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SF 363IOWASession 2025-2026State BillSigned into law
Enacted

Senate File 363 requires Iowa Health and Wellness Plan members to meet community engagement standards

Original title: A bill for an act relating to the Iowa health and wellness plan and member community engagement requirements and including effective date provisions.(See SF 599 , SF 615 .)

Last action · June 27, 2025: Explanations of votes. H.J. 1224 .Sponsor: Mike Bousselot

Bill progressHistory & official text ↓
Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Does

Iowa Health and Wellness Plan members must now complete 20 hours per week of work, volunteering, or approved job programs to maintain coverage, with exemptions for specific groups such as pregnant individuals, minors, seniors, and those with medical unfitness.

Why it matters

Enrollees face losing their health coverage unless they meet weekly hourly thresholds in employment or community service, or qualify for one of eight statutory exemptions.

Background
  • The Iowa Health and Wellness Plan is a state health coverage program providing health benefits to low-income adults. context

Who It Affects

Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.

Directly affected

Iowa Health and Wellness Plan members

Members must complete twenty hours per week of qualifying community engagement activities or qualify for an exemption to maintain plan membership.

Directly affected

Department of Health and Human Services

The department must implement the provisions by July 1, 2025, and submit a section 1115 demonstration waiver request if required.

Key Facts

  • Plan members must participate in work, work programs, volunteering, or PROMISE JOBS for twenty hours or more per week, averaged monthly.
  • Exemptions are granted for individuals under 19, over 64, medically unfit for employment, pregnant, or caring for certain dependent children.
  • Individuals receiving unemployment compensation and complying with state or federal work requirements are exempt.
  • Participants in substance use disorder treatment and rehabilitation programs are exempt.
Show all 6 facts
  • The department of health and human services must request a section 1115 demonstration waiver within thirty days of enactment, if required.
  • The department of health and human services must implement the provisions no later than July 1, 2025.

Frequently Asked Questions

What activities count toward the community engagement requirement?
Qualifying activities include working 20 hours or more per week, participating in an approved work program, volunteering, combining work and work programs, or participating in the program.
Who is exempt from the community engagement requirement?
Exemptions apply to individuals under 19 or over 64, those medically certified as unfit for employment, pregnant women, parents or caretakers of a child under one year old or a child with a serious medical condition, unemployment benefit recipients complying with work requirements, and participants in substance use disorder treatment programs.

What else do you want to know?

News Coverage

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Votes, people, money & the original source

Where This Stands

Current status: Signed into law.

