Bill Text: IA HF3 | 2023-2024 | 90th General Assembly | Introduced
Bill Title: A bill for an act relating to public assistance program integrity, making appropriations, and including effective date provisions.(See HF 613.)
Spectrum: Partisan Bill (Republican 39-0)
Status: (Introduced - Dead) 2023-03-03 - Committee report approving bill, renumbered as HF 613. [HF3 Detail]
Download: Iowa-2023-HF3-Introduced.html
House
File
3
-
Introduced
HOUSE
FILE
3
BY
GRASSLEY
,
HOLT
,
GOLDING
,
WHEELER
,
STONE
,
DUNWELL
,
MOMMSEN
,
COLLINS
,
GUSTOFF
,
FISHER
,
MOORE
,
JENEARY
,
CARLSON
,
VONDRAN
,
STOLTENBERG
,
WULF
,
SHIPLEY
,
BRADLEY
,
SHERMAN
,
DEYOE
,
GRABER
,
WILLS
,
RINKER
,
P.
THOMPSON
,
JOHNSON
,
HARRIS
,
BODEN
,
NORDMAN
,
SORENSEN
,
GEHLBACH
,
KAUFMANN
,
OSMUNDSON
,
THOMSON
,
M.
THOMPSON
,
WOOD
,
HORA
,
WINDSCHITL
,
BOSSMAN
,
and
GERHOLD
A
BILL
FOR
An
Act
relating
to
public
assistance
program
integrity,
making
1
appropriations,
and
including
effective
date
provisions.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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DIVISION
I
1
AUTHENTICATION
SYSTEM
FOR
PUBLIC
ASSISTANCE
PROGRAMS
2
Section
1.
NEW
SECTION
.
239.1
Definitions.
3
As
used
in
this
chapter,
unless
the
context
otherwise
4
requires:
5
1.
“Applicant”
means
an
individual
who
is
applying
for
6
public
assistance
benefits
in
the
state.
7
2.
“Asset”
or
“asset
test”
means
all
assets
of
the
members
8
of
the
applicant’s
household,
including
all
of
the
following:
9
a.
All
bank
accounts,
excluding
retirement
accounts
of
10
members
of
the
household.
11
b.
All
cash,
excluding
the
first
two
thousand
dollars
of
12
members
of
the
household.
13
c.
All
lottery
and
gambling
income
of
the
household
whether
14
received
as
a
lump
sum
or
installment
payments.
15
d.
All
real
estate,
excluding
the
primary
household
16
residence
and
surrounding
lot.
17
e.
All
other
personal
property
excluding
personal
18
belongings,
household
goods,
and
one
vehicle.
19
3.
“Department”
means
the
department
of
health
and
human
20
services.
21
4.
“Public
assistance”
means
the
supplemental
nutrition
22
assistance
program
or
SNAP,
the
medical
assistance
program
23
or
Medicaid
program
as
defined
in
section
249A.2,
the
family
24
investment
program
as
defined
in
section
239B.1,
and
the
25
children’s
health
insurance
program.
26
5.
“Real-time
eligibility
system”
means
real-time
electronic
27
access
to
a
system
that
allows
verification
of
all
applicable
28
public
assistance
program
eligibility
information
based
on
the
29
most
recent
information
available
to
the
department
through
30
nonmodeled
earned
and
unearned
income,
such
as
commercially
31
available
wage
data.
32
6.
“Recipient”
means
an
individual
who
is
receiving
public
33
assistance
benefits
in
the
state.
34
7.
“Supplemental
nutrition
assistance
program”
or
“SNAP”
35
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means
benefits
provided
by
the
federal
program
administered
1
through
7
C.F.R.
pts.
270
–
283,
as
amended.
2
Sec.
2.
NEW
SECTION
.
239.2
Identity
authentication
——
3
rules.
4
Unless
otherwise
prohibited
by
federal
law
or
regulation,
5
prior
to
the
department
awarding
public
assistance
benefits,
an
6
applicant
shall
complete
a
computerized
identity
authentication
7
process
to
confirm
the
identity
of
the
applicant.
Identity
8
authentication
shall
be
accomplished
through
a
knowledge-based
9
questionnaire
consisting
of
financial
and
personal
questions.
10
The
questionnaire
shall
contain
questions
tailored
to
assist
11
persons
without
a
bank
account
or
those
who
have
poor
access
12
to
financial
and
banking
services
or
who
do
not
have
an
13
established
credit
history.
The
computerized
identity
14
authentication
process
and
questionnaire
may
be
completed
and
15
submitted
online,
in
person,
or
via
telephone
by
the
applicant
16
or
a
person
authorized
by
the
applicant.
The
department
may
17
adopt
rules
pursuant
to
chapter
17A
to
administer
this
section.
18
Sec.
3.
NEW
SECTION
.
239.3
Asset
test
for
supplemental
19
nutrition
assistance
program.
20
1.
