Bill Text: IA SF538 | 2019-2020 | 88th General Assembly | Amended
Bill Title: A bill for an act relating to community engagement activity requirements under the Iowa health and wellness plan. (Formerly SSB 1134.)
Spectrum: Committee Bill
Status: (Engrossed - Dead) 2019-03-25 - Fiscal note. [SF538 Detail]
Download: Iowa-2019-SF538-Amended.html
Senate
File
538
-
Reprinted
SENATE
FILE
538
BY
COMMITTEE
ON
LABOR
AND
BUSINESS
RELATIONS
(SUCCESSOR
TO
SSB
1134)
(As
Amended
and
Passed
by
the
Senate
March
19,
2019
)
A
BILL
FOR
An
Act
relating
to
community
engagement
activity
requirements
1
under
the
Iowa
health
and
wellness
plan.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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538
(2)
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S.F.
538
Section
1.
MEDICAID
DEMONSTRATION
WAIVER
REQUEST
——
1
COMMUNITY
ENGAGEMENT
REQUIREMENTS
FOR
IOWA
HEALTH
AND
WELLNESS
2
PLAN
MEMBERS.
3
1.
The
department
of
human
services
shall
submit
a
request
4
by
March
1,
2020,
to
receive
federal
approval
from
the
centers
5
for
Medicare
and
Medicaid
services
of
the
United
States
6
department
of
health
and
human
services
(CMS)
for
a
section
7
1115
demonstration
waiver
to
require
that
as
a
condition
of
8
eligibility,
Iowa
health
and
wellness
plan
members
participate
9
in
community
engagement
activities.
10
2.
The
waiver
request
submitted
by
the
department
shall
11
require
that,
unless
an
individual
is
exempt
pursuant
to
12
subsection
3,
as
a
condition
of
eligibility
for
the
Iowa
health
13
and
wellness
plan,
a
recipient
shall
do
one
of
the
following:
14
a.
Work
twenty
hours
or
more
per
week,
averaged
over
a
15
six-month
period.
16
b.
Participate
in
and
comply
with
the
requirements
of
a
17
work
program
for
twenty
hours
or
more
per
week,
averaged
on
a
18
monthly
basis,
as
determined
by
the
department.
19
c.
Volunteer
twenty
hours
or
more
per
week,
averaged
on
a
20
monthly
basis,
as
determined
by
the
department.
21
d.
Meet
a
combination
of
work
and
work
program
participation
22
requirements
for
a
total
of
twenty
hours
or
more
per
week,
as
23
determined
by
the
department.
24
e.
Participate
in
and
comply
with
the
PROMISE
JOBS
program
25
pursuant
to
chapter
239B.
26
f.
Be
enrolled
in
the
future
ready
Iowa
program.
27
g.
Participate
in
other
activities
identified
by
the
28
department
and
approved
by
CMS.
29
3.
The
following
individuals
shall
be
exempt
from
the
30
requirements
specified
in
subsection
2:
31
a.
An
individual
medically
certified
as
physically
or
32
mentally
unable
to
fulfill
the
requirements
of
subsection
2.
33
b.
An
individual
who
is
pregnant.
34
c.
A
parent
or
caretaker
responsible
for
the
care
of
a
35
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538
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538
dependent
child
under
six
years
of
age.
1
d.
A
parent
or
caretaker
personally
providing
the
care
for
a
2
dependent
child
with
a
serious
medical
condition
or
disability,
3
as
determined
by
the
department.
4
e.
An
individual
receiving
unemployment
compensation
and
5
complying
with
work
requirements
of
the
federal
or
state
6
unemployment
compensation
system.
7
f.
An
individual
participating
in
a
drug
or
alcohol
8
treatment
and
rehabilitation
program.
9
g.
An
individual
enrolled
full-time
in
an
educational
10
institution.
11
h.
The
parent
of
a
child
who
provides
private
instruction
12
pursuant
to
chapter
299A
to
that
child.
13
i.
An
individual
who
is
a
caregiver
for
an
elderly
person
or
14
an
adult
with
a
chronic,
disabling,
or
serious
health
condition
15
as
determined
by
the
department.
16
j.
An
individual
who
meets
other
criteria
identified
by
the
17
department,
and
approved
by
CMS.
18
4.
The
waiver
request
submitted
by
the
department
shall
19
also
provide
that
if
an
individual
does
not
comply
with
the
20
community
engagement
activities
during
the
individual’s
initial
21
six-month
period
of
eligibility,
the
individual’s
eligibility
22
for
the
program
shall
be
terminated
for
the
remainder
of
the
23
individual’s
benefit
year.
The
department
shall
only
terminate
24
an
individual’s
eligibility
thirty
days
after
the
individual
25
receives
notice
of
the
termination
of
benefits.
26
5.
a.
The
department
shall
implement
the
Medicaid
waiver
27
as
approved
by
CMS
prospectively
from
the
date
of
receipt
of
28
federal
approval.
29
b.
The
department
shall
adopt
rules
pursuant
to
chapter
17A
30
to
administer
the
waiver
provisions.
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