Iowa HF2434 ensures insurance coverage for health care services referred by out-of-network primary care providers.

Iowa HF2434 mandates that health carriers cannot deny coverage for health care services solely because the referral came from an out-of-network primary care provider. It also prohibits carriers from imposing higher deductibles, coinsurance, or copayments for these services compared to in-network referrals. The bill applies to referrals made on or after July 1, 2026, and allows the commissioner of insurance to adopt rules for administering these provisions.

Iowa HF2434 ensures insurance coverage for health care services referred by out-of-network primary care providers.

Iowa HF2434 mandates that health carriers cannot deny coverage for health care services solely because the referral came from an out-of-network primary care provider. It also prohibits carriers from imposing higher deductibles, coinsurance, or copayments for these services compared to in-network referrals. The bill applies to referrals made on or after July 1, 2026, and allows the commissioner of insurance to adopt rules for administering these provisions.