This bill directs the department of health and human services to establish a study committee to investigate the potential for a state-based health insurance marketplace in Iowa. This committee is set to examine the practices of other states that have adopted a state-based insurance marketplace, whether they operate independently or in conjunction with the federal marketplace. By January 1, 2025, the department is to submit a report to the general assembly detailing findings and recommendations, which should include an assessment of cost impacts, quality of health plan coverage, state-based premium tax credits, and potential challenges and opportunities for Iowa. The report will also examine the cost and potential savings of establishing a state-based health insurance marketplace outside of the federal platform.