Cigna Corporate Services, LLC

An organization that hires lobbyists at the Iowa Legislature (2025–26 session). Its lobbyists filed 27 positions on 25 bills, one filing per lobbyist per bill, and again on each refiling, so the two counts differ. Each bill is counted once, under the most recent position filed on it, even when the bill was renumbered mid-session ; the organization changed position on 1 bill

Against 7 · No side declared 18

Declared against (7 bills)

Bill	Title	Status
HF 213	Pharmacy benefits managers, pharmacies, and prescription drug benefits, and including applicability provisions	no floor vote recorded
HF 735	Health carriers, pharmacy benefits managers, and the calculation of cost-sharing contributions by covered persons	no floor vote recorded
HF 852	Pharmacy benefits managers, pharmacies, and prescription drugs and including applicability provisions	no floor vote recorded
HF 2635 filed as HF 2438	Health carriers standards of conduct; utilization review organizations, artificial intelligence, audits, and prior authorizations;…	signed by governor
SF 315	Pharmacy benefits manager reverse auctions and group insurance for public employees and	floor vote recorded
SF 383	Pharmacy benefits managers, pharmacies, prescription drugs, and pharmacy services administrative organizations, and including applicability…	signed by governor
SF 2421 earlier: no side	Utilization review organizations’ use of artificial intelligence, prior authorization determinations and exemptions, and audits, and…	no floor vote recorded

No side declared (18 bills)

Bill	Title	Status
HF 303	Prior authorization and utilization review organizations	signed by governor
HF 590	Manufacturers and distributors of 340B drugs	no floor vote recorded
HF 2009	Manufacturers and distributors of 340B drugs	no floor vote recorded
HF 2048	Personal data processing practices for companies, and making civil penalties applicable	no floor vote recorded
HF 2585 filed as HF 2033	The provision of accessible prescription-related measures for persons who are blind, have a visual impairment, or other print disability	signed by governor
HF 2691	The ownership of artificial intelligence output and trained artificial intelligence	no floor vote recorded
HF 2739	State finances by modifying the taxes imposed on health maintenance organizations, making transfers from the taxpayer relief fund, making…	signed by governor
SF 71	Medicare supplement policies and an annual open enrollment period	no floor vote recorded
SF 143	Consumer data protection, and including retroactive applicability provisions	no floor vote recorded
SF 180	Right to refuse certain medical services for reasons of conscience	floor vote recorded
SF 231	Prior authorization and utilization review organizations	no floor vote recorded
SF 319	Certain cost controls for health care services	floor vote recorded
SF 562	Utilization review organizations, prior authorizations and exemptions, medical billing, and independent review organizations	no floor vote recorded
SF 2047	Insurance coverage for prescription insulin drugs	no floor vote recorded
SF 2048	Insurance coverage and Medicaid coverage for annual lung cancer screenings for at-risk individuals	no floor vote recorded
SF 2199	The ownership of artificial intelligence output and trained artificial intelligence	no floor vote recorded
SF 2226	The use of automated adjudication systems by health carriers, and including civil penalties	no floor vote recorded
SF 2464	State finances by modifying the taxes imposed on health maintenance organizations, making transfers from the taxpayer relief fund, making…	no floor vote recorded