HF 2434: Relating to insurance coverage for health care services provided pursuant to a referral by an out-of-network primary care provider

What it does

This bill relates to insurance coverage for health care services provided pursuant to a referral by an out-of-network primary care provider. Under the bill, a health carrier (carrier) shall not deny coverage for a covered benefit provided to a covered person solely on the basis that the referral to receive the covered benefit was made by the covered person’s primary care provider (PCP) who does not participate in the carrier’s network. A carrier shall not impose a deductible, coinsurance, or copayment for a covered benefit for which a covered person was referred by the covered person’s PCP greater than what would be applicable to the same benefit had the covered person been referred by an in-network health care professional.

Senate subcommittee · named March 3, 2026

• Sen. Kara Warme (R) · kara.warme@legis.iowa.gov
• Sen. Dawn Driscoll (R) · dawn.driscoll@legis.iowa.gov
• Sen. Izaah Knox (D) · izaah.knox@legis.iowa.gov

Lobbying · 9 for, 0 against

For: Integrated Telehealth Partners; Iowa Academy of Family Physicians; Iowa Chapter-American Academy of Pediatrics; Iowa Independent Physician Group; Iowa Integrated Health Planning and Advisory Council; Iowa Medical Society; Iowa Mental Health Counselors Association; Iowa Psychiatric Physicians Society; Rheumatology Association of Iowa

In plain words

1. January 12, 2026Filed in the House and sent to the Health and Human Services committee · as HSB 506
2. January 12, 2026House subcommittee named: Harris, Baeth and Weldon · as HSB 506
3. February 5, 2026Subcommittee recommended passing it · as HSB 506
4. February 10, 2026Approved by the House committee · as HSB 506
5. February 10, 2026Committee vote: 21–0 · as HSB 506
6. February 12, 2026Filed in the House
7. February 12, 2026Approved by the House committee, and given a new number: HF 2434 · as HSB 506
8. February 25, 2026Passed the House, 92–0
9. February 25, 2026Arrived in the Senate
10. March 3, 2026Senate subcommittee named: Warme, Driscoll and Knox
11. March 9, 2026Subcommittee recommended passing it
12. March 19, 2026Approved by the Senate committee
13. April 6, 2026Passed the Senate, 47–0
14. April 7, 2026Passed the House, 92–0
15. April 16, 2026Sent to the Governor
16. April 16, 2026Signed into law