ARC 9185C

HUMAN SERVICES DEPARTMENT[441]

Notice of Intended Action

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

Legal Authority for Rulemaking

This rulemaking is proposed 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, Social Security Act sections 1916A and 1902(a)(10)(A)(ii)(XIII).

Purpose and Summary

This proposed rulemaking adjusts the federal poverty level (FPL) increments used to assess premiums for applicants and recipients under the Medicaid for Employed Persons with Disabilities (MEPD) program with income over 150 percent of the FPL.

Regulatory Analysis

Fiscal Impact

The anticipated effect of the proposed premium change on state revenue for fiscal year 2026 is $252,470. This represents the fact that the Department inadvertently did not submit an administrative rule update in calendar year 2024.

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 6.

Public Comment

Any interested person may submit written or oral comments concerning this proposed rulemaking, which must be received by the Department no later than 4:30 p.m. on May 20, 2025. Comments should be directed to:

Public Hearing

Public hearings at which persons may present their views orally or in writing will be held as follows:

Persons who wish to make oral comments at a public hearing may be asked to state their names for the record and to confine their remarks to the subject of this proposed rulemaking.

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).

The following rulemaking action is proposed: