SF 363 (LSB 1296XS (3) 91)

SENATE FILE 363

BY  BOUSSELOT

A BILL FOR

An Act relating to the Iowa health and wellness plan and member community engagement requirements and including effective date provisions.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  Section 249N.4, subsection 1, paragraph c, Code 2025, is amended to read as follows:
   c.  Fulfills all other conditions of participation in the Iowa health and wellness plan, including member financial participation pursuant to section 249N.7, and community engagement requirements pursuant to section 249N.9.
    Sec. 2.  NEW SECTION.  249N.9  Member community engagement requirement.
   1.  As a condition of membership in the Iowa health and wellness plan, unless an eligible individual is exempt pursuant to subsection 2, an eligible individual shall participate in one of the following community engagement activities:
   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.
   2.  The following eligible individuals shall be exempt from the requirements specified in subsection 1:
   a.  An individual less than nineteen years of age.
   b.  An individual more than sixty-four years of age.
   c.  An individual medically certified as physically or mentally unfit for employment.
   d.  A woman who is pregnant.
   e.  A parent or caretaker responsible for the care of a dependent child under one year of age.
   f.  A parent or caretaker personally providing the care for a dependent child with a serious medical condition or disability, as determined by the department.
   g.  An individual receiving unemployment compensation and complying with work requirements of the federal or state unemployment compensation system as determined by the department of workforce development and communicated to the department.
   h.  An individual participating in a substance use disorder treatment and rehabilitation program.
    Sec. 3.  MEDICAID DEMONSTRATION WAIVER REQUEST —— COMMUNITY ENGAGEMENT REQUIREMENTS FOR IOWA HEALTH AND WELLNESS PLAN.  The department, if required, shall submit a request within thirty days of enactment of this Act to the centers for Medicare and Medicaid services of the United States department of health and human services for a section 1115 demonstration waiver to require that, as a condition of membership in the Iowa health and wellness plan, an eligible individual shall participate in a community engagement activity as specified in this Act.
    Sec. 4.  COMMUNITY ENGAGEMENT REQUIREMENTS FOR IOWA HEALTH AND WELLNESS PLAN —— IMPLEMENTATION.  The department of health and human services shall implement the provisions of this Act no later than July 1, 2025.
    Sec. 5.  EFFECTIVE DATE.  This Act, being deemed of immediate importance, takes effect upon enactment.
EXPLANATION
The inclusion of this explanation does not constitute agreement with
the explanation’s substance by the members of the general assembly.
   This bill relates to community engagement requirements for Iowa health and wellness plan membership.
   The bill requires as a condition of membership that an eligible individual participate in a community engagement activity that includes working or volunteering as detailed in the bill. Certain individuals are exempt from the community engagement requirement as described in the bill.
    If required, the department of health and human services shall submit a request for a section 1115 demonstration waiver to require an eligible individual to participate in a community engagement activity as a condition of membership in the Iowa health and wellness plan.
   The bill requires the department of health and human services to implement the provisions of the bill no later than July 1, 2025.
   The bill takes effect upon enactment.