For
the
purposes
of
determining
eligibility
for
receipt
21
of
SNAP
benefits,
the
department
shall
conduct
an
asset
test
22
on
all
members
of
the
applicant’s
household.
The
allowable
23
financial
resources
to
be
included
in
or
excluded
from
a
24
determination
of
eligibility
for
SNAP
shall
be
those
specified
25
in
7
U.S.C.
§2014(g)(1).
26
2.
Prior
to
determining
eligibility
for
SNAP
benefits,
27
the
department
shall
access,
at
a
minimum,
for
every
member
28
of
the
applicant’s
household,
the
following
information
from
29
the
following
federal,
state,
and
miscellaneous
sources,
or
30
successor
sources:
31
a.
Federal
sources
and
information:
32
(1)
Earned
and
unearned
income
information
maintained
by
33
the
internal
revenue
service.
34
(2)
The
following
sources
and
information
maintained
by
the
35
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United
States
social
security
administration:
1
(a)
Earned
income
information.
2
(b)
Death
register
information.
3
(c)
Prisoner
or
incarceration
status
information.
4
(d)
Supplemental
security
income
information
maintained
in
5
the
state
data
exchange
database.
6
(e)
Beneficiary
records
and
earnings
information
maintained
7
in
the
beneficiary
and
earnings
data
exchange
database.
8
(f)
Earnings
and
pension
information
maintained
in
the
9
beneficiary
earnings
exchange
record
system
database.
10
(3)
The
following
sources
and
information
maintained
by
the
11
United
States
department
of
health
and
human
services:
12
(a)
Income
and
employment
information
maintained
in
the
13
national
directory
of
new
hires
database
by
the
office
of
child
14
support
enforcement
of
the
administration
for
children
and
15
families.
16
(b)
Other
federal
data
sources
maintained
by
the
office
of
17
child
support
enforcement
of
the
administration
for
children
18
and
families.
19
b.
State
sources
and
information:
20
(1)
The
department’s
sources
and
information
including
but
21
not
limited
to
all
of
the
following:
22
(a)
Income
and
employment
information
maintained
by
the
23
child
support
recovery
unit.
24
(b)
Child
care
assistance
information
maintained
by
the
25
department.
26
(c)
Enrollment
status
in
other
public
assistance
programs.
27
(2)
The
department
of
workforce
development
sources
and
28
information
including
all
of
the
following:
29
(a)
Employment
information.
30
(b)
Employer
weekly,
monthly,
and
quarterly
reports
of
31
income
and
unemployment
insurance
payments.
32
(3)
The
Iowa
public
employees’
retirement
system
for
33
earnings
and
pension
information.
34
c.
Miscellaneous
sources:
35
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(1)
Any
existing
real-time
database
of
persons
currently
1
receiving
benefits
in
other
states,
such
as
the
national
2
accuracy
clearinghouse.
3
(2)
Any
databases
maintained
by
the
Iowa
lottery
4
commission.
5
(3)
Any
existing
real-time
eligibility
system
that
includes
6
employment
and
income
information
maintained
by
a
consumer
7
reporting
agency,
as
defined
by
the
federal
Fair
Credit
8
Reporting
Act,
15
U.S.C.
§1681a,
for
the
purpose
of
obtaining
9
real-time
employment
and
income
information.
10
3.
Prior
to
determining
eligibility
for
SNAP
benefits,
the
11
department
shall
access
information
for
every
member
of
the
12
applicant’s
household
from
the
following
public
records:
13
a.
A
nationwide
public
records
data
source
of
physical
asset
14
ownership.
The
data
source
may
include
but
is
not
limited
to
15
real
property,
automobiles,
watercraft,
aircraft,
and
luxury
16
vehicles,
or
any
other
vehicle
owned
by
the
applicant.
17
b.
National
and
state
financial
institutions
in
order
18
to
locate
undisclosed
depository
accounts
or
verify
account
19
balances
of
disclosed
accounts.
20
4.
The
department
shall
enter
into
a
memorandum
of
21
understanding
with
any
department,
division,
bureau,
section,
22
unit,
or
any
other
subunit
of
a
department
to
obtain
the
23
information
specified
in
this
section.
24
5.
The
provisions
of
this
section
shall
not
apply
if
every
25
member
of
the
applicant’s
household
receives
supplemental
26
security
income.
27
Sec.
4.
PROGRAM
REPORT.
The
department
of
health
and
human
28
services
shall
submit
a
report
to
the
governor
and
the
general
29
assembly
by
January
15,
2025,
and
by
January
15
annually
30
thereafter
through
January
15,
2030,
detailing
the
impact
of
31
the
identity
authentication
measures
taken
under
this
division
32
of
this
Act.
33
DIVISION
II
34
SUPPLEMENTAL
NUTRITION
ASSISTANCE
PROGRAM
AND
MEDICAID
PROGRAM
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INTEGRITY
AND
COOPERATION
1
Sec.
5.
Section
234.1,
subsection
3,
Code
2023,
is
amended
2
by
striking
the
subsection.
