To all the Democrats who want to hear directly from each contender in the Iowa governor’s race before deciding how to vote next June: this post’s for you.

Since Bleeding Heartland published seven pitches for gubernatorial candidates from a major party event this summer, Todd Prichard has left the race and Ross Wilburn has joined the field.

All seven Democrats running for governor appeared at the Progress Iowa Corn Feed in Des Moines on September 10, speaking in the following order: Cathy Glasson, Fred Hubbell, John Norris, Ross Wilburn, Jon Neiderbach, Andy McGuire, and Nate Boulton. I enclose below the audio clips, for those who like to hear a candidate’s speaking style. I’ve also transcribed every speech in full, for those who would rather read than listen.

As a bonus, you can find a sound file of Brent Roske’s speech to the Progress Iowa event at the end of this post. With his focus on single-payer health care and water quality, Roske should be running in the Democratic primary. Instead, he plans to qualify for the general election ballot as an independent candidate, a path that can only help Republicans by splitting the progressive vote.

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.

“Uncomfortable humidity, water‐logged spring soils, extreme rain events, mold, and mosquitoes are all expected to become more prevalent in Iowa due to a rarely discussed impact of climate change: increased humidity,” 190 scientists at academic institutions warned last week. In the sixth annual Iowa Climate Statement, science faculty and researchers from 39 colleges and universities noted that “Increases in humidity have been measured across the Midwest and in Iowa across all seasons and at all long‐term monitoring stations.”

High levels of humidity create hazardous conditions for Iowa workers and sensitive populations through the danger of heat exhaustion and heatstroke. Allergic rhinitis and asthma are worsened by heightened exposures to mold and dust mite allergens in humid environments. There also is evidence for increased aggression and societal violence associated with hot, humid weather.

For Iowa agriculture, increased warm‐season humidity leads to increased rainfall, extreme rain events, water‐logged soils during planting season, soil erosion, and runoff of chemicals to waterways. Rising humidity also leads to longer dew periods and higher moisture conditions that elevate costs of drying grain and increase populations of many pests and pathogens harmful to both growing plants and stored grain. Increased nighttime temperatures coupled with humidity causes stress to crops, livestock and pets and, in extreme cases, heat stress can cause loss of life.

I enclose below the full text of this year’s Iowa Climate Statement, with references, along with the news release highlighting key findings. You can view the names and academic affiliations all who signed here.

P.S.-The Center for Global & Regional Environmental Research at the University of Iowa, which has coordinated the release of the Climate Impact Statement, is set to lose much of its funding in 2022. This spring, Republican legislators approved and Governor Terry Branstad signed into law a bill eliminating a small tax on investor-owned utilities, which has supported the CGRER and the Iowa Energy Center at Iowa State University for 25 years.

Ross Wilburn joined the field of Democratic candidates for governor today, promising to focus on health, education, and economic opportunity. In a news release enclosed in full below, the former Iowa City mayor and city council member said he would govern in an inclusive way, drawing on skills gained through community work and service in local government. He pledged to listen and build consensus, “bringing together sometimes disparate interests,” as opposed to the “fighting” and “divisions” often seen in Iowa politics at the state level.

Wilburn’s campaign is on the web at justbeiowa.com, on Twitter @letsbeiowa, and on Facebook at Ross Wilburn for Governor.

In alphabetical order, the other Democratic candidates for Iowa governor are:

Nate Boulton (website, Twitter, Facebook)
Cathy Glasson (website, Twitter, Facebook)
Fred Hubbell (website, Twitter, Facebook)
Andy McGuire (website, Twitter, Facebook)
Jon Neiderbach (website, Twitter, Facebook)
John Norris (website, Twitter, Facebook)
Todd Prichard (website, Twitter, Facebook)

Glasson is technically still in the exploratory phase, but she has hired campaign staff and spoken to audiences around the state this summer, including the Iowa Democratic Party’s Hall of Fame event last month.

Supporters are welcome to submit commentaries here advocating for candidates in Democratic primaries. Please read Bleeding Heartland’s guidelines for guest authors before writing.

