Robin Opsahl covers the state legislature and politics for Iowa Capital Dispatch, where this article first appeared. Brooklyn Draisley, Cami Koons, and Kathie Obradovich contributed to this article.

As the Iowa legislature advanced past the second major deadline of the 2025 session, conversations on pipelines, Medicaid work requirements and new higher education requirements are continuing through surviving bills—though agreements have not necessarily been reached between the two Republican-controlled chambers.

The session’s second “funnel” deadline is another checkpoint for lawmakers during the legislative session, culling the bills that remain eligible for consideration as the Legislature nears the end of session. During the first funnel, bills were required to gain approval by a committee in one chamber to survive. In the second funnel, bills must have passed in floor debate in one chamber and gained committee approval in the other chamber to remain eligible.

There are several exceptions to this deadline, such as bills involving taxes, spending and government oversight components, and they include the property tax legislation proposed by Iowa lawmakers. Legislative leaders can also sponsor a bill and bring it forward without abiding by the deadline.

In addition, the language of a bills considered “dead” because of the funnel can still be added, at any point, as an amendment to a surviving bill.

There are also several bills that remain eligible for consideration by being placed on the “unfinished business” calendar, allowing them to remain up for consideration during the remainder of the session.

Sue Dinsdale is the executive director of the Iowa Citizen Action Network, a grassroots public interest organization committed to creating social change in Iowa and across the nation. She is also the state lead for Health Care for America NOW. Brian Keyser is a health policy research associate at Center for American Progress, an independent, nonpartisan policy institute that is dedicated to improving the lives of all Americans through bold, progressive ideas, strong leadership, and concerted action.

Last year, 60-year-old Iowan Susan McKinney started a new job working from home for a travel agency. Susan suffers from diabetes, arthritis, and atrial fibrillation (AFib), and her insurance coverage hadn’t kicked in before her health deteriorated to the point where she couldn’t walk up or down her apartment steps. She couldn’t get to a doctor—which she had no way to pay for anyway—so her conditions went untreated. In November, her concerned siblings moved her back to her hometown of Cedar Rapids, where the local free clinic told her that she qualified for Medicaid. Susan’s sister says, “Medicaid saved her life.”

Medicaid provides comprehensive medical coverage and long-term care for approximately 21 percent of Iowans like Susan. In 2023, the federal government covered around 72 percent of Iowa’s $7 billion in Medicaid spending.

But on February 25, all four members of Iowa’s House delegation voted in lock step with the Republican majority to advance a budget that would necessitate slashing federal contributions to state Medicaid programs to fund tax cuts for the wealthy. If implemented, this legislation could mean a loss of more than $8 billion for Iowa’s economy over the next decade.

The Center for American Progress estimated how the $880 billion in proposed Medicaid cuts nationwide would cost each Congressional district in federal funding. Here are the Iowa numbers:

Peggy Huppert retired as the executive director of NAMI Iowa in 2023 after 43 years serving nonprofits as a communications, development, government relations and executive director. She has been active in Democratic politics since 1984.

It is the task of a good man to help those in misfortune. -Sophocles

Dave Heaton was the definition of a Good Man.

He lived his life with honor and in service. He was loyal, hard working and dedicated. He was compassionate and empathetic. He followed through with things to the end. He didn’t care about praise or recognition. He cared about helping others.

Dave left this world on February 12 at the age of 84. He will be remembered and missed by many, including some you might not expect.

Dr. Shawn Ellerbroek, Wartburg College Professor of Biochemistry and Direstor of Student Research, previously was a full-time cancer research scientist at the University of North Carolina and remains active in cancer research. He currently serves as a member of the Waverly-Shell Rock School Board. This essay first appeared in the Waverly Democrat on February 13.

Cancer sucks. And Iowa, once again, has the second highest cancer rate in the country. Our cancer rates are rising faster than any state, so unfortunately we could soon be number one in America. 

