Iowa HSB506 ensures insurance coverage for health care services referred by out-of-network primary care providers.

Iowa HSB506 mandates that health carriers cannot deny coverage for health care services solely because the referral came from an out-of-network primary care provider. The bill also prohibits carriers from imposing higher deductibles, coinsurance, or copayments for these services compared to in-network referrals. The law applies to referrals made on or after July 1, 2026, and allows the commissioner of insurance to adopt rules for its administration.

Iowa HSB506 ensures insurance coverage for health care services referred by out-of-network primary care providers.

Iowa HSB506 mandates that health carriers cannot deny coverage for health care services solely because the referral came from an out-of-network primary care provider. The bill also prohibits carriers from imposing higher deductibles, coinsurance, or copayments for these services compared to in-network referrals. The law applies to referrals made on or after July 1, 2026, and allows the commissioner of insurance to adopt rules for its administration.