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IA SSB3172

SB

Status

Introduced

2/16/2026

Primary Sponsor

Local Government

Click for details

Origin

Senate

91st General Assembly

AI Summary

  • Creates a municipal employee health insurance pool requiring the Iowa Department of Administrative Services to contract with a health carrier to provide coverage for city and county employees
  • Mandates use of a reverse auction process where health carriers submit competitive bids online, with multiple rounds allowing bidders to counteroffer lower prices before July 1, 2028
  • Requires procurement of a technology platform by November 1, 2027, capable of conducting online reverse auctions, evaluating multiple carrier proposals simultaneously, and performing 100% electronic claim-by-claim review
  • Prohibits awarding the technology platform contract to any health carrier or subsidiary/affiliate of a health carrier to prevent conflicts of interest
  • Establishes "market check" evaluations comparing incumbent carrier pricing against benchmark data from reverse auctions conducted nationally over the preceding 12 months

Legislative Description

A bill for an act relating to the establishment of a health insurance pool for municipal employees.

Last Action

Subcommittee recommends passage.

2/18/2026

Committee Referrals

Local Government2/16/2026

Full Bill Text

No bill text available