House File 607 - Introduced HOUSE FILE 607 BY KONFRST , R. JOHNSON , MADISON , BAGNIEWSKI , CROKEN , KRESSIG , ZABNER , WILSON , BAETH , AMOS JR. , KURTH , BROWN-POWERS , WILBURN , SRINIVAS , McBURNEY , B. MEYER , MATSON , WICHTENDAHL , GOSA , JUDGE , COOLING , EHLERT , and OLSON A BILL FOR An Act relating to eligibility of pregnant women and infants 1 for the Medicaid program. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 2172YH (2) 91 lh/ko
H.F. 607 Section 1. Section 249A.3, subsection 1, paragraph l, Code 1 2025, is amended to read as follows: 2 l. (1) Is an infant whose family income is not more than 3 two three hundred fifteen seventy-five percent of the federal 4 poverty level, as defined by the most recently revised income 5 guidelines published by the United States department of health 6 and human services. 7 (2) Is a pregnant woman whose family income while pregnant 8 is at or below two three hundred fifteen seventy-five percent 9 of the federal poverty level, as defined by the most recently 10 revised poverty income guidelines published by the United 11 States department of health and human services, if otherwise 12 eligible. 13 Sec. 2. MEDICAID PREGNANT WOMEN CONTINUOUS POSTPARTUM 14 COVERAGE STATE PLAN AMENDMENTS. The department of health 15 and human services shall submit a Medicaid state plan amendment 16 to the centers for Medicare and Medicaid services of the United 17 States department of health and human services for approval in 18 accordance with sections 9812 and 9822 of the federal American 19 Rescue Plan Act of 2021, Pub. L. No. 117-2, as amended by 20 section 5113 of the federal Consolidated Appropriations Act 21 of 2023, to provide twelve months of continuous postpartum 22 eligibility under the Medicaid program to a pregnant woman 23 whose family income while pregnant is at or below three hundred 24 seventy-five percent of the federal poverty level for the 25 household size, beginning January 1, 2026. The department of 26 health and human services shall also submit a childrens health 27 insurance program state plan amendment to the centers for 28 Medicare and Medicaid services of the United States department 29 of health and human services to update infant eligibility 30 consistent with the provisions of this Act, beginning January 31 1, 2026. 32 EXPLANATION 33 The inclusion of this explanation does not constitute agreement with 34 the explanations substance by the members of the general assembly. 35 -1- LSB 2172YH (2) 91 lh/ko 1/ 2
H.F. 607 This bill amends provisions relating to income eligibility 1 levels for pregnant women and infants under the Medicaid 2 program. 3 Current law provides that an infant or a pregnant woman 4 whose family income is not more than 215 percent of the federal 5 poverty level, if the infant or woman is otherwise eligible, is 6 eligible for Medicaid. The bill amends the income eligibility 7 level to 375 percent. 8 The bill requires the department of health and human 9 services (HHS) to submit a Medicaid state plan amendment to the 10 centers for Medicare and Medicaid services of the United States 11 department of health and human services (CMS) for approval in 12 accordance with the provisions in federal law to provide 12 13 months of continuous postpartum eligibility under the Medicaid 14 program to a pregnant woman whose family income while pregnant 15 is at or below 375 percent of the federal poverty level for 16 the household size, beginning January 1, 2026. The bill also 17 requires HHS to submit a childrens health insurance program 18 state plan amendment to CMS to update infant eligibility 19 consistent with the provisions of the bill, beginning January 20 1, 2026. 21 -2- LSB 2172YH (2) 91 lh/ko 2/ 2