Sometimes I hear, “Oh, it is because Iowa has more old people.” Age does matter when it comes to cancer, but that is not the reason; Iowa’s median age (39.1) is near the national median (39.2) and the same as states whose cancer rates are dropping. 

As a cancer research scientist, I’ve read and heard many opinions about what might be causing Iowa’s cancer problem. Cancer is multifactorial, meaning many chemicals (and UV light) can cause and promote it, making it a big challenge to pinpoint primary causes. 

Iowa Attorney General Brenna Bird enjoyed suing the Biden administration. She filed or joined more than a dozen multi-state lawsuits against the federal government during her first year in office alone. At least a dozen more lawsuits followed in 2024.

Bird has often welcomed media coverage of her legal battles against Biden administration policies. Her office issued many press releases to announce new litigation or joint letters challenging the federal government.

But Bird’s office kept quiet about one case, which Iowa and sixteen other Republican-controlled states filed in the Northern District of Texas last September. Texas v. Becerra could prove catastrophic for Americans with disabilities. Not only are the plaintiffs seeking to vacate a federal rule prohibiting discrimination against disabled people in health care settings, they are also asking the court to declare a 1973 law known as Section 504 unconstitutional and unenforceable.

After reporters began asking questions about that lawsuit last week, Bird and her staff lied repeatedly about the scope of the case and the plaintiffs’ goals.

Mary Weaver writes a regular column for the Jefferson Herald and Greene County News online. She is a former registered nurse and former public health nurse administrator, who currently chairs the Iowa Democratic Party’s Women’s Caucus. Mary resides on a farm near Rippey.

To the editor:

As a former Public Health Nurse, I am very anxious and concerned that Robert Kennedy Jr. may be confirmed to the cabinet position of Health and Human Services secretary.

I will share a couple of stories to emphasize my concerns, particularly in the arena of vaccinations.

I have a good friend who loves to explore cemeteries. I cannot say it is my favorite diversion, but one very weather pleasant day she talked me into going with her. She likes to look at the headstones and I dutifully followed along. There were numerous markers with lambs. This was usually the grave of an infant who had died of diphtheria or whooping cough. It is painful to believe this type of marker may indeed be seen in future cemeteries.

As each new year begins, I enjoy looking back at the posts that resonated most strongly with readers in the year that ended. Some things never change: actions by the Republican-controlled state legislature and Governor Kim Reynolds—especially attacks on public education—inspired many of Bleeding Heartland’s most-viewed posts from 2024. That’s been true every year since the GOP trifecta began in 2017. U.S. Senator Chuck Grassley, who featured prominently in two of last year’s most popular posts, makes another appearance below.

I’ve learned there is no way to predict which pieces will take off. Some of the posts linked below required intensive research and days of writing, while others took only a few hours from start to finish. One was among the longest I wrote last year (more than 5,000 words), while another was among the shortest (fewer than 300 words).

Some authors whose work gained a large following in past years made the list again. But three authors featured below were contributing to Bleeding Heartland for the first time.

This list draws from Fathom Analytics data about total views for 561 posts published from January 1 through December 31, 2024. I wrote 145 of those articles and commentaries; other authors wrote 416. I left out the site’s front page and the “about” page, where many people landed following online searches.

A half-dozen posts barely missed the top 24, by a few hundred views or less:

Kurt Meyer writes a weekly column for the Nora Springs – Rockford Register and the Substack newsletter Showing Up, where this essay (originally published in two parts) first appeared. He served as chair of the executive committee (the equivalent of board chair) of Americans for Democratic Action, America’s most experienced liberal organization.

It seems I lucked out. I don’t know what the statute of limitations is on the illegal sale of raw milk, but I’m about to make a confession. If my violation is so heinous that I simply cannot “run out the clock” on this and enforcement is still possible after five-plus decades, then I’m in big trouble.

