Senate
File
579
S-3230
Amend
Senate
File
579
as
follows:
1
1.
By
striking
everything
after
the
enacting
clause
and
2
inserting:
3
<
DIVISION
I
4
FAMILY
PLANNING
5
Section
1.
IOWA
FAMILY
PLANNING
NETWORK
——
MEDICAID
STATE
6
PLAN
AMENDMENT.
The
department
of
health
and
human
services
7
shall
submit
a
Medicaid
state
plan
amendment
to
the
centers
for
8
Medicare
and
Medicaid
services
of
the
United
States
department
9
of
health
and
human
services
for
approval
to
establish
the
Iowa
10
family
planning
network
with
the
same
benefits,
eligibility
11
requirements,
and
other
provisions
included
in
the
Medicaid
12
Iowa
family
planning
network
waiver
as
approved
by
the
centers
13
for
Medicare
and
Medicaid
services
of
the
United
States
14
department
of
health
and
human
services
in
effect
on
June
30,
15
2017.
16
Sec.
2.
REPEAL.
Section
217.41B,
Code
2023,
is
repealed.
17
Sec.
3.
CONTINGENT
EFFECTIVE
DATE.
The
following
takes
18
effect
upon
receipt
of
approval
by
the
department
of
health
19
and
human
services
from
the
centers
for
Medicare
and
Medicaid
20
services
of
the
United
States
department
of
health
and
human
21
services
of
the
Medicaid
state
plan
amendment
submitted
22
pursuant
to
this
division
of
this
Act
to
establish
the
Iowa
23
family
planning
network:
24
The
section
of
this
division
of
this
Act
repealing
section
25
217.41B,
Code
2023.
26
Sec.
4.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
27
deemed
of
immediate
importance,
takes
effect
upon
enactment.
28
DIVISION
II
29
MEDICAID
——
EXTENDED
POSTPARTUM
COVERAGE
30
Sec.
5.
MEDICAID
EXTENDED
POSTPARTUM
COVERAGE
OPTION.
The
31
department
of
health
and
human
services
shall
submit
a
Medicaid
32
state
plan
amendment
to
the
centers
for
Medicare
and
Medicaid
33
services
of
the
United
States
department
of
health
and
human
34
services
for
approval
of
the
option
to
provide
twelve
months
of
35
-1-
SF
579.2325
(2)
90
pf/rh
1/
24
#1.
continuous
postpartum
coverage
under
the
Medicaid
program
to
1
pregnant
women
enrolled
in
the
Medicaid
program
in
accordance
2
with
sections
9812
and
9822
of
the
federal
American
Rescue
Plan
3
Act
of
2021,
Pub.
L.
No.
117-2,
as
amended
by
section
5113
of
4
the
federal
Consolidated
Appropriations
Act
of
2023.
5
Sec.
6.
MEDICAID
EXTENDED
POSTPARTUM
COVERAGE
——
6
APPROPRIATION.
For
the
fiscal
years
beginning
on
or
after
7
July
1,
2023,
there
is
appropriated
from
the
general
fund
8
of
the
state
to
the
department
of
health
and
human
services
9
a
sufficient
amount
to
fund
extended
postpartum
coverage
to
10
pregnant
women
enrolled
in
the
Medicaid
program
in
accordance
11
with
this
division
of
this
Act.
12
Sec.
7.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
13
deemed
of
immediate
importance,
takes
effect
upon
enactment.
14
DIVISION
III
15
IOWA
FAMILY
AND
MEDICAL
LEAVE
ACT
16
Sec.
8.
Section
7E.5,
subsection
1,
paragraph
h,
Code
2023,
17
is
amended
to
read
as
follows:
18
h.
The
department
of
workforce
development,
created
19
in
section
84A.1
,
which
has
primary
responsibility
for
20
administering
the
laws
relating
to
unemployment
compensation
21
insurance,
job
placement
and
training,
the
family
leave
and
22
medical
insurance
program,
and
related
matters.
23
Sec.
9.
Section
84A.1,
subsection
1,
Code
2023,
is
amended
24
to
read
as
follows:
25
1.
The
department
of
workforce
development
is
created
to
26
administer
the
laws
of
this
state
relating
to
unemployment
27
compensation
insurance,
job
placement
and
training,
employment
28
safety,
labor
standards,
and
workers’
compensation
,
and
the
29
family
leave
and
medical
leave
insurance
program
.
30
Sec.
10.
NEW
SECTION
.
96A.1
Short
title.
31
This
chapter
may
be
cited
as
the
“Iowa
Family
and
Medical
32
Leave
Act”
.
33
Sec.
11.
NEW
SECTION
.
96A.2
Definitions.
34
As
used
in
this
chapter,
unless
the
context
otherwise
35
-2-
SF
579.2325
(2)
90
pf/rh
2/
24
requires:
1
1.
“Child”
means
a
biological,
adopted,
or
foster
child,
2
a
stepchild,
a
legal
ward,
or
a
child
of
a
person
standing
in
3
loco
parentis,
regardless
of
the
child’s
age
or
dependency
4
status.
5
2.
“Covered
employer”
means
a
private
sector
employer
who
6
has
ten
or
more
employees
for
each
working
day
during
each
of
7
twenty
or
more
calendar
workweeks
in
the
current
or
previous
8
calendar
year,
and
a
public
employer
without
regard
to
the
9
number
of
employees
employed.
10
3.
“Department”
means
the
department
of
workforce
11
development.
12
4.
“Director”
means
the
director
of
the
department
of
13
workforce
development.
14
5.
“Employee”
means
a
natural
person
who
is
employed
in
15
this
state
for
wages
by
an
employer.
“Employee”
also
includes
16
a
commission
salesperson
who
takes
orders
or
performs
services
17
on
behalf
of
a
principal
and
who
is
paid
on
the
basis
of
18
commissions
but
does
not
include
persons
who
purchase
for
19
their
own
account
for
resale.
“Employee”
shall
not
include
an
20
independent
contractor,
a
self-employed
person,
or
a
patient
or
21
inmate
employed
by
a
state
or
local
institution
to
which
the
22
patient
or
inmate
has
been
sentenced
or
committed,
or
any
of
23
the
following
persons
engaged
in
agriculture:
24
a.
The
spouse
of
the
employer
and
a
relative
of
either
the
25
employer
or
the
employer’s
spouse
who
resides
on
the
premises
26
of
the
employer.
27
b.
A
person
engaged
in
agriculture
as
an
owner-operator
28
or
tenant-operator,
and
the
spouse
or
a
relative
of
either
29
an
owner-operator
or
a
tenant-operator
who
resides
on
the
30
premises
while
exchanging
labor
with
the
owner-operator
or
the
31
tenant-operator
for
mutual
benefit.
