S.F. 2366 Section 1. NEW SECTION . 234.12C Work requirement waivers. 1 Unless expressly required by federal law, the department 2 of human services shall not seek, apply for, accept, or renew 3 any waiver of work requirements for supplemental nutrition 4 assistance program benefits as established under 7 U.S.C. 5 §2015(o). 6 Sec. 2. NEW SECTION . 234.12D Employment and training 7 assignment in food assistance. 8 The department of human services shall assign individuals 9 receiving food assistance program benefits subject to 10 requirements established under 7 U.S.C. §2015(d)(1) who are not 11 otherwise exempt under 7 U.S.C. §2015(o), to an employment and 12 training program as defined in 7 U.S.C. §2015(d)(4). 13 Sec. 3. NEW SECTION . 237A.14 Child care assistance —— 14 graduated eligibility phase-out. 15 1. At the time of a twelve-month eligibility 16 redetermination for a family receiving state child care 17 assistance, the family shall remain eligible to receive 18 child care assistance, subject to the graduated eligibility 19 phase-out program as specified in subsection 2, if either of 20 the following conditions are met: 21 a. The family’s nonexempt gross monthly income is determined 22 to be at least one hundred eighty-five percent but less than 23 two hundred twenty-five percent of the federal poverty level 24 applicable to the family size for children needing basic care. 25 b. The family’s nonexempt gross monthly income is determined 26 to be at least two hundred percent but less than two hundred 27 fifty percent of the federal poverty level applicable to the 28 family size for children needing special needs care. 29 2. a. A family with an income at two hundred twenty-five 30 percent of the federal poverty level applicable to the 31 family size for children needing basic care or at two hundred 32 fifty percent of the federal poverty level applicable to the 33 family size for children needing special needs care shall 34 be responsible for payment of fifty percent of the cost of 35 -1- LSB 6111SV (2) 88 pf/rh 1/ 5

S.F. 2366 all children in the family participating in the child care 1 assistance program. 2 b. A family with an income of at least one hundred 3 eighty-five percent but less than two hundred twenty-five 4 percent of the federal poverty level applicable to the family 5 size for children needing basic care or at least two hundred 6 percent but less than two hundred fifty percent of the federal 7 poverty level applicable to the family size for children 8 needing special needs care shall contribute to the costs of 9 child care in accordance with a sliding fee schedule to be 10 established by the department. 11 3. Child care provider reimbursement rates under the 12 graduated eligibility phase-out program shall be the same rates 13 as the child care provider reimbursement rates in effect on 14 July 1, 2020. 15 4. The department of human services shall adopt rules 16 pursuant to chapter 17A in accordance with this section. 17 Sec. 4. NEW SECTION . 249A.3B Work requirements. 18 1. Unless exempt pursuant to subsection 2, an individual 19 shall not be eligible for Medicaid unless the individual 20 meets one of the following requirements, as determined by the 21 department: 22 a. Is working twenty hours or more per week, averaged 23 monthly. 24 b. Is participating in and complying with the requirements 25 of a work program twenty hours or more per week. 26 c. Is volunteering twenty hours or more per week. 27 d. Is meeting any combination of working, participating in 28 a work program, and volunteering for a total of twenty hours 29 or more per week. 30 e. Is participating and complying with the requirements of a 31 workfare program. 32 2. Subsection 1 shall not apply to an individual who meets 33 any of the following conditions: 34 a. Is under eighteen years of age. 35 -2- LSB 6111SV (2) 88 pf/rh 2/ 5