My confession: I was part of what, in retrospect, can only be called a raw-milk “syndicate” for maybe five years in my mid-to-late teens. Co-conspirators were my parents and at least one brother, my back-up milker, who always seemed somewhat less helpful than I wished. My customers, beneficiaries of my crime ring, were nearby farm families, plus a thirsty household in Mona, and two guys Dad worked with at the plant… Hormel’s in Austin, Minnesota.

Yeah, we smuggled contraband raw milk across state lines.

Rachel Bruns is a volunteer advocate for quality maternal health care in Iowa.

As the phrase “your body, my choice” has infiltrated social media in the days following the 2024 presidential election, Linda Crownover-Inch, the International Cesarean Awareness Network (ICAN) of Quad Cities chapter leader and a doula, posted the following on Facebook:

There is one place where this phrase has been accepted and normalized for decades and will not disappear until people rise up and face it head on. That place is in the medicalized maternity care setting.

In my experience as a seasoned doula, every one of the medical maternity care providers (OB’s and medicalized midwives) that provided labor and birth service for my client’s, have violated my clients right to bodily autonomy in ways that should be categorized as assault.

Sadly, US medicalized birth culture has normalized assault during labor and birth as “That’s just the way it happens” and “They need to do those things to me to make labor and birth safe”, or “I can’t tell them what to do”. Too often I’ve stood in circles of people retelling, All the while normalizing trauma and assault in their medicalized birth stories.

While I’m sure many will balk at applying this horrendous saying to standard maternity care in most of the United States, Linda’s post resonated with my experience as a maternal health advocate in Iowa. The current reality is that most women seeking prenatal, birth, and postpartum care in Iowa face inadequate care options and degrading experiences, all in the name of so-called health care. 

Dave Miglin is Chair of the Broadlawns Board of Trustees.

In January 2021, the people of Polk County made their voices heard and I was honored to be appointed as a Trustee for Broadlawns Medical Center to complete the term of retired Trustee, Mary Fuller. At that time, our county hospital was dealing with an extraordinary health care crisis (COVID-19) and internal transition brought by the retirement of longtime CEO Jody Jenner. Those months of transition and uncertainty could have easily derailed the positive momentum that was underway at Broadlawns – but it didn’t.

Together with my fellow Trustees, our hospital leadership, and community partners, Broadlawns not only survived these trying times, but it has flourished. Since I joined the Board, we have started or completed many projects that will help Polk County families for years to come, including:

“It’s been a great pleasure to come back and serve only ten miles from where I grew up,” Dr. Emily Boevers said during an August 22 panel discussion at the Democratic National Convention in Chicago. “And it’s my joy to take care of women every day, and women of all ages, and women of many different circumstances.”

But the Waverly-based obstetrician/gynecologist painted a troubling picture of how abortion restrictions harm rural health care access in many ways, putting lives at risk—and not only for those seeking to terminate a pregnancy.

Dr. Emily Boevers is a OB-GYN physician practicing primarily in Waverly, Iowa. When not taking care of patients she enjoys spending time with her husband and three children. This piece was first published in the Waverly newspapers.

This coming week, the seven justices of the Iowa Supreme Court will issue a ruling in the misnamed “Fetal Heartbeat” ban. This legislation is the third iteration forced through the Iowa legislature in six years. It seeks to ban abortion at the instance of embryonic cardiac impulse at six weeks, well before most women know they are pregnant. The Supreme Court may allow the state to enforce the ban or leave the law blocked while litigation proceeds. Either way, a large portion of the electorate will be anguished, disappointed, or even angry.

I cannot say which way the justices will decide. So instead, I will paint a picture of two possible futures for my patients and for myself as a woman’s health physician (an obstetrician gynecologist). I care for women before, during and after pregnancy.

Erin Farquhar is the mother of Abram Miller, who relies on consumable hemp products to control seizures.

This year, the Iowa legislature approved and Governor Kim Reynolds signed House File 2605, placing new regulations on Iowa’s CBD, or consumable hemp, industry. Proponents described the law as an effort to limit the amount of THC in the intoxicating products being sold in our state to protect kids, but that is not what the bill does.  

