A bill for an act relating to the establishment of an easy enrollment health care coverage program utilizing the state income tax form.

HF 355 establishes a program using Iowa's state income tax form to help uninsured residents find health coverage. Starting in 2025, taxpayers filing returns will see new questions about health coverage for themselves, spouses, dependents, and other household members, along with checkboxes to authorize sharing that information with health agencies. If a taxpayer indicates they lack coverage and authorizes sharing, the tax department forwards their details to the health insurance marketplace and health department to assess eligibility for Medicaid or other programs. This voluntary process aims to simplify enrollment in existing coverage options without penalties for non-participation, directly affecting Iowa residents filing state taxes who may qualify for health benefits.