Iowa House Bill HF905

Iowa 2025-2026 Regular Session

• Introduced: 3/10/25
• Refer: 3/14/25

Caption

A bill for an act relating to the establishment of the work without worry program under the medical assistance program for employed individuals with disabilities, and including effective date provisions.(Formerly HSB 241.)

Impact

The Work Without Worry program's implementation will significantly modify the criteria for accessing Medicaid for employed individuals with disabilities. By eliminating resource tests and income limits, this program is expected to encourage greater workforce participation among disabled individuals. Additionally, the bill mandates the Department of Health and Human Services (HHS) to coordinate benefits with employers' health care plans, ensuring a more integrated approach to health care for employees who have disabilities.

Summary

House File 905, also known as the Work Without Worry program, aims to improve access to healthcare for employed individuals with disabilities in Iowa. This legislation establishes a new medical assistance program that removes previous income and resource limits that restricted disabled individuals from maintaining eligibility if they earned higher incomes. The program is designed to provide comprehensive healthcare coverage while allowing individuals to remain employed, addressing barriers that often prevent them from entering or remaining in the workforce.

Contention

Despite its positive intentions, the bill may face criticism regarding its sustainability and the potential burden it may place on state resources. Opponents may argue that removing income and resource limitations could lead to increased financial strain on the state’s Medicaid program, particularly in terms of managing the balance between providing necessary services and controlling costs. The ability of HHS to manage the demand for services without compromising the quality or availability for those in need might also come under scrutiny as the program is rolled out.