3
Sec.
6.
Section
234.1,
Code
2023,
is
amended
by
adding
the
4
following
new
subsections:
5
NEW
SUBSECTION
.
3A.
“Department”
means
the
department
of
6
health
and
human
services.
7
NEW
SUBSECTION
.
5A.
“Supplemental
nutrition
assistance
8
program”
or
“SNAP”
means
the
same
as
defined
in
section
239.1.
9
Sec.
7.
Section
234.12A,
Code
2023,
is
amended
to
read
as
10
follows:
11
234.12A
Electronic
benefits
transfer
program.
12
1.
The
department
of
human
services
shall
maintain
an
13
electronic
benefits
transfer
program
utilizing
electronic
funds
14
transfer
systems
for
the
food
supplemental
nutrition
assistance
15
program.
The
electronic
benefits
transfer
program
implemented
16
under
this
section
shall
not
require
a
retailer
to
make
cash
17
disbursements
or
to
provide,
purchase,
or
upgrade
electronic
18
funds
transfer
system
equipment
as
a
condition
of
participation
19
in
the
program.
20
2.
A
point-of-sale
terminal
which
is
used
only
for
purchases
21
from
a
retailer
by
electronic
benefits
transfer
utilizing
22
electronic
funds
transfer
systems
is
not
a
satellite
terminal
23
as
defined
in
section
527.2
.
24
3.
For
the
purposes
of
this
section
,
“retailer”
means
25
a
business
authorized
by
the
United
States
department
of
26
agriculture
to
accept
food
supplemental
nutrition
assistance
27
program
benefits.
28
Sec.
8.
NEW
SECTION
.
234.12B
Ensuring
integrity
in
the
29
supplemental
nutrition
assistance
program
——
rules.
30
1.
State
records
——
individuals.
The
department
shall
31
receive
and
review
all
of
the
following
information
concerning
32
individuals
enrolled
in
the
supplemental
nutrition
assistance
33
program
that
indicates
a
change
in
circumstances
that
may
34
affect
eligibility:
35
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a.
Death
records.
On
at
least
a
monthly
basis,
information
1
from
the
department
including
but
not
limited
to
death
records.
2
b.
Employment
information.
On
at
least
a
quarterly
basis,
3
information
from
the
department
of
workforce
development
4
including
but
not
limited
to
changes
in
employment
or
wages.
5
c.
Residency
information.
On
at
least
a
monthly
basis,
6
information
including
but
not
limited
to
potential
changes
in
7
residency
as
identified
by
out-of-state
electronic
benefit
8
transfer
transactions.
9
d.
Incarceration
information.
On
at
least
a
monthly
basis,
10
information
from
the
department
of
corrections.
11
2.
State
records
——
households.
The
department
shall
12
receive
and
review
all
of
the
following
information
concerning
13
individuals
in
households
enrolled
in
the
supplemental
14
nutrition
assistance
program
that
indicates
a
change
in
15
circumstances
that
may
affect
eligibility:
16
a.
Tax
information.
On
at
least
a
quarterly
basis,
17
information
from
the
department
of
revenue
including
but
not
18
limited
to
potential
changes
in
income,
wages,
or
residency
as
19
identified
by
tax
records.
20
b.
Unemployment
information.
On
at
least
a
semi-monthly
21
basis,
information
from
the
department
of
workforce
development
22
including
but
not
limited
to
potential
changes
in
employment,
23
income,
or
assets.
24
3.
Federal
records
——
households.
The
department
shall
25
cross-check
information
relating
to
individuals
in
households
26
enrolled
in
the
supplemental
nutrition
assistance
program
with
27
federal
databases
including
but
not
limited
to
all
of
the
28
following,
on
at
least
a
monthly
basis:
29
a.
Earned
income
information,
death
register
information,
30
incarceration
records,
supplemental
security
income
31
information,
beneficiary
records,
earnings
information,
and
32
pension
information
maintained
by
the
United
States
social
33
security
administration.
34
b.
Income
and
employment
information
maintained
in
the
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national
directory
of
new
hires
database
and
child
support
1
enforcement
data
maintained
by
the
United
States
department
of
2
health
and
human
services.
3
c.
Payment
and
earnings
information
maintained
by
the
United
4
States
department
of
housing
and
urban
development.
5
d.
National
fleeing
felon
information
maintained
by
the
6
United
States
federal
bureau
of
investigation.
7
4.
Rules.
The
department
may
adopt
rules
pursuant
to
8
chapter
17A
to
administer
this
section.
9
Sec.
9.
NEW
SECTION
.
234.12C
Cooperation
with
child
support
10
enforcement.
11
An
applicant
for
supplemental
nutrition
assistance
program
12
benefits
shall
be
required
to
cooperate
with
the
child
support
13
recovery
unit
as
a
condition
of
eligibility
as
specified
in
7
14
C.F.R.
§273.11(o).
15
Sec.
10.
NEW
SECTION
.
