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Senate
File
363
-
Introduced
SENATE
FILE
363
BY
BOUSSELOT
A
BILL
FOR
An
Act
relating
to
the
Iowa
health
and
wellness
plan
and
member
1
community
engagement
requirements
and
including
effective
2
date
provisions.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
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Section
1.
Section
249N.4,
subsection
1,
paragraph
c,
Code
1
2025,
is
amended
to
read
as
follows:
2
c.
Fulfills
all
other
conditions
of
participation
in
the
3
Iowa
health
and
wellness
plan,
including
member
financial
4
participation
pursuant
to
section
249N.7
,
and
community
5
engagement
requirements
pursuant
to
section
249N.9
.
6
Sec.
2.
NEW
SECTION
.
249N.9
Member
community
engagement
7
requirement.
8
1.
As
a
condition
of
membership
in
the
Iowa
health
and
9
wellness
plan,
unless
an
eligible
individual
is
exempt
pursuant
10
to
subsection
2,
an
eligible
individual
shall
participate
in
11
one
of
the
following
community
engagement
activities:
12
a.
Work
twenty
hours
or
more
per
week,
averaged
on
a
monthly
13
basis.
14
b.
Participate
in
and
comply
with
the
requirements
of
a
work
15
program
for
twenty
hours
or
more
per
week,
as
determined
by
the
16
department.
17
c.
Volunteer
twenty
hours
or
more
per
week,
as
determined
18
by
the
department.
19
d.
Meet
a
combination
of
work
and
work
program
participation
20
requirements
for
a
total
of
twenty
hours
or
more
per
week,
as
21
determined
by
the
department.
22
e.
Participate
in
and
comply
with
the
PROMISE
JOBS
program
23
pursuant
to
chapter
239B.
24
2.
The
following
eligible
individuals
shall
be
exempt
from
25
the
requirements
specified
in
subsection
1:
26
a.
An
individual
less
than
nineteen
years
of
age.
27
b.
An
individual
more
than
sixty-four
years
of
age.
28
c.
An
individual
medically
certified
as
physically
or
29
mentally
unfit
for
employment.
30
d.
A
woman
who
is
pregnant.
31
e.
A
parent
or
caretaker
responsible
for
the
care
of
a
32
dependent
child
under
one
year
of
age.
33
f.
A
parent
or
caretaker
personally
providing
the
care
for
a
34
dependent
child
with
a
serious
medical
condition
or
disability,
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363
as
determined
by
the
department.
1
g.
An
individual
receiving
unemployment
compensation
2
and
complying
with
work
requirements
of
the
federal
or
3
state
unemployment
compensation
system
as
determined
by
the
4
department
of
workforce
development
and
communicated
to
the
5
department.
6
h.
An
individual
participating
in
a
substance
use
disorder
7
treatment
and
rehabilitation
program.
8
Sec.
3.
MEDICAID
DEMONSTRATION
WAIVER
REQUEST
——
COMMUNITY
9
ENGAGEMENT
REQUIREMENTS
FOR
IOWA
HEALTH
AND
WELLNESS
PLAN.
The
10
department,
if
required,
shall
submit
a
request
within
thirty
11
days
of
enactment
of
this
Act
to
the
centers
for
Medicare
and
12
Medicaid
services
of
the
United
States
department
of
health
13
and
human
services
for
a
section
1115
demonstration
waiver
to
14
require
that,
as
a
condition
of
membership
in
the
Iowa
health
15
and
wellness
plan,
an
eligible
individual
shall
participate
in
16
a
community
engagement
activity
as
specified
in
this
Act.
17
Sec.
4.
COMMUNITY
ENGAGEMENT
REQUIREMENTS
FOR
IOWA
HEALTH
18
AND
WELLNESS
PLAN
——
IMPLEMENTATION.
The
department
of
health
19
and
human
services
shall
implement
the
provisions
of
this
Act
20
no
later
than
July
1,
2025.
21
Sec.
5.
EFFECTIVE
DATE.
This
Act,
being
deemed
of
immediate
22
importance,
takes
effect
upon
enactment.
23
EXPLANATION
24
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
25
the
explanation’s
substance
by
the
members
of
the
general
assembly.
26
This
bill
relates
to
community
engagement
requirements
for
27
Iowa
health
and
wellness
plan
membership.
28
The
bill
requires
as
a
condition
of
membership
that
an
29
eligible
individual
participate
in
a
community
engagement
30
activity
that
includes
working
or
volunteering
as
detailed
in
31
the
bill.
Certain
individuals
are
exempt
from
the
community
32
engagement
requirement
as
described
in
the
bill.
33
If
required,
the
department
of
health
and
human
services
34
shall
submit
a
request
for
a
section
1115
demonstration
waiver
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363
to
require
an
eligible
individual
to
participate
in
a
community
1
engagement
activity
as
a
condition
of
membership
in
the
Iowa
2
health
and
wellness
plan.
3
The
bill
requires
the
department
of
health
and
human
4
services
to
implement
the
provisions
of
the
bill
no
later
than
5
July
1,
2025.
6
The
bill
takes
effect
upon
enactment.
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