# Drugs



Iowa governor's 2024 legislative agenda in limbo

State legislators escort Governor Kim Reynolds into the Iowa House chamber on January 9, 2024. Photo by Zach Boyden-Holmes/The Des Moines Register (pool).

Governor Kim Reynolds had every reason to be confident about her legislative plans this year. Republican lawmakers approved most of her priorities in 2023, including some that had previously stalled in the Iowa House, such as a “school choice” plan and damage caps for medical malpractice awards.

Ten weeks into the 2024 legislative session, only two policies the governor requested have made it through both chambers. Nearly a dozen other bills still have a chance to reach her desk with few changes.

But Reynolds’ top priority—downgrading the Area Education Agencies (AEAs) and centralizing power over special education in her administration—will be dramatically scaled back, if it passes at all.

Three bills the governor introduced and promoted in public remarks or on social media are almost certainly dead for the year. Those include her effort to enshrine “separate but equal” treatment of LGBTQ Iowans.

Leaders moved several of Reynolds’ bills to the “unfinished business” calendar in one or both chambers on March 14, keeping them eligible for floor debate despite missing an important legislative deadline. The rest of the governor’s proposals involve taxes or spending, and are therefore “funnel-proof.”

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Iowa hospitals must stop unlawful drug testing after births

Rachel Bruns is a volunteer advocate for quality maternal health care in Iowa. This article originally appeared on the Des Moines Register’s website.

The Des Moines Register article “What Patients Should Know About Hospital Drug Testing” missed some key information that may help families disrupt the illegal maternal and newborn drug screening practices taking place at Iowa hospitals and clinics.

The U.S. Supreme Court made clear in 2001 (Ferguson v. Charleston) that prenatal drug testing without specific informed consent is unlawful. Nevertheless, some Iowa clinics and hospitals continue to conduct such tests, when urine is gathered for testing of urinary tract infections or to check urine glucose or protein levels. Such practices are not only unlawful, but also create mistrust of the medical system—putting the lives of moms and babies at risk. 

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Iowa Department of Corrections asks for cannabis exemption

Carl Olsen is the founder of Iowans for Medical Marijuana.

The Iowa Department of Corrections filed two study bills this week, asking Iowa legislators to make an exception to the state’s medical cannabis program, Iowa Code Chapter 124E.

Senate Study Bill 3020 and companion House Study Bill 524 call for amending the statute so the state can

Revoke a medical cannabidiol registration card issued to a person who becomes committed to the custody of the director of the Iowa department of corrections or placed under the supervision of the Iowa department of corrections.

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Court finds Iowa's garbage search law unconstitutional

A Polk County District Court has ruled that the Iowa legislature “overstepped” when it enacted a law allowing police to search garbage outside a home without a warrant.

In a November 13 order granting a defendant’s motion to suppress evidence obtained through trash grabs, Chief Judge Michael Huppert found the 2022 law “void as inconsistent with the language of article I, section 8 of the Iowa Constitution as interpreted by the Iowa Supreme Court.”

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DeSantis needs to use diplomacy before talking of invasion

Randy Evans is executive director of the Iowa Freedom of Information Council and can be reached at DMRevans2810@gmail.com

Campaigning for public office is no picnic. Day after day there are speeches, Q&A’s, interviews and the constant need to think before you speak.

Candidates eat enough chicken to have Colonel Sanders clucking approval. But for those who speak before engaging their brains, there other item on the menu often is crow.

The miscues are not the sole province of one party’s candidates to the exclusion of the other’s. Ask 2016 presidential candidate Hillary Clinton about that “basket of deplorables.” Ask 2022 U.S. Senate candidate Abby Finkenauer if she now wishes she had chosen a different way to express displeasure with a judge’s ruling on a challenge to her nomination papers.

In recent days, Florida Governor Ron DeSantis pledged that if elected president, he will send United States military forces into Mexico to deal with the drug cartels “on day one.” 

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The 22 most-viewed Bleeding Heartland posts of 2022

Governor Kim Reynolds, the state legislature, and Iowa Supreme Court rulings inspired the majority of Bleeding Heartland’s most-read posts from this year.

This list draws from Google Analytics data about total views for 570 posts published from January 1 through December 29. I wrote 212 of those articles and commentaries; other authors wrote 358. I left out the site’s front page and the “about” page, where many people landed following online searches.

In general, Bleeding Heartland’s traffic was higher this year than in 2021, though not quite as high as during the pandemic-fueled surge of 2020. So about three dozen posts that would have ranked among last year’s most-viewed didn’t make the cut for this post. Some honorable mentions from that group:

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Where things stand with Biden's marijuana scheduling review

Carl Olsen is the founder of Iowans for Medical Marijuana.

One of President Joe Biden’s campaign promises was to consider reforming federal marijuana laws. Recently, in fulfilling his promise, Biden pardoned all federal simple marijuana possession cases and requested that Secretary of Health and Human Services Xavier Becerra begin a scheduling review.

Marijuana is in the most restrictive of the five schedules in the Controlled Substances Act of 1970. 21 U.S.C. §§ 801 et seq. Schedule I is for substances that have no accepted medical use in treatment in the United States. Substances in schedules II through V are prescription drugs. 

The major obstacle to rescheduling marijuana has always been that marijuana can’t be proven to have accepted medical use because it cannot be prescribed.

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Iowa House Democrats endorse legal weed

One of these things is not like the others.

Three parts of the Iowa House Democrats’ “People over Politics” agenda will sound familiar to anyone who has followed legislative debates over the past decade. The minority party, which now holds 40 of the 100 House seats, will fight to raise wages and lower costs for essentials like housing and child care, protect reproductive freedom, and invest more resources in public schools.

The fourth part of the Democrats’ campaign platform is new: for the first time, an Iowa legislative caucus advocates legalizing adult use of marijuana.

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Welcome to Iowa, land of entrapment

Carl Olsen is the founder of Iowans for Medical Marijuana.

If you have travel plans this summer, you might want to consider a route that avoids Iowa.  Last week, the Iowa Supreme Court denied protection for an out-of-state medical marijuana patient.

William Morris covered the ruling for the Des Moines Register, and Paul Brennan wrote about it at Little Village.

After reading the 4-3 majority opinion in State v. Middlekauff, I felt something seemed amiss. 

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Cindy Axne should withdraw her racist police bill

Jaylen Cavil and Alejandro Murguia-Ortiz co-authored this commentary. Cavil is a Democratic candidate in Iowa House district 36. Murguia-Ortiz is an independent candidate in Iowa Senate district 17.

Dog whistles have been a feature of U.S. politics for decades. President Ronald Reagan’s “welfare queens,” President Bill Clinton’s “law and order” campaign, and former House Speaker Newt Gingrich calling Barack Obama a “food stamps president” are all examples of racist talking points. Politicians use coded language when trying to garner support by triggering racial anxiety. 

Today’s version of the “war on crime”—a reaction to nationwide calls to defund the police and fund communities instead—is no different from the racist wars on drugs and poverty that have led to the incarceration and deaths of millions.

With the introduction of the Invest to Protect Act, U.S. Representative Cindy Axne (D, IA-03) and U.S. Senator Chuck Grassley have joined forces to re-employ this dog whistle strategy.

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Introducing the Campaign for Sensible Cannabis Laws

Bradley Knott: The Campaign for Sensible Cannabis Laws is giving a Iowans a voice and showing elected officials that voters support reforming Iowa’s cannabis laws.

Cannabis reform is sweeping the country. From ruby red South Dakota and Montana to perpetually blue New York and New Jersey, majorities from across the political spectrum are voting for reform. In some states it’s a stronger medical program. In other states voters have gone all in for both medical and recreational cannabis.

In Iowa, we don’t have a choice. We don’t even have a voice.   

When Democratic State Senators Joe Bolkcom, Janet Petersen, and Sarah Trone Garriott introduced a bill to give Iowans a voice, GOP leadership told them it was D-O-A – dead on arrival. 

Sound familiar?

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Capping costs no substitute for lowering drug prices

Sue Dinsdale is the director of Iowa Citizen Action Network and leads the Health Care For America and Lower Drug Prices NOW campaigns in Iowa.

U.S. Senator Chuck Grassley got it right when speaking about efforts to lower prescription costs. He acknowledged the “difficulty of passing something like this in a Republican Congress,” adding, “If we want to reduce drug prices, then we need to do it now.”

For years we’ve been hearing members of Congress promise to tackle rising drug prices without any action. Prescription drugs and the outrageous price of medicine has made reform a top issue that attracts bipartisan support. A recent national poll indicated that 91 percent of voters consider lowering drug prices a very important issue in the upcoming election, ranking it above COVID-19 worries. 

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Three Iowans among first to have sentences commuted by Biden

President Joe Biden issued three pardons on April 26 and announced commutations for 75 people convicted of nonviolent federal drug offenses.

In a written statement, Biden said he was using his clemency powers during “Second Chance Month” to pardon “three people who have demonstrated their commitment to rehabilitation and are striving every day to give back and contribute to their communities.”

I am also commuting the sentences of 75 people who are serving long sentences for non-violent drug offenses, many of whom have been serving on home confinement during the COVID-pandemic—and many of whom would have received a lower sentence if they were charged with the same offense today, thanks to the bipartisan First Step Act. 

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RJ Miller: Why I'm running for Iowa House district 34

RJ Miller: I chose to run to take the voices of my community and make their voices louder.

I am a community activist who’s been organizing in Des Moines since 2019 around the issues of racial discrimination, civil and human rights, and urban violence.  Originally a victim of gun violence in Minneapolis, I overcome the obstacles of gang activity and incarceration in order to inspire and support my community in a collective effort to defeat the issues that plague the inner city. 

My mission is to uplift, empower, and transform the Des Moines community through restorative justice, empowering the youth, and investing in solutions that will combat the forces of colonization and oppression at large.

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Cannabis criminalization is failed public policy for Iowa

Senator Joe Bolkcom represents Iowa City and has been a leading voice in the state legislature for updating Iowa law on cannabis.

This March 22 marks the 50th anniversary of an important report from the Shafer Commission, a group appointed by President Richard Nixon, tasked with studying marijuana and issuing policy recommendations. The group’s findings called for the decriminalization of cannabis possession in the U.S., but alas, the suggestions went unheeded.

Fifty years later, Iowa remains one of nineteen states where you can still be locked up for minor cannabis possession.

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What's wrong with medical marijuana?

