Concerned parent Tanya Keith reached out to Governor Kim Reynolds’ staff and interviewed infectious disease Dr. Megan Srinivas. -promoted by Laura Belin

Less than a month before school starts, Governor Kim Reynolds is putting politics ahead of my daughter’s life and well-being. I am one of the thousands of Iowa parents bearing the burden of having a child under 12, who is too young to be vaccinated against COVID-19.

Anyone following pandemic science updates has been fed a daily diet of rising concern. First, the World Health Organization recommended that all individuals mask inside, even if they are vaccinated. Then the American Academy of Pediatrics recommended that all K-12 students be masked, regardless of vaccination status. The U.S. Centers for Disease Control just echoed that guidance.

As an Iowa parent, I know that it is currently against the law for masks to be required at school. If you’re reading this from another state, that may sound bizarre, but I assure you it’s true. In May, Reynolds signed a bill in the middle of the night to ban mask mandates, so schools were left scrambling to come up with new policy days from the finish line of a grueling academic year.

Governor Kim Reynolds told Iowans this week to “lean further into normal,” since “There’s no reason for us to continue to fear COVID-19 any longer.”

Iowa Department of Public Health Director Kelly Garcia obliged with new guidance urging schools and child care providers to “approach COVID-19 like other child illnesses.”

To justify abandoning precautions like mandatory face coverings and quarantines for children exposed to coronavirus, Garcia misrepresented the latest advice from the U.S. Centers for Disease Control.

A longstanding effort by Iowa Senate Republicans to reduce the number of Iowans receiving various forms of public assistance got a quiet boost last week from Governor Kim Reynolds.

For the first time, the governor’s draft human services budget included provisions that would create asset tests for federal food assistance and require the Iowa Department of Human Services to establish a new “eligibility verification system” for Medicaid and several other public assistance programs.

State Senator Jason Schultz has pushed similar legislation for several years running. Each session, Senate Republicans have approved the bills, which died in the House Human Resources Committee (see here and here).

Amber Gustafson is a progressive activist and was the 2018 Democratic candidate in Iowa Senate district 19. -promoted by Laura Belin

Dear Fellow Iowa Democrats,

It’s a new year and with that comes new perspectives and new outlooks.

In November of 2020, I put my name forward to run for Iowa Democratic Party chair and with it I shared a plan to help our party regain our footing in our state. It was with determination and optimism that I stepped forward to offer my services to our party. But since my initial announcement, my family’s circumstances have come to bear on my plans for 2021.

It is with great regret that I have chosen to withdraw my name for consideration as chair of the Iowa Democratic Party.

Charles Bruner is a longtime advocate for policies that support children and strengthen families. -promoted by Laura Belin

Relational campaigning is back. Out of necessity, campaigns have had to adapt to the strictures of social distancing. 2020 has not been a year for mass gatherings, nor for packed party headquarters of volunteers to disperse leaflets door-to-door or operate phone banks. Instead, much of the volunteer work has relied upon people in their own homes and with their computers and cell phones doing what they can.

The plus side of this has been an increased emphasis upon “relational campaigning,” asking volunteers to reach out to the people they know best about issues that matter to them.

Katie Rock is the Campaign Representative for the Sierra Club’s Beyond Coal campaign in Iowa. Beyond Coal is a national campaign led by the Sierra Club to retire the U.S. coal fleet by 2030. You can find her on Twitter @KatieRockIA. -promoted by Laura Belin

Our current unprecedented times call for unprecedented measures. Now is the time when we need to think and act boldly as a community so we can all get through this together. We need our state, and our service and utility providers to step up for families. We need to ensure no one faces eviction or loses their essential services during this time.

The Iowa Department of Public Health does not intend to limit the use of exemptions to mandatory vaccinations during the novel coronavirus (COVID-19) pandemic, spokesperson Amy McCoy confirmed on May 19.

The State Hygienic Laboratory has expanded its novel coronavirus testing criteria to include some children and staff in day care centers who have respiratory symptoms and no alternative diagnosis.

However, the state still will not cover COVID-19 tests for most people living in the same household with someone confirmed to have the virus.

Charles Bruner is a longtime advocate for policies that support children and strengthen families. -promoted by Laura Belin

Possibly the most important five minutes of the eight Democratic presidential debates happened when candidates answered the last question–on child poverty–in the recent New Hampshire debate.

