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.
How much rain does Des Moines get? See the 5 wettest days on record
Wondering how the rainfall total compares? Here are the five wettest days on record for Des Moines, Iowa.
Drought conditions in Iowa improved for a second consecutive week, though areas of moderate drought expanded in parts of the state.
The U.S. Drought Monitor offers a state-by-state tracking of drought conditions nationwide. New maps and forecasts are released each Thursday. What are the current drought conditions in Iowa?
U.S. Drought Monitor map: How much of Iowa is in a drought?
The latest Drought Monitor report, released on Thursday, June 18, showed about 46% of Iowa experiencing some form of drought. This continues the streak of conditions improving week to week in Iowa. The previous report, released on June 11, showed that 63% of the state was experiencing some form of drought.
The most recent report reflects conditions as of 8 a.m. June 16, right as storms were sweeping through Iowa, with parts of eastern Iowa seeing more than 2 inches of rainfall. Light rainfall on June 17 led to areas like Iowa City and Burlington reporting around an inch of rain.
Here is the breakdown of current drought conditions in Iowa:
- 61% of the state of Iowa is experiencing no drought conditions
- 39% of Iowa is experiencing abnormally dry conditions
- 7% of Iowa is experiencing moderate drought conditions
- 0% of Iowa is experiencing severe drought conditions
Even though drought conditions have improved overall in Iowa, the area experiencing moderate drought increased from the week of June 11, particularly in northern Iowa. Much of Cerro Gordo, Hancock and Kossuth counties are under D1 conditions, with nearby Palo Alto, Winnebago, Floyd and Mitchell also in moderate drought.
Pockets of moderate drought also persist along the northwest edge of Iowa in Lyon, Sioux and Plymouth counties. In eastern Iowa, Jackson, Clinton and Scott counties saw their moderate drought status ease week to week.
Most of the U.S. is facing drought conditions
About 73% of the U.S. is experiencing some level of drought, a 2-percentage-point improvement from the prior week. Some of the most intense drought conditions are in the southeast and the mountain west.
Iowa Drought Monitor tracks conditions weekly
The U.S. Drought Monitor offers a state-by-state tracking of drought conditions nationwide. New maps and forecasts are released each Thursday.
The intensity levels range from abnormally dry, or D0, to exceptional drought, or D4.
Typically with D0 conditions, corn can show drought stress. Pond levels start to decline under moderate drought conditions and soybeans abort pods, according to the Drought Monitor. The Drought Monitor also has a look-back chart that compares drought conditions from 3 months ago up to 1 year ago.
Cooper Worth is a service/trending reporter for the Des Moines Register. Reach him at cworth@gannett.com or follow him on X @CooperAWorth.
Confirmed tornadoes were reported in Illinois and Iowa Wednesday night as severe weather descended on a large swath of the Midwest.
According to the National Weather Service, a confirmed tornado was reported near the small northeast Iowa community of Harpers Ferry at 5:10 p.m., while a second confirmed tornado rolled through Charleston in central Illinois at about 6:40 p.m. local time.
Both tornadoes were flagged by the weather service as a “particularly dangerous situation,” a rare designation used by the weather service for environments in which “strong and violent tornadoes” are possible.
Photos and videos obtained by CBS News showed extensive damage in Charleston, with downed trees and power lines. Hail that measured 2.75 inches was also reported in the Charleston area, according to the weather service.
“There are a large number of trees blocking roadways throughout Charleston at this time,” Charleston police said in a Facebook post. “Unless it is an absolute emergency, do not drive or attempt to go anywhere.”
The city of Charleston later declared a local state of emergency.
One cell phone video captured the terrifying moments what appeared to be a large tornado tore through Effingham, Illinois, located about 40 miles southwest of Charleston.
Larry Thies, coordinator for the Effingham Emergency Management Agency, told CBS News that initial information indicated damaged buildings, trailers, and downed power lines and trees. He said officials were working to set up an emergency operations center, but were facing challenges because internet was down in the area.
The extent of the damage to region was still unclear. There was no immediate word of injuries or fatalities. CBS News senior meteorologist Rob Marciano said there were at least seven reported tornadoes during the weather event.
According to utility tracker PowerOutage.us, at least 55,000 customers were without power in Illinois.
Earlier Wednesday, Marciano reported that more than 125 million Americans were facing severe weather advisories, including the Gulf Coast states, which were under flood alerts due to Tropical Storm Arthur. Speaking on “CBS Evening News,” Marciano said such ripe tornado conditions were rare for June.
“This is unique for June, this is unusual to have such a strong jet stream just screaming across the country, then you’ve got the summertime tropical moisture coming in…and then some cold air coming in,” Marciano said. “And winds coming at different direction, at different levels, creating that spin. So what that equates to is really the high probability of seeing, not just tornadoes, but intense tornadoes of EF2 strength or higher on the ground for a long time. And also damaging winds at 75 mph or higher, and of course big time hail.”
When is Juneteenth and how is the holiday celebrated
Juneteenth is coming up. Here is what the holiday is about and how it’s celebrated.
It is a busy weekend in Iowa City as summer officially begins on Sunday. From Iowa City Pride and Juneteenth celebrations, there is no shortage of activity happening around town.
Here are four events to check out.
Enter the whimsical world of ‘A Midsummer Night’s Dream’ at Lower City Park
Thursday to Sunday: Riverside Theatre’s summer tradition, Shakespeare in the Park, has returned to Lower City Park. Catch a free performance of William Shakespeare’s iconic comedy, “A Midsummer Night’s Dream,” that follows the chaotic events of four entangled lovers and a troupe of actors wandering into a mystical forest. All of the free shows through the weekend start at 7:30 p.m.
Celebrate Juneteenth with live entertainment and community
Friday: The Black Voices Project and Dream City are teaming up to host the community-wide Juneteenth Celebration. At 1 p.m. Friday, June 19, at the South District Market Parking lot, enjoy live music from Kevin Burt, along with community presentations, activities for all ages, and a fashion showcase.
Show your pride at Iowa City Pride events
Saturday: Iowa City Pride is back for the 56th year. Principal events, the Pride Parade and Pride Festival, will start at noon on Saturday, June 20. The festival will be on the Ped Mall, and the parade will begin at College Green Park, working its way downtown along Iowa Avenue and East Washington Street. The festival runs from 12 to 9 p.m.
Catch a romantic comedy under the stars at FilmScene in the Park
Saturday: FilmScene in the Park returns at 9:15 p.m., Saturday, June 20, with a screening of the cult classic “13 Going on 30″ at Chauncey Swan Park. Seating is on a first-come, first-served basis. Concessions, including beer and wine, will be available 30 minutes before the film begins.
Jessica Rish is an entertainment, dining and education reporter for the Iowa City Press-Citizen. She can be reached at JRish@press-citizen.com or on X, formerly known as Twitter, at @rishjessica_
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