Iowa Code-Title XIII-Chapter 514F.8D. Utilization and Cost Control. House File 2635 (2026)

1. As used in this section, unless the context otherwise requires:

(a) Health care provider" means the same as defined in section 514J.102.

(b) Hea1th carrier means the same as defined in section 514F.8.

2. A health carrier shall not impose on a health care provider, directly or indirectly, any financial penalty, reimbursement reduction, or administrative fee, or terminate a health care provider's participation in the health carrier's network, based on the health care provider's referral to, or affiliation with, an out-of-network health care provider.

3. A health carrier shall not interfere with, or participate in any capacity in, a health care provider's decisions regarding staffing and referrals, except as otherwise provided by law.

4. A health carrier shall not offer, attempt to enforce, or enforce an agreement, or an amendment to an agreement, with a health care provider without providing an opportunity for negotiation.

5. The commissioner may adopt rules pursuant to chapter 17A to administer and enforce this section.

See House File 2635 (2026) at https://www.legis.iowa.gov/docs/publications/LGE/91/attachments/HF2635.html