It was not that the candidates differed in their approaches, but they all saw this as a critical issue and provided important reflections on what is at the heart of a fundamental challenge to American prosperity — the future of our diverse next generation.

First Focus has done a valuable service by putting the clip on You Tube.

Charles Bruner has been involved with the Children’s Policy Coalition over the last three decades and led in the design of both the 2015 and 2019 Iowa Voter Survey conducted by Selzer & Co. -promoted by Laura Belin

For the first time in our country’s history, children face the prospect of growing up less healthy, living shorter lives, and being less prepared to compete and lead in a world economy.

This is not a matter of a few children. One-fifth of America’s kids are struggling and already face sober futures; another one-third definitely are not doing as well as they could to prepare themselves to be adults. These statistics hold even if we are able to address global climate change and its adverse impacts.

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 has attended Iowa House and Senate subcommittee meetings nearly every day. These bills were among the most significant he has tracked lately. -promoted by Laura Belin

Over the past week, Iowa Senate subcommittees considered five bills drafted to address fraud in Iowa public assistance programs. Each bill would direct revenue generated by Iowa taxpayers to private vendors, who are charged with finding fraudulent claims. If investigation supports the claims of fraud, those funds could be recovered, and criminal charges filed.

The staff of Iowa Safe Schools submitted this post, authored by members of the Student Leadership Council: Noah Mathis, Alena Gamble, and Rachel Overla. The Student Leadership Council represents queer and allied high school students in Iowa. -promoted by Laura Belin

Students today endure pressures from every angle. From grades to jobs, from relationships to college plans, there are so many things that students have on their minds and in their lives.

For LGBTQ youth, living their truth is another pressure that is often compounded by fear of rejection from friends, family, and community.

Dirk Hillard, Carly Armour, Robert Vizzini, and Vania Kassouf advocate for legislation designed to help Deaf and hard of hearing children be better prepared for kindergarten. -promoted by desmoinesdem

Did you know there are 28 million Americans and approximately 430,000 individuals in the state of Iowa who are Deaf or hard of hearing? Did you know that Iowa’s Deaf and hard of hearing children ages 0-5 are not showing up as kindergarten ready due to lack of language acquisition?

The Language Equality & Acquisition for Deaf Kids to be kindergarten ready (LEAD-K) bill is needed because a majority of Deaf and hard of hearing children are academically very far behind when compared with their peers. This is a serious national education concern, which some states are beginning to address. Iowa’s children are no exception, but the State Department of Education has a long way to go to make changes.

Senator Rob Hogg introduced Senate File 2076, and State Representative Art Staed introduced the companion bill, House File 2140. We are writing to correct some misperceptions about this bill, which have been brought to our attention.

Scott County activist Emilene Leone joined the statewide steering committee for John Norris last month. Bleeding Heartland welcomes guest posts advocating for candidates in competitive Democratic primaries. Please read these guidelines before writing. -promoted by desmoinesdem

I am strongly endorsing John Norris for Iowa governor, and I encourage all concerned parents here in Iowa to do the same. John Norris is the best choice to protect Iowa’s future for our children.

The hits just keep on coming from the health and human services budget Iowa Republicans enacted this year.

As if big spending cuts to public health programs, child care assistance, social worker field services, the closure of four Planned Parenthood clinics, and ending on-site ombudsmen visits to nursing homes didn’t do enough to harm vulnerable people, that budget bill also called for short-changing Iowans who sign up for Medicaid.

The Reynolds administration is moving forward with the plan to end decades-long practice on covering health care for new Medicaid recipients.

Iowa Democrats are set to have their first competitive primary for secretary of state since 1998. Deidre DeJear launched her campaign last month on the 52nd anniversary of the Voting Rights Act, to symbolize her commitment to increasing voter participation.

DeJear spoke to Bleeding Heartland at length about her candidacy, and I’ve posted highlights from that interview after the jump, along with the audio and full transcript of her remarks to a Democratic audience in Grinnell. You can follow her campaign on the web, Facebook, and Twitter.

