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IA SSB1060
SB
AI Summary
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Prohibits health insurance policies, contracts, and plans from imposing cost-sharing (copayments, coinsurance, deductibles, or other out-of-pocket costs) for supplemental and diagnostic breast examinations
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Defines "cost-sharing" as any coverage limit, copayment, coinsurance, deductible, or other out-of-pocket cost obligation imposed by a health or medical expense plan
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Creates an exception for high-deductible health plans (HDHPs) qualified under IRC Section 223, where the cost-sharing prohibition applies only after the covered person meets their minimum deductible, unless the service qualifies as preventive care
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Applies to third-party payment provider contracts, policies, or plans delivered, issued, continued, or renewed in Iowa on or after January 1, 2026
Legislative Description
A bill for an act relating to cost-sharing requirements for supplemental and diagnostic breast examinations.
Last Action
Subcommittee recommends passage.
2/11/2025