Law / United States / 
Iowa
Utilization Review Artificial Intelligence Limits (House File 2635)
Iowa Code § 514F.8(2A), added by 2026 Iowa Acts, ch. 1087 (HF 2635)
In force since .
An AI sector rules rule binding private bodies.
- Obligation class
- Governance
- Audit expectation
- none
As of .
What it requires
- If you are a utilization review organization deciding a prior authorization request for a health care service based on medical necessity, do not use an artificial intelligence-based algorithm or system as the sole basis for your decision to deny, delay, or downgrade the request.
These lines are LexLint's reading of the law's text, as of .
What it makes you log
Logging duty
Subsection 2A lets a utilization review organization use an artificial intelligence-based algorithm or system for an initial review of a prior authorization request and bars it from being the sole basis for a denial, delay, or downgrade of a medical-necessity request; it states no duty to log, record, or document the review or the system's role in it.
- Kind
- None
- As of
What this law does
House File 2635, 2026 Iowa Acts chapter 1087, was signed by the Governor on and adds subsection 2A to Iowa Code section 514F.8, in the division on health insurance trade practices. A utilization review organization may use an artificial intelligence-based algorithm or system to provide an initial review of a request for prior authorization.
For a prior authorization request for a health care service based on medical necessity, the organization may not use such an algorithm or system as the sole basis for its decision to deny, delay, or downgrade the request. To downgrade means to change an expedited or urgent request for prior authorization to a standard determination, or otherwise to modify the health care service that is the subject of the request to a lower-level service. The bill history states an effective date of .
When LexLint raises it
When your app profile says your app handles health records, makes health care decisions or makes insurance decisions.