Bills › 91st General Assembly
Relating to the establishment of a health insurance pool for municipal employees
Where it is now
- Done: IntroducedFebruary 16, 2026
- Done: SubcommitteeFebruary 16, 2026
- 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 Iowa could create a new health insurance program for people who work for cities. The state would pick an insurance company to run the program, but it will only happen if enough cities and counties decide to join. If the program starts, cities can choose to participate and would pay the state back for the cost of the insurance and running the program.1
Read the official explanation
This bill relates to the establishment of a health insurance pool for municipal employees. The bill requires the department of administrative services (department) to enter into a contract with a health carrier (carrier) for the administration of a municipal employee health insurance pool (insurance pool) in compliance with the bill. The department shall conduct a reverse auction to accept bids from carriers to provide health benefit plans (plans) for the insurance pool pursuant to the requirements of the bill. A municipality shall submit a letter of intent to opt in or opt out of participating in the insurance pool to the department before July 1, 2027. _____ to opt in to the insurance pool. If the required percentage of counties and cities submit a letter of intent to opt in to the insurance pool, the department shall establish the insurance pool on or before July 1, 2028. Once established, any municipality may participate in the insurance pool. The department shall establish and administer the insurance pool, including the plan selected through the reverse auction. Each municipality shall reimburse the department for all administrative costs in an amount proportional to the size of the municipality. Each municipality shall reimburse the department for the municipality’s actual costs of employee plans. The commissioner of insurance shall adopt rules to administer the bill.
Senate subcommittee
Named February 16, 2026. On February 18, 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