234.12D
Required
employment
16
and
training
for
supplemental
nutrition
assistance
program
17
eligibility.
18
The
department
shall
not
exercise
the
state
option
to
19
provide
any
exemptions
from
the
employment
and
training
20
requirements
as
specified
in
7
U.S.C.
§2015(o)(6)(E).
21
Sec.
11.
NEW
SECTION
.
249A.58
Ensuring
integrity
in
the
22
medical
assistance
program
——
recipient
and
applicant
information
23
reviewed
——
rules.
24
1.
State
records
——
recipients.
The
department
shall
25
receive
and
review
all
of
the
following
information
concerning
26
recipients
that
indicates
a
change
in
circumstances
that
may
27
affect
eligibility:
28
a.
Death
records.
On
at
least
a
monthly
basis,
information
29
from
the
department
including
but
not
limited
to
death
records.
30
b.
Employment
information.
On
at
least
a
quarterly
basis,
31
information
from
the
department
of
workforce
development
32
including
but
not
limited
to
changes
in
employment
or
wages.
33
c.
Residency
information.
On
at
least
a
monthly
basis,
34
information
including
but
not
limited
to
potential
changes
in
35
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residency
as
identified
by
out-of-state
electronic
benefit
1
transfer
transactions.
2
d.
Tax
records.
On
at
least
a
quarterly
basis,
information
3
from
the
department
of
revenue
including
but
not
limited
to
4
potential
changes
in
income,
wages,
or
residency
as
identified
5
by
tax
records.
6
e.
Unemployment
information.
On
at
least
a
semi-monthly
7
basis,
information
from
the
department
of
workforce
development
8
including
but
not
limited
to
potential
changes
in
employment,
9
income,
or
assets.
10
2.
Federal
records
——
recipients.
The
department
shall
11
cross-check
information
relating
to
recipients
with
federal
12
databases
including
but
not
limited
to
all
of
the
following,
on
13
at
least
a
monthly
basis:
14
a.
Earned
income
information,
death
register
information,
15
incarceration
records,
supplemental
security
income
16
information,
beneficiary
records,
earnings
information,
and
17
pension
information
maintained
by
the
United
States
social
18
security
administration.
19
b.
Income
and
employment
information
maintained
by
the
20
national
directory
of
new
hires
database
and
child
support
21
enforcement
data
maintained
by
the
United
States
department
of
22
health
and
human
services.
23
c.
Payment
and
earnings
information
maintained
by
the
United
24
States
department
of
housing
and
urban
development.
25
d.
National
fleeing
felon
information
maintained
by
the
26
United
States
federal
bureau
of
investigation.
27
3.
Real-time
record
review
——
applicants.
Prior
to
28
determining
the
eligibility
of
an
applicant
for
Medicaid,
the
29
department
shall
access
information
for
every
member
of
the
30
applicant’s
household
from
the
data
sources
specified
in
this
31
section
and
shall
conduct
a
review
of
nationwide
public
records
32
data
sources
of
physical
asset
ownership.
The
nationwide
33
public
records
data
sources
may
include
but
are
not
limited
to
34
records
of
real
property
and
automobiles,
watercraft,
aircraft,
35
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3
luxury
vehicles,
and
any
other
vehicles
owned
by
the
applicant.
1
4.
Residency
information
——
applicants.
Prior
to
determining
2
the
eligibility
of
an
applicant
for
Medicaid,
the
department
3
shall
require
proof
of
residency
from
the
applicant.
4
5.
Rules.
The
department
may
adopt
rules
pursuant
to
5
chapter
17A
to
administer
this
section.
6
Sec.
12.
MEDICAID
PROGRAM
WAIVER
FROM
USE
OF
AUTOMATIC
7
RENEWAL
AND
PREPOPULATED
FORMS.
The
department
of
health
8
and
human
services
shall
request
a
Medicaid
section
1115
9
demonstration
waiver
from
the
centers
for
Medicare
and
Medicaid
10
services
of
the
United
States
department
of
health
and
human
11
services
to
enable
the
department
to
suspend
the
requirements
12
to
use
prepopulated
eligibility
renewal
forms
and
to
renew
13
eligibility
automatically
based
on
available
information.
14
DIVISION
III
15
IOWA
HEALTH
AND
WELLNESS
PLAN
——
REENROLLMENT
16
Sec.
13.
IOWA
HEALTH
AND
WELLNESS
PLAN
——
MEMBER
17
REENROLLMENT
FOLLOWING
TERMINATION
FOR
NONPAYMENT
OF
MONTHLY
18
CONTRIBUTIONS.
The
department
of
health
and
human
services
19
shall
seek
approval
of
an
amendment
to
the
section
1115
20
demonstration
waiver
for
the
Iowa
health
and
wellness
plan
from
21
the
centers
for
Medicare
and
Medicaid
services
of
the
United
22
States
department
of
health
and
human
services
to
provide
the
23
following:
24
1.
