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Iowa HouseHF 2635

Relating to health carriers standards of conduct; utilization review organizations, artificial intelligence, audits, and prior authorizations; certificate of need processes; and including applicability provisions

Passed 94–1Bipartisan

What it does: On the version voted Mar 5, 2026: Bars insurers from using artificial intelligence as the sole basis to deny prior authorization requests, ends prior authorization for cancer screenings and emergency care, sets rules for claim audits and denial appeals, and eases certificate-of-need requirements for health facilities. (AI-written summary of the bill; the official record shows the exact version voted)

Question before the chamber: Shall the bill pass?

Read the official record ↗

The tally

Yes 94 · No 1 · Not voting 5

Bar: green = yes, brown = no, striped = not voting.

Votes by party
PartyYesNoNot voting
Democrats2904
Republicans6511

Most Democrats voted yes; most Republicans voted yes. 1 member voted against their party’s majority.

Voted against their party’s majority

The full roll (100)

Yes 94

No 1

Not voting 5

“Not voting” is a recorded non-vote, not a reason for the absence. Parties come from public rosters; how we count.