IOWA

Overview

In 2019, the Iowa legislature introduced several bills concerning healthcare price and competition. The legislature enacted SF 563, which requires pharmacy benefit managers to disclose in reports to the Insurance Commissioner rebates and fees received. It also requires health carriers to reduce cost sharing requirements for prescription drugs for enrollees. Other noteworthy pending legislation include HF 96, which would provide comprehensive universal single-payer healthcare coverage and a healthcare cost control system, and SF 19, which requires disclosure of the prices charged for health services rendered by health care providers and hospitals. SF 18/HF 162 seeks to eliminate the certificate of need process for new or changed institutional health services.

In the 2018 legislative session.  The legislature’s attempts at drug price transparency failed (SF 2026 and SSB 3161).  Of the bills that were passed, Governor Reynolds signed a bill to provide telehealth coverage, but vetoed SF 2316, which would have expanded individuals eligible for small-group health coverage in the state. The governor’s actions could boost association health plans (AHPs) in Iowa, which the state plans to launch in 2019.

In the 2017 legislative term, Iowa was relatively inactive in regard to healthcare price transparency, cost, and competition legislation. The state approved a bill that corrects an apparent oversight that has allowed lawmakers to avoid paying hundreds of thousands of dollars each year in health insurance premiums. However, Iowa did not pass legislation concerning constituent healthcare price transparency, cost, and competition.

The State Database

The Source tracks state activities impacting healthcare price and competition in both legislation and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in healthcare.

LEGISLATION: The Database of State Laws Impacting Healthcare Cost and Quality (SLIHCQ), created by The Source on Healthcare Price & Competition and Catalyst for Payment Reform, catalogues state legislation governing price transparency, provider market power, provider payment, provider networks, and benefit design. The database also includes pharmaceutical legislation beginning in the 2017-2018 legislative session. *Note: Current legislative session bill updates are ongoing. Check back weekly for updates. 

LITIGATION: The Source tracks major litigation and antitrust enforcement action by federal entities (FTC or DOJ), state attorney generals, and private parties in the main provider and insurer markets, particularly legal challenges of healthcare consolidation and anticompetitive contract provisions. Additionally, the database contains major pharmaceutical cases including legislation challenges and significant appellate cases.

Search the database across all jurisdictions on the State Overview page, or view and filter existing legislation or litigation on individual state pages. The database allows customized search and filter by keyword, status, and/or key issue category. *Multiple filter/selections enabled. Click here for User Guide.

 

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© 2018-2019 The SLIHCQ DatabaseInitial funding for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.
Filter by Key Issue
Download User Guide


© 2018-2019 The SLIHCQ DatabaseInitial funding for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.
Filter by Key Issue

Additional Resources

LEGISLATIVE CALENDAR

Iowa’s latest legislative session ran from 1/14/2019 – 5/4/2019. Bills from 2019 will carry over to 2020 as part of the 2019-2020 legislative term.

FY 2020-2021 BUDGET

Iowa’s fiscal year begins July 1st and ends June 30th of the following year. To view Iowa’s 2020-2021 Budget Report, click here.

REGULATION & ENFORCEMENT

  • Iowa was one of 16 states to file an amicus brief supporting the FTC’s winning position in the Ninth Circuit appeal of St. Luke’s Health Care Sys. v. FTC, No. 14-35173 (March 7, 2014), decided February 10, 2015. The States’ brief stated that the acceleration of health care costs due to the growth of large health care provider systems had become a matter of grave concern for the states.

KEY RESOURCES