An
Iowa
health
and
wellness
plan
member
who
is
not
25
otherwise
exempt
from
payment
of
a
monthly
contribution,
who
26
is
subject
to
payment
of
a
monthly
contribution
as
the
result
27
of
failure
to
complete
required
healthy
behaviors,
and
whose
28
eligibility
for
the
program
is
terminated
due
to
nonpayment
29
of
monthly
contributions,
shall
be
allowed
to
subsequently
30
reenroll
in
the
program
without
first
paying
any
outstanding
31
monthly
contributions,
if
the
member
has
not
been
terminated
32
from
the
program
previously
for
nonpayment
of
monthly
33
contributions.
34
2.
Following
an
initial
termination
from
the
Iowa
health
35
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3
and
wellness
plan
pursuant
to
subsection
1,
if
an
Iowa
health
1
and
wellness
plan
member
is
subsequently
terminated
from
the
2
program
pursuant
to
subsection
1
for
nonpayment
of
monthly
3
contributions,
the
member
shall
be
subject
to
payment
of
any
4
outstanding
monthly
contributions
accrued
since
the
subsequent
5
termination
not
to
exceed
the
aggregate
annual
copayment
and
6
monthly
contribution
limits
prior
to
reenrollment
in
the
7
program.
8
3.
This
section
shall
not
apply
to
an
Iowa
health
and
9
wellness
plan
member
who
is
deemed
to
be
in
substantial
10
compliance
with
the
healthy
behaviors
requirement
to
complete
a
11
wellness
examination
by
providing
proof
of
a
scheduled
wellness
12
examination
appointment,
if
the
appointment
is
scheduled
13
no
later
than
ninety
days
beyond
the
end
of
the
applicable
14
enrollment
period.
15
DIVISION
IV
16
MEDICAID
DEMONSTRATION
WAIVER
REQUEST
——
IOWA
HEALTH
AND
17
WELLNESS
PLAN
18
Sec.
14.
MEDICAID
DEMONSTRATION
WAIVER
REQUEST
——
COMMUNITY
19
ENGAGEMENT
REQUIREMENTS
FOR
IOWA
HEALTH
AND
WELLNESS
PLAN
20
MEMBERS.
21
1.
The
department
of
health
and
human
services
shall
submit
22
a
request
by
July
1,
2023,
and
annually
by
July
1
thereafter
23
until
federal
approval
is
received
from
the
centers
for
24
Medicare
and
Medicaid
services
of
the
United
States
department
25
of
health
and
human
services,
for
a
section
1115
demonstration
26
waiver
to
require
that
as
a
condition
of
eligibility,
Iowa
27
health
and
wellness
plan
members
participate
in
community
28
engagement
activities.
29
2.
The
waiver
request
submitted
by
the
department
shall
30
require
that,
unless
an
individual
is
exempt
pursuant
to
31
subsection
3,
as
a
condition
of
eligibility
for
the
Iowa
health
32
and
wellness
plan,
a
recipient
shall
do
one
of
the
following:
33
a.
Work
twenty
hours
or
more
per
week,
averaged
on
a
monthly
34
basis.
35
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3
b.
Participate
in
and
comply
with
the
requirements
of
a
work
1
program
for
twenty
hours
or
more
per
week,
as
determined
by
the
2
department.
3
c.
Volunteer
twenty
hours
or
more
per
week,
as
determined
4
by
the
department.
5
d.
Meet
a
combination
of
work
and
work
program
participation
6
requirements
for
a
total
of
twenty
hours
or
more
per
week,
as
7
determined
by
the
department.
8
e.
Participate
in
and
comply
with
the
PROMISE
JOBS
program
9
pursuant
to
chapter
239B.
10
3.
The
following
individuals
shall
be
exempt
from
the
11
requirements
specified
in
subsection
2:
12
a.
An
individual
medically
certified
as
physically
or
13
mentally
unfit
for
employment.
14
b.
A
woman
who
is
pregnant.
15
c.
A
parent
or
caretaker
responsible
for
the
care
of
a
16
dependent
child
under
one
year
of
age.
17
d.
A
parent
or
caretaker
personally
providing
the
care
for
a
18
dependent
child
with
a
serious
medical
condition
or
disability,
19
as
determined
by
the
department.
20
e.
An
individual
receiving
unemployment
compensation
and
21
complying
with
work
requirements
of
the
federal
or
state
22
unemployment
compensation
system.
23
f.
An
individual
participating
in
a
substance
use
disorder
24
treatment
and
rehabilitation
program.
25
4.
The
department
shall
implement
the
Medicaid
waiver
upon
26
receipt
of
federal
approval
and
shall
adopt
rules
pursuant
to
27
chapter
17A
to
administer
the
waiver
provisions.
28
DIVISION
V
29
SUPPLEMENTAL
NUTRITION
ASSISTANCE
PROGRAM
——
ELIGIBLE
FOODS
30
Sec.
15.
