SF562

A bill for an act relating to utilization review organizations, prior authorizations and exemptions, medical billing, and independent review organizations. Under Review

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A bill for an act relating to utilization review organizations, prior authorizations and exemptions, medical billing, and independent review organizations.

AI Summary

SF562 addresses utilization review organizations, prior authorizations, medical billing, and independent review organizations in Iowa.

Business Impact

If you operate in healthcare, review SF562 for potential changes in utilization review processes.

State
Iowa
Bill Number
SF562
Status
Introduced
Risk Level
Medium
Category
Comprehensive
Last Action
Mar 11, 2025
Last Verified
Apr 18, 2026
Data Updated
Apr 18, 2026
What do these statuses mean?
Introduced — Filed in the legislature; not yet heard in committee
In Committee — Assigned to and being reviewed by a legislative committee
Passed — Approved by one or both chambers; awaiting further action
Signed / Enacted — Signed into law by the governor; may or may not be in effect yet
Dead / Vetoed — Vetoed, failed to pass, or session expired without action
Unknown — Status data not yet available or awaiting classification

Affected Industries

Healthcare Insurance

Topics

What This Means

SF562, introduced in Iowa, pertains to utilization review organizations, prior authorizations, medical billing, and independent review organizations.

Key Provisions

Latest Legislative Action

Subcommittee: Driscoll, Petersen, and Warme. S.J. 492.

Compliance Checklist

Ensure AI systems used for utilization review comply with defined criteria.
Who: Health carriers
Deadline: Ongoing
Penalty: Potential fines or sanctions from the insurance division.
Respond to prior authorization requests within specified timeframes.
Who: Utilization review organizations
Deadline: Within 48 hours for urgent, 10 days for non-urgent requests.
Penalty: Complaints may be filed with the insurance division.
Publish annual statistics on prior authorization approvals and denials.
Who: Health carriers
Deadline: By March 31 each year.
Penalty: Non-compliance may lead to regulatory scrutiny.

Full Legal Analysis

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