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House File 3 - IntroducedA Bill ForAn Act 1relating to public assistance program integrity, making
2appropriations, and including effective date provisions.
3BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
1DIVISION I
2Authentication system for public assistance programs
3 Section 1. NEW SECTION. 239.1 Definitions.
4As used in this chapter, unless the context otherwise
5requires:
61. “Applicant” means an individual who is applying for
7public assistance benefits in the state.
82. “Asset” or “asset test” means all assets of the members
9of the applicant’s household, including all of the following:
10a. All bank accounts, excluding retirement accounts of
11members of the household.
12b. All cash, excluding the first two thousand dollars of
13members of the household.
14c. All lottery and gambling income of the household whether
15received as a lump sum or installment payments.
16d. All real estate, excluding the primary household
17residence and surrounding lot.
18e. All other personal property excluding personal
19belongings, household goods, and one vehicle.
203. “Department” means the department of health and human
21services.
224. “Public assistance” means the supplemental nutrition
23assistance program or SNAP, the medical assistance program
24or Medicaid program as defined in section 249A.2, the family
25investment program as defined in section 239B.1, and the
26children’s health insurance program.
275. “Real-time eligibility system” means real-time electronic
28access to a system that allows verification of all applicable
29public assistance program eligibility information based on the
30most recent information available to the department through
31nonmodeled earned and unearned income, such as commercially
32available wage data.
336. “Recipient” means an individual who is receiving public
34assistance benefits in the state.
357. “Supplemental nutrition assistance program” or “SNAP”
-1-1means benefits provided by the federal program administered
2through 7 C.F.R. pts.270 – 283, as amended.
3 Sec. 2. NEW SECTION. 239.2 Identity authentication —
4rules.
5Unless otherwise prohibited by federal law or regulation,
6prior to the department awarding public assistance benefits, an
7applicant shall complete a computerized identity authentication
8process to confirm the identity of the applicant. Identity
9authentication shall be accomplished through a knowledge-based
10questionnaire consisting of financial and personal questions.
11The questionnaire shall contain questions tailored to assist
12persons without a bank account or those who have poor access
13to financial and banking services or who do not have an
14established credit history. The computerized identity
15authentication process and questionnaire may be completed and
16submitted online, in person, or via telephone by the applicant
17or a person authorized by the applicant. The department may
18adopt rules pursuant to chapter 17A to administer this section.
19 Sec. 3. NEW SECTION. 239.3 Asset test for supplemental
20nutrition assistance program.
211. For the purposes of determining eligibility for receipt
22of SNAP benefits, the department shall conduct an asset test
23on all members of the applicant’s household. The allowable
24financial resources to be included in or excluded from a
25determination of eligibility for SNAP shall be those specified
26in 7 U.S.C.§2014(g)(1).
272. Prior to determining eligibility for SNAP benefits,
28the department shall access, at a minimum, for every member
29of the applicant’s household, the following information from
30the following federal, state, and miscellaneous sources, or
31successor sources:
32a. Federal sources and information:
33(1) Earned and unearned income information maintained by
34the internal revenue service.
35(2) The following sources and information maintained by the
-2-1United States social security administration:
2(a) Earned income information.
3(b) Death register information.
4(c) Prisoner or incarceration status information.
5(d) Supplemental security income information maintained in
6the state data exchange database.
7(e) Beneficiary records and earnings information maintained
8in the beneficiary and earnings data exchange database.
9(f) Earnings and pension information maintained in the
10beneficiary earnings exchange record system database.
11(3) The following sources and information maintained by the
12United States department of health and human services:
13(a) Income and employment information maintained in the
14national directory of new hires database by the office of child
15support enforcement of the administration for children and
16families.
17(b) Other federal data sources maintained by the office of
18child support enforcement of the administration for children
19and families.
20b. State sources and information:
21(1) The department’s sources and information including but
22not limited to all of the following:
23(a) Income and employment information maintained by the
24child support recovery unit.
25(b) Child care assistance information maintained by the
26department.
27(c) Enrollment status in other public assistance programs.
28(2) The department of workforce development sources and
29information including all of the following:
30(a) Employment information.
31(b) Employer weekly, monthly, and quarterly reports of
32income and unemployment insurance payments.
33(3) The Iowa public employees’ retirement system for
34earnings and pension information.
35c. Miscellaneous sources:
-3- 1(1) Any existing real-time database of persons currently
2receiving benefits in other states, such as the national
3accuracy clearinghouse.
4(2) Any databases maintained by the Iowa lottery
5commission.
6(3) Any existing real-time eligibility system that includes
7employment and income information maintained by a consumer
8reporting agency, as defined by the federal Fair Credit
9Reporting Act, 15 U.S.C. §1681a, for the purpose of obtaining
10real-time employment and income information.
113. Prior to determining eligibility for SNAP benefits, the
12department shall access information for every member of the
13applicant’s household from the following public records:
14a. A nationwide public records data source of physical asset
15ownership. The data source may include but is not limited to
16real property, automobiles, watercraft, aircraft, and luxury
17vehicles, or any other vehicle owned by the applicant.
18b. National and state financial institutions in order
19to locate undisclosed depository accounts or verify account
20balances of disclosed accounts.
214. The department shall enter into a memorandum of
22understanding with any department, division, bureau, section,
23unit, or any other subunit of a department to obtain the
24information specified in this section.
255. The provisions of this section shall not apply if every
26member of the applicant’s household receives supplemental
27security income.
28 Sec. 4. PROGRAM REPORT. The department of health and human
29services shall submit a report to the governor and the general
30assembly by January 15, 2025, and by January 15 annually
31thereafter through January 15, 2030, detailing the impact of
32the identity authentication measures taken under this division
33of this Act.
34DIVISION II
35SUPPLEMENTAL NUTRITION assistance PROGRAM and medicaid program
-4-1integrity and cooperation
2 Sec. 5. Section 234.1, subsection 3, Code 2023, is amended
3by striking the subsection.
4 Sec. 6. Section 234.1, Code 2023, is amended by adding the
5following new subsections:
6 NEW SUBSECTION. 3A. “Department” means the department of
7health and human services.
8 NEW SUBSECTION. 5A. “Supplemental nutrition assistance
9program” or “SNAP” means the same as defined in section 239.1.
10 Sec. 7. Section 234.12A, Code 2023, is amended to read as
11follows:
12234.12A Electronic benefits transfer program.
131. The department of human services shall maintain an
14electronic benefits transfer program utilizing electronic funds
15transfer systems for the food supplemental nutrition assistance
16program. The electronic benefits transfer program implemented
17under this section shall not require a retailer to make cash
18disbursements or to provide, purchase, or upgrade electronic
19funds transfer system equipment as a condition of participation
20in the program.
