Iowa 2023-2024 Regular Session

Iowa Senate Bill SF2381

Introduced
2/15/24  
Engrossed
3/4/24  
Introduced
2/15/24  
Refer
3/5/24  
Engrossed
3/4/24  

Caption

A bill for an act relating to certain cost controls for health care services. (Formerly SF 431.)

Impact

The implications of SF2381 extend to the regulation of health care pricing and insurance practices within the state. By creating an obligation for health care providers to disclose their pricing structures, it seeks to promote a competitive marketplace that may ultimately lead to lower costs for patients. Furthermore, the introduction of a savings incentive program may encourage individuals to seek more affordable care options, thus enhancing the financial sustainability of health benefit plans. The bill's approach to handling claims denial also aims to reduce improper claim issues, which has been a concern among stakeholders.

Summary

Senate File 2381, known as The Patients Right to Save Act, aims to implement cost control measures for health care services in Iowa. The bill establishes guidelines for health benefit plans regarding the provision of discounted cash prices for medical services, encouraging transparency between health care providers and patients. It mandates that health care providers disclose their cash prices for services and allows health carriers to credit patients towards their cost-sharing when they opt for lower-priced cash transactions, providing additional financial relief for covered persons and uninsured individuals alike.

Sentiment

Overall, the sentiment surrounding SF2381 appears to be positive among proponents who argue that it addresses critical issues of cost transparency and patient rights within the health care system. Supporters believe that the bill will empower patients with better information and financial options. However, there may be concerns from some quarters about the practicality of implementing these measures and whether they can effectively change the existing dynamics in health care pricing, especially regarding the established insurance frameworks.

Contention

Notable points of contention include the potential for the bill to alter the financial relationship between health care providers and insurers. Critics argue that while transparency in pricing is beneficial, it may not be sufficient to ensure overall affordability in health care. Additionally, there may be skepticism regarding the effectiveness of the savings incentive program and how it will be received by both consumers and health care providers. The bill aims to create a more patient-centric approach, but its impact on overall care quality and long-term costs remains to be fully assessed.

Companion Bills

IA SF431

Similar To A bill for an act relating to certain cost controls for health care services, and including penalties.(See SF 2381.)

Similar Bills

CA AB265

Prescription drugs: prohibition on price discount.

UT HB0024

Prescription Discount Program Amendments

TX HB3028

Relating to regulation of certain conduct by discount health care program operators, or concerning discount health care programs, that relates to prescription drugs or prescription drug benefits; authorizing administrative and civil penalties.

CA AB2984

Prescription drug cost sharing.

TX SB1142

Relating to regulation of discount drug card program operators; authorizing administrative and civil penalties; authorizing fees; expanding a registration requirement.

IA SF319

A bill for an act relating to certain cost controls for health care services.(Formerly SSB 1029.)

NJ A3

Revises income eligibility criteria for, and provides for promotion of, PAAD and Senior Gold Prescription Discount Program; establishes "Senior Save Navigator Grant Program" to assist applicants with NJ Save applications.

NJ S3

Revises income eligibility criteria for, and provides for promotion of, PAAD and Senior Gold Prescription Discount Program; establishes "Senior Save Navigator Grant Program" to assist applicants with NJ Save applications.