SF 2158 (LSB 5621XS (3) 87)

SENATE FILE 2158

BY  GREENE

A BILL FOR

An Act relating to Medicaid program eligibility.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  MEDICAID WAIVER REQUEST TO INCLUDE ADDITIONAL REQUIREMENTS AS A CONDITION OF ELIGIBILITY FOR MEDICAID COVERAGE.
   1.  The department of human services shall request federal approval from the centers for Medicare and Medicaid services of the United States department of health and human services for any necessary Medicaid state plan amendment or waiver to provide for all of the following:
   a.  That, as a condition of eligibility for Medicaid coverage, an applicant or recipient who is an adult, meets all of the following conditions:
   (1)  If the individual is an able-bodied adult, the individual shall work, actively seek work, or attend school or job training for at least twenty hours per week. 
   (2)  If the individual has any minor dependents in the same household, the individual shall ensure that any minor dependents comply with the school attendance policy of the school district in which the minor dependent resides.
   (3)  The individual shall complete a drug screening assessment, and based upon the results of the assessment, if the individual is reasonably suspected of using illegal drugs, the individual shall agree to participate in testing for illegal drugs. 
   b.  That an individual’s Medicaid coverage does not commence until 180 days following approval of the individual’s application for assistance.
   2.  The department shall implement any waiver or state plan amendment request upon receipt of federal approval and shall report receipt of such approval to the chairpersons and ranking members of the joint appropriations subcommittee on health and human services and to the legislative services agency.
EXPLANATION
The inclusion of this explanation does not constitute agreement with
the explanation’s substance by the members of the general assembly.
   This bill directs the department of human services (DHS) to request federal approval from the centers for Medicare and Medicaid services of the United States department of health and human services for any necessary Medicaid state plan amendment or waiver to provide for all of the following:
   That, as a condition of eligibility for Medicaid coverage, an applicant or recipient meets all of the following conditions: 
   If the individual is an able-bodied adult, the individual shall work, actively seek work, or attend school or job training for at least 20 hours per week. 
   If the individual has any minor dependents in the same household, the individual shall ensure that any minor dependents comply with the school attendance policy of the school district in which the minor dependent resides.
   The individual shall complete a drug screening assessment, and based upon the results of the assessment, if the individual is reasonably suspected of using illegal substances, the individual shall agree to participate in testing for illegal drugs. 
   That an individual’s Medicaid coverage does not commence until 180 days following approval of the individual’s application for assistance.
   The bill directs DHS to implement any waiver or state plan amendment request upon receipt of federal approval and report receipt of such approval to the chairpersons and ranking members of the joint appropriations subcommittee on health and human services and to the legislative services agency.