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Friday, November 28, 2025

Gov. Kim Reynolds signs law implementing work requirements for 171,000 Iowans on Medicaid - The Des Moines Register

  • Iowans on the state's Medicaid expansion program, the Iowa Health and Wellness Plan, would have to work 80 hours per month to receive coverage.
  • Reynolds is already seeking permission from the Trump administration to implement work requirements, but the law makes it more difficult for a future governor to undo the policy.

Gov. Kim Reynolds has signed into law a bill requiring thousands of Iowans to work or lose their Medicaid coverage, as she prepares to submit a final request to the federal government to allow Iowa to implement the new rules.

Reynolds, a Republican, announced June 6 that she signed Senate File 615 into law, which will affect about 171,000 people on the state's Medicaid expansion program if the Trump administration approves it.

The legislation requires able-bodied adults on the Iowa Health and Wellness Plan to work at least 80 hours per month, or earn the equivalent based on the state's minimum wage of $7.25 per hour, or to be enrolled in an educational or job skills program to qualify for health care.

"It is a priority of mine to ensure our government programs reflect a culture of work," Reynolds said in a statement. "If you are an able-bodied adult who can work, you should work. We need to return Medicaid back to its intended purpose — to provide coverage to the people who truly need it."

Reynolds has already submitted a preliminary request to the federal government for permission to institute work requirements. That request to the Trump administration...



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