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.

HF 905 establishes Iowa's "Work Without Worry" program, providing Medicaid coverage to employed individuals with disabilities aged 18-64 who meet specific criteria. The program removes standard income and asset limits by requiring a monthly premium of 6% of countable income (rounded down to the nearest dollar), with automatic enrollment for Supplemental Security Income recipients. It includes a six-month grace period for temporary job loss or health crises, maintaining coverage during this time with ongoing premium payments. Administered by Iowa's Department of Health and Human Services, the program requires federal approval to implement under Medicaid rules.