A bill for an act relating to the supplemental nutrition assistance program, the medical assistance program, the Iowa health and wellness plan, and other programs under the purview of the department of health and human services and including effective date provisions.

This bill proposes changes to Iowa's eligibility rules for nutrition and health assistance programs, directly affecting SNAP (food assistance) and Medicaid applicants. It requires verification of U.S. citizenship or specific immigration status (e.g., lawful permanent residents, Cuban/Haitian entrants) using federal systems like SAVER, and defines "alien" as any non-citizen. It also limits retroactive Medicaid eligibility to two months prior to application and mandates an annual report to the legislature on implementation. These provisions apply to all applicants for SNAP, Medicaid, or the Iowa Health and Wellness Plan administered by the Department of Health and Human Services.