Yesterday the U.S. House approved a fiscal year 2014 budget prepared by House Budget Committee Chairman Paul Ryan. The bill also sets budget levels for fiscal years 2015 through 2023. Bleeding Heartland covered Iowa reaction to the latest Ryan budget here. After the jump I have details on yesterday’s vote and statements released by members of the Iowa delegation.

Despite the spin from some Congressional Republicans and Governor Terry Branstad, it’s important to remember that Ryan’s budget is not balanced and will not be balanced even 10 years from now. Both the non-partisan Tax Policy Center and the Center on Budget and Policy Priorities have noted that Ryan does not say how he would offset trillions in lost revenue from income tax cuts he proposes. In addition, the Ryan budget “understates defense spending by $100 billion over the next ten years” and assumes that the 2010 health care reform law will be repealed, which obviously won’t happen. The Ryan plan isn’t about eliminating the federal deficit, it’s a plan to end Medicare as a single-payer program and change the role of the federal government in the lives of low-income Americans.

This week Congress approved a continuing spending resolution to fund the federal government through the end of the current fiscal year on September 30. Iowa’s delegation split on this compromise, but not strictly along party lines. Details on the budget compromise and how the Iowans voted are after the jump.

Iowa Senate Democrats offered Governor Terry Branstad a compromise this week to address his concerns that the federal government will not keep its promises to fund the Medicaid expansion provided under the 2010 health care reform law. Follow me after the jump for details on their latest offer and a cost comparison of Medicaid expansion and Branstad’s “Healthy Iowa Plan.”

U.S. House Budget Committee Chair Paul Ryan presented his new federal budget blueprint today. As before, he would end Medicare as a single-payer system for all Americans under age 55, slash spending on programs for the poor such as food stamps and Medicaid, and cut taxes for some, though the details there are fuzzy. He would not cut the defense budget or Social Security. Ryan says his budget would be balanced in 10 years, but he relies on some assumptions that won’t happen, such as repeal of the 2010 health care reform law.

I’ve enclosed Iowa political reaction to the Ryan budget below and will update this post as needed.

Expanding Medicaid in Iowa would add nearly $2.2 billion to the state’s economy, create an estimated 2,362 jobs, and save state government about $1.6 billion, according to a new study. For now, Governor Terry Branstad is sticking to his alternative plan for covering some low-income Iowans, but Senator Tom Harkin predicted last week that federal officials will not approve a waiver for Branstad’s approach.

Follow me after the jump for details on those stories and more about Medicaid in Iowa. I’ve also enclosed a moving personal statement State Senator Mary Jo Wilhelm delivered today about Iowans who can’t afford health insurance.

What’s on your mind this weekend, Bleeding Heartland readers? The Bureau of Labor Statistics released a better than expected jobs report on Friday, but not all the numbers were encouraging. States have continued to cut jobs even after the end of the “Great Recession,” and the “sequester” federal budget cuts will lead to more public-sector job losses later this year. Disappearing state government jobs are a drag on the national economy.

Surprise, surprise: the Iowa Chamber Alliance thinks shoveling more taxpayer dollars to large corporations is the best way to create jobs. The Iowa Policy Project disagrees and points out that Iowa is already writing large subsidy checks to some companies that paid no income tax in 2012. UPDATE: Forgot to mention that Iowa just agreed to give the Principal Financial Group $22.5 million in tax credits for its $285 million renovation plan in downtown Des Moines. Why should Iowa taxpayers underwrite office remodeling for a profitable company? That’s part of the cost of doing business.

Conservatives who think high tax rates can’t coexist with economic prosperity should explain why “the average Canadian household is now richer than an average American household for the first time ever.” My guess is the answer is related to Canada’s efficient, single-payer health care system (no medical bankruptcies or huge out of pocket costs because of health problems).

Senator Tom Harkin has introduced a bill to raise the minimum wage from $7.25 to $10.10 over three years before “before indexing it to keep up with the rising cost of living.” Indexing the minimum wage to inflation should have happened a long time ago.

This is an open thread.

