Iowa: AI health lawsYour state
4 entries on the map: 3 in force and 1 enacted and not yet in force (main duties begin July 1, 2027).
Iowa's AI rules apply to insurers, utilization reviewers and public chatbot operators, not physicians.
Full overview and dates aheadHide full overview
HF 2635, in force since July 1, 2026, lets utilization review organizations screen prior authorization requests with AI but not deny, delay or downgrade a medical necessity request on AI alone. Bulletin 24-04, issued Nov. 7, 2024, expects insurers to govern AI under a written program. SF 2417, signed May 2, 2026, requires public chatbot operators to disclose that users are talking to AI, keep crisis-referral protocols for suicidal ideation or self-harm and not present a service as designed to provide licensed psychology or behavioral health services; its text applies from July 1, 2027, though the bill history lists July 1, 2026. SF 262, the consumer data law in force since Jan. 1, 2025, exempts practices subject to and complying with the Health Insurance Portability and Accountability Act. HSB 766, which would have licensed autonomous AI to diagnose, treat and prescribe, stalled after a House subcommittee recommended it March 24, 2026.
Dates ahead
- July 1, 2027SF 2417, Conversational Artificial Intelligence Services: Limitations, Required Disclosures, and Civil Penalties (2026 Iowa Acts, Chapter 1068)Clinical decision and chatbot limits
Payer and utilization review AI
Iowa Insurance Division Bulletin 24-04, The Use of Artificial Intelligence Systems in Insurance
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HF 2635, Health Carrier Standards of Conduct: Utilization Review Organizations, Use of Artificial Intelligence, and Audits; Prior Authorizations and Certificates of Need (2026 Iowa Acts, Chapter 1087)
Patient disclosure of AI use
Also relevant here: SF 2417, Conversational Artificial Intelligence Services: Limitations, Required Disclosures, and Civil Penalties (2026 Iowa Acts, Chapter 1068) (under clinical decision and chatbot limits).
Clinical decision and chatbot limits
SF 2417, Conversational Artificial Intelligence Services: Limitations, Required Disclosures, and Civil Penalties (2026 Iowa Acts, Chapter 1068)
Mental health AI
Also relevant here: SF 2417, Conversational Artificial Intelligence Services: Limitations, Required Disclosures, and Civil Penalties (2026 Iowa Acts, Chapter 1068) (under clinical decision and chatbot limits).
Data and privacy
SF 262, Consumer Data Protection (2023 Iowa Acts, Chapter 17; Iowa Code chapter 715D)
Failed or withdrawn bills (1)
HSB 766, Licensure of Artificial Intelligence Augmented and Autonomous Service Providers
What applies to me in Iowa: physician, practice owner, hospital.
Federal law also applies in every state: see federal law and policy.
Calendar of dates laws take effect (Iowa): subscribe or download the .ics file.
General information, not legal advice. The whole map is available as data at /law-map/laws.json.