Unfortunately, HF 2605 was written in a way that has very far-reaching consequences. It does the opposite of what the bill proponents said by banning access to nonintoxicating consumable hemp products used for medical purposes and maintaining access to intoxicating products, like THC infused drinks, used largely recreationally.  

The bill even makes it illegal for me to provide my son the consumable hemp medication he has used for the past nine years to remain seizure-free.   

Kali White VanBaale is an Iowa-based novelist, creative writing professor, and mental health care advocate. Find more of her work at kwhitevanbaale.substack.com (where this essay first appeared) and www.kaliwhite.com.     

This month, Governor Kim Reynolds signed several critical pieces of mental health care legislation, including House File 626, “an Act relating to continuity of care and non-medical prescription switching by health carriers, health benefit plans, and utilization review organizations.” This legislation has a long, contentious history at the Iowa capitol.

Why was this bill important enough to lobby for it year after year with no success? What exactly is non-medical switching?

Keith Schneider, a former New York Times national correspondent, is senior editor for Circle of Blue. He has reported on the contest for energy, food, and water in the era of climate change from six continents. This report was first published by The New Lede and is part of an ongoing collaborative project between The New Lede and Circle of Blue that looks carefully at how agricultural policies are affecting human and environmental health.) 

EMMETSBURG, IOWA –Raised in rural Iowa, 71-year-old Maureen Reeves Horsley once considered her tiny hometown in the northwest part of the state to be a blessed space. She recalls a time when the streams here ran clean and the lake water was clear.

The family farm where Horsley grew up was one of more than 1,200 farms in Palo Alto County in 1970. In her memory, the county’s 13,000 residents enjoyed a thriving agricultural-based economy and close-knit neighbors. Cows grazed in verdant pastures. And seemingly endless acres of corn marched to the horizon.

“We had good crops, corn and soybeans,” Horsley said of her family’s farm along the West Fork of the Des Moines River. “You could make it on a small amount of farmland. You felt safe. It was a good life.”

Two generations later, Emmetsburg and Palo Alto County have been radically transformed into a place where many residents worry that the farms that have sustained their livelihoods are also the source of the health problems that have plagued so many families.

Two bills Governor Kim Reynolds signed on May 1 will make advanced testing for breast cancer and other diseases more accessible to Iowans with health insurance coverage.

House File 2489 requires certain types of private health insurance policies to cover supplemental or diagnostic breast examinations such as magnetic resonance imaging (MRI), ultrasound, or contrast-enhanced mammography. House File 2668 requires public and private health insurance to cover biomarker testing for some cancers and other diseases or conditions. Both bills take effect on January 1, 2025.

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.”

Shutterstock image of an angiogram is by April stock

Rick Morain is the former publisher and owner of the Jefferson Herald, for which he writes a regular column.

I had a heart attack on the evening of February 27. All is well.

Tuesday about 7 p.m. I was sitting at the press table at the Jefferson City Council meeting, taking notes, when my chest started to hurt. I figured it was probably acid reflux, which I have from time to time, so I waited for it to go away.

It didn’t. It hung around after the meeting adjourned at 8 p.m., so when I got home I told Kathy that if it didn’t disappear by 9:30, I would go out to the emergency room at Greene County Medical Center to have it checked out.

Following two days of contentious debate in the Iowa Senate, the chamber’s calendar for Wednesday, February 21 appeared to be stacked with non-controversial bills.

Then State Senator Jeff Edler rose to offer Senate File 2369, an “act relating to autologous and directed blood donations.”

The blood donation bill may not be as impactful as other legislation Senate Republicans approved last week: proposals to undermine Iowa’s state auditor, reduce Medicaid eligibility for pregnant Iowans, make state funded crisis pregnancy centers less accountable, enable discrimination if grounded in religious beliefs, and repeal the gender balance requirement for state boards and commissions.