Carl Olsen is the founder of Iowans for Medical Marijuana.

Therapeutic use of marijuana stretches back centuries, but the popularity of its modern use appears to have begun with the discovery of the THC molecule. Tetrahydrocannabinol (THC) is the principal psychoactive constituent of cannabis and one of at least 113 total cannabinoids identified on the plant. THC was first discovered and isolated by Bulgarian-born chemist Raphael Mechoulam in Israel in 1964. 

On May 13, 1986, the Drug Enforcement Administration (DEA) transferred the synthetic form of THC from schedule I to schedule II of the Controlled Substances Act (CSA). On July 1, 1999, the DEA transferred this synthetic form of THC from schedule II to schedule III of the CSA.  Federal Register: Vol. 64, No. 127, Friday, July 2, 1999.

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My effort to allow religious use of marijuana extracts in Iowa

Carl Olsen is the founder of Iowans for Medical Marijuana.

In October, I asked the Polk County District Court to declare religious use as a qualifying condition for participation in the state’s marijuana extract program, Iowa Code Chapter 124E.

On November 23, 2021, the state filed a Motion to Dismiss my Petition for Declaratory Judgment. The state said it had sovereign immunity and cannot be sued.

On November 24, 2021, I filed an application with the Iowa Department of Public Health (IDPH) for access to the program.

The state made three other arguments in its motion to dismiss:

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What the bipartisan infrastructure bill will spend in Iowa

The state of Iowa will receive approximately $5 billion from the $1.2 trillion infrastructure bill headed to President Joe Biden’s desk, according to calculations published by U.S. Representative Cindy Axne (IA-03). Axne, the lone Democrat in Iowa’s Congressional delegation, was among the 215 Democrats and thirteen Republicans who approved the bill late in the evening on November 5. (Procedural matters earlier in the day led to the two longest votes in U.S. House history.)

Iowa’s three Republicans in the chamber—Representatives Ashley Hinson (IA-01), Mariannette Miller-Meeks (IA-02), and Randy Feenstra (IA-04)—opposed the infrastructure legislation.

When the Senate approved the same bill in August, Iowa’s Republicans landed on opposite sides, with Senator Chuck Grassley supporting the infrastructure package and Senator Joni Ernst voting against it.

HOW FUNDS WILL BE SPENT IN IOWA

The bill involves about $550 billion in spending not previously approved by Congress. Axne’s news release estimated Iowa’s share of several large pieces. Our state stands to receive:

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Federal government can fix cannabis scheduling problem without new law

Carl Olsen sent the letter enclosed below to the U.S. Senate Finance Committee. -promoted by Laura Belin

Cannabis_Reform@finance.senate.gov

Cannabis Administration and Opportunity Act
GAI21675 4LN Discussion Draft S.L.C.

Modern state, national, and international drug laws were designed to be flexible.  Instead of statutory classification of drugs, classification is an administrative process called scheduling.  The scheduling of drugs can be adjusted by administrative processes without the need for further legislation or renegotiated international treaties.

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Pissed off: New Iowa law makes fake urine a crime

Marty Ryan covers a new law that received little attention early this year. -promoted by Laura Belin

A private sector employee from Iowa goes across the border on a Friday after work to Illinois. His friends offer a blunt, and he takes a hit. He thinks nothing of it, because recreational use of pot is legal in Illinois. On his way home on Sunday, he realizes that there could be a random drug test early in the week. He’s heard marijuana will stay in his system for up to 30 days, so he purchases a package of fake urine at a vape shop.

Monday morning, he is asked to take a drug test. He manages to get the fake urine into the beaker without anyone seeing him.

Days later, a lab result indicates that he may have used fake urine. Depending on a union contract, an employee handbook, or company policy that has been posted conspicuously, the employee may be disciplined, or in a severe case terminated. Now, he can also be arrested for a simple misdemeanor.

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Update on efforts to obtain a federal cannabis exemption for Iowa

Carl Olsen is the founder of Iowans for Medical Marijuana. promoted by Laura Belin

In February 2019, I asked the Iowa Medical Cannabidiol Board, which regulates our state’s medical cannabis program, if there was anything we could be doing about federal drug law, such as obtaining a federal exemption (21 C.F.R. § 1307.03) like the one that currently exists for another federal Schedule I controlled substance, peyote (21 C.F.R. § 1307.31).

In August 2019, at my request, the board recommended that the Iowa Department of Public Health (IDPH) obtain a federal exemption for cannabis. However, the department refused, saying none of the other 46 states that have enacted medical cannabis laws have requested federal exemptions, and that Iowans were not being injured by the federal criminalization of cannabis.

Keep in mind that patients had been testifying before the board about discrimination in schools and health care facilities because of the federal criminalization of cannabis. Iowa Attorney General Tom Miller signed a September 2019 bipartisan letter from attorneys general saying the current federal policy “poses a serious threat to public safety.”

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Refunding Des Moines

Brandi Webber is a local artist, volunteer, mother, and candidate for Des Moines City Council in Ward 3. -promoted by Laura Belin 

A community’s priorities can be made visible by looking at the breakdown of the city budget. Looking at Des Moines’ city budget, you see that our largest single priority, at roughly 39 percent of spending, is policing.

With such a large portion of our budget devoted to policing, examining the effectiveness of police and their role in our community should be non-controversial. When we talk about “defunding the police,” many will conjure an image of a city in disarray as the pillars of society crumble to the ground. The reality is, our society relies too heavily on a policing system.

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States must apply for federal exemption when authorizing use of cannabis

Carl Olsen is the founder of Iowans for Medical Marijuana. -promoted by Laura Belin

Don’t be fooled by quasi-legal schemes to tax and regulate cannabis. There is a federal solution for doing this the right way.

If legislators tell you it makes their eyes glass over, tell them to leave the capitol and don’t come back until they are sober. They should not be legislating unless they can clearly see the road ahead.

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Feds deny exemption for Iowa's medical cannabis program

Carl Olsen recounts the latest legal steps in his effort to reconcile state and federal drug laws. -promoted by Laura Belin

On November 10, just a week after the election, the U.S. Drug Enforcement Administration (DEA) denied our petition for a new federal regulation exempting state medical cannabis programs to be added as 21 C.F.R.

DEA explained that denying the exemption was necessary because it would create an exemption:

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Ten things Iowa Democrats should do

Rod Sullivan is a Johnson County supervisor. -promoted by Laura Belin

Democrats struggled through the 2016 postmortem. Why did Hillary Clinton lose? Was it an archaic, racist Electoral College? Yes. Racism? Yes. Sexism? Yes. Economic anxiety? Yes. Russia? Yes. Comey? Yes. Because she was deeply disliked? Yes. Because she ran a bad campaign? Yes. All are legitimate reasons for her loss.

The reason Democrats nationally have had such a difficult time with this is really pretty simple: We want a silver bullet. We want there to be one thing we need to fix. We refuse to recognize that multiple things can be true at once. Until we recognize this, we will not improve our performance.

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State seeking federal exemption for Iowa's medical cannabis program

Carl Olsen, the founder of Iowans for Medical Marijuana, brings us up to date on his efforts to reconcile state and federal drug laws. -promoted by Laura Belin

Retail sales of medical cannabis products began in Iowa on December 1, 2018, implementing Iowa House File 524, which lawmakers passed on the final day of the 2017 legislative session.

Iowans for Medical Marijuana submitted an application to the U.S. Drug Enforcement Administration in January 2019, seeking to exempt Iowa’s Medical Cannabis Program from federal drug laws. That application used the process in Title 21, Code of Federal Regulations, Chapter 1307, 21 C.F.R. §1307.03. I then began to lobby the state legislature and the Iowa Department of Public Health to support the application.

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No Justice No Peace: Elections, actions, and activism

Rob Johnson, Al Womble, and Eddie Mauro of the New Frontier Fund jointly authored this commentary. The No Justice No Peace PAC is online at www.njnppac.com. -promoted by Laura Belin

History is a curious thing. Our understanding of our past changes with time – moving through phases where our perception shifts, evolves and deepens. This examination of our history is constant, and it happens in the public sphere through discussions via social media, the news, commentary, and politics.

We are in the midst of a significant reorganization and shift in how we see, hear, and experience the history of race in America. It’s colliding with a time when Americans fundamentally re-evaluate how we relate to our institutions of government, our neighbors, and our local communities.

This confrontation is messy. It’s fraught with conflict. And it’s necessary.

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Why I'm asking Iowa to seek an exemption from federal drug laws

Carl Olsen recounts his long battle to reschedule cannabis and the latest legal steps in his effort to reconcile state and federal drug laws. -promoted by Laura Belin

Last month, I filed a petition with the Iowa Department of Public Health, asking the agency to start the process of obtaining a federal exemption for Iowa’s medical cannabis law.

I had presented this idea to Iowa’s Medical Cannabidiol Board in August 2019. The board members unanimously approved the concept and recommended in January 2020 that the legislature protect schools and long-term care facilities, which “are hesitant to allow medical cannabidiol products to be administered and stored at the facilities due to the current scheduling of Cannabis at the federal level.” The board suggested “Developing language to protect these facilities or seeking exemption for Iowa’s program from federal drug laws.”

Instead of adopting my proposal, Republican lawmakers approved and Governor Kim Reynolds signed House File 2589, which instructed the Department of Public Health to “request guarantees” from federal agencies that they would not withhold federal funding from educational or long-term care facilities that allow patients to possess or staff to administer medical cannabidiol.

That approach makes no sense, because it would put Iowa in direct conflict with federal drug law. As I wrote in my petition, “There is no formal process for requesting guarantees from federal agencies not to withhold funding for violation of federal drug laws.”

Here’s why Iowa should take a different path.

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Minority impact statements in Iowa: History and continuing efforts

Marty Ryan of Des Moines lobbied the Iowa legislature for 27 years and now blogs weekly. -promoted by Laura Belin

The Iowa quarter, printed in the latter part of 2004, is based upon a Grant Wood painting depicting a group of students and their teacher planting a tree outside of a county school. The statement on the coin says, “Foundation In Education.” For many decades, Iowa was noted for its first-in-the-nation education status. Likewise, Iowa has been a consistent leader in civil rights.

In fact, Iowa established some standards of equality long before the federal government or other states.

But racial disparities continue to affect Iowans in many areas of life. A reform the Democratic-controlled legislature enacted more than a decade ago has only slightly mitigated the problem.

