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Iowa passes Medicaid work requirement

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Iowa passes Medicaid work requirement


Iowa lawmakers have approved a bill mandating that certain Medicaid recipients work to retain benefits, a move expected to affect tens of thousands of constituents who use the health program.

The new legislation makes Iowa one of the latest states to pursue such requirements. Georgia remains the only state with work requirements already in place, but may others have similar legislation pending approval or at various stages of implementation.

Newsweek has contacted Iowa lawmakers and the state’s Department of Health and Human Services for comment via email outside regular working hours.

Why It Matters

Iowa’s new Medicaid work requirement is expected to affect low-income adults who receive health care through the state’s Medicaid expansion under the Affordable Care Act (ACA).

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A number of states have recently pushed for Medicaid work requirements. On the federal level, House Republicans have proposed similar requirements as part of its budget.

Generally, critics of work requirements warn they will substantially weaken the Medicaid system, the largest public health insurance program in the country, by forcing millions off the service. Supporters argue that work requirements will foster employment, reduce fraudulent claims and improve personal responsibility.

What To Know

The bill seeks to include work requirements as a condition of eligibility for those on the Iowa Health and Wellness Plan, meaning they use Medicaid under the ACA expansion.

The legislation said, “The goal of including work requirements is to reduce the dependence of low-income Iowans on public assistance programs through efforts that advance economic stability and mobility.”

To be eligible for the program, Iowans 19 to 64 years old would have to work 80 hours a month, although some recipients would be exempt from the ruling.

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Those who are “determined to be disabled by the United States social security administration” are exempt. Exemptions also include those identified as “medically frail,” caregivers of a child under the age of 6 and people with “high risk” pregnancies.

As the bill has been deemed of “immediate importance,” the new rules would come into effect upon its enactment.

According to the bill, if federal law or regulations affecting work requirements for the Iowa Health and Wellness Plan are “modified to exclude work requirements as a basis for maintaining eligibility,” the department will discontinue the plan entirely, if it gets approval to do so.

A fiscal note on the bill said that as of April, 183,000 Iowans were enrolled on the state’s Medicaid expansion program. Of those enrollees, the report expected 32,000 individuals to lose coverage beginning in 2026 because of the requirements.

The report also anticipated that the new requirements would decrease the state’s total Medicaid expenditures by about $2.5 million in the financial year 2026 and by about $14.4 million in the financial year 2027.

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A stock photo of the Iowa Capitol in Des Moines.

Charlie Neibergall/AP

What People Are Saying

The Iowa State Democrats account on X, formerly Twitter, wrote on Tuesday: “Many Iowans rely on state funding to help cover their healthcare needs. The scale of our maternal healthcare crisis is growing. The Medicaid waiver waitlist for Iowans with disabilities is growing. This Republican budget proposal fails to bring relief to those Iowans in need.”

The Iowa Democrats X account wrote on Tuesday: “Countless Iowans rely on Medicaid to access healthcare coverage. Iowa Republicans in D.C. plan to ignore the concerns of their constituents and rip away their coverage to pay for a $4.5 trillion tax cut for the wealthy.”

Democratic state Senator Sarah Trone Garriott said: “Taking away people’s health care does not help them work. It often keeps people out of the workforce, because then they can’t pay for their medications, they can’t get the care they need. They end up getting sicker. They end up missing more work.”

Republican state Senator Mike Klimesh said: “So at the end of demonstration year five, we will see a savings in the state of Iowa as a result of this program of $50 million. $50 million in savings that we can really reallocate or reappropriate to other areas, perhaps work with our programs. We may be able to develop with further communication between ourselves in the House.”

What Happens Next

The Iowa Senate approved the bill in a 33-13 vote, the Des Moines Register reported. It went back to the House, which passed it in a 56-30 vote on Wednesday.

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The legislation now heads to Governor Kim Reynolds, who is expected to sign it.



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Iowa DOT to close Hickman Road for 5 nights as I-80/35 work continues

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Iowa DOT to close Hickman Road for 5 nights as I-80/35 work continues


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The next phase of the Hickman Road interchange project is getting underway, and it will include more overnight road closures.

Construction crews will be demolishing the Interstates 80 and 35 bridges over the U.S. Highway 6/Hickman Road interchange, according to the Iowa Department of Transportation.

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Here’s what to know.

When will the Iowa DOT close Hickman Road at I-80/35?

Hickman Road will be closed to traffic over the interstate starting Sunday, March 22, through Thursday, March 26. The road will close at 9 p.m. each night and reopen at 5 a.m. the next morning.

During construction, a single lane of I-80/35 will be closed in each direction.

The ramps at U.S. 6/Hickman Road will remain open to traffic during the roadway closures.

What’s the detour when the Iowa DOT closes Hickman Road?

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Eastbound drivers on Hickman Road will need to head south on NW 128th Street, east on University Avenue and north on NW 114th Street to return to Hickman Road.

Westbound drivers will head south on NW 114th Street, west on University Avenue and north on NW 128th Street to return to Hickman Road.

Lucia Cheng is a service and trending reporter at the Des Moines Register. Contact her at lcheng@gannett.com or 515-284-8132.



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Kentucky vs. Iowa State set as Joshua Jefferson injury lingers: Early odds set

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Kentucky vs. Iowa State set as Joshua Jefferson injury lingers: Early odds set


It’s official: No. 7 Kentucky Basketball will face No. 2 Iowa State in the Round of 32 on Sunday after surviving an overtime thriller against Santa Clara, while the Cyclones cruised past Tennessee State 104-78 in the first round.