SUPPLEMENTAL
NUTRITION
ASSISTANCE
PROGRAM
——
31
ELIGIBLE
FOODS.
32
1.
The
department
of
health
and
human
services
shall
33
request
a
waiver
from
the
food
and
nutrition
service
of
the
34
United
States
department
of
agriculture
to
provide
that,
for
35
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18
H.F.
3
the
purposes
of
state
administration
of
the
supplemental
1
nutrition
assistance
program,
eligible
foods
as
defined
in
7
2
C.F.R.
§271.2
include
only
those
items
defined
as
supplemental
3
foods
in
7
C.F.R.
§246.2
as
specified
in
the
most
current
Iowa
4
special
supplemental
nutrition
program
for
women,
infants,
and
5
children
approved
foods
list.
6
2.
The
department
of
health
and
human
services
shall
7
implement
the
waiver
upon
receipt
of
approval
of
the
waiver.
8
Sec.
16.
DEPARTMENT
OF
AGRICULTURE
AND
LAND
STEWARDSHIP
9
——
DOUBLE
UP
FOOD
BUCKS
PROGRAM
——
SUPPLEMENTAL
10
APPROPRIATION.
There
is
appropriated
from
the
general
fund
of
11
the
state
to
the
department
of
agriculture
and
land
stewardship
12
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
June
13
30,
2024,
in
addition
to
any
other
funding
appropriated
for
14
such
purpose
for
the
same
fiscal
year,
the
following
amount,
15
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
16
designated:
17
To
provide
grants
to
support
the
double
up
food
bucks
18
program
administered
by
the
Iowa
healthiest
state
initiative
19
to
make
fresh
fruits
and
vegetables
sold
at
farmers
markets,
20
grocery
stores,
and
other
participating
locations
accessible
21
to
individuals
and
families
who
reside
in
this
state
and
22
receive
assistance
through
the
federal
supplemental
nutrition
23
assistance
program:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
25
A
grant
recipient
that
receives
funding
pursuant
to
this
26
section
shall
provide
at
least
a
dollar-for-dollar
match
of
the
27
grant
assistance.
28
Notwithstanding
section
8.33,
moneys
appropriated
under
this
29
section
shall
not
revert
at
the
close
of
the
fiscal
year,
but
30
shall
remain
available
for
the
purposes
designated.
31
Sec.
17.
CONTINGENT
EFFECTIVE
DATE.
The
following
takes
32
effect
on
the
date
the
department
of
health
and
human
services
33
receives
federal
approval
of
the
waiver
request
relating
to
34
supplemental
nutrition
assistance
program
eligible
foods
as
35
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18
H.F.
3
specified
under
this
division
of
this
Act,
if
the
waiver
is
1
approved:
2
The
section
of
this
division
of
this
Act
making
a
3
supplemental
appropriation
to
the
department
of
agriculture
4
and
land
stewardship
to
provide
grants
to
support
the
double
5
up
food
bucks
program.
6
DIVISION
VI
7
IMPLEMENTATION
PROVISIONS
8
Sec.
18.
IMPLEMENTATION
PROVISIONS.
9
1.
The
department
of
health
and
human
services
shall
request
10
federal
approval
including
for
any
state
plan
amendment
or
11
waiver
necessary
to
administer
this
Act.
12
2.
If
the
department
of
health
and
human
services
determines
13
that
any
provision
of
this
Act
would
result
in
the
denial
14
of
funds
or
services
from
the
federal
government
that
would
15
otherwise
be
available
or
would
be
inconsistent
with
the
16
requirements
of
federal
law
or
regulation,
such
provision
shall
17
be
suspended,
but
only
to
the
extent
necessary
to
eliminate
the
18
inconsistency
with
federal
requirements.
19
3.
Unless
otherwise
provided
in
a
division
of
this
Act,
the
20
department
of
health
and
human
services
shall
implement
the
21
provisions
of
this
Act
in
an
incremental
fashion,
beginning
22
July
1,
2023,
with
a
goal
of
full
implementation
no
later
23
than
June
30,
2025,
to
minimize
duplication
of
efforts
and
to
24
maximize
coordination
with
the
implementation
time
frames
of
25
other
departmental
resource
enhancements.
26
4.
The
provisions
of
this
Act
requiring
federal
approval
27
shall
be
implemented
upon
receipt
of
federal
approval.
28
5.
The
provisions
of
this
Act
not
requiring
federal
approval
29
shall
be
implemented
as
specified
in
this
Act,
or
if
not
30
specified
in
this
Act,
no
later
than
June
30,
2025.
31
EXPLANATION
32
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
33
the
explanation’s
substance
by
the
members
of
the
general
assembly.
34
This
bill
relates
to
various
public
assistance
programs.
35
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3
DIVISION
I.