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A decision made with head and heart for Amy Klobuchar

Janice Weiner is a city council member in Iowa City and a retired U.S. Foreign Service Officer. -promoted by Laura Belin

I’m someone who makes decisions with a combination of head and heart. I learned during my Foreign Service career that I needed both, and I applied that when considering the impressive field of Democratic presidential candidates. Do they speak to me personally? Do their policies make sense? We in Iowa are so fortunate to have this opportunity – not just to see candidates at a rally and read their platforms and policies – but to get to know them as people. And they us, as well.

Like so many others, I trekked to events for countless candidates. Last May, as a part of that process, I attended the Klobuchar campaign’s mental health/addiction panel in Iowa City, screwed up my courage, and told the senator my story. I’m a retired Foreign Service Officer, and I’m raising my granddaughter because my daughter cannot, because of her struggles with dual diagnosis – mental health and addiction, rolled into one. We are not unique – how I wish we were.

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Charlie Hodges is second Democrat running for Iowa Senate district 20

Two Democrats are now running in Iowa Senate district 20, likely to be one of next year’s most competitive state Senate races.

Information technology professional Charlie Hodges of Urbandale will seek the Democratic nomination in a district covering the northwest suburbs of Des Moines (see map below). Johnston City Council member Rhonda Martin has been campaigning here since May. The winner of the June 2020 primary will face four-term Republican State Senator Brad Zaun.

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Why we need Cory Booker in this race

Ryan Stevenson is a field organizer for Cory Booker’s presidential campaign in Waterloo. -promoted by Laura Belin

I first heard about Cory Booker in my political communications class in 2012. We watched a documentary about a young man, eager to change his community while battling a political machine. Looking back, Newark is a lot like Waterloo: a large minority population without a lot of opportunities for those minorities. Just last year, it was said that Waterloo is the worst place in America for African Americans.

It was difficult for me to get through that class and the rest of my classes, because I knew at the end of the semester I would be turning myself in to the Federal Bureau of Corrections.

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Iowa governor's already denied ten AG requests to join national cases

Less than four months after persuading Attorney General Tom Miller to cede some of his power to her, Governor Kim Reynolds has already denied ten requests to sign Iowa on to multi-state legal actions related to federal or state policies on gun safety, immigration, environmental regulation, and reproductive or LGBTQ rights.

During the same time frame, Reynolds has approved five requests to join multi-state efforts on consumer protection, drug policy, or to help Iowa obtain a share of negotiated settlements.

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Jack Hatch considering run against Des Moines Mayor Frank Cownie?

Former State Senator Jack Hatch appears to be seriously considering a campaign for mayor of Des Moines.

In recent days, numerous Democrats living in the capital city have received a lengthy telephone poll testing positive messages about Hatch and mostly negative messages about Mayor Frank Cownie, a four-term incumbent who has held the position since 2004.

Hatch did not immediately respond to a phone call and e-mail seeking comment on his plans and whether he commissioned the poll. I’ve paraphrased the questions below, based on detailed notes from a source who took the survey on September 9, and will update this post as needed when Hatch makes his intentions clear.

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Hy-Vee's largest political donation in a decade preceded Trump event

Editor’s note: Hy-Vee’s PAC provided a comment on June 24, which is enclosed in full at the end of this post.

Great catch and great digging by Gwen Hope. -promoted by Laura Belin

Hy-Vee is one of those companies we often associate with small-town, everyone-knows-everyone “Iowa Nice” culture. Yet it’s important to remember that while some major Iowa businesses started small, many are no longer those small-town startups of yesteryear. Hy-Vee is no exception, having just made a conveniently-timed donation that was its largest single political contribution in a decade.

Like many livestock farmers, state businesses fill their animal troughs with corn and silage, but the resulting pork is of the political persuasion variety. In this vein, I looked into the fundraiser1 for the Republican Party of Iowa (RPI), held at Hy-Vee’s Ron Pearson Center in West Des Moines. President Donald Trump headlined the June 11 event.

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Logical, but disappointing: Reynolds vetoes medical cannabis bill

Carl Olsen analyzes the big news the governor tried to bury in a pre-holiday weekend news dump. He has been a leading advocate for medical cannabis in Iowa for many years and closely follows legislative happenings related to the issue. -promoted by Laura Belin

Governor Kim Reynolds vetoed House File 732 on May 24. The bill passed by overwhelming bipartisan majorities in both legislative chambers: 96 to 3 in the Iowa House and 40 to 7 in the Iowa Senate. The full text of the governor’s veto letter is enclosed at the end of this post.

This is a tough issue for me to write about. I totally agree with the governor’s logic. At the same time, I am disappointed with the outcome.

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First look at the Iowa House landscape for 2020

Republicans used their control over state government to inflict tremendous damage on Iowa during the 2019 legislative session: underfunding education, blocking steps that would improve Medicaid services, dismantling effective sex education programs, further undermining workers’ rights, targeting health care for transgender Iowans, and giving Governor Kim Reynolds the ability to pack our highest courts with conservative ideologues.

The disastrous outcomes underscored the urgent need for Democrats to break the Republican trifecta in 2020. The Iowa House is the only realistic path for doing so, since Reynolds won’t be up for re-election next year, and the 32-18 GOP majority in the Iowa Senate will take several cycles to undo. State Representative Andy McKean’s recent party switch improved Democratic prospects, shrinking the Republican majority in the chamber from 54-46 to 53-47. Nevertheless, a net gain of four House seats will be no easy task for Democrats.

The Daily Kos Elections team calculated the 2018 election results for governor and state auditor in every Iowa House district. Jeff Singer discussed their key findings in a May 2 post: Reynolds carried 60 state House districts, Democratic nominee Fred Hubbell just 39. The “median seat backed Reynolds 51.0-46.3, a margin of 4.7 points. That’s about 2 points to the right of her statewide margin of 2.8 points.” Eight Democrats represent districts Reynolds carried, and one (Dave Williams) represents a district where Reynolds and Hubbell tied, while “only one Republican is in a Hubbell district.”

I’d encourage all Iowa politics watchers to bookmark the DK Elections number-crunching, as well as the team’s spreadsheet on 2016 presidential results by House district.

The Daily Kos team also looked at the 2018 voting for state auditor, seeking clues on which House seats might be within reach for Democrats. I don’t find that angle as useful. Previous State Auditor Mary Mosiman ran a terrible campaign. Not only did Rob Sand outwork Mosiman on the trail, he ran unanswered television commercials for six weeks, allowing him to go into election day with higher name ID than the incumbent, which is almost unheard of. Sad to say, Democrats won’t be outspending incompetent, little-known GOP candidates in the 2020 state legislative races.

Here’s my first take on both parties’ best pickup opportunities. What appear to be competitive state House seats may shift over the coming year, depending on candidate recruitment and incumbent retirements, so Bleeding Heartland will periodically return to this topic.

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State board suggests more restrictive medical cannabis limits

Carl Olsen has been a leading advocate for medical cannabis in Iowa for many years and closely follows legislative happenings related to the issue. -promoted by Laura Belin

In a highly unusual move, the Iowa Department of Public Health (IDPH) announced on the afternoon of April 12 that the Medical Cannabidiol Advisory Board had rescheduled its planned meeting. Instead of convening for two and a half hours on May 3, the board would meet for one hour on April 16.

Members called the shorter, rushed meeting in order to discuss recommendations on the tetrahydracannabinol or THC cap and purchase limits in a bill the Iowa House approved last month.

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Iowa Senate committee puts THC cap in House medical cannabidiol bill

Carl Olsen reports on the latest legislative maneuvering around Iowa’s medical cannabis program. -promoted by Laura Belin

Key lawmakers said for months the 3 percent tetrahydrocannabinol (THC) cap would never be lifted unless Iowa’s Medical Cannabidiol Advisory Board recommended doing so. Nevertheless, the Iowa House mysteriously decided to lift the 3 percent cap on THC shortly before the first legislative funnel deadline on March 8.

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What really happened last week with the medical cannabidiol bill?

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.)

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Iowa House approves small steps on medical cannabis

“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.

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Cannabis: A greener way forward for Iowa

Gwen Hope unpacks the economic and social possibilities that accompany legalizing cannabis, demystifying the oft-maligned psychoactive plant. -promoted by Laura Belin

Since the middle of the 20th century, cannabis has been a hot button issue, particularly since the Nixon Administration began the War on Drugs. Often political, the criminalization and demonization of the plant and substances derived from it has a complex, but living history in the United States.

A microcosm of the country incarnate, this issue is attached to almost every other issue and stance imaginable: from political party to patriotism, convention to community, race to religion, humanity to harm, morality to medicine, and everything in-between was and is attached to cannabis – the United States’s most popular illicit substance.

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Our new year of progress

On Wednesday, January 2 2019, Linn County Supervisor-elect Stacey Walker was sworn into office and voted chair of the new three-member board. Walker is the first African American to hold the position and serve as chairperson of the governing body of Iowa’s second most populous county. After he was sworn in, he shared the following remarks. -promoted by Laura Belin

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Recognizing Bleeding Heartland's talented 2018 guest authors

The Bleeding Heartland community lost a valued voice this year when Johnson County Supervisor Kurt Friese passed away in October. As Mike Carberry noted in his obituary for his good friend, Kurt had a tremendous amount on his plate, and I was grateful whenever he found time to share his commentaries in this space. His final post here was a thought-provoking look at his own upbringing and past intimate relationships in light of Dr. Christine Blasey Ford’s allegations against Judge Brett Kavanaugh.

Friese was among more than 100 guest authors who produced 202 Bleeding Heartland posts during 2018, shattering the previous record of 164 posts by 83 writers in 2017. I’m thankful for every piece and have linked to them all below.

You will find scoops grounded in original research, commentary about major news events, personal reflections on events from many years ago, and stories in photographs or cartoons. Some posts were short, while others developed an argument over thousands of words. Pieces by Allison Engel, Randy Richardson, Tyler Higgs, and Matt Chapman were among the most-viewed at the site this year. In the full list, I’ve noted other posts that were especially popular.

Please get in touch if you would like to write about any political topic of local, statewide, or national importance during 2019. If you do not already have a Bleeding Heartland account, I can set one up for you and explain the process. There is no standard format or word limit. I copy-edit for clarity but don’t micromanage how authors express themselves. Although most authors write under their real names, pseudonyms are allowed here and may be advisable for those writing about sensitive topics or whose day job does not permit expressing political views. I ask authors to disclose potential conflicts of interest, such as being are a paid staffer, consultant, or lobbyist promoting any candidate or policy they discuss here.

