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Session Continues, Likely to End This Week

The Iowa Legislature did not finish its work on Friday. Legislators only get reimbursed for 110 days of expenses. Friday was their 110th day.  Beginning today, legislators are working without their clerks and will have to pay for their own meals, gas, and hotels.


If everything goes according to plan, the Legislature should be done this week.  The House and Senate are very close to having agreements on all budgets.  There is already agreement on the largest budget – the $2.1 billion health and human services budget.  


BUDGET UPDATE

Legislators have agreement on five budgets and are moving them quickly through the process.  They are still working on an agreement for the remaining six bills.  Only two budgets have not yet been drafted.  You can see where the budgets are in the process below:


SF 557: Administration & Regulation

Libraries, Civil Rights Commission, Secretary of State, State Treasurer

House Floor, House debating Monday

SF 558: Agriculture & Natural Resources

Farmers with disabilities program, parks, trails, water quality

House Floor, House debating Monday

SF 559 & HSB 249: Economic Development

Vocational Rehabilitation Services, arts and cultural programs, workforce development

Senate Floor, House Committee voting on HSB Monday

SF 560: Education

School for the Deaf, Department for the Blind, school-based mental health, AEAs, health professional loan repayment programs

Senate Floor (no agreement yet on the bill)

SF 561 & HSB 248: Health & Human Services

Aging services, Medicaid, public health, human rights, veterans, MH/DS regions

House Floor, House debating Monday

SF 562 & HSB 251: Justice Systems

Consumer Advocate, state patrol, prisons, firefighters, Attorney General

Senate Floor, House Committee voting on HSB Monday

SF 563 & HSB 250: Judicial Branch

Courts, judges

Senate Floor, House Committee voting on HSB Monday

SF 576: Transportation

Roads, rest areas (not public transit, that's in the infrastructure budget)

House Floor, House debating Monday

HF 709: Federal Block Grants

Gives federal block grant funds to the appropriate agencies, including community development block grant, mental health block grant, community action agencies

House Floor with a Senate amendment, House debating Monday

Infrastructure (RIIF)*

Spends money from casinos and gambling on buildings, information technology

Not drafted

Standing Appropriations

Standing appropriations are automatic, so this budget either adjusts them or adds things that were included in the final agreement

Not drafted

*RIIF stands for the Rebuild Iowa Infrastructure Fund

You can read details about each of these bills in our Bill Tracker.  It  includes a link to the non-partisan legislative services staff review of the bills.  Here are a few highlights from the budgets:


  • $5.5 million to keep rates for Home and Community Based Services (HCBS) at current levels.  Last year, legislators used federal money to increase rates, so they had to use state dollars to sustain the rates.


  • $13 million to increase rates for mental health and substance use treatment ($10 million for mental health, $3 million for substance use disorder treatment).


  • $500,000 to take people off waiting lists for public guardian services.  There are a lot of people who need a public guardian and there are not enough staff to handle the requests right now.


  • $15 million to increase nursing home rates.  Nursing homes are also being asked to take sex offenders who are in need of long term care This could be used to help increase security and allow them to develop this line of service.


  • Puts money from the sale of Glenwood into a special fund to improve other HHS institutions.  Legislators want to make sure other institutions like Woodward State Resource Center are in compliance with the ADA and address all of the problems the US Department of Justice found with Glenwood.


  • Allows Medicaid to increase dental rates if it doesn’t cost more money.  Medicaid has a dental work group that has several ideas on how to increase rates for preventive services, but it may mean reductions in coverage in higher-cost services.  


  • Allows the Health Policy Oversight Committee to meet annually (or not at all).  Right now, this legislative committee is required to meet twice a year. They’ve been doing it by calling the morning session one “meeting” and the afternoon session the second “meeting.”  The committee hears reports from MCOs and HHS during the summer.  It’s a great time for them to ask questions and keep on top of what is going on in the Medicaid space.  It’s also a great opportunity for advocates and lobbyists to hear how things are going.