DeJear’s approach to the race is markedly different from that of Jim Mowrer, the other Democrat in the field. Mowrer came out swinging against Secretary of State Paul Pate, vowing “to say no to making it harder and more expensive to vote” and highlighting the failure to count nearly 6,000 votes in Dallas County last November. In contrast, DeJear says little about Pate in her campaign materials and stump speech. She didn’t bring up the Dallas County debacle in our interview either.

Pate is very unpopular among Democratic activists since pushing for new restrictions on voting that will create barriers for certain populations. Nor is the secretary of state well-liked by county auditors, some of whom have already endorsed Mowrer. I suspect many 2018 primary voters will be drawn to a candidate willing to take the fight to Pate, relentlessly.

On the other hand, DeJear’s more aspirational, positive message should resonate with Democrats who prefer candidates to talk about what they are for, not what they’re against. I look forward to following this race.

The rumors were true: Drake University Law Professor Jerry Foxhoven will be the new Iowa Department of Human Services director, effective tomorrow.

The May 31 press release announcing Chuck Palmer’s retirement linked to a job listing for the DHS director position, to close on June 11. I would be surprised if Governor Kim Reynolds interviewed or seriously considered anyone else for this job, given the rapid turnaround. I never heard a rumor about any candidate other than Foxhoven.

I enclose below the full text of today’s announcement, including background on the new director. Foxhoven has a lot of relevant experience for the job, and I wish him the best of luck as he attempts to lead a department where big mid-year spending cuts will give way to even lower funding levels for the next fiscal year. Morale is reportedly poor among DHS workers, in part because of too-large caseloads. Medicaid privatization has proved disastrous for many vulnerable Iowans and service providers.

Speaking of which, Disability Rights Iowa filed suit yesterday against Reynolds and former DHS Director Palmer, seeking “to halt discriminatory cuts in services to 15,000 Iowans with serious disabilities,” Tony Leys and Jason Clayworth reported for the Des Moines Register. Roxanne Conlin is helping the plaintiffs, who will seek certification for a class action.

UPDATE: Lee Rood and Tony Leys interviewed Foxhoven for the Des Moines Register. I posted excerpts below, but you should click through to read the whole thing.

Iowa Department of Human Services Director Chuck Palmer is retiring effective June 16, Governor Kim Reynolds announced today. Critics including Democratic State Senator Matt McCoy have called on Palmer to resign for months, charging that inadequate staffing at DHS facilitated more suffering and premature deaths among abused children. The department’s handling of Medicaid privatization has also drawn criticism. Despite Palmer’s promises to hold the line, the DHS agreed to pay private insurance companies more for managing Medicaid. In addition, DHS officials have downplayed numerous, ongoing reports of those companies cutting back on health care services and failing to reimburse providers promptly or adequately.

In keeping with Governor Terry Branstad’s playbook when Teresa Wahlert ended her disastrous tenure at Iowa Workforce Development, Reynolds didn’t acknowledge any problems with Palmer’s management of the DHS today. On the contrary, she and acting Lieutenant Governor Adam Gregg praised Palmer’s work in the official press release, enclosed in full below.

Matt Chapman shares comments he delivered at today’s Iowa House public hearing on Republican budget proposals. -promoted by desmoinesdem

So here we are again in public comments for the seventh time this year, discussing laws that are disproportionately pro-wealthy and anti-worker. These laws are also mostly split along party lines. And I have to hand it to your strategist, as the most damaging laws against workers, many who voted Republican in 2016, were gotten out of the way earlier in the session. And at the end of the session, we have the most divisive legislation brought to the fore in an attempt to appease the very voters you enraged with the destruction of Chapter 20, the union-busting bill.

This will be the governor’s legacy. Will it be yours as well? Let’s compare him to Governor Robert Ray.

Times won’t be equally tough all over when Republican cuts take effect in the justice systems budget.

The Attorney General’s Office receives only about 3 percent of state funding in this area (totaling some $559 million for the next fiscal year) but will absorb about 84 percent of the $2.9 million in cuts Republican lawmakers agreed on behind closed doors. The Department of Corrections, which consumes about three-quarters of justice systems spending, will face a net reduction only $1.6 million, and the Department of Public Safety, which costs six times more to run than the Attorney General’s Office, will see a small increase despite the bleak revenue forecast for the state as a whole.

