Unless precluded from doing so under the terms of a premarital agreement, the failure of a surviving spouse to make an election under this subchapter constitutes a transfer of assets for the purpose of determining eligibility for medical assistance pursuant to chapter 249A to the extent that the value received by making the election would have exceeded the value of property received absent the election.
Iowa Code § 633.246A
2000 Acts, ch 1060, §7; 2005 Acts, ch 38, §21; 2006 Acts, ch 1104, §2; 2018 Acts, ch 1041, § 127