Meeting Public Comments
Subcommittee meeting and times are as follows:
A bill for an act relating to the establishment of the work without worry program under the medical assistance program for employed individuals with disabilities, and including effective date provisions.(See HF 905.)
Subcommittee members: Nordman-CH, Meyer, A., Turek
Date: Tuesday, February 25, 2025
Time: 12:00 PM - 12:30 PM
Location: RM 102
Names and comments are public records. Remaining information is considered a confidential record.
Comments Submitted:
02-21-2025
Michelle Soyer
There are so many Iowans with disabilities who want and deserve an equal opportunity to earn a sustainable income and support our economy. There needs to be a bill that prevents discriminating them from doing so. There are so many people I know with disabilities who want to work hard and achieve their highest potential, to be a involved contributing citizen. Life is already very difficult and limiting for people living with disabilities. We need to do what we can to NOT make it even more difficult and limiting.
02-21-2025
Michelle Soyer
There are so many Iowans with disabilities who want and deserve an equal opportunity to earn a sustainable income and support our economy. There needs to be a bill that prevents discriminating them from doing so. There are so many people I know with disabilities who want to work hard and achieve their highest potential, to be a involved contributing citizen. Life is already very difficult and limiting for people living with disabilities. We need to do what we can to NOT make it even more difficult and limiting.
02-21-2025
Michelle Soyer
There are so many Iowans with disabilities who want and deserve an equal opportunity to earn a sustainable income and support our economy. There needs to be a bill that prevents discriminating them from doing so. There are so many people I know with disabilities who want to work hard and achieve their highest potential, to be a involved contributing citizen. Life is already very difficult and limiting for people living with disabilities. We need to do what we can to NOT make it even more difficult and limiting.
02-21-2025
Tracy Miksell
People with disabilities want to work and be productive. Dont make it harder for them.
02-21-2025
Doug Sample
If you are disabled and going to work would mean that you would lose your medical insurance and leave you to pay for your own medications that cost considerably more than you would be earning, would you do it? If you are disabled and going to work would mean that he would lose the funding for the people that help you out of bed and in to your wheelchair each day, would you do it? If you are disabled and going to work would mean losing the coverage for medical equipment that you can't survive without, would you do it? If you wouldn't do this, why should they? Please pass this bill.
02-22-2025
Jenna Batten
Medicaid is one of very few if not the only form of insurance that pays for longterm home and community based services (HCBS). This means anyone with a disability severe enough to require assistance in the home or community must choose between living in poverty to remain eligible for Medicaid, or to have a career in which they can accept advancement and/or raises. Where is the incentive in working fulltime if you risk losing coverage for the home care services you require to get out of bed and ready for work? Without Medicaid, a quadriplegic like myself would pay out of pocket cost upwards of $30,000 per year! I love my job and want to keep working. But I would have to quit my job or take a pay cut if I lose my eligibility for Medicaid.
02-22-2025
Jenna Batten
Medicaid is one of very few if not the only form of insurance that pays for longterm home and community based services (HCBS). This means anyone with a disability severe enough to require assistance in the home or community must choose between living in poverty to remain eligible for Medicaid, or to have a career in which they can accept advancement and/or raises. Where is the incentive in working fulltime if you risk losing coverage for the home care services you require to get out of bed and ready for work? Without Medicaid, a quadriplegic like myself would pay out of pocket cost upwards of $30,000 per year! I love my job and want to keep working. But I would have to quit my job or take a pay cut if I were to lose my eligibility for Medicaid.I am disabled and I want to work! Please pass this bill.
02-23-2025
Marilyn Lambert [Parent]
My daughter has disabilities and lives in a waiver home. She receives services, is on SSDI,SSI, medicaid and medicare. She is not physically disabled but is mentally disabled. She does her best when her mind is kept busy. She would not be able to work a 40 hour week. But with the restrictions on income limits She can not work more than 2 to 2 1/2 hours per day. That leaves a lot of hours to fill. She has things she wants to save money for. There is no extra money. She can not move forward without losing benefits. She might be successful or she might not, if she were to try some type of work that would pay more or work more hours. With these income limits, she can't even try. If she did and failed, her benefits would be gone. She would have to either make enough money to be totally independent or stay within the income guidelines. There is no moving forward for her.