S.F. 2366 b. Is over sixty-four years of age. 1 c. Is medically certified as physically or mentally unfit 2 for employment including individuals who have been determined 3 to have a disability for the purposes of federal assistance 4 programs including but not limited to veterans determined to be 5 disabled by the United States department of veterans affairs 6 and individuals determined to have a disability pursuant to 7 title II of the federal Social Security Act. 8 d. Is pregnant. 9 e. Is a parent or caretaker responsible for the care of a 10 dependent child under one year of age. 11 f. Is a parent or caretaker personally providing the care 12 for a dependent child with a serious medical condition or with 13 a disability, as determined by the department. 14 g. Is receiving unemployment compensation and complying 15 with work requirements that are part of the federal-state 16 unemployment compensation system. 17 h. Is participating in a drug addiction or alcoholic 18 treatment and rehabilitation program. 19 Sec. 5. ADMINISTRATION PROVISIONS. 20 The department of human services shall do all of the 21 following: 22 1. Submit any state plan amendment or waiver needed to 23 implement the provisions of this Act no later than January 1, 24 2021. 25 2. Adopt rules pursuant to chapter 17A as necessary to 26 administer this Act. 27 Sec. 6. EFFECTIVE DATE. This Act, being deemed of immediate 28 importance, takes effect upon enactment. 29 Sec. 7. IMPLEMENTATION. Implementation of the provisions 30 of this Act shall be in accordance with the following: 31 1. If a provision does not require federal approval, the 32 provision shall be implemented beginning January 1, 2021. 33 2. If a provision requires federal approval, the provision 34 shall only be implemented upon receipt by the department of 35 -3- LSB 6111SV (2) 88 pf/rh 3/ 5

S.F. 2366 human services of such federal approval. 1 EXPLANATION 2 The inclusion of this explanation does not constitute agreement with 3 the explanation’s substance by the members of the general assembly. 4 This bill relates to work and employment and training 5 requirements for public assistance programs. 6 The bill provides that unless expressly required by federal 7 law, DHS shall not seek, apply for, accept, or renew any waiver 8 of work requirements for supplemental nutrition assistance 9 program benefits as established under federal law. DHS is 10 required to assign individuals receiving food assistance 11 program benefits subject to requirements established under 12 federal law who are not otherwise exempt under federal law to 13 an employment and training program. 14 The bill also establishes a graduated eligibility phase-out 15 program for state child care assistance. 16 The bill provides that at the time of a 12-month eligibility 17 redetermination for a family receiving state child care 18 assistance, the family shall remain eligible for child care 19 assistance, subject to the graduated eligibility phase-out 20 program, if either the family’s nonexempt gross monthly 21 income is at least 185 percent but less than 225 percent of 22 the federal poverty level applicable to the family size for 23 children needing basic care or the family’s nonexempt gross 24 monthly income is at least 200 percent but less than 250 25 percent of the federal poverty level applicable to the family 26 size for children needing special needs care. 27 The bill provides that a family with an income at 225 28 percent of the federal poverty level applicable to the family 29 size for children needing basic care or at 250 percent of 30 the federal poverty level applicable to the family size for 31 children needing special needs care shall be responsible for 32 payment of 50 percent of the cost of all children in the 33 family participating in the child care assistance program. A 34 family with an income of at least 185 percent but less than 35 -4- LSB 6111SV (2) 88 pf/rh 4/ 5

S.F. 2366 225 percent of the federal poverty level applicable to the 1 family size for children needing basic care or at least 200 2 percent but less than 250 percent of the federal poverty level 3 applicable to the family size for children needing special 4 needs care shall contribute to the costs of child care in 5 accordance with a sliding fee schedule to be established by the 6 department. 7 The bill provides that child care provider reimbursement 8 rates under the graduated eligibility phase-out program 9 shall be the same rates as the child care assistance provider 10 reimbursement rates in effect on July 1, 2020. 11 The department of human services is directed to adopt rules 12 in accordance with the state child care assistance provisions 13 in the bill. 14 With regard to the Medicaid program, the bill prohibits a 15 person from being eligible for Medicaid unless the individual 16 meets one of the work-related requirements specified in the 17 bill. The bill specifies those individuals exempt from the 18 work-related requirements. 19 The bill requires DHS to submit any state plan amendment or 20 waiver necessary to implement the bill no later than January 21 1, 2021, and to adopt administrative rules as necessary to 22 administer the bill. 23 The bill takes effect upon enactment. The provisions of the 24 bill that do not require federal approval shall be implemented 25 beginning January 1, 2021; and those that require federal 26 approval shall only be implemented upon receipt by DHS of such 27 federal approval. 28 -5- LSB 6111SV (2) 88 pf/rh 5/ 5