Relating to health carriers, pharmacy benefits managers, and the calculation of cost-sharing contributions by covered persons

Where it is now

1. ✓
   Done: IntroducedMarch 4, 2025
2. ✕
   Stopped: SubcommitteeDied when the General Assembly ended
3. Next: House committeeFunnel: by February 20, 2026
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 carriers, pharmacy benefits managers, and the calculation of cost-sharing covered persons. “Cost-sharing” and “health carrier” are defined in the bill. Under the bill, when a health carrier calculates a covered person’s overall contribution to any cost-sharing requirement under a health benefit plan, the health carrier and pharmacy benefits manager shall include any amount paid by the covered person, or paid by another person on behalf of the covered person. Where the contribution calculation would result in the ineligibility of a health savings account (HSA) under section 223 of the Internal Revenue Code (IRC), the contribution calculation for the HSA shall apply only after the covered person has satisfied the minimum deductible, except that for items or services that are preventive care pursuant to section 223(c)(2)(C) of the IRC, the contribution calculation shall apply regardless of whether the minimum deductible has been satisfied.

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

Iowa Code it changes

Creates§514F.10

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