Bill Text: IA SF368 | 2023-2024 | 90th General Assembly | Introduced
Bill Title: A bill for an act relating to the work without worry program for employed individuals with disabilities under the Medicaid program.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2023-02-23 - Subcommittee: Edler, Costello, and Trone Garriott. S.J. 409. [SF368 Detail]
Download: Iowa-2023-SF368-Introduced.html
Senate
File
368
-
Introduced
SENATE
FILE
368
BY
ZAUN
A
BILL
FOR
An
Act
relating
to
the
work
without
worry
program
for
employed
1
individuals
with
disabilities
under
the
Medicaid
program.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
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Section
1.
WORK
WITHOUT
WORRY
PROGRAM
——
MEDICAID
FOR
1
EMPLOYED
INDIVIDUALS
WITH
DISABILITIES.
2
1.
The
department
of
health
and
human
services
shall
submit
3
any
waiver
request
or
state
plan
amendment,
or
combination
4
thereof,
to
the
centers
for
Medicare
and
Medicaid
services
of
5
the
United
States
department
of
health
and
human
services
as
6
necessary
to
create
a
work
without
worry
program
for
employed
7
individuals
with
disabilities
in
accordance
with
this
section.
8
2.
The
program
shall
provide
Medicaid
coverage
based
on
the
9
following
criteria:
10
a.
The
individual
has
a
qualifying
disability
as
determined
11
by
the
social
security
administration
or
the
individual
is
12
determined
by
the
department
of
health
and
human
services
13
to
have
a
physical
or
mental
impairment
or
combination
of
14
impairments
that
have
lasted
or
are
expected
to
last
for
15
at
least
twelve
months
or
result
in
death.
An
individual
16
shall
not
be
required
to
receive
federal
disability
benefits
17
to
participate
in
the
program.
An
individual
who
receives
18
supplemental
security
income
shall
be
automatically
eligible
19
for
coverage
under
the
program
and
shall
not
be
required
to
20
submit
a
separate
application
for
the
program.
21
b.
The
individual
is
sixteen
years
of
age
or
older.
22
c.
The
individual
is
employed
and
has
earned
income
23
from
employment
including
self-employment.
The
employment
24
requirement
shall
not
be
limited
by
the
number
of
hours
or
25
amount
of
income,
but
the
individual
shall
verify
employment
26
through
evidence
of
pay
stubs
or
a
self-employment
ledger.
27
The
program
shall
allow
for
continuation
of
coverage
for
a
28
participating
individual
for
six
months
following
loss
of
29
employment
if
there
is
an
intent
on
the
part
of
the
individual
30
to
return
to
employment.
31
d.
The
individual
is
not
subject
to
any
resource
or
asset
32
test
or
limit
under
the
program,
with
the
exception
of
the
33
following:
34
(1)
Any
vehicle
owned
by
the
individual
that
is
not
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adapted
for
the
individual,
used
primarily
by
or
for
the
1
individual,
and
used
for
transporting
the
individual
to
medical
2
appointments.
3
(2)
The
primary
residence
owned
and
occupied
by
the
4
individual
if
the
assessed
value
of
the
residence
exceeds
four
5
hundred
thousand
dollars.
6
e.
The
individual’s
income
is
below
four
hundred
fifty
7
percent
of
the
federal
poverty
level.
Income
is
based
only
on
8
the
individual’s
net
earned
and
unearned
income
as
a
household
9
of
one
as
that
income
is
adjusted
by
the
following
deductions
10
or
disregards:
11
(1)
A
twenty
dollar
general
disregard
from
unearned
income
12
that
is
not
from
employment.
13
(2)
A
disregard
of
sixty-five
dollars
plus
one-half
of
the
14
individual’s
earned
income
from
employment.
15
(3)
A
deduction
of
impairment-related
work
expenses.
16
(4)
A
deduction
of
work
expenses
for
the
blind.
17
f.
An
individual
shall
have
access
to
all
traditional
18
Medicaid
services
under
the
Medicaid
state
plan
as
well
as
19
additional
long-term
services
and
supports
and
community-based
20
services,
including
waiver
services,
for
which
the
individual
21
meets
any
applicable
level
of
care
requirements.
22
g.
An
individual
may
be
eligible
for
or
receive
other
health
23
care
coverage
including
through
an
employer,
through
Medicare,
24
or
through
the
medically
needy
program,
the
qualified
Medicare
25
beneficiary
program,
or
the
specified
low-income
Medicare
26
beneficiary
program.