02-23-2025
Erica Carter
My taxable income in 2024 was $105,000 however my actual income was much less due to my medical expenses of $34,000. I work extremely hard for my salary but 1/3rd of my income currently goes to paying for the ability to go to work each day. This isn't the case with the vast majority of Iowans working each and everyday but due to current Iowa Medicaid income limits this is my reality and one that many other Iowans with disabilities live with, will live with or they limit their incomes out of fear of losing MEPD. Increasing the Medicaid income limits would allow me to become eligible for the MEPD program again and allow me to pay a monthly premium to Iowa for crucial healthcare services.Having even a portion of the income back that Im currently paying for medical expenses would allow me to start planning for my financial future again, become a homeowner again, and it would give me precious time to enjoy life, build relationships, and not have that constant worry about my next wheelchair malfunction, or healthcare bill thats coming in the mail. The harsh reality about disability is that it is the only minority group that you can join at any time. It does not look at your educational background, your social status, or your economic status. I humbly ask you as policy makers to look at this issue and be a voice for Iowans such as myself by paving the way for all Iowans to Work Without Worry.
Attachment
02-23-2025
Allissa Buelow
Many Iowans with disabilities seek and deserve the opportunity to earn a sustainable income and contribute to our economy. There should be legislation in place that make it feasible for people who wish to work, to work.
02-23-2025
Kay Marcel
I urge you to support HSB241. This bill will establish a Work Without Worry program allowing Medicaid recipients with disabilities to work without fear of losing eligibility for longterm home and communitybased services (HCBS). Medicaid is one of very few if not the only form of insurance that pays for them. People with disabilities want to work but cannot afford to lose the HCBS they need to live, work, be fully integrated and contribute to their community. Currently people with disabilities are forced to limit the hours they work or turn down raises for fear of losing the HCBS they need to live in the community and actually work.
02-23-2025
Danielle Leonard
I am so happy to learn about this bill. My 25 year old son just started working full time at Target. I was asking his caseworker and others what I could do regarding the $2000 Medicaid maximum because Target has a 401 k match program. I was also trying to get SSI for him. I want my son to fully work and invest in himself. She suggested we cut back his hours so he didnt make as much money. I cant believe this was a suggestion in order to get the benefits he deserves as an autistic adult. He is only making $15.50 an hour which I am happy for but which also is hardly enough to support oneself independently. I would think the state would want individuals to work as much as they can not ask them to be lazy to receive assistance. Its a backwards system for sure
02-23-2025
Lana Lyddon Hatten [parent]
I strongly support HSB 241 to establish the work without worry program. As a parent of a young adult with an intellectual disability, I urge your support for he and others with disabilities to have the most choices and least restrictive opportunities to flourish.
02-23-2025
Donna Augustin
As a parent of an adult child who is in the Medicaid program, I encourage the passing of this bill. With the limited amount of resources an individual with disabilities can have per month is limiting this population from growing their finances and futures. This has been a worry as his payee to keep him striving for more work hours but yet to keep him in the guidelines. It truly is backwards. We have been told many times over the years to cut his hours so he doesn't lose his benefits. Why would we want to encourage limiting them more than what they are already challenged with. Work is good for all people and this bill would encourage more for these special people.
02-24-2025
Rebekah Jacobs
Please vote IN FAVOR of HSB 241. Everyone should be able to work without worrying about losing the support that they need for their survival.
02-24-2025
Pamela McDonald
I support HSB 241 to establish the work without worry program.Work is the right of every human being, and contributes to our economy and our collective health.
02-24-2025
Lisa Lima [Concerned Citizens of Pottawattamie County]
I support HSB 241 as we all deserve rights. This is especially important for people whose lifes depend on medical assistance, yet need to work. The Work Without Worry bill is fundamental for our disabled and less abled community members.
02-24-2025
02-24-2025
Allie Tubbs
My name is Allie Tubbs and I was born with a physical disability that affects the length, mobility, and strength of my arms and legs. I have been on the Medicaid Health and Disability waiver since I was a child. Ever since I entered college, I have been afraid of losing Medicaid, which has helped cover multiple surgeries, years of physical therapy, and constant doctor visits to monitor my bleeding disorder. I was afraid when I entered college because I started earning an income. For the first time in my life, I was excited to work at Disability Rights Iowa and be an advocate for my community. Yet, I had to constantly check my bank account because I was terrified I would surpass the $2,000 asset cap. When I left college and accepted my first fulltime job, I was terrified of losing Medicaid. I worked for an affordable housing nonprofit in Des Moines earning $50,000 annually. My monthly salary is just enough to cover my rent, college loans, food, and other essential needs. Yet, I was making too much money. In January of 2024, my worst fear came true: Iowa Medicaid canceled my health insurance. After reviewing my income, Medicaid representatives said I made over 250% of the Federal Poverty Level and I even made too much for Medicaid for Employed People with Disabilities (MEPD). After dozens of phone calls with different answers from every representative, I was told my best option was to open a Miller Trust, which is designed to cover nursing home expenses. Under this Trust, I would no longer have control of my money and I could only use it to cover medical expenses like a nursing home, which I don't live in. Out of hope, I turned to the benefits planning team at Disability Rights Iowa in a last ditch effort to find answers. Within 5 minutes, they told me I did qualify for MEPD. Iowa Medicaid representatives failed to correctly calculate my income based on an equation which is explained in their own handbook. I have since been put on MEPD, but I now pay $137 a month to maintain it. Nothing changed about my disability or medical needs. Yet, I now have to pay for Medicaid because I work a job that pays more than minimum wage.I love my job. I help people at my job. I love working. But I almost quit because I was going to lose Medicaid. I strongly urge you to pass the Work Without Worry bill. Disabled people are qualified to work and they are assets in the workplace. Nobody should have to choose between working to obtain a sustainable income and maintaining their health insurance. As the largest minority group, and a group that anyone can join at any time, I strongly urge you to stand up for disabled Iowans. We want to work, but it cannot come at the expense of our Medicaid.
