All Roll Calls
Yes: 238 • No: 124
IowaSF 61591st General Assembly (2025–2026)SenateWALLET
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.
Sponsored By: COMMITTEE ON APPROPRIATIONS
Signed by Governor
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 2 benefits, 0 costs, 2 mixed.
Easier Medicaid for working disabled Iowans
The law expands Medicaid for employed people with disabilities. If you are under 65 and your family income is under 250% of the poverty guideline, the state can ignore your earnings and unearned income when checking eligibility. It also ignores up to $10,000 in resources for an individual or $21,000 for a couple. Money in retirement or medical savings accounts, and other accounts the department approves, can also be ignored.
New work rules for Medicaid adults
The law requires most Iowa Health and Wellness Plan members to work at least 80 hours each month to keep coverage. It does not start until the state gets federal approval, builds a real-time reporting system, and adopts rules. You are exempt if you are under 19, age 65 or older, SSA‑disabled, medically frail, caring for a child under 6, in a high‑risk pregnancy, receiving unemployment, or in substance use treatment (up to six straight months). The director may also grant good‑cause exemptions. If federal rules later ban work requirements, the department must end the plan if allowed; if not, the state may move to a different approved plan after new state law approval.
New fund for DHHS tech upgrades
The law creates a DHHS information technology fund to pay for system upgrades and modernization. Unused money stays available through the next fiscal year and earns interest for the fund. Any unspent money in the Public Assistance Modernization Fund on June 30, 2025 moves to the new fund, and the old fund is repealed.
Work rules aligned across benefits programs
The health department works with federal agencies to line up work and training rules across public assistance programs, including SNAP. This can change who must work or train to get benefits once new rules are set.
Sponsors & Cosponsors
Sponsor
COMMITTEE ON APPROPRIATIONS
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 5/14/2025
House concurred in Senate amendment H-1342
Yes: 55 • No: 31
House vote • 5/14/2025
Passed House
Yes: 56 • No: 30
Senate vote • 5/13/2025
Passed Senate
Yes: 33 • No: 13
House vote • 3/26/2025
Passed House
Yes: 61 • No: 35
Senate vote • 3/25/2025
Passed Senate
Yes: 33 • No: 15
Actions Timeline
Explanations of votes.
6/27/2025legislatureSigned by Governor.
6/6/2025GovernorFiscal note.
6/6/2025legislatureReported correctly enrolled, signed by President and Speaker, and sent to Governor.
5/23/2025SenateExplanation of vote.
5/20/2025legislatureMessage from House.
5/14/2025HouseImmediate message.
5/14/2025legislaturePassed House, yeas 56, nays 30.
5/14/2025HouseHouse concurred in Senate amendment H-1342, yeas 55, nays 31.
5/14/2025SenateFiscal note.
5/13/2025legislatureSenate amendment H-1342 filed.
5/13/2025SenateMessage from Senate.
5/13/2025SenateImmediate message.
5/13/2025legislaturePassed Senate, yeas 33, nays 13.
5/13/2025SenateSenate concurred with S-3059, as amended.
5/13/2025SenateAmendment S-3168 to S-3059 filed, adopted.
5/13/2025legislatureExplanation of vote.
4/22/2025legislatureFiscal note.
3/28/2025legislatureMessage from House, with amendment S-3059.
3/27/2025HouseImmediate message.
3/26/2025legislaturePassed House, yeas 61, nays 35.
3/26/2025HouseAmendment H-1198 adopted.
3/26/2025legislatureAmendment H-1200 to amendment H-1198 filed, withdrawn.
3/26/2025legislatureSubstituted for HF 948.
3/26/2025legislatureAmendment H-1198 filed.
3/25/2025legislature
Bill Text
As Introduced
Enrolled
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