The state of Iowa enacted a law that prohibits health insurers from requiring prior authorization for cancer screening tests. Governor Kim Reynolds signed bill HF2635, which takes effect on July 1 and allows patients to access those tests directly, without waiting for their coverage approval. The state has one of the highest cancer rates in the country. Until now, prior authorizations could delay for weeks, putting off diagnoses at a critical moment for treatment. The law eliminates the requirement for doctors to ask insurers for permission before ordering an oncology test. According to state representative Austin Harris, those procedures could take several weeks; with the law, that step disappears. The legislation also sets mandatory deadlines for insurers to inform hospitals about the status of claims and requires clinical justification when coverage is denied. In addition, it prohibits companies from denying coverage based solely on artificial intelligence: every rejection decision must include human intervention. For insured residents in Iowa, the change is immediate: the doctor will be able to order a cancer screening test without prior paperwork with the insurer. Without administrative delays, access to diagnosis will be faster. In case of denial of other coverages, the law also strengthens protections: insurers will have to respond within defined deadlines and explain their decisions with clinical criteria. The law takes effect on July 1.