Proyectos de ley › 89.ª Asamblea General
HSB 3
Temas:Health careChild care
Dónde está ahora
- Hecho: Presentado12 de enero de 2021
- Hecho: Subcomité12 de enero de 2021
- Hecho: Comité de la Cámara27 de enero de 2021
- Se saltó: Lo aprueba la CámaraSigue como HF 302
- Sigue: Comité del Senado
- Sigue: Lo aprueba el Senado
- Sigue: A gobernador(a)
- Sigue: Firmado como ley
Ahora es HF 302 → Sigue avanzando con el número nuevo. Ir a HF 302 ¿Qué es el embudo (funnel)?
Qué contiene
La explicación oficial está en inglés; todavía no hay resumen en palabras sencillas.
This bill establishes a graduated eligibility phase-out program for state child care assistance. _____ program, if either the family’s nonexempt gross monthly income is at least 225 percent but less than 250 percent of the federal poverty level applicable to the family size for children needing basic care or the family’s nonexempt gross monthly income is at least 225 percent but less than 275 percent of the federal poverty level applicable to the family size for children needing special needs care.
Lea la explicación completa
The bill provides that a family with children needing basic care shall pay for percent of the family’s child care costs if the family’s income is above 225 percent but less than 235 percent of the federal poverty level; percent of the family’s child care costs if the family’s income is at or above 235 percent but less than 245 percent of the federal poverty level; and percent of the family’s child care costs if the family’s income is at or above 245 percent but at or less than 250 percent of the federal poverty level. A family with children needing special needs care shall pay for percent of the family’s child care costs if the family’s income is above 225 percent but less than 245 percent of the federal poverty level; percent of the family’s child care costs if the family’s income is at or above 245 percent but less than 265 percent of the federal poverty level; and percent of the family’s child care costs if the family’s income is at or above 265 percent but at or less than 275 percent of the federal poverty level. The bill provides that the graduated eligibility phase-out program for eligible families shall be implemented no later than July 1, 2022. The bill provides that child care provider reimbursement rates under the graduated eligibility phase-out program shall be the same rates as the child care assistance provider reimbursement rates in effect on July 1, 2021. The department of human services is directed to adopt rules in accordance with the provisions of the bill.
Texto completo del proyecto (en inglés) · Qué cambió antes de aprobarse1
House subcommittee
Named January 12, 2021. On January 19, 2021 it recommended passage.
Three legislators hear a bill first and recommend what the committee should do; it’s the best time to weigh in. How to take part
Nota fiscal
Resumen con IA This bill creates a graduated eligibility phaseout for the Child Care Assistance Program to help families with incomes above certain federal poverty levels. The Department of Human Services will spend $312,000 in fiscal year 2021 for programming and project management, with program costs increasing to $201,000 in fiscal year 2022, $572,000 in fiscal year 2023, $943,000 in fiscal year 2024, and $1,314,000 in fiscal year 2025. While federal funds are expected to cover these costs through fiscal year 2023, an appropriation will be required to fund the program starting in fiscal year 2024. (en inglés)2
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Description
House File 302 creates a graduated eligibility phaseout component for the Child Care Assistance (CCA) Program in the Department of Human Services (DHS).
The Bill would provide that if families were previously eligible for the CCA Program, they would be eligible for a graduated eligibility phaseout program under the following conditions:
- Their income is above 225.0% of the federal poverty level (FPL) but less than 250.0% FPL for basic care.
- Their income is above 225.0% FPL but less than 275.0% FPL for special needs care. Families in the income ranges specified for service care needs will be responsible for the following share of the cost of child care based on the cost of care currently reimbursed by the DHS.
The Graduated Phaseout Program is required to be implemented no later than July 1, 2022.
