The bill amends various sections of Iowa's public assistance programs, specifically focusing on the Supplemental Nutrition Assistance Program (SNAP) and Medicaid. Key changes include the establishment of a gross countable monthly income threshold for SNAP eligibility at 160% of the federal poverty level, and the requirement for the Department of Health and Human Services to consider the income and financial resources of all household members when determining eligibility and benefit allotment. Additionally, the bill introduces new definitions and provisions regarding the verification of immigration status through the systematic alien verification for entitlements online service, and it clarifies the eligibility criteria for individuals seeking SNAP benefits.

In terms of Medicaid, the bill mandates that the Department deliver benefits through a managed care program, with specific exceptions for fee-for-service benefits. It also establishes retroactive eligibility for certain individuals, such as pregnant women and children, for up to two months prior to their application submission. Furthermore, the bill requires the Department to ensure that any waivers or state plan amendments submitted for Medicaid expansion are cost-neutral, necessitating an analysis before submission and annual reporting to the General Assembly. The bill is set to take effect immediately upon enactment.

Statutes affected:
Introduced: 239.6, 239.1, 239.2, 249A.3B
Reprinted: 239.6, 239.1, 239.2, 249N.4