There are around 650,000 people enrolled for Medicaid in Iowa. Around 170,000 are through the Iowa Health and Wellness plan. Under a bill in the Senate, 40 percent of those on the Iowa Health and Wellness plan will need have part time work or volunteer to say on the program. The work requirement has 11 exemptions. They include those who are pregnant, disabled, in rehab or enrolled in the Future Ready Iowa program. It’s estimated the implimenting the reporting requirement will cost $5 million in the first year and $12 million each subsequent year. Last year the Children’s System State Board was created by an executive order from the governor. Part of their strategic goals include ways to provide services, treatment, and therapy to children. The g overnor proposes having a $5 million federal block grant funding programs recommended by the Children’s System State Board. To do that, it will take money that is now being spread among 25 state organizations providing services for adults.