Iowa legislation · 91st General Assembly
Iowa HF2438: A BILL FOR An Act relating to health carriers and payment of claims, audits, and standards of conduct; prior authorizations and utilization review organizations; and providing civil penalties and including applicability provisions
Status: In committee, February 19, 2026
An Act relating to health carriers and payment of claims, audits, and standards of conduct; prior authorizations and utilization review organizations; and providing civil penalties and including applicability provisions.
What the bill says
A bill FOR An Act relating to health carriers and payment of claims, audits, and standards of conduct; prior authorizations and utilization review organizations; and providing civil penalties and including applicability provisions.
From the introduced text, February 12, 2026:
A BILL FOR An Act relating to health carriers and payment of claims, audits, and standards of conduct; prior authorizations and utilization review organizations; and providing civil penalties and including applicability provisions. BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: TLSB 5772YH (7) nls/ko H.F. 2438 DIVISION I HEALTH INSURANCE TRADE PRACTICES Section 1. Section 507B.4, subsection 3, paragraph j, subparagraph (15), Code 2026, is amended to read as follows: (15) Failing to comply with the procedures for auditing claims submitted by health care providers as set forth in section 507B.15 or as otherwise provided by rule of the commissioner. However, this subparagraph shall have no applicability to liability insurance, workers' compensation or similar insurance, automobile or homeowners' medical payment insurance, disability income, or long-term care insurance. Sec. 2. Section 507B.4, subsection 3, Code 2026, is amended by adding the following new paragraphs: NEW PARAGRAPH. w. Standards of conduct. Any violation of section 507B.16 by a health carrier. NEW PARAGRAPH. x. Prior authorization ---- peer review. Any violation of section 514F.8A by a utilization review organization or a health carrier. Sec. 3. Section 507B.4A, subsection 2, paragraph a, Code 2026, is amended by striking the paragraph and inserting in lieu thereof the following: a. An insurer shall comply with all of the following: (1) An insurer …
Sponsors
- Austin Harris (R, 26) · primary sponsor
- David Young (R, 28)
Latest actions
- : Withdrawn. H.J. 614 .
- : Committee report approving bill, renumbered as HF 2635 .
- : Committee vote: Yeas, 21. Nays, 0. H.J. 334 .
- : Committee report, recommending passage. H.J. 334 .
- : Subcommittee recommends passage.
- : Subcommittee Meeting: 02/16/2026 12:45PM RM 304.
- : Subcommittee: Harris, Meyer, A. and Wessel-Kroeschell. H.J. 279 .
- : Introduced, referred to Health and Human Services. H.J. 275 .
Votes
- Committee report, recommending passage. H.J. 334 . (February 17, 2026): 21 yea, 0 nay, passed
Subjects: health insurance, audits, public assistance, claims
Common questions
- What is HF2438?
- HF2438 is a bill in the Iowa Legislature (91st General Assembly): A BILL FOR An Act relating to health carriers and payment of claims, audits, and standards of conduct; prior authorizations and utilization review organizations; and providing civil penalties and including applicability provisions.
- What does HF2438 do?
- In its own words: A bill FOR An Act relating to health carriers and payment of claims, audits, and standards of conduct; prior authorizations and utilization review organizations; and providing civil penalties and including applicability provisions.
- What is the status of HF2438?
- In committee as of February 19, 2026. Latest action: Withdrawn. H.J. 614 . (March 9, 2026).
- Who sponsored HF2438?
- Austin Harris (R, 26), with 1 co-sponsor.
- Where is the official record for HF2438?
- On the Iowa Legislature website: https://www.legis.iowa.gov/legislation/BillBook?ba=HF+2438&ga=91
Source: official Iowa record. Tracked by Delilah, AI for legislation across all 50 states and Congress.