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91st General Assembly · Funnel one-pager · Monday, November 9, 2026

SF 363: Relating to the Iowa health and wellness plan and member community engagement requirements and including effective date provisions

Became SF 599 · Its progress continues under the new number.

What it does

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.

Sponsors

Sen. Mike Bousselot (R)

Cost

See the fiscal note

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

Senate subcommittee · named February 24, 2025

  • Sen. Mike Klimesh (R) · mike.klimesh@legis.iowa.gov
  • Sen. David D. Rowley (R) · david.rowley@legis.iowa.gov
  • Sen. Sarah Trone Garriott (D) · sarah.trone.garriott@legis.iowa.gov

Lobbying · 5 for, 43 against

For: Americans For Prosperity; Foundation for Government Accountability Action; Iowa Department of Health and Human Services; National Association of Social Workers, Iowa Chapter; VALOR Iowa

Against: AARP Iowa; American Cancer Society Cancer Action Network (ACS CAN); American Diabetes Association; American Heart Association; American Lung Association; Brain Injury Association of Iowa; Disability Rights Iowa; Easterseals Iowa; EveryStep; Family Planning Council of Iowa; Free Clinics of Iowa; Hills and Dales; and 31 more

In plain words

  1. February 18, 2025Filed in the Senate and sent to the Health and Human Services committee
  2. February 24, 2025Senate subcommittee named: Klimesh, Rowley and Trone Garriott
  3. March 3, 2025Subcommittee recommended passing it with changes
  4. March 10, 2025Approved by the Senate committee, and given a new number: SF 599

From public records at legis.iowa.gov, compiled by Funnel (iowafunnel.com), an independent, nonpartisan site. Current as of Monday, November 9, 2026. https://iowafunnel.com/bills/91/SF363