HF 808 Iowa House · 2025-2026 Regular Session

A bill for an act relating to managed care organization chargebacks and third-party auditors.

HF 808 requires Iowa managed care organizations (MCOs) administering the state's medical assistance program to issue chargebacks to healthcare providers within 12 months of reimbursing them. It also mandates that MCOs negotiate fixed fees with third-party auditors before audits begin, prohibiting MCOs from paying auditors based on the percentage of chargebacks identified. These provisions directly affect MCOs contracted with Iowa's Department of Health and Human Services and the healthcare providers they reimburse. The bill aims to prevent delays in billing disputes and ensure auditor compensation is not tied to identifying more chargebacks.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2025
Committee Review
Floor Vote
Governor
Introduced Mar 6, 2025 Last action Mar 6, 2025