Background
The table below presents the FPL by family size and calculated percentages of FPL for FY 2021.Table 2: Federal Poverty Levels (FPL) Family Size 100.0% 145.0% 225.0% 250.0% 275.0% Family of 2 17,420$ 25,259$ 39,195$ 43,550$ 47,905$ Family of 3 21,960 31,842 49,410 54,900 60,390 Family of 4 26,500 38,425 59,625 66,250 72,875 Family of 5 31,040 45,008 69,840 77,600 85,360 Family of 6 35,580 51,591 80,055 88,950 97,845 Iowa’s CCA Program currently has two main components: the CCA Program and the CCA Plus Program. Eligibility for the CCA Program is limited to families with income no more than 145.0% FPL and is limited to a 12-month eligibility segment. The CCA Plus Program has a 12-month eligibility segment and an income limit of more than 145.0% FPL up to 85.0% of the State median income (approximately $49,800).
Final federal rules relating to the CCA Plus Program require that there be no time limit for eligibility, only an income limitation. The DHS Notice of Intended Action ARC 4937C brings the CCA Plus Program into conformance with federal law, covering families with an income not to exceed 225.0% FPL for an indefinite period of time for basic care and special needs care under the current copayment structure.
Currently, a copayment for services is required if a family’s income is at or above 100.0% FPL. The copayment scale starts at 1.0% of family income and increases up to 7.0% of family income. The DHS utilizes a provider billing portal for the CCA Program for payment of services and determination of copayment amounts.
Assumptions
- The rulemaking proposed in ARC 4937C has been adopted and filed with an effective date of July 1, 2020 (FY 2021).
- A significantly new copayment schedule based on the rate that providers charge cannot be implemented until programming changes to the provider billing portal are completed.
- Programming changes will require 2,000 hours of programming time, plus part-time work from the DHS Bureau of Project Management. This will push the launch of the Graduated Phaseout Program into FY 2022.
- An estimated 120 children will be eligible for the CCA phaseout program in FY 2022, and the same number will become eligible each year thereafter.
- The current average cost of care for a child in the CCA Plus Program is $4,368 per year.
- The exact point where eligible families will fall on the cost share table is unknown. The cost of care will also be dependent on the reimbursement rate of the child care provider type selected by the family. The estimate assumes that families will be responsible for 40.0% of the current average cost per child.
Fiscal Impact
The DHS programming and project management costs for the provider billing portal in FY 2021 are estimated at $312,000. The following table outlines program cost increases by fiscal year after the programming changes are completed in FY 2021.Table 3: Program Cost by Year
IT Programming
Graduated
Phaseout
FY 2021 312,000$ 0$ FY 2022 0 201,000 FY 2023 0 572,000 FY 2024 0 943,000 FY 2025 0 1,314,000 The current projected balance for the Federal Child Care Development Fund is $47.8 million for the end of FY 2021. Based on current DHS estimated revenues and expenditures for child care, the Department anticipates a sufficient projected balance of federal funds to be carried forward at the end of FY 2021 and FY 2022 so as not to require an increase from the General Fund appropriation in FY 2022 or FY 2023 for the rate increase proposed under the Bill. Current estimates indicate that federal funds would be fully expended in FY 2024, and an appropriation would be required to fully fund the program beginning in FY 2024.
Sources
- Department of Human Services
- U.S. Department of Health and Human Services
- LSA analysis and calculations
- Final Fiscal Note — Child Care Assistance Off-Ramp · 28 de junio de 2021 · $312,000
- Child Care Assistance Off-Ramp · 2 de febrero de 2021
Lo que cambia del Código de Iowa (Iowa Code)
Crea§237A.14
Cabildeo
37 a favor · 0 en contra · 13 indecisos · Quiénes →
Family tree
Tried before
Study bill
89th General Assembly
Earlier and later bills are matched by wording or an identical title.
Tried before
This idea has been filed in an earlier General Assembly. None got through a chamber.
- HF 2203 Establishing a graduated eligibility phase-out program for state child care assistance88th General Assembly · Withdrawn · very similarDidn’t advance
Matched by wording or an identical title.