The Iowa House has sent the governor a plan to extend post-pregnancy Medicaid coverage for new mothers and infants from 60 days to a full year.
The coverage will be limited to families with incomes at or below 215% of the federal poverty line. Representative Devon Wood, a Republican from New Market, said that’s in line with surrounding states.
“It would put us higher than South Dakota. It would put us higher than Nebraska,” Wood said. “It would put us comparable with Illinois and it would put us just under Missouri and Minnesota.”
The current two months of Medicaid coverage of post-pregnancy care is available to babies and their mothers in households with incomes up to 375% above the poverty line. Representative Heather Matson of Ankeny is among the Democrats who unsuccessfully urged Republicans to keep that higher income threshold for the expanded coverage. “At a time when maternal and infant mortality is on the rise, we should expand coverage for more women, not less,” Matson said.
House Democratic Leader Jennifer Konfrst said with billions of dollars held in surplus accounts, the state can afford to extra $7 million to help more low income families with a new baby.
“And that’s frustrating because this isn’t an expensive endeavor and the cost is so high for not doing it,” Konfrst said, “the cost to moms and the costs to babies.”
Wood, the Republican who led debate of the bill, said she welcomes continued discussion about supporting more new moms, but the bill is an important step to expand post-pregnancy Medicaid coverage to a full year for uninsured mothers and babies.
“This bill, as is, is imperative for those moms who need it most,” Wood said. “It would still put us at 13th most generous (coverage) in the nation.”
A federal law approved three years ago gave states authority and funding to expand postpartum coverage in the Medicaid program. Iowa will soon join 47 states that have approved the expansion.