IOW LEG Health Insurers' Credentialing

Updated on: May 8, 2025

Latest Event


  • May 2025 IOW LEG Governor Approval
  • On May 6, 2025, IOW LEG reported that bill HF 875 was approved by the governor.

On Apr. 16, IOW LEG passed bill re credentialing requests, denials.

  • IOW LEG passed Bill HF 875 re health insurer credentialing process; bill outlines response times from credentialing requests by physicians and nurse practitioners.
  • Amends Iowa code 2025, IOW INS 514F.6 (credentialing, retrospective payment).
  • Insurer Credentialing
  • Bill requires a health insurer to respond to a physician, an advanced registered nurse practitioner, or physician assistant’s request for credentialing within 56 calendar days.
  • If a request for credentialing is denied by the insurer, insurer will provide a reason for the denial to physician, advanced registered nurse practitioner, or physician assistant.
  • Legislative History
  • On Mar. 7, 2025, bill introduced in House; on Mar. 19, 2025, bill was passed in House.
  • On Mar. 20, 2025, bill delivered to Senate; on Apr. 15, 2025, bill passed in Senate.
  • On Apr. 16, 2025, bill returned to House, pending delivery to governor for action.
  • Effectiveness
  • If approved, bill becomes effective as of Jul. 1, 2025.
  • May 2025 IOW LEG Governor Approval
  • On May 6, 2025, IOW LEG reported that bill HF 875 was approved by the governor.
Regulators
IOW LEG
Entity Types
CNSM; Ins
Reference
Bill, 5/6/2025; Bill HF875, 4/16/2025; Citation: IOW INS 514F.6;
Functions
Compliance; Financial; Legal; Registration/Licensing
Countries
United States of America
Category
State
N/A
Products
Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
Apr 16, 2025
Effective Date
Jul 1, 2025
Rule ID
251109
Linked to
N/A
Reg. Last Update
May 6, 2025
Report Section
US Insurance