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

SSB 3118: Relating to utilization review organizations’ use of artificial intelligence, prior authorization determinations and exemptions, and prepayment audits, and including applicability provisions

Became SF 2421 · Its progress continues under the new number.

What it does

This bill relates to utilization review organizations’ use of artificial intelligence, prior authorization determinations and exemptions, and prepayment audits. DIVISION I —— PRIOR AUTHORIZATION —— USE OF ARTIFICIAL INTELLIGENCE AND PEER REVIEW. _____ a health care service (service) based on medical necessity, a URO shall not use an artificial intelligence-based algorithm as the sole basis for a decision to deny, delay, or downgrade the prior authorization request. “Downgrade” is defined in the bill.

Sponsors

Not listed

Cost

See the fiscal note

Division I of the Bill may increase costs to the State of Iowa and the BOR universities’ health plans incurred in responding to audits of clean claims; any potential fiscal impact is unknown but may be significant.

Senate subcommittee · named February 5, 2026

  • Sen. Kara Warme (R) · kara.warme@legis.iowa.gov
  • Sen. Sarah Trone Garriott (D) · sarah.trone.garriott@legis.iowa.gov
  • Sen. Scott Webster (R) · scott.webster@legis.iowa.gov

Lobbying · 25 for, 6 against

For: American College of Obstetricians & Gynecologists; Americans For Prosperity; Bellin Gundersen Health System, Inc.; Brain Injury Association of Iowa; Broadlawns Medical Center; Central Iowa Physicians; Easterseals Iowa; Episcopal Diocese of Iowa; Iowa Academy of Family Physicians; Iowa Association of Ambulatory Surgery Centers; Iowa Chapter-American Academy of Pediatrics; Iowa Chiropractic Society; and 13 more

Against: Cigna Corporate Services, LLC; Elevance Health, and its Affiliates dba Anthem, Inc.; Federation of Iowa Insurers; Iowa Total Care, A Subsidiary of Centene Corporation; Molina Healthcare, Inc.; United Healthcare Services, Inc.

In plain words

  1. February 5, 2026Filed in the Senate and sent to the Health and Human Services committee
  2. February 5, 2026Senate subcommittee named: Warme, Trone Garriott and Webster
  3. February 10, 2026Subcommittee recommended passing it with changes
  4. February 19, 2026Approved by the Senate committee, and given a new number: SF 2421

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/SSB3118