Iowans affected by UnitedHealthcare’s impending exit as a Medicaid managed-care provider should be aware that they have rights under the contract the state signed with the insurer, State Auditor Rob Sand announced at an April 1 news conference.

Sand reviewed the company’s 287-page contract with the Iowa Department of Human Services before news broke on March 29 that UnitedHealthcare will not continue to manage care for Iowans on Medicaid in the coming fiscal year, which begins on July 1. That development suddenly made the contract’s termination provisions “very important and relevant.”

Sable Knapp‘s home state is Iowa, and she currently lives in Maine. -promoted by Laura Belin

The human body is two-thirds water, as is the surface of the planet we inhabit. Water quality profoundly affects human health and clean water protections must be upheld. Everyone should be able to have the peace of mind that comes from guaranteed safe, free drinking water.

Iowa Citizens for Community Improvement works persistently to defend Iowa’s water. By suing the State of Iowa for failing to ensure the safety of Raccoon River, Iowa CCI and Food & Water Watch are sending a strong “No Means No” message to polluters and politicians who authorize the pollution of Iowa’s rivers. Bill Stowe, Des Moines Water Works CEO, aptly said, “We are completely at the mercy of what gets dumped in our rivers each day.”

The rallying cry “Water is Life” is a fundamental truth. Poet and activist Lyla June evokes this power in her poem “And God is the Water,” which concludes with the words, “I am the rock and God is the water.” The way we care for nature reflects the way we care for ourselves.

As America’s waterways slip further into the hands of corporate players, subsequent pollution continuously affects everyone. Iowa’s elected officials must be held responsible for facilitating the revitalization and protection of the water that flows through Iowa.

Carl Olsen is a leading advocate for expanding access to medical cannabis in Iowa and maintains the Iowans for Medical Marijuana website. -promoted by Laura Belin

The Des Moines Register reported on March 29 that a member of the Iowa Medical Cannibidiol Advisory Board had resigned over comments made on the floor of the House during debate on House File 732. (Bleeding Heartland covered that bill’s passage here.)

When a government press release arrives at 4:45 pm on a Friday, you know it’s not bearing good news. UnitedHealthcare will soon pull out of Iowa’s Medicaid program, the governor’s office announced on March 29. The company “manages health care for more than two-thirds of Iowans on Medicaid,” at least 425,000 people, Tony Leys reported for the Des Moines Register.

The official spin portrayed Governor Kim Reynolds as a hero who resisted a for-profit insurer’s “unreasonable” and “unacceptable” demands.

The real story is that nearly three years into our costly Medicaid privatization experiment, Iowa’s dominant managed-care organization (MCO) still can’t handle normal business practices like paying health care providers on time.

Bleeding Heartland welcomes guest posts advocating for any Democratic candidate for president. Please read these guidelines before writing. -promoted by Laura Belin

Well, you may be wondering. Why did Kyla Paterson say U.S. Senator Kirsten Gillibrand of New York was the best? South Bend Mayor Pete Buttigieg is the first openly gay presidential candidate, and Senator Bernie Sanders (independent of Vermont) has been fighting for civil rights for over thirty years, so why would she choose Gillibrand?

Those are one hundred percent valid questions. LGBTQIA+ issues are a top concern for me as chair of the Iowa Democratic Party’s Stonewall Caucus. In that context, I prioritize trans issues, being the first ever transgender caucus chair.

Top officials in the Iowa State County Treasurers Association voted on March 27 to discontinue a controversial scholarship program, Ryan Foley reported for the Associated Press.

Earlier this month, all 99 county treasurers received the latest call for scholarship applications. Since then, longstanding doubts about the program’s legality reached a wider audience after Foley revealed that two county treasurers had vacationed last fall with the owner of a company doing business with their offices.

The bad publicity could have been avoided if treasurers and those advising them had been committed to complying with Iowa’s gift law, even when no one was looking.

Sue Dinsdale is the executive director of Iowa Citizen Action Network. -promoted by Laura Belin

Nine years ago this week, Congress passed the Affordable Care Act, giving us a chance and a choice when it comes to health insurance. But since that time there has been threat after threat against it. And each time it is threatened, everyday Americans have spoken out.

Here in Iowa and across the country, small business owners, students, retirees, farmers, workers, seniors, young people, veterans and other constituents have been telling our Members of Congress: Stop these cruel and careless threats on our health and financial security.

Ed Fallon reviews how Democratic presidential candidates visiting Iowa recently have addressed climate change. -promoted by Laura Belin

Our hearts and minds strain to process the flood of climate-enhanced destruction in Iowa, Nebraska, and eastern Africa. Yet in the broader fight against climate chaos, signs of encouragement are growing:

Two years ago, State Senator Jake Chapman’s Republican colleagues slapped down his efforts to force a Senate vote on language declaring that life begins at conception, with every fertilized egg “accorded the same rights and protections guaranteed to all persons.”

This week, Republicans helped Chapman accomplish what he failed to do then: sneak “personhood” language into a bill during Senate floor debate.

Barbara Leach, president of My Rural America Action Fund, is a former Iowa farm owner and manager. -promoted by Laura Belin

Much is frightfully wrong in rural America, and 80 percent of Iowa’s counties are right in the thick of it. An unsold crop awaits sale. Sales await the repair of President Donald Trump’s broken trade agreements. Bankers await payments. The flood compounds the troubles.

These troubles affect our economy, consumer food prices, and contribute to the kind of international unrest that is driven by hunger and too often results in military action.

The upcoming Heartland Rural Forum scheduled for March 30 in Storm Lake offers Iowans the chance to kick off a national debate about what could be done to support our fragile family farm economy and our nation’s agricultural sector. Five Democratic presidential candidates (maybe more?) will attend, and there is much for them to talk about.