02-24-2025
Evan Schultz
As a person with quadriplegia, I rely on Medicaid to cover cost of inhome health services to get out of bed and get to work.Having to take pay cut or reduce hours instead of being motivated to work and contribute as much as possible seems antithetical to progress and success.There are so many individuals in this predicament. Individuals want to work, home health and employment services want to help. WinWin. Please support HSB 241. Thanks so much.
02-24-2025
Heidi Kriener
As a person with a disability who is currently working and making too much to obtain medical insurance for people with disabilities or MEPD, I understand the importance of the HSB 241 bill. Having a job is an improvement for my mental and physical health, but financially I struggle to make it. My health insurance through my employer won't pay for the medical supplies to live daily and that is stressful. Please pass the HSB 241 bill to make those of us who are willing and want to work less stressed over having a job that we truly enjoy.
02-24-2025
Rachel Bussan [Iowa Developmental Disabilities Council - Commenting as an individual]
As a person with disabilities, Work Without Worry gives us the opportunity to work without losing the Medicaid benefits we need to survive and live as independently as possible. Many of us wish to work but cannot due to the current income limits on Medicaid. Medicaid covers many necessary services that private insurers will not, such as home based care. I currently use private insurance, but would qualify for Medicaid if my income changed. It would give so many people peace of mind and the choice to seek employment.
02-24-2025
Julie Biddle- Zaugg
I am the parent of an adult chld who has a mental disability. I support HSB 241, Work Without Worry, because all Iowans deserve the right to become a contributing member of sociaty as best they can. This is especially important for people whose lives depend on medical assistance, yet need to work. This bill is fundamental for our disabled and less abled community members.
02-25-2025
Chad Webb [Kids without Fathers are more Vulnerable]
I am a full time, sole legal caregiver to my 2 kids. 16 year old daughter and 8 year old son with dissabilities. He is also a victim of abuse before he was in my care. I have addressed the safety issues to the judiciary, I would hope that they would read it and take note. These kids need some attention and recognition within the Iowa civil and criminal code. These kids are the most vulnerable on the whole planet. Not black, not mexican, not poor, but dissabled. Autism touches all walks of life, rich, poor, and every color possible. Many of them cant even report there abuse. I was a plumber by trade and went through 6 years of trade school and was on my way to starting my own buisness. Then my son came to live with me in 2019 after abuse, and 2020 is when covid hit and have not been able to work since then because (of the buisness's "daycares" and the public schoools discriminate). This is important because all evidence and studys that have been done on the rehabilitation for kids with neurological issues(Autism, ADHD, ID, LD, ect..) has shown that kids have the best chance of even being able to work when they become adults need heavy intervention at least up to the age of 10, this is only considered in my statement as to be fair as to the taxpayer's commitment to taxe's and welfare which is absolutely needed, If Iowa cares about these kids that is. Iowa right now does not even have a focus on this. If kids are not able to communicate or understand or (build frienships and connections) while they are kids, they will not be able to join the workforce, and there mental health will be so depleated they will not care, and people will still treat them worse then there dogs, because its happening. Parents are stuck home while trying to help there kids and its(help) not getting done. In my case I went to college, in order to get a degree(computer science) in order to hopefully be able to have a more flexible work schedule or work from home if needed. That was and is the fix for parents in situations like mine. There are many parents in this same boat. That still doesnt guarentee me work. The daycares dont even understand ADA or 504 law. Or they do, but know that Iowa isnt going to enforce the law and it hasnt, evidence of that given the ICRC is now effectively dissolved. A few suggestions that help kids have a better chance, at life and work, which is every parents wish and reason they keep pushing. 1. Focus on helping the parents who have been left out of society and this conversation, while they study law, the most complex and in my opinion unecessary law. * Focus on helping these kids integrate. DAYCARE is not only essential to these kids psychological developement, its essetial for there mental health and learning. Kids learn from other smarter kids, if they are NICE. Well how do we force kids to be nice? * K12 education on what dissabilities are, which would teach kids that these kids are not what there parents are telling them. They are actually smart and there, meaning they understand what is happening to them or around them, they just have problems expressing themselves or saying what they want or need. This could be helped by education. Kids also need to know the price of not caring about these kids. Because there is one, whether its economical or spiritual, there will be a cost by ignoring this. How this also helps the job