SF 414 requires Iowa's Department of Inspections, Appeals, and Licensing (DIAL) to review and approve acquisitions of housing or health care facilities by private equity firms. Private equity firms must notify DIAL 60 days before an acquisition and provide detailed information, including financial records and plans affecting facility operations. DIAL cannot approve an acquisition if it would reduce access to quality, affordable housing or health care services, and must post all pending acquisitions online for public comment. This bill directly affects private equity firms purchasing housing or health care facilities in Iowa, creating a new review process to protect public access to these essential services.
SF 562 regulates how health insurers use artificial intelligence in reviewing medical treatments. It requires insurers to ensure AI tools used for prior authorization decisions (like whether a treatment is medically necessary) cannot replace doctors' judgment, must base decisions on patient history and clinical circumstances, and must be non-discriminatory. The bill also sets strict timelines: insurers must respond to urgent requests within 48 hours and non-urgent requests within 10 days, with extensions only for complex cases. Additionally, insurers must publicly post annual statistics on approval/denial rates for all treatments requiring prior authorization. This bill directly affects health insurers, healthcare providers, and patients by increasing transparency and accountability in insurance review processes.
SF 327 aligns reimbursement rates for dental providers participating in Iowa's Dental Wellness Plan and Dental Wellness Plan Kids with the Healthy and Well Kids in Iowa (Hawki) program. It requires providers to be paid at the higher of either the usual, customary, and reasonable fee percentage or the commercial dental insurance billing percentage. This change aims to increase provider participation and improve access for plan members by making reimbursement rates more competitive. The bill directly affects dentists and dental practices enrolled in these specific Medicaid programs.
SF 324 establishes the Iowa Family Planning Network under Medicaid by requiring the state to submit a plan amendment to federal authorities (CMS) for approval, using the same benefits and rules as the existing 2017 waiver. It repeals the current state family planning program, but this repeal only takes effect after CMS approves the new Medicaid amendment. The bill also directs state funds to increase awareness of the network's services in areas with high sexually transmitted infection rates, subject to legislative funding.
HF 754 replaces several existing Iowa healthcare funding programs with a new "health care professional incentive program" to support medical workers in rural areas. It ends specific initiatives like the rural primary care loan repayment program and mental health professional loan repayment program, redirecting their remaining funds to the new incentive program. The bill also establishes a "hub-and-spoke" funding model for rural healthcare collaboration, requiring state approval from federal authorities. The bill was recommended for passage but was withdrawn on March 31, 2025, and is no longer active.
HF 589, the "Compassion and Care for Medically Challenging Pregnancies Act," requires healthcare providers in Iowa who diagnose a lethal fetal anomaly (a condition likely causing a baby's death within three months after birth) to inform pregnant women about perinatal hospice services. It mandates the Department of Health and Human Services (HHS) to create and post online a geographically organized list of these services in both English and Spanish, including descriptions and contact details. The bill directly affects pregnant women facing such diagnoses who choose to continue their pregnancy, providing them access to support services like counseling, medical care, and family assistance. Key provisions include requiring in-person provider discussions about hospice options and HHS’s responsibility to maintain an accessible, multilingual resource. The bill was withdrawn in March 2025 after committee approval.
HF 509 modifies Iowa's autism support program by prohibiting new applications after June 30, 2025, while ensuring continued services for individuals approved before that date. The bill repeals the autism support program entirely effective July 1, 2027, and transfers any unspent funds from its dedicated support fund to the Hawki trust fund. It also requires medical assistance plans to cover applied behavior analysis services for autism spectrum disorder treatment. This directly affects current and future applicants to Iowa's autism support program, phasing out new enrollment while maintaining existing coverage until the program's sunset.
SF 575 replaces several existing healthcare funding programs with a new "health care professional incentive program." It ends the rural Iowa primary care loan repayment, health care professional recruitment, health care award, and mental health professional loan repayment programs, transferring their remaining funds to the new incentive program. The bill also establishes a "hub-and-spoke" funding model to improve rural healthcare delivery through regional provider collaboration. These changes affect healthcare professionals in Iowa, particularly those in rural areas, by redirecting funding toward the new incentive program instead of the eliminated initiatives.
HF 930 creates an interstate agreement (compact) allowing podiatrists licensed in one participating state to more easily obtain licenses in other participating states. It establishes a "state of principal license" (where the doctor primarily practices or resides) and streamlines additional state licenses through a standardized process. Podiatrists must meet all requirements - including background checks and current licensure in their principal state - but existing state laws remain unchanged. The compact ensures doctors are licensed in the state where the patient is located during treatment, prioritizing patient safety without altering individual states' core licensing authority.
HF 636 requires dental insurance carriers in Iowa to cover dental services approved through prior authorization, mandating they reimburse providers at the contracted rate for these services. It directly affects dental care providers, insurance carriers, and patients enrolled in dental plans. The bill prohibits carriers from denying claims for pre-approved services except under specific exceptions, such as when benefit limits were exceeded after authorization or documentation fails to support the service. Contracts attempting to waive these requirements are declared void, and the insurance commissioner may create implementing rules.