32
c.
A
neighboring
person
engaged
in
agriculture
who
is
33
exchanging
labor
or
other
services.
34
6.
“Employer”
means
the
same
as
defined
in
section
91A.2.
35
-3-
SF
579.2325
(2)
90
pf/rh
3/
24
“Employer”
includes
a
temporary
staffing
agency
or
employment
1
agency.
2
7.
“Employment
benefits”
means
all
benefits
provided
or
3
made
available
to
an
employee
by
an
employer,
including
group
4
life
insurance,
health
insurance,
disability
insurance,
sick
5
leave,
annual
leave,
educational
benefits,
and
pensions
except
6
benefits
that
are
provided
by
a
practice
or
written
policy
of
7
an
employer
or
through
an
employee
benefit
plan
as
defined
in
8
29
U.S.C.
§1002(3).
9
8.
“Family
leave”
means
a
leave
taken
from
work
by
an
10
employee
for
any
of
the
following
reasons:
11
a.
To
participate
in
providing
care,
including
physical
or
12
psychological
care,
for
a
family
member
of
the
employee
made
13
necessary
by
a
serious
health
condition
of
the
family
member.
14
b.
To
bond
with
the
employee’s
child
after
the
child’s
15
birth,
or
with
a
child
under
the
age
of
eighteen
placed
with
16
the
employee
for
adoption
or
foster
care.
17
c.
Because
of
a
qualifying
exigency
for
a
family
member
as
18
permitted
under
the
federal
Family
and
Medical
Leave
Act
of
19
1993,
as
amended,
and
federal
regulations
as
provided
in
29
20
C.F.R.
§825.126.
21
9.
“Family
member”
means
a
child,
parent,
or
spouse
of
an
22
employee.
23
10.
“Gross
earnings”
means
the
same
as
defined
in
section
24
85.61.
25
11.
“Health
care
provider”
means
a
physician
or
other
26
health
care
practitioner
licensed,
accredited,
registered,
or
27
certified
to
perform
specified
health
care
services
consistent
28
with
state
law.
29
12.
“In
loco
parentis”
means
an
individual
who
has
30
day-to-day
responsibilities
to
care
for
or
financially
support
31
a
child.
32
13.
“Inpatient
care”
means
an
overnight
stay
in
a
hospital,
33
hospice,
or
residential
medical
care
facility,
including
any
34
period
of
incapacity,
or
any
subsequent
treatment
in
connection
35
-4-
SF
579.2325
(2)
90
pf/rh
4/
24
with
such
inpatient
care.
1
14.
“Medical
leave”
means
a
leave
from
work
taken
by
an
2
employee
made
necessary
by
the
employee’s
own
serious
health
3
condition.
4
15.
“Parent”
means
a
biological,
adoptive,
step,
or
foster
5
father
or
mother,
or
any
other
individual
who
stands
in
6
loco
parentis
to
an
employee
or
who
stood
in
loco
parentis
7
when
the
employee
was
a
child.
“Parent”
does
not
include
a
8
parent-in-law.
9
16.
“Period
of
incapacity”
means
an
inability
to
work,
10
attend
school,
or
perform
other
regular
daily
activities
due
11
to
a
serious
health
condition,
treatment
of
a
serious
health
12
condition,
or
recovery
from
a
serious
health
condition.
13
17.
“Premium”
or
“premiums”
means
the
payments
required
by
14
section
96A.12
and
paid
to
the
department
for
deposit
in
the
15
family
and
medical
leave
insurance
account
pursuant
to
section
16
96A.22.
17
18.
“Public
employer”
means
the
state
of
Iowa,
its
18
boards,
commissions,
agencies,
departments,
and
its
political
19
subdivisions
including
school
districts
and
other
special
20
purpose
districts.
21
19.
“Serious
health
condition”
means
an
illness,
injury,
22
impairment,
physical
condition,
or
mental
condition
that
23
involves
inpatient
care
in
a
hospital,
hospice,
medical
care
24
facility,
or
continued
treatment
or
continuing
supervision
by
25
a
health
care
provider.
26
20.
“Spendable
weekly
earnings”
means
the
amount
remaining
27
after
payroll
taxes
are
deducted
from
an
employee’s
gross
28
weekly
earnings.
29
21.
“Spouse”
means
the
person
with
whom
an
individual
has
30
entered
into
marriage
as
defined
or
recognized
under
state
law
31
for
purposes
of
marriage
in
the
state
in
which
the
marriage
32
was
entered
into
or,
in
the
case
of
a
marriage
entered
into
33
outside
of
any
state,
if
the
marriage
is
valid
in
the
place
34
where
the
marriage
was
entered
into
and
the
marriage
could
have
35
-5-
SF
579.2325
(2)
90
pf/rh
5/
24
been
entered
into
in
at
least
one
state,
including
a
common
law
1
marriage.
2
22.
“Wages”
means
the
same
as
defined
in
section
91A.2.
3
Sec.
12.
NEW
SECTION
.
96A.3
Benefit
eligibility.
4
An
employee
is
eligible
for
family
leave
and
medical
leave
5
as
provided
in
this
chapter
after
working
for
a
covered
6
employer
for
both
a
minimum
of
twelve
consecutive
months
7
immediately
preceding
the
employee’s
request
for
leave
and
a
8
minimum
of
one
thousand
two
hundred
fifty
hours
during
that
9
twelve-consecutive-month
period.
10
Sec.
13.
NEW
SECTION
.
96A.4
Leave
entitlement
for
a
defined
11
twelve-month
period.
12
1.
An
employee
is
entitled
to
a
maximum
of
twelve
weeks
13
of
family
leave
during
a
defined
period
of
twelve
consecutive
14
months.
15
2.
An
employee
is
entitled
to
a
maximum
of
twelve
weeks
of
16
medical
leave
during
a
defined
period
of
twelve
consecutive
17
months
unless
the
employee
experiences
a
serious
health
18
condition,
which
is
pregnancy-related,
that
results
in
a
longer
19
period
of
incapacity
in
which
case
any
extended
medical
leave
20
beyond
twelve
weeks
shall
conform
with
section
216.6.
21
3.
An
employee
is
entitled
to
a
maximum
combined
total
of
22
paid
family
leave
and
medical
leave
of
sixteen
weeks
during
a
23
defined
period
of
twelve
consecutive
months.
24
4.
An
employee
is
not
entitled
to
family
leave
or
medical
25
leave
of
less
than
eight
consecutive
hours.
