This bill establishes new regulations regarding insurance coverage for the maintenance and repair of complex rehabilitation technology wheelchairs in Iowa. Starting January 1, 2026, qualified suppliers of these wheelchairs will be required to provide service and repairs upon request from patients or their healthcare professionals, with specific exceptions outlined in the bill. Additionally, third-party payors are prohibited from requiring prior authorization or documentation of continued medical necessity for these services. The bill also mandates that all documentation related to service and repairs be maintained by the qualified suppliers and not subject to audit by third-party payors.

Furthermore, beginning July 1, 2026, qualified suppliers must offer annual preventative maintenance for the wheelchairs, again with certain exceptions. This maintenance must be performed by qualified technicians employed by the suppliers, and third-party payors must communicate the availability of this benefit to patients. The bill outlines the types of insurance contracts to which these regulations apply and excludes certain types of insurance from its provisions. A task force will be established to review and determine reimbursement rates for services and preventative maintenance, ensuring that all related costs are considered. The division of insurance and the Department of Health and Human Services will also adopt necessary rules to implement these provisions.