Iowa 2025-2026 Regular Session

Iowa Senate Bill SF319

Introduced
2/13/25  
Engrossed
3/11/25  

Caption

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

Impact

The proposed changes in SF319 are anticipated to significantly influence state healthcare policies. By requiring health providers to disclose cash prices, it seeks to empower consumers, potentially leading to increased competition among providers and, in turn, lower healthcare costs for the insured and uninsured alike. Additionally, the bill includes provisions for a savings incentive program, which could further reward individuals for choosing lower-cost options. Such measures could help alleviate the financial pressures associated with health services, particularly for state employees and retirees coming into the 2027 health insurance open enrollment period.

Summary

Senate File 319, titled The Patients Right to Save Act, focuses on cost controls in healthcare by mandating that healthcare providers disclose the discounted cash prices for services. Under this legislation, all providers must inform individuals of their rights to pay via discounted cash pricing prior to scheduled services. This provision aims to reduce unexpected costs for patients and promote transparency within the healthcare system, allowing individuals to make more informed financial decisions regarding their care. The bill emphasizes that cash prices should not be lower than the negotiated rates set by health carriers, reinforcing a balance between providers and insurers while incentivizing cash payments from patients.

Contention

Discussion surrounding SF319 may involve key points of contention, particularly how these requirements affect the contractual relationships between providers and health carriers. Critics may argue that mandating cash price disclosures could lead to price disparities and complicate existing negotiated rates. Furthermore, while the bill promotes consumer savings, the effectiveness of the incentivization stipulated in the plan, including how well it reduces overall costs for participants, remains a critical aspect of debate. Balancing transparency with fair pricing structures will likely be a focal point in the legislative process, as impacts on patient care and provider revenue are carefully considered.

Companion Bills

IA SSB1029

Related A bill for an act relating to certain cost controls for health care services.(See SF 319.)

Similar Bills

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.

TX SB1142

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

IA SSB1029

A bill for an act relating to certain cost controls for health care services.(See SF 319.)

IA SF2381

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

TX SB2339

Relating to the regulation of discount health care programs by the Texas Department of Insurance; providing penalties.

IA SF431

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

UT HB0257

Pharmacy Benefit Amendments

CA AB2984

Prescription drug cost sharing.