26
Sec.
14.
NEW
SECTION
.
96A.5
Calculating
the
defined
27
twelve-month
period.
28
The
defined
period
of
twelve
consecutive
months
for
29
calculation
of
an
eligible
employee’s
family
leave
or
medical
30
leave
entitlement
begins
on
any
of
the
following:
31
1.
The
date
of
birth
of
the
employee’s
child,
or
the
date
32
of
placement
of
a
child
for
adoption
or
foster
care
with
the
33
employee.
34
2.
The
first
day
of
family
leave
that
the
employee
takes
for
35
-6-
SF
579.2325
(2)
90
pf/rh
6/
24
a
family
member’s
serious
health
condition
or
a
family
member’s
1
qualifying
exigency.
2
3.
The
first
day
of
the
employee’s
medical
leave.
3
Sec.
15.
NEW
SECTION
.
96A.6
Disqualification
from
leave
4
entitlement.
5
An
eligible
employee
is
disqualified
for
family
leave
or
6
medical
leave
benefits
under
this
chapter
for
any
of
the
7
following
reasons:
8
1.
An
absence
due
to
the
employee’s
willful
intention
to
9
injure
or
cause
a
sickness
to
the
employee
or
to
the
employee’s
10
family
member.
11
2.
An
injury
or
sickness
caused
by
the
employee
engaging
in
12
an
illegal
act.
13
3.
The
employee’s
absence
due
to
an
employer
taking
any
14
disciplinary
action
against
the
employee.
15
Sec.
16.
NEW
SECTION
.
96A.7
Employee
notice
to
employer
16
of
intent
to
take
leave.
17
1.
If
leave
for
the
birth
of
a
child
or
placement
of
a
child
18
for
adoption
or
foster
care
with
an
employee
is
foreseeable,
19
the
employee
shall
provide
written
notice
to
the
employer
not
20
less
than
thirty
calendar
days
before
the
date
the
leave
is
to
21
begin.
22
2.
If
the
birth
of
a
child
or
placement
of
a
child
for
23
adoption
or
foster
care
with
an
employee
requires
leave
to
24
begin
in
less
than
thirty
calendar
days,
the
employee
shall
25
provide
written
notice
to
the
employer
as
far
in
advance
as
is
26
practicable.
27
3.
If
leave
for
a
family
member’s
serious
health
condition
28
or
an
employee’s
serious
health
condition
is
foreseeable
based
29
on
planned
medical
treatment,
the
employee
shall
do
all
of
the
30
following:
31
a.
Make
a
reasonable
effort
to
schedule
such
medical
32
treatment,
subject
to
the
recommendation
of
the
employee’s
or
33
family
member’s
health
care
provider
as
appropriate,
to
not
34
unduly
disrupt
the
operations
of
the
employer.
35
-7-
SF
579.2325
(2)
90
pf/rh
7/
24
b.
Provide
the
employer
with
not
less
than
thirty
calendar
1
days
prior
written
notice
of
the
employee’s
intention
to
take
2
leave
for
a
family
member’s
serious
health
condition
or
the
3
employee’s
serious
health
condition.
4
4.
If
leave
for
a
family
member’s
serious
health
condition
5
or
an
employee’s
serious
health
condition
is
not
foreseeable,
6
the
employee
shall
provide
written
notice
to
the
employer
as
7
far
in
advance
as
is
practicable.
8
Sec.
17.
NEW
SECTION
.
96A.8
Weekly
claim,
certification,
9
and
verification.
10
Beginning
January
1,
2028,
family
leave
or
medical
leave
11
insurance
benefits
are
payable
to
an
employee
during
a
period
12
in
which
the
employee
is
unable
to
perform
the
employee’s
13
regular
or
customary
work
because
the
employee
is
on
family
14
leave
or
medical
leave
if
the
employee
meets
all
of
the
15
following
requirements:
16
1.
The
employee
files
a
weekly
claim
for
benefits
with
the
17
department
as
required
per
rules
adopted
by
the
director.
18
2.
The
employee
meets
the
eligibility
requirements
pursuant
19
to
section
96A.3
or
the
elective
coverage
requirements
pursuant
20
to
section
96A.14.
21
3.
The
employee
consents
to
the
disclosure
of
information
or
22
records
that
may
be
deemed
private
or
confidential
under
state
23
or
federal
law.
Disclosure
of
such
information
and
records
by
24
another
state
agency
or
an
employer
to
the
department
shall
25
be
solely
for
purposes
related
to
the
administration
of
this
26
chapter.
Information
and
records
disclosed
by
an
employee
27
under
this
chapter
shall
not
be
public
records
as
defined
in
28
section
22.1.
29
4.
The
employee
authorizes
the
health
care
provider
of
the
30
employee’s
family
member
or
of
the
employee,
as
applicable,
to
31
complete
a
certification
of
a
serious
health
condition
in
a
32
form
as
required
by
the
director.
33
5.
The
employee
attests
that
written
notice
has
been
34
provided
to
the
employee’s
employer
per
section
96A.7.
35
-8-
SF
579.2325
(2)
90
pf/rh
8/
24
6.
The
employee
provides
documentation
of
a
family
member’s
1
qualifying
exigency
if
requested
by
the
employee’s
employer.
2
Sec.
18.
NEW
SECTION
.
96A.9
Waiting
period
for
leave
3
benefits.
4
Family
leave
or
medical
leave
insurance
benefits
shall
be
5
payable
to
an
eligible
employee
following
a
waiting
period
6
consisting
of
the
first
seven
calendar
days
of
the
employee’s
7
leave.
However,
no
such
waiting
period
applies
to
a
leave
for
8
the
birth
or
placement
of
a
child
with
an
eligible
employee.
9
Sec.
19.
NEW
SECTION
.
96A.10
Weekly
leave
benefit
amount.
10
1.
The
basis
for
the
calculation
of
a
leave
benefit
amount
11
shall
be
the
weekly
earnings
of
an
eligible
employee
on
the
12
day
the
leave
is
granted.
“Weekly
earnings”
means
the
gross
13
earnings
of
an
employee
to
which
the
employee
would
have
been
14
entitled
had
the
employee
worked
the
employee’s
customary
hours
15
for
the
full
pay
period
in
which
the
employee
is
on
family
16
leave
or
medical
leave.
Weekly
earnings
shall
be
computed
as
17
follows,
rounded
to
the
nearest
dollar,
for
an
employee
who
is
18
paid
on
the
following
basis:
19
a.
On
a
weekly
pay
period
basis,
the
weekly
earnings
are
the
20
weekly
gross
earnings.
