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91st General Assembly · Funnel one-pager · Monday, November 9, 2026

HF 219: Relating to the duties of insurers under medical malpractice insurance policies

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

What it does

This bill provides that an insurance company insuring a health care provider against professional negligence shall negotiate in good faith all claims presented to the provider. If a claimant offers to settle within the policy limits and the insurer refuses or declines the offer and the claim proceeds to judgment in excess of the policy limit, the insurance company is liable for the full amount regardless of policy limitation. The insurance company has a duty to negotiate a settlement within policy limits if an offer has been made by the claimant at or within the policy limits. If the insurance company fails to do so, the health care provider has a cause of action against the insurance company.

Sponsors

Rep. Brian K. Lohse (R)

Cost

No fiscal note

Lobbying · 3 for, 1 against

For: Iowa Academy of Trial Lawyers; Iowa Association for Justice; Iowa Integrated Health Planning and Advisory Council

Against: Iowa Insurance Associates

In plain words

  1. February 6, 2025Filed in the House and sent to the Commerce committee

From public records at legis.iowa.gov, compiled by Funnel (iowafunnel.com), an independent, nonpartisan site. Current as of Monday, November 9, 2026. https://iowafunnel.com/bills/91/HF219