Yet Senate File 2369 is important—not only because of its potential impact on the blood supply, but for what it reveals about legislative culture in the eighth year of Iowa’s Republican trifecta.

“When I joined Environmental Protection, I never envisioned that I would be talking about a raccoon bounty, but here we are,” Democratic State Representative Josh Turek said on February 7, while the House Environmental Protection Committee considered the only bill on the agenda that day.

As they weighed in on the bill, Democrats voiced broader frustrations about the committee’s failure to engage with any of Iowa’s serious environmental challenges.

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. 

Photo provided by the author, showing maternal health advocates advocating for licensure of certified professional midwives during an Iowa House Ways and Means subcommittee meeting in February 2023.

Rachel Bruns is a volunteer advocate for quality maternal health care in Iowa.

This time last year I wrote about five policies that would improve maternal health in Iowa. I’m updating the piece for the 2024 legislative session with a focus on three core priorities. 

Although access to abortion care and contraceptives are critical to maternal and infant health, I do not discuss those topics here. I want to highlight lesser-known aspects of maternal health specific to prenatal, birth, and postpartum care, which receive much less media coverage.

For the 2024 legislative session, I am focusing on three issues I raised last year, which have a strong chance to be enacted. These policies would improve maternal health in Iowa by expanding access to midwives and expanding prenatal care options. I wrote at length in 2021 about how midwives save lives, and it seems like every week a different study or article underscores how the midwifery model of care leads to better outcomes. If you’re interested in diving deeper, one of my favorite resources released in 2023 is this Issue Brief on Maternity Medicaid Strategies from the Maternal Health Hub.

Ralph Rosenberg of Ames is a retired attorney, former state legislator, former director of the Iowa Civil Rights Commission, and former leader of statewide Iowa nonprofit organizations. He and Barbara Wheelock, also of Ames, signed this open letter on behalf of PRO Iowa 24, a group of concerned rural Iowans with progressive values from Greene, Guthrie, Boone, Story, and Dallas counties.

Now is a good time for the public to make their wishes known for 2024 state policies. Tell your legislators to act on behalf of all Iowans, create an economy that works for all Iowans, and use the government to protect the most vulnerable. Republicans can enact each and every one of these items on a bipartisan basis.

Doris J. Kelley is a former member of the Iowa House and former Iowa Board of Parole Chair, Vice-Chair and Executive Director.

After being re-elected to the Iowa House of Representatives, I met newly elected State Senator Kim Reynolds in 2009 at an event where a bipartisan group of “veteran” legislators were giving advice to newly elected ones. My next interaction with Reynolds was when she was lieutenant governor, and Governor Terry Branstad appointed me to serve as Vice-Chair of the Iowa Board of Parole. After I was promoted to chair that board, I met frequently with Branstad and Reynolds, apprising them of the progressive measures the board was undertaking.

Two recent surveys by Morning Consult, released in late October and late November, identified Reynolds as the country’s governor with the highest disapproval rating. A summary of the October poll noted, “her unpopularity increased partly because of a surge in negative sentiment among independent and Republican voters during a year in which she signed a strict anti-abortion law and took a lashing from former President Donald Trump …”

What has happened to Iowa since Reynolds assumed the office of governor on May 24, 2017?

Nancy Dugan lives in Altoona, Iowa and has worked as an online editor for the past 12 years.

Dr. Mark Z. Jacobson is a Professor of Civil and Environmental Engineering and also serves as Director of the Atmosphere/Energy program at Stanford University, where he has worked for 30 years. He’s spent decades studying ethanol and carbon capture and has published two books that extensively explore those subjects as part of his broader research work examining clean, renewable energy solutions: 100% Clean, Renewable Energy and Storage for Everything (2020), No Miracles Needed (2023).

Thus, Jacobson’s work places him in the eye of the storm surrounding Summit Carbon Solutions’ plan to capture and carry “9.5 million metric tonnes per annum (MMTPA) of CO2 collected from the 34 ethanol facilities, although the pipeline has the potential to carry more.”