21
b.
On
a
biweekly
pay
period
basis,
the
weekly
earnings
are
22
one-half
of
the
biweekly
gross
earnings.
23
c.
On
a
semimonthly
pay
period
basis,
the
weekly
earnings
24
are
the
semimonthly
gross
earnings
multiplied
by
twenty-four
25
and
then
divided
by
fifty-two.
26
d.
On
a
monthly
pay
period
basis,
the
weekly
earnings
27
are
the
monthly
gross
earnings
multiplied
by
twelve
and
then
28
divided
by
fifty-two.
29
e.
On
a
yearly
pay
period
basis,
the
weekly
earnings
shall
30
be
the
yearly
earnings
divided
by
fifty-two.
31
f.
On
a
daily
or
hourly
basis,
or
by
the
output
of
an
32
employee,
the
weekly
earnings
shall
be
computed
by
dividing
by
33
thirteen
the
earnings,
including
shift
differential
pay
but
34
not
including
overtime
or
premium
pay,
of
the
employee
earned
35
-9-
SF
579.2325
(2)
90
pf/rh
9/
24
in
the
last
completed
period
of
thirteen
consecutive
calendar
1
weeks
immediately
preceding
the
start
day
of
the
leave.
If
2
the
employee
was
absent
from
employment
for
personal
reasons
3
during
part
of
the
thirteen
calendar
weeks
preceding
the
4
leave,
the
employee’s
weekly
earnings
shall
be
the
amount
the
5
employee
would
have
earned
had
the
employee
worked
when
work
6
was
available
to
other
employees
of
the
employer
in
a
similar
7
occupation.
A
week
that
does
not
fairly
reflect
the
employee’s
8
customary
earnings
shall
be
replaced
by
the
closest
previous
9
week
with
earnings
that
fairly
represent
the
employee’s
10
customary
earnings.
11
2.
If
on
the
date
that
an
employee’s
leave
begins
the
12
employee’s
hourly
earnings
cannot
be
ascertained,
the
earnings
13
for
the
purpose
of
calculating
the
benefit
amount
shall
be
the
14
usual
earnings
for
similar
services
where
such
services
are
15
rendered
by
paid
employees.
16
3.
If
an
employee
earns
either
no
wages,
or
less
than
the
17
usual
weekly
earnings
of
a
regular
full-time
adult
laborer
18
in
the
line
of
work
in
which
the
employee
is
working
in
19
that
locality,
the
weekly
earnings
shall
be
one-fiftieth
of
20
the
total
earnings
which
the
employee
has
earned
from
all
21
employment
during
the
twelve
consecutive
calendar
months
22
immediately
preceding
the
date
that
the
employee’s
leave
23
begins.
24
4.
The
weekly
leave
benefit
amount
payable
to
an
employee
25
for
any
one
week
shall
be
eighty
percent
of
the
employee’s
26
spendable
weekly
earnings,
but
shall
not
exceed
an
amount
equal
27
to
two
hundred
percent
of
the
statewide
average
weekly
wage
28
as
calculated
by
the
department
pursuant
to
section
96.1A
and
29
in
effect
on
the
date
that
the
employee’s
leave
commences.
30
However,
the
weekly
leave
benefit
amount
shall
be
a
minimum
31
equal
to
the
lesser
of
the
weekly
leave
benefit
amount
of
a
32
person
whose
gross
weekly
earnings
are
thirty-five
percent
of
33
the
statewide
average
weekly
wage,
or
to
the
spendable
weekly
34
earnings
of
the
employee.
35
-10-
SF
579.2325
(2)
90
pf/rh
10/
24
Sec.
20.
NEW
SECTION
.
96A.11
Payment
of
benefits
to
an
1
eligible
employee.
2
1.
The
department
shall
send
the
first
benefit
payment
to
3
an
employee
within
ten
calendar
days
after
the
first
properly
4
completed
weekly
claim
from
the
employee
is
received
by
5
the
department.
Subsequent
payments
shall
be
sent
at
least
6
biweekly
to
an
eligible
employee
if
a
properly
completed
weekly
7
claim
from
the
employee
is
received
by
the
department.
8
2.
If
an
employer
contests
an
employee’s
initial
claim
9
for
family
leave
or
medical
leave
benefits,
the
employer
must
10
notify
the
employee
and
the
department
in
the
manner
prescribed
11
by
the
director
within
ten
calendar
days
of
the
employer’s
12
receipt
of
notice
from
the
department
of
the
employee’s
filing
13
of
a
claim
for
benefits
pursuant
to
section
96A.21,
subsection
14
3.
Failure
to
timely
contest
an
initial
application
shall
15
constitute
a
waiver
of
objection
to
the
family
leave
or
medical
16
leave
claim.
17
3.
If
the
department
or
the
employee’s
employer
contests
18
an
employee’s
eligibility
for
benefits
after
the
employee
19
begins
receiving
benefits,
the
employee
shall
continue
to
20
be
paid
benefits
conditionally
for
any
weeks
for
which
the
21
employee
files
a
claim
for
benefits.
The
employee’s
right
to
22
retain
such
benefit
payments
shall
be
conditioned
upon
the
23
department’s
finding
that
the
employee
is
eligible
for
such
24
benefit
payments.
25
a.
At
an
employee’s
request,
the
department
shall
hold
26
conditional
benefit
payments
until
the
department
resolves
the
27
employee’s
eligibility
status.
28
b.
Payment
shall
be
issued
promptly
for
any
withheld
benefit
29
payments
if
the
department
determines
that
an
employee
is
30
eligible
for
benefits.
31
c.
If
the
department
determines
that
an
employee
is
32
ineligible
for
the
conditionally
paid
benefits,
the
employee
33
shall
repay
the
overpayment
per
rules
adopted
by
the
director.
34
Sec.
21.
NEW
SECTION
.
96A.12
Funding
the
family
leave
and
35
-11-
SF
579.2325
(2)
90
pf/rh
11/
24
medical
leave
insurance
program.
1
1.
Beginning
on
January
1,
2027,
and
ending
December
2
31,
2028,
the
department
shall
assess
for
each
employee
3
in
employment
with
a
covered
employer
a
premium
rate
of
4
four-tenths
of
one
percent
of
the
employee’s
wages
based
on
the
5
amount
of
the
wages,
subject
to
subsection
6.
6
a.
The
premium
rate
for
family
leave
benefits
shall
be
equal
7
to
one-third
of
the
total
premium
rate.
8
b.
The
premium
rate
for
medical
leave
benefits
shall
be
9
equal
to
two-thirds
of
the
total
premium
rate.