Governor Terry Branstad announced his administration’s alternative to Medicaid expansion this morning at his regular weekly press conference. The “Healthy Iowa Plan” would cover approximately 89,000 Iowans with income below the federal poverty level. In contrast, Medicaid expansion would cover up to 150,000 Iowans with income below 133 percent of the poverty level.

Details on the new plan are after the jump. Early reaction from Senate President Pam Jochum suggests that the Iowa Senate will not be inclined to approve this proposal. I also question whether the U.S. Department of Health and Human Services will grant a waiver for Branstad’s plan. Federal officials have already denied requests from Branstad and other governors to allow a smaller Medicaid expansion than what the 2010 health care reform law provides.  

A Terrace Hill mystery: why doesn’t Governor Terry Branstad have more details to share about his proposed alternative to expanding Medicaid in Iowa?

Answer: Outside consultants are still working up a plan for him. CORRECTION: Branstad rolled out his “Healthy Iowa Plan” on March 4.

Cutting property taxes has long been a policy goal for Governor Terry Branstad, so why is he rejecting a path to save Iowa counties tens of millions of dollars a year on mental health services? As Tony Leys reported yesterday for the Des Moines Register, the Iowa Department of Human Services has estimated that expanding Medicaid as foreseen under the 2010 federal health care reform law would save counties between $27 million and $60 million each year.

This week New Jersey’s Chris Christie became the eighth Republican governor to recognize that only a chump would turn down 100 percent federal funding to provide Medicaid coverage to low-income constituents. But Governor Terry Branstad doubled down on his determination not to allow Medicaid to expand in Iowa.

While some advocates are hoping Republican legislators will help pass a Medicaid expansion bill by a veto-proof majority, that scenario appears extremely unlikely. A prolonged standoff between Branstad and Iowa Senate Democrats seems unavoidable.

Five years ago this week, I was hospitalized with an infection that might have become life-threatening or permanently debilitating had I not had health insurance coverage, which allowed me to receive a relatively early diagnosis. Every day in this country, uninsured people hunker down, hoping their health problem will go away without an expensive doctor’s visit. That’s one of many reasons studies have shown that expanding Medicaid saves lives.

Governor Terry Branstad sounds determined not to expand Medicaid, but none of his arguments can withstand scrutiny.

UPDATE: Branstad confirmed on February 23 that he will not agree to expand Medicaid. Added details and other related news below.

Do you want the good news first, or the bad news? President Barack Obama has reportedly settled on a strong candidate to replace Lisa Jackson as Environmental Protection Agency administrator. On the flip side, Steven Chu’s successor at the Department of Energy is likely to be a nuclear physicist with connections to major polluting industries. Details are after the jump. Still no word on the next secretary of transportation.

Florida Governor Rick Scott is the latest Republican governor to decide to expand Medicaid under the 2010 health care reform law. He was one of those leading the charge to have the law declared unconstitutional. Some comments from today’s press conference are after the jump as well. Arizona Governor Jan Brewer, Ohio Governor John Kasich and Michigan Governor Rick Snyder are all Republicans who opposed the Obama administration policy but have agreed to expand Medicaid in their states. I hope that when Iowa Governor Terry Branstad meets with U.S. Health and Human Services officials later this week, he will find some face-saving way to agree to expand Medicaid here. So far he sounds determined to resist the policy, despite the consensus of every major Iowa medical group as well as a wide array of religious and social justice organizations.

This is an open thread: all topics welcome.

Iowans support expanding Medicaid as provided under the 2010 health care reform law by more than a two to one margin, according to a new poll commissioned by the American Cancer Society Cancer Action Network, which supports the policy.

The Iowa House and Senate began their 2013 session yesterday with the usual welcoming speeches from legislative leaders and the ritual of choosing desks for each lawmaker in the chambers. Judging from this photo, returning legislators get first dibs.

As was the case in 2012, social issues like abortion and same-sex marriage were absent from the opening-day speeches. Republican leaders emphasized the need to cut both property and income taxes. Iowa House Speaker Kraig Paulsen also claimed credit on behalf of Republicans for Iowa’s improving fiscal condition. House Majority Leader Linda Upmeyer spent a fair amount of time criticizing Congress before calling for state action to improve education and cut taxes. House Speaker Pro Tem Steve Olson repeated some themes of last year’s election campaign and quoted U.S. Senator Marco Rubio of Florida. Similarly, Senate Minority Leader Bill Dix concentrated on tax reforms.

