Bills › 91st General Assembly
Relating to cost sharing for health savings accounts and qualified high-deductible health plans
Sponsored by the House Commerce Committee
Proposed by the Department of Insurance and Financial Services · all agency proposals
Topics:Health careInsurance
Where it is now
- Done: IntroducedJanuary 13, 2026
- Done: SubcommitteeJanuary 13, 2026
- Done: House committeeJanuary 21, 2026
- Done: Passes the HouseApril 1, 202692–0
- Skipped: Senate committeeSkipped
- Done: Passes the SenateApril 15, 202647–0
- Done: To the GovernorMay 6, 2026
- Done: Signed into lawMay 15, 2026
Signed into law What’s a funnel?
What’s in it
AI summary People with high-deductible health plans and health savings accounts would see a change in how they pay for medical costs. Once a person meets their minimum deductible, certain payments like copayments or coinsurance would be handled differently so the person doesn't lose their eligibility for their savings account. This rule does not apply to preventive care services.1
Read the official explanation
This bill relates to cost sharing for health savings accounts (HSA) and qualified high-deductible health plans (HDHP). Under the bill, for group insurance and for accident and health insurance, if a copayment, coinsurance, or deductible paid as cost sharing by an enrollee may result in the enrollee becoming ineligible for an HSA associated with the enrollee’s qualified HDHP, the cost sharing shall apply only to the enrollee’s qualified HDHP after the enrollee satisfies the enrollee’s minimum deductible, except for items or services determined to be preventive care.
House subcommittee
Named January 13, 2026 (as HSB 518). On January 15, 2026 it recommended 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
Iowa Code it changes
Lobbying
5 for · 0 against · 18 undecided · Who →
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91st General Assembly