Iowa 2023-2024 Regular Session

Iowa House Bill HSB643

Introduced
1/31/24  
Introduced
1/31/24  

Caption

A bill for an act relating to eligibility for pregnant women and infants under the Medicaid program, and including effective date provisions.(See HF 2583.)

Impact

The bill primarily amends Code section 249A.3 to reflect these changes. For pregnant women, it will allow continued Medicaid eligibility for those whose income is at or below 215% of the federal poverty level, rather than the previous limit of 185%. Similarly, for infants, the income threshold for eligibility will also increase to 215% of the federal poverty level. These amendments align Iowa's Medicaid program with new federal guidelines established by the American Rescue Plan and the Consolidated Appropriations Act, which offer states the option to extend postpartum coverage.

Summary

House Study Bill 643 (HSB643) focuses on improving healthcare accessibility for pregnant women and infants within the Medicaid program in Iowa. The bill proposes an amendment to existing eligibility criteria, specifically increasing the income eligibility thresholds for both pregnant women and infants. Under the new provisions, postpartum healthcare coverage will be extended from the current 60 days up to 12 months post-pregnancy, thereby significantly enhancing support for new mothers and potentially improving maternal and infant health outcomes.

Contention

Despite the potential benefits, some points of contention may arise during discussions around this bill. Supporters argue that extending the postpartum coverage is a necessary move to ensure better health outcomes for mothers and infants, addressing critical healthcare gaps. Conversely, there may be concerns regarding the financial implications for the state's Medicaid budget and increased eligibility criteria. The discussions will likely reflect differing views on the balance between healthcare accessibility and fiscal responsibility.

Companion Bills

IA SSB3140

Related A bill for an act relating to eligibility for pregnant women and infants under the Medicaid program, and including effective date provisions.(See SF 2251.)

IA SF2251

Replaced by A bill for an act relating to eligibility for pregnant women and infants under the Medicaid program, and including effective date provisions. (Formerly SSB 3140.) Effective date: 01/01/2025.

IA HF2583

Replaced by A bill for an act relating to eligibility for pregnant women and infants under the Medicaid program, and including effective date provisions.(Formerly HSB 643.)

Similar Bills

MS HB539

Medicaid; provide for presumptive eligibility for pregnant women.

MS SB2383

Medicaid; provide for presumptive eligibility for pregnant women.

MS HB662

Medicaid; revise criteria for presumptive eligibility for pregnant women to conform to federal laws and regulations.

MS SB2390

Medicaid; remove proof of income requirement from presumptive eligibility for pregnant women.

MS SB2117

Medicaid; provide for presumptive eligibility for pregnant women.

MS HB1362

Medicaid; provide for presumptive eligibility for pregnant women.

NJ S3334

Establishes pilot program to provide Medicaid coverage of remote maternal health services for eligible beneficiaries.

NJ A5608

Establishes pilot program to provide Medicaid coverage of remote maternal health services for eligible beneficiaries.