Justice Systems Appropriations Subcommittee Chairman Gary Worthan commented on April 12, “We would have liked to have done better with a lot of areas, but we’re forced to work with the realities of the budget.”

Fiscal constraints didn’t force anyone to inflict the deepest cuts on Iowans who have already experienced some of this world’s harshest realities. Republicans who put together this bill chose to spend 25 percent less next year on grants supporting survivors of sexual violence and domestic abuse.

The multimillion-dollar cost of excluding Planned Parenthood as a provider in Iowa’s new family planning program will come directly out of the health and human services budget, Iowa Senate Appropriations Committee Chair Charles Schneider has confirmed to Bleeding Heartland. Republican lawmakers and Governor Terry Branstad have committed to creating a fully state-run program because federal rules do not allow states to disqualify Planned Parenthood from the Medicaid Family Planning Waiver. Under that waiver, federal funds have covered 90 percent of the Iowa Family Planning Network’s costs for many years.

In contrast, the state will be on the hook for every dollar spent on the new family planning services program. According to a fiscal note prepared by non-partisan legislative staff, that program is estimated to “increase General Fund expenditures by $2.1 million in FY 2018 and $3.1 million when implemented for a full year in FY 2019.”

The governor proposed using part of Iowa’s federal Social Services Block Grant funding to cover that cost, which is consistent with spending bills House Republicans approved during the 2015 and 2016 legislative sessions.

Instead, “a general fund appropriation in the health and human services budget” will pay for the new family planning program, Schneider said during an interview following the April 8 legislative forum in Waukee. After reviewing the proposal from the governor’s office, he explained, he chose to file “our own [bill] that didn’t take the money from the Social Services Block Grant.”

It’s understandable that Republican appropriators rejected Branstad’s idea. As Bleeding Heartland discussed here, the Social Services Block Grant is not a reliable funding stream. The U.S. House Ways and Means Committee leader has called for eliminating the grant, and House Republicans voted to do so last year.

But Republican plans to give up millions of federal family planning dollars look even more foolish now than they did a few months ago, when one considers Iowa’s worsening state revenue picture and the huge spending cuts already inflicted on human services.

Voting mostly along party lines, the Iowa House approved on March 7 a bill containing many items on the gun lobby’s wish list. House File 517 would make it easier for Iowans to acquire, carry, and use firearms, relaxing permitting rules, expanding where people can bring concealed weapons, and enacting “Stand Your Ground” language. The bill is certain to pass the Republican-controlled state Senate, due to the heavy involvement of pro-gun groups in defeating several Democratic incumbents last year. Governor Terry Branstad has never seen a gun bill he didn’t like, so will surely sign House File 517 when it reaches his desk.

The most important likely result will be more shootings of unarmed people by Iowans newly entitled to use deadly force, without having to demonstrate that any person was in danger, or that the shooter had valid reason to feel threatened. Other states that adopted “Stand Your Ground” legislation have experienced a documented increase in homicides, with no evidence of deterrence effects. After Florida enacted a law similar to what the Iowa House just passed, “there was an abrupt and sustained increase in the monthly homicide rate of 24.4% […] and in the rate of homicide by firearm of 31.6% […].”

As State Representative Ras Smith underscored by putting on a hoodie during the Iowa House debate, African-Americans will be at particular risk, since research indicates “Whites who kill blacks in Stand Your Ground states are far more likely to be found justified in their killings.”

More tragedies may also occur in Iowa municipal offices, thanks to provisions making it harder for cities and counties to ban weapons from government buildings.

I enclose below some highlights from yesterday’s debate and details on House File 517. Because gun advocates continue to spread misinformation in order to build a case for “Stand Your Ground,” I also included relevant language from current state law and an Iowa Supreme Court ruling.

Pro-gun advocates spent a lot of money to help Republicans gain control of the Iowa Senate in last year’s elections. The GOP majority will likely move several of the gun lobby’s legislative priorities soon, including so-called “Stand Your Ground,” an amendment to Iowa’s constitution establishing the right to keep and bear arms, and relaxed rules on concealed carry permits and youth firing of handguns.

If they are smart, Republicans who venerate the Second Amendment will steer clear of State Senator Jake Chapman’s new bill, which would trample on the First Amendment and prevent potentially life-saving conversations.