  • Clarify that household asset test only applies to SNAP, not Medicaid.  This has been a big concern to advocates. SNAP asset tests will impact Iowans with disabilities. There is a lot of concern about people with disabilities losing Medicaid services (because asset tests apply to the individual – not the entire household).


  • Establishes a Public Assistance Modernization Fund using $8 million from a lawsuit the state won against former MCO Iowa Total Care.  This fund would allow the Department of Health and Human Services (HHS) to create a  single portal that will help people find out what they are eligible for and allow them to apply for those programs through that portal.   It also will implement the new verification system and asset tests for SNAP.  


  • Directs cities and counties to regulate HCBS waiver homes as residences, not large facilities.  Right now, these homes are required to install very expensive sprinkler systems that you might see in a business or hospital, not a home or apartment.  Homes would still be required to have smoke detectors and other safety features,  appropriate for the size of the home.  With rising costs of housing, this will help keep the cost of community living down.


  • $50,000 increase Farmers with Disabilities Program. Easter Seals runs this program to help provide support to farmers with disabilities.


  • $150,000 increase for Vocational Rehabilitation.  This budget is not yet agreed-to.   The House has included this increase in its budget.  Unfortunately, we do not see an increase in funding for post-secondary transitional scholarships for college-aged students with disabilities. You can still take action on this.  Of note, every $1 in state money spent on vocational rehabilitation draws down $3.70 in federal funds, so it’s a good investment! 


The one thing legislators must do every year is pass a budget.  This budget is for fiscal year 2024 (FY 2024). Unlike a calendar year that runs January to December, the state fiscal year begins July 1 and ends on June 30.  FY 2024 funds state programs, services, and agencies from July 1, 2023 to June 30, 2024.  


Legislators are still talking about property tax cuts.  We are not sure they can agree on how to do it in the final days of session.  The House and Senate have very different approaches.  Both plans are trying to help Iowans better understand their property tax bills and their rights. They also want to find a way to make property taxes more predictable.

Other Bills to Watch

The bill tracker is the best place to keep up to date on the bills still in the mix.  Here’s a quick rundown as of this morning.


Signed or Sent to the Governor


  • Senate File 514: 1500-page bill that reorganizes state government has been signed.


  • Senate File 471Balances the MH/DS Regional Governing Boards so there is more provider, community, and persons served participation. It also adds a community-based alternative competency restoration. (Sent to Governor)


  • Senate File 494: The “public assistance reform” bill that is sometimes called the “SNAP bill”.  It requires new whole-household asset tests to qualify for the Supplemental Nutrition Assistance Program (SNAP). The HHS Budget (SF 561) clarifies this household asset test does not apply to Medicaid  The portions of this bill that require more database checks to make sure people are eligible for Medicaid and other public assistance programs does still apply. Since some of those databases are from federal, private and other state sources, there is some concern that they may not be current and cause people to have to respond quickly (10 days) to “discrepancies,” or risk losing their assistance. You can still take action on this by contacting the Governor. (Sent to Governor)


  • Senate File 496: Legislators are calling this the “Parent’s Rights in Education” bill.  It outlines the rights of parents and students, allows for books to be challenged if they contain material that describes a sex act (which many classics do), and requires all students pass a citizenship test to graduate.  It stops all mention of gender identity and sexual orientation in elementary schools.  It also requires teachers to tell parents if their child is asking to be called by a name or pronoun that is different than what is on their birth certificate. (Sent to Governor)


Legislators also adopted Senate Joint Resolution 9, which does not require a Governor’s signature.  This resolution amends the Iowa Constitution to change the voting age from 21 to 18.  Our state’s constitution never was updated when voting laws changed. This is just a correction.  However, anytime you want to amend the Iowa Constitution, the Legislature has to pass it in two consecutive general assemblies. That takes at least three years before it goes to the voters to be voted on in the next general election.  Iowans will get to vote on this change in next year’s (November 2024) election, which is when we will also be electing a President.


