Senate File 334 could take food off the table and restrict health care access for some Iowans, while taking money away from much needed programs. The bill would spend $25 million per year after an initial $16 million in FY2020 to hire more than 520 state employees to verify eligibility for Iowans on work support programs such as Medicaid and SNAP (food assistance). This legislation is brought to you by a Koch-funded lobbying group out of Florida.
Iowa’s Legislative Service Agency analysis indicates that the bill’s proposed “quarterly reviews have the potential to reduce public assistance enrollment, but no significant savings are expected because many items that would be reviewed quarterly are currently checked on a frequent basis.”
SNAP helped more than 330,000 Iowans in January of 2019. More than 560,000 Iowans are covered by Medicaid. Many Iowans receiving help from these work support programs are children; many more are elderly persons in nursing homes.
Make no mistake — this bill has the sole intention of getting Iowans off of work support programs.
One in six Iowans living in working households is unable to afford basic needs such as groceries and health care on income alone. Low wages are the problem and spending millions in taxpayer money to duplicate work support verification will do little to help Iowans get ahead.
SNAP is important for child development, educational outcomes and lifetime earnings. Half of Medicaid enrollees in Iowa are children, and 44 percent of Medicaid spending goes to services for older Iowans. The challenge to Iowa policy makers is how to make sure people who need these supports can get them, not to put new obstacles in their way.
Policies that would really help Iowans get ahead should concentrate on raising wages to account for rising worker productivity. Helpful policies should reinstate workers’ rights and protections. Other policy solutions include expanding Iowa’s Earned Income Tax Credit and Child Care Assistance. It is to these solutions where Iowans need to turn their attention.
 Jess Benson, “Fiscal Note: SF 334 – Medicaid, Supplemental Nutrition Assistance Program (SNAP) Eligibility Verification.” February 2019. Iowa Legislative Services Agency. https://www.legis.iowa.gov/docs/publications/FN/1038439.pdf
 Iowa Department of Human Services, “Food Assistance Report Series F-1.” January 2019. http://publications.iowa.gov/29783/1/FA-F1-2016%202019-01.pdf
 American Community Survey, “Health Insurance Coverage Status and Type of Coverage by State and Age for All People: 2017. September 2018. U.S. Census Bureau. https://www.census.gov/data/tables/time-series/demo/health-insurance/acs-hi.html
 Peter Fisher and Natalie Veldhouse, “The Cost of Living in Iowa – 2018 Edition: Many Iowa Households Struggle to Meet Basic Needs.” July 2018. Iowa Policy Project. http://iowapolicyproject.org/2018docs/180702-COL2018-Part2.pdf
 Feeding America, “Child Food Insecurity: The Economic Impact on our Nation.” 2009. https://www.nokidhungry.org/sites/default/files/child-economy-study.pdf
 American Community Survey, “Health Insurance Coverage Status and type of Coverage by State and Age for All People: 2017.” Table H105. September 2018. U.S. Census Bureau. https://www.census.gov/data/tables/time-series/demo/income-poverty/cps-hi.html
 Steve Eiken, Kate Sredl, Brian Burwell & Angie Amos, “Medicaid Expenditures for Long-Term Services and Supports in FY 2016.” Table 31. Iowa LTSS Percentage Trends. https://www.medicaid.gov/medicaid/ltss/downloads/reports-and-evaluations/ltssexpenditures2016.pdf
Natalie Veldhouse is a research associate for the nonpartisan Iowa Policy Project. email@example.com