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IA SF2315

IA SF2315
A bill for an act relating to eligibility for the Medicaid for employed persons with disabilities program.


summary

Introduced
02/12/2026
In Committee
02/24/2026
Crossed Over
Passed
Dead

Introduced Session

91st General Assembly

Bill Summary

This bill relates to eligibility for the Medicaid for employed persons with disabilities program (MEPD). Code section 249A.3 sets forth program eligibility criteria for MEPD pursuant to 42 U.S.C. §1396a. The bill amends current eligibility provisions requiring the department to cap premiums for individuals whose income falls below 250 percent of the federal poverty level (FPL), and that any acceptance by the department of the payment of a premium does not automatically confer initial or continuing MEPD eligibility on an individual. Code section 249A.3 also requires HHS to not consider certain assets when determining asset eligibility under MEPD. The bill requires that HHS extend MEPD eligibility to those with household incomes up to 300 percent of the FPL. Moneys in a pension fund are not to be considered by HHS for purposes of determining asset eligibility under MEPD. The bill provides that HHS must allow for the electronic payment of MEPD premiums through a page maintained on the department’s internet site.

AI Summary

This bill expands eligibility for the Medicaid for Employed Persons with Disabilities program (MEPD), a program that provides health insurance to individuals with disabilities who are working. Specifically, it increases the income limit for eligibility from 250 percent of the federal poverty level (FPL) to 300 percent of the FPL, meaning more working individuals with disabilities can qualify. The bill also clarifies that money held in pension accounts will not be counted as assets when determining eligibility for the program, which is important because MEPD has limits on how much in assets an individual can have to qualify. Additionally, it mandates that the Department of Health and Human Services (HHS) must allow for electronic payment of MEPD premiums through its website, making it easier for individuals to pay their share of the health insurance costs. The bill also removes language that stated premium payments did not automatically grant eligibility, and instead focuses on the electronic payment system.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (1)

Last Action

Subcommittee: Costello, Donahue, and Warme. S.J. 392. (on 02/24/2026)

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