Meeting Public Comments

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A bill for an act 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.(Formerly SF 363; See SF 615.)
Subcommittee members: Bousselot-CH, Costello, Donahue
Date: Thursday, March 20, 2025
Time: 11:00 AM - 11:30 AM
Location: Room 217 Conference Room
Comments Submitted:
The purpose of comments is to provide information to members of the subcommittee.
Names and comments are public records. Remaining information is considered a confidential record.

03-19-2025
Rachel Bruns
Please vote no on SF 599 on expanding Medicaid work requirements. There is no evidence that Medicaid work requirements increase workforce participation. Data from Arkansas and other states show that work reporting requirements mostly result in coverage loss, even for working individuals, and increased bureaucracy and costs for taxpayers. Most Medicaid expansion enrollees already work. As a maternal and infant health advocate, I'm especially concerned about the impact this will have on families. Please vote no on moving this bill forward.
03-20-2025
Heather Sievers [Advocates for Iowa's Children]
I assume this will move forward as all of the bills continue to do, but if you do move this, please make amendments to the resource maximums to allow people with disabilities and their caregivers to work by eliminating the maximum resource requirements or significantly increasing them to align with the hours of work requirements of 20 hours a week. This SF 599 continues to create impossible resource maximums, while requiring people with disabilities who want to be employed (and caregivers) to meet the 20 hours a week work requirements to maintain health insurance. How can people work 20 hours a week but remain within the strict poverty level requirements requiring that resources cannot exceed $10,000 for an individual or $21,000 for a couple. If people are required to work 20 hours a week, this will automatically push someone over the $10,000 maximum and subsequently they will lose their Medicaid and be forced back out of the workforce. This will not lead to reductions in demand on Medicaid programs, nor will it make sure all people who are able can support the workforce. This continues to support poverty cycles in our state and will further drive unemployment rates during a workforce crisis in the state of Iowa. This also negatively impacts caregivers who are required to take care of their children or family member over six years of age because there are no caregiver services available in this state, especially as people move into adulthood. I can barely get my daughter with disabilities into child or daycare settings because they are unable to "care" for her special needs (even though she is higher functioning). They reject accepting her into day care. There are no respite services even when people finally get on the Waivers that provide it, and respite services, even if there was access to support, cannot be used so caregivers or parents can work. Family caregivers are forced to stay home, and they will also lose their Medicaid critical to sustaining life. Please support Iowa's families. Please make amendments before passing this bill.
03-20-2025
Sally Tracy
Vote NO on SF 599. Why cant you just get out of the way and let people lift themselves out of poverty by allowing a safety net!
03-20-2025
Anita Christensen
I oppose SF599. Please do not move it forward.
03-20-2025
Linda Bennett Bennett
Please exclude people with disabilities.
03-20-2025
Stacey Huffman
Vote no, this bill continues to put barriers in front of peopleWith disabilities and thier families. It keeps them in poverty. In Iowa lets think about the health and wellbeing of our people. This bill is unjust.
03-20-2025
Amy Barrett
NO
03-20-2025
Katie Anderson
I suppose SF 599 It will hurt people who truly have disabilities and cant work. Find another way to determine if people are capable of working rather than putting those with disabilities at risk of losing healthcare coverage. Do something that helps Iowans.
03-20-2025
Stephanie Letsch
Please vote no, as a mother of a child with disabilities and a special education teacher this will further hurt and create hardships for people with disabilities
03-20-2025
Paige Chickering
I encourage you to vote NO on HF 599. This bill has the potential to expand more strict work requirements for SNAP, creating costly bureaucracy and red tape that will inadvertently kick working families off of their benefits. We are seeing levels of food insecurity in Iowa we have not seen in years. Food banks are struggling to keep their shelves stocked and meet the extremely high level of need in their communities. This is a time when we need to be supporting critical nutrition and hunger prevention programs like SNAP not making them more difficult to access and more costly for Iowan taxpayers.
03-20-2025
India Watson
VOTE NO! This bill is unethical and illogical for the following reasons:In Arkansas, Medicaid work requirements led to over 18,000 individuals losing coverage without significant increases in employment. (AP NEWS)A 2023 report indicates that 92% of Medicaid adults under 65 were either working (64%) or not working due to caregiving responsibilities, illness or disability, or school. (DEBRUNNER & ASSOCIATES)Federal courts have previously ruled against such requirements, indicating potential constitutional issues. Work requirements disproportionately harms children, seniors, expectant mothers, individuals with disabilities, caregivers, and poor people, potentially denying them essential healthcare coverage. (COMMUNITY CATALYST)Implementing work requirements necessitates complex tracking and reporting systems, leading to increased administrative expenses that may outweigh any potential savings from reduced enrollment.(CENTER ON BUDGET AND POLICY PRIORITIES)Work requirements do not lead to significant longterm employment outcomes, undermining the policy's costeffectiveness.(CENTER ON BUDGET AND POLICY PRIORITIES)Whether you vote with your head or your heart, the correct vote is NO.