This
division
requires
that
prior
to
the
1
department
of
health
and
human
services
(HHS)
awarding
public
2
assistance
benefits
to
an
applicant,
the
applicant
shall
3
complete
a
computerized
identity
authentication
process
to
4
confirm
the
identity
of
the
applicant
through
the
use
of
a
5
knowledge-based
questionnaire
consisting
of
financial
and
6
personal
questions
tailored
to
assist
persons
without
a
bank
7
account
or
those
who
have
poor
access
to
financial
and
banking
8
services
or
who
do
not
have
an
established
credit
history.
9
The
identity
authentication
process
and
questionnaire
may
be
10
submitted
online,
in
person,
or
via
telephone
by
the
applicant
11
or
a
person
authorized
by
the
applicant.
The
bill
also
12
requires
HHS
to
conduct
an
asset
test
on
all
members
of
the
13
household
of
an
applicant
for
supplemental
nutrition
assistance
14
program
(SNAP)
benefits.
The
bill
specifies
the
minimum
15
information,
federal,
state,
and
other
data
sources,
and
public
16
records
that
HHS
must
access
prior
to
determining
eligibility
17
for
an
applicant’s
SNAP
benefits.
The
bill
requires
HHS
to
18
enter
into
a
memorandum
of
understanding
with
any
department
or
19
subunit
of
a
department
to
obtain
the
information
specified.
20
The
bill’s
provisions
do
not
apply
if
every
member
of
the
21
applicant’s
household
receives
supplemental
security
income.
22
The
bill
authorizes
HHS
to
adopt
administrative
rules
to
23
administer
the
bill
and
requires
HHS
to
submit
an
annual
report
24
to
the
governor
and
the
general
assembly
to
assess
the
impact
25
of
the
bill.
26
DIVISION
II.
This
division
relates
to
SNAP
and
Medicaid
27
program
integrity
by
requiring
HHS
to,
within
specified
time
28
frames,
receive
and
review
state
and
federal
information
29
from
various
entities
concerning
individuals
or
individuals
30
in
households
enrolled
in
the
SNAP
or
the
Medicaid
program
31
that
indicates
a
change
in
circumstances
that
may
affect
32
eligibility.
The
information
relates
to
death,
employment,
33
residency,
incarceration,
tax,
and
unemployment
information
34
and
involves
the
provision
of
such
information
to
HHS
by
the
35
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H.F.
3
departments
of
workforce
development,
corrections,
and
revenue,
1
and
information
identified
by
out-of-state
electronic
benefit
2
transfer
transactions.
Additionally,
the
bill
requires
HHS
to,
3
on
at
least
a
monthly
basis,
cross-check
information
relating
4
to
individuals
in
households
enrolled
in
SNAP
or
the
Medicaid
5
program,
as
applicable,
with
specified
federal
databases
6
maintained
by
the
United
States
social
security
administration,
7
the
United
States
department
of
health
and
human
services,
the
8
United
States
department
of
housing
and
urban
development,
and
9
the
United
States
federal
bureau
of
investigation.
With
regard
10
to
the
Medicaid
program
only,
the
bill
also
requires
that
prior
11
to
determining
eligibility
for
the
Medicaid
program,
HHS
shall
12
access
information
for
every
member
of
an
applicant’s
household
13
from
the
data
sources
outlined
in
the
bill
and
conduct
a
review
14
of
nationwide
public
records
data
sources
of
physical
asset
15
ownership.
The
data
sources
may
include
but
are
not
limited
to
16
records
of
real
property
and
automobiles,
watercraft,
aircraft,
17
luxury
vehicles,
and
any
other
vehicles
owned
by
the
applicant.
18
An
applicant
for
Medicaid
must
also
provide
proof
of
residency.
19
The
bill
also
requires
an
applicant
for
SNAP
benefits
to
20
cooperate
with
the
child
support
recovery
unit
as
a
condition
21
of
eligibility
as
specified
under
federal
law.
22
The
bill
also
directs
HHS
to
request
federal
approval
23
for
a
Medicaid
section
1115
demonstration
waiver
to
suspend
24
requirements
to
use
prepopulated
eligibility
renewal
forms
25
and
to
renew
eligibility
automatically
based
on
available
26
information.
27
DIVISION
III.
This
division
requires
HHS
to
seek
federal
28
approval
of
an
amendment
to
the
section
1115
demonstration
29
waiver
for
the
Iowa
health
and
wellness
plan
to
provide
both
30
of
the
following:
(1)
that
an
Iowa
health
and
wellness
31
plan
member
who
is
not
otherwise
exempt
from
payment
of
a
32
monthly
contribution,
who
is
subject
to
payment
of
a
monthly
33
contribution
as
the
result
of
failure
to
complete
required
34
healthy
behaviors,
and
whose
eligibility
for
the
program
is
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terminated
due
to
nonpayment
of
monthly
contributions
shall
be
1
allowed
to
subsequently
reenroll
in
the
program
without
first
2
paying
any
outstanding
monthly
contributions,
if
the
member
has
3
not
been
terminated
from
the
program
previously
for
nonpayment
4
of
monthly
contributions,
and
(2)
following
an
initial
5
termination
from
the
Iowa
health
and
wellness
plan,
if
an
Iowa
6
health
and
wellness
plan
member
is
subsequently
terminated
7
from
the
program
for
nonpayment
of
monthly
contributions,
the
8
member
shall
be
subject
to
payment
of
any
outstanding
monthly
9
contributions
accrued
since
the
subsequent
termination
and
not
10
to
exceed
program
limits
prior
to
reenrollment
in
the
program.
