Iowa HF735 modifies how health carriers and pharmacy benefits managers calculate cost-sharing contributions for covered persons.

Iowa HF735 amends the calculation of cost-sharing contributions by health carriers and pharmacy benefits managers for covered persons. It specifies that cost-sharing includes any coverage limit, copayment, coinsurance, deductible, or other out-of-pocket cost obligation imposed by a health benefit plan. The bill applies to certain health benefit plans delivered, issued for delivery, continued, or renewed in the state on or after January 1, 2026, excluding accident-only, specified disease, short-term hospital or medical, hospital confinement indemnity, credit, dental, vision, Medicare.

Iowa HF735 modifies how health carriers and pharmacy benefits managers calculate cost-sharing contributions for covered persons.

Iowa HF735 amends the calculation of cost-sharing contributions by health carriers and pharmacy benefits managers for covered persons. It specifies that cost-sharing includes any coverage limit, copayment, coinsurance, deductible, or other out-of-pocket cost obligation imposed by a health benefit plan. The bill applies to certain health benefit plans delivered, issued for delivery, continued, or renewed in the state on or after January 1, 2026, excluding accident-only, specified disease, short-term hospital or medical, hospital confinement indemnity, credit, dental, vision, Medicare.