Environmental Science & Technology, a biweekly peer-reviewed scientific journal of the American Chemical Society, published Jacobson’s most recent study on October 26. That study, called Should Transportation Be Transitioned to Ethanol with Carbon Capture and Pipelines or Electricity? A Case Study, was funded in part by the Sierra Club.

When Iowa Republicans gained the trifecta following the 2016 elections, defunding Planned Parenthood was near the top of their agenda. GOP legislators promised a new state-funded family planning program would increase access to reproductive health care and give women more options, especially in rural Iowa.

The latest official data, first reported by the Des Moines Register’s Michaela Ramm, show the program has flopped. In just five years, the number of Iowans receiving services such as contraception, pregnancy tests, Pap smears, and testing or treatment for some sexually transmitted infections dropped by 90 percent compared to the population served during the last year of the previous Medicaid waiver. The number of health care providers involved is down by a staggering 97 percent.

The Iowa Department of Health and Human Services has done almost nothing to promote the program, even as enrollment crashed.

The reality could hardly be more different from the scenario Republicans described in 2017: “connecting folks with their home health care” for essential services by taking Planned Parenthood’s mostly urban clinics out of the equation.

Democratic State Senator Herman Quirmbach submitted the following written comments to members of the Boards and Commissions Review Committee. They are an extended version of remarks he delivered during the September 6 public hearing at the state capitol. You can view the committee’s draft recommendations here.

Mr. Chairman and Members of the Boards & Commissions Review Committee:

Thank you for the opportunity to speak to you on September 6. What follows is a review and extension of my remarks.

I offer the following observations as a member of the Tobacco Use Prevention and Control Commission (Tobacco Commission) and of the College Student Aid Commission (CSAC). I have served on both these commissions for approximately twenty years as an ex-officio non-voting member. Both commissions oversee the implementation and administration of critical state programs to protect the public health (Tobacco) and enhance educational opportunities and workforce development (CSAC). Beyond the functioning of existing programs, members of the commissions provide exceptionally valuable expertise to help guide the development of public policy for the future.

Steve Corbin is emeritus professor of marketing at the University of Northern Iowa and a freelance writer who receives no remuneration, funding, or endorsement from any for-profit business, nonprofit organization, political action committee, or political party.    

More than a year has passed since the U.S. Supreme Court overturned the Roe v Wade and Casey precedents, stripping women of a right they’d had for nearly 50 years to make their own reproductive health-care decisions. The Dobbs v. Jackson decision has affected American lives in many ways, and had some surprising consequences.

For the first time ever, a majority of Americans say abortion is morally acceptable and recent abortion laws are too strict.

For the first time in two decades, more people identify as “pro-choice” versus “pro-life.”

Reshaping K-12 education has been a major theme of the Iowa legislature’s 2023 session. In January, Republican majorities quickly approved Governor Kim Reynolds’ plan to divert hundreds of millions of public dollars to private schools. In March, the House and Senate passed a “bathroom bill” prohibiting transgender people from using school facilities that align with their gender identity.

Last week, House and Senate Republicans finished work on another two major education bills. Senate File 496 will impose many new restrictions on public schools, while Senate File 391 will lower standards for teachers and librarians and relax several high school curriculum requirements.

The Senate approved both bills on straight party-line votes. Four House Republicans (Michael Bergan, Chad Ingels, Megan Jones, and Hans Wilz) joined Democrats to vote against Senate File 496. Ingels and all Democrats present opposed Senate File 391.

Reynolds is certain to sign both bills and claim victory for her stated goals of empowering parents and giving school districts more flexibility. This post will explain how key provisions changed before final passage, and which parts of each bill didn’t make the cut.

Rachel Bruns is a volunteer advocate for quality maternal health care in Iowa. This essay was originally published in the Des Moines Business Record’s Fearless publication.

