A bill for an act relating to the Iowa health and wellness plan and member community engagement requirements and including effective date provisions.

SF 363 requires eligible Iowa health and wellness plan members (a Medicaid program) to participate in 20+ hours weekly of community engagement activities like work, volunteering, or job training, unless they qualify for an exemption. Exemptions include individuals under 19, over 64, pregnant, caring for young children, medically unfit, or receiving unemployment benefits. The bill mandates the state health department to seek a federal waiver to implement this requirement and set an implementation deadline of July 1, 2025. It directly affects Medicaid members who do not meet specific exemption criteria.