HSB 721: Relating to the establishment of a state-based exchange, creation of a state-based exchange fund, state innovation waivers, and including effective date provisions

What it does

This bill relates to the establishment of a state-based exchange and the creation of a state-based exchange fund. The bill defines “state-based exchange” as a state, federal, or partnership exchange or marketplace operating in the state pursuant to section 1311 of the federal Patient Protection and Affordable Care Act, Pub. L. 111-148.18A on or before December 31, 2026. Under the bill, at the direction of the governor, the commissioner shall have the authority to create, establish, implement, administer, or otherwise operate a state-based exchange and, if the application for a state innovation is approved, shall do so in accordance with the approved state innovation waiver.

House subcommittee · named February 11, 2026

• Rep. Brett Barker (R) · brett.barker@legis.iowa.gov
• Rep. Austin Baeth (D) · austin.baeth@legis.iowa.gov
• Rep. Shannon Lundgren (R) · shannon.lundgren@legis.iowa.gov

Lobbying · 5 for, 0 against

For: Federation of Iowa Insurers; Governor's Office; Iowa Insurance Division; National Association of Benefits and Insurance Professionals-Iowa Chapter; Wellmark, Inc.

In plain words

1. February 11, 2026Filed in the House and sent to the Commerce committee
2. February 11, 2026House subcommittee named: Barker, Baeth and Lundgren
3. February 12, 2026Subcommittee recommended passing it