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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 Supreme court affirms eviction order for Short’s Burger & Shine

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Iowa Supreme court affirms eviction order for Short’s Burger & Shine


Following a years-long legal saga, the Iowa Supreme Court recently upheld a decision to evict Short’s Burger and Shine from its South Clinton Street building.

The May 22 decision, delivered by Chief Justice Susan Christensen, agreed with the Johnson County District Court’s decision to evict the downtown burger restaurant after finding that it did not notify the building’s owner — a trust operated by Midwest One Bank — of its intent to extend the lease.

The decision concludes one part of the Short’s legal saga. The now-closed restaurant is also in litigation for a discrimination and retaliation lawsuit Short’s owner, Kevin Perez filed in 2024 against Midwest One Bank, the trust of late building owner Haywood Belle, Belle’s widow, a bank employee, and the City of Iowa City

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Iowa City’s Short’s Burgers and Shine closed in 2024

Short’s closed in early 2024 after the court determined Perez hadn’t renewed the business’s lease on time.

Short’s opened at 18 S. Clinton Street in 2008 with the goal of honoring the legacy and story of former building owner H.D. Short, who shined shoes for 50 years, beginning in 1920. The original ownership group included Perez, Dan Ouverson, and former Hawkeye and NFL player Nate Kaeding, who now runs the Gold Cap Hospitality ownership group.

Eviction proceedings started when Short’s temporarily closed in April 2022 “to fix poor building conditions” without notifying Midwest One Bank, the executor of Belle’s trust.

The closure breached a part of the lease agreement that said the restaurant would default on its lease if it “failed to engage” in normal business for more than 15 consecutive business days, the court found. The renovations also violated a provision that forbade structural changes or improvements without prior written approval.

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Midwest One Bank sent notice on May 10, 2022, that Short’s would default on its lease if it did not reopen for regular business and cease renovations within 10 days, according to court documents. Shorts responded, claiming it could not reopen for business until renovations were complete because the gas could not be turned back on until repairs were finished.

Midwest One Bank “terminated” the lease and started eviction proceedings in May 2022. Shorts was allowed to continue operating and occupying the building while the case was litigated.

Midwest One Bank filed two eviction claims and delivered notice that Short’s needed to vacate the building by the end of the lease on April 30. Short’s did not vacate, and Midwest One Bank pursued a third eviction claim, accusing the owners of failing to provide notice of renewal.

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Short’s argued that because they continued renovations, disputed eviction, and secured insurance, it was evidence of their intent to renew.

The restaurant owners also argued that pending eviction proceedings prevented them from renewal. The court argued that Short’s simply did not declare intent to renew for “whatever reason.”

“Mere forgetfulness does not entitle a party to equitable relief,” the decision reads.

Liam Halawith covers Johnson County local government and public safety for the Press-Citizen. Reach him by email at lhalawith@registermedia.com. Follow him on X at @liam_halawith.   

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Fired Iowa nurse aide wins jobless benefits after numerous resident-care complaints

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Fired Iowa nurse aide wins jobless benefits after numerous resident-care complaints


WEST DES MOINES, Iowa (IOWA CAPITAL DISPATCH) – An Iowa nursing home worker fired after being accused of repeatedly neglecting residents’ needs is entitled to unemployment benefits, a judge has ruled.

State records indicate certified nurse aide Abigail Kromah worked for Pine Acres Rehabilitation and Care Center in West Des Moines from May 2024 through December 2025, when she was fired. She subsequently applied for unemployment benefits, which led to a recent hearing before an administrative law judge.

The hearing records indicate Kromah testified that when she was fired on Dec. 19, 2025, the employer informed her that the discharge was due to “numerous resident complaints” regarding the care she had been providing.

According to the judge’s findings in the case, Kromah had received multiple disciplinary warnings related to resident care. In August 2024, she allegedly received verbal and written warnings for failing to answer residents’ call-lights in a timely manner, failing to properly assist residents with their personal care, and for complaining about the residents in common areas of the workplace.

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Her employer testified Kromah was also given warnings for refusing work instructions from the nursing staff, and for telling a resident who needed to be toileted to go the bathroom in their briefs.

In August 2025, it was alleged that Kromah failed to check on a resident throughout the entire night. During that shift, a nurse had neglected to unclamp a feeding tube, which caused the tube to leak. When another nurse checked on the resident at 5 a.m., the resident was “drenched in feeding solution from head to toe,” according to the judge’s findings.

‘I can’t live this way… She’s horrible.’

Days later, the home alleged, a resident of the facility entered the hallway in his wheelchair at about 6 a.m., loudly complaining, “I can’t do this anymore,” and, “I can’t live this way.” The man allegedly refused to go back to his room, explaining that Kromah was there and “she’s horrible.”

The man reportedly stated had had switched on his call-light to have his urinal emptied, but Kromah never came to assist him, which meant the urinal overflowed and spilled on him. When Kromah eventually came to the room, the man allegedly said, she changed him into dry clothing but did not clean him.

The home alleged Kromah was given additional warnings in October 2025 for reportedly failing to answer residents’ call lights and failing to complete her rounds every two hours. One resident of the home had allegedly became so frustrated by the lack of response to his call-light that he contacted the police on one occasion, according to the judge’s findings.

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State inspection reports indicate Pine Acres Rehabilitation and Care Center was cited for insufficient staff in January 2026, with one resident complaining the issue with call-lights had been a longstanding problem. According to the inspectors, the man said that on one occasion, he couldn’t get help to clear his airway and was afraid he was going to die unless he managed to clear it himself, which he did.

In ruling that Kromah was entitled to jobless benefits, Administrative Law Judge Michael Lunn noted that while she had clearly been warned about deficiencies in resident care, she appeared to have been fired for a separate issue — attendance — for which she had received no such warnings.

A discharge for misconduct cannot be based on past acts such as the resident-care issues, Lunn ruled, but must instead be based on a current act. With no current act of disqualifying misconduct, Lunn stated, Kromah was entitled to collect unemployment benefits.

Iowa Capital Dispatch was unable to locate Kromah to seek comment for this article.

Copyright 2026 IOWA CAPITAL DISPATCH. All rights reserved.

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Iowa begins its summer meal programs

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Iowa begins its summer meal programs


CEDAR RAPIDS, Iowa (KCRG) – With some schools already on summer break, programs are helping make sure Iowa kids don’t go hungry.

The state’s Seamless Summer Option program provides free meals to children and teens 18 and younger during summer break.

Those meals are served at schools, parks and community centers. Children are served on first come, first served basis.

You can find a full list of those on the USDA’s Summer Meal Finder.

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This year, the state has returned to the federal SUN Bucks program.

Eligible families can get up to $120 per child. That is then divided up to $40 a month to help pay for healthy food purchases.

The Des Moines Area Religious Council told KCRG after the state announced its return to the program that area businesses, as well as those in need, would benefit.

“Those dollars are going to go back into local grocery stores. It’s an investment in our community. When we look at feeding programs like SNAP, we know that it has that multiplier effect every time a dollar is spent, you’re getting more out of it,” said Blake Wiladsen, the council’s communication manager.

The state will regulate the program similarly to the state’s SNAP program. Things like candy, soda, vitamins, minerals, pre-made foods, and juice made with less than 50% fruit or vegetables cannot be purchased with Iowa SUN Bucks.

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Copyright 2026 KCRG. All rights reserved.



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