ARC 0396D

ARC 0396D

HUMAN SERVICES DEPARTMENT[441]

Adopted and Filed

Rulemaking related to conditions of eligibility

    The Department of Health and Human Services hereby amends Chapter 75, “Conditions of Eligibility,” Iowa Administrative Code.

Legal Authority for Rulemaking

    This rulemaking is adopted under the authority provided in Iowa Code section 249A.3(2)“a”(1)(b).

State or Federal Law Implemented

    This rulemaking implements, in whole or in part, Sections 1916A and 1902(a)(10)(A)(ii)(XIII) of the federal Social Security Act.

Purpose and Summary

    This rulemaking implements the required annual premium update for applicants and recipients under the Medicaid for Employed Persons with Disabilities (MEPD) program with an income over 150 percent of the federal poverty level (FPL).

Public Comment and Changes to Rulemaking

    Notice of Intended Action for this rulemaking was published in the Iowa Administrative Bulletin on April 29, 2026, as ARC 0229D. Public hearings were held on the following date:

     ?   May 19, 2026

    No one attended the public hearings. No public comments were received. No changes from the Notice have been made.

Adoption of Rulemaking

    This rulemaking was adopted by the Department on June 3, 2026.

Fiscal Impact

     The anticipated effect of the premium change on State revenue for fiscal year 2027 is $31,839.

Jobs Impact

    After analysis and review of this rulemaking, no impact on jobs has been found.

Waivers

    Any person who believes that the application of the discretionary provisions of this rulemaking would result in hardship or injustice to that person may petition the Department for a waiver of the discretionary provisions, if any, pursuant to 441—Chapter 2504.

Review by Administrative Rules Review Committee

    The Administrative Rules Review Committee, a bipartisan legislative committee which oversees rulemaking by executive branch agencies, may, on its own motion or on written request by any individual or group, review this rulemaking at its regular monthly meeting or at a special meeting. The Committee’s meetings are open to the public, and interested persons may be heard as provided in Iowa Code section 17A.8(6).

Effective Date

    This rulemaking will become effective on August 1, 2026.

    The following rulemaking action is adopted:

ITEM 1.  Amend subparagraph 75.6(6)“b”(4) as follows:

(4)  Premiums will be assessed as follows:

[Filed 6/3/26, effective 8/1/26]

[Published 6/24/26]

EDITOR’S NOTE: For replacement pages for IAC, see IAC Supplement 6/24/26.