Bills › 91st General Assembly

Relating to cost sharing for health savings accounts and qualified high-deductible health plans

Proposed by the Department of Insurance and Financial Services · all agency proposals

Topics:Health careInsurance

Same legislation: SSB 3055, HF 2185, SF 2452

Where it is now

  1. Done: IntroducedJanuary 13, 2026
  2. Done: SubcommitteeJanuary 13, 2026
  3. Done: House committeeJanuary 21, 2026
  4. Skipped: Passes the HouseContinued as HF 2185
  5. Next: Senate committee
  6. Next: Passes the Senate
  7. Next: To the Governor
  8. Next: Signed into law

Became HF 2185 → Its progress continues under the new number. Go to HF 2185 What’s a funnel?

What’s in it

AI summary People with high-deductible health plans and health savings accounts would see a change in how they pay for medical costs. If a person's payments for things like copayments or deductibles would normally make them lose their eligibility for a health savings account, those payments will only apply after they have met their minimum deductible. This rule does not apply to preventive care services.1

Read the official explanation

This bill relates to cost sharing for health savings accounts (HSA) and qualified high-deductible health plans (HDHP). Under the bill, for group insurance and for accident and health insurance, if a copayment, coinsurance, or deductible paid as cost sharing by an enrollee may result in the enrollee becoming ineligible for an HSA associated with the enrollee’s qualified HDHP, the cost sharing shall apply only to the enrollee’s qualified HDHP after the enrollee satisfies S.F. _____ H.F. _____ the enrollee’s minimum deductible, except for items or services determined to be preventive care.

Full bill text · What changed before it passed2

House subcommittee

Named January 13, 2026. On January 15, 2026 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§509.3B§514A.3C

How the Code works3

Lobbying

5 for · 0 against · 18 undecided · Who →

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