10
2.
For
calendar
year
2029
and
subsequent
calendar
years
the
11
director
shall
determine
the
percentage
of
paid
claims
related
12
to
family
leave
benefits
and
the
percentage
of
paid
claims
13
related
to
medical
leave
benefits
and
adjust
the
premium
rates
14
set
in
subsection
1
by
the
proportional
share
of
claims
paid
15
for
both
types
of
leave.
16
3.
For
family
leave
premiums
a
covered
employer
may
deduct
17
up
to
forty-five
percent
of
the
full
amount
of
the
required
18
premiums
from
the
wages
of
each
employee.
The
remaining
19
fifty-five
percent
of
the
required
premiums
shall
be
paid
by
20
the
covered
employer.
21
4.
For
medical
leave
premiums
a
covered
employer
may
deduct
22
up
to
forty-five
percent
of
the
full
amount
of
the
required
23
premiums
from
the
wages
of
each
employee.
The
remaining
24
fifty-five
percent
of
the
required
premiums
shall
be
paid
by
25
the
covered
employer.
26
5.
A
covered
employer
may
elect
to
pay
all
or
any
portion
of
27
its
employees’
share
of
the
premiums
for
family
leave
benefits
28
or
medical
leave
benefits
or
both.
29
6.
The
director
shall
annually
set
a
maximum
limit
on
the
30
amount
of
an
employee’s
wages
that
are
subject
to
a
premium
31
assessment
under
this
section
that
is
equal
to
the
contribution
32
and
benefit
base
for
the
calendar
year
as
determined
by
the
33
United
States
social
security
administration
for
purposes
of
34
26
U.S.C.
§3121(a).
35
-12-
SF
579.2325
(2)
90
pf/rh
12/
24
7.
For
calendar
year
2029
and
subsequent
calendar
years,
1
the
total
premium
rate
shall
be
based
on
the
family
leave
and
2
medical
leave
insurance
account
balance
ratio
as
of
September
3
30
of
the
previous
year.
The
director
shall
calculate
the
4
account
balance
ratio
by
dividing
the
balance
of
the
family
5
leave
and
medical
leave
insurance
account
by
the
total
wages
6
paid
by
covered
employers.
The
division
shall
be
carried
7
to
the
fourth
decimal
place
with
the
remaining
fraction
8
disregarded
unless
it
amounts
to
five
hundred
thousandths
or
9
more
in
which
case
the
fourth
decimal
place
shall
be
rounded
10
to
the
next
higher
digit.
If
the
family
leave
and
medical
11
leave
insurance
account
balance
ratio
is
any
of
the
following
12
percentages,
the
premium
shall
be
the
following
percentage
of
13
an
employee’s
wages
subject
to
a
premium
assessment:
14
a.
If
the
ratio
is
zero
to
nine
hundredths
of
one
percent,
15
the
premium
shall
be
six-tenths
of
one
percent.
16
b.
If
the
ratio
is
one-tenth
of
one
percent
to
nineteen
17
hundredths
of
one
percent,
the
premium
shall
be
five-tenths
of
18
one
percent.
19
c.
If
the
ratio
is
two-tenths
of
one
percent
to
twenty-nine
20
hundredths
of
one
percent,
the
premium
shall
be
four-tenths
of
21
one
percent.
22
d.
If
the
ratio
is
three-tenths
of
one
percent
to
23
thirty-nine
hundredths
of
one
percent,
the
premium
shall
be
24
three-tenths
of
one
percent.
25
e.
If
the
ratio
is
four-tenths
of
one
percent
to
forty-nine
26
hundredths
of
one
percent,
the
premium
shall
be
two-tenths
of
27
one
percent.
28
f.
If
the
ratio
is
five-tenths
of
one
percent
or
greater,
29
the
premium
shall
be
one-tenth
of
one
percent.
30
8.
Beginning
January
1,
2029,
if
the
account
balance
ratio
31
calculated
in
subsection
7
is
below
five
hundredths
of
one
32
percent,
the
director
shall
assess
a
solvency
surcharge
at
33
the
lowest
rate
necessary
to
provide
revenue
to
pay
for
the
34
administrative
and
benefit
costs
of
family
leave
and
medical
35
-13-
SF
579.2325
(2)
90
pf/rh
13/
24
leave
insurance
for
the
calendar
year.
The
solvency
surcharge
1
shall
be
at
least
one-tenth
of
one
percent
and
no
more
than
2
six-tenths
of
one
percent
and
shall
be
added
to
the
total
3
premium
rate
assessed
to
each
employee
of
a
covered
employer
4
for
family
leave
and
medical
leave
benefits.
5
9.
A
covered
employer
shall
collect
all
required
premiums
6
and
surcharges
from
the
employer’s
employees
through
payroll
7
deductions
and
shall
remit
the
amount
collected
and
the
amount
8
to
be
paid
by
the
employer
to
the
department
as
required
by
9
rules
adopted
by
the
director.
10
10.
On
September
30
of
each
year
the
department
shall
11
average
the
number
of
employees
reported
by
an
employer
over
12
the
last
four
completed
calendar
quarters
to
determine
the
13
number
of
employees
employed
by
the
employer
for
the
purpose
14
of
determining
if
an
employer
shall
be
considered
a
covered
15
employer
for
the
next
calendar
year.
16
Sec.
22.
NEW
SECTION
.
96A.13
Conditional
waiver
of
premium
17
for
out-of-state
employee.
18
1.
An
employer
may
file
an
application
with
the
department
19
for
a
conditional
waiver
of
the
payment
of
family
leave
and
20
medical
leave
premiums
assessed
under
section
96A.12
for
an
21
employee
who
meets
all
of
the
following
requirements:
22
a.
The
employee
is
physically
based
outside
of
the
state.
23
b.
The
employee
physically
works
in
the
state
on
a
limited
24
or
temporary
work
schedule.
25
c.
The
employee
is
not
expected
to
physically
work
in
the
26
state
for
one
thousand
two
hundred
fifty
hours
or
more
during
27
any
consecutive
twelve-month
period.
28
2.
The
department
shall
approve
an
application
that
is
29
signed
by
both
the
employee
and
the
employee’s
employer
30
attesting
to
compliance
with
the
requirements
of
subsection
1.
31
3.
If
the
employee
physically
works
in
the
state
for
one
32
thousand
two
hundred
fifty
hours
or
more
in
any
consecutive
33
twelve-month
period,
the
conditional
waiver
shall
expire
and
34
the
employer
and
employee
shall
be
responsible
for
all
premiums
35
-14-
SF
579.2325
(2)
90
pf/rh
14/
24
pursuant
to
section
96A.12
for
the
consecutive
twelve-month
1
period
in
which
the
employee
worked
one
thousand
two
hundred
2
fifty
hours
or
more.