“This is what I think Democrats need to be talking about,” wrote Austin Frerick yesterday, sharing the link to his latest guest column in the Des Moines Register: “To save rural Iowa, we must end Monsanto’s monopoly.”

Frerick has been warning for some time that economic concentration, especially in the agricultural sector, hurts rural Iowa. He has also highlighted lack of competition and little-known pharmaceutical company practices that keep drug costs inflated, so powerful corporations can overcharge Medicare under the guise of helping sick people.

He may soon be raising those and other issues as a Democratic candidate in Iowa’s third Congressional district.

An Iowan with in-depth knowledge of the health care sector looks at lesser-known benefits that could be lost if Congress replaces the Affordable Care Act. -promoted by desmoinesdem

The debate on Republican efforts to repeal and replace the 2010 health care reform law has focused on the provision of health care and the repeal of some taxes. In particular, attention has been directed at the effort to reduce Medicaid coverage.

What isn’t being discussed: the Affordable Care Act (ACA) included many provisions aimed at addressing serious issues in the health care system, such as quality, safety, and workforce shortages. None of those can be found in the House-approved American Health Care Act (AHCA) or the Better Care Reconciliation Act (BCRA), proposed by Senate Republican leaders.

So, in addition to reducing (or eliminating) coverage for poor people and individuals with illnesses, the Republican bill would be a step backward in terms of efforts to improve the health care system, which accounts for 17 percent of our gross domestic product.

Republican candidate Jon Jacobsen, an attorney and former weekly radio host, won yesterday’s special election to represent Iowa House district 22 with 1,069 votes, about 44 percent, according to final unofficial results. Carol Forristall, who filed as an independent candidate after losing at the GOP special nominating convention, placed second with 803 votes (33 percent).

Almost all of the 465 write-in votes (19 percent) were presumably for the Democratic candidate Ray Stevens, who failed to submit his nominating papers on time. The Pottawattamie County Auditor’s Office will confirm the write-in results today, Mike Brownlee reported for the Omaha World-Herald. Libertarian Bryan Jack Holder received 98 votes (4 percent) in the special election.

Who knew that when you tell a state agency leader to save another $1.3 million somehow, he might cut some important programs and services? Not State Representative Dave Heaton, the Republican chair of the Iowa legislature’s Health and Human Services Appropriations Subcommittee.

Who knew that when you impeach a mayor using a kangaroo court proceeding, a judge might order the mayor reinstated while her appeal is pending? Not Muscatine City Council members.

Follow me after the jump for more on those stories. This is an open thread: all topics welcome.

I’m also interested to know what readers think about Iowa Insurance Commissioner Doug Ommen’s request to waive certain provisions of the Affordable Care Act in order to bring Wellmark Blue Cross/Blue Shield back to Iowa’s individual insurance market for 2018. Elements of the “stopgap” measure violate federal law; health care law expert Timothy Jost told the Des Moines Register’s Tony Leys that some parts of Ommen’s proposal are “extremely problematic” and not likely “doable.” Writing in the Wall Street Journal, Anna Wilde Mathews and Louise Radnofsky saw the Iowa developments as “a key test of the ability to modify the [Affordable Care Act] through executive authority.” Slate’s Jordan Weissmann agreed.

Kelly Roberts is a part-time writer/blogger, full-time Human Resources consultant, and newly minted political activist. Pictured above: her grandfather, Charles Moel (Pompoo, to her) -promoted by desmoinesdem

Once upon a time, during the dark, discombobulating night of a medical crisis, my family encountered Medicaid.

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.

Women in Iowa have almost no options for terminating a pregnancy after 20 weeks, under a law former Governor Terry Branstad signed a few weeks ago. Proponents have claimed the measure would “save lives immediately.”

In reality, the law will cause more pregnant women to have life-threatening health problems, and will add to the suffering of parents whose babies have no chance of survival.

