A bill for an act relating to cost-sharing requirements for supplemental and diagnostic breast examinations.
This Iowa bill requires health insurance plans to cover supplemental and diagnostic breast exams with the same out-of-pocket costs (like copays or deductibles) as routine screening mammograms. It directly affects patients needing follow-up breast exams after abnormal screenings, ensuring they won’t face higher costs than for preventive screenings. The rule applies to most health plans sold in Iowa starting January 1, 2026, with a specific exception for high-deductible plans after the deductible is met for preventive care. The policy change aligns cost-sharing for these exams with existing standards for screening mammograms.
Bill status
passed
3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Mar 2025
House Passage
Feb 2025
Senate Passage
Governor
Introduced Feb 10, 2025
Last action Mar 12, 2025
Maddy AI version diff · 1 comparison
What changed between versions
Introduced
→
Reprinted
·
3 edits
MINOR
This bill was reprinted with substantive amendments that add a new provision regarding high-deductible health plans. The changes clarify how cost-sharing requirements apply to different types of insurance plans and establish specific rules for when certain provisions take effect relative to minimum deductibles.
Scope change
The bill now includes an exemption for high-deductible health plans under the Internal Revenue Code, allowing those plans to apply cost-sharing requirements only after the minimum deductible is satisfied, with exceptions for preventive care.
REQUIREMENT
Added new paragraph (2) under Section 2 that creates an exception for high-deductible health plans, allowing cost-sharing requirements to apply only after the minimum deductible is met, except for preventive care services.
DEFINITION
Reformatted the bill text from line-by-line markup to standard printed format while maintaining the same substantive content.
TECHNICAL
Updated bill numbering and formatting from committee markup version to final reprinted version, including page number changes and document metadata updates.
Floor votes · House Feb 20, 2025
How they voted
93–0
Passed · 7 other
Total votes 100
Feb 20, 2025
D
Democratic33
90% Yea
R
Republican67
94% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
12
Key actions
5
Committee
3
Amendments
2
Mar 12, 2025
Legislature · Passed
Subcommittee recommends passage.
legislature
Mar 11, 2025
Legislature · Passed
Subcommittee Meeting: 03/12/2025 1:30PM Senate Lounge.
legislature
Mar 5, 2025
Upper · Passed
Subcommittee: Driscoll, Petersen, and Warme.
upper
Feb 20, 2025
Lower · Passed
Passed House, yeas 92, nays 0.
lower
Feb 20, 2025
Lower · Passed
Amendment H-1016 adopted.
lower
Feb 19, 2025
Introduced
Amendment H-1016 filed.
lower
Feb 10, 2025
Introduced
Introduced, placed on calendar.
lower
0 primary · 0 co-sponsors
Sponsors
No sponsor information available.
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