Relating to health benefit plans, claims for reimbursement, and explanation of benefits

Where it is now

1. ✓
   Done: IntroducedJanuary 14, 2025
2. ✓
   Done: SubcommitteeJanuary 22, 2025
3. ✕
   Stopped: House committeeDied when the General Assembly ended
4. Next: Passes the House
5. Next: Senate committeeFunnel: by March 20, 2026
6. Next: Passes the Senate
7. Next: To the Governor
8. Next: Signed into law

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

What’s in it

This bill relates to health benefit plans, claims for reimbursement, and explanation of benefits (EOB). Under the bill, a health care professional who provides health care services to a covered person (person) shall submit a claim for reimbursement (claim) to the primary health benefit plan (plan) designated by the person or their personal representative (representative) prior to submitting a claim to any other plan designated by the person or their representative. If the person, person’s representative, or person’s secondary plan requests a copy of an EOB from a person’s primary plan, the primary plan shall provide a copy of the EOB no later than calendar days from the date of the request.

From the explanation printed with the bill as introduced, written by the Legislative Services Agency. Amendments adopted later aren’t reflected. Full bill text

House subcommittee

Named January 22, 2025. On January 29, 2025 it recommended passage.

• Rep. John H. Wills REmail
• Rep. Brett Barker REmail
• Rep. Elizabeth Wilson DEmail

Three legislators hear a bill first and recommend what the committee should do; it’s the best time to weigh in. How to take part

Iowa Code it changes

Creates§147.165§514A.16

Read from the bill as introduced. Each links to every bill touching that chapter of the Iowa Code. How the Code works