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Why do I have to choose between opioids and medical cannabis for chronic pain?

Ann Crane (not her real name) is an Iowa woman who has suffered from chronic pain for nearly 18 years. -promoted by desmoinesdem

Around the country, there has been much discussion around the use of cannabidiol (CBD) and tetrahydrocannabinol (THC) to treat medical conditions. Most states allow the use of medical cannabis, and a few have legalized recreational use of cannabis as well. Under a 2017 Iowa law, cannabidiol with no more than 3 percent THC can be used to treat a small number of “debilitating medical conditions” (recently expanded by one).

I am one of thousands who suffer from “intractable or chronic pain,” one of the qualifying medical conditions in Iowa.

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State board rejects religious claim for cannabidiol

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

On Thursday, September 20, the Iowa Board of Pharmacy moved to dismiss my petition for the religious use of medical cannabidiol, in Olsen v. Board of Pharmacy, No. CVCV056841 (Iowa District Court, Polk County).  The Board says the petition should have been filed with the Iowa legislature instead of the board.

The problem with the board’s position is that the legislature has given the board the duty of recommending changes in the schedules of controlled substances and medical cannabidiol is a controlled substance in Iowa.  There is also an existing exemption for the religious use of peyote, a Schedule 1 controlled substance.  Iowa Code § 124.204(8) (2018).

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Historic meetings seek to end racial profiling in Des Moines

Laural Clinton is a member of Iowa Citizens for Community Improvement’s racial justice team and the mother of Jared Clinton, who was the passenger in a recent racial profiling video released to the public. -promoted by desmoinesdem

Racial profiling. It’s a tough topic to discuss. But for us in the Black community, racial profiling is a reality we deal with every day–when we go to the store, when we drive our cars, when we eat at restaurants.

As a mother of three Black sons, I am intimately familiar with this issue.

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Medical cannabis board recommends adding ulcerative colitis

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

I attended the seventh meeting of the state Medical Cannabidiol Advisory Board on August 3 at the Iowa Laboratory Facility on DMACC’s Ankeny Campus. Current law names nine “debilitating medical conditions” which can legally be treated with cannabidiol. See Iowa Code § 124E.2(2) (2018). The board considered three petitions to expand the list. Board members denied one, deferred one, and granted the petition to add ulcerative colitis.

My observations about these rulings may help advocates lobbying officials to allow medical cannabis for other diseases or chronic health conditions now excluded under Iowa law.

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Fight racism by voting in local elections

Jeff Cox offers some reasons for Iowans who care about racism to “think local.” -promoted by desmoinesdem

Low levels of voter turnout in America are disheartening. Bernie Sanders showed that large numbers of young, new voters can be brought into the electoral system. But what about local elections for school board and city council elections, not to mention bond issues, and the sadly neglected party primaries for local officials?

Here are some reasons to “think local” about elections if you care about racism, with evidence taken from five recent Johnson County elections.

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IA-03: David Young not defending Iowa's medical cannabis law

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

Representative David Young is co-sponsoring federal legislation, the CARERS Act of 2017, H.R. 2920, that would interfere with Iowa’s Medical Cannabidiol Act of 2017, passed during the closing hours of last year’s legislative session.

And it’s not just Young. Representative Dave Loebsack, Iowa’s only Democrat in Congress, is also co-sponsoring the CARERS Act of 2017.  What is surprising to me as a Democrat is that the Republican representing the first district, Rod Blum, is actually the only Iowa member of Congress that understand federalism.  What I mean by “federalism” is that Blum is representing the people of the state of Iowa rather than federal interference with our new state medical marijuana law.

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A life that has led to advocacy

A personal commentary by Matt Chapman to coincide with the “Day on the Hill” for our state’s National Alliance on Mental Illness chapter. NAMI Iowa’s “mission is to raise public awareness and concern about mental illness, to foster research, to improve treatment and to upgrade the system of care for the people of Iowa.” -promoted by desmoinesdem

In the last few years I have found myself politically active and seem to be trying to make up for years of not having the right to vote and taking it for granted when I did participate. I would like to share where my focus is and relate how I came to feel so intensely about these issues. You never know when you may find your voice, and if it took me until my 50s, so be it.

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Exclusive: Two health giants block Iowans from medical cannabis program

Doctors affiliated with Mercy Cedar Rapids and The Iowa Clinic are refusing to sign paperwork their patients need to register for the Iowa Department of Public Health’s medical cannabis program. Iowa law requires applicants to obtain their doctor’s signature attesting that the patient has a “qualifying debilitating medical condition.” But the law stipulates that health care practitioners have “no duty to provide” written confirmation of the patient’s diagnosis.

Mercy Cedar Rapids appears to have instructed its 503 physicians not to sign the IDPH paperwork, according to two sources with qualifying conditions, who receive health care at different facilities in that network. Most if not all of the 250-plus health care providers at The Iowa Clinic, a doctor-owned group in the Des Moines area, are also refusing to sign medical cannabis card applications.

Without cooperation from a primary care provider, Iowans cannot start the process of receiving authorization to use cannabidiol legally. The number of patients affected by their health care group’s policies is unknown but potentially large. Mercy Cedar Rapids handled 451,400 outpatient visits last year at offices around Iowa’s second largest metro area. The Iowa Clinic averages 450,000 visits annually, serving about 148,000 unique patients across its central Iowa locations.

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Recognizing Bleeding Heartland's talented 2017 guest authors

Bleeding Heartland published 140 guest posts by 81 authors in 2016, a record since the blog’s creation in 2007.

I’m happy to report that the bar has been raised: 83 authors contributed 164 guest posts to this website during 2017. Their work covered an incredible range of local, statewide, and national topics.

Some contributors drew on their professional expertise and research, writing in a detached and analytical style. Others produced passionate and intensely personal commentaries, sometimes drawing on painful memories or family history.

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"Make America America again": photos, highlights from Iowa Democrats' fall gala

Everyone could have guessed Alec Baldwin would get Iowa Democrats laughing with jokes at President Donald Trump’s expense.

But who would have predicted the serious part of the actor’s speech would evoke an even stronger response from the crowd?

Follow me after the jump for audio and highlights from Baldwin’s remarks and those of the seven Democratic candidates for governor, along with Stefanie Running‘s photographs from a memorable evening in Des Moines.

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Weekend open thread: Veterans Day do's and don'ts

Thanking a veteran is easy. Tackling problems that face veterans is hard.

At no time is that political reality more apparent than on the 11th day of the 11th month.

The usual expressions of respect and gratitude can be found in the latest batch of Veterans Day tweets by Senators Chuck Grassley and Joni Ernst and Representatives Rod Blum (R, IA-01), Dave Loebsack (D, IA-02), David Young (R, IA-03), and Steve King (R, IA-04).

After the jump I’ve posted some concrete ways members of Congress could show they care about veterans. This is an open thread: all topics welcome.

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IA-Gov: Read the messages Fred Hubbell is testing with Iowa Democrats

Are Iowa Democrats more likely to support a successful businessman who is not a politician? Are they sympathetic to the argument that a self-funding candidate for governor is less susceptible to influence by special interests? Are they more impressed by private- or public-sector jobs Fred Hubbell has held, or by his charitable giving to causes like Planned Parenthood?

A recent survey of Democratic voters appears to be the Hubbell campaign’s first attempt to answer those and other questions.

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Major battle shaping up for Iowa House district 82 (updated)

Curt Hanson won the most important Iowa legislative special election of the last decade. So it’s fitting that the election to replace the Iowa House Democrat, who passed away last month after a long battle with cancer, is shaping up to be our state’s most consequential special legislative race in years.

What happens here on August 8 won’t determine the outcome of Iowa’s 2018 elections but could have political repercussions beyond the three counties in House district 82.

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Let's not forget who made Iowa's new medical cannabis law so useless

Iowa’s new medical cannabis law goes into effect on July 1, but “obtaining the medicine will be difficult and manufacturers said it’s unclear if the state’s effort will be viable,” Linley Sanders reported for the Associated Press this week. Her story illuminated a few reasons the law won’t help most of the people who could potentially benefit from access to cannabis derivatives.

Iowa lawmakers closed out the session with all-nighter so as not to adjourn without doing something on this issue. The previous medical cannabis law, adopted in similar last-minute fashion three years earlier, was due to expire this summer. Even for people with seizure disorders, the only conditions for which cannabis oil was allowed, the old law was too limited and unworkable.

As the new law’s defects become more obvious, we need to remember that most state legislators favored a better alternative. House Republicans thwarted their efforts.

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24 things that won't happen under Iowa's new medical cannabis law

In one of his final official acts before he departs for China, Governor Terry Branstad signed into law the last bill approved during the 2017 legislative session.

House File 524 has been portrayed as a major expansion of medical cannabis in Iowa. Whereas the 2014 law permitted the use of only one cannabis derivative (CBD oil) to treat certain seizure disorders, the new law allows the same product (cannabidiol with no more than 3 percent THC) to be used for nine medical conditions: cancer, multiple sclerosis, epilepsy, AIDS or HIV, Crohn’s disease, amyotrophic lateral sclerosis (Lou Gehrig’s disease), Parkinson’s disease, untreatable pain, or “any terminal illness with a life expectancy under one year associated with severe or chronic pain, nausea or severe vomiting, cachexia or severe wasting.” Threase Harms, who lobbied for the bill, described it as a “great next step in the process of making medical cannabis available for many folks here in Iowa who need access to it as a medical treatment.”

A more comprehensive bill, which had gained broad bipartisan support in the Iowa Senate, had the potential to improve the quality of life for thousands.

I see little evidence anything “great” will come out of legislation finalized during an all-nighter by House Republican lawmakers who refused to take up that Senate bill.

As Iowa implements the new law, the following outcomes are predictable.

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A shameful end to the most destructive Iowa legislative session of my lifetime

The Iowa House and Senate adjourned for the year around 7:15 am on Saturday, after staying up all night while Republican leaders tried to hammer out last-minute deals on medical cannabis and water quality funding.

The medical cannabis compromise passed with bipartisan majorities in both chambers, but I’m not convinced the revised House File 524 will be an improvement on letting the current extremely limited law expire on July 1. The bill senators approved last Monday by 45 votes to five would have provided some relief to thousands of Iowans suffering from nearly 20 medical conditions. House Republican leaders refused to take it up for reasons Speaker Linda Upmeyer and House Majority Leader Chris Hagenow never articulated.