For many Americans who (like me) have not served in the military, the three-day weekend at the end of May marks the unofficial beginning of summer activities. Forgetting the original purpose of this day is itself a long tradition, University of Oregon American history professor Matthew Dennis told NPR two years ago: “In 1888, even before it was declared a national holiday, President Grover Cleveland was criticized for going fishing on Memorial Day instead of, you know, visiting graves or participating in other sorts of rites.”

Lately some veterans have been raising awareness that Memorial Day differs from Veterans Day, the national holiday established after World War I to honor all who have done military service.

Matt Chapman has been a committed citizen lobbyist on many issues this year, including health care reform. -promoted by desmoinesdem

I have always been laser-focused on Medicaid and health care access for the poor. And when Iowa Dems twisted Terry Branstad’s arm until he cried “Medicaid Expansion!” I was elated. So in my bubble, the worst thing going on seemed to be the privatization of Medicaid or “Branstad’s Revenge.”

With the private insurance companies all pulling out of Iowa, now that I am aware of the astronomical raises in premiums, I feel a little shame at my blissful ignorance. All I can tell you is at 51 years old the Affordable Care Act gave me dental insurance for the first time in my life. And I’ve had the same doctor for five years. Before the ACA, the folks around the poverty line would have to drive sometimes 200 miles just to see a doctor. And rarely the same one twice. For dental they line up at Broadlawns (the Polk County public hospital) at six in the morning and hope they’re in bad enough shape to get in.

But what really made me aware was after the Drake forum with Senator Joni Ernst in March.

The collapse of Iowa’s health insurance exchange could leave more than 70,000 people with no way to purchase individual policies for 2018.

More than half the Iowans at risk of becoming uninsured would have qualified for some services under the Iowa Family Planning Network. But our new state-run family planning program–created at great expense because Republican lawmakers and the Branstad/Reynolds administration insisted on defunding Planned Parenthood–won’t be able to accommodate an influx of patients who had been on the exchange.

A an Iowa political legend passed away suddenly this week. Former House Speaker Don Avenson had a heart attack on May 19 while on the way home from vacation. He told Iowa Public Television in 1984, “A speaker of the House, if he wants to, can change the course of the state, can change the face of a great deal of legislation, a great deal of law.” As speaker from 1983 through 1990, “nearly twice as long as any other Speaker in Iowa history,” Avenson helped craft many laws that still affect state government and education. He left the House to run for governor in 1990, winning the Democratic nomination but losing to Terry Branstad. For more than 25 years, he remained an influential force at the statehouse, representing many clients through the Avenson, Oakley & Cope lobbying firm.

Dozens of people who have been involved in Iowa legislative politics reflected on Avenson’s legacy as news spread of his death. I compiled some of those recollections after the jump.

The Vilsack family suffered a devastating loss this week as Ella Vilsack, daughter of Jess and Kate Vilsack and granddaughter of Tom and Christie Vilsack, died at the age of six of complications related to influenza. Condolences to all who are bereaved. This kind of tragedy is every parent’s worst nightmare.

Speaking of untimely passings, Nina Martin of ProPublica and Renee Montagne of NPR published a terrifying article this month about maternal mortality, which “is rising in the U.S. as it declines elsewhere” in the developed world. Because “the American medical system has focused more on fetal and infant safety and survival than on the mother’s health and well-being,” new mothers are rarely monitored closely in hospitals, and doctors and nurses often miss symptoms of potentially life-threatening complications. The central figure in this article is Lauren Bloomstein, a neonatal intensive care nurse who died of preeclampsia the day after giving birth. It’s important to be aware of the signs; I know healthy women who had close calls with this condition during pregnancy or shortly after delivery.

The scenarios Martin and Montagne describe are among the reasons peer-reviewed research has shown the “risk of death associated with childbirth is approximately 14 times higher than that with abortion.” But in their infinite wisdom, Branstad and Iowa’s Republican lawmakers enacted new requirements this year for doctors to warn women seeking to terminate pregnancies about “possible detrimental physical and psychological effects of abortion.” Naturally, the state does not require obstetricians to give patients information about the risks of continuing a pregnancy.

This is an open thread: all topics welcome.