Upon
submission
of
the
premiums
by
the
3
employer
to
the
department,
the
employee
shall
be
credited
for
4
the
hours
worked
during
that
consecutive
twelve-month
period
5
and
shall
be
eligible
for
benefits
under
this
chapter.
6
Sec.
23.
NEW
SECTION
.
96A.14
Self-employed
persons
elective
7
participation
in
the
family
leave
and
medical
leave
insurance
8
program.
9
1.
A
self-employed
person
electing
to
participate
in
the
10
family
leave
and
medical
leave
insurance
program
shall
be
11
considered
either
an
employer
or
employee
under
this
chapter
12
as
the
context
dictates.
13
2.
For
benefits
payable
beginning
January
1,
2029,
a
14
self-employed
person
may
elect
to
participate
in
the
family
15
leave
and
medical
leave
insurance
program
under
this
chapter
16
if
the
self-employed
person
meets
all
of
the
following
17
requirements:
18
a.
The
initial
participation
period
for
the
self-employed
19
person
must
be
a
minimum
of
three
years.
20
b.
Any
subsequent
participation
period
by
the
self-employed
21
person
must
be
for
a
minimum
of
one
year.
22
c.
The
self-employed
person
must
participate
in
both
family
23
leave
and
medical
leave.
24
d.
One
hundred
percent
of
all
premiums
assessed
by
25
the
department
under
section
96A.12
shall
be
paid
by
the
26
self-employed
person.
27
3.
A
self-employed
person
shall
file
a
written
notice
of
28
election
of
elective
coverage
with
the
department
in
the
manner
29
required
by
the
director.
30
4.
A
self-employed
person
shall
be
eligible
for
31
family
leave
and
medical
leave
benefits
after
working
one
32
thousand
two
hundred
fifty
hours
in
the
state
during
the
33
twelve-consecutive-month
period
immediately
following
the
date
34
of
the
written
notice
the
self-employed
person
filed
pursuant
35
-15-
SF
579.2325
(2)
90
pf/rh
15/
24
to
subsection
3.
1
5.
A
self-employed
person
who
has
elected
coverage
may
2
withdraw
from
coverage
within
thirty
calendar
days
after
the
3
end
of
each
participation
period
pursuant
to
subsection
2,
4
paragraph
“a”
or
“b”
,
by
filing
a
written
notice
of
withdrawal
5
as
required
pursuant
to
the
rules
adopted
by
the
director.
The
6
withdrawal
shall
take
effect
no
sooner
than
thirty
calendar
7
days
after
the
self-employed
person
files
the
notice
of
8
withdrawal.
9
6.
If
a
self-employed
person
fails
to
submit
the
required
10
premium
payments,
the
department
may
cancel
the
person’s
11
elective
coverage.
The
cancellation
shall
be
effective
no
12
sooner
than
thirty
days
from
the
date
of
a
written
notice
13
from
the
department
to
the
self-employed
person
advising
the
14
self-employed
person
of
the
impending
cancellation
of
the
15
self-employed
person’s
elective
coverage.
The
department
shall
16
collect
all
due
and
unpaid
premiums
from
the
self-employed
17
person
for
the
remainder
of
the
applicable
participation
period
18
pursuant
to
subsection
2,
paragraph
“a”
or
“b”
.
19
Sec.
24.
NEW
SECTION
.
96A.15
Employment
protection.
20
1.
An
eligible
employee
who
takes
family
leave
or
medical
21
leave
under
this
chapter
is
entitled
to
either
of
the
following
22
on
the
employee’s
return
from
leave:
23
a.
To
be
restored
to
the
same
position
held
by
the
employee
24
when
the
employee’s
leave
commenced.
25
b.
To
be
restored
to
an
equivalent
position
with
equivalent
26
employment
benefits,
pay,
and
other
terms
and
conditions
of
27
employment.
28
2.
As
a
condition
of
restoration
under
subsection
1
for
an
29
employee
who
has
taken
medical
leave,
the
employer
may
apply
30
a
uniform
policy
to
the
employee
that
requires
an
employee
to
31
provide
certification
from
the
employee’s
health
care
provider
32
that
the
employee
is
able
to
resume
work.
33
3.
Taking
leave
under
this
chapter
shall
not
result
in
the
34
loss
of
any
employment
benefits
accrued
by
an
employee
prior
to
35
-16-
SF
579.2325
(2)
90
pf/rh
16/
24
the
date
on
which
the
employee’s
leave
commenced.
1
4.
This
section
shall
not
be
construed
to
entitle
a
restored
2
employee
to
any
of
the
following:
3
a.
The
accrual
of
any
seniority
or
employment
benefits
4
during
any
period
of
leave.
5
b.
Any
right,
benefit,
or
position
of
employment
other
than
6
any
right,
benefit,
or
position
of
employment
to
which
the
7
employee
would
have
been
entitled
had
the
employee
not
taken
8
leave.
9
5.
This
section
shall
not
be
construed
to
prohibit
an
10
employer
from
requiring
an
employee
on
leave
to
report
11
periodically
to
the
employer
on
the
status
and
intention
of
the
12
employee
to
return
to
work.
13
6.
An
employer
may
deny
restoration
under
this
section
to
14
a
salaried
employee
who
is
among
the
ten
percent
highest-paid
15
employees
employed
by
the
employer
within
seventy-five
miles
16
of
the
facility
at
which
the
employee
is
employed
if
all
of
the
17
following
apply:
18
a.
Denial
of
restoration
is
necessary
to
prevent
substantial
19
and
grievous
economic
injury
to
the
operations
of
the
employer.
20
b.
The
employer
notifies
the
employee
of
the
intent
of
the
21
employer
to
deny
restoration
on
such
basis
at
the
time
the
22
employer
determines
such
basis
exists.
23
c.
The
employee
is
on
leave
and
elects
not
to
return
24
to
employment
after
receiving
the
employer’s
notice
of
the
25
employer’s
intent
not
to
restore
the
employee.
26
7.
This
section
shall
not
be
construed
as
providing
an
27
employee
greater
restoration
rights
than
those
required
under
28
the
federal
Family
and
Medical
Leave
Act
of
1993,
as
amended.
29
Sec.
25.
NEW
SECTION
.
96A.16
Maintenance
of
existing
health
30
benefits.
