HF 4: Relating to health benefit plans, claims for reimbursement, and explanation of benefits

What it does

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.

House subcommittee · named January 22, 2025

• Rep. John H. Wills (R) · john.wills@legis.iowa.gov
• Rep. Brett Barker (R) · brett.barker@legis.iowa.gov
• Rep. Elizabeth Wilson (D) · elizabeth.wilson@legis.iowa.gov

In plain words

1. January 14, 2025Filed in the House and sent to the Commerce committee
2. January 22, 2025House subcommittee named: Wills, J., Barker and Wilson
3. January 29, 2025Subcommittee recommended passing it