The new bill thrown together during the all-nighter theoretically covers nine conditions, but as Senator Joe Bolkcom explained in a video I’ve enclosed below, the only form of cannabis allowed (cannabidiol) will not be effective to treat eight of those. Although few if any Iowans will be helped, Republicans can now claim to have done something on the issue and will consequently face less pressure to pass a meaningful medical cannabis bill during the 2018 legislative session.

Republicans shut down the 30-year-old Leopold Center for Sustainable Agriculture, which supported research on farming practices that could preserve our soil and water resources. But on Friday night, they gave up on doing anything serious to clean up our waterways, 750 of which are impaired, according to the latest data released by the Department of Natural Resources. CORRECTION: More recent DNR data indicate Iowa “contains 608 waterbodies with a total of 818 impairments.” (Some waterways have more than one impaired segment.) On the opening day of this year’s session, Hagenow promised “significant new resources to water quality efforts.” Why not come back next week and keep working until they find some way forward?

I’ll tell you why: lawmakers’ per diems ran out on April 18. Heaven forbid Republicans should work a few more days with no pay to address our state’s most serious pollution problem. Incidentally, this crowd just passed an education budget that will force thousands of students to go deeper in debt. They voted earlier this year to cut wages for tens of thousands of Iowans living paycheck to paycheck in counties that had raised the minimum wage. These “public servants” also handed more than 150,000 public workers an effective pay cut by taking away their ability to collectively bargain over benefits packages. As if that weren’t enough, they made sure many Iowans who get hurt on the job will be denied access to the workers’ compensation system or will get a small fraction of the benefits they would previously have received for debilitating shoulder injuries.

Lives will be ruined by some of the laws Republicans are touting as historic accomplishments.

Even worse, lives will likely end prematurely because of cuts in the health and human services budget to a wide range of programs, from elder abuse to chronic conditions to smoking cessation to Department of Human Services field operations. I enclose below a Democratic staff analysis of its provisions. During House and Senate floor debates, Republican floor managers offered lame excuses about the tight budget, which doesn’t allow us to allocate as much money as we’d like to this or that line item. Naturally, they found an extra $3 million for a new family planning program that will exclude Planned Parenthood as a provider.

Different Republican lawmakers used the same excuses to justify big cuts to victims assistance grants in the justice systems budget. That choice will leave thousands of Iowans–mostly women–without support next year after going through horrific assaults or ongoing abuse.

Despite some big talk from House Appropriations Committee Chair Pat Grassley, Republicans didn’t even try to rein in business tax credits, which have been the state’s fastest-growing expenses in recent years. The budget crunch is real and may get worse. But no one forced Republicans to inflict 100 percent of the belt-tightening on those who rely on public services.

More analysis of the 2017 legislative session is coming to Bleeding Heartland in the near future. All posts about this year’s work in the Iowa House and Senate are archived here. The Des Moines Register’s William Petroski and Brianne Pfannenstiel summarized some of the important bills that passed this year.

After the jump you’ll find Bolkcom’s commentary on the medical cannabis bill that offers “false hope” to Iowans “who have begged us to help,” along with closing remarks on the session from House Minority Leader Mark Smith and Senate Minority Leader Rob Hogg.

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Near-total support for medical cannabis bill in Iowa Senate

What a difference two years makes: the Iowa Senate approved a comprehensive medical cannabis bill today by 45 votes to five. Almost two years ago to the day, a similar bill covering fewer medical conditions barely passed the Senate with just one Republican (Brad Zaun) joining 25 of the 26 Democrats. State Senator Tod Bowman was the lone Democrat not to support the 2015 cannabis legislation, and he was the only Democrat to vote against Senate File 506 today, joined by Republicans Mike Breitbach, Dan Dawson, Julian Garrett, and Mark Costello. (Garrett had voted for the bill in the Senate Appropriations Committee last week.)

Bleeding Heartland covered the important provisions of Senate File 506 here. Whereas the current law allows the use of cannabis oil to treat a few seizure conditions but doesn’t provide for in-state production, the new bill would cover thousands more Iowans, permit licensed users to obtain cannabis in more forms (but not smokeable marijuana), and create conditions for manufacturing and selling medical cannabis in Iowa.

Before final passage, senators adopted two amendments by voice vote. Language introduced by Republican Tom Greene added polyarteritis nodosa to the list of covered conditions and reduced the maximum number of licensed medical cannabis manufacturers in Iowa from twelve to four. Republican Mark Chelgren’s amendment removed a passage that would have allowed patients to register for a nonresident card in Minnesota and obtain medical cannabis from a manufacturer in that state.

Iowa House Republican leaders may not allow a vote on this bill without amendments to limit its scope. However, they will face pressure to do something before adjournment, because the current law expires on July 1. During today’s floor debate, several senators urged colleagues in the lower chamber to send the legislation to Governor Terry Branstad, Steffi Lee reported for CBS-2 in Cedar Rapids.

Advocacy groups representing Iowans affected by various diseases or medical conditions are lobbying in favor of Senate File 506, while some organizations representing law enforcement or medical professionals are registered against it, including the Iowa Pharmacy Association. Ironically, the only two pharmacists serving in the legislature are strong supporters of the bill. Greene floor-managed Senate File 506, and Democratic State Representative John Forbes has been one of the lower chamber’s leading advocates for medical cannabis reform for years.

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A closeted marijuana smoker's view of prejudice in the Iowa Code

As Iowa lawmakers consider proposals to allow the use of cannabis derivatives for some medical conditions, Matt Chapman makes the case for going further to legalize smokeable marijuana. -promoted by desmoinesdem

I illegally used marijuana for pain for years and it would be disingenuous to say I didn’t enjoy the side effects. It would also be disingenuous to say I don’t like the effect of hydrocodone or don’t like the effect of a large dose of ethanol as well. But to use ethanol every evening to take the edge off of pain and to get some good sleep would be a disaster.

And while it is under prohibition and illegal to use, it gave me a lot of relief and helped stave off the point where I could not take the pain any longer. I would use it in the evening. And before I went to bed I would use some along with amitriptyline and would sleep well. And I have no problem publicly discussing this as I had to choose which medication I would use and hydrocodone was the winner.

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The human cost of Big Pharma's greed: Overcharging the Hepatitis C cure

Did you know drug companies exploit charities to increase their profits? Neither did I before reading this piece by Austin Frerick. -promoted by desmoinesdem

Susan, a 52-year-old mother of two from Indianola, thought she had landed the perfect job. She would be sitting behind a desk in Des Moines after years of working on her feet in retail and even got new benefits like the day off on Christmas Eve. But her excitement ended when her life insurance application was denied because she had Hepatitis C.

Susan is one of 3.5 million Americans living with chronic Hepatitis C, nearly 80 percent of whom are “baby boomers” (born between 1945 and 1965). Susan, like most other baby boomers, was likely infected during a blood transfusion before hospitals screened blood for the virus. The infection can last a lifetime and lead to serious liver problems, including cirrhosis (scarring of the liver) or liver cancer. Many other baby boomers in Iowa only recently discovered that they were infected, either through a routine physical or when they started showing symptoms. A new report by the state Department of Public Health found that reported cases in Iowa have increased by nearly 200 percent since 2000.

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Key senator confident Iowa Senate will pass bipartisan medical cannabis bill

Iowa’s current medical cannabis program sunsets on July 1, and no proposal to replace it advanced in a state House or Senate committee before the legislature’s first “funnel” deadline. However, appropriations bills are exempt from the funnel, and Senate Appropriations Committee Chair Charles Schneider confirmed today he is working with colleagues in both parties to make medical cannabis more available to Iowans suffering from a wider range of medical conditions.

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It's time to take a stand for cannabis

No medical cannabis bills made it through the Iowa legislature’s “funnel” this week. Quinn Symonds comments on the debate and recounts a March 1 event advocates organized to inform state lawmakers about the issue. -promoted by desmoinesdem

In my previous Bleeding Heartland post, I talked about key differences between Republican and Democratic proposals on medical cannabis. I’m hoping that if you did catch the last piece, you understand how neither of the bills are adequate. After visiting the Capitol on Wednesday and talking to many leaders, one thing became clear to all of us: there isn’t so much a party divide as a lack of enthusiasm from Republican leaders.

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We all need to come together to make medical cannabis work in Iowa

Advocate Quinn Symonds shares his perspective on some medical cannabis proposals recently introduced in the state legislature. Iowa’s very limited current law, which is unworkable even for families of those suffering from seizure disorders, expires in July. Efforts to expand it failed in the Iowa House last year. -promoted by desmoinesdem

I’ve been asked to talk about the medical cannabis bills. There are basically two sides to watch right now. There are several bills introduced by Democrats and bills introduced by two Republicans, Iowa House Public Safety Committee Chair Clel Baudler and Iowa Senate Judiciary Committee Chair Brad Zaun. I will be referring to Democratic State Senator Joe Bolkcom’s proposals. He has two out currently: a version of last year’s bill that failed to pass, and a “newer” version of the same bill. On the Republican side I will focus on Baudler’s bill. These bills aren’t exactly great: they are supposed to help patients, and neither would do much of that.

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A year's worth of guest posts, plus tips for guest authors

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.

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Few changes in Iowa House Republican leadership team

Iowa House Republicans came out of this campaign in better shape than they could have hoped six months ago. The party successfully defended every incumbent and every GOP-held open seat, including one with a significant Democratic registration advantage. Even better, Republicans defeated State Representative Patti Ruff and picked off one of the four Democratic-held open seats, despite a big tax problem for the GOP candidate there. During the last presidential election year, Republicans suffered a net loss of seven Iowa House seats and were lucky to avoid losing more. In contrast, the caucus came out of last Tuesday with a two-seat gain and a 59-41 majority, just one seat shy of their advantage in the chamber after the 2010 landslide.

Happy endings provide little incentive to shake things up. To no one’s surprise, House Republicans re-elected most of their leadership team during yesterday’s caucus meeting in Des Moines. Linda Upmeyer will continue as speaker, her position stronger now than last year, since several representatives who were rumored to be at odds with her have now retired. Chris Hagenow stays on as majority leader and Matt Windschitl as House speaker pro-tem.

