This bill amends the Iowa health and wellness plan by introducing community engagement requirements for eligible individuals as a condition of membership. Specifically, it mandates that individuals participate in community engagement activities, such as working, volunteering, or participating in designated programs for a minimum of twenty hours per week. Certain groups, including those under nineteen, over sixty-four, medically unfit individuals, pregnant women, and caregivers of dependent children, are exempt from these requirements. The bill also includes provisions for the Department of Health and Human Services to request a section 1115 demonstration waiver from the Centers for Medicare and Medicaid Services if necessary.

Additionally, the bill updates existing legal language to include community engagement requirements in the conditions of participation for the Iowa health and wellness plan. The Department of Health and Human Services is tasked with implementing these provisions by July 1, 2025, and the bill takes effect immediately upon enactment.

Statutes affected:
Introduced: 249N.4