SF 319 Iowa Senate · 2025-2026 Regular Session

A bill for an act relating to certain cost controls for health care services.

SF 319, titled "The Patient’s Right to Save Act," requires health care providers to disclose the discounted cash price for each specific service they accept as payment. Providers must share this price in advance, including any variations based on timing, location, or patient income, and inform patients that cash payments may not be cheaper than insurance-negotiated rates. The bill mandates annual reviews of these prices and requires clear communication about cash payment options to both insured and uninsured patients before services are provided. It directly affects health care providers who accept cash payments, aiming to increase price transparency for consumers.
Bill status passed 3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Jan 2026
Senate Passage
Mar 2025
House Passage
Governor
Introduced Feb 13, 2025 Last action Feb 3, 2026
Floor votes · Senate Mar 11, 2025

How they voted

460
Passed · 3 other
Total votes 49
Mar 11, 2025
D Democratic16
14 Yea 2
87% Yea
R Republican33
32 Yea 1
96% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
12
Key actions
7
Committee
6
Jan 21, 2026
Legislature · Passed
Subcommittee Meeting: 01/27/2026 12:00PM RM 103.
legislature
Jan 14, 2026
Lower · Passed
Subcommittee: Bossman, Barker and Srinivas.
lower
Mar 19, 2025
Legislature · Passed
Subcommittee recommends passage.
legislature
Mar 17, 2025
Legislature · Passed
Subcommittee Meeting: 03/19/2025 8:00AM RM 103.
legislature
Mar 13, 2025
Lower · Passed
Subcommittee: Lundgren, Srinivas and Wilz, H.
lower
Mar 11, 2025
Upper · Passed
Passed Senate, yeas 47, nays 0.
upper
Feb 13, 2025
Upper · Passed
Committee report, approving bill.
upper
Feb 13, 2025
Introduced
Introduced, placed on calendar.
upper
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.