Zachary Roth is the national democracy reporter for States Newsroom. Jared Strong is senior reporter for Iowa Capital Dispatch, where this article first appeared.

Iowa’s health department is failing to comply with the federal requirement to make voter registration accessible to people applying for Medicaid, multiple advocates say, likely leading significant numbers of low-income Iowans to be left off the rolls.

“I would regard this as major noncompliance with an agency’s obligations under the NVRA,” said Brenda Wright, special litigation and policy counsel at the NAACP Legal Defense Fund. She was referring to the National Voter Registration Act, the 1993 law that requires state agencies to offer their clients the chance to register to vote. 

The concerns come at a time when Iowa already appears to be struggling to get people on public assistance to register, and as the 2024 election approaches.