There are also a lot of other bills still in the works that we’re tracking:


Chances for passage are good:


  • House File 602 | Student Suicide Prevention: This bill requires all schools that issue a student ID card to include crisis hotline phone numbers, text lines, and websites on the card.  The Senate made a small change to the bill.  It needs House approval before it can go to the Governor. 


  • House File 685 | Managed Care Organizations Taxes:  This is the bill that requires MCOs to pay the insurance premium tax, and then uses it to draw down additional funds.  The MCO still gets their money back, but the state gets to keep the extra $100-120 million in federal funds to reinvest back into Medicaid.  The Senate added language to stop new nursing home construction.   It requires any company coming into the state to purchase a failing nursing home have the resources it needs to guarantee resident safety.  The House must approve of this amendment before it can go to the Governor.  If they don’t, the Senate can back off and let the bill go unamended.


  • House File 707 | Child Care Eligibility: More families would qualify for childcare assistance under this bill, but they’ll have to work a few more hours to keep it.  The bill as passed by the House increases the eligibility to 155% of the federal poverty level and increases the work requirement by four hours (from 28 hours to 32 hours per week). Childcare for children with special needs remains at 200% of the federal poverty level and 28 hours per week work.  The bill also increases half-day rates for childcare and prohibits HHS from raising rates without legislative approval.  The Senate has an amendment to increase eligibility to 160%.  The Senate needs to pass this bill, and if it amends it, the House will need to agree to it.


50-50 Chance of Passage:


  • House File 604: This is the bill that directs schools on how and when they are allowed to remove disruptive students from classrooms.  The House and Senate are taking different approaches to this issue.  The Senate bill wants to allow schools to expel a disruptive student. The House bill sets out a process that allows moving a child to a different classroom or an alternative learning environment (like the therapeutic classrooms that were created to address this issue several years ago).  Both require counseling and parental notification when there is an incident. The Senate wants threats of violence, not just acts, to be included.  The Senate also includes language that protects kids with an individualized education plan (IEP) or other behavioral plan. The IEP team would need to meet to modify the plan as an alternative to the more extreme consequences.  The Senate amended the bill, so it is now in the House’s hands. The House can insist on their language. They can amend the Senate amendment. Or, they can just let the bill die.  If you have an opinion on this bill, Rep. Cindy Golding (R-Linn County) is the floor manager.


  • House File 608: Many advocates know this "Seizure Ready School" bill well. It’s been introduced many years in a row. It requires schools to have a seizure action plan in place and staff trained to recognize and appropriately respond to a student having a seizure, as well as be able to administer medication.  That can be a school nurse, or someone else on staff.  Despite having passed the House 96-1, the bill is having difficulty passing the Senate. Schools want to review all student health requirements before adding any new ones.  It’s in the Senate’s hands now. If they pass it as is, it’ll go to the Governor.  Sen. Chris Cournoyer (R-Scott County) is the floor manager, and she’s a former school board member.

                                    

Chances to Pass are Slim:


  • House File 716:  This bill came out of the tax committee (Ways and Means), even though it does not have a tax in it.  It limits participation in the Iowa Caucuses by requiring a voter to be registered to vote and registered with the political party at least 70 days before that political party’s caucus.  Right now, you can register to vote at the door, change your political party at the door, and participate.  It also requires participation to be in person. This can be a barrier to Iowans with disabilities since the caucuses are held in the evening and are closed at the exact time the caucus is to start. You can’t be one minute late.  The bill has not been voted on by the House, so time may run out on this one.


  • Senate File 210 & House File 273: These bills have not moved since the first funnel. Both are out of committee and on the unfinished business calendars, and are still eligible for debate. The bills state that the terms mental health, behavioral health, and brain health are all the same.  Some legislators are concerned that by doing that in Iowa law, it could have bigger implications than just eliminating stigma. There is probably too much work that still needs to be done to convince legislators it’s a good idea. Next year may be different.  


