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

SF 2159: Relating to insurance coverage for biomarker testing

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 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 a covered person when the test provides clinical utility as demonstrated by medical and scientific evidence as detailed in the bill.

Sponsors

Commerce committee

Cost

Cost: up to $880,000

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…

Senate subcommittee · named January 9, 2024

  • Sen. Waylon Brown (R)
  • Sen. Carrie Koelker (R) · carrie.koelker@legis.iowa.gov
  • Sen. Janet Petersen (D) · janet.petersen@legis.iowa.gov

Lobbying · 20 for, 3 against

For: AARP Iowa; 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; and 8 more

Against: Americas Health Insurance Plans (AHIP); Federation of Iowa Insurers; National Association of Benefits and Insurance Professionals-Iowa Chapter

In plain words

  1. January 9, 2024Filed in the Senate and sent to the Commerce committee · as SSB 3001
  2. January 9, 2024Senate subcommittee named: Brown, Koelker and Petersen · as SSB 3001
  3. January 17, 2024Subcommittee recommended passing it with changes · as SSB 3001
  4. January 30, 2024Approved by the Senate committee, and given a new number: SF 2159 · as SSB 3001
  5. January 31, 2024Filed in the Senate
  6. January 31, 2024Approved by the Senate committee
  7. February 28, 2024Cost estimate (fiscal note) posted
  8. April 9, 2024Withdrawn

From public records at legis.iowa.gov, compiled by Iowa Funnel (iowafunnel.com), an independent, nonpartisan site. Current as of Monday, November 9, 2026. https://iowafunnel.com/bills/90/SF2159