It’s not abstract anymore.

We knew eliminating state funding for Planned Parenthood’s family planning services would cause thousands to lose access to basic health care.

We knew deep cuts to state funding for victims assistance would affect thousands of sexual assault and domestic abuse survivors.

Now we are starting to see which Iowans will be the first to suffer from Republican choices on how to spend the public’s money.

Ten days after Governor Terry Branstad signed sweeping limits on access to abortions, part of the new law is still on hold while courts consider a challenge filed by Planned Parenthood of the Heartland. Planned Parenthood maintains that a 72-hour waiting period for abortions at any stage of pregnancy would violate women’s due process and equal protection guarantees. In addition to creating an “undue burden” for women with “onerous and medically unnecessary restrictions that the Iowa Legislature does not impose upon any other medical procedure for which people may consent,” the law imposes new requirements for physicians, which Planned Parenthood is challenging as a violation of the doctors’ due process rights.

That aspect of the lawsuit informed the Iowa Supreme Court’s May 9 order continuing a temporary injunction. The high court found, “The State has failed to rebut the assertion by the petitioners that the materials that serve as the foundation information required to be provided to women seeking an abortion have not yet been developed by the Department of Public Health pursuant to the law.” The order remanded the case back to Polk County District Court, where within 30 days, Judge Jeffrey Farrell will hold a final hearing on Planned Parenthood’s request for an injunction on the new law. Farrell had denied the first request for a temporary injunction, saying plaintiffs had not shown new burdens on women seeking abortions in Iowa would constitute an “undue burden.”

For those who want a preview of the legal points Farrell will consider when he decides whether to block enforcement of Iowa’s law, I enclose below four documents:

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.

Maridith Morris writes: I wanted to share my feelings as a pregnant woman watching my medical options disappear. I find this especially disempowering considering my intimate knowledge of healthcare from ICU to labor and delivery. Here is the full text of my letter to the editor published in the Des Moines Register April 19th.

This spring marks ten years I’ve been a nurse. Of all the lessons I’ve learned in ten years of nursing, perhaps the most important has been that there are many fates worse than death. There is pain and suffering beyond imagining, lives of confinements to hospital beds and views of only windows. There is the hole that is left when you lose someone you love and death refuses to claim you alongside them.

I’m 16 weeks into my fourth pregnancy to make it this far, and I don’t know yet whether my baby is healthy enough that they won’t live a life of pain and suffering. I won’t know until after 20 weeks. What I do know is I would sacrifice my own comfort and peace to spare an innocent life the suffering of a complicated illness or deformity that would lead to surgery after surgery. I know I would rather bear the loss myself than gamble with leaving my three children to live in pain without a mother. Because complicated pregnancies lead to complicated outcomes.

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.

Iowa Senate Democrats held two members of the Iowa Board of Medicine accountable yesterday for hasty action in 2013 to approve an anti-abortion rule that had no scientific basis and was later found unconstitutional by a unanimous Iowa Supreme Court.

Iowa Board of Medicine Chair Diane Clark and fellow board member Dr. Hamed Tewfik became the first (and probably the only) nominees for state boards or commissions to be rejected by the Iowa Senate this year. Republicans are predictably denouncing the vote as “petty partisan politics.” But senators have confirmed without dissent the overwhelming majority of more than 200 people Governor Terry Branstad selected.

Clark and Tewfik have only themselves to blame for losing their prestigious positions.

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.

A comprehensive medical cannabis bill received strong bipartisan support in the Iowa Senate Appropriations Committee today and could pass the full chamber as early as tomorrow.

The big question now is whether key House Republicans will accept a giant step toward relief for thousands of sick and suffering Iowans.

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

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

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

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

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

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

Real-world data don’t match figures Governor Terry Branstad and Lieutenant Governor Kim Reynolds released yesterday in order to demonstrated the alleged “continued success of modernizing our state’s Medicaid program.”

