Bills › 91st General Assembly
Relating to prior authorization and utilization review organizations
Sponsored by the Senate Health and Human Services Committee
Topics:Health care
Where it is now
- Done: IntroducedJanuary 16, 2025
- Done: SubcommitteeJanuary 16, 2025
- Done: Senate committeeFebruary 6, 2025
- Done: Passes the SenateApril 16, 202547–0
- Skipped: House committeeSkipped
- Done: Passes the HouseFebruary 20, 202592–0
- Done: To the GovernorMay 19, 2025
- Done: Signed into lawMay 27, 2025
HF 303 became law → The same legislation passed as HF 303, so this version was set aside. Go to HF 303 What’s a funnel?
What’s in it
This bill relates to prior authorization and utilization review organizations. The bill requires a utilization review organization (organization) to provide a determination to a request for prior authorization (authorization) from a health care provider (provider) within hours after receipt for urgent requests or within calendar days for nonurgent requests, unless there are complex or unique circumstances, or the organization is experiencing an unusually high volume of authorization requests, then an organization must respond within calendar days.
Read the full explanation
Within hours after receipt of an authorization request, the organization shall notify a provider of, or make available, a receipt for the authorization request. The bill requires an organization to conduct an annual review and submit the findings in a report to the commissioner of insurance (commissioner). The requirements for the report are detailed in the bill. The bill also requires an organization to annually review all health care services for which a health benefit plan (plan) requires an authorization, and to eliminate authorization requirements for health care services for which authorization requests are so routinely approved that the authorization requirement is not justified as it does not promote health care quality or reduce health care spending. An organization shall submit an annual report containing the findings of both reviews to the commissioner, and shall include all of the information detailed in the bill. The commissioner shall submit an annual report to the general assembly containing a summary and analysis of the information in the reports. Complaints regarding an organization’s compliance with the bill may be directed to the insurance division, and the insurance division shall notify an organization of all complaints received regarding the organization. Complaints received under the bill shall not be considered public records.
From the explanation printed with the bill as introduced, written by the Legislative Services Agency. Changed since by amendments S-3015, S-3014; see Amendments. Full bill text · What changed before it passed
Senate subcommittee
Named January 16, 2025 (as SSB 1016). On January 23, 2025 it recommended passage.
Three legislators hear a bill first and recommend what the committee should do; it’s the best time to weigh in. How to take part
Iowa Code it changes
Amends§514F.8
Read from the bill as introduced. Each links to every bill touching that chapter of the Iowa Code. How the Code works
Lobbying
25 for · 2 against · 19 undecided · Who →
Family tree
Where this legislation came from and where it went: earlier tries, the versions it moved through this Assembly, and later bills built on it.
Tried before
Study bill
91st General Assembly
Earlier and later bills are matched by wording or an identical title; check the text to be sure it’s the same idea.
Tried before
This idea has been filed in an earlier General Assembly. None became law, though one got through a chamber.
- HF 2488 Relating to prior authorizations and exemptions by health benefit plans and utilization re…90th General Assembly · Passed both chambers · nearly identicalPassed a chamber
Similar bills this General Assembly
- SF 562 Relating to utilization review organizations, prior authorizations and exemptions, medical…91st General Assembly · In committeeSimilar
Matched by the wording of each bill’s explanation, or an identical title. Companion bills and renumbered versions of this bill aren’t listed; they’re the same bill.