212. A point-of-sale terminal which is used only for purchases
22from a retailer by electronic benefits transfer utilizing
23electronic funds transfer systems is not a satellite terminal
24as defined in section 527.2.
253. For the purposes of this section, “retailer” means
26a business authorized by the United States department of
27agriculture to accept food supplemental nutrition assistance
28program benefits.
29 Sec. 8. NEW SECTION. 234.12B Ensuring integrity in the
30supplemental nutrition assistance program — rules.
311. State records — individuals. The department shall
32receive and review all of the following information concerning
33individuals enrolled in the supplemental nutrition assistance
34program that indicates a change in circumstances that may
35affect eligibility:
-5- 1a. Death records. On at least a monthly basis, information
2from the department including but not limited to death records.
3b. Employment information. On at least a quarterly basis,
4information from the department of workforce development
5including but not limited to changes in employment or wages.
6c. Residency information. On at least a monthly basis,
7information including but not limited to potential changes in
8residency as identified by out-of-state electronic benefit
9transfer transactions.
10d. Incarceration information. On at least a monthly basis,
11information from the department of corrections.
122. State records — households. The department shall
13receive and review all of the following information concerning
14individuals in households enrolled in the supplemental
15nutrition assistance program that indicates a change in
16circumstances that may affect eligibility:
17a. Tax information. On at least a quarterly basis,
18information from the department of revenue including but not
19limited to potential changes in income, wages, or residency as
20identified by tax records.
21b. Unemployment information. On at least a semi-monthly
22basis, information from the department of workforce development
23including but not limited to potential changes in employment,
24income, or assets.
253. Federal records — households. The department shall
26cross-check information relating to individuals in households
27enrolled in the supplemental nutrition assistance program with
28federal databases including but not limited to all of the
29following, on at least a monthly basis:
30a. Earned income information, death register information,
31incarceration records, supplemental security income
32information, beneficiary records, earnings information, and
33pension information maintained by the United States social
34security administration.
35b. Income and employment information maintained in the
-6-1national directory of new hires database and child support
2enforcement data maintained by the United States department of
3health and human services.
4c. Payment and earnings information maintained by the United
5States department of housing and urban development.
6d. National fleeing felon information maintained by the
7United States federal bureau of investigation.
84. Rules. The department may adopt rules pursuant to
9chapter 17A to administer this section.
10 Sec. 9. NEW SECTION. 234.12C Cooperation with child support
11enforcement.
12An applicant for supplemental nutrition assistance program
13benefits shall be required to cooperate with the child support
14recovery unit as a condition of eligibility as specified in 7
15C.F.R. §273.11(o).
16 Sec. 10. NEW SECTION. 234.12D Required employment
17and training for supplemental nutrition assistance program
18eligibility.
19The department shall not exercise the state option to
20provide any exemptions from the employment and training
21requirements as specified in 7 U.S.C. §2015(o)(6)(E).
22 Sec. 11. NEW SECTION. 249A.58 Ensuring integrity in the
23medical assistance program — recipient and applicant information
24reviewed — rules.
251. State records — recipients. The department shall
26receive and review all of the following information concerning
27recipients that indicates a change in circumstances that may
28affect eligibility:
29a. Death records. On at least a monthly basis, information
30from the department including but not limited to death records.
31b. Employment information. On at least a quarterly basis,
32information from the department of workforce development
33including but not limited to changes in employment or wages.
34c. Residency information. On at least a monthly basis,
35information including but not limited to potential changes in
-7-1residency as identified by out-of-state electronic benefit
2transfer transactions.
3d. Tax records. On at least a quarterly basis, information
4from the department of revenue including but not limited to
5potential changes in income, wages, or residency as identified
6by tax records.
7e. Unemployment information. On at least a semi-monthly
8basis, information from the department of workforce development
9including but not limited to potential changes in employment,
10income, or assets.
112. Federal records — recipients. The department shall
12cross-check information relating to recipients with federal
13databases including but not limited to all of the following, on
14at least a monthly basis:
15a. Earned income information, death register information,
16incarceration records, supplemental security income
17information, beneficiary records, earnings information, and
18pension information maintained by the United States social
19security administration.
20b. Income and employment information maintained by the
21national directory of new hires database and child support
22enforcement data maintained by the United States department of
23health and human services.
24c. Payment and earnings information maintained by the United
25States department of housing and urban development.
26d. National fleeing felon information maintained by the
27United States federal bureau of investigation.
283. Real-time record review — applicants. Prior to
29determining the eligibility of an applicant for Medicaid, the
30department shall access information for every member of the
31applicant’s household from the data sources specified in this
32section and shall conduct a review of nationwide public records
33data sources of physical asset ownership. The nationwide
34public records data sources may include but are not limited to
35records of real property and automobiles, watercraft, aircraft,
-8-1luxury vehicles, and any other vehicles owned by the applicant.
24. Residency information — applicants. Prior to determining
3the eligibility of an applicant for Medicaid, the department
4shall require proof of residency from the applicant.
55. Rules. The department may adopt rules pursuant to
6chapter 17A to administer this section.
7 Sec. 12. MEDICAID PROGRAM WAIVER FROM USE OF AUTOMATIC
8RENEWAL AND PREPOPULATED FORMS. The department of health
9and human services shall request a Medicaid section 1115
10demonstration waiver from the centers for Medicare and Medicaid
11services of the United States department of health and human
12services to enable the department to suspend the requirements
13to use prepopulated eligibility renewal forms and to renew
14eligibility automatically based on available information.
15DIVISION III
16iowa health and wellness plan — reenrollment
17 Sec. 13. IOWA HEALTH AND WELLNESS PLAN — MEMBER
18REENROLLMENT FOLLOWING TERMINATION FOR NONPAYMENT OF MONTHLY
19CONTRIBUTIONS. The department of health and human services
20shall seek approval of an amendment to the section 1115
21demonstration waiver for the Iowa health and wellness plan from
22the centers for Medicare and Medicaid services of the United
23States department of health and human services to provide the
24following:
251. An Iowa health and wellness plan member who is not
26otherwise exempt from payment of a monthly contribution, who
27is subject to payment of a monthly contribution as the result
28of failure to complete required healthy behaviors, and whose
29eligibility for the program is terminated due to nonpayment
30of monthly contributions, shall be allowed to subsequently
31reenroll in the program without first paying any outstanding
32monthly contributions, if the member has not been terminated
33from the program previously for nonpayment of monthly
34contributions.
