House File 287 - Introduced HOUSE FILE 287 BY HEATON A BILL FOR An Act relating to eligibility requirements under the medical 1 assistance program and providing penalties. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 2124YH (2) 84 pf/rj

H.F. 287 Section 1. Section 249A.3, Code 2011, is amended by adding 1 the following new subsections: 2 NEW SUBSECTION . 15. In determining eligibility of an 3 applicant for medical assistance, the department shall require 4 verification of residency in the state. The department 5 shall establish or continue cooperative arrangements with the 6 United States social security administration, the secretary 7 of state, the department of revenue, the department of 8 workforce development, and any other appropriate entity to 9 gain electronic access, to the extent allowed by law, to 10 information available to those entities that may be appropriate 11 for electronically verifying an applicant’s residency. The 12 information provided shall be provided for no other purpose 13 than to verify residency and the data requested shall be 14 requested and provided only to the extent necessary to 15 determine an applicant’s residency. A recipient of medical 16 assistance shall be subject to verification of residency upon 17 renewal of eligibility. 18 NEW SUBSECTION . 16. Unless required by federal law, an 19 adult, with the exception of a pregnant woman, shall not be 20 presumptively eligible for medical assistance. 21 Sec. 2. NEW SECTION . 249A.8A Civil penalty —— residency 22 requirement. 23 In addition to any other penalties applicable, an applicant 24 for medical assistance under this chapter who knowingly makes 25 or causes to be made a false statement or a misrepresentation 26 of a material fact or knowingly fails to disclose a material 27 fact regarding the applicant’s residency as required pursuant 28 to section 249A.3, subsection 15, is subject to a civil penalty 29 of two thousand dollars. 30 EXPLANATION 31 This bill provides that in determining eligibility of an 32 applicant for medical assistance (Medicaid), the department of 33 human services (DHS) shall require verification of residency 34 in the state. The bill directs DHS to establish or continue 35 -1- LSB 2124YH (2) 84 pf/rj 1/ 2

H.F. 287 any cooperative arrangements with appropriate entities to gain 1 electronic access to information available to the entities that 2 may be appropriate for electronically verifying an applicant’s 3 residency. The bill also provides that unless required 4 by federal law, an adult, with the exception of a pregnant 5 woman, shall not be presumptively eligible for Medicaid. The 6 bill also provides that, in addition to any other penalties 7 applicable, an applicant for Medicaid who knowingly makes or 8 causes to be made a false statement or a misrepresentation 9 of a material fact or knowingly fails to disclose a material 10 fact regarding the applicant’s residency is subject to a civil 11 penalty of $2,000. 12 -2- LSB 2124YH (2) 84 pf/rj 2/ 2