A bill for an act relating to the establishment of the work without worry program under the medical assistance program for employed individuals with disabilities, and including effective date provisions.

This bill establishes Iowa's "Work Without Worry Program," providing Medicaid health coverage to employed individuals with disabilities aged 18-65 who meet income and disability criteria. It removes typical Medicaid income and resource limits by using federal Medicaid rules, allowing participants to keep jobs without losing health coverage - automatically enrolling Supplemental Security Income (SSI) recipients and excluding employment income from eligibility calculations. Participants pay a monthly premium of 6% of their verified "countable income" (excluding certain household income and federal benefits), with a six-month grace period for temporary job loss or health issues. The program coordinates with employer health coverage to avoid duplicate payments and ensures access to all traditional Medicaid services plus community-based long-term supports.