352. Following an initial termination from the Iowa health
-9-1and wellness plan pursuant to subsection 1, if an Iowa health
2and wellness plan member is subsequently terminated from the
3program pursuant to subsection 1 for nonpayment of monthly
4contributions, the member shall be subject to payment of any
5outstanding monthly contributions accrued since the subsequent
6termination not to exceed the aggregate annual copayment and
7monthly contribution limits prior to reenrollment in the
8program.
93. This section shall not apply to an Iowa health and
10wellness plan member who is deemed to be in substantial
11compliance with the healthy behaviors requirement to complete a
12wellness examination by providing proof of a scheduled wellness
13examination appointment, if the appointment is scheduled
14no later than ninety days beyond the end of the applicable
15enrollment period.
16DIVISION IV
17MEDICAID DEMONSTRATION WAIVER REQUEST — IOWA HEALTH AND
18WELLNESS PLAN
19 Sec. 14. MEDICAID DEMONSTRATION WAIVER REQUEST — COMMUNITY
20ENGAGEMENT REQUIREMENTS FOR IOWA HEALTH AND WELLNESS PLAN
21MEMBERS.
221. The department of health and human services shall submit
23a request by July 1, 2023, and annually by July 1 thereafter
24until federal approval is received from the centers for
25Medicare and Medicaid services of the United States department
26of health and human services, for a section 1115 demonstration
27waiver to require that as a condition of eligibility, Iowa
28health and wellness plan members participate in community
29engagement activities.
302. The waiver request submitted by the department shall
31require that, unless an individual is exempt pursuant to
32subsection 3, as a condition of eligibility for the Iowa health
33and wellness plan, a recipient shall do one of the following:
34a. Work twenty hours or more per week, averaged on a monthly
35basis.
-10- 1b. Participate in and comply with the requirements of a work
2program for twenty hours or more per week, as determined by the
3department.
4c. Volunteer twenty hours or more per week, as determined
5by the department.
6d. Meet a combination of work and work program participation
7requirements for a total of twenty hours or more per week, as
8determined by the department.
9e. Participate in and comply with the PROMISE JOBS program
10pursuant to chapter 239B.
113. The following individuals shall be exempt from the
12requirements specified in subsection 2:
13a. An individual medically certified as physically or
14mentally unfit for employment.
15b. A woman who is pregnant.
16c. A parent or caretaker responsible for the care of a
17dependent child under one year of age.
18d. A parent or caretaker personally providing the care for a
19dependent child with a serious medical condition or disability,
20as determined by the department.
21e. An individual receiving unemployment compensation and
22complying with work requirements of the federal or state
23unemployment compensation system.
24f. An individual participating in a substance use disorder
25treatment and rehabilitation program.
264. The department shall implement the Medicaid waiver upon
27receipt of federal approval and shall adopt rules pursuant to
28chapter 17A to administer the waiver provisions.
29DIVISION V
30SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM — ELIGIBLE FOODS
31 Sec. 15. SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM —
32ELIGIBLE FOODS.
331. The department of health and human services shall
34request a waiver from the food and nutrition service of the
35United States department of agriculture to provide that, for
-11-1the purposes of state administration of the supplemental
2nutrition assistance program, eligible foods as defined in 7
3C.F.R. §271.2 include only those items defined as supplemental
4foods in 7 C.F.R. §246.2 as specified in the most current Iowa
5special supplemental nutrition program for women, infants, and
6children approved foods list.
72. The department of health and human services shall
8implement the waiver upon receipt of approval of the waiver.
9 Sec. 16. DEPARTMENT OF AGRICULTURE AND LAND STEWARDSHIP
10— DOUBLE UP FOOD BUCKS PROGRAM — SUPPLEMENTAL
11APPROPRIATION. There is appropriated from the general fund of
12the state to the department of agriculture and land stewardship
13for the fiscal year beginning July 1, 2023, and ending June
1430, 2024, in addition to any other funding appropriated for
15such purpose for the same fiscal year, the following amount,
16or so much thereof as is necessary, to be used for the purposes
17designated:
18To provide grants to support the double up food bucks
19program administered by the Iowa healthiest state initiative
20to make fresh fruits and vegetables sold at farmers markets,
21grocery stores, and other participating locations accessible
22to individuals and families who reside in this state and
23receive assistance through the federal supplemental nutrition
24assistance program:
.................................................. $251,000,000
26A grant recipient that receives funding pursuant to this
27section shall provide at least a dollar-for-dollar match of the
28grant assistance.
29Notwithstanding section 8.33, moneys appropriated under this
30section shall not revert at the close of the fiscal year, but
31shall remain available for the purposes designated.
32 Sec. 17. CONTINGENT EFFECTIVE DATE. The following takes
33effect on the date the department of health and human services
34receives federal approval of the waiver request relating to
35supplemental nutrition assistance program eligible foods as
-12-1specified under this division of this Act, if the waiver is
2approved:
3The section of this division of this Act making a
4supplemental appropriation to the department of agriculture
5and land stewardship to provide grants to support the double
6up food bucks program.
7DIVISION VI
8Implementation provisions
9 Sec. 18. IMPLEMENTATION PROVISIONS.
101. The department of health and human services shall request
11federal approval including for any state plan amendment or
12waiver necessary to administer this Act.
132. If the department of health and human services determines
14that any provision of this Act would result in the denial
15of funds or services from the federal government that would
16otherwise be available or would be inconsistent with the
17requirements of federal law or regulation, such provision shall
18be suspended, but only to the extent necessary to eliminate the
19inconsistency with federal requirements.
203. Unless otherwise provided in a division of this Act, the
21department of health and human services shall implement the
22provisions of this Act in an incremental fashion, beginning
23July 1, 2023, with a goal of full implementation no later
24than June 30, 2025, to minimize duplication of efforts and to
25maximize coordination with the implementation time frames of
26other departmental resource enhancements.
274. The provisions of this Act requiring federal approval
28shall be implemented upon receipt of federal approval.
295. The provisions of this Act not requiring federal approval
30shall be implemented as specified in this Act, or if not
31specified in this Act, no later than June 30, 2025.
32EXPLANATION
33The inclusion of this explanation does not constitute agreement with
34the explanation’s substance by the members of the general assembly.
35This bill relates to various public assistance programs.
-13- 1DIVISION I. This division requires that prior to the
2department of health and human services (HHS) awarding public
3assistance benefits to an applicant, the applicant shall
4complete a computerized identity authentication process to
5confirm the identity of the applicant through the use of a
6knowledge-based questionnaire consisting of financial and
7personal questions tailored to assist persons without a bank
8account or those who have poor access to financial and banking
9services or who do not have an established credit history.
