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Bills › 90th General Assembly

SSB 3001

Topics:Business & economyMedicaid

Same legislation: HF 2157, SF 2159, HF 2492, HF 2668

Write your legislators about it

Also covers HF 2157 and SF 2159 and HF 2492 and HF 2668.

What changed before it passed
Official bill pageLobbyist declarationsOne-pager to print

Where it is now

  1. Done: IntroducedJanuary 9, 2024
  2. Done: SubcommitteeJanuary 9, 2024
  3. Done: Senate committeeJanuary 30, 2024
  4. Skipped: Passes the SenateContinued as SF 2159
  5. Next: House committee
  6. Next: Passes the House
  7. Next: To the Governor
  8. Next: Signed into law

Became SF 2159 → Its progress continues under the new number. Go to SF 2159 What’s a funnel?

What’s in it

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 is supported by medical and scientific evidence as detailed in the bill.

Read the full explanation

Coverage shall be provided in a manner which limits disruptions in a person’s care. The bill requires a health carrier to provide a process on its internet site for a person and the person’s health care professional to seek an exception to coverage required under the bill. The bill applies to third-party payment provider contracts, policies, or plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2025, by the third-party payment providers enumerated in the bill. The bill specifies the types of specialized health-related insurance which are not subject to the bill’s coverage requirements. The bill applies to the medical assistance program under Code chapter 249A, the healthy and well kids in Iowa (Hawki) program under Code chapter 514I, and a managed care organization acting pursuant to a contract with the department of health and human services to administer either the medical assistance program or the Hawki program. The commissioner of insurance is required to adopt rules to administer the bill.

Changed since by amendments S-5124, S-5123; see Amendments.

Full bill text · What changed before it passed1

Senate subcommittee

Named January 9, 2024. On January 17, 2024 it recommended amendment and passage. [].

Three legislators hear a bill first and recommend what the committee should do; it’s the best time to weigh in. How to take part

1 written public comment to its subcommittee: March 12, 2024 (1) · on the Legislature’s site

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 Bill are not included.

How the estimate changed

  1. $880,000 February 21, 2024
  2. $880,000 February 28, 2024
  3. $171,000 March 20, 2024
  4. $171,000 April 29, 2024 · final
2

Reading a fiscal note3

Iowa Code it changes

Creates§514C.36

How the Code works4

Lobbying

20 for · 3 against · 33 undecided · Who →

Family tree

Study bill

SSB 3001Renumbered

90th General Assembly

HF 2157RenumberedHouse companionSF 2159Didn’t advancefrom SSB 3001HF 2492Renumberedfrom HF 2157HF 2668Became lawfrom HF 2492