Senate Majority Leader Mike Gronstal focused on education and workforce training programs to address “Iowa’s skill shortage.” Senate President Pam Jochum focused on health-related issues: improve mental health services, helping elderly people stay in their own homes, and expanding Medicaid, which she described as “the biggest opportunity for this session to make a positive difference for Iowans.” Iowa House Minority Leader Kevin McCarthy emphasized the need for bipartisan work on a range of issues: education, mental health care delivery, the transition to a new maximum security prison, and protecting natural resources.

Follow me after the jump for excerpts from the opening-day speeches by legislative leaders (as prepared for delivery). I included the full text of Jochum’s remarks, because her personal journey says a lot about who she is. Jochum also paid a lovely tribute to former Republican State Senator Pat Ward, who died last year.  

Congressional press releases don’t always tell you about important votes, but they always tell you what members of Congress want you to know about them. Representative Steve King (R, IA-04) didn’t release a statement last week explaining his vote to let John Boehner stay on as House speaker. But I think he’s a little worried about his street cred as a bold conservative, because he quickly moved to flaunt his work on some hopeless right-wing causes.  

U.S. Senator Patrick Leahy of Vermont, the most senior Senate Democrat following the death of Hawaii’s Daniel Inouye earlier this week, announced today that he has decided to remain chair of the Senate Judiciary Committee, rather than replacing Inouye as head of the Appropriations Committee. The Judiciary Committee will consider some gun control legislation next year and may hold Supreme Court confirmation hearings if a vacancy arises. Iowa’s Chuck Grassley is the ranking Republican on that committee.

Leahy’s decision would appear to have opened the door for Senator Tom Harkin to move to Appropriations. Harkin is the next most senior Senate Democrat, having been elected to the upper chamber of Congress for the first time in 1984. However, Leahy congratulated Senator Barbara Mikulski of Maryland for being the first woman to chair the Appropriations Committee. Mikulski has served in the Senate since 1987. UPDATE: Harkin also congratulated Mikulski today.

Harkin will remain chair of the Health, Education, Labor and Pension Committee, which is one of the most important Senate committees, but running Appropriations would have put him in an even stronger position. Like Steven Duffield, I want to hear the backstory on this one.

UPDATE: In a statement that I’ve enclosed after the jump (hat tip Bleeding Heartland user 2laneIA), Harkin said he chose to remain head of the HELP Committee “based on where my passion lies.  This is my work, it is who I am, and these are the issues that define me.” He will chair the Appropriations subcommittee on health, education and labor.

Last week Iowa Governor Terry Branstad confirmed that Iowa will pursue a “partnership” health insurance exchange next year, rather than setting up its own insurance exchange for implementing the 2010 health care reform law, or letting the federal government set up an exchange for Iowa.

In addition, the governor again signaled that he is against the now-optional Medicaid expansion for states, because he believes it would become too expensive for Iowa in the future.

Links and recent news about health care reform in Iowa are after the jump.

He should have quit while he was behind, but Mitt Romney stepped in it again this week during a conference call with major Republican donors.

I planned to write several posts this fall about the third Congressional district race between Representatives Tom Latham and Leonard Boswell. Instead, every time I sat down to write about the campaign, I found myself turning to other topics. Central Iowa radio and television stations have been so over-saturated with cookie-cutter attack ads against both candidates. If a political junkie like me finds it off-putting, I can’t imagine how disengaged other people feel when they hear the beginning of yet another negative commercial.

Neither Latham nor Boswell has offered a compelling case for re-election, but after the jump I review the main messages from both campaigns and from various outside groups that have been advertising in Des Moines and Omaha.

Democratic candidates for the state Senate haven’t fared well in western Iowa lately, so the new Senate district 6 hasn’t been on my radar, even though it’s an open seat. However, campaign finance reports indicate that Democrats are not conceding this district, so I decided to post a profile of the race. Background on both candidates is below, along with a district map and some of the campaign rhetoric voters have been hearing.

