Bills › 91st General Assembly

HF 4Died when the session ended · January 29, 2025

Relating to health benefit plans, claims for reimbursement, and explanation of benefits

Sponsored by Rep. Brooke Boden (R)

Topics:Health careInsurance

Where it is now

  1. Done: IntroducedJanuary 14, 2025
  2. Done: SubcommitteeJanuary 22, 2025
  3. Stopped: House committeeDied when the General Assembly ended
  4. Next: Passes the House
  5. Next: Senate committeeFunnel: by March 20, 2026
  6. Next: Passes the Senate
  7. Next: To the Governor
  8. 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 Healthcare providers must send their bills to a person's main insurance plan before sending them to any other insurance plans. If a person or their second insurance company asks for a copy of the explanation of benefits from that main plan, the plan must provide it within a set number of days.1

Read the official explanation

This bill relates to health benefit plans, claims for reimbursement, and explanation of benefits (EOB). Under the bill, a health care professional who provides health care services to a covered person (person) shall submit a claim for reimbursement (claim) to the primary health benefit plan (plan) designated by the person or their personal representative (representative) prior to submitting a claim to any other plan designated by the person or their representative. If the person, person’s representative, or person’s secondary plan requests a copy of an EOB from a person’s primary plan, the primary plan shall provide a copy of the EOB no later than calendar days from the date of the request.

Full bill text2

House subcommittee

Named January 22, 2025. On January 29, 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

Creates§147.165§514A.16

How the Code works3

Lobbying

0 for · 0 against · 20 undecided · Who →