SF 538 (LSB 1842SV (1) 88)

SENATE FILE 538

BY  COMMITTEE ON LABOR AND BUSINESS RELATIONS

(SUCCESSOR TO SSB 1134)

A BILL FOR

An Act relating to community engagement activity requirements under the Iowa health and wellness plan.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  MEDICAID DEMONSTRATION WAIVER REQUEST —— COMMUNITY ENGAGEMENT REQUIREMENTS FOR IOWA HEALTH AND WELLNESS PLAN MEMBERS.
   1.  The department of human services shall submit a request by October 1, 2019, to receive federal approval from the centers for Medicare and Medicaid services of the United States department of health and human services (CMS) for a section 1115 demonstration waiver to require that as a condition of eligibility, Iowa health and wellness plan members participate in community engagement activities.
   2.  The waiver request submitted by the department shall require that, unless an individual is exempt pursuant to subsection 3, as a condition of eligibility for the Iowa health and wellness plan, a recipient shall do one of the following:
   a.  Work twenty hours or more per week, averaged on a monthly basis.
   b.  Participate in and comply with the requirements of a work program for twenty hours or more per week, as determined by the department.
   c.  Volunteer twenty hours or more per week, as determined by the department.
   d.  Meet a combination of work and work program participation requirements for a total of twenty hours or more per week, as determined by the department.
   e.  Participate in and comply with the PROMISE JOBS program pursuant to chapter 239B.
   3.  The following individuals shall be exempt from the requirements specified in subsection 2:
   a.  An individual medically certified as physically or mentally unfit for employment.
   b.  An individual who is pregnant.
   c.  A parent or caretaker responsible for the care of a dependent child under one year of age.
   d.  A parent or caretaker personally providing the care for a dependent child with a serious medical condition or disability, as determined by the department.
   e.  An individual receiving unemployment compensation and complying with work requirements of the federal or state unemployment compensation system.
   f.  An individual participating in a drug or alcohol treatment and rehabilitation program.
   4.  The department shall implement the Medicaid waiver upon receipt of federal approval and shall adopt rules pursuant to chapter 17A to administer the waiver provisions.
EXPLANATION
The inclusion of this explanation does not constitute agreement with
the explanation’s substance by the members of the general assembly.
   This bill requires the department of human services (DHS) to submit a request by October 1, 2019, to receive federal approval from the centers for Medicare and Medicaid services of the United States department of health and human services (CMS) for a waiver to require that as a condition of eligibility, Iowa health and wellness plan members participate in community engagement activities. The bill specifies the types of community engagement activities to be required under the waiver submitted and provides exceptions to required participation in community engagement activities. The bill directs DHS to implement the waiver upon receipt of federal approval and to adopt administrative rules to administer the waiver provisions.