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.

SSB 1174 establishes Iowa's "Work Without Worry" program, allowing employed individuals with disabilities to keep Medicaid coverage while working without losing benefits due to income. It removes standard income and resource limits for eligibility, instead charging a premium of 6% of an individual's "countable income" (basic needs income). The program automatically enrolls people receiving Supplemental Security Income (SSI), covers traditional Medicaid services plus additional community-based supports, and includes a 6-month grace period for temporary job loss. It directly affects Iowans aged 18-65 with disabilities who work and earn taxable income, ensuring continuous health coverage without penalty for employment.