While we see regular news coverage about challenges accessing maternal health care in Iowa and the related racial disparities, I rarely see the mention of higher cesarean rates as a relevant factor in those disparities.

April is Cesarean Awareness Month, and April 11-17 is Black Maternal Health Week. The overlap of these initiatives is relevant given the higher cesarean rate for Black people across the country and Iowa. 

Both chambers of the Iowa legislature have approved versions of Governor Kim Reynolds’ so-called “parental empowerment” bill, which would rewrite many state policies related to public schools. The state Senate changed some parts of the bill before approving Senate File 496 along party lines on March 22.

The House adopted a more extensive rewrite before passing the bill on April 4, by 55 votes to 42. Six Republicans (Michael Bergan, Austin Harris, Chad Ingels, Megan Jones, Brian Lohse, and Hans Wilz) joined all 36 House Democrats to vote no.

This post walks through the provisions in the governor’s initial proposal (Senate Study Bill 1145), noting how each section changed during Iowa Senate debate, and again when House Republicans approved a 38-page amendment before sending the legislation back to the upper chamber.

Reynolds is likely to get most of what she asked for, but the bill that eventually lands on her desk may contain quite a few additional changes to Iowa Code.

LATE UPDATE: Republican lawmakers kept this provision in the final version of Senate File 496, which Governor Reynolds signed in May. Original post follows.

Rick Morain is the former publisher and owner of the Jefferson Herald, for which he writes a regular column.

One state registered a significant increase in cancer incidence from 2015 to 2019, the most recent year for which data is available from all 50 states. That would be Iowa. The only one.

According to the Cancer in Iowa 2023 report, only Kentucky ranked ahead of Iowa in the rate of its residents’ cancer cases. But Kentucky’s rate has decreased recently, while Iowa’s grew.

The reasons for those facts remain a mystery. University of Iowa researchers are trying to figure it out.

LATE UPDATE: Republican lawmakers kept this provision in the final version of Senate File 496, which Governor Reynolds signed in May. Original post follows.

Iowa’s leading cancer researchers released sobering numbers last week. Data from the Iowa Cancer Registry indicates that Iowa has “the second-highest overall cancer incidence of all U.S. states” and is “the only state with a significant increase in cancer incidence from 2015 to 2019.”

In addition, Iowa ranks first for “rates of new cases of oral cavity and pharyngeal cancer,” often known as head and neck or mouth and throat cancers. Iowa also has the country’s second-highest rate for leukemia and ranks fifth and sixth for melanoma and non-Hodgkin lymphoma, respectively.

Meanwhile, Governor Kim Reynolds is forging ahead with efforts to stop requiring Iowa schools to teach junior high and high school students that a vaccine is available to prevent human papillomavirus (HPV). That virus can cause cancer in several areas of the body, including the mouth and throat.

Photo by Larry Stone taken outside an Iowa hog confinement, published with permission.

Iowans continue to advocate for tighter regulations on concentrated animal feeding operations (CAFOs), which house more than 23 million hogs in the state. The animals produce manure equivalent to the waste from more than 83 million people. This publication outlines the problem and potential solutions: Hog Confinements and Human Health: the intersection of science, morals, and law.

Lead author Bob Watson, of Decorah, is an environmental activist who makes his living in the wastewater industry. He deals with Iowa and surrounding states on wastewater issues as owner of Watson Brothers. 

Larry Stone, of Elkader, has continued writing about and speaking on environmental issues after leaving a 25-year career as outdoor writer/photographer with The Des Moines Register.

Richard “Dick” Janson, Ed.D., of Decorah, is a retired public school administrator and teacher with undergraduate training in engineering, science, history, political science, and English. He’s also a tireless researcher and activist for social justice and environmental issues.

Rachel Bruns is a volunteer advocate for quality maternal health care in Iowa.