10The identity authentication process and questionnaire may be
11submitted online, in person, or via telephone by the applicant
12or a person authorized by the applicant. The bill also
13requires HHS to conduct an asset test on all members of the
14household of an applicant for supplemental nutrition assistance
15program (SNAP) benefits. The bill specifies the minimum
16information, federal, state, and other data sources, and public
17records that HHS must access prior to determining eligibility
18for an applicant’s SNAP benefits. The bill requires HHS to
19enter into a memorandum of understanding with any department or
20subunit of a department to obtain the information specified.
21The bill’s provisions do not apply if every member of the
22applicant’s household receives supplemental security income.
23The bill authorizes HHS to adopt administrative rules to
24administer the bill and requires HHS to submit an annual report
25to the governor and the general assembly to assess the impact
26of the bill.
27DIVISION II. This division relates to SNAP and Medicaid
28program integrity by requiring HHS to, within specified time
29frames, receive and review state and federal information
30from various entities concerning individuals or individuals
31in households enrolled in the SNAP or the Medicaid program
32that indicates a change in circumstances that may affect
33eligibility. The information relates to death, employment,
34residency, incarceration, tax, and unemployment information
35and involves the provision of such information to HHS by the
-14-1departments of workforce development, corrections, and revenue,
2and information identified by out-of-state electronic benefit
3transfer transactions. Additionally, the bill requires HHS to,
4on at least a monthly basis, cross-check information relating
5to individuals in households enrolled in SNAP or the Medicaid
6program, as applicable, with specified federal databases
7maintained by the United States social security administration,
8the United States department of health and human services, the
9United States department of housing and urban development, and
10the United States federal bureau of investigation. With regard
11to the Medicaid program only, the bill also requires that prior
12to determining eligibility for the Medicaid program, HHS shall
13access information for every member of an applicant’s household
14from the data sources outlined in the bill and conduct a review
15of nationwide public records data sources of physical asset
16ownership. The data sources may include but are not limited to
17records of real property and automobiles, watercraft, aircraft,
18luxury vehicles, and any other vehicles owned by the applicant.
19An applicant for Medicaid must also provide proof of residency.
20The bill also requires an applicant for SNAP benefits to
21cooperate with the child support recovery unit as a condition
22of eligibility as specified under federal law.
23The bill also directs HHS to request federal approval
24for a Medicaid section 1115 demonstration waiver to suspend
25requirements to use prepopulated eligibility renewal forms
26and to renew eligibility automatically based on available
27information.
28DIVISION III. This division requires HHS to seek federal
29approval of an amendment to the section 1115 demonstration
30waiver for the Iowa health and wellness plan to provide both
31of the following: (1) that an Iowa health and wellness
32plan member who is not otherwise exempt from payment of a
33monthly contribution, who is subject to payment of a monthly
34contribution as the result of failure to complete required
35healthy behaviors, and whose eligibility for the program is
-15-1terminated due to nonpayment of monthly contributions shall be
2allowed to subsequently reenroll in the program without first
3paying any outstanding monthly contributions, if the member has
4not been terminated from the program previously for nonpayment
5of monthly contributions, and (2) following an initial
6termination from the Iowa health and wellness plan, if an Iowa
7health and wellness plan member is subsequently terminated
8from the program for nonpayment of monthly contributions, the
9member shall be subject to payment of any outstanding monthly
10contributions accrued since the subsequent termination and not
11to exceed program limits prior to reenrollment in the program.
12The bill does not apply to an Iowa health and wellness plan
13member who is deemed to be in substantial compliance with the
14requirement to complete a wellness examination by providing
15proof of a scheduled examination appointment if the appointment
16is scheduled no later than 90 days beyond the end of the
17applicable enrollment period.
18DIVISION IV. This division requires HHS to submit a request
19for federal approval by July 1, 2023, and annually by July 1,
20thereafter until federal approval is received, for a waiver
21to require that as a condition of eligibility, Iowa health
22and wellness plan members participate in community engagement
23activities. The bill specifies the types of community
24engagement activities to be required under the waiver submitted
25and provides exceptions to required participation in community
26engagement activities. The bill directs HHS to implement
27the waiver upon receipt of federal approval and to adopt
28administrative rules to administer the waiver provisions.
29DIVISION V. This division requires HHS to request a waiver
30from the United States department of agriculture, food and
31nutrition service, to provide that the eligible foods under
32the state administration of SNAP only include those items
33defined as supplemental foods in the most current Iowa special
34supplemental nutrition program for women, infants, and children
35(WIC) approved food list. The department is directed to
-16-1implement the waiver upon receipt of approval of the waiver.
2The division also relates to the double up food bucks
3program by making a supplemental appropriation from the general
4fund of the state to the department of agriculture and land
5stewardship for fiscal year 2023-2024, in addition to any other
6funding appropriated for such purpose for the same fiscal
7year, to provide grants to support the double up food bucks
8program administered by the Iowa healthiest state initiative
9to make fresh fruits and vegetables sold at farmers markets,
10grocery stores, and other participating locations accessible to
11individuals and families who reside in this state and receive
12assistance through SNAP. The division requires a double
13up food bucks program grant recipient to provide at least
14a dollar-for-dollar match of the grant assistance. Moneys
15appropriated under the division do not revert at the close of
16the fiscal year but remain available for the purposes of the
17double up food bucks program.
18The supplemental appropriation for the double up food bucks
19program takes effect on the date HHS receives federal approval
20of the SNAP waiver, if the waiver is approved.
21DIVISION VI. This division provides implementation
22provisions for the bill. The bill requires HHS to request
23federal approval including for any state plan amendment or
24waiver necessary to administer the bill. If HHS determines
25that any provision of the bill would result in the denial
26of funds or services from the federal government that would
27otherwise be available or would be inconsistent with the
28requirements of federal law or regulation, such provision shall
29be suspended, but only to the extent necessary to eliminate
30the inconsistency with federal requirements. Unless otherwise
31provided in a division of the bill, HHS shall implement the
32provisions of the bill in an incremental fashion, beginning
33July 1, 2023, with a goal of full implementation no later
34than June 30, 2025, to minimize duplication of efforts and to
35maximize coordination with the implementation time frames of
-17-1other departmental resource enhancements. The provisions of
2the bill requiring federal approval shall be implemented upon
3receipt of federal approval. The provisions of the bill not
4requiring federal approval shall be implemented as specified in
5the bill, and if it not specified in the bill, then not later
6than June 30, 2025.