market? When peers and other familys get more exposure to these kids and there familys they will then understand, how awesome and how much these kids can actually create better loving communities. This will create more interested people to join the workforce in this area. This has to happen, to ignore is to compromise your own morals and beliefs. * Have the schools open before and after school daycares. This is best for kids with dissabilities and will eliminate the issues with daycares. Sure it might take some buisness away from some buisness's but that is the price you pay for being hatefull and hurtfull towards these kids. * Bring service providers into the schools. As two seperate entitys but share the buildings. ABA is 100% affective for many of these kids but access is limited. Many of the buisness's phase out kids at age 6 for various reasons, but this is what these kids need. All services need to be integrated into the same school for true multi disaplinary teams. This will be big deal, when it happens. * To much money is getting spent on services that arent available or by themselves are ineffective. This is not my words it is the words and publically available documents by proffesionals(Doctors, scientists, God). Not SPL's or teachers or daycare providers. Just look at the results, all kids get diplomas, regardless of if they can function at the leval necessary. This reasoning creates a workforce that will not invest into there careers the actual time and effert to truly help.In conclusion, allthough maybe this bill is well intended, it seems that we have i dire situation that is occurring far before these people get to the workforce. Can we please quit letting society and buisness's and lawyers use these kids to exploit them. Please. .
02-25-2025
MaryAnn White [WCDC, Inc]
Medicaid is one of very few if not the only form of insurance that pays for longterm home and community based services (HCBS). This means anyone with a disability severe enough to require assistance in the home or community must choose between living in poverty to remain eligible for Medicaid, or to have a career in which they can accept advancement and/or raises. Where is the incentive in working fulltime if you risk losing coverage for the home care services you require to get out of bed and ready for work? I am a provider of home and community based services and we struggle with Iowa stating it is an employment first state when it comes to our services, but then we have consumers that our limited in their work becasuse of their Medicaid benefits being reduced. It seems there is some contracdictions here. It is hard for us to promote and encourage work when then they are limited or denied their Medicaid funding.
02-25-2025
Tom Chapman [Iowa Catholic Conference]
The Iowa Catholic Conference is registered in support of HSB 241, "work without worry." Meaningful employment opens doors to social connection, economic advancement, and personal autonomy. We appreciate this effort to remove barriers to employment for people in the MEPD program and expand Iowas labor pool as well.
02-25-2025
Ben Grauer
Please support this legislation. Iowans with disabilities want to work but are limited by current income and asset limits imposed by the current buyin program. Eliminating income and asset limits would allow us to reach our full potential, earning, saving, thriving like everyone else. For many, going without Medicaid long term supports and services is not an option. Private insurance does not cover that kind of care. This means they have to opt into roles for which they are sometimes overqualified for pay that is less than their worth. Supporting this bill will enable individuals to address workforce shortages.Personally, I have worked hard to achieve my independence and do not need Medicaid at the moment. However, I did after I first suffered a spinal cord injury over 15 years ago and likely will in the future as I age. If I needed to access Medicaid services, I currently would not qualify for them because income and asset limits imposed currently. I was excited to get married last November but under the current MEPD program our income and asset limits are both consider when determining eligibility. Why is the household income and asset limit considered when I am the only person that might need care? Many states have decided that arbitrary income and asset limits do nothing but limit individuals with disabilities. Iowa shouldn't be last to do something so simple that will improve the lives of residents with disabilities.
02-25-2025
Mpembe Edmundson
Please recognize that people with disabilities want to be able to earn a living without risking their health, let alone their lives, when they can't afford to pay the ridiculous costs of medical care. People with disabilities should be able to have gainful employment and not risk losing every other part of their lives. There are no grocery prices decreasing, there are no rental prices decreasing, there are no gas prices decreasing. Nothing is getting more affordable. Stop punishing people for having disabilities and wanting to successfully live their lives. Let them Work without Worry!
02-25-2025
Nicole Nosbisch [Special patriots ]
I am in favor the bill because I am f am disabled. I have a part time Job. I would like to work full time in the future. People with disabilities would like to work and still get Medicaid and Social Security benefits.
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