HF 556: Relating to health insurers’ credentialing process

What it does

This bill relates to health insurers’ credentialing process. Under the bill, a health insurer (insurer) shall respond to a physician, advanced registered nurse practitioner, or physician assistant’s request for credentialing within calendar days. If a request for credentialing is denied by the insurer, the insurer shall provide a reason for the denial to the physician, advanced registered nurse practitioner, or physician assistant. The physician, advanced registered nurse practitioner, or physician assistant shall have an opportunity, after an internal appeal, to appeal the denial to the insurance division. In addition to any other grounds for an appeal, network adequacy shall constitute grounds for an appeal.

House subcommittee · named February 25, 2025

• Rep. Carter F. Nordman (R) · carter.nordman@legis.iowa.gov
• Rep. Rob Johnson (D) · rob.johnson@legis.iowa.gov
• Rep. Mike Vondran (R) · mike.vondran@legis.iowa.gov

Lobbying · 13 for, 0 against

For: American College of Obstetricians & Gynecologists; Classroom Clinic; Iowa Academy of Family Physicians; Iowa Affiliate of the American College of Nurse-Midwives; Iowa Chapter of the National Association of Pediatric Nurse Practitioners; Iowa Independent Physician Group; Iowa Medical Society; Iowa Mental Health Advocacy; Iowa Mental Health Counselors Association; Iowa Nurse Practitioners Society; Iowa Physician Assistant Society; Iowa Psychiatric Physicians Society; and 1 more

In plain words

1. February 24, 2025Filed in the House and sent to the Health and Human Services committee
2. February 25, 2025House subcommittee named: Nordman, Johnson, R. and Vondran
3. March 4, 2025Subcommittee recommended passing it
4. March 4, 2025Approved by the House committee
5. March 4, 2025Committee vote: 21–2
6. March 7, 2025Approved by the House committee, and given a new number: HF 875
7. March 21, 2025Withdrawn