Legislation: batch A — AK AL AR AZ CO CT DE GA HI IA ID

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>

legislation/us/states/ia/2025-2026/hf-2635.md

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+---
+type: "Bill"
+title: "A bill for an act relating to health carriers standards of conduct; utilization review organizations, artificial intelligence, audits, and prior authorizations; certificate of need processes; and including applicability provisions."
+description: "A bill for an act relating to health carriers standards of conduct; utilization review organizations, artificial intelligence, audits, and prior authorizations; certificate of need processes; and including applicability provisions."
+jurisdiction: "us/states/ia"
+legislature: "Iowa General Assembly"
+session: "2025-2026"
+identifier: "HF 2635"
+citation: "Iowa HF 2635 (2025-2026)"
+classification: ["bill"]
+subjects: ["audits", "claims", "health insurance", "insurance", "public assistance"]
+status: "enacted"
+primary_sponsors: []
+version_count: 9
+action_count: 22
+vote_count: 1
+first_action: "2026-02-19"
+last_action: "2026-05-13"
+source: "openstates"
+source_identifier: "ocd-bill/8d3b1cea-6a55-4c05-9621-88ac9e657b9a"
+source_url: "https://www.legis.iowa.gov/legislation/billTracking/billHistory?billName=HF 2635&ga=91"
+source_hash: "79b2b16c8e443ed2898afac46418fd091f019e0bc09f9bfdaef7b285942d4077"
+vintage: "2026-07-01"
+source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
+retrieved_at: "2026-07-06"
+confidence: "reported"
+tags: ["legislation", "bill", "us-ia"]
+---
+
+# Iowa HF 2635 (2025-2026) — A bill for an act relating to health carriers standards of conduct; utilization review organizations, artificial intelligence, audits, and prior authorizations; certificate of need processes; and including applicability provisions.
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **Introduced** (filed) — [source](https://www.legis.iowa.gov/docs/publications/LGI/91/attachments/HF2635.html)
+2. **Amendment H-8080** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/91/H8080.pdf)
+3. **Amendment H-8104** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/91/H8104.pdf)
+4. **Amendment H-8154** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/91/H8154.pdf)
+5. **Amendment S-5067** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/91/S5067.pdf)
+6. **Enrolled with Governor's Action** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGEG/91/attachments/HF2635.html)
+7. **Reprinted** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGR/91/attachments/HF2635.html)
+8. **Signed Enrolled Bill (PDF)** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGE/91/Attachments/HF2635_GovLetter.pdf)
+9. **Enrolled** (enrolled) — [source](https://www.legis.iowa.gov/docs/publications/LGE/91/attachments/HF2635.html)
+
+## Votes
+
+- Shall the bill pass? — **44–0** (pass) · upper
+
+## Sponsors
+
+- COMMITTEE ON HEALTH AND HUMAN SERVICES — primary (organization)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2026-02-19** Introduced, placed on calendar. `introduction`
+- **2026-03-02** Amendment H-8080 filed. `amendment-introduction`
+- **2026-03-03** Fiscal note.
+- **2026-03-03** Amendment H-8104 to amendment H-8080 filed, adopted. `amendment-introduction, amendment-passage`
+- **2026-03-03** Amendment H-8080 adopted, as amended. `amendment-passage`
+- **2026-03-03** Passed House, yeas 94, nays 1. `passage`
+- **2026-03-03** Immediate message.
+- **2026-03-04** Message from House.
+- **2026-03-04** Read first time, attached to SF 2421. `reading-1`
+- **2026-03-04** Substituted for SF 2421.
+- **2026-03-04** Amendment S-5067 filed, adopted. `amendment-introduction, amendment-passage`
+- **2026-03-04** Passed Senate, yeas 44, nays 0. `passage`
+- **2026-03-04** Immediate message.
+- **2026-03-04** Message from Senate.
+- **2026-03-04** Senate amendment H-8154 filed. `amendment-introduction`
+- **2026-03-05** House concurred in Senate amendment H-8154.
+- **2026-03-05** Passed House, yeas 87, nays 0. `passage`
+- **2026-03-05** Immediate message.
+- **2026-03-09** Message from House.
+- **2026-03-31** Fiscal note.
+- **2026-05-06** Reported correctly enrolled, signed by Speaker and President, and sent to Governor.
+- **2026-05-13** Signed by Governor. `executive-signature`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/8d3b1cea-6a55-4c05-9621-88ac9e657b9a`. Confidence: reported (aggregated from official Iowa legislature records).
+