April 1 marked a year since Iowa allowed three private insurance companies to manage care for more than half a million Medicaid recipients. The shift was disruptive for thousands of Iowans as well as for caseworkers and service providers, some of which went out of business. Reimbursement problems and cutbacks to care are still affecting many people, Chelsea Keenan reported in this retrospective on the first year of the policy.

Although privatization was supposedly designed to save money and bring predictability to the state budget, the Branstad administration agreed last fall and again in February to hand over millions more state dollars to the managed-care organizations (MCOs), unlocking some $225 million in extra federal funding for the corporations, which have much higher administrative costs than Iowa’s state-run Medicaid program did.

I enclose below the latest deceptive official statements about the “modernization,” along with a demolition fact-checking job by Democratic State Senator Liz Mathis. I’ve also included independent State Senator David Johnson’s reaction to what he called a “lousy, lousy” press release. While still a member of the Republican caucus during the 2016 legislative session, Johnson worked with Democrats trying to halt Medicaid privatization or at least provide stronger legislative oversight of the program.

The Iowa Hospital Association can’t substantiate the Branstad/Reynolds claims on hospitalization rates, Tony Leys reported yesterday for the Des Moines Register. Excerpts from that story are at the end of this post.

On a related note: thousands of Iowans who follow this issue closely are mourning Rhonda Shouse, who died unexpectedly in late March. I never met Rhonda in person, but we communicated through social media, and I admired her relentless advocacy on behalf of those adversely affected by Medicaid privatization. Keenan marked her passing in the Cedar Rapids Gazette, and Leys did so in the Des Moines Register. May her memory always be for a blessing.

The Iowa legislature’s second “funnel” deadline passed on March 31. In theory, aside from appropriations bills, any legislation that hasn’t yet cleared one chamber and at least one committee in the other chamber is no longer eligible for consideration for this year. However, leaders can resurrect “dead” bills late in the session or include their provisions in appropriations bills. The Des Moines Register’s William Petroski and Brianne Pfannenstiel reviewed important bills that did or did not make it through the funnel. James Q. Lynch and Rod Boshart published a longer list in the Cedar Rapids Gazette.

This paragraph caught my eye from the Register’s story.

Senate Majority Leader Bill Dix, R-Shell Rock, said everything that lawmakers are doing is a reflection of learning from states where prosperity is occurring as a result of business-friendly policies. That formula includes low-cost government, innovative public services, and easing regulatory burdens on businesses to spur job creation and to allow Iowa companies to compete in a global marketplace, he added.

Not so much: Republicans following a similar playbook drove Kansas and Louisiana into the ground. Wisconsin has performed poorly in employment growth, poverty reduction, household income, and wages compared to neighboring Minnesota, where corporate interests didn’t capture state government.

This is an open thread: all topics welcome. I enclose below links and clips about bills I haven’t had time to write about yet. Two are “business-friendly” policies that will hurt Iowans suffering because of exposure to asbestos or medical malpractice. One would make local governments and first responders less accountable by excluding all “audio, video and transcripts of 911 calls involving injured victims of crimes or accidents” from Iowa’s open records law.

Quick update on House File 484, the bill to dismantle the Des Moines Water Works: once seen as almost a sure thing due to covert support from the Iowa Farm Bureau, the bill was on the House debate calendar for many days in March but never brought to the floor. Majority Leader Chris Hagenow put House File 484 on the “unfinished business” calendar on March 30, after House Republicans voted down a Democratic motion to exclude it from that list.

Opponents of the Water Works bill have become more confident lately, as several GOP representatives and senators have said privately they oppose the legislation. In addition, a Harper Polling survey commissioned by the Water Works showed that 68 percent of respondents oppose disbanding independent water works boards in Des Moines, West Des Moines, and Urbandale in order to give city councils control over the water utility. The same poll indicated that by a 55 percent to 23 percent margin, respondents said an independent board of trustees rather than the city council is “best qualified to manage your local water utility.” By an 88 percent to 5 percent margin, respondents said “people who live in the community” and not the state legislature should have “the final say” on municipal utilities. No one should be complacent, because powerful forces are behind this legislation. Republican leaders could attach Water Works language to must-pass budget bills.