-18-pf/rh
2appropriations, and including effective date provisions.
3BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
1DIVISION I
2Authentication system for public assistance programs
3 Section 1. NEW SECTION. 239.1 Definitions.
4As used in this chapter, unless the context otherwise
5requires:
61. “Applicant” means an individual who is applying for
7public assistance benefits in the state.
82. “Asset” or “asset test” means all assets of the members
9of the applicant’s household, including all of the following:
10a. All bank accounts, excluding retirement accounts of
11members of the household.
12b. All cash, excluding the first two thousand dollars of
13members of the household.
14c. All lottery and gambling income of the household whether
15received as a lump sum or installment payments.
16d. All real estate, excluding the primary household
17residence and surrounding lot.
18e. All other personal property excluding personal
19belongings, household goods, and one vehicle.
203. “Department” means the department of health and human
21services.
224. “Public assistance” means the supplemental nutrition
23assistance program or SNAP, the medical assistance program
24or Medicaid program as defined in section 249A.2, the family
25investment program as defined in section 239B.1, and the
26children’s health insurance program.
275. “Real-time eligibility system” means real-time electronic
28access to a system that allows verification of all applicable
29public assistance program eligibility information based on the
30most recent information available to the department through
31nonmodeled earned and unearned income, such as commercially
32available wage data.
336. “Recipient” means an individual who is receiving public
34assistance benefits in the state.
357. “Supplemental nutrition assistance program” or “SNAP”
-1-1means benefits provided by the federal program administered
2through 7 C.F.R. pts.270 – 283, as amended.
3 Sec. 2. NEW SECTION. 239.2 Identity authentication —
4rules.
5Unless otherwise prohibited by federal law or regulation,
6prior to the department awarding public assistance benefits, an
7applicant shall complete a computerized identity authentication
8process to confirm the identity of the applicant. Identity
9authentication shall be accomplished through a knowledge-based
10questionnaire consisting of financial and personal questions.
11The questionnaire shall contain questions tailored to assist
12persons without a bank account or those who have poor access
13to financial and banking services or who do not have an
14established credit history. The computerized identity
15authentication process and questionnaire may be completed and
16submitted online, in person, or via telephone by the applicant
17or a person authorized by the applicant. The department may
18adopt rules pursuant to chapter 17A to administer this section.
19 Sec. 3. NEW SECTION. 239.3 Asset test for supplemental
20nutrition assistance program.
211. For the purposes of determining eligibility for receipt
22of SNAP benefits, the department shall conduct an asset test
23on all members of the applicant’s household. The allowable
24financial resources to be included in or excluded from a
25determination of eligibility for SNAP shall be those specified
26in 7 U.S.C.§2014(g)(1).
272. Prior to determining eligibility for SNAP benefits,
28the department shall access, at a minimum, for every member
29of the applicant’s household, the following information from
30the following federal, state, and miscellaneous sources, or
31successor sources:
32a. Federal sources and information:
33(1) Earned and unearned income information maintained by
34the internal revenue service.
35(2) The following sources and information maintained by the
-2-1United States social security administration:
2(a) Earned income information.
3(b) Death register information.
4(c) Prisoner or incarceration status information.
5(d) Supplemental security income information maintained in
6the state data exchange database.
7(e) Beneficiary records and earnings information maintained
8in the beneficiary and earnings data exchange database.
9(f) Earnings and pension information maintained in the
10beneficiary earnings exchange record system database.
11(3) The following sources and information maintained by the
12United States department of health and human services:
13(a) Income and employment information maintained in the
14national directory of new hires database by the office of child
15support enforcement of the administration for children and
16families.
17(b) Other federal data sources maintained by the office of
18child support enforcement of the administration for children
19and families.
20b. State sources and information:
21(1) The department’s sources and information including but
22not limited to all of the following:
23(a) Income and employment information maintained by the
24child support recovery unit.
25(b) Child care assistance information maintained by the
26department.
27(c) Enrollment status in other public assistance programs.
28(2) The department of workforce development sources and
29information including all of the following:
30(a) Employment information.
31(b) Employer weekly, monthly, and quarterly reports of
32income and unemployment insurance payments.
33(3) The Iowa public employees’ retirement system for
34earnings and pension information.
35c. Miscellaneous sources:
-3- 1(1) Any existing real-time database of persons currently
2receiving benefits in other states, such as the national
3accuracy clearinghouse.
4(2) Any databases maintained by the Iowa lottery
5commission.
6(3) Any existing real-time eligibility system that includes
7employment and income information maintained by a consumer
8reporting agency, as defined by the federal Fair Credit
9Reporting Act, 15 U.S.C. §1681a, for the purpose of obtaining
10real-time employment and income information.
113. Prior to determining eligibility for SNAP benefits, the
12department shall access information for every member of the
13applicant’s household from the following public records:
14a. A nationwide public records data source of physical asset
15ownership. The data source may include but is not limited to
16real property, automobiles, watercraft, aircraft, and luxury
17vehicles, or any other vehicle owned by the applicant.
18b. National and state financial institutions in order
19to locate undisclosed depository accounts or verify account
20balances of disclosed accounts.
214. The department shall enter into a memorandum of
22understanding with any department, division, bureau, section,
23unit, or any other subunit of a department to obtain the
24information specified in this section.
255. The provisions of this section shall not apply if every
26member of the applicant’s household receives supplemental
27security income.
28 Sec. 4. PROGRAM REPORT. The department of health and human
29services shall submit a report to the governor and the general
30assembly by January 15, 2025, and by January 15 annually
31thereafter through January 15, 2030, detailing the impact of
32the identity authentication measures taken under this division
33of this Act.
34DIVISION II
35SUPPLEMENTAL NUTRITION assistance PROGRAM and medicaid program
-4-1integrity and cooperation
2 Sec. 5. Section 234.1, subsection 3, Code 2023, is amended
3by striking the subsection.
4 Sec. 6. Section 234.1, Code 2023, is amended by adding the
5following new subsections:
6 NEW SUBSECTION. 3A. “Department” means the department of
7health and human services.
8 NEW SUBSECTION. 5A. “Supplemental nutrition assistance
9program” or “SNAP” means the same as defined in section 239.1.
10 Sec. 7. Section 234.12A, Code 2023, is amended to read as
11follows:
12234.12A Electronic benefits transfer program.
131. The department of human services shall maintain an
14electronic benefits transfer program utilizing electronic funds
15transfer systems for the food supplemental nutrition assistance
16program. The electronic benefits transfer program implemented
17under this section shall not require a retailer to make cash
18disbursements or to provide, purchase, or upgrade electronic
19funds transfer system equipment as a condition of participation
20in the program.