Governor Terry Branstad and Republican leaders in the Iowa House and Senate are finally poised to eliminate Planned Parenthood’s state funding, a cherished goal Democrats had repeatedly blocked in recent years.

Branstad said during his Condition of the State address on Tuesday that his budget “redirects family planning money to organizations that focus on providing health care for women and eliminates taxpayer funding for organizations that perform abortions.” House and Senate leaders likewise depict their plan as a simple change to reimburse different health care providers, creating “better options for more women.”

What Iowa Republicans don’t broadcast: they are setting the state up to spend ten times more on family planning services, without a reliable funding stream.

One of my blogging new year’s resolutions for 2016 was to publish more work by other authors, and I’m grateful to the many talented writers who helped me meet that goal. After the jump I’ve linked to all 140 guest posts published here last year.

I encourage readers to consider writing for this site in 2017. Guest authors can write about any political issue of local, state, or national importance. As you can see from the stories enclosed below, a wide range of topics and perspectives are welcome here.

Pieces can be short or long, funny or sad. You can write in a detached voice or let your emotions show.

Posts can analyze what happened or advocate for what should happen, either in terms of public policy or a political strategy for Democrats. Authors can share first-person accounts of campaign events or more personal reflections about public figures.

Guest authors do not need to e-mail a draft to me or ask permission to pursue a story idea. Just register for an account (using the “sign up” link near the upper right), log in, write a post, edit as needed, and hit “submit for review” when you are ready to publish. The piece will be “pending” until I approve it for publication, to prevent spammers from using the site to sell their wares. You can write under your own name or choose any pseudonym not already claimed by another Bleeding Heartland user. I do not reveal authors’ identity without their permission.

I also want to thank everyone who comments on posts here. If you’ve never participated that way, feel free to register for a user account and share your views. If you used to comment occasionally but have not done so lately, you may need to reset your password. Let me know if you have any problems registering for an account, logging in, or changing a password. My address is near the lower right-hand corner of this page.

Tanya Keith has volunteered for many Democratic campaigns in Des Moines and was a precinct captain for Barack Obama before the 2008 Iowa caucuses. -promoted by desmoinesdem

We’re into the last two days of this campaign and as Hillary released her “Story of the Campaign” video, I began to think about my journey through this campaign. The lead up to the Iowa Caucus was a turning point in my life. My third and likely final child, a daughter, was born in April of 2015, just as my oldest was becoming a teenager. I realized that this was the last Presidential election that my oldest will not vote in, and I decided to push myself to show her how to engage in politics, even through the fog of early motherhood. My first venture on this mission was a trip to Newton, Iowa when the baby was 12 weeks old.

When my first was born, I was starting my own company, and with my second my company was going strong and I barely took any time off. My third born gave me the opportunity to indulge in staying home with her without the immediate pressure of working. Reaching 12 weeks, when American families who qualify for FMLA must return to work after unpaid leave was taking an emotional toll on me. My daughter was still so small, and I felt a personal responsibility to take advantage of the Iowa Caucus stage to shine a light on the absurdity of United States being the only industrialized nation to not offer paid family leave.

As Clinton wrapped up her speech and began taking questions, I stood up with my baby girl in my arms.

The Republican Party has spent more than $400,000 defending Iowa House Majority Leader Chris Hagenow’s seat in the Des Moines suburbs, which he held by only 23 votes in the last presidential election cycle. Most of the money has bought television commercials, beginning six weeks ago and continuing in heavy rotation to the end.

Hagenow led with a ludicrous spot portraying himself as some kind of champion for education funding and the preschool program he voted to eliminate. He moved to a deceptive hit piece against Democratic challenger Jennifer Konfrst, followed by an ad touting his role in making EpiPens more widely available for kids. A second negative spot was a narrowly-focused attack on a tax lien Konfrst resolved many years ago–the height of hypocrisy, since Republican leaders were simultaneously funding the campaign of a House candidate with a much larger, still unpaid federal tax liability. In the last few days, local television stations have been running Hagenow’s initial positive ad, which misrepresents his record on education funding.

Hagenow is running scared, for good reason.