31
If
required
by
the
federal
Family
and
Medical
Leave
32
Act
of
1993,
as
amended,
an
employer
shall
maintain
any
33
existing
health
benefits
of
an
employee
for
the
duration
of
34
an
employee’s
leave
under
this
chapter.
If
the
employer
and
35
-17-
SF
579.2325
(2)
90
pf/rh
17/
24
the
employee
normally
share
the
cost
of
such
existing
health
1
benefits,
the
employee
shall
remain
responsible
for
the
2
employee’s
share
of
the
cost
of
such.
3
Sec.
26.
NEW
SECTION
.
96A.17
Employer
submission
of
reports
4
and
maintenance
of
records.
5
1.
Pursuant
to
rules
adopted
by
the
director,
an
employer
6
shall
submit
reports
and
furnish
information
related
to
7
the
family
leave
and
medical
leave
insurance
program
to
the
8
director.
9
2.
An
employer
shall
maintain
at
the
employer’s
primary
10
place
of
business
a
record
of
employment
for
each
employee
from
11
which
any
information
needed
by
the
department
for
purposes
of
12
this
chapter
may
be
obtained.
Such
record
shall
be
maintained
13
for
ten
years
from
the
date
on
which
an
eligible
employee
14
applies
for
family
leave
or
medical
leave
under
this
chapter.
15
The
record
shall
be
open
for
inspection
by
the
director
at
all
16
times.
All
personnel
records
and
employee
medical
records
17
shall
be
maintained
by
the
employer
in
compliance
with
all
18
applicable
federal
and
state
laws.
19
Sec.
27.
NEW
SECTION
.
96A.18
Coordination
of
family
leave
20
and
medical
leave
with
other
laws
and
with
employer
policies.
21
1.
Family
leave
or
medical
leave
taken
by
an
employee
under
22
this
chapter
shall
be
in
addition
to
any
leave
available
to
23
an
employee
as
required
by
applicable
state
or
federal
law
24
for
sickness
or
temporary
disability
because
of
pregnancy
or
25
childbirth.
26
2.
Family
leave
or
medical
leave
taken
by
an
employee
under
27
this
chapter
shall
be
taken
concurrently
with
any
leave
taken
28
under
the
federal
Family
and
Medical
Leave
Act
of
1993,
as
29
amended.
30
3.
An
employer
may
allow
an
employee
who
has
accrued
31
vacation,
sick,
or
other
paid
time
off
to
choose
to
use
either
32
such
accrued
time
or
to
receive
paid
family
leave
or
medical
33
leave
insurance
benefits
under
this
chapter.
34
Sec.
28.
NEW
SECTION
.
96A.19
Relationship
to
other
state
35
-18-
SF
579.2325
(2)
90
pf/rh
18/
24
and
federal
benefits.
1
In
any
week
an
employee
is
eligible
to
receive
benefits
under
2
chapter
85,
85A,
85B,
or
96,
or
any
other
applicable
state
or
3
federal
unemployment
compensation,
workers’
compensation,
or
4
disability
insurance
laws,
the
employee
is
disqualified
from
5
receiving
family
leave
or
medical
leave
insurance
benefits
6
under
this
chapter.
7
Sec.
29.
NEW
SECTION
.
96A.20
Discrimination
prohibited.
8
This
chapter
shall
not
be
construed
to
modify
or
affect
any
9
federal,
state,
or
local
law
prohibiting
discrimination
on
the
10
basis
of
age,
race,
creed,
color,
sex,
sexual
orientation,
11
gender
identity,
national
origin,
religion,
disability,
or
12
other
protected
category.
13
Sec.
30.
NEW
SECTION
.
96A.21
Department
to
administer
14
family
leave
and
medical
leave
insurance
program
and
conduct
15
outreach.
16
1.
The
director
shall
establish
and
administer
the
family
17
leave
and
medical
leave
insurance
program
and
disburse
family
18
leave
and
medical
leave
benefits
to
an
eligible
employee
as
19
specified
in
this
chapter.
20
2.
The
director
shall
establish
procedures
and
forms
for
21
an
employee
to
file
an
application
for
benefits
under
this
22
chapter.
23
3.
The
department
shall
notify
an
employer
within
five
24
business
days
of
an
employee
filing
a
claim
for
family
leave
or
25
medical
leave
insurance
benefits.
26
4.
Information
and
records
pertaining
to
an
employee
under
27
this
chapter
that
are
maintained
by
the
department
shall
28
be
confidential
and
shall
only
be
available
to
department
29
personnel
in
the
performance
of
official
duties.
30
5.
The
director
shall
develop
and
implement
an
outreach
31
program
to
ensure
that
employers
and
employees
are
aware
of
32
the
family
leave
and
medical
leave
insurance
program
and
are
33
aware
of
the
leave
benefits
available
to
eligible
employees.
34
Outreach
information
shall
explain
in
an
easy-to-understand
35
-19-
SF
579.2325
(2)
90
pf/rh
19/
24
format
all
of
the
following:
1
a.
Eligibility
requirements.
2
b.
The
application
process.
3
c.
How
weekly
benefits
are
calculated
and
the
minimum
and
4
maximum
weekly
benefit
amount.
5
d.
Restoration
rights.
6
e.
Nondiscrimination
rights.
7
f.
Confidentiality.
8
g.
The
relationship
between
employment
protection,
leave
9
from
employment,
wage
replacement
benefits
under
this
chapter
10
and
other
laws,
and
employer
policies.
11
6.
The
department
shall
be
authorized
to
inspect
and
audit
12
an
employer’s
files
and
records
relating
to
the
family
leave
13
and
medical
leave
insurance
program
under
this
chapter.
14
Sec.
31.
NEW
SECTION
.
96A.22
Family
leave
and
medical
leave
15
insurance
account.
16
1.
The
family
leave
and
medical
leave
insurance
account
17
is
created
as
a
separate
account
in
the
state
treasury
in
the
18
custody
of
the
treasurer
of
state.
19
2.
The
director
shall
deposit
all
receipts
from
premiums
20
imposed
pursuant
to
sections
96A.12,
96A.13,
and
96A.14
into
21
the
account.
Expenditures
from
the
account
shall
be
used
22
only
for
the
purposes
of
the
family
leave
and
medical
leave
23
insurance
program
and
only
as
authorized
by
the
director.
24
3.
All
premiums
deposited
in
the
account
shall
remain
in
25
the
account
until
expended
pursuant
to
the
requirements
of
this
26
chapter.
27
Sec.
32.
NEW
SECTION
.
96A.23
Rules.
28
The
director
shall
adopt
rules
pursuant
to
chapter
17A
as
29
necessary
to
implement
and
administer
this
chapter.
