Relating to the Iowa health and wellness plan and member community engagement requirements and including effective date provisions

Where it is now

1. ✓
   Done: IntroducedFebruary 18, 2025
2. ✓
   Done: SubcommitteeFebruary 24, 2025
3. ✓
   Done: Senate committeeMarch 10, 2025
4. ✓
   Done: Passes the SenateMarch 25, 202533–15
5. –
   Skipped: House committeeSkipped
6. ✓
   Done: Passes the HouseMarch 26, 202561–35
7. ✓
   Done: To the GovernorMay 23, 2025
8. ✓
   Done: Signed into lawJune 6, 2025

Became SF 599 → Its progress continues under the new number. Go to SF 599 What’s a funnel?

What’s in it

This bill relates to community engagement requirements for Iowa health and wellness plan membership. The bill requires as a condition of membership that an eligible individual participate in a community engagement activity that includes working or volunteering as detailed in the bill. Certain individuals are exempt from the community engagement requirement as described in the bill. If required, the department of health and human services shall submit a request for a section 1115 demonstration waiver to require an eligible individual to participate in a community engagement activity as a condition of membership in the Iowa health and wellness plan.

From the explanation printed with the bill as introduced, written by the Legislative Services Agency. Changed since by amendments S-3059, H-1198, H-1195; see Amendments. Full bill text · What changed before it passed

Senate subcommittee

Named February 24, 2025. On March 3, 2025 it recommended amendment and passage.

• Sen. Mike Klimesh REmail
• Sen. David D. Rowley REmail
• Sen. Sarah Trone Garriott DEmail

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

Fiscal note

The LSA has not received a response to multiple requests for information from the HHS. 4 million in FY 2027.

• Final Fiscal Note — Iowa Health and Wellness Plan, Community Engagement Requirements · June 6, 2025
• Iowa Health and Wellness Plan, Community Engagement Requirements · May 13, 2025
• Iowa Health and Wellness Plan, Community Engagement Requirements · March 28, 2025
• Medicaid Expansion, Community Engagement Requirements · March 25, 2025
• Iowa Health and Wellness Plan, Community Engagement Requirements · March 25, 2025

Nonpartisan cost estimates from the Legislative Services Agency’s Fiscal Services Division. The newest is first. Reading a fiscal note

Iowa Code it changes

Creates§249N.9

Amends§249N.4

Read from the bill as introduced. Each links to every bill touching that chapter of the Iowa Code. How the Code works

Family tree

Where this legislation came from and where it went: earlier tries, the versions it moved through this Assembly, and later bills built on it.

Earlier and later bills are matched by wording or an identical title; check the text to be sure it’s the same idea.