The biggest change is Zach Nunn moving up from one of the assistant majority leader positions to majority whip. Media reports don’t indicate whether last year’s majority whip Joel Fry sought the position again or stepped down from the leadership team voluntarily.

Similarly, Walt Rogers is no longer an assistant majority leader, having held one of those positions from early 2013 through last year’s legislative session.

If any readers can shed light on whether Fry and Rogers wanted out or were pushed out of leadership, please post a comment here or contact me confidentially at the e-mail address near the bottom right of this page. UPDATE: Two sources indicate that Fry is likely to lead the Human Resources Committee, since its previous chair Linda Miller retired this year. Under House rules, assistant leaders don’t chair committees. Still seeking insight on the next move for Rogers.

Two of the just-selected assistant majority leaders played the same role last year: Jarad Klein and John Wills. The other two, Mike Sexton and Megan Jones, join House leadership for the first time. UPDATE: According to one source, Jones and Klein ran against Nunn for majority whip.

Like her counterpart in the upper chamber, incoming Iowa Senate Majority Leader Bill Dix, Upmeyer didn’t lay out specific policy plans when speaking to reporters yesterday. We’ll find out later which taxes Republicans plan to cut, how badly they will decimate collective bargaining rights for public employees, and whether they will do anything to make medical cannabis more widely available to Iowans suffering from severe health conditions.

Upmeyer seemed to rule out raising the sales tax by 3/8 of a cent to fill the the Natural Resources and Outdoor Recreation Trust Fund. That fund has been empty since 63 percent of Iowans approved a constitutional amendment to create it in 2010. Cedar Rapids Mayor Ron Corbett is one of very few elected Republican officials to be on record backing a sales tax hike to fund conservation efforts.

Republicans hope money will bail out lazy Peter Cownie in Iowa House district 42

Some Iowa statehouse Republicans are more extreme, more ignorant, more unhinged, more dishonest, or more mean-spirited than Peter Cownie.

But few lawmakers make less effort than Cownie to demonstrate that they deserve to be in a position of power.

A television commercial in heavy rotation on Des Moines stations doesn’t name even one legislative accomplishment from Cownie’s eight years in the Iowa House, including two years leading the State Government Committee and two as Commerce Committee chair. Cownie has rarely if ever knocked doors to talk to his constituents in West Des Moines. He doesn’t show up at many local public forums. He doesn’t consistently answer e-mails. He doesn’t follow through on some of his promises.

Recent campaign disclosure forms show the Iowa GOP has spent more than $300,000 on tv ads promoting Cownie or trashing his Democratic challenger, my friend Claire Celsi. Tens of thousands more went toward direct mail to benefit Cownie’s campaign.

Why did Republicans hit the panic button?

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Five reasons Chris Hagenow is worried about winning Iowa House district 43

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.

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The Medical Cannabis Debate in Dallas County, Iowa

Erin Miller shares her family’s experience with a rare medical condition at the Abram Mayhem blog. You can find her past contributions to Bleeding Heartland here. -promoted by desmoinesdem

This blog is specifically regarding medical cannabis and what happened during the recent debate in Iowa House district 19 between State Representative Ralph Watts and his opponent, Bryce Smith. Please watch the enclosed video first, then read the following story.

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Iowa second-worst state for racial disparity in drug possession arrests

The massive racial disparities in Iowa’s criminal justice system have long been recognized as among the worst in the country, spurring calls to action not only by advocacy groups but also by Iowa Supreme Court Chief Justice Mark Cady and even Governor Terry Branstad.

Yet a new report by the American Civil Liberties Union and Human Rights Watch shows that African-American adults in Iowa are seven times more likely than whites to be arrested for drug possession–an imbalance second only to Montana.

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Iowa House district 72 preview: Dean Fisher vs. Nathan Wrage

When the dust settled after the 2012 general election, I was frustrated to see how close Iowa Democrats came to winning back the Iowa House majority. Democratic candidates picked up seven GOP-held state House seats that year, but lost half a dozen other races by extremely narrow margins, leaving Republicans with 53 of the 100 seats in the lower chamber.

One of the “seats that got away” was House district 72, where Dean Fisher beat Nathan Wrage by only 216 votes in an open seat due to GOP State Representative Lance Horbach’s retirement. President Barack Obama outpolled Mitt Romney by about 3 percentage points among voters in the district.

The GOP expanded its Iowa House majority to 57-43 in the 2014 midterm election, but many state legislative seats are competitive this year, putting control of the chamber in play. As Wrage challenges Fisher again, Democrats won’t repeat their 2012 mistake of not targeting this race.

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Thoughts on Gary Johnson's Des Moines rally and Iowa prospects

Libertarian presidential candidate and former New Mexico Governor Gary Johnson made his first Iowa campaign stop this year over the holiday weekend. His September 3 rally in Des Moines attracted hundreds of people, making it possibly the largest Libertarian event in Iowa history. You can watch his full speech at C-SPAN or Caffeinated Thoughts.

Johnson will qualify for the ballot in all 50 states and is consistently polling far better than the Green Party’s Jill Stein, the only other minor-party candidate routinely included in public opinion surveys. I continue to hear the Libertarian’s radio ads on various Des Moines-based stations and have seen pro-Johnson television commercials by the Purple PAC on some cable networks.

The four most recent Iowa polls measured Johnson’s support at 8 percent (Emerson College), 12 percent (Quinnipiac), 6 percent (Suffolk), and 12 percent (Marist). Polls have historically overstated support for third-party candidates. Nevertheless, if the competition between Hillary Clinton and Donald Trump remains very close here, even a 2-3 percent showing for Johnson could determine who wins Iowa’s six electoral votes.

Though I wasn’t able to attend Saturday’s rally, listening to Johnson’s stump speech reinforced my view that he is on track to outperform all previous Libertarian presidential candidates in Iowa by a considerable margin.

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A close look at Republican message-testing in key Iowa House races

Republicans are testing potentially damaging messages about Iowa House Democratic candidates, along with statements that might increase support for GOP candidates in battleground legislative districts. After listening to several recordings of these telephone polls and hearing accounts from other respondents, I have three big takeaways:

• Republicans are seeking ways to insulate themselves from voter anger over inadequate education funding and the Branstad administration’s botched Medicaid privatization;
• The time-honored GOP strategy of distorting obscure legislative votes is alive and well;
• The Iowa Democratic Party’s platform plank on legalizing all drugs may be used against candidates across the state.

Read on for much more about these surveys.

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Ten presidential candidates qualify for the Iowa ballot

The filing deadline to run in Iowa’s general election ended at 5 pm today, and the Secretary of State’s Office has updated the list of candidates who submitted nominating papers and petitions with enough signatures. The following ten presidential tickets will appear on Iowa ballots:

2016 presidential candidates in Iowa
Names Party affiliation
Donald J. Trump/Michael R. Pence Republican
Hillary Clinton/Tim Kaine Democratic
Darrell L. Castle/Scott N. Bradley Constitution Party
Jill Stein/Ajamu Baraka Iowa Green Party
Dan R. Vacek/Mark G. Elworth Legal Marijuana Now
Gary Johnson/Bill Weld Libertarian
Lynn Kahn/Jay Stolba New Independent Party
Gloria La Riva/Dennis J. Banks Party for Socialism and Liberation
Rocky Roque De La Fuente/Michael Steinberg Nominated By Petition
Evan McMullin/Nathan Johnson Nominated By Petition

The last three public polls in Iowa put Johnson at 12 percent, 6 percent, and 12 percent in a four-way race against Clinton, Trump, and Stein. Although those surveys probably overstate Johnson’s support, the unusual unpopularity of this year’s major-party nominees gives the Libertarian a good chance to improve on all of his party’s previous showings in Iowa. Click here to view results for Libertarian presidential candidates going back to 1976. At a Polk County Democratic event last night, a number of activists were concerned that Johnson’s name was not yet on the Secretary of State’s candidate list, because Johnson is presumed to draw more support from traditionally Republican-leaning voters. Libertarian activists cut it close by submitting nominating papers today, but all’s well that ends well.

Others who filed on the last possible day included Evan McMullin, a former CIA officer who launched his presidential campaign only last week, and the candidates for the New Independent Party and Legal Marijuana Now, which seem like decent names for picking up protest votes.

Five candidates qualified to run for Iowa’s U.S. Senate seat: Republican Charles E. Grassley, Democrat Patty Judge, Libertarian Charles Aldrich, Jim Hennager of the New Independent Party, and Michael Luick-Thrams, “Nominated By Petition.”

Only major-party candidates will appear on the ballot in three of Iowa’s four Congressional districts: Republican Rod Blum and Democrat Monica Vernon in IA-01, Republican Christopher Peters and Democrat Dave Loebsack in IA-02, Republican Steve King and Democrat Kim Weaver in IA-04.

The field will be more crowded in IA-03, with Republican David Young, Democrat Jim Mowrer, Libertarian Bryan Jack Holder, and two candidates to be listed as “Nominated By Petition”: Claudia Addy and Joe Grandanette.

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Iowa Republicans tell Sick Iowans: "Go Somewhere Else."

Thanks to AbramsMom for her first-person account of how Iowa House Republicans avoided a floor vote on legislation that would have genuinely expanded access to medical cannabis. The author blogs about her son at Abram’s Mayhem. -promoted by desmoinesdem

As a parent who has been advocating for medical cannabis both before and after we obtained a Cannabidiol Registration Card (the fluke identification card that decriminalizes me for possession of my son’s medicine), I want to share what happened this year with Medical Cannabis, why it failed miserably and why I feel that the amendment (to an amendment) to a Controlled Substance Bill that expanded conditions – yet still did NOT ALLOW ACCESS IN IOWA is absolutely disgustingly wrong.

I sat in the House Gallery not once, but twice as Medical Cannabis came to the House Floor. The first time, I thought I was going to hear a debate on a Democratic amendment (because our original Bill for this year was stalled and killed in the Ways and Means committee by House Leadership) that would allow for expansion of qualifying conditions and would have allowed ACCESS IN IOWA – which is what every parent and patient have been asking for and advocating on behalf of for YEARS.

I sat in the Gallery in the last week of the session to learn that the Democratic Amendment was pulled by House Leadership and instead we heard a debate on Medical Cannabis that stunned those sitting in the Gallery hoping to have access to medicine for their children, their loved ones or for themselves.

What transpired was nothing short of being absolutely blindsided by a garbage truck.

