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

HF 318: Relating to cost-sharing requirements for supplemental and diagnostic breast examinations

Died when the session ended · The 2026 session adjourned on May 3, 2026, the General Assembly’s last regular session. Bills that didn’t pass both chambers died.

What it does

This bill relates to cost-sharing requirements for supplemental and diagnostic breast examinations. Under the bill, a policy, contract, or plan providing for third-party payment or prepayment of health or medical expenses shall not impose cost-sharing requirements for required coverage of supplemental and diagnostic breast examinations that is less favorable than cost-sharing requirements imposed for screening mammograms. “Cost-sharing” is defined in the bill. The bill applies to third-party payment provider contracts, policies, or plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2026.

Sponsors

Commerce committee

Cost

Cost: up to $576,000

House File 318 is estimated to increase annual costs to the State of Iowa Insurance Plan by an amount ranging between approximately $180,000 and $576,000 beginning in FY 2026. It is anticipated that the lower end of this range is more likely to occur.

Senate subcommittee · named March 5, 2025

  • Sen. Dawn Driscoll (R) · dawn.driscoll@legis.iowa.gov
  • Sen. Janet Petersen (D) · janet.petersen@legis.iowa.gov
  • Sen. Kara Warme (R) · kara.warme@legis.iowa.gov

Lobbying · 10 for, 3 against

For: American Cancer Society Cancer Action Network (ACS CAN); Iowa Affiliate of the American College of Nurse-Midwives; Iowa Army of Pink; Iowa Chapter of the National Association of Pediatric Nurse Practitioners; Iowa Integrated Health Planning and Advisory Council; Iowa Nurse Practitioners Society; Iowa Nurses Association; Iowa Public Health Association; League of Women Voters of Iowa; Susan G. Komen Foundation

Against: Federation of Iowa Insurers; Iowa Bankers Insurance & Services, Inc.; Wellmark, Inc.

In plain words

  1. January 29, 2025Filed in the House and sent to the Commerce committee · as HSB 100
  2. January 29, 2025House subcommittee named: Latham, Lundgren and Srinivas · as HSB 100
  3. February 5, 2025Subcommittee recommended passing it · as HSB 100
  4. February 6, 2025Approved by the House committee · as HSB 100
  5. February 6, 2025Committee vote: 23–0 · as HSB 100
  6. February 10, 2025Filed in the House
  7. February 10, 2025Approved by the House committee, and given a new number: HF 318 · as HSB 100
  8. February 19, 2025Cost estimate (fiscal note) posted
  9. February 20, 2025Passed the House, 92–0
  10. February 24, 2025Arrived in the Senate
  11. February 27, 2025Cost estimate (fiscal note) posted
  12. March 5, 2025Senate subcommittee named: Driscoll, Petersen and Warme
  13. March 12, 2025Subcommittee recommended passing it

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/HF318