Procedural history

45 actions
  1. Jun 27, 2025House
    Explanations of votes. H.J. 1224 .
  2. Jun 6, 2025SenateEnrolled
    Signed by Governor . S.J. 1053 .
  3. Jun 6, 2025Iowa Legislature
    Fiscal note.
  4. May 23, 2025Senate
    Reported correctly enrolled, signed by President and Speaker, and sent to Governor. S.J. 1050 .
  5. May 20, 2025House
    Explanation of vote. H.J. 1223 .
  6. May 14, 2025House
    Message from House. S.J. 1010 .
Show 39 earlier actions
  1. May 14, 2025House
    Immediate message. H.J. 1197 .
  2. May 14, 2025HouseFloor
    Passed House , yeas 56, nays 30. H.J. 1186 .
  3. May 14, 2025HouseFloor
    House concurred in Senate amendment H-1342 , yeas 55, nays 31. H.J. 1185 .
  4. May 13, 2025Iowa Legislature
    Fiscal note.
  5. May 13, 2025House
    Senate amendment H-1342 filed. H.J. 1178 .
  6. May 13, 2025House
    Message from Senate. H.J. 1172 .
  7. May 13, 2025Senate
    Immediate message. S.J. 990 .
  8. May 13, 2025SenateFloor
    Passed Senate , yeas 33, nays 13. S.J. 988 .
  9. May 13, 2025SenateFloor
    Senate concurred with S-3059 , as amended. S.J. 988 .
  10. May 13, 2025SenateFloor
    Amendment S-3168 to S-3059 filed, adopted. S.J. 988 .
  11. Apr 22, 2025House
    Explanation of vote. H.J. 1034 .
  12. Mar 28, 2025Iowa Legislature
    Fiscal note.
  13. Mar 27, 2025House
    Message from House, with amendment S-3059 . S.J. 656 .
  14. Mar 26, 2025House
    Immediate message. H.J. 850 .
  15. Mar 26, 2025HouseFloor
    Passed House , yeas 61, nays 35. H.J. 847 .
  16. Mar 26, 2025HouseFloor
    Amendment H-1198 adopted. H.J. 846 .
  17. Mar 26, 2025House
    Amendment H-1200 to amendment H-1198 filed, withdrawn. H.J. 846 .
  18. Mar 26, 2025House
    Substituted for HF 948 . H.J. 846 .
  19. Mar 25, 2025House
    Amendment H-1198 filed. H.J. 815 .
  20. Mar 25, 2025HouseIntroduced
    Read first time, passed on file. H.J. 810 .
  21. Mar 25, 2025House
    Message from Senate. H.J. 810 .
  22. Mar 25, 2025Senate
    Immediate message. S.J. 636 .
  23. Mar 25, 2025SenateFloor
    Passed Senate , yeas 33, nays 15. S.J. 635 .
  24. Mar 25, 2025Senate
    Amendment S-3054 filed, lost. S.J. 634 .
  25. Mar 25, 2025Iowa Legislature
    Fiscal note.
  26. Mar 24, 2025Senate
    Committee report, approving bill. S.J. 621 .
  27. Mar 24, 2025SenateIntroduced
    Introduced, placed on Appropriations calendar. S.J. 621 .
  28. Mar 24, 2025Senate
    Committee report approving bill, renumbered as SF 615 . S.J. 621 .
  29. Mar 20, 2025Iowa Legislature
    Subcommittee recommends passage.
  30. Mar 19, 2025Iowa Legislature
    Subcommittee Meeting: 03/20/2025 11:00AM Room 217 Conference Room.
  31. Mar 12, 2025Senate
    Subcommittee: Bousselot, Costello, and Donahue. S.J. 507 .
  32. Mar 11, 2025SenateCommittee
    Referred to Appropriations. S.J. 480 .
  33. Mar 10, 2025Senate
    Committee report, approving bill. S.J. 472 .
  34. Mar 10, 2025SenateIntroduced
    Introduced, placed on calendar. S.J. 465 .
  35. Mar 10, 2025Senate
    Committee report approving bill, renumbered as SF 599 . S.J. 472 .
  36. Mar 3, 2025Iowa Legislature
    Subcommittee recommends amendment and passage.
  37. Feb 25, 2025Iowa Legislature
    Subcommittee Meeting: 02/27/2025 8:30AM Room 217 Conference Room.
  38. Feb 24, 2025Senate
    Subcommittee: Klimesh, Rowley, and Trone Garriott. S.J. 342 .
  39. Feb 18, 2025SenateIntroduced
    Introduced, referred to Health and Human Services. S.J. 297 .

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

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Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Mike BousselotSenate · District 21RepublicanPrimary sponsor

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Addition of Community Engagement Mandates

The legislation ties public healthcare plan participation directly to mandatory hourly work or volunteer thresholds.

Department of Health and Human Services

Connected Entities

Centers for Medicare and Medicaid Services, Mike Bousselot, Department of Health and Human Services and 1 more
OrganizationCenters for Medicare and Medicaid Services“Federal agency receiving waiver requests”Map →
PersonMike Bousselot“Bill sponsor”Map →
OrganizationDepartment of Health and Human Services“State department responsible for implementation and waiver submission”Map →
OrganizationDepartment of Workforce Development“State agency determining compliance with unemployment work requirements”Map →

Sources

Open source document

www.legis.iowa.gov

Analysis Score

0–100
  • Significance80
    How much this matters to a regular citizen
  • Controversy75
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz40
    Current news / social attention level

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