If
the
individual
has
such
other
coverage
27
and
is
subject
to
payment
of
copayments
or
premiums
for
that
28
coverage,
notwithstanding
the
premium
requirements
under
the
29
program
to
the
contrary,
the
individual
shall
not
be
subject
to
30
payment
of
premiums
otherwise
applicable
under
the
program.
31
h.
An
individual
with
income
at
or
above
one
hundred
fifty
32
percent
of
the
federal
poverty
level
shall
be
subject
to
33
payment
of
a
premium
not
to
exceed
the
limits
established
under
34
federal
guidelines.
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i.
The
program
shall
also
provide
that
any
individual
1
participating
in
the
Medicaid
for
employed
persons
with
2
disabilities
program
when
the
work
without
worry
program
is
3
implemented
shall
be
transferred
to
and
enrolled
in
the
work
4
without
worry
program.
5
3.
The
department
of
health
and
human
services
shall
6
implement
a
work
without
worry
public
awareness
campaign
to
7
ensure
that
consumer
information
and
educational
resources
are
8
accessible
to
individuals
with
disabilities
and
the
public.
9
The
department
shall
also
provide
technical
assistance
to
10
individuals
with
disabilities
in
determining
if
the
work
11
without
worry
program
is
the
best
option
for
coverage
under
12
that
individual’s
particular
circumstances
and
in
applying
for
13
and
maintaining
participation
in
the
program.
14
EXPLANATION
15
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
16
the
explanation’s
substance
by
the
members
of
the
general
assembly.
17
This
bill
creates
the
work
without
worry
program
for
18
employed
individuals
with
disabilities
16
years
of
age
and
19
older
under
the
Medicaid
program.
20
The
bill
directs
the
department
of
health
and
human
services
21
(HHS)
to
submit
any
waiver
request
or
state
plan
amendment,
or
22
combination
thereof,
to
the
centers
for
Medicare
and
Medicaid
23
services
of
the
United
States
department
of
health
and
human
24
services
as
necessary
to
create
a
work
without
worry
program
25
for
employed
individuals
with
disabilities
in
accordance
with
26
the
bill.
27
Criteria
for
coverage
under
the
program
include
that
28
the
individual
has
a
qualifying
disability
and
although
an
29
individual
is
not
required
to
receive
federal
disability
30
benefits
to
participate
in
the
program,
an
individual
who
31
receives
supplemental
security
income
shall
be
automatically
32
eligible
for
coverage
under
the
program;
the
individual
is
33
16
years
of
age
or
older;
the
individual
is
employed
and
34
has
earned
income
from
employment
including
self-employment;
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the
individual
is
not
subject
to
any
resource
or
asset
test
1
or
limit
under
the
program
with
the
exception
of
nonadapted
2
vehicles
and
a
primary
residence
for
which
the
assessed
3
value
exceeds
$400,000;
the
individual’s
income
is
below
450
4
percent
of
the
federal
poverty
level
as
adjusted
by
specified
5
deductions
or
disregards;
the
individual
has
access
to
all
6
traditional
Medicaid
services
as
well
as
additional
long-term
7
services
and
supports
and
community-based
services;
the
8
individual
may
be
eligible
for
or
receive
other
coverage
9
including
through
an
employer,
through
Medicare,
through
the
10
medically
needy
program,
the
qualified
Medicare
beneficiary
11
program,
or
the
specified
low-income
Medicare
beneficiary
12
program,
and
is
not
subject
to
otherwise
applicable
premiums
13
if
the
individual
is
subject
to
copayments
or
premiums
for
14
the
other
coverage;
the
individual
with
income
at
or
above
15
150
percent
of
the
federal
poverty
level
shall
be
subject
to
16
payment
of
a
premium
not
to
exceed
the
limits
established
17
under
federal
guidelines;
and
the
program
shall
provide
that
18
any
individual
participating
in
the
Medicaid
for
employed
19
persons
with
disabilities
program
at
the
time
the
work
without
20
worry
program
is
implemented
shall
be
transferred
to
and
21
enrolled
in
the
work
without
worry
program.
The
bill
also
22
requires
HHS
to
implement
a
work
without
worry
public
awareness
23
campaign
to
ensure
that
consumer
information
and
educational
24
resources
are
accessible
to
individuals
with
disabilities
and
25
the
public,
and
to
provide
technical
assistance
to
individuals
26
with
disabilities
in
determining
if
the
work
without
worry
27
program
is
the
best
option
for
coverage
under
the
individual’s
28
particular
circumstances
and
in
applying
for
and
maintaining
29
participation
in
the
program.
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