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91st General Assembly · Funnel one-pager · Monday, November 9, 2026

SF 2226: Relating to the use of automated adjudication systems by health carriers, and including civil penalties

Died when the session ended · The General Assembly adjourned on October 2, 2026. Bills that didn’t pass both chambers died.

What it does

This bill relates to the use of automated adjudication systems by health carriers. The bill prohibits a health carrier (carrier) from using an automated adjudication system (system) to downcode or deny a claim unless the carrier first performs a documented individualized review of the claim, conducted by a clinical reviewer (reviewer), including a review of the supporting medical documentation and applicable clinical criteria. “Automated adjudication system”, “claim”, “deny”, and “downcode” are defined by the bill.

Sponsors

Sen. Liz Bennett (D), Sen. Molly Donahue (D), Sen. Catelin Drey (D), Sen. Renee Hardman (D), Sen. Janet Petersen (D), Sen. Art Staed (D), Sen. Mike Zimmer (D)

Cost

No fiscal note

Senate subcommittee · named February 10, 2026

  • Sen. Kara Warme (R) · kara.warme@legis.iowa.gov
  • Sen. Janet Petersen (D) · janet.petersen@legis.iowa.gov
  • Sen. Jason Schultz (R) · jason.schultz@legis.iowa.gov

In plain words

  1. February 5, 2026Filed in the Senate and sent to the Commerce committee
  2. February 10, 2026Senate subcommittee named: Warme, Petersen and Schultz

From public records at legis.iowa.gov, compiled by Funnel (iowafunnel.com), an independent, nonpartisan site. Current as of Monday, November 9, 2026. https://iowafunnel.com/bills/91/SF2226