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An Act relating to health carriers' standards of conduct, utilization review organizations, artificial intelligence, audits, prior authorizations and certificate of need processes (Acts Chapter 1087, 2026)

Iowa | HF 2635

Year Enacted
2026
Date Signed
May 13, 2026
Effective Date
Jul 1, 2026
Status
Enacted
Enacted

Categories

Payer Utilization Review

Key Requirements

Regulates AI use in utilization review and prior authorization: AI may be used for initial review but may not be the sole basis for denying, delaying or downgrading a claim or authorization (per Becker's summary of the enacted law); also addresses carrier standards of conduct, audits and certificate of need processes.

Regulated Parties

Health carriers and utilization review organizations

Enforcement

Civil penalties referenced in related bill history; Iowa Insurance Division oversight

Sources

Notes

Not listed in the original research brief; identified during verification. Iowa therefore has two 2026 AI health laws.

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