Alerts
Democratic Caucus Accommodation Requests Due January 27
01.15.20
Iowa's first-in-the-nation caucuses are just a few weeks away and both political parties have been working hard to make sure these caucuses are the... Read More...
JOIN US! Monthly Advocacy Calls
12.30.19
This year, we will be hosting monthly call-ins to give advocates with disabilities a chance to ask questions about the issues being discussed at the... Read More...
Updated 2020 Caucus Materials Available!
12.20.19
Never been to a caucus? Don't know what to expect? Want to know more?  Our user-friendly guide and resources can help you get ready and be prepared... Read More...
New Senate Human Resources Committee Chair
11.05.19
Iowa Senate Republicans announced a new Chair of the Senate Human Resources Committee, which addresses issues like disability services, health care,... Read More...
Iowa DD Council 2019 Priorities
02.02.19
The Iowa Developmental Disabilities Council, which sponsors infoNET, has released their 2019 State Legislative Priorities.  Top on their list is... Read More...


Our Network

Medicaid Expansion Debate Scheduled

More articles »

The Senate has scheduled debate on Senate File 296, the bill that expands Medicaid to any Iowan earning up to 138% of the federal poverty level.  This expansion was allowed by the federal health care reform law (Affordable Care Act), and is paid for entirely by the federal government for the first three years.  After three years, the federal share goes down gradually until the state begins picking up 10% of the costs in 2020 and after.  The regular Medicaid match is 58% federal, 42% state; so many legislators think the enhanced Medicaid match of 90-10 is a good way to pay for services to the 150,000 Iowans that would be eligible for this coverage.

Those opposing Medicaid expansion say the federal government in an unreliable partner, and the state should develop their own program even if it means picking up more of the cost (42% as opposed to 10%).  There has been no alternative plan developed, although the Governor's office is said to be working on a plan that would cover about half as many people (89,000 Iowans earning up to 100% of the federal poverty level) at a cost of $162 million (of which $43 million is taken from county MH/DS levies and used for this instead of MH/DS services).  We will let you know as soon as the Governor's alternative plan is released.

If you want to listen or watch the Senate debate on Senate File 296, you can do that at the Capitol or from home on your computers:

  • Watch in Person.  You can watch the debate in person from the Senate gallery or Room 116.  Arrive early to be sure of getting a seat.   While there are areas in the galleries that are accessible, they have set aside Room 116 for those with physical disabilities that may make it difficult to get into the galleries.

  • Watch from Home.  You can watch the debate live online here.  You can listen to debate live on Apple devices here, or on a computer or tablet using Windows here.