Senate File 2026 - Introduced SENATE FILE 2026 BY ZAUN A BILL FOR An Act relating to the disclosure of the prices charged for 1 health services rendered by health care providers and 2 hospitals. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 5390XS (3) 87 pf/rh

S.F. 2026 Section 1. NEW SECTION . 135.84 Disclosure of prices charged 1 for health services by health care providers and hospitals. 2 1. A health care provider shall disclose and make available 3 to the public in a single document, either electronically or 4 by posting conspicuously on the provider’s internet site, 5 if one exists, the prices charged, prior to the negotiation 6 of any discounts and assuming no medical complications, for 7 the twenty-five most common health services the health care 8 provider renders. 9 a. The health care provider shall identify the health 10 service for which prices charged are provided in both a common 11 procedural terminology code or other coding system commonly 12 used by the health care provider and accepted as a national 13 standard for billing, and in a plain language description. 14 b. The health care provider shall update the price 15 information as frequently as the health care provider deems 16 appropriate, but at least annually. 17 2. A hospital shall disclose and make available to the 18 public in a single document, either electronically or by 19 posting conspicuously on the hospital’s internet site, if 20 one exists, the prices charged, prior to the negotiation of 21 any discounts and assuming no medical complications, for 22 the seventy-five most common inpatient health services and 23 the seventy-five most common outpatient health services, as 24 grouped by a Medicare diagnosis-related group, rendered by 25 the hospital. The price information shall be updated on a 26 quarterly basis. 27 3. Any price information disclosed under this section shall 28 include a disclaimer that the price information provided is 29 an estimate, does not constitute a legally binding charge for 30 a health service provided to a specific consumer, and that 31 the actual charge for a health service is dependent on the 32 circumstances at the time the health service is rendered. 33 EXPLANATION 34 The inclusion of this explanation does not constitute agreement with 35 -1- LSB 5390XS (3) 87 pf/rh 1/ 2

S.F. 2026 the explanation’s substance by the members of the general assembly. 1 This bill relates to the disclosure of prices charged by 2 health care providers and hospitals for common health services. 3 The bill requires a health care provider to disclose and 4 make available to the public in a single document, either 5 electronically or by posting conspicuously on the provider’s 6 internet site, the prices charged, prior to the negotiation of 7 any discounts and assuming no medical complications, for the 25 8 most common health services the health care provider renders. 9 The health services are to be identified by a common nationally 10 recognized coding system and by a plain language description, 11 and the health care provider is required to update the price 12 information at least annually. 13 The bill requires hospitals to disclose and make available 14 to the public in a single document, either electronically or 15 by posting conspicuously on the hospital’s internet site, the 16 prices charged, prior to the negotiation of any discounts and 17 assuming no medical complications, for the 75 most common 18 inpatient and the 75 most common outpatient health services, as 19 grouped by a Medicare diagnosis-related group, rendered by the 20 hospital. The price information is required to be updated on 21 a quarterly basis. 22 The bill provides that the price information disclosed shall 23 include a disclaimer that the price information provided is 24 an estimate, does not constitute a legally binding charge for 25 a health service provided to a specific consumer, and that 26 the actual charge for a health service is dependent on the 27 circumstances at the time the service is rendered. 28 -2- LSB 5390XS (3) 87 pf/rh 2/ 2