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Libertarian candidate for Iowa House District 38

Note from desmoinesdem: The major-party candidates in House district 38 are four-term Republican incumbent Kevin Koester and Democrat Heather Matson. Brett Nelson is challenging Koester in the GOP primary. Click here to view a district map. The latest figures from the Iowa Secretary of State’s office show that House district 38 contains 6,555 active registered Democrats, 7,083 Republicans, and 6.282 no-party voters.

Jeff Meyers was nominated for State House District 38 at the Libertarian Party convention held on Saturday, March 19th. Jeff is from Ankeny and works as a fraud analyst. He is running for Iowa House to help lead the charge in the legalization of medical marijuana and cannabis/hemp production in Iowa. He wants to help Iowa students by returning to common sense education, not common core, higher budget for schools and more support for teachers. He supports the repeal of the lifetime ban on voting for past criminals. He wants to be accountable to the taxpayers by fighting for a smaller, more efficient state government and the return of the liberties that our country was founded on.

Weekend open thread: Threats to public health edition

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.

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How to write an Iowa caucus party platform resolution

Many Iowans leave their precinct caucuses after the presidential selection process, but the caucuses also provide an opportunity for politically-engaged people to influence their party’s platform. If you bring a resolution to your precinct caucus, you have a good chance of getting it approved and sent to the county platform committee, which decides what will come to a vote at the county convention.

Little-known fact for those who want to exercise this option: platform resolutions should be written in a different format from other political resolutions you may have read. Follow me after the jump for details and examples of resolutions you can bring to your caucus on Monday night.

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16 Iowa politics predictions for 2016

Hoping to improve on my percentages from last year, I offer sixteen Iowa politics predictions for 2016. Please spin your own scenarios in this thread.

I finally gave up on trying to predict whether Governor Terry Branstad will still be in office at the end of the year. Although his close adviser David Roederer “emphatically” says Branstad will serve out his sixth term, I am convinced the governor will resign early. But I can’t decide whether that will happen shortly after the November 2016 election or shortly after the Iowa legislature’s 2017 session.

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An Open Letter to Joni Ernst Regarding Iowa's Cannabis Oil Bill

Abram photo 7948060_orig_zpsq51yhx2g.jpg

Note from desmoinesdem: Cross-posted from the Abram Mayhem blog. The Iowa legislature adopted and Governor Terry Branstad signed into law a measure to legalize cannabis oil for some seizure disorders in 2014.

Dear US Senator Joni Ernst,
I was in the Drake Diner in Des Moines, Iowa the day you came to celebrate your win for the US Senate. I was sitting in the booth right by the front door. I had my small son who was two at the time and you had a large group in the back who cheered loudly and clapped for you as you came in.

You didn’t notice that when your group of supporters began screaming for you, that my son slammed his head twice on the edge of table. The noise your group suddenly made (without regard to any of the other patrons) both terrified and overwhelmed him. The metal edging on those old vintage-style tables there really did a number on my son’s forehead and he had a lump and a bruise for over a week. Two of your supporters noticed my son in hysterics as they walked by. Instead of smiling or offering some form of apology for the uproar, they sneered at us as I was trying to calm him down. I’m sure they saw the huge welt on his forehead and thought of me as a terrible mother. They were both still smoking outside when we left.

You didn’t acknowledge my son that day in the Diner and you aren’t acknowledging him now. So, it didn’t surprise me when you accidentally sent me the response to “crude oil” instead of “cannabis oil” to my e-mail. It’s those little attention-to-details things one has to do when someone truly cares about their people. I was pleased to see that I received an additional e-mail today with your response to “cannabis oil” instead of “crude oil” today.

The bare-boned truth here is you didn’t take the time to actually hear what my real concerns were at all. My name was just pasted into a bulk e-mail (just like the “crude oil” response) and sent on out, without any real regard to what is happening to people in the Unites States of America, let alone your home state, Iowa. You yourself claimed in your campaign that you are a “normal, everyday” Iowan. If that were true, you would listen to the concerns of the mothers and families in this state who are reaching out to you for help in Iowa and in Congress.

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U.S. Attorney Nick Klinefeldt stepping down, not running in IA-03

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After six years as U.S. attorney for Iowa’s Southern District, Nick Klinefeldt will leave that position next month to go back to private law practice. I enclose below the full press release on his departure. Among other things, the former defense attorney highlighted his work on national committees “to update and expand discovery policies to ensure defendants [in federal courts] receive all of the information they need to adequately defend themselves, and revamp sentencing practices to ensure the end result of a prosecution is fair.” He also

developed a comprehensive discovery policy for the Southern District of Iowa that ensures criminal defendants receive even more information about the case against them than is required by the rules and that they receive it quickly. This policy included the development of a Stipulated Discovery and Protective Order that is now universally used in all criminal cases across the district. United States Attorney Klinefeldt also changed the way the office utilized mandatory minimum sentences, to ensure that they were only used when absolutely necessary.

U.S. House race-watchers had their eye on Klinefeldt earlier this year as a possible Democratic candidate in Iowa’s third Congressional district, but I have never heard of Klinefeldt signaling any intention to run. In recent weeks, the local Democratic establishment has been consolidating around Jim Mowrer, one of two declared challengers to first-term Representative David Young. Today Klinefeldt confirmed that he is not planning to run for Congress, Grant Rodgers reported for the Des Moines Register.

UPDATE: Michael Gartner wrote an excellent commentary on Klinefeldt’s record for the Des Moines-based weekly Cityview. Scroll to the end of this post for excerpts.

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Grassley finally on board with criminal justice reform: How good is the bill?

Yesterday Senator Chuck Grassley stood with colleagues from both parties to unveil the Sentencing Reform and Corrections Act of 2015. President Barack Obama advocated for criminal justice reform in this year’s State of the Union address, but six months ago, prospects for any progress toward that goal seemed dim. All paths to passing such a bill led through the Senate Judiciary Committee, which Grassley chairs. As Senator Richard Durbin noted yesterday, Grassley had been “very skeptical” about criminal justice reform and “said so repeatedly.” For example, Grassley delivered a harsh Senate floor speech in March, accusing the “leniency industrial complex” of misleading people about “nonviolent” or “low level” drug offenders. Who would have guessed the same man would stand up now to hail this “landmark piece of legislation” as the “biggest criminal justice reform in a generation” and the product of “a very thoughtful bipartisan deliberation by the Congress”?

I enclose below a summary of the Sentencing Reform and Correction Act’s key points, along with a press release with links to the full bill text and a section-by-section analysis. I also included several perspectives on the bill’s value. Reform advocates have generally embraced the step; the non-profit Sentencing Project called it “momentous legislation,” ending the “disastrous era of ‘tough on crime’ politics.” On the other hand, Shane Bauer argued in Mother Jones that the bill “doesn’t live up to its own hype.”

Scroll to the end of this post to read the full text of Grassley’s March 10 floor speech, which underscores how hard his colleagues on the Judiciary Committee had to work to bring the chairman around.

Any relevant comments are welcome in this thread. I’ve never found much to admire about tea party hero Senator Mike Lee of Utah, but all credit to him for making criminal justice reform a priority. At yesterday’s press conference, he recalled a story that ignited his passion to work for change. When Lee was an assistant U.S. attorney, a case came to his office involving a father of two in his mid-20s. The man had “made some mistakes,” selling marijuana three times over a 72-hour period while carrying a gun. He was slapped with a 55-year mandatory minimum sentence. “I don’t mean to condone what he did,” Lee said, “but I’ve never met anyone who thought a 55-year sentence was appropriate in that case. He’s going to be in jail until he’s 80.”

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Fallout from state's selection of companies to manage Medicaid for half a million Iowans

On Monday, the Iowa Department of Human Services announced the four private insurance companies selected to manage care for almost all of the 560,000 Iowans on Medicaid. Pending successful contract negotiations, Amerigroup Iowa, AmeriHealth Caritas Iowa, UnitedHealthcare Plan of the River Valley, and WellCare of Iowa will start managing care for Iowans on January 1, 2016. It’s too early to say how the change will affect medical services. Speaking to the Des Moines Register, Democratic State Senator Amanda Ragan expressed concern “that people will fall through the cracks” and said she hopes Iowans will contact state lawmakers “if problems develop” under the new system.

Some losers have emerged from the process already: namely, two companies now managing care for some Iowans on Medicaid, which were not selected to continue in that role next year. Follow me after the jump for background on the Medicaid privatization plan and the fallout from the Iowa DHS not choosing Magellan Health Inc and Meridian Health Plan as managed care organizations for 2016.  

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How Iowa law enforcement agencies justified armored vehicle requests

Marking the one-year anniversary of the militarized police crackdown on protesters in Ferguson, Missouri, Molly Redden wrote a fascinating piece for Mother Jones on how local law enforcement agencies have justified their requests for “combat style weapons, trucks, and armor.” Redden noted that in public, representatives of police organizations have cited “hostage situations, rescue missions, and heavy-duty shootouts” to justify the need for military equipment. But when requesting mine resistant ambush protected vehicles through official channels, “very few sheriffs and police chiefs cite active shooters, hostage situations, or terrorism […].” More often, they indicated plans to use the equipment for SWAT raids, drug enforcement, or serving warrants.

Through the Freedom of Information Act, Redden obtained more than 450 local requests for armored vehicles submitted during the past two years. She uploaded the documents here. Ten requests came from Iowa law enforcement agencies (the Iowa State Patrol, five county sheriff’s offices, and four city police departments). Those may not represent all the Iowa requests for armored vehicles; Redden told me she requested only applications with something written in the “special considerations” section of the form. However, I would assume that most police forces seeking to obtain heavy equipment from the military would explain why they need the armored vehicle and/or how they plan to use it.

After the jump I’ve enclosed links to the Iowa documents obtained by Redden and quoted each police or sheriff’s department explanation for requesting an armored vehicle.

President Barack Obama implemented new federal rules in May to prohibit transfers of certain military equipment to local police: namely, “tracked armored vehicles, bayonets, grenade launchers, camouflage uniforms, and large-caliber weapons and ammunition.” All of the Iowa documents Redden obtained requested armored vehicles on wheels (though the Scott County Sheriff’s Office indicated it would also accept tracked vehicles).

On a related note, in June the U.S. House rejected amendments to next year’s military budget that would have “prohibited funds from being used for the Pentagon to transfer flash-bang grenades and armored vehicles to local police departments.” Republicans Rod Blum (IA-01) and David Young (IA-03) voted for the unsuccessful attempt to stop transfers of armored vehicles to police departments. Democrat Dave Loebsack (IA-02) and Republican Steve King (IA-04) voted against that amendment.

