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
Where it is now
- Done: IntroducedJanuary 21, 2026
- Done: SubcommitteeJanuary 21, 2026
- Done: Senate committeeFebruary 19, 2026
- Skipped: Passes the SenateContinued as SF 2452
- Next: House committee
- Next: Passes the House
- Next: To the Governor
- Next: Signed into law
Became SF 2452 → Its progress continues under the new number. Go to SF 2452 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. Instead of paying copayments or coinsurance right away, these costs would only apply after the person has already 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.
Senate subcommittee
Named January 21, 2026. On January 28, 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
Lobbying
5 for · 0 against · 18 undecided · Who →
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91st General Assembly