Shortly before election day 2010, Representative Bruce Braley and his staff were sweating it. The Democratic Congressional Campaign Committee spent significant funds to help Braley fend off a ton of attack ads funded by conservative groups. Braley defeated Ben Lange by just 4,209 votes. If not for Iowa Democrats’ early vote program and the presence of two minor-party candidates on the ballot, Lange might be in Congress today.

This year, Iowa’s first Congressional district looks far less competitive. A final review of Braley’s rematch against Lange is after the jump, including some fireworks from the candidates’ Iowa Public Television debate last week.  

In a sure sign that Republicans consider House district 43 competitive, State Representative Chris Hagenow’s campaign is spending tens of thousands of dollars on television commercials attacking his Democratic challenger Susan Judkins. The ads repeat several messages a Republican push-poll used against Judkins earlier this fall. My transcript and description of the commercial is after the jump. Bleeding Heartland previewed the House district 43 race here.

Here is something we sent out to our friends and family on October 23.

Greetings friends of the food movement and local & regional agriculture,

We write tonight to invite you to join us in supporting President Obama’s reelection.  We can think of a lot of reasons to support this administration.  However, there is no better reason than to acknowledge the support through Secretary Vilsack that President Obama has provided to the food and agriculture community in general and specifically to those of us championing local, regional, and good food.  Below are some reasons why we need to keep Obama in the White House and his policies for food and agriculture in place at USDA.  If you are like us, you haven’t been in love with every single food and agriculture decision from this administration, but the good stuff will all go away if Obama loses this election and historically speaking there’s a bunch of good stuff.  [continues below]

It’s time to catch up on news from the first Congressional district campaign between three-term Democratic Representative Bruce Braley and his two-time Republican challenger Ben Lange. After the jump I’ve posted my take on yesterday’s debate on Iowa Public Radio, along with videos and transcripts of the latest television commercials by the campaigns and outside groups. (Bleeding Heartland covered earlier tv ads in the IA-01 race here, here, and here.)  

Fewer than 30 days remain until the presidential election. Any comments about the race in Iowa or nationally are welcome in this thread. I’ve compiled recent news, analysis, and advertising after the jump. I will update as needed, especially if any new Iowa poll comes out today. Gallup’s national tracking poll shows Mitt Romney gaining ground since last Wednesday’s presidential debate.

UPDATE: Rasmussen Reports has President Barack Obama leading Romney in Iowa by 49 percent to 47 percent, based on a survey of 500 likely voters conducted on October 7 (margin of error plus or minus 4.5 percent). Rasmussen’s previous Iowa poll had Romney leading 47 percent to 44 percent.

SECOND UPDATE: Added latest national polling data at the end of this post.

A push-polling campaign with live telephone interviewers is underway in Iowa House district 43, where two-term Republican State Representative Chris Hagenow faces Democrat Susan Judkins. Following my own advice, I took detailed notes on last night’s call.

UPDATE: I am hearing reports of similar push-polls against John Forbes, Democratic candidate in House district 40, and John Phoenix, Democratic candidate in House district 38. If you have received these calls or push-polls targeting other Democratic House candidates, please let me know: desmoinesdem AT yahoo.com. If you get one of these calls, take notes if possible, and don’t be afraid to ask the caller to repeat the question.

SECOND UPDATE: Mark Blumenthal explained the difference between a real opinion survey and a push-poll on his Mystery Pollster blog. Whereas a real poll is designed to collect data from respondents and measure opinions, a push-poll is all about spreading negative information about a political opponent to as many people as possible, under the deceptive guise of conducting a survey.

U.S. Health and Human Services Secretary Kathleen Sebelius, a former governor of Kansas, made clear last week that the Obama administration will work with governors who are reluctant to expand Medicaid eligibility in their states.

The air war in Iowa’s first Congressional district is fully engaged, with four new television commercials in the last week alone. Three-term Democratic incumbent Bruce Braley started running a spot about veterans last week and went up on the air yesterday with a response to a new ad about Medicare, paid for by the National Republican Congressional Committee. Last week Republican challenger Ben Lange launched his second tv spot, which depicts the national debt as unfair to the next generation.

