Work requirements for state Medicaid sent to Gov. Reynolds
- On May 15, 2025, Iowa lawmakers passed a bill codifying an 80-hour monthly Medicaid work requirement in Des Moines, while Governor Reynolds submitted a related federal waiver.
- This action follows broader Republican efforts in the House to add work requirements to Medicaid and SNAP as part of a budget reconciliation plan aiming to reduce deficits and offset 2017 tax cuts.
- The House Energy and Commerce Committee is reviewing legislation that would impose community engagement mandates on able-bodied adults without dependents and increase eligibility verification frequency amid protests opposing these changes.
- The Congressional Budget Office estimates the committee's recommendations will cut $880 million from deficits between 2025 and 2034 but could result in 8.6 million fewer insured Americans by 2034, with Democrats warning of barriers to healthcare access.
- Supporters argue work requirements encourage employment and preserve program integrity, while critics say most able-bodied Medicaid recipients already work and the policies may increase healthcare inequality and cost burdens for states and individuals.
14 Articles
14 Articles
Work requirements for state Medicaid sent to Gov. Reynolds
DES MOINES, Iowa -- While the Iowa House and Senate are working through the state budget for the next fiscal year; priorities from the majority party are getting passed in between. In a vote down party lines, the Iowa Senate approved Senate File 615, which requires 80 hours of work per month for those able to work on state Medicaid expansion. The Senate Republican caucus agreed with an amendment from the Iowa House that strikes a disabled worker…
Iowa Senate sends expanded Medicaid work requirements bill back to the House • Iowa Capital Dispatch
Sen. Mike Klimesh, R-Spillville, spoke May 13, 2025 on the legislation to implement work requirements for Iowa's expanded Medicaid program. (Photo by Robin Opsahl/Iowa Capital Dispatch)The Iowa Senate on Tuesday sent back to the House a bill to implement work requirements for the Medicaid program, although the Iowa Department of Health and Human Services has already requested a waiver from the federal government to implement similar requirements…

Iowa Senate sends expanded Medicaid work requirements bill back to the House
The Iowa Senate on Tuesday sent back to the House a bill to implement work requirements for the Medicaid program, although the Iowa Department of Health and Human Services has already requested a waiver from the federal government to implement…


Democrats lay into Republicans over work requirements for Medicaid and SNAP
House Democrats pushed back on the GOP plan to add work requirements to entitlement programs such as the Supplemental Nutrition Assistance Program and Medicaid to offset the renewal of President Donald Trump’s 2017 tax cuts. Democrats have slammed the GOP’s…
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