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

HF 2489: Relating to insurance coverage for supplemental and diagnostic breast examinations

Signed into law

What it does

This bill relates to insurance coverage for supplemental and diagnostic breast examinations. The bill requires a policy, contract, or plan providing for third-party payment or prepayment of health or medical expenses to provide coverage for diagnostic and supplemental breast examinations. “Diagnostic breast examination” and “supplemental breast examination” are defined in the bill. “Diagnostic mammogram”, “breast magnetic resonance imaging”, and “breast ultrasound” are also defined in the bill. Coverage required under the bill shall not be less favorable than coverage a health carrier offers for screening mammograms.

Sponsors

Commerce committee

Cost

Cost: up to $500,000

House File 2489 is estimated to increase annual costs to the State of Iowa Insurance Plan by an amount ranging between approximately $100,000 and $500,000 beginning in FY 2025. It is anticipated that the lower end of this range is more likely to occur; however…

Lobbying · 18 for, 1 against

For: American Cancer Society Cancer Action Network (ACS CAN); American College of Obstetricians & Gynecologists; Broadlawns Medical Center; Family Planning Council of Iowa; 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; Iowa Nurse Practitioners Society; Iowa Nurses Association; and 6 more

Against: Wellmark, Inc.

In plain words

  1. February 13, 2024Filed in the House
  2. February 20, 2024Cost estimate (fiscal note) posted
  3. February 21, 2024Passed the House, 97–0
  4. February 22, 2024Arrived in the Senate
  5. April 1, 2024Took the place of SF 2358 on the Senate floor (the same legislation)
  6. April 1, 2024Passed the Senate, 47–0
  7. April 23, 2024Sent to the Governor
  8. May 1, 2024Signed into law
  9. May 8, 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/HF2489