Iowa Senate Bill SF2045

Iowa 2023-2024 Regular Session

• Introduced: 1/16/24
• Refer: 1/16/24

Caption

A bill for an act relating to the work without worry program for employed individuals with disabilities under the Medicaid program.

Impact

SF2045 will enact changes to the Medicaid program by allowing eligible individuals to participate without the standard resource or asset tests, except for specific exclusions such as vehicles and primary residences. It also sets income thresholds, where individuals earning up to 450% of the federal poverty level can qualify for coverage. This change is anticipated to benefit many individuals with disabilities, fostering economic independence and reducing reliance on federal disability benefits.

Summary

Senate File 2045, known as the 'Work Without Worry' program, is designed to provide support and medical coverage for individuals with disabilities aged 16 and older who are employed. The bill aims to facilitate employment among individuals with disabilities by allowing them to retain Medicaid coverage while earning an income, thereby removing barriers that discourage work. This program addresses the financial concerns of individuals with disabilities, ensuring they do not lose essential healthcare benefits as they enter or remain in the workforce.

Contention

Discussions around SF2045 have highlighted concerns regarding its implementation and the effects on existing Medicaid services. Some advocates worry about the adequacy of the coverage provided and potential gaps that may arise in the medical services available under the new program. Additionally, the administrative burden on the Department of Health and Human Services is a point of contention, as they will need to develop systems to process applications and provide public awareness about the program effectively.