P.S.- The legislature is supposed to wrap up its business this month and adjourn for the year before the end of April. I suspect that even with unified Republican control, the session will go into overtime. Lawmakers haven’t finalized budget targets for the 2018 fiscal year yet. With less money to go around following the recent downgrade in revenue forecasts, and legislators of both parties calling for a review of increasingly expensive tax credits and exemptions, I expect several more weeks of behind the scenes negotiations before the House and Senate are ready to approve appropriations bills.

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.

Johnson County Supervisor Mike Carberry has confirmed rumors that he is thinking about running for governor in 2018. A longtime environmental activist and current member of the Iowa Democratic Party’s State Central Committee, Carberry was the most prominent elected official in our state to endorse Bernie Sanders for president. He spoke to Bleeding Heartland this week about why he is considering a bid for higher office, even though running for governor was never part of his life plan.

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.

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.

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.

A new bill that would have named a task force to study licensing requirements in Iowa will not move forward this legislative session, Republican State Representative Dawn Pettengill told representatives of the National Association of Social Workers Iowa chapter. House Study Bill 174 replaced an earlier proposal from Governor Terry Branstad, which would have eliminated licensing requirements for numerous professions. During the past week, House Study Bill 138 generated as many constituent contacts to Iowa lawmakers as the bill passed earlier this month to destroy collective bargaining rights. Among other things, the governor’s licensing bill would have reduced insurance coverage for mental health care services. On February 27, an Iowa House State Government subcommittee voted not to move that bill forward.

House State Government Committee Chair Ken Rizer introduced the replacement licensing bill on February 28. In addition to changing regulations in several other areas, House Study Bill 174 called for a new task force to review Iowa’s licensing requirements and report back to the legislature by the end of 2017.

Although Rizer’s bill would not have immediately affected marriage and family therapists, mental health counselors, or social workers, the leading association representing Iowa’s social workers expressed concern that “the taskforce as outlined would mostly be selected by the Governor, who has demonstrated that he wants to de-professionalize many different important professions that serve some of our most vulnerable populations.” (You can read the task force membership provisions on on page 37.) The social workers group was seeking an amendment to give licensed professionals greater influence over the task force membership. But last night, Pettengill–one of two Republicans on the subcommittee where the new bill was assigned–said House Study Bill 174 was dead.

Most non-appropriations bills must be approved by at least one Iowa House or Senate committee by March 3 in order to stay alive for this year. Bills need to clear a subcommittee before coming up for a full committee vote.

Whether the licensing task force language led to the new bill’s demise is not clear. The lobbyist declarations on House Study Bill 174 show substantial opposition, presumably related to other provisions on regulating hospitals and electricians.

P.S. Attention-seeking State Representative Bobby Kaufmann could have let the governor’s original licensing bill die quietly by not scheduling a subcommittee hearing, as is normal practice in the Iowa legislature. Instead, the publicity hound wasted a lot of people’s time before drawing cheers as he ripped up the bill’s cover sheet. Alas, television cameras had already left the meeting room before Kaufmann’s dramatic gesture. The young Republican lawmaker was literally not ready for prime time.

Governor Terry Branstad has introduced a bill that would make Iowa the only state not to license mental health counselors. House Study Bill 138 would remove licensing requirements for a number of professions and eliminate some state boards, including the Board of Behavioral Sciences and the Board of Social Work. Mental health counselors are expressing alarm about language that would make social workers, marriage or family counselors, and mental health counselors “registered” rather than “licensed.”

The likely consequence would be insurance companies refusing to cover services by unlicensed providers, depriving Iowans of access to therapy unless they are able to pay the full cost of mental health counseling out of pocket.

I enclose below an action alert the Iowa Mental Health Counselors Association posted yesterday, which contains talking points to use when communicating with state lawmakers about House Study Bill 138. The bill has been assigned to a subcommittee of Republican State Representatives Bobby Kaufmann and Dawn Pettengill and Democratic State Representative Mary Mascher.

The lobbyist for the association representing mental health counselors said yesