HF 303: Relating to prior authorization and utilization review organizations

What it does

This bill relates to prior authorizations and exemptions by health benefit plans and utilization review organizations. The bill requires a utilization review organization (organization) to respond to a request for prior authorization (authorization) from a health care provider (provider) within hours after receipt for urgent requests or within calendar days for nonurgent requests, unless there are complex or unique circumstances, or the organization is experiencing an unusually high volume of authorization requests, then an organization must respond within calendar days.

House subcommittee · named January 15, 2025

• Rep. Carter F. Nordman (R) · carter.nordman@legis.iowa.gov
• Rep. Judd Lawler (R) · judd.lawler@legis.iowa.gov
• Rep. Dr. Megan L. Srinivas (D) · megan.srinivas@legis.iowa.gov

Lobbying · 25 for, 2 against

For: American Diabetes Association; American Physical Therapy Association of Iowa; Autism Speaks; Broadlawns Medical Center; Central Iowa Physicians; Classroom Clinic; Easterseals Iowa; Exceptional Persons, Inc.; Imagine the Possibilities; Integrated Telehealth Partners; Iowa Affiliate of the American College of Nurse-Midwives; Iowa Association of Rural Health Clinics; and 13 more

Against: AHIP; CVS Health

In plain words

1. January 15, 2025Filed in the House and sent to the Commerce committee · as HSB 19
2. January 15, 2025House subcommittee named: Nordman, Lawler and Srinivas · as HSB 19
3. January 23, 2025Subcommittee recommended passing it · as HSB 19
4. February 6, 2025Approved by the House committee · as HSB 19
5. February 6, 2025Committee vote: 23–0 · as HSB 19
6. February 10, 2025Filed in the House
7. February 10, 2025Approved by the House committee, and given a new number: HF 303 · as HSB 19
8. February 20, 2025Passed the House, 92–0
9. February 24, 2025Arrived in the Senate
10. April 16, 2025Took the place of SF 231 on the Senate floor (the same legislation)
11. April 16, 2025Passed the Senate, 47–0
12. April 22, 2025Passed the House, 92–0
13. May 19, 2025Sent to the Governor
14. May 27, 2025Signed into law