What’s on your mind, Bleeding Heartland readers? This is an open thread: Some exceptionally sad news caught my eye recently:

A new investigation by the Associated Press and the USA Today network found that in the first six months of 2016, children aged 17 or younger “died from accidental shootings — at their own hands, or at the hands of other children or adults — at a pace of one every other day, far more than limited federal statistics indicate.” Alaska and Louisiana had the highest rates of accidental child shooting. A separate feature in the series focused on three incidents that killed two teenage girls and seriously injured another in Tama County, Iowa.

Government research on accidental gun deaths is nearly non-existent, because more than two decades ago, the National Rifle Association persuaded Congress to defund gun research by the Centers for Disease Control.

Meanwhile, the AP’s Scott McFetridge reported last week on the growing hunger problem in Storm Lake. The problem isn’t lack of jobs–the local unemployment rate is quite low–but a lack of livable wages. Iowa-born economist Austin Frerick mentioned Storm Lake and other towns dominated by meatpacking plants in his guest post here a few months ago: Big Meat, Small Towns: The Free Market Rationale for Raising Iowa’s Minimum Wage.

I enclose below excerpts from all of those stories, along with some good news from the past week:

The African-American Hall of Fame announced four new inductees, who have done incredible work in higher education, criminal justice, community organizing, and the practice of law.

Planned Parenthood marked the 100th anniversary of the first birth control clinic opening in the country on October 16. Click here for a timeline of significant events in the organization’s history.

Drake University Biology Professor Thomas Rosburg will receive this year’s Lawrence and Eula Hagie Heritage Award from the Iowa Natural Heritage Foundation. Rosburg is a legend among Iowans who care about native plants, wetlands, and prairie restoration.

Austin Frerick, an Iowa native and economist who has worked at the Institute for Research on Poverty and the Congressional Research Service, examines state assistance to poor children 20 years after federal welfare reform. -promoted by desmoinesdem

Nine-year-old Kaylie moved into a cheap motel after her mother got evicted. They have no refrigerator. Kaylie retrieves ice from the ice machine and fills the sink with it to keep the milk cold. When they have milk. Kaylie is just one of the approximately 110,000 Iowa children living in poverty, up 44 percent since 2000. Frontline profiled Kaylie and several other poor Iowa children in the acclaimed episode “Poor Kids.”

This year marks the 20th anniversary of President Clinton’s Welfare Reform. Prior to the reform, any poor mother and child in this country received a monthly subsistence check. This law changed that. It destroyed that safety net. It removed this promise and left states free to almost eliminate welfare. Politicians promised innovation by devolving power to states on the premise that they would come up with new ways address poverty but that never happened (Iowa’s last innovation meeting occurred in 1996). They promised it would get poor mothers back to work, but the programs proved ineffective (Iowa allocates less than 6% of funding to job assistance).

Most welfare dollars don’t even go directly to poor children anymore. Most states, including Iowa, use this money to supplement funding elsewhere. Twenty years later, there are now more poor kids receiving less support. We have let the bottom fall even further for our most vulnerable.

Iowa should abandon its current failed welfare system and instead enact a Social Security program for all of its children. This idea builds on the simple notion that parents know what is best for their children, and it would remove layers of ineffective bureaucracy.

Outrage has been building for several days over news that the Mylan corporation jacked up wholesale prices for EpiPens from $56.64 to $317.82 between 2007 and 2015. Mylan is the sole suppler of devices patients can use to inject epinephrine in case of life-threatening allergic reactions. Manufacturing costs for EpiPens have not increased, and the active ingredient is a “generic drug that has been in use for decades.” Adding to the scandal, the annual total compensation for Mylan CEO Heather Bresch has increased from $2,453,456 to $18,931,068 since 2007. The company exploited a loophole called “inversion” two years ago to reduce its tax bill.

Yesterday Democratic presidential nominee Hillary Clinton called on Mylan to reduce the price of EpiPens. Members of Congress including Iowa’s Senator Chuck Grassley have asked the company to explain the pricing changes and asked the Food and Drug Administration “to answer questions about its approval process and other steps for alternatives to the EpiPen.” Michael Hiltzik reported for the Los Angeles Times that another device used to self-inject epinephrine “was taken off the market last year because of manufacturing defects,” and a similar product from a generics company “hasn’t yet won approval from the Food and Drug Administration.” Another generic product is available at a lower cost but works differently, “in ways that can lead to critical errors if users aren’t properly trained,” and it “can’t be substituted when filling a prescription” for an EpiPen.

