Relating to managed care organization chargebacks and third-party auditors

Where it is now

1. ✓
   Done: IntroducedMarch 6, 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 requires a managed care organization (MCO) acting pursuant to a contract with the department of health and human services to administer the medical assistance program to issue a chargeback to a provider within months from the date the MCO provided reimbursement to the provider. The bill requires an MCO to negotiate a fee with a third-party auditor (auditor) prior to the auditor initiating an audit of a provider. An MCO shall not base compensation for an auditor on the percentage of chargebacks identified by the auditor.

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§249A.14

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