30
Sec.
33.
NEW
SECTION
.
96A.24
Enforcement.
31
The
director
may
take
any
action
under
the
director’s
32
authority
to
enforce
compliance
with
this
chapter.
33
Sec.
34.
DIRECTOR
ANALYSIS
OF
FUNDING
THE
FAMILY
LEAVE
34
AND
MEDICAL
LEAVE
INSURANCE
PROGRAM
AND
REPORT
TO
THE
GENERAL
35
-20-
SF
579.2325
(2)
90
pf/rh
20/
24
ASSEMBLY.
The
director
of
the
department
of
workforce
1
development
shall
conduct
an
analysis
of
the
family
leave
and
2
medical
leave
insurance
program
as
funded
pursuant
to
section
3
96A.12,
as
enacted
in
this
division
of
this
Act,
and
of
the
4
benefits
paid
pursuant
to
section
96A.10,
as
enacted
in
this
5
division
of
this
Act.
The
director
shall
determine
if
the
6
premium
rates
and
benefit
levels
are
appropriate
to
fully
fund
7
and
maintain
the
solvency
of
the
family
leave
and
medical
leave
8
insurance
account.
9
The
director
shall
submit
the
director’s
findings
to
the
10
general
assembly
pursuant
to
section
7A.11
no
later
than
11
January
14,
2024.
12
DIVISION
IV
13
CHILD
CARE
ASSISTANCE
14
Sec.
35.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
CHILD
15
CARE
ASSISTANCE
——
FAMILY
INCOME
ELIGIBILITY
REQUIREMENTS.
16
1.
The
department
of
health
and
human
services
shall
amend
17
its
administrative
rules
pursuant
to
chapter
17A
to
provide
18
income
eligibility
for
state
child
care
assistance,
according
19
to
family
size
for
children
needing
basic
care,
to
families
20
whose
nonexempt
gross
monthly
income
does
not
exceed
the
21
following
amounts
according
to
the
following
schedule:
22
a.
One
hundred
seventy
percent
of
the
federal
poverty
level,
23
effective
July
1,
2024.
24
b.
One
hundred
eighty
percent
of
the
federal
poverty
level,
25
effective
July
1,
2025.
26
c.
One
hundred
ninety
percent
of
the
federal
poverty
level,
27
effective
July
1,
2026.
28
d.
Two
hundred
percent
of
the
federal
poverty
level,
29
effective
July
1,
2027.
30
2.
For
the
fiscal
year
beginning
July
1,
2024,
and
for
each
31
fiscal
year
thereafter,
for
child
care
providers
reimbursed
32
under
the
state
child
care
assistance
program,
the
department
33
of
health
and
human
services
shall
set
provider
reimbursement
34
rates
based
on
the
most
recent
market
rate
survey
completed.
35
-21-
SF
579.2325
(2)
90
pf/rh
21/
24
DIVISION
V
1
MATERNAL
AND
CHILD
HEALTH-RELATED
SERVICES
2
Sec.
36.
MEDICAID
REIMBURSEMENT
FOR
MATERNAL
AND
CHILD
3
HEALTH-RELATED
SERVICES.
Under
both
fee-for-service
and
4
managed
care
administration
of
Medicaid,
the
department
of
5
health
and
human
services
shall
adopt
rules
pursuant
to
chapter
6
17A,
amend
any
contract
with
a
managed
care
organization,
and
7
apply
for
any
Medicaid
state
plan
amendment
or
waiver
as
may
be
8
necessary
to
provide
for
all
of
the
following:
9
1.
Reimbursement
in
an
amount
appropriate
to
cover
the
10
entire
standard
of
care
costs
for
labor
and
delivery.
11
2.
The
same
reimbursement
for
maternal-fetal
medicine
12
services
and
comprehensive
maternity
care,
including
both
13
facility
and
professional
fees,
whether
provided
in
person
or
14
through
the
use
of
telehealth.
15
3.
Comprehensive
maternity
care,
to
include
the
basic
16
number
of
prenatal
and
postpartum
visits
recommended
by
the
17
American
college
of
obstetricians
and
gynecologists;
additional
18
prenatal
and
postpartum
visits
that
are
medically
necessary;
19
necessary
laboratory,
nutritional
assessment
and
counseling,
20
health
education,
personal
counseling,
managed
care,
outreach,
21
and
follow-up
services;
and
treatment
of
conditions
which
may
22
complicate
pregnancy.
23
4.
Reimbursement
for
breast-feeding
supports,
counseling,
24
and
supplies
including
the
standard
cost
of
breast
pumps
25
including
electric
breast
pumps
and
associated
breast
pump
26
supplies.
27
5.
Reimbursement
for
transportation
to
all
prenatal
and
28
postpartum
care
appointments
including
transportation
to
a
29
hospital
with
the
appropriate
level
of
care
for
a
pregnant
30
person
and
for
a
baby
when
transfer
is
necessary.
31
6.
Reimbursement
for
all
postpartum
care
products
such
as
32
breast
pads,
period
pads,
comfort
products,
pain
relievers,
and
33
other
similar
products.
34
7.
Maternity
care
including
doula
care.
For
the
purposes
35
-22-
SF
579.2325
(2)
90
pf/rh
22/
24
of
this
subsection,
“doula”
means
a
trained
professional
who
1
provides
continuous
physical,
emotional,
and
informational
2
support
to
a
pregnant
person
before,
during,
and
after
3
childbirth
to
improve
birth
outcomes,
prevent
stillbirths
and
4
infant
deaths,
and
reduce
maternal
morbidity
and
mortality.
>
5
2.
Title
page,
by
striking
line
2
and
inserting
<
the
health
6
and
well-being
of
children
and
families
in
the
state,
and
>
7
______________________________
SARAH
TRONE
GARRIOTT
______________________________
LIZ
BENNETT
______________________________
TONY
BISIGNANO
______________________________
NATE
BOULTON
______________________________
CLAIRE
CELSI
______________________________
MOLLY
DONAHUE
______________________________
WILLIAM
A.
DOTZLER,
JR.
-23-
SF
579.2325
(2)
90
pf/rh
23/
24
#2.
______________________________
ERIC
GIDDENS
______________________________
PAM
JOCHUM
______________________________
IZAAH
KNOX
______________________________
JANET
PETERSEN
______________________________
HERMAN
C.
QUIRMBACH
______________________________
TODD
TAYLOR
______________________________
ZACH
WAHLS
______________________________
JANICE
WEINER
______________________________
CINDY
WINCKLER
-24-
SF
579.2325
(2)
90
pf/rh
24/
24