Iowa 2025-2026 Regular Session

Iowa House Bill HF500

Introduced
2/20/25  

Caption

A bill for an act relating to insurance coverage for the maintenance and repair of complex rehabilitation technology wheelchairs.

Impact

The implementation of HF500 is significant for both patients and suppliers as it removes bureaucratic barriers typically imposed by insurance companies. By ensuring that third-party payors cannot demand prior authorization for wheelchair service and maintenance, the bill promotes timely access to necessary repairs and maintenance for individuals reliant on specialized wheelchairs. Additionally, the bill brings forth a requirement for these suppliers to provide annual preventative maintenance, which is crucial for ensuring the ongoing functionality and safety of these assistive devices.

Summary

House File 500 pertains to insurance coverage related to the maintenance and repair of complex rehabilitation technology wheelchairs. The bill specifically mandates that beginning January 1, 2026, qualified suppliers providing these wheelchairs must offer services and repairs whenever requested by the patient or their prescribing healthcare professional. Importantly, it prohibits third-party payors from requiring prior authorization or ongoing documentation of medical necessity to facilitate these services, effectively streamlining the process for patients who depend on these technologies.

Contention

While the bill is designed to enhance the accessibility and reliability of wheelchair services, it may also spark discussion regarding the financial implications for third-party payors and suppliers. Critics might voice concerns about the sustainability of financing these services without the checks typically imposed by prior authorizations. Additionally, while the bill aims to ensure comprehensive care for patients, there might be apprehensions regarding the implications for suppliers who must balance their operational costs with the new mandates enforced by HF500.

Companion Bills

No companion bills found.

Previously Filed As

IA AB517

Medi-Cal: complex rehabilitation technology: wheelchairs.

IA SB00501

An Act Concerning The Complex Rehabilitation Technology And Wheelchair Repair Advisory Council.

IA AB1561

Medi-Cal: complex rehabilitation technology.

IA SB549

Relating to complex rehabilitation technology.

IA HB38

Wheelchair Insurance Coverage

IA HF425

A bill for an act relating to reimbursement for the repair of complex rehabilitation technology under the Medicaid program.

IA SB00999

An Act Requiring Health Insurance Coverage For Motorized Wheelchairs.

IA A2176

Requires health insurance coverage of at-home rehabilitation services.

IA S2824

Requires health insurance coverage of at-home rehabilitation services.

IA SB594

Providing for complex wheelchair quality assurance; and imposing duties on the Department of Human Services and the Insurance Department.

Similar Bills

CA AB517

Medi-Cal: complex rehabilitation technology: wheelchairs.

CA AB1561

Medi-Cal: complex rehabilitation technology.

MA H4358

Relative to wheelchair repair requirements and consumer protection

MA H1278

Relative to wheelchair repair requirements and consumer protection

CT HB07106

An Act Concerning Wheelchair Repair Requirements.

RI H5017

Requires manufacturers of assisting technology devices to make available to independent repair providers/the owner of the device, any documentation/parts, software/other items intended for use with the equipment/parts, including updates to software.

RI S0884

Provides that original power wheelchair equipment manufacturers would be required to provide to independent service providers repair information and tools to maintain and repair original power wheelchair equipment.

MA S2662

Expanding wheelchair warranty protections for consumers with disabilities