Bills › 91st General Assembly

Relating to work requirements for the Iowa health and wellness plan, public assistance programs, an information technology fund, the public assistance modernization fund, and the Medicaid for employed people with disabilities program

Sponsored by the Senate Health and Human Services Committee, Sen. Mike Bousselot (R)

Topics:State budgetHealth careFamilies & human servicesMedicaid

Same legislation: SF 363, HSB 248, HF 948, SF 615

Where it is now

  1. Done: IntroducedFebruary 18, 2025
  2. Done: SubcommitteeFebruary 24, 2025
  3. Done: Senate committeeMarch 10, 2025
  4. Skipped: Passes the SenateContinued as SF 615
  5. Next: House committee
  6. Next: Passes the House
  7. Next: To the Governor
  8. Next: Signed into law

Became SF 615 → Its progress continues under the new number. Go to SF 615 What’s a funnel?

What changed before it passed The bill as introduced compared with the version both chambers passed.

Amendments · 7

3 adopted · 1 failed. Newest first.

  • S-3059 · filed March 27, 2025 by
    AI summary This amendment adds a requirement for the department of health and human services to review how other states handle the Medicaid program for employed people with disabilities. The department must then submit a report to the general assembly by December 15, 2025, with recommendations on how to expand employment opportunities for people with disabilities under that program.
    Adopted
    May 13, 2025
  • H-1198 · filed March 25, 2025 by
    AI summary This amendment adds a requirement for the department of health and human services to review how other states handle the Medicaid program for employed people with disabilities and submit a report with recommendations to the general assembly by December 15, 2025. It also changes the wording regarding how work requirements are applied to the Iowa health and wellness plan.
    Adopted
    March 26, 2025
  • H-1195Strike everything · filed March 25, 2025 by
    AI summary This amendment replaces the entire bill and sets a requirement that members of the Iowa health and wellness plan work at least eighty hours each month to keep their benefits. It also establishes a list of specific groups exempt from these work rules, creates an information technology fund, and increases the amount of resources a couple can have to remain eligible for the Medicaid program for employed people with disabilities.
    Amends this HF 948 to CONFORM to SF 615
    Adopted
    March 26, 2025
  • H-1192 · filed March 25, 2025 by
    AI summary This amendment renames the Medicaid program for employed people with disabilities to the "Work Without Worry" program. It replaces the previous rules for that program with new requirements for eligibility, monthly premiums based on income, and a six-month grace period for people who temporarily lose their jobs or face a health crisis.
    Ruled out of order
    March 26, 2025
  • H-1182Strike everything · filed March 25, 2025 by
    AI summary This amendment replaces the entire bill with a new version that requires the state to stop using managed care organizations to run the Medicaid and Hawki programs. Instead, the state must transition these programs to a fee-for-service model and submit the necessary paperwork to the federal government to make that change.
    Ruled not germane
    March 26, 2025
  • H-1180 · filed March 25, 2025 by
    AI summary This amendment removes the section of the bill that would allow the Iowa Department of Health and Human Services to ask the federal government for permission to require work hours for people in the Iowa health and wellness plan.
    Ruled out of order
    March 26, 2025
  • S-3054 · filed March 25, 2025 by Sen. Janet Petersen (D), Sen. Izaah Knox (D), Sen. Matt Blake (D), Sen. Zach Wahls (D) and 11 more
    AI summary This amendment removes the section of the bill that establishes the specific work hour requirements for people enrolled in the Iowa health and wellness plan.
    Failed
    March 25, 2025