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Bill > HF607

IA HF607

IA HF607
A bill for an act relating to eligibility of pregnant women and infants for the Medicaid program.

summary

Introduced
02/26/2025
In Committee
02/26/2025
Crossed Over
Passed
Dead

Introduced Session

91st General Assembly

Bill Summary

This bill amends provisions relating to income eligibility levels for pregnant women and infants under the Medicaid program. Current law provides that an infant or a pregnant woman whose family income is not more than 215 percent of the federal poverty level, if the infant or woman is otherwise eligible, is eligible for Medicaid. The bill amends the income eligibility level to 375 percent. The bill requires the department of health and human services (HHS) to submit a Medicaid state plan amendment to the centers for Medicare and Medicaid services of the United States department of health and human services (CMS) for approval in accordance with the provisions in federal law to provide 12 months of continuous postpartum eligibility under the Medicaid program to a pregnant woman whose family income while pregnant is at or below 375 percent of the federal poverty level for the household size, beginning January 1, 2026. The bill also requires HHS to submit a children’s health insurance program state plan amendment to CMS to update infant eligibility consistent with the provisions of the bill, beginning January 1, 2026.

AI Summary

This bill increases the income eligibility threshold for Medicaid coverage for pregnant women and infants in Iowa from 215 percent to 375 percent of the federal poverty level. Specifically, the legislation modifies existing law to expand Medicaid and Children's Health Insurance Program (CHIP) coverage, allowing infants and pregnant women with higher household incomes to qualify for medical assistance. Beginning January 1, 2026, the bill requires the Department of Health and Human Services (HHS) to submit state plan amendments to the Centers for Medicare and Medicaid Services (CMS) to implement these changes. The most significant provision is the introduction of 12 months of continuous postpartum Medicaid coverage for pregnant women, which means women can maintain their healthcare coverage for a full year after giving birth, regardless of income changes. This expansion aims to improve healthcare access and continuity of care for low and moderate-income pregnant women and infants in Iowa, potentially reducing healthcare disparities and supporting maternal and child health.

Committee Categories

Health and Social Services

Sponsors (23)

Last Action

Introduced, referred to Health and Human Services. H.J. 438. (on 02/26/2025)

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