---
type: "Bill"
title: "A bill for an act relating to continuity of care and nonmedical switching by health carriers, health benefit plans, and utilization review organizations, and including applicability provisions."
description: "A bill for an act relating to continuity of care and nonmedical switching by health carriers, health benefit plans, and utilization review organizations, and including applicability provisions."
jurisdiction: "us/states/ia"
legislature: "Iowa General Assembly"
session: "2023-2024"
identifier: "HF 626"
citation: "Iowa HF 626 (2023-2024)"
classification: ["bill"]
subjects: ["drugs", "health", "health insurance", "health-related professions", "insurance", "medical care", "prescription drugs"]
status: "enacted"
primary_sponsors: []
version_count: 7
action_count: 29
vote_count: 3
first_action: "2023-03-06"
last_action: "2024-05-08"
source: "openstates"
source_identifier: "ocd-bill/ccbfa3b2-f20f-470f-9778-0b6a2c374a2f"
source_url: "https://www.legis.iowa.gov/legislation/billTracking/billHistory?billName=HF 626&ga=90"
source_hash: "36ab334721574fab76e613643a7c793d33ef045502b0356c2e57228d84ad37e6"
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 626 (2023-2024) — A bill for an act relating to continuity of care and nonmedical switching by health carriers, health benefit plans, and utilization review organizations, 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/90/attachments/HF626.html)
2. **Amendment H-1068** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/H1068.pdf)
3. **Amendment H-8335** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/H8335.pdf)
4. **Amendment S-5159** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/90/S5159.pdf)
5. **Reprinted** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGR/90/attachments/HF626.html)
6. **Signed Enrolled Bill (PDF)** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGE/90/Attachments/HF626_GovLetter.pdf)
7. **Enrolled** (enrolled) — [source](https://www.legis.iowa.gov/docs/publications/LGE/90/attachments/HF626.html)

## Votes

- Shall the bill pass? — **94–1** (pass) · lower
- Shall the bill pass? — **48–0** (pass) · upper
- Shall the bill pass? — **96–0** (pass) · lower

## Sponsors

- COMMITTEE ON COMMERCE — primary (organization)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2023-03-06** Introduced, placed on calendar. `introduction`
- **2023-03-08** Amendment H-1068 filed. `amendment-introduction`
- **2023-03-08** Fiscal note.
- **2023-03-09** Amendment H-1068 adopted. `amendment-passage`
- **2023-03-09** Passed House, yeas 96, nays 0. `passage`
- **2023-03-09** Immediate message.
- **2023-03-13** Message from House.
- **2023-03-13** Read first time, passed on file. `reading-1`
- **2023-03-14** Referred to Health and Human Services. `referral-committee`
- **2023-03-21** Subcommittee: Costello, Edler, and Trone Garriott.
- **2023-03-29** Fiscal note.
- **2024-01-16** Referred to Commerce. `referral-committee`
- **2024-01-17** Subcommittee: Westrich, Klimesh, and Trone Garriott.
- **2024-01-23** Subcommittee Meeting: 01/29/2024 2:30PM Room 217 Conference Room.
- **2024-01-29** Subcommittee recommends passage. []. `committee-passage-favorable`
- **2024-01-30** Committee report, recommending passage. `committee-passage`
- **2024-03-21** Placed on calendar under unfinished business.
- **2024-04-16** Amendment S-5159 filed, adopted. `amendment-introduction, amendment-passage`
- **2024-04-16** Passed Senate, yeas 48, nays 0. `passage`
- **2024-04-16** Immediate message.
- **2024-04-17** Message from Senate.
- **2024-04-17** Senate amendment H-8335 filed. `amendment-introduction`
- **2024-04-17** House concurred in Senate Amendment H-8335.
- **2024-04-17** Passed House, yeas 94, nays 1. `passage`
- **2024-04-17** Immediate message.
- **2024-04-17** Message from House.
- **2024-04-17** Fiscal note.
- **2024-04-23** Reported correctly enrolled, signed by Speaker and President, and sent to Governor.
- **2024-05-08** 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/ccbfa3b2-f20f-470f-9778-0b6a2c374a2f`. Confidence: reported (aggregated from official Iowa legislature records).