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

SF 562: Relating to utilization review organizations, prior authorizations and exemptions, medical billing, and independent review organizations

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 utilization review organizations, prior authorizations and exemptions, medical billing, and independent review organizations. Under the bill, a health carrier (carrier) that uses an artificial intelligence, algorithm, or other software tool (artificial intelligence) for the purpose of utilization review, or that contracts with or works through an entity that uses an artificial intelligence for the purpose of utilization review, shall ensure that (1) the artificial intelligence bases its determination on the information described in the bill; (2) the artificial intelligence does not base its determination solely on a group dataset; (3) the artificial intelligence’s criteria and guidelines comply with Code chapter 514F and applicable state and federal law; (4) the artificial intelligence does not supplant health care provider (provider) decision making; (5) the use of the artificial intelligence does not discriminate against covered persons; (6) the artificial intelligence is fairly and equitably applied; (7) the artificial intelligence is open to inspection for audit or compliance reviews by the insurance division (division) and the department of health and human services; (8) disclosures pertaining to the use and oversight of the artificial intelligence are contained in written policies and procedures; (9) the artificial intelligence’s performance, use, and outcomes are periodically reviewed and revised; (10) patient data is not used beyond its intended and stated purpose; and (11) the artificial intelligence does not cause harm to a covered person.

Sponsors

Sen. Molly Donahue (D), Sen. Sarah Trone Garriott (D), Sen. Janet Petersen (D), Sen. Zach Wahls (D), Sen. Mike Zimmer (D)

Cost

No fiscal note

Senate subcommittee · named March 11, 2025

  • Sen. Dawn Driscoll (R) · dawn.driscoll@legis.iowa.gov
  • Sen. Janet Petersen (D) · janet.petersen@legis.iowa.gov
  • Sen. Kara Warme (R) · kara.warme@legis.iowa.gov

In plain words

  1. March 6, 2025Filed in the Senate and sent to the Commerce committee
  2. March 11, 2025Senate subcommittee named: Driscoll, Petersen and Warme

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/SF562