Bills › 91st General Assembly
Relating to cost-sharing requirements for supplemental and diagnostic breast examinations
Sponsored by the House Commerce Committee
Topics:Health careInsurance
Same legislation: HSB 100
Where it is now
- Done: IntroducedJanuary 29, 2025
- Done: SubcommitteeJanuary 29, 2025
- Done: House committeeFebruary 6, 2025
- Done: Passes the HouseFebruary 20, 202592–0
- Stopped: Senate committeeDied when the General Assembly ended
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Died when the session ended The 2026 session adjourned on May 3, 2026, the General Assembly’s last regular session. Bills that didn’t pass both chambers died. What’s a funnel?
What’s in it
AI summary Health insurance companies in Iowa will not be allowed to charge more for diagnostic or supplemental breast exams than they do for regular screening mammograms. This rule ensures that people paying for these specific medical tests face the same out-of-pocket costs as those getting standard screenings. These changes will apply to insurance plans and contracts issued or renewed in the state starting in 2026.1
Read the official explanation
This bill relates to cost-sharing requirements for supplemental and diagnostic breast examinations. Under the bill, a policy, contract, or plan providing for third-party payment or prepayment of health or medical expenses shall not impose cost-sharing requirements for required coverage of supplemental and diagnostic breast examinations that is less favorable than cost-sharing requirements imposed for screening mammograms. “Cost-sharing” is defined in the bill. The bill applies to third-party payment provider contracts, policies, or plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2026.
Changed since by amendment H-1016; see Amendments.
Senate subcommittee
Named March 5, 2025. On March 12, 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
Fiscal note
Cost: up to $576,000 Compare with other bills
AI summary This bill requires insurance policies to have cost-sharing for supplemental and diagnostic breast examinations that is no less favorable than the cost-sharing for screening mammograms. It is estimated to increase annual costs to the State of Iowa Insurance Plan by between $180,000 and $576,000 beginning in fiscal year 2026. Additionally, annual costs to the Board of Regents Insurance Plans are estimated to increase between $263,000 and $842,000 beginning in fiscal year 2026, resulting in a total estimated annual cost increase to the state of between $443,000 and $1.4 million.3
From the note: House File 318 is estimated to increase annual costs to the State of Iowa Insurance Plan by an amount ranging between approximately $180,000 and $576,000 beginning in FY 2026. It is anticipated that the lower end of this range is more likely to occur.
- Insurance, Diagnostic Breast Cancer Imaging · February 27, 2025 · $576,000
- Insurance, Diagnostic Breast Cancer Imaging · February 19, 2025 · $576,000
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91st General Assembly
Similar bills
- SSB 1060 Relating to cost-sharing requirements for supplemental and diagnostic breast examinations91st General Assembly · Subcommittee recommends passageSimilar
Matched by wording or an identical title.