11
The
bill
does
not
apply
to
an
Iowa
health
and
wellness
plan
12
member
who
is
deemed
to
be
in
substantial
compliance
with
the
13
requirement
to
complete
a
wellness
examination
by
providing
14
proof
of
a
scheduled
examination
appointment
if
the
appointment
15
is
scheduled
no
later
than
90
days
beyond
the
end
of
the
16
applicable
enrollment
period.
17
DIVISION
IV.
This
division
requires
HHS
to
submit
a
request
18
for
federal
approval
by
July
1,
2023,
and
annually
by
July
1,
19
thereafter
until
federal
approval
is
received,
for
a
waiver
20
to
require
that
as
a
condition
of
eligibility,
Iowa
health
21
and
wellness
plan
members
participate
in
community
engagement
22
activities.
The
bill
specifies
the
types
of
community
23
engagement
activities
to
be
required
under
the
waiver
submitted
24
and
provides
exceptions
to
required
participation
in
community
25
engagement
activities.
The
bill
directs
HHS
to
implement
26
the
waiver
upon
receipt
of
federal
approval
and
to
adopt
27
administrative
rules
to
administer
the
waiver
provisions.
28
DIVISION
V.
This
division
requires
HHS
to
request
a
waiver
29
from
the
United
States
department
of
agriculture,
food
and
30
nutrition
service,
to
provide
that
the
eligible
foods
under
31
the
state
administration
of
SNAP
only
include
those
items
32
defined
as
supplemental
foods
in
the
most
current
Iowa
special
33
supplemental
nutrition
program
for
women,
infants,
and
children
34
(WIC)
approved
food
list.
The
department
is
directed
to
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implement
the
waiver
upon
receipt
of
approval
of
the
waiver.
1
The
division
also
relates
to
the
double
up
food
bucks
2
program
by
making
a
supplemental
appropriation
from
the
general
3
fund
of
the
state
to
the
department
of
agriculture
and
land
4
stewardship
for
fiscal
year
2023-2024,
in
addition
to
any
other
5
funding
appropriated
for
such
purpose
for
the
same
fiscal
6
year,
to
provide
grants
to
support
the
double
up
food
bucks
7
program
administered
by
the
Iowa
healthiest
state
initiative
8
to
make
fresh
fruits
and
vegetables
sold
at
farmers
markets,
9
grocery
stores,
and
other
participating
locations
accessible
to
10
individuals
and
families
who
reside
in
this
state
and
receive
11
assistance
through
SNAP.
The
division
requires
a
double
12
up
food
bucks
program
grant
recipient
to
provide
at
least
13
a
dollar-for-dollar
match
of
the
grant
assistance.
Moneys
14
appropriated
under
the
division
do
not
revert
at
the
close
of
15
the
fiscal
year
but
remain
available
for
the
purposes
of
the
16
double
up
food
bucks
program.
17
The
supplemental
appropriation
for
the
double
up
food
bucks
18
program
takes
effect
on
the
date
HHS
receives
federal
approval
19
of
the
SNAP
waiver,
if
the
waiver
is
approved.
20
DIVISION
VI.
This
division
provides
implementation
21
provisions
for
the
bill.
The
bill
requires
HHS
to
request
22
federal
approval
including
for
any
state
plan
amendment
or
23
waiver
necessary
to
administer
the
bill.
If
HHS
determines
24
that
any
provision
of
the
bill
would
result
in
the
denial
25
of
funds
or
services
from
the
federal
government
that
would
26
otherwise
be
available
or
would
be
inconsistent
with
the
27
requirements
of
federal
law
or
regulation,
such
provision
shall
28
be
suspended,
but
only
to
the
extent
necessary
to
eliminate
29
the
inconsistency
with
federal
requirements.
Unless
otherwise
30
provided
in
a
division
of
the
bill,
HHS
shall
implement
the
31
provisions
of
the
bill
in
an
incremental
fashion,
beginning
32
July
1,
2023,
with
a
goal
of
full
implementation
no
later
33
than
June
30,
2025,
to
minimize
duplication
of
efforts
and
to
34
maximize
coordination
with
the
implementation
time
frames
of
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other
departmental
resource
enhancements.
The
provisions
of
1
the
bill
requiring
federal
approval
shall
be
implemented
upon
2
receipt
of
federal
approval.
The
provisions
of
the
bill
not
3
requiring
federal
approval
shall
be
implemented
as
specified
in
4
the
bill,
and
if
it
not
specified
in
the
bill,
then
not
later
5
than
June
30,
2025.
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