House Passes Legislation on Work and Nutrition Assistance
This week, the House passed bills on work requirements for Medicaid expansion and food eligible for nutrition assistance.
House File 748 requires the Iowa Department of Health and Human Services to request federal approval to include work requirements as a condition of maintaining eligibility for Medicaid expansion in Iowa. This program will reduce the dependence of low-income Iowans on public assistance and will help them move up the economic ladder.
This bill ensures that able-bodied adults are working. According to the Department of Health and Human Services, over 100,000 Iowans on Medicaid expansion are not working.
Medicaid expansion has only existed in Iowa for 10 years. This program is a safety net for low-income Iowans but is not intended to be a forever government dependent program. This bill intentionally gives DHHS flexibility to implement the program on an individualized basis, looking at the needs and abilities of each individual that has sought out assistance.
There is dignity in work. Not only from the financial stability it provides, but the sense of purpose, the skills you learn from completing a job, being responsible for more than yourself, creating good life habits of being on time and acting professionally and respectfully to all, providing a good example to your children. Also, our society has mostly tied health insurance with employment, and this bill builds on that to ensure Iowans are prepared for life after government assistance.
House File 970 requires healthy food based on necessary nutrition in the Supplemental Nutrition Assistance Program. The legislature would like to emphasize the nutrition aspect of this taxpayer funded program to assist low-income individuals.
According to a 2016 USDA study of foods purchased with SNAPs funds, 20 cents of every dollar was spent on sweetened beverages, desserts, salty snacks, candy and sugar. In the same report, it ranked categories of food purchased by SNAP households. Sweetened beverages made up the 2nd most purchased category and prepared desserts was the 5th most purchased category. It also ranked the top 10 commodities by expenditure, with soft drinks being the top purchased commodity by SNAP households.
SNAP already limits recipients from purchasing hot foods intended for immediate consumption, as well as alcohol. This bill builds on that work to ensure that taxpayer funds are not going to fund poor health outcomes that do not alleviate hunger.
Iowa currently ranks 11th in the nation for adult obesity. One in six children in Iowa are considered obese. Obesity leads to high blood pressure, diabetes, heart disease, and, as many of the members this legislature are concerned, several types of cancers. These obesity related diseases often disproportionately affect lower-income individuals at a higher rate. The leading cause of death in Iowa is heart disease.
This bill incentivizes better eating habits, and the state is willing to put additional support to those healthy choices by providing a $1 million appropriation in this bill to support additional purchases of fruits and vegetables through the Double Up Food Bucks Program. |