, 2024Approved by the House committee, and given a new number: HF 2488 · as HSB 641
  7. February 28, 2024Cost estimate (fiscal note) posted
  8. February 29, 2024Passed the House, 95–0
  9. March 4, 2024Arrived in the Senate
  10. March 6, 2024Senate subcommittee named: Edler, Costello and Petersen
  11. March 11, 2024Subcommittee recommended passing it with changes
  12. March 18, 2024Approved by the Senate committee
  13. March 26, 2024Passed the Senate, 47–1
  14. April 1, 2024Cost estimate (fiscal note) posted

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/HF2488