The Iowa Stopgap Measure is a short-term solution to bring stability for Iowans dealing with the affects of the collapsing individual health insurance market due to the Affordable Care Act (ACA).  Without the Iowa Stopgap Measure, 20,000 more Iowans will likely be forced to go unisured due to skyrocketing premium costs under the ACA according to the economic and actuarial analysis.

The Iowa Stopgap Measure is being submitted as a "1332 waiver" for approval by the federal Centers for Medicare and Medicaid Services (CMS).  As a part of the waiver process the Iowa Insurance Division must have an economic and actuarial analysis, hold public hearings and collect public comments.


Iowa Stopgap Measure Drafts Submitted to CMS

Proposed Stopgap Measure - June 12, 2017.

Iowa Stopgap Measure - July 13, 2017. 


Iowa Stopgap Measure Economic and Actuarial Analysis

View the Economic and Actuarial Analysis - August 9, 2017


Iowa Stopgap Measure Public Hearings

July 19, 2017 in Council Bluffs. Video is available at  Court reporter transcript at​.

August 2, 2017 in Des Moines.  Video is available at  Court reporter transcript will be available soon.

August 10, 2017 in Cedar Rapids.  5:30 - 6:30 p.m. at the Cedar Rapids Public Library, Beems A/B Room, 450 5th Avenue SW, Cedar Rapids, 52401. Court reporter transcript will be available soon. Slides available at


August 14, 2017 in Des Moines. 5:30 - 6:30 p.m. at the Des Moines Social Club, Culinary Loft Meeting Room, 900 Mulberry Street, Des Moines, 50309. Watch the live stream via Periscope at


Iowa Stopgap Measure Public Comments

Submit a comment at

Read all submitted comments at