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IA SSB3182
SB
Status
Introduced
3/2/2026
Primary Sponsor
Appropriations
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AI Summary
- Creates a new health care tax fund under the Department of Health and Human Services, replacing the previous Medicaid managed care organization premiums fund
- Imposes a health care-related tax on health maintenance organizations (HMOs) at 3.5% of taxable funds from January 1 through September 30, 2026, then reduces to 0.95% from October 1, 2026, onward
- Defines "taxable funds" as payments received by HMOs for health care services, insurance, and benefits, excluding federal Medicare payments under Social Security Act sections 1833 or 1876
- Removes HMOs from the general insurance company premium tax under section 432.1 and establishes a separate taxation framework under new chapter 432B
- Requires tax payment by March 1 following each calendar year, with the commissioner authorized to suspend or revoke licenses for nonpayment
Legislative Description
A bill for an act relating to state finances by modifying the taxes imposed on health maintenance organizations, making transfers from the taxpayer relief fund, making and supplementing appropriations to the department of health and human services, and including effective date, contingent effective date, and retroactive applicability provisions.(See SF 2464.)
Last Action
Committee report approving bill, renumbered as SF 2464.
3/4/2026
Committee Referrals
Appropriations3/2/2026
Full Bill Text
No bill text available