Iowa legislation · 91st General Assembly
Iowa SF2226: A BILL FOR An Act relating to the use of automated adjudication systems by health carriers, and including civil penalties
Status: In committee, February 10, 2026
An Act relating to the use of automated adjudication systems by health carriers, and including civil penalties.
What the bill says
A bill FOR An Act relating to the use of automated adjudication systems by health carriers, and including civil penalties.
From the introduced text, February 5, 2026:
A BILL FOR An Act relating to the use of automated adjudication systems by health carriers, and including civil penalties. BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: TLSB 5237XS (4) nls/ko S.F. 2226 Section 1. NEW SECTION. 514M.1 Definitions. As used in this chapter, unless the context otherwise requires: 1. "Automated adjudication system" means any software, algorithm, artificial intelligence, machine-learning system, or rule-based automated process used by a health carrier or third-party administrator to evaluate, adjust, approve, deny, or downcode a claim submitted by a health care provider. 2. "Claim" means a request for payment or reimbursement submitted by a health care provider to a health carrier for health care services rendered to a covered person enrolled in a health benefit plan of the health carrier. 3. "Clinical reviewer" means an individual employed by a health carrier to review and decide insurance claims submitted to the health carrier. 4. "Code" means a current procedural terminology code, international classification of diseases code, health care common procedure coding system code, a diagnosis-related group code, or any other procedure or diagnosis code. 5. "Commissioner" means the commissioner of insurance. 6. "Covered person" means the same as defined in section 514J.102. 7. "Deny" means rejection of a claim, in whole or in part, submitted by a health care provider …
Sponsors
- Art Staed (D, 40) · primary sponsor
- Molly Donahue (D, 37)
- Hardman, Renee (D, 16)
- Drey, Catelin (D, 1)
- Janet Petersen (D, 18)
- Mike Zimmer (D, 35)
- Liz Bennett (D, 39)
Latest actions
- : Subcommittee: Warme, Petersen, and Schultz. S.J. 244 .
- : Introduced, referred to Commerce. S.J. 212 .
Subjects: artificial intelligence, health insurance, health, insurance division, administrative rules, medical care, insurance
Common questions
- What is SF2226?
- SF2226 is a bill in the Iowa Legislature (91st General Assembly): A BILL FOR An Act relating to the use of automated adjudication systems by health carriers, and including civil penalties.
- What does SF2226 do?
- In its own words: A bill FOR An Act relating to the use of automated adjudication systems by health carriers, and including civil penalties.
- What is the status of SF2226?
- In committee as of February 10, 2026. Latest action: Subcommittee: Warme, Petersen, and Schultz. S.J. 244 . (February 10, 2026).
- Who sponsored SF2226?
- Art Staed (D, 40), with 6 co-sponsors.
- Where is the official record for SF2226?
- On the Iowa Legislature website: https://www.legis.iowa.gov/legislation/BillBook?ba=SF+2226&ga=91
Source: official Iowa record. Tracked by Delilah, AI for legislation across all 50 states and Congress.