While the win was a big one for Iowa State, they did receive some bad news with All-American forward Joshua Jefferson. During the game, Jefferson, a 6-foot-9 senior from Las Vegas, injured his left ankle in the opening minutes. The 240-pound forward had to be helped off the court and later returned on crutches, wearing a boot on his left ankle.

Iowa State coach T.J. Otzelberger said X-rays on Jefferson were negative, confirming he has a sprained ankle, but his status for Sunday’s game against Kentucky is still unknown.

Jefferson has averaged 16.9 points, 7.6 rebounds, and 4.9 assists per game. He earned Second-Team AP All-American honors and was a standout in the Big 12 Tournament, helping Iowa State defeat Arizona State and Texas Tech before falling to eventual champion Arizona on a buzzer-beater.

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Despite the injury, Iowa State remains a team you don’t want to face. The Cyclones are known for their defense but can also score in bunches. While Jefferson’s availability is uncertain, Kentucky knows it will be facing a talented and deep roster regardless.

The early odds suggest as much, as Iowa State opened as a 5.5-point favorite, according to FanDuel Sportsbook. The line would very likely be even bigger if Jefferson were playing for sure, so this line could indicate that oddsmakers don’t think the star forward will play.

The line has since moved down to 4.5 points. The over/under is 145.5 points, as oddsmakers see this as a low-scoring defensive game.

Jefferson’s status could be the story of the game, but Kentucky will still need an A+ effort to take down a great Cyclones team.



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FDU women relishing underdog role vs. Iowa in NCAA Tournament

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FDU women relishing underdog role vs. Iowa in NCAA Tournament


Fairleigh Dickinson coach Stephanie Gaitley is headed back to where it began.

Three years ago, Gaitley’s first game on the sidelines for FDU was at Carver-Hawkeye Arena in Iowa City, Iowa. Caitlin Clark’s team torched the Knights by nearly 60 points.

“Our kids, kind of their eyes were in the headlights, so to speak,” Gaitley told The Post. “And they just kind of weren’t sure what was going to hit them with that sellout crowd.”

Gaitley doesn’t anticipate the same lopsided outcome Saturday when 15th-seeded FDU takes on second-seeded Iowa in the first round of the NCAA Tournament.

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Sportsbooks favor the Hawkeyes by more than 30 points. But Gaitley views Saturday’s game as an opportunity to measure FDU’s monstrous growth over the past three seasons.

“Three years ago … we were a completely different team,” Gaitley said. “We’re going in with a different type of mentality right now because of the fact that we built what we built this year and I think the kids are going in with a lot of confidence. They know the task at hand is a difficult one, but they’re welcoming the opportunity and they have, as always, played with that chip on the shoulder.”

FDU experienced a lot of turnover from last year’s team, which went dancing for the first time in program history. Three of the Knights’ starters were seniors; another, Lilly Parke, suffered a torn ACL over the summer.

Sophomore Ava Renninger is the lone starter to return this season.

The Knights stumbled out of the gates, suffering back-to-back losses to Purdue and Notre Dame. Those defeats, while disappointing in the moment, ultimately helped FDU grow together.

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Once NEC play came around, the Knights seemingly picked up where they left off.

FDU is starting to build a reputation as the NEC’s undisputed heavyweight champ. They haven’t lost a conference game in more than two years. They joined UConn in being the only Division I program to go undefeated in league play in back-to-back seasons.

Sophomore Ava Renninger is the lone starter to return for FDU this season. Getty Images

Rennington, now a leader on the team, said this season “was even harder” than the last.

“Obviously, the 18-0 looks easy to everyone,” Rennington said. “It was a dogfight.”

There’s a mentality switch for teams such as FDU heading into March Madness. For the majority of the season, the Knights shouldered the pressure of being the team to beat in their conference. They were the vanquishers, the ones expected to win every game.

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Come Saturday, FDU is freed of those expectations.

“It’s kind of a pressure cooker when you’re building up from winning 18-0 and then you got to win three more against three teams that you’ve already beaten twice,” Gaitley said. “And so I think this is kind of a relief, switching that role of being the Goliath to being the David.”


FDU head coach Stephanie Gaitley said her team is relishing its underdog role vs. No. 2 seed Iowa.
FDU head coach Stephanie Gaitley said her team is relishing its underdog role vs. No. 2 seed Iowa. Getty Images

This is the second consecutive season FDU is headed to the NCAA Tournament. Last year, the Knights, then a 15 seed, were blown out by second-seeded TCU in the Round of 64.

Rennington remembered being “shell-shocked” last year. FDU was just happy to be included in the NCAA Tournament.

The excitement is still there this time around, but there’s also an eagerness to surprise some people.

Iowa enters March Madness coming off a 51-point loss to UCLA in the Big Ten Tournament’s championship game.

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The Hawkeyes’ size could be a problem for FDU.

Iowa boasts a dominant frontcourt, anchored by sophomore center Ava Heiden (17.4 points and 7.3 rebounds) and senior forward Hannah Stuelke (13.4 points and 8.5 rebounds). They’re surrounded by steady shooters, including Chazadi Wright, who’s converting on 45.2 percent of attempts from deep.

But FDU is scrappy, confident and playing freely — a dangerous combination in March.

“We want to show them how good we are,” Rennington said. “A lot of people obviously are going to see us as an underdog, as a 15 seed, and I prefer that perspective than a Goliath because they’re not expecting you to come out. They’re like, ‘Oh, you’re a good team,’ but, like, as an underdog, you can come out and shock a lot of people by coming out and playing Iowa really well.”

“Our kids, they’re fighters,” Gaitley said. “I don’t think these kids are afraid at all. I think they’re just excited about the opportunity.”

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