  • The bill that created and funded Post-Secondary Educational Scholarships for college-aged students with disabilities ended in the second funnel. Many advocates have been trying to get the House and Senate Education Budget Chairs to add it to their budget bill.  It’s still possible, but the decision rests with Sen. Jeff Taylor (R-Sioux County) and Rep. Carter Nordman (D-Guthrie County). It seems like an uphill battle even though both really like the program.


Just because we don’t think the bill will pass – or we are certain they will – don’t let that stop you from advocating.  It just means bills need advocates to push harder.  In the 2024 session, bills will start where ended in 2023.  If a bill made it through the House and out of Senate committee, it would stay there until 2024.  You can work over the summer to get more support to pass it.  We’ll talk more about that in our May and June Capitol Chats (sign up for them here).


ALERT: Medicaid Premium Payments


During the national public health emergency (PHE), Iowa Medicaid stopped co-payments and premiums for all members. The PHE is scheduled to end May 11, 2023.


Iowa Medicaid will complete eligibility redeterminations for most members soon. To make sure accurate premiums and co-payments are billed to members, premiums will remain suspended until June 2024 for all members that have coverage under the children's health insurance program (HAWK-I), Iowa Health & Wellness Plan (IHAWP), and Medicaid for Employed Persons with Disabilities (MEPD). Iowa Medicaid is asking that members do not submit payments for premiums at this time.


Additionally, co-payments will remain suspended for all Medicaid and HAWK-I members until June 2024. Additional information about premiums and co-payments will be issued in 2024.


If you have questions, please contact Iowa Medicaid Provider Services

or the appropriate MCO:


Iowa Medicaid Provider Services for FFS members:

Provider services: 1-800-338-7909

Provider email: [email protected]


Amerigroup Iowa, Inc.:

Provider services: 1-800-454-3730

Provider email: [email protected]

Website: https://providers.amerigroup.com/ia

 

Iowa Total Care:

Provider services: 1-833-404-1061

Provider email: Providers may send email using their account on the ITC website.

Website: https://www.iowatotalcare.com


Download the Medicaid Information Letter
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Watch April Capitol Chat


This month's Capitol Chat went through the budgets, the bills still in the works, and more. We also reminded people it's time to start thinking about 2024, because summer is the best time to advocate!

Watch the Chat

Grab your lunch and join us for our May Capitol Chat. We switched to a Thursday after session (hopefully) adjourns but before the long holiday weekend.


Thursday, May 17 | Noon-1 pm

Sign Up for May
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Advocacy Grants Available


One way that you can get issues in front of your local legislators is to  gather in your community for discussion. 


Town hall meetings are a great way to bring people together, talk about what’s important, and get feedback on what’s working and what could be better.


The Iowa DD Council offers grants to local advocacy groups to organize town hall meetings to discuss issues of importance that are disability-related. This can include financial and technical support—this can allow you to take action right in your community!


For more information: [email protected] iowaddcouncil.org

Do you want to make communities more inclusive for people with disabilities? Do you value self-determination? 


Apply to be member of the Iowa DD Council here.

Go to Calendar

Iowa legislators still take time out of their weekends home to go to public forums or town halls. It's their time to meet the people they represent, share what they are doing at the State Capitol, and hear what people think that work.


You can find these on our calendar, and you can download the list for the next two weeks here.

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Advocate Resources


Bill Tracker

Action Center

Calendar & Legislative Town Halls

Guide to the Iowa Legislature

Advocacy Toolkit

infoNET is the disability policy project of the Iowa Developmental Disabilities Council and its network of Iowans with Disabilities in Action.

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This project is supported by the Administration for Community Living (ACL), U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $774,176 with 100 percent funding by ACL/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by ACL/HHS, or the U.S. Government.