Senate passes House File 2635 to change prior-authorization, CON rules

Mar 4, 2026

The Senate substituted House File 2635 for Senate File 2421, adopted two amendments and passed HF 2635 to reform prior authorization, require electronic submissions for certain reviews by 07/01/2027 and adjust certificate-of-need rules tied to rural health funding.

The full story

The Senate moved and passed House File 2635, a bill the sponsor described as reforming prior authorization processes and parts of Iowa's certificate-of-need (CON) law. Senator Warmie (Senator from Story), who carried the legislation on the floor, said the bill aims to reduce administrative burdens and speed patient access to services while preserving state oversight of physical facilities.

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