SF 538 — A bill for an act relating to community engagement activity requirements under the Iowa health and wellness plan. (Formerly SSB 1134.)

Senate File 538 - IntroducedReprinted 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 under the Iowa health and wellness plan.

TLSBSF 1842SV538 (1)(2) 88 pf/rh S.F.

The department of human services shall submit a request by OctoberMarch 1, 2019,2020, to receive federal approval from the centers for Medicare and Medicaid services of the United States department of health and human services (CMS) for a section 1115 demonstration waiver to require that as a condition of eligibility, Iowa health and wellness plan members participate in community engagement activities.

Work twenty hours or more per week, averaged onover a monthlysix-month basis.period.

Participate in and comply with the requirements of a work program for twenty hours or more per week, averaged on a monthly basis, as determined by the department.

Volunteer twenty hours or more per week, averaged on a monthly basis, as determined by the department.

f.

Be enrolled in the future ready Iowa program.

g.

Participate in other activities identified by the department and approved by CMS.

An individual medically certified as physically or mentally unfitunable forto employment.fulfill the requirements of subsection 2.

A parent or caretaker responsible for the care of a dependentSF child538 under(2) one88 year-1- ofpf/rh age.1/2 S.F.

538 dependent child under six years of age.

A parent or caretaker personally providing the care for a dependent child with a serious medical condition or disability, LSBas 1842SVdetermined (1)by 88the -1-department. pf/rh 1/2 S.F.

538 as determined by the department.

g.

An individual enrolled full-time in an educational institution.

h.

The parent of a child who provides private instruction pursuant to chapter 299A to that child.

i.

An individual who is a caregiver for an elderly person or an adult with a chronic, disabling, or serious health condition as determined by the department.

j.

An individual who meets other criteria identified by the department, and approved by CMS.

The waiver request submitted by the department shall implementalso provide that if an individual does not comply with the Medicaidcommunity waiverengagement uponactivities receiptduring the individual’s initial six-month period of federaleligibility, approvalthe andindividual’s shalleligibility adoptfor rulesthe pursuantprogram toshall chapterbe 17Aterminated tofor administerthe remainder of the waiverindividual’s provisions.benefit year.

EXPLANATION The inclusiondepartment ofshall thisonly explanationterminate doesan notindividual’s constituteeligibility agreementthirty withdays after the explanation’sindividual substancereceives bynotice the members of the generaltermination assembly.of benefits.

This5. bill requires the department of human services (DHS) to submit a request by October 1, 2019, to receive federal approval from the centers for Medicare and Medicaid services of the United States department of health and human services (CMS) for a waiver to require that as a condition of eligibility, Iowa health and wellness plan members participate in community engagement activities.

Thea. bill specifies the types of community engagement activities to be required under the waiver submitted and provides exceptions to required participation in community engagement activities.

The billdepartment directsshall DHS to implement the Medicaid waiver uponas receiptapproved ofby federalCMS approvalprospectively andfrom tothe adoptdate administrativeof rulesreceipt toof administerfederal theapproval. waiver provisions.

LSBb. 1842SV (1) 88 -2- pf/rh 2/2

The department shall adopt rules pursuant to chapter 17A to administer the waiver provisions.

SF 538 (2) 88 -2- pf/rh 2/2