212. A point-of-sale terminal which is used only for purchases
22from a retailer by electronic benefits transfer utilizing
23electronic funds transfer systems is not a satellite terminal
24as defined in section 527.2.
253. For the purposes of this section, “retailer” means
26a business authorized by the United States department of
27agriculture to accept food supplemental nutrition assistance
28program benefits.
29 Sec. 8. NEW SECTION. 234.12B Ensuring integrity in the
30supplemental nutrition assistance program — rules.
311. State records — individuals. The department shall
32receive and review all of the following information concerning
33individuals enrolled in the supplemental nutrition assistance
34program that indicates a change in circumstances that may
35affect eligibility:
-5- 1a. Death records. On at least a monthly basis, information
2from the department including but not limited to death records.
3b. Employment information. On at least a quarterly basis,
4information from the department of workforce development
5including but not limited to changes in employment or wages.
6c. Residency information. On at least a monthly basis,
7information including but not limited to potential changes in
8residency as identified by out-of-state electronic benefit
9transfer transactions.
10d. Incarceration information. On at least a monthly basis,
11information from the department of corrections.
122. State records — households. The department shall
13receive and review all of the following information concerning
14individuals in households enrolled in the supplemental
15nutrition assistance program that indicates a change in
16circumstances that may affect eligibility:
17a. Tax information. On at least a quarterly basis,
18information from the department of revenue including but not
19limited to potential changes in income, wages, or residency as
20identified by tax records.
21b. Unemployment information. On at least a semi-monthly
22basis, information from the department of workforce development
23including but not limited to potential changes in employment,
24income, or assets.
253. Federal records — households. The department shall
26cross-check information relating to individuals in households
27enrolled in the supplemental nutrition assistance program with
28federal databases including but not limited to all of the
29following, on at least a monthly basis:
30a. Earned income information, death register information,
31incarceration records, supplemental security income
32information, beneficiary records, earnings information, and
33pension information maintained by the United States social
34security administration.
35b. Income and employment information maintained in the
-6-1national directory of new hires database and child support
2enforcement data maintained by the United States department of
3health and human services.
4c. Payment and earnings information maintained by the United
5States department of housing and urban development.
6d. National fleeing felon information maintained by the
7United States federal bureau of investigation.
84. Rules. The department may adopt rules pursuant to
9chapter 17A to administer this section.
10 Sec. 9. NEW SECTION. 234.12C Cooperation with child support
11enforcement.
12An applicant for supplemental nutrition assistance program
13benefits shall be required to cooperate with the child support
14recovery unit as a condition of eligibility as specified in 7
15C.F.R. §273.11(o).
16 Sec. 10. NEW SECTION. 234.12D Required employment
17and training for supplemental nutrition assistance program
18eligibility.
19The department shall not exercise the state option to
20provide any exemptions from the employment and training
21requirements as specified in 7 U.S.C. §2015(o)(6)(E).
22 Sec. 11. NEW SECTION. 249A.58 Ensuring integrity in the
23medical assistance program — recipient and applicant information
24reviewed — rules.
251. State records — recipients. The department shall
26receive and review all of the following information concerning
27recipients that indicates a change in circumstances that may
28affect eligibility:
29a. Death records. On at least a monthly basis, information
30from the department including but not limited to death records.
31b. Employment information. On at least a quarterly basis,
32information from the department of workforce development
33including but not limited to changes in employment or wages.
34c. Residency information. On at least a monthly basis,
35information including but not limited to potential changes in
-7-1residency as identified by out-of-state electronic benefit
2transfer transactions.
3d. Tax records. On at least a quarterly basis, information
4from the department of revenue including but not limited to
5potential changes in income, wages, or residency as identified
6by tax records.
7e. Unemployment information. On at least a semi-monthly
8basis, information from the department of workforce development
9including but not limited to potential changes in employment,
10income, or assets.
112. Federal records — recipients. The department shall
12cross-check information relating to recipients with federal
13databases including but not limited to all of the following, on
14at least a monthly basis:
15a. Earned income information, death register information,
16incarceration records, supplemental security income
17information, beneficiary records, earnings information, and
18pension information maintained by the United States social
19security administration.
20b. Income and employment information maintained by the
21national directory of new hires database and child support
22enforcement data maintained by the United States department of
23health and human services.
24c. Payment and earnings information maintained by the United
25States department of housing and urban development.
26d. National fleeing felon information maintained by the
27United States federal bureau of investigation.
283. Real-time record review — applicants. Prior to
29determining the eligibility of an applicant for Medicaid, the
30department shall access information for every member of the
31applicant’s household from the data sources specified in this
32section and shall conduct a review of nationwide public records
33data sources of physical asset ownership. The nationwide
34public records data sources may include but are not limited to
35records of real property and automobiles, watercraft, aircraft,
-8-1luxury vehicles, and any other vehicles owned by the applicant.
24. Residency information — applicants. Prior to determining
3the eligibility of an applicant for Medicaid, the department
4shall require proof of residency from the applicant.
55. Rules. The department may adopt rules pursuant to
6chapter 17A to administer this section.
7 Sec. 12. MEDICAID PROGRAM WAIVER FROM USE OF AUTOMATIC
8RENEWAL AND PREPOPULATED FORMS. The department of health
9and human services shall request a Medicaid section 1115
10demonstration waiver from the centers for Medicare and Medicaid
11services of the United States department of health and human
12services to enable the department to suspend the requirements
13to use prepopulated eligibility renewal forms and to renew
14eligibility automatically based on available information.
15DIVISION III
16iowa health and wellness plan — reenrollment
17 Sec. 13. IOWA HEALTH AND WELLNESS PLAN — MEMBER
18REENROLLMENT FOLLOWING TERMINATION FOR NONPAYMENT OF MONTHLY
19CONTRIBUTIONS. The department of health and human services
20shall seek approval of an amendment to the section 1115
21demonstration waiver for the Iowa health and wellness plan from
22the centers for Medicare and Medicaid services of the United
23States department of health and human services to provide the
24following:
251. An Iowa health and wellness plan member who is not
26otherwise exempt from payment of a monthly contribution, who
27is subject to payment of a monthly contribution as the result
28of failure to complete required healthy behaviors, and whose
29eligibility for the program is terminated due to nonpayment
30of monthly contributions, shall be allowed to subsequently
31reenroll in the program without first paying any outstanding
32monthly contributions, if the member has not been terminated
33from the program previously for nonpayment of monthly
34contributions.