Bruce Lear worries despairing teachers may resort to illegal strikes if Iowans don’t recognize “public schools are a precious resource worth the fight.” -promoted by Laura Belin

I thought about just writing politicians, but frankly, this is too important to leave for political gamesmanship. I’m writing this open letter to sound the alarm. To put you on notice. I’m writing as a public service so we can all avoid what is coming.

It’s a storm warning.

“Is it perfect? No, it’s not perfect. Are we moving in the right direction? Absolutely,” Democratic State Representative Wes Breckenridge said shortly before Iowa House members approved a bill to improve our state’s medical cannabis program.

House File 732 would allow some Iowans to use more potent products and would make it easier for some patients to apply for a registration card. The House passed the bill by 96 votes to three after Breckenridge and Republican State Representative Jarad Klein praised each other’s consensus-seeking.

But for a suspenseful few minutes during the March 26 floor debate, the future of the bill was in doubt because of a first-term Republican’s far-reaching amendment.

Ed Fallon: “It doesn’t take a masters degree in anthropology to read between the lines and detect the not-so-subtle racial bias behind King’s comparison.” -promoted by Laura Belin

U.S. Representative Steve King (R-Middle Ages) just can’t help himself. King is, perhaps, the most honest politician in America. No matter how hard he tries, King simply can’t conceal the fact that he’s a flaming racist.

Leland Searles is a photographer and ecological consultant with expertise in botany, hydrology, soils, streams, and wildlife. -promoted by Laura Belin

“The only thing we learn from history is that we learn nothing from history.” (Georg Hegel, German philosopher)

There are too many potential topics for this blog, the third in a series, and that leads to a certain amount of indecisiveness. Until something happens. That something is the flooding that has already occurred in the Midwest this year, and the expectation of more to come. So far, western Iowa, eastern Nebraska, and northwestern Missouri have experienced the worst of it, with a much larger area affected to some extent.

The degree of flooding in the Missouri basin this year is nearly unrivaled in the record books. Still, I want to push this point: we should have known, and we should have acted to prevent it or mitigate it. Dams do not work in the long run, and when the system of dams was built along the Missouri in the 1940s and 1950s, the year 2019 was a long time off. We are now in “the long run” that no one then foresaw.

Ira Lacher weighs in on the Mueller investigation report (based on the limited information currently available). -promoted by Laura Belin

No collusion.

Well, what did we expect?

I turned 50 years old this month. Ten years ago, I marked my milestone birthday by flagging “40 good bloggers over 40.” This time, I am casting a wider net to highlight not only people with their own blogs (which are, unfortunately, in a state of decline), but any political reporters, commentators, or authors who are in their second half-century.

Many writers I enjoy reading were too young to be listed here, such as Douglas Burns, Andie Dominick, Todd Dorman, Juliette Kayyem, Andy Kopsa, and a star of political blogging’s “golden age,” Atrios/Duncan Black. An early draft of this post included William Petroski, who recently retired from the Des Moines Register. His coverage of Iowa legislative happenings is missed.

One of my all-time favorite bloggers, Steve Gilliard, would be in his 50s now. I’ve often wished he had lived to cover Barack Obama’s presidency and the Donald Trump disaster.

On to the list, in alphabetical order:

You don’t hear this every day: in an Iowa House speech on March 21, Democratic State Representative Kirsten Running-Marquardt repeatedly thanked GOP colleagues for their work on a bill she opposed. House File 531 changed some aspects of our state’s unemployment insurance and benefits system. The first draft was much worse than the legislation House Republicans approved on a party-line vote this week.

The bill’s floor manager, State Representative Gary Worthan, warned that next year, lawmakers may return to a idea jettisoned following intense opposition from Democrats and labor groups.

Children supervised by a responsible adult would be able to hunt deer with a “pistol or revolver” under a bill the Iowa House approved on March 20, mostly along party lines.

House members rejected a Democratic effort to restore language that had gained bipartisan support in committee and would have required minors to complete a hunter education course before using such weapons for hunting.

Matt Chapman closely follows Iowa legislative happenings, including bills affecting Iowans on public assistance. -promoted by Laura Belin

Iowa Senate Republicans on March 19 approved new work requirements for tens of thousands of Iowans on Medicaid or receiving food assistance. Senate File 538 would instruct the Iowa Department of Human Services to request a federal waiver for the Iowa Health and Wellness Plan, our state’s version of Medicaid expansion. Approximately 170,000 adults receive Medicaid through that plan, and roughly 61,000 of them also receive Supplemental Assistance Nutrition Program (SNAP) benefits.

If the waiver were approved, Medicaid recipients would face new reporting obligations for “community engagement.” If not part of an exempted group, they could lose coverage due to paperwork errors, even if they were working the requisite number of hours per week. Nonpartisan analysis estimated this bill would cost the state budget nearly $5 million the first year after the waiver and nearly $12 million each subsequent year.

During floor debate (beginning at 11:53:20 of this video), Republicans characterized the bill as a way to hold Iowans accountable. Democrats offered two amendments that would have extended that accountability to large employers and the for-profit insurers known as managed-care organizations (MCOs), which oversee Iowa’s privatized Medicaid.

Democrat Eric Giddens won today’s special election in Iowa Senate district 30 by a double-digit margin. According to Thomas Nelson of the Waterloo/Cedar Falls Courier, unofficial results show Giddens received 7,610 votes (56.9 percent), Republican Walt Rogers 5,631 votes (42.1 percent), and Libertarian Fred Perryman 143 votes (1.1 percent).

Democratic enthusiasm, fueled by numerous presidential candidate visits, overcame Rogers’ advantage in name ID and the fact that Governor Kim Reynolds scheduled the election at the worst possible time for Democrats.