HF 2434

signed by governor · signed 04/16/2026 · full text and history at the Legislature

A bill for an act relating to insurance coverage for health care services provided pursuant to a referral by an out-of-network primary care provider. (Formerly HSB 506 .) Effective date: 07/01/2026.

Recorded floor votes

Date	Chamber	Result	Yea
02/25/2026	House	PASSED	92	PDF
04/06/2026	Senate	not stated on the roll call	47	PDF
04/07/2026	House	PASSED	92	PDF

yea · nay · per-member votes appear on each legislator's page.

Who lobbied this bill

4 registered interests lobbied for, 0 against , and 9 registered on the bill without taking a side , from official declarations filed with the Legislature. Each organization is counted once, under its most recent filing on this bill .

4 for

9 no side

For (4)

Iowa Academy of Family Physicians
Iowa Independent Physician Group
Iowa Integrated Health Planning and Advisory Council
Iowa Medical Society

Against (0)

No side declared (9)

Cedar Rapids Metro Economic Alliance
Federation of Iowa Insurers
Iowa Chiropractic Physicians Clinic LLC
Iowa Insurance Division
Iowa Nurse Practitioners Society
Iowa Primary Care Association
Iowa Society of Anesthesiologists
National Association of Benefits and Insurance Professionals-Iowa Chapter
Wellmark, Inc.

Iowa lets a lobbyist register on a bill as for, against, or undecided — "no side declared" means the interest was working the bill without a public position on the record.