352. Following an initial termination from the Iowa health
-9-1and wellness plan pursuant to subsection 1, if an Iowa health
2and wellness plan member is subsequently terminated from the
3program pursuant to subsection 1 for nonpayment of monthly
4contributions, the member shall be subject to payment of any
5outstanding monthly contributions accrued since the subsequent
6termination not to exceed the aggregate annual copayment and
7monthly contribution limits prior to reenrollment in the
8program.
93. This section shall not apply to an Iowa health and
10wellness plan member who is deemed to be in substantial
11compliance with the healthy behaviors requirement to complete a
12wellness examination by providing proof of a scheduled wellness
13examination appointment, if the appointment is scheduled
14no later than ninety days beyond the end of the applicable
15enrollment period.
16DIVISION IV
17MEDICAID DEMONSTRATION WAIVER REQUEST — IOWA HEALTH AND
18WELLNESS PLAN
19 Sec. 14. MEDICAID DEMONSTRATION WAIVER REQUEST — COMMUNITY
20ENGAGEMENT REQUIREMENTS FOR IOWA HEALTH AND WELLNESS PLAN
21MEMBERS.
221. The department of health and human services shall submit
23a request by July 1, 2023, and annually by July 1 thereafter
24until federal approval is received from the centers for
25Medicare and Medicaid services of the United States department
26of health and human services, for a section 1115 demonstration
27waiver to require that as a condition of eligibility, Iowa
28health and wellness plan members participate in community
29engagement activities.
302. The waiver request submitted by the department shall
31require that, unless an individual is exempt pursuant to
32subsection 3, as a condition of eligibility for the Iowa health
33and wellness plan, a recipient shall do one of the following:
34a. Work twenty hours or more per week, averaged on a monthly
35basis.
-10- 1b. Participate in and comply with the requirements of a work
2program for twenty hours or more per week, as determined by the
3department.
4c. Volunteer twenty hours or more per week, as determined
5by the department.
6d. Meet a combination of work and work program participation
7requirements for a total of twenty hours or more per week, as
8determined by the department.
9e. Participate in and comply with the PROMISE JOBS program
10pursuant to chapter 239B.
113. The following individuals shall be exempt from the
12requirements specified in subsection 2:
13a. An individual medically certified as physically or
14mentally unfit for employment.
15b. A woman who is pregnant.
16c. A parent or caretaker responsible for the care of a
17dependent child under one year of age.
18d. A parent or caretaker personally providing the care for a
19dependent child with a serious medical condition or disability,
20as determined by the department.
21e. An individual receiving unemployment compensation and
22complying with work requirements of the federal or state
23unemployment compensation system.
24f. An individual participating in a substance use disorder
25treatment and rehabilitation program.
264. The department shall implement the Medicaid waiver upon
27receipt of federal approval and shall adopt rules pursuant to
28chapter 17A to administer the waiver provisions.
29DIVISION V
30SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM — ELIGIBLE FOODS
31 Sec. 15. SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM —
32ELIGIBLE FOODS.
331. The department of health and human services shall
34request a waiver from the food and nutrition service of the
35United States department of agriculture to provide that, for
-11-1the purposes of state administration of the supplemental
2nutrition assistance program, eligible foods as defined in 7
3C.F.R. §271.2 include only those items defined as supplemental
4foods in 7 C.F.R. §246.2 as specified in the most current Iowa
5special supplemental nutrition program for women, infants, and
6children approved foods list.
72. The department of health and human services shall
8implement the waiver upon receipt of approval of the waiver.
9 Sec. 16. DEPARTMENT OF AGRICULTURE AND LAND STEWARDSHIP
10— DOUBLE UP FOOD BUCKS PROGRAM — SUPPLEMENTAL
11APPROPRIATION. There is appropriated from the general fund of
12the state to the department of agriculture and land stewardship
13for the fiscal year beginning July 1, 2023, and ending June
1430, 2024, in addition to any other funding appropriated for
15such purpose for the same fiscal year, the following amount,
16or so much thereof as is necessary, to be used for the purposes
17designated:
18To provide grants to support the double up food bucks
19program administered by the Iowa healthiest state initiative
20to make fresh fruits and vegetables sold at farmers markets,
21grocery stores, and other participating locations accessible
22to individuals and families who reside in this state and
23receive assistance through the federal supplemental nutrition
24assistance program:
.................................................. $251,000,000
26A grant recipient that receives funding pursuant to this
27section shall provide at least a dollar-for-dollar match of the
28grant assistance.
29Notwithstanding section 8.33, moneys appropriated under this
30section shall not revert at the close of the fiscal year, but
31shall remain available for the purposes designated.
32 Sec. 17. CONTINGENT EFFECTIVE DATE. The following takes
33effect on the date the department of health and human services
34receives federal approval of the waiver request relating to
35supplemental nutrition assistance program eligible foods as
-12-1specified under this division of this Act, if the waiver is
2approved:
3The section of this division of this Act making a
4supplemental appropriation to the department of agriculture
5and land stewardship to provide grants to support the double
6up food bucks program.
7DIVISION VI
8Implementation provisions
9 Sec. 18. IMPLEMENTATION PROVISIONS.
101. The department of health and human services shall request
11federal approval including for any state plan amendment or
12waiver necessary to administer this Act.
132. If the department of health and human services determines
14that any provision of this Act would result in the denial
15of funds or services from the federal government that would
16otherwise be available or would be inconsistent with the
17requirements of federal law or regulation, such provision shall
18be suspended, but only to the extent necessary to eliminate the
19inconsistency with federal requirements.
203. Unless otherwise provided in a division of this Act, the
21department of health and human services shall implement the
22provisions of this Act in an incremental fashion, beginning
23July 1, 2023, with a goal of full implementation no later
24than June 30, 2025, to minimize duplication of efforts and to
25maximize coordination with the implementation time frames of
26other departmental resource enhancements.
274. The provisions of this Act requiring federal approval
28shall be implemented upon receipt of federal approval.
295. The provisions of this Act not requiring federal approval
30shall be implemented as specified in this Act, or if not
31specified in this Act, no later than June 30, 2025.
32EXPLANATION
33The inclusion of this explanation does not constitute agreement with
34the explanation’s substance by the members of the general assembly.
35This bill relates to various public assistance programs.
-13- 1DIVISION I. This division requires that prior to the
2department of health and human services (HHS) awarding public
3assistance benefits to an applicant, the applicant shall
4complete a computerized identity authentication process to
5confirm the identity of the applicant through the use of a
6knowledge-based questionnaire consisting of financial and
7personal questions tailored to assist persons without a bank
8account or those who have poor access to financial and banking
9services or who do not have an established credit history.
