Bills › 91st General Assembly
Relating to cost-sharing requirements for supplemental and diagnostic breast examinations
Topics:Health careInsurance
Where it is now
- Done: IntroducedJanuary 28, 2025
- Done: SubcommitteeJanuary 28, 2025
- Stopped: Senate committeeDied when the General Assembly ended
- Next: Passes the Senate
- Next: House committeeFunnel: by March 20, 2026
- Next: Passes the House
- 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 no longer be allowed to charge people extra fees or copays for certain breast exams. If a person has a high-deductible health plan, they must still pay their deductible before these costs are covered, unless the exam is considered preventive care. These new rules will apply to insurance plans 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. “Cost-sharing” is defined in the bill. _____ policy, contract, or plan qualifies as a high-deductible health plan (HDHP) under section 223 of the Internal Revenue Code (IRC), the cost-sharing prohibition shall apply only to the covered person’s qualified HDHP after the covered person satisfies the covered person’s minimum deductible, except for items or services determined to be preventive care under section 223(c)(2)(C) of the IRC. 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.
Senate subcommittee
Named January 28, 2025. On February 11, 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
Similar bills
- HF 318 Relating to cost-sharing requirements for supplemental and diagnostic breast examinations91st General Assembly · Passed HouseSimilar
Matched by wording or an identical title.