HF 2412: Relating to prior authorization exemptions for certain health care providers for specific health care services

What it does

This bill relates to prior authorization exemptions for certain health care providers for certain health care services. The bill requires health carriers (carrier) that require prior authorization for certain health care services (services) to grant a health care provider (provider) an exemption, if, in the most recent evaluation period (period), the carrier has approved not less than percent of the prior authorization requests submitted by that provider for the specific service. “Exemption” is defined in the bill as an exception to a carrier’s requirement that a provider obtain prior authorization for a specific service.

Lobbying · 3 for, 2 against

For: Iowa Independent Physician Group; Iowa Medical Society; Iowa Physician Assistant Society

Against: Iowa Total Care, A Subsidiary of Centene Corporation; Wellmark, Inc.

In plain words

1. February 11, 2026Filed in the House and sent to the Commerce committee