The 2022 Iowa legislative session saw the most significant momentum in more than forty years of advocacy for the creation of a licensure of direct-entry midwives in Iowa. With the 2023 legislative session underway, I will review the pivotal moments in the 2022 legislative session and explain why the Iowa legislature and Governor Kim Reynolds should prioritize enacting a midwifery licensure bill.

While I have addressed the need to provide a licensure for Certified Professional Midwives (CPMs) in previous pieces, I will go more in-depth in providing background on why all Iowans should want and support CPMs practicing in our state.

Note: I would not benefit directly in any way if this bill passed, as I am not a birthworker (doula, midwife, physician), and I do not plan on having any more children. Through my volunteer work with the International Cesarean Awareness Network, I have learned a lot about the different types of midwives and believe Iowans have been “dealt a bad hand” by not having knowledge or access to community birth options that are more readily available in other states and other high-income countries. Iowa families deserve to have all options available for safe and quality maternal health care.

Carolyn Raffensperger is the executive director of the Science & Environmental Health Network. Sheri Deal-Tyne is a researcher for the Science & Environmental Health Network.

A contentious battle wages in the Midwest, Gulf states, and California over Carbon Capture and Storage and siting of CO2 pipelines. One key issue in the battle: the federal pipeline regulatory agency, the Pipeline and Hazardous Materials Safety Administration (PHMSA), does not have regulations in place that can assure the safety of these extraordinarily dangerous pipelines. PHMSA itself acknowledges that CO2 pipelines are underregulated, and the agency currently lacks the technical knowledge required to inform minimum safety standards.

The Inflation Reduction Act, which Congress approved and President Joe Biden signed in August, is driving the rush to site these pipelines. That law unleashed a gold rush in 45Q tax credits for carbon capture and storage, and the thousands upon thousands of miles of CO2 pipelines, which would be required to transport the CO2 away from facilities where the CO2 is captured to the disposal or usage sites in distant states.

You’ve likely read about some of the Broadlawns candidates, so please allow me to introduce myself.

I’m a trilingual CPA who has worked in a dozen countries and lived in Brazil. I experienced what it is to be a minority in a different country, with or without a language barrier. My languages and multi-cultural experiences enhance reaching out to help Polk County residents achieve better health outcomes and lower the long-term cost of care.

I often see health disparities while serving clients in my private CPA practice. I’ve helped some clients qualify for Obamacare or expanded Medicaid programs to improve access to care and reduce their out-of-pocket costs for that care.

U.S. Representative Mariannette Miller-Meeks has built her political brand by highlighting her expertise as a doctor and former director of the Iowa Department of Public Health. Her official communications and campaign advertising routinely play up her medical background.

So it’s disheartening to see Miller-Meeks join the ranks of Republican politicians who spread falsehoods about COVID-19.

She just did it again in Davenport.

Shaimaa Aly explains why she is running for the board of Broadlawns Medical Center, Polk County’s public hospital.

My name is Shaimaa (shy-ma) Aly. I was born and raised in Cairo, Egypt to an upper middle-class family of three kids, two boys and a girl.

My mom is a dermatologist specializing in facial cosmetic surgery. My dad was an economics professor and a government official who believed that quality education is the key to success, so my siblings and I were sent to private Catholic schools growing up.

As a Muslim who attended a Catholic school, I learned to embrace different religions, points of view and peoples.

Melissa Halverson, DNP ARNP is a Des Moines area nurse practitioner specializing in gastroenterology.

This November, Polk County voters will fill three seats on the Broadlawns Board of Trustees.

When I heard my friend and former colleague Kacey Davis was running for Broadlawns Board of Trustees, I must admit I was a little surprised. After all, she had a toddler, and a demanding job. That seemed to be a lot to handle even without a campaign in the mix.

But I should not have been so surprised. As a family nurse practitioner in community health, Kacey knows firsthand the barriers to finding medical care and mental health services for our most vulnerable residents. Helping to break down those barriers motivates her to serve on the Broadlawns Board of Trustees.