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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
The bill addresses utilization review organizations, prior authorizations, and medical billing practices in Iowa.
Business Impact
If you operate in healthcare, review SF562 for potential changes in utilization review processes.
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
Topics How we classify →
What This Means
SF562, introduced in Iowa, addresses procedures for utilization review organizations, criteria for prior authorizations, and standards for medical billing and independent review organizations.
Key Provisions
- Procedures for utilization review organizations are addressed.
- Criteria for prior authorizations are established.
- Standards for medical billing and independent review organizations are set.
Latest Legislative Action
Subcommittee: Driscoll, Petersen, and Warme. S.J. 492.
Bill Sponsors (showing 5 of 7)
| Name | Role |
|---|---|
| COMMITTEE ON APPROPRIATIONS | Primary |
| COMMITTEE ON COMMERCE | Primary |
| DONAHUE | Primary |
| PETERSEN | Primary |
| TRONE GARRIOTT | Primary |
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.
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.
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.
Who: Health carriers
Deadline: By March 31 each year.
Penalty: Non-compliance may lead to regulatory scrutiny.
Full Legal Analysis
Senate File 562, introduced in Iowa, addresses procedures for utilization review organizations, criteria for prior authorizations, and standards for medical billing and independent review organizations. Specific mandates, timelines, transparency measures, and qualifications are to be confirmed upon review of the full bill text.
Official Source
Official Bill Text
View SF562 on official legislature website →
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