---
type: "Bill"
title: "A bill for an act relating to insurance coverage for health care services provided pursuant to a referral by an out-of-network primary care provider."
description: "A bill for an act relating to insurance coverage for health care services provided pursuant to a referral by an out-of-network primary care provider."
jurisdiction: "us/states/ia"
legislature: "Iowa General Assembly"
session: "2025-2026"
identifier: "HF 2434"
citation: "Iowa HF 2434 (2025-2026)"
classification: ["bill"]
subjects: ["health insurance", "medical care"]
status: "enacted"
primary_sponsors: []
version_count: 8
action_count: 25
vote_count: 1
first_action: "2026-02-12"
last_action: "2026-04-16"
source: "openstates"
source_identifier: "ocd-bill/cb51a59c-6b1d-4884-b802-20554317de4b"
source_url: "https://www.legis.iowa.gov/legislation/billTracking/billHistory?billName=HF 2434&ga=91"
source_hash: "600efd0798b6d7d6b6afbb7d4c32f54c0add433706309878a55a1616fb1350a4"
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 2434 (2025-2026) — A bill for an act relating to insurance coverage for health care services provided pursuant to a referral by an out-of-network primary care provider.

## 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/HF2434.html)
2. **Amendment H-8030** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/91/H8030.pdf)
3. **Amendment H-8304** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/91/H8304.pdf)
4. **Amendment S-5117** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/AMDI/91/S5117.pdf)
5. **Enrolled with Governor's Action** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGEG/91/attachments/HF2434.html)
6. **Reprinted** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGR/91/attachments/HF2434.html)
7. **Signed Enrolled Bill (PDF)** (committee substitute) — [source](https://www.legis.iowa.gov/docs/publications/LGE/91/Attachments/HF2434_GovLetter.pdf)
8. **Enrolled** (enrolled) — [source](https://www.legis.iowa.gov/docs/publications/LGE/91/attachments/HF2434.html)

## Votes

- Shall the bill pass? — **47–0** (pass) · upper

## Sponsors

- COMMITTEE ON HEALTH AND HUMAN SERVICES — primary (organization)

## Timeline

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

- **2026-02-12** Introduced, placed on calendar. `introduction`
- **2026-02-24** Amendment H-8030 filed. `amendment-introduction`
- **2026-02-25** Amendment H-8030 adopted. `amendment-passage`
- **2026-02-25** Passed House, yeas 92, nays 0. `passage`
- **2026-02-25** Immediate message.
- **2026-02-25** Message from House.
- **2026-02-25** Read first time, referred to Commerce. `reading-1`
- **2026-03-03** Subcommittee: Warme, Driscoll, and Knox.
- **2026-03-05** Subcommittee Meeting: 03/09/2026 12:30PM Room G15.
- **2026-03-09** Subcommittee recommends passage. `committee-passage-favorable`
- **2026-03-19** Committee report, recommending amendment and passage. `committee-passage`
- **2026-03-19** Amendment S-5117 filed. `amendment-introduction`
- **2026-03-19** Placed on calendar.
- **2026-03-26** Placed on calendar under unfinished business.
- **2026-04-06** Amendment S-5117 adopted. `amendment-passage`
- **2026-04-06** Passed Senate, yeas 47, nays 0. `passage`
- **2026-04-06** Immediate message.
- **2026-04-06** Message from Senate.
- **2026-04-06** Senate amendment H-8304 filed. `amendment-introduction`
- **2026-04-07** House concurred in Senate amendment H-8304.
- **2026-04-07** Passed House, yeas 92, nays 0. `passage`
- **2026-04-07** Immediate message.
- **2026-04-08** Message from House.
- **2026-04-16** Reported correctly enrolled, signed by Speaker and President, and sent to Governor.
- **2026-04-16** 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/cb51a59c-6b1d-4884-b802-20554317de4b`. Confidence: reported (aggregated from official Iowa legislature records).