Bills › 91st General Assembly
Relating to the standardization of claim submission and reimbursement processes of managed care organizations
Sponsored by Rep. Taylor R. Collins (R)
Topics:Health careInsuranceMedicaid
Where it is now
- Done: IntroducedJanuary 14, 2026
- Stopped: SubcommitteeDied when the General Assembly ended
- Next: House committeeFunnel: by February 20, 2026
- Next: Passes the House
- Next: Senate committeeFunnel: by March 20, 2026
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Died when the session ended The 2026 session adjourned on May 3, 2026, the General Assembly’s last regular session. Bills that didn’t pass both chambers died. What’s a funnel?
What’s in it
AI summary The director of health and human services will create a standard way for doctors and healthcare providers to submit claims and get paid for services provided to people in the medical assistance program. Starting in July 2027, all managed care organizations must follow this new process. The state will also update its contracts to make sure these organizations follow the new rules.1
Read the official explanation
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. The bill requires HHS to amend all managed care contracts, pursuant to the terms of each contract, to provide that MCOs adhere to the process. The bill further requires that all managed care contracts entered into, extended, or renewed by HHS on or after July 1, 2027, provide that MCOs adhere to the process.
Why it matters. The department of health and human services and managed care organizations would be required to follow a standardized process for submitting and reimbursing claims for medical services. This change would affect healthcare providers who provide services to people receiving medical assistance benefits.2
Iowa Code it changes
Lobbying
11 for · 2 against · 9 undecided · Who →