Iowa 2025-2026 Regular Session

Iowa House Bill HF607

Introduced
2/26/25  

Caption

A bill for an act relating to eligibility of pregnant women and infants for the Medicaid program.

Impact

If enacted, HF607 will not only extend the eligibility for Medicaid but will also mandate the submission of a state plan amendment to the Centers for Medicare and Medicaid Services (CMS) to enable 12 months of continuous postpartum eligibility for women meeting the revised income criteria. This provision is particularly significant as it addresses a crucial gap in healthcare coverage that many women face after childbirth. The expected outcome is an increase in the number of women able to receive ongoing support during the postpartum phase, which is a critical period for maternal and infant health. The changes are set to take effect on January 1, 2026, offering ample time for state agencies to prepare for implementation.

Summary

House File 607 (HF607) addresses critical health care access for pregnant women and infants by significantly enhancing eligibility criteria for Medicaid. The bill proposes to raise the income eligibility threshold for pregnant women and infants from the current level of 215% to 375% of the federal poverty level. This change aims to improve access to essential health services for a larger segment of low-income families within the state, ensuring that those who are financially vulnerable receive necessary medical care during and after pregnancy. By doing so, HF607 is designed to foster better health outcomes for mothers and their infants through sustained healthcare support.

Contention

The discussions surrounding HF607 may involve varied opinions on fiscal implications and state budget considerations. Supporters of the bill argue that improved health outcomes for mothers and infants can lead to long-term economic benefits, such as reduced healthcare costs and increased productivity. However, detractors may raise concerns regarding budget allocations and the sustainability of funding for such expanded Medicaid services. There is also a broader debate on the role of state intervention in healthcare and the implications of increasing Medicaid's financial reach in the context of budget priorities and potential state deficits. As the bill progresses, these points of contention will likely be pivotal in shaping the discussions in legislative sessions.

Companion Bills

No companion bills found.

Previously Filed As

IA HSB643

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.)

IA SSB3140

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 HF2583

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.)

IA SF2251

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 HSB500

A bill for an act relating to the Medicaid extended postpartum coverage option, and including effective date provisions.

IA HF2395

A bill for an act creating the compassion and care for medically challenging pregnancies Act.(Formerly HF 2155.)

IA SF2045

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

IA HF2155

A bill for an act creating the compassion and care for medically challenging pregnancies Act.(See HF 2395.)

IA HF2589

A bill for an act relating to Medicaid-related programs and services including the work without worry program for employed individuals with disabilities and complex rehabilitation technology.(Formerly HF 403, HSB 198.)

IA HF387

A bill for an act creating the better caths for Iowa Act including a review of the use and reimbursement of certain catheters under the Medicaid program.

Similar Bills

MS SB2383

Medicaid; provide for presumptive eligibility for pregnant women.

MS HB539

Medicaid; provide for presumptive eligibility for pregnant women.

MS SB2390

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

MS HB662

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

MS SB2117

Medicaid; provide for presumptive eligibility for pregnant women.

MS HB1362

Medicaid; provide for presumptive eligibility for pregnant women.

NJ A5608

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

NJ S3334

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