Mylan promised today to offer more assistance for people who need to buy EpiPens. But as Andrew Pollack reported for the New York Times, the extra discounts are “not lowering the list price of EpiPen, just making it easier for consumers to pay for it. So insurance companies, federal health programs like Medicare and Medicaid and school districts that stock the products could still pay the same price.” Bresch sounded shameless this morning during a CNBC interview, justifying the price increase because of higher marketing and distribution costs and other improvements to the product. “No one is more frustrated than I am,” she claimed.

My friend Colleen Kinney, a Des Moines mother of a child with severe food allergy, is mailing Bresch a care package today. She gave me permission to publish this photo of the cookies she baked and will send along with a note: “Heather Bresch, Please provide explanation for epipen price hike. Enjoy these treats. If my son ate these, he would die without Mylan’s epi-pen.”

Commentaries on either party’s platform are welcome here. -promoted by desmoinesdem

As an adult, I accept that not everyone is going to share my views on all things. Part of living in a democracy means that we come together to discuss our individual perspectives and try to find means of compromise that allow us to move forward together.

But I have my limits.

Behold, an amendment to the Republican national platform, addressing—of all things—no-fault divorce:

“We believe children have a natural right to be raised in an intact biological family. While brokenness can befall children in a myriad ways [sic], we acknowledge that children are made to be loved by both natural parents united in marriage.”

As an adoptee, I find this language viscerally offensive, bordering on the obscene.

“When I saw Donald Trump mock somebody with a disability, it showed me his soul. It showed me his heart. And I didn’t like what I saw.” The father of a child with spina bifida delivers that devastating closing line in a new tv ad by Priorities USA Action. The super-PAC that supports Hillary Clinton for president is running the 60-second spot in seven swing states, including Iowa. I enclose below the video and transcript.

Although this commercial probably won’t change the minds of anyone inclined to support Trump for president, it should reinforce his historically low favorability ratings, especially among women with children.

Most early electoral vote projections show Iowa as a tossup state, though I have seen a few putting our state in the “lean D” category. Democratic candidates have won Iowa’s electoral votes in six of the last seven presidential elections.

A few days after former Lieutenant Governor Patty Judge became the first U.S. Senate candidate in Iowa to run television commercials this year, six-term Senator Chuck Grassley’s campaign placed a small buy for ads in Des Moines and Cedar Rapids. Despite facing no competition for the Republican nomination, Grassley has run tv ads in May during previous re-election races, most recently in 2010.

The senator’s debut spot this year carries over the “Grassley Works” slogan from past campaigns. But whereas the opening pitch from 2010 emphasized the incumbent’s personal qualities and commitment to visiting every Iowa county every year, the new spot appears designed to rebut criticism over Grassley’s refusal to hold hearings for U.S. Supreme Court nominee Merrick Garland.

Iowa families hoping for guaranteed insurance coverage of autism services will have to wait at least one more year. Despite Democratic efforts to add an autism coverage mandate to the health and human services budget for fiscal year 2017, the compromise approved on the final day of this year’s legislative session excluded such language. Instead, lawmakers increased state funding for various autism-related grants and programs.

According to the lead Republican negotiator on the human services budget, families affected by autism will have insurance coverage by January 2017 without a mandate, thanks to Wellmark Blue Cross/Blue Shield’s decision to sell policies through Iowa’s public insurance exchange. But those policies will not be available to Iowans living in dozens of counties, nor will they cover applied behavior analysis (ABA) interventions, which are effective but prohibitively expensive for many people with spectrum disorders.

Earlier this month, Claire Celsi informed Bleeding Heartland readers about the demise of an autism insurance bill after State Representative Peter Cownie refused to bring the measure up for a vote in the Iowa House Commerce Committee, which he chairs.

As both Autism Awareness Month and the 2016 legislative session wind down, Democrats in the Iowa House and Senate have been working to add the same requirements to a must-pass budget bill. Follow me after the jump for background and where things stand in this fight.

For six years running, the Democratic-controlled Iowa Senate has confirmed almost all of Republican Governor Terry Branstad’s nominees unanimously or nearly so. But every year, one or two Branstad nominees don’t get through. On Thursday Dr. Mariannette Miller-Meeks became the first (and probably the only) nominee to fail an Iowa Senate confirmation vote this year.

