Iowa
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).
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.
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.
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.
The legislation now heads to Governor Kim Reynolds, who is expected to sign it.
Iowa
Iowa SNAP restrictions raise concerns over confusion, impact on summer food aid
IOWA — Iowa’s new restrictions on SNAP benefits are drawing concern from advocates who say the changes could make it harder for families to buy food and could put future summer assistance for children at risk.
The state’s SNAP waiver took effect January 1, 2026, limiting what items can be purchased based on Iowa’s taxable food list. While that includes widely discussed restrictions on soda and candy, the policy also affects certain prepared foods, creating confusion for shoppers.
“Something as small as whether or not a utensil is included in a food item actually impacts whether or not you can continue to purchase that item using your SNAP benefits,” Paige Chickering, Iowa State Manager for the Save the Children Action Network, said.
Advocates say the rules can be difficult to navigate, especially for people relying on quick meals. Items like prepackaged salads or sandwiches may or may not qualify depending on how they are packaged.
At the same time, new legislation slated for the next session at the statehouse could make those restrictions more permanent by requiring Iowa to continue seeking federal approval for the waiver.
That’s raising additional concerns about the future of Summer EBT, also known as “Sun Bucks,” which provides food assistance to children when school is out.
“This makes that food assistance dependent on a decision made in Washington, D.C. that is just arbitrary and not really dependent on the needs of Iowans and Iowa children,” Chickering said.
The program is expected to help around 220,000 children in Iowa during the summer months. Advocates worry leaving it up to federal approval of the waiver could jeopardize that support if policies change. They also point out that SNAP plays a major role in addressing hunger compared to other resources.
“We know that for every one meal provided by an emergency feeding organization, SNAP provides nine,” Chickering said.
Advocates say they support improving nutrition but argue there are more effective, evidence based ways to do that without limiting food choices.
For now, organizations across Iowa are working to help families understand the new rules, while also pushing lawmakers to reconsider how the policy could impact food access moving forward.
Iowa
Harkin backs Turek for Iowa Senate
Scoop: Iowa Democratic state Rep. Josh Turek snagged a major endorsement for his Senate bid from former Sen. Tom Harkin.
Harkin, who retired in 2015, was the last Democrat to represent Iowa in the Senate. Turek is locked in a competitive primary with state Sen. Zach Wahls in a race that has divided major factions of the Democratic Party.
“I have a pretty good idea of what it takes to win an election, and then to faithfully represent all Iowans, not just those who voted for you,” Harkin said in his endorsement. “That’s why I’m supporting Josh Turek.”
Harkin served in the Senate for 30 years and is the author of the Americans with Disabilities Act. Turek, who was born with spina bifida and uses a wheelchair, was 11 when the ADA was enacted.
Harkin is a widely sought after endorsement in the Hawkeye State. His decision to wade into the race is notable because Harkin also has a relationship with Wahls.
Wahls called Harkin “one of my closest political mentors,” and said the former senator officiated his wedding in 2021.
Iowa’s Senate primaries are June 2.
Iowa
Former eastern Iowa city clerk pleads guilty after state audit finds $66K in theft
CONESVILLE, Iowa (KCRG) – A former Conesville city clerk has pleaded guilty to theft and financial crimes after a state audit found nearly $66,000 in improper payments she allegedly made to herself and her family.
Yamira Martinez, of Columbus Junction, pleaded guilty to ongoing criminal conduct, unauthorized use of a credit card over $10,000, and first-degree theft. A forgery charge will be dismissed under the plea agreement.
Martinez served as Conesville’s city clerk from June 2022 through March 2024. Officials in Conesville requested an audit from State Auditor Rob Sand, which covered the period of July 1, 2022, through April 30, 2024.
Sand’s audit found nearly $66,000 in improper payments, more than $53,000 in uncollected and undeposited utility billings, and more than $7,500 in unsupported payments.
“Miss Martinez was interviewed about this. She stated that the 24 checks that were unauthorized payroll and were made to appear like payroll checks, she admitted, were unauthorized. She also stated that the checks were for her kids. When she was asked about personal Amazon purchases, she stated that that was her fault,” Sand said.
The nearly $66,000 in improper payments includes more than $45,000 in payroll and reimbursements paid to Martinez, as well as nearly $12,500 in purchases made using the city’s debit card.
According to Sand’s office, it is unknown whether additional utility transactions were improperly recorded or if there were additional improper payments, as city records were not well-maintained.
Martinez was originally charged with two counts of ongoing criminal conduct, two counts of theft, and two counts related to forgery and fraud.
Martinez is scheduled to be sentenced July 10 at the Muscatine County Courthouse.
Copyright 2026 KCRG. All rights reserved.
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