---
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).