Claire Celsi is the Democratic challenger to Peter Cownie in Iowa House district 42. -promoted by desmoinesdem

April is Autism month. I wish I had better news for all the parents out there who are trying to provide the best care for their children.

State Representative Peter Cownie (R-West Des Moines), Chair of the Iowa House Commerce Committee, single-handedly killed the bill that autism advocates in Iowa had worked all year to bring to a vote in the House Commerce Committee. Cownie had challenged the bill’s advocates to “find him seven Republican votes” so he could bring the bill up and pass it out of his committee for consideration by the entire House. The autism advocates (mostly parents of children who have autism) found the committee votes – both Democrat and Republican. On March 8, the Commerce Committee met, but the bill was never brought up for a vote. Cownie apparently decided that insurance companies were more important than kids. I have heard stories from some of the parents who worked very hard to convince legislators to vote for the bill and they are adamant that the bill would have passed if Cownie would have allowed it to come up for a vote in his committee.

What’s on your mind this weekend, Bleeding Heartland readers? This is an open thread: all topics welcome.

On April 1, three months later than originally planned, Iowa officially switched to a managed-care model for the Medicaid program. Erin Murphy explained here how privatization will affect almost all of our state’s roughly 560,000 Medicaid recipients.

Many Iowans on Medicaid are learning that their current health care providers are now out of network, a particular concern for those who have special medical needs. The Mayo Clinic in Rochester, Minnesota has not signed contracts with any of the three insurance companies selected to be managed-care providers in Iowa. KCRG’s Katie Wiedemannn reported on March 31 about a 9-year-old cancer patient whose scheduled treatment at Mayo has been delayed because of the new policy. I am aware of other families whose children on Medicaid have relied on out-of-state medical specialists to treat their children’s rare genetic or chronic conditions.

Iowa House Republican leaders have refused to act on an extensive Medicaid oversight bill that cleared the Senate with bipartisan support. However, they promise to unveil their own Medicaid oversight proposal soon. Senate Democrats will seek to add many oversight provisions to the human services budget, which is often one of the last bills to be resolved before lawmakers adjourn for the year.

One major red flag: Iowa hired only “two ombudsmen to investigate and work as advocates for the 560,000 poor or disabled people” on Medicaid. As Jason Clayworth reported for the Des Moines Register in January, a working group that studied the issue recommended hiring 134 more ombudsmen at a possible cost of $17 million annually.

Rhonda Shouse has been among the most vocal opponents of Medicaid privatization. She shared with Bleeding Heartland some resources for recipients who run into problems with their new managed-care providers. I enclose those below.

Some good public health news: state lawmakers recently approved a bill that would allow “First responders, emergency medical service providers, police, firefighters and licensed health care professionals” to maintain a supply of the drug Naloxone (also known as Narcan). The medication can prevent death after an overdose of heroin or prescription opioid pain-killers, both of which have become more prevalent in Iowa, as in many other states. Senate File 2218 passed the upper chamber the Senate unanimously and cleared the House by 93 votes to 2 (the dissenters were Republicans Stan Gustafson and Mike Sexton). Several groups representing law enforcement or medical professionals lobbied for this bill. At this writing, Governor Terry Branstad has not yet signed it.

UPDATE: Branstad signed the bill about the overdose drug on April 6.

Maridith Morris is a nurse and the Democratic candidate in Iowa House district 39. -promoted by desmoinesdem

This picture is my nephew Fin. He is an adorable, happy little guy and I love him to pieces. Fin has autism spectrum disorder. Fin is just one vulnerable Iowan who is going to be hurt by Medicaid privatization.

At Fin’s age, early intervention therapy is crucial for his positive outcomes. Therapy can mean the difference between him becoming a high functioning adult, one who is able to live independently, work, and pay taxes and a disabled adult needing tax payer support. Despite the crucial nature of Fin’s therapy, the rush to privatize Iowa’s Medicaid puts those services in jeopardy. To receive therapy, Fin’s parents will have to transport him from Indianola to appointments at Blank Children’s Hospital in Des Moines because services are no longer in network in Indianola.