More details on the new commercials, including videos and transcripts, are after the jump. Bleeding Heartland covered Braley’s opening tv spot here and Lange’s here.  

The Iowa Hospital Association’s board has “unanimously agreed that expanding Medicaid in Iowa is the appropriate public health policy for Iowa.” After the jump I’ve posted the full text of the association’s policy brief explaining why Medicaid expansion would be good for Iowa individuals, businesses, and the state as a whole.

President Barack Obama held a campaign rally in Ames today, drawing a crowd of approximately 6,000 on the Iowa State University campus. I enclosed the transcript of the president’s remarks at the bottom of this post. As in all his campaign speeches, he framed the election as a “choice” between two paths, rather than as a referendum on his performance. Obama also emphasized his administration’s efforts to make college tuition and student loans more affordable.

The president will need strong turnout in places like Ames this November, because yet another Iowa poll shows the gap between Obama and Romney within the margin of error.

Public Policy Polling’s latest Iowa survey finds President Barack Obama leading Republican Mitt Romney by 48 percent to 43 percent.

The U.S. House voted today to repeal the 2010 Patient Protection and Affordable Care Act, better known as health care reform.  

Governor Terry Branstad confirmed earlier this week that employee contributions to health insurance premiums will be a major battleground during the next round of contract negotiations with unions representing state workers.  

Roughly 150,000 people, or about 5 percent of Iowa’s population, will not receive Medicaid coverage under the 2010 federal health insurance law if Governor Terry Branstad gets his way. The governor repeated yesterday that he does not intend to go along with the Medicaid expansion, because he doesn’t believe the federal government should or will provide the promised funding to cover the cost.

Congressional Republicans including Representative Steve King are urging governors to reject other aspects of the Affordable Care Act, such as the state-based health insurance exchanges. Branstad has not yet decided whether to take that route. More details on these stories and other fallout from last Thursday’s U.S. Supreme Court ruling are after the jump.  

The U.S. Supreme Court today upheld the constitutionality of the 2010 Affordable Care and Patient Protection Act, better known as health care reform. I am shocked not only by the decision, but by the 5-4 breakdown with Chief Justice John Roberts (not Justice Anthony Kennedy) being the swing vote in favor of upholding the law. Most commentators and the betting site Intrade thought the court would strike down at least the individual mandate to purchase health insurance, if not the whole law. To her credit, Linda Greenhouse of the New York Times consistently predicted that Roberts would vote to uphold the law.

Any comments related to health care reform are welcome in this thread. I will update this post frequently during the day as Iowa elected officials, candidates, and activist groups weigh in on the decision.  

Governor Terry Branstad recently named Nick Gerhart to be Iowa’s next insurance commissioner. Gerhart will take over the position from Susan Voss at the end of 2012.

The insurance commissioner’s work next year will be important as Iowa implements the federal health insurance reform law or designs its own alternative. For this post, though, I’m more interested in what this appointment reveals about Branstad’s governing style.

All three Iowa Democrats in the U.S. House voted for the 2010 health insurance reform bill, but last week Dave Loebsack (IA-02) and Leonard Boswell (IA-03) joined Republicans in repealing a tax established under the Affordable Care Act. It’s the second time this year that Boswell and Loebsack voted to roll back part of that law.

Republican nominee in waiting Mitt Romney went up on the air yesterday with his first general election television commercial in Iowa. The video and transcript are after the jump.  

Crossroads GPS, the super-PAC headed by Republican strategist Karl Rove, is going up on the air today in Iowa and nine other states as part of a $25 million advertising campaign over the next month. The 60-second negative spot about President Barack Obama is after the jump, along with an annotated transcript.

Speaking in Des Moines this afternoon, Mitt Romney promised to lead the country “out of this debt and spending inferno” by reducing federal government spending from 24.3 percent of the country’s gross domestic product to 20 percent of GDP within four years. Romney would address what he called a “prairie fire of debt” by moving some federal programs to the state level or the private sector, repealing “Obamacare,” reforming Medicare and Social Security, and reducing “redundancy and waste” in government programs.

I’ve posted the full prepared text of Romney’s remarks after the jump, along with a few comments.