10The identity authentication process and questionnaire may be
11submitted online, in person, or via telephone by the applicant
12or a person authorized by the applicant. The bill also
13requires HHS to conduct an asset test on all members of the
14household of an applicant for supplemental nutrition assistance
15program (SNAP) benefits. The bill specifies the minimum
16information, federal, state, and other data sources, and public
17records that HHS must access prior to determining eligibility
18for an applicant’s SNAP benefits. The bill requires HHS to
19enter into a memorandum of understanding with any department or
20subunit of a department to obtain the information specified.
21The bill’s provisions do not apply if every member of the
22applicant’s household receives supplemental security income.
23The bill authorizes HHS to adopt administrative rules to
24administer the bill and requires HHS to submit an annual report
25to the governor and the general assembly to assess the impact
26of the bill.
27DIVISION II. This division relates to SNAP and Medicaid
28program integrity by requiring HHS to, within specified time
29frames, receive and review state and federal information
30from various entities concerning individuals or individuals
31in households enrolled in the SNAP or the Medicaid program
32that indicates a change in circumstances that may affect
33eligibility. The information relates to death, employment,
34residency, incarceration, tax, and unemployment information
35and involves the provision of such information to HHS by the
-14-1departments of workforce development, corrections, and revenue,
2and information identified by out-of-state electronic benefit
3transfer transactions. Additionally, the bill requires HHS to,
4on at least a monthly basis, cross-check information relating
5to individuals in households enrolled in SNAP or the Medicaid
6program, as applicable, with specified federal databases
7maintained by the United States social security administration,
8the United States department of health and human services, the
9United States department of housing and urban development, and
10the United States federal bureau of investigation. With regard
11to the Medicaid program only, the bill also requires that prior
12to determining eligibility for the Medicaid program, HHS shall
13access information for every member of an applicant’s household
14from the data sources outlined in the bill and conduct a review
15of nationwide public records data sources of physical asset
16ownership. The data sources may include but are not limited to
17records of real property and automobiles, watercraft, aircraft,
18luxury vehicles, and any other vehicles owned by the applicant.
19An applicant for Medicaid must also provide proof of residency.
20The bill also requires an applicant for SNAP benefits to
21cooperate with the child support recovery unit as a condition
22of eligibility as specified under federal law.
23The bill also directs HHS to request federal approval
24for a Medicaid section 1115 demonstration waiver to suspend
25requirements to use prepopulated eligibility renewal forms
26and to renew eligibility automatically based on available
27information.
28DIVISION III. This division requires HHS to seek federal
29approval of an amendment to the section 1115 demonstration
30waiver for the Iowa health and wellness plan to provide both
31of the following: (1) that an Iowa health and wellness
32plan member who is not otherwise exempt from payment of a
33monthly contribution, who is subject to payment of a monthly
34contribution as the result of failure to complete required
35healthy behaviors, and whose eligibility for the program is
-15-1terminated due to nonpayment of monthly contributions shall be
2allowed to subsequently reenroll in the program without first
3paying any outstanding monthly contributions, if the member has
4not been terminated from the program previously for nonpayment
5of monthly contributions, and (2) following an initial
6termination from the Iowa health and wellness plan, if an Iowa
7health and wellness plan member is subsequently terminated
8from the program for nonpayment of monthly contributions, the
9member shall be subject to payment of any outstanding monthly
10contributions accrued since the subsequent termination and not
11to exceed program limits prior to reenrollment in the program.
12The bill does not apply to an Iowa health and wellness plan
13member who is deemed to be in substantial compliance with the
14requirement to complete a wellness examination by providing
15proof of a scheduled examination appointment if the appointment
16is scheduled no later than 90 days beyond the end of the
17applicable enrollment period.
18DIVISION IV. This division requires HHS to submit a request
19for federal approval by July 1, 2023, and annually by July 1,
20thereafter until federal approval is received, for a waiver
21to require that as a condition of eligibility, Iowa health
22and wellness plan members participate in community engagement
23activities. The bill specifies the types of community
24engagement activities to be required under the waiver submitted
25and provides exceptions to required participation in community
26engagement activities. The bill directs HHS to implement
27the waiver upon receipt of federal approval and to adopt
28administrative rules to administer the waiver provisions.
29DIVISION V. This division requires HHS to request a waiver
30from the United States department of agriculture, food and
31nutrition service, to provide that the eligible foods under
32the state administration of SNAP only include those items
33defined as supplemental foods in the most current Iowa special
34supplemental nutrition program for women, infants, and children
35(WIC) approved food list. The department is directed to
-16-1implement the waiver upon receipt of approval of the waiver.
2The division also relates to the double up food bucks
3program by making a supplemental appropriation from the general
4fund of the state to the department of agriculture and land
5stewardship for fiscal year 2023-2024, in addition to any other
6funding appropriated for such purpose for the same fiscal
7year, to provide grants to support the double up food bucks
8program administered by the Iowa healthiest state initiative
9to make fresh fruits and vegetables sold at farmers markets,
10grocery stores, and other participating locations accessible to
11individuals and families who reside in this state and receive
12assistance through SNAP. The division requires a double
13up food bucks program grant recipient to provide at least
14a dollar-for-dollar match of the grant assistance. Moneys
15appropriated under the division do not revert at the close of
16the fiscal year but remain available for the purposes of the
17double up food bucks program.
18The supplemental appropriation for the double up food bucks
19program takes effect on the date HHS receives federal approval
20of the SNAP waiver, if the waiver is approved.
21DIVISION VI. This division provides implementation
22provisions for the bill. The bill requires HHS to request
23federal approval including for any state plan amendment or
24waiver necessary to administer the bill. If HHS determines
25that any provision of the bill would result in the denial
26of funds or services from the federal government that would
27otherwise be available or would be inconsistent with the
28requirements of federal law or regulation, such provision shall
29be suspended, but only to the extent necessary to eliminate
30the inconsistency with federal requirements. Unless otherwise
31provided in a division of the bill, HHS shall implement the
32provisions of the bill in an incremental fashion, beginning
33July 1, 2023, with a goal of full implementation no later
34than June 30, 2025, to minimize duplication of efforts and to
35maximize coordination with the implementation time frames of
-17-1other departmental resource enhancements. The provisions of
2the bill requiring federal approval shall be implemented upon
3receipt of federal approval. The provisions of the bill not
4requiring federal approval shall be implemented as specified in
5the bill, and if it not specified in the bill, then not later
6than June 30, 2025.
-18-pf/rh