Iowa 2025-2026 Regular Session

Iowa Senate Bill SF599

Introduced
3/10/25  

Caption

A bill for an act relating to work requirements for the Iowa health and wellness plan, public assistance programs, an information technology fund, the public assistance modernization fund, and the Medicaid for employed people with disabilities program.(Formerly SF 363; See SF 615.)

Impact

The passage of SF599 could lead to substantial implications for low-income Iowans who rely on public assistance. By enforcing work requirements, the bill aims to motivate those eligible for the Iowa Health and Wellness Plan to enter the workforce, which proponents believe will lead to greater independence and financial stability. However, critics may argue that imposing work requirements could potentially endanger the welfare of vulnerable populations by limiting their access to essential health services unless they can meet stringent employment criteria. The exemptions outlined in the bill are crucial in determining its impact on those most affected by these changes.

Summary

Senate File 599 introduces significant changes to work requirements associated with the Iowa Health and Wellness Plan (IHAWP) and other public assistance programs. The bill mandates that the Department of Health and Human Services (HHS) seek federal approval to implement work requirements for maintaining eligibility in IHAWP. The intent is to promote economic stability and reduce reliance on public assistance by encouraging eligible individuals to engage in work-related activities. Exceptions to these work requirements will be made for certain groups, including individuals under 19, those 65 and older, and other vulnerable populations such as caretakers or individuals undergoing substance use treatment.

Contention

Debate surrounding SF599 is likely to surface primarily around the viability and fairness of implementing work requirements in public assistance programs. Advocates for the bill emphasize the importance of ensuring that public assistance programs are not seen as infinite support systems but as tools to encourage self-sufficiency. On the other hand, opponents fear that such measures may increase poverty and exacerbate health disparities among groups that struggle to find or maintain employment for various reasons. The effectiveness of these work requirements in achieving the intended outcomes of economic mobility remains a contentious point in discussions.

Companion Bills

IA SF363

Similar To A bill for an act relating to the Iowa health and wellness plan and member community engagement requirements and including effective date provisions.(See SF 599, SF 615.)

IA SF615

Similar To A bill for an act relating to work requirements for the Iowa health and wellness plan, public assistance programs, an information technology fund, the public assistance modernization fund, and the Medicaid for employed people with disabilities program, and including effective date provisions. (Formerly SF 599, SF 363.) Effective date: 06/06/2025, 07/01/2025.

Previously Filed As

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 SF2045

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

IA SSB1105

A bill for an act relating to public assistance program oversight.(See SF 494.)

IA HF403

A bill for an act relating to the work without worry program for employed individuals with disabilities under the Medicaid program.(Formerly HSB 198; See HF 2589.)

IA SF368

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

IA HF2690

A bill for an act relating to the maximum amount of available resources disregarded under the Medicaid for employed people with disabilities program.(Formerly HSB 747.)

IA SF494

A bill for an act relating to public assistance program oversight. (Formerly SSB 1105.) Effective date: 07/01/2023.

IA HSB198

A bill for an act relating to the work without worry program for employed individuals with disabilities under the Medicaid program.(See HF 403, HF 2589.)

IA HF613

A bill for an act relating to public assistance program integrity, making appropriations, and including effective date provisions.(Formerly HF 3.)

IA SSB3183

A bill for an act relating to the maximum amount of available resources disregarded under the Medicaid for employed people with disabilities program.

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CA AB605

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HI HB1419

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CA AB517

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NJ S890

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NJ S53

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