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Weekend open thread: "Serious mismanagement" edition

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

Ryan Foley’s August 3 story for the Associated Press was disturbing on several levels. A “Serious Mismanagement Report” described a “decade of dysfunction” at the Effigy Mounds National Monument in northeast Iowa. Between 1999 and 2010, “78 construction projects costing a total of $3.4 million were approved there in violation of federal laws meant to protect archaeological resources and historic sites.” Also troubling: National Park Service officials have suppressed the report’s publication and recently denied that it existed. They have commissioned another team to write a separate (less critical) review of Effigy Mounds operations. National Park Service deputy regional director Patricia Trap delivered some unintentional comedy when she said, “I’m not denying some serious mismanagement […] But also there were actions taken along the way that were actually appropriate management.” I’m so relieved to know that Effigy Mounds officials handled some matters appropriately in addition to the seventy-eight projects that failed to comply with federal law.

Iowa Public Radio’s Morning Edition with Clay Masters interviewed Foley about the mismanagement and next steps at Effigy Mounds. Click through for the audio and transcript.

The Des Moines Register published a front-page piece by Grant Rodgers on August 5 about the “uncertain future” for Iowa’s regional drug courts. Those courts steer defendants into treatment rather than prison, turning lives around at lower cost than incarceration. “Yet despite their popularity among prosecutors, judges and community leaders, several Iowa drug courts have experienced sluggish legislative funding – so much so that they now are in jeopardy,” Rodgers reports. What a classic case of penny-wise and pound-foolish budgeting by state legislators who brag to their constituents about fiscal responsibility. With an ending balance (surplus) of at least $300 million expected for Iowa’s budget in the 2016 fiscal year, it’s ridiculous that the drug court in Council Bluffs will shut down on October 1, with courts in Burlington and Ottumwa “at risk of closing” later this year.

The front page of today’s Sunday Des Moines Register features a depressing must-read by Tony Leys about former residents of the now-closed Iowa Mental Health Institute at Clarinda, which “cared for some of the frailest and most complicated psychiatric patients in the state.” Of the eighteen people who lived in the Clarinda facility earlier this year, eight

were transferred to four traditional nursing homes, all of which are rated “below average” or “much below average” on a federal registry. The four facilities are in the bottom 29 percent of Iowa nursing homes for overall quality, according to the Medicare registry. Two of those eight patients died shortly after their transfers.

I’ve enclosed excerpts from all of the above stories after the jump, but I recommend clicking through to read the articles in their entirety.

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House passes first 2016 spending bills: How the Iowans voted

Catching up on Congressional news, last week the U.S. House approved a joint Republican framework setting top-line numbers for the federal budget as well as the first two spending bills for the 2016 fiscal year, which begins on October 1. Along the way, House members considered amendments covering a wide range of issues, from regulations on incandescent light bulbs to “prevailing wage” rules for federal construction projects to medical marijuana advice for Americans who receive their health care through the Veterans Administration.

Follow me after the jump for details on the latest votes by Iowa Democrat Dave Loebsack (IA-02) and Republicans Rod Blum (IA-01), David Young (IA-03), and Steve King (IA-04).

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Iowa Democratic lawmakers seeking to expand medical cannabis law

Iowa Senate Ways and Means Committee Chair Joe Bolkcom has introduced a bill to make medical marijuana more broadly available to Iowans suffering from life-threatening or chronic illnesses. Senate Study Bill 1243 would allow the possession and use of medical cannabis (not just the cannabis oil derivative legalized last year) for any of the following “debilitating medical conditions”: cancer, multiple sclerosis, epilepsy, AIDS or HIV, glaucoma, hepatitis C, Crohn’s disease or ulcerative colitis, Amyotrophic lateral sclerosis (often known as Lou Gehrig’s disease), Ehlers-danlos syndrome, or post-traumatic stress syndrome. Scroll to the end of this post for a detailed summary of the bill.

The latest Des Moines Register poll by Selzer & Co indicates that 70 percent of Iowans favor allowing medical marijuana use. Yet Iowa’s new law allowing cannabis oil treatments has yet to benefit a single patient. Nevertheless, persuading Iowa House Republicans and Governor Terry Branstad to legalize marijuana for additional medical conditions may be an uphill battle. Follow me after the jump for more background on this issue, and excerpts from recent testimony before members of the Iowa Senate.

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Grassley, Ernst vote to confirm new Defense Secretary

Catching up on news from last week, the U.S. Senate confirmed Ashton Carter as secretary of defense by 93 votes to 5 (roll call) on February 12. Only five Republicans opposed the nomination, which is rare for President Barack Obama’s administration. Iowa’s Senators Chuck Grassley and Joni Ernst both supported Carter, and I’ve enclosed their statements after the jump. Grassley emphasized that he will “continue to press for clean, accurate audits at the Defense Department,” while Ernst praised Carter’s “strong support and dedication to our service members and their families.” Ernst serves on the Senate Armed Services Committee, which unanimously forwarded Carter’s nomination earlier in the week. Kristina Wong reported for The Hill, “Republicans on the committee were particularly pleased that Carter said he would consider recommending that Obama modify his Afghanistan troop drawdown schedule, if necessary, and that he was inclined to arm Ukraine against Russian aggression.”

I’ve also enclosed below Carter’s official bio, summarizing his extensive Pentagon experience.

On February 9, Grassley and Ernst joined their colleagues in unanimously confirming Michael Botticelli as director of the White House Office of National Drug Control Policy. Grassley’s statement on the country’s new “drug czar” is after the jump too. He praised Botticelli for recognizing “the dangers of smoking marijuana.” In recent testimony before a U.S. House committee, Botticelli said “The [Obama] Administration continues to oppose attempts to legalize marijuana and other drugs.”

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The Iowa Board of Medicine's grotesque double-standard on protecting women

The Iowa Board of Medicine released a remarkable file on Thursday detailing its settlement agreement with Dr. Fredric Sager, an obstetrician/gynecologist based in Clive. You can read the full document here (pdf). After the jump I’ve enclosed the first five pages, which cover the charges of “unethical or unprofessional conduct” and “disruptive behavior,” as well as the main terms of the settlement. Reading what Sager did with some of his patients, including staying with them at his vacation home in Florida, it’s mind-boggling that his license to practice medicine was not revoked or at least suspended. Instead, he will pay a fine of $7,500 (a token amount for a well-compensated doctor in Iowa), undergo some counseling on “professional boundaries,” transfer certain patients out of his care, and be forced to have a “female healthcare professional chaperone” present when treating female patients in the future.

Multiple acquaintances who work with vulnerable populations in Polk County have told me that Sager treated many patients without a strong support system, such as pregnant teens, homeless youth, and young single women. In fact, one person had heard a teen in Sager’s care talk about possibly going to Florida with him, but brushed it off as delusional thinking. It makes me sick that the Iowa Board of Medicine is allowing him to continue to practice medicine as an OB/GYN–even with a chaperone–after establishing his pattern of predatory and inappropriate behavior with patients.  

In contrast, the state Board of Medicine rushed through without adequate public input a rule banning the use of “telemedicine” for medical abortions at Planned Parenthood clinics around Iowa. Board members moved to ban that procedure despite studies demonstrating the safety of telemedicine abortions. Advocates were not able to cite any evidence of adverse outcomes among more than 5,000 Iowa women who had used the teleconferencing system to receive abortifacients. Planned Parenthood’s lawsuit challenging the state rule is pending before the Iowa Supreme Court.

Governor Terry Branstad appointed all ten current members of the Iowa Board of Medicine. Six are physicians, and four are members of the public.  

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Rand Paul's Iowa visit highlights, plus: should Rod Blum endorse?

U.S. Senator Rand Paul came to central Iowa this weekend. He drew more than 200 people to an event in Des Moines on Friday night, packed a restaurant in Marshalltown on Saturday morning, and took in the Iowa State men’s basketball game that afternoon. It was Paul’s first visit to our state since October, when he campaigned in eastern Iowa with Congressional candidate Rod Blum and Senate candidate Joni Ernst. Clips with more news from Paul’s appearances are after the jump, along with excerpts from Shane Goldmacher’s recent article for the National Journal, which depicted former Iowa GOP chair A.J. Spiker as an “albatross” for Paul’s caucus campaign.

Before I get to the Rand Paul news, some quick thoughts about Representative Blum, who joined Paul for his Marshalltown event. Blum didn’t endorse a candidate before the 2012 Iowa caucuses and told The Iowa Republican’s Kevin Hall that he doesn’t “plan to endorse anyone” before the upcoming caucuses, adding,

“I might at the very end. We need a strong leader. We need genuine, authentic leadership and I may rise or fall in my election in two years based on who this presidential candidate is.”

I will be surprised if Blum doesn’t officially back Paul sometime before the caucuses. The “Liberty” movement got behind him early in the GOP primary to represent IA-01. At that time, many Iowa politics watchers expected the nomination to go to a candidate with better establishment connections, such as Iowa House Speaker Kraig Paulsen or State Representative Walt Rogers. Paulsen eventually chickened out of the race, and Rogers bailed out a few months before the primary after overspending on campaign staff. Arguably, Blum owes Liberty activists for helping him scare off the strongest Republican competition. Without them, he might be a two-time failed GOP primary candidate, rather than a first-term member of Congress.

The case against Blum endorsing Paul before the caucuses is that doing so might anger GOP supporters of other presidential candidates. Even if Paul remains in the top tier by this time next year, 70 percent to 80 percent of Iowa Republican caucus-goers will likely prefer someone else. Blum will need all hands on deck to be re-elected in Iowa’s first district, which is now one of the most Democratic-leaning U.S. House seats held by a Republican (partisan voting index D+5). It will be a top target for House Democrats in 2016.

Still, I think Blum would be better off endorsing than staying neutral. Most Republicans in the IA-01 counties will vote for him in the general election either way. By getting behind Paul when it counts, Blum would give Liberty activists more reasons to go the extra mile supporting his campaign later in the year, regardless of whether Paul becomes the presidential nominee or (as I suspect) seeks another term as U.S. senator from Kentucky. Besides, if Blum really believes that Paul’s outreach to youth and minorities has the potential to grow the GOP, he should invest some of his political capital in that project.

What do you think, Bleeding Heartland readers?  

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