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

SF 431: Relating to certain cost controls for health care services, and including penalties

Became SF 2381 · Its progress continues under the new number.

What it does

This bill relates to certain cost controls for health care services and may be cited as “The Patient’s Right to Save Act”. Under the bill, all health care providers (providers) are required to establish and disclose the discounted cash price (cash price) the provider will accept for specific health care services (services). “Discounted cash price” is defined in the bill as the price an individual pays for a specific service if the individual pays with cash or a cash equivalent. The cash price shall be available to all covered persons (persons) and to all uninsured individuals.

Cost

See the fiscal note

Senate File 2381 is estimated to increase operational and administrative expenses for the State of Iowa Insurance Plan and the Board of Regents Insurance Plans. However, the fiscal impact cannot be estimated at this time, but may be significant. The fiscal imp…

Senate subcommittee · named March 2, 2023

Sen. Jeff Edler (R)
Sen. Mark Costello (R) · mark.costello@legis.iowa.gov
Sen. Pam Jochum (D)

Lobbying · 1 for, 6 against

For: Americans For Prosperity

Against: Delta Dental of Iowa; Federation of Iowa Insurers; Genentech, Inc., A Member of the Roche Group; Iowa Medical Society; Pharmaceutical Care Management Association; United Healthcare Services, Inc.

In plain words

February 27, 2023Filed in the Senate and sent to the Health and Human Services committee
March 2, 2023Senate subcommittee named: Edler, Costello and Jochum
January 25, 2024Subcommittee recommended passing it with changes
February 15, 2024Approved by the Senate committee, and given a new number: SF 2381