The Iowa legislature put forward a number of bills concerning healthcare price and competition 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. We currently cover bills from 2017-2019 and key statutes from each state. Search the database for specific bills, statutes or cases by using keyword, key issue category, and/or jurisdiction.

*Note: 2019 legislative session updates are currently in progress. Check back weekly for updates. 

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Additional Resources


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


Iowa’s fiscal year begins July 1st and ends June 30th of the following year. Iowa enacted its FY 2018 Budget in the 2017 regular legislative session. To view Iowa’s Council on Human Services Budget submission for FY 2018, click here.


  • 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.