Relating to the standardization of claim submission and reimbursement processes of managed care organizations

Where it is now

1. ✓
   Done: IntroducedJanuary 14, 2026
2. ✕
   Stopped: SubcommitteeDied when the General Assembly ended
3. Next: House committeeFunnel: by February 20, 2026
4. Next: Passes the House
5. Next: Senate committeeFunnel: by March 20, 2026
6. Next: Passes the Senate
7. Next: To the Governor
8. Next: Signed into law

Died when the session ended The General Assembly adjourned on October 2, 2026. Bills that didn’t pass both chambers died. What’s a funnel?

What’s in it

This bill relates to claim submission and reimbursement processes followed by managed care organizations (MCOs) administering the medical assistance program (program). The bill defines “managed care contract” and “managed care organization”. Under current law, the department of health and human services (HHS) is directed to adopt rules determining the method and level of reimbursement for all medical and health services provided under the program. The bill directs the director of HHS to also adopt rules establishing a standardized submission and reimbursement process (process) for claims for all benefits received by or services rendered to a recipient by a provider on or after July 1, 2027.

From the explanation printed with the bill as introduced, written by the Legislative Services Agency. Amendments adopted later aren’t reflected. Full bill text

Iowa Code it changes

Amends§249A.2§249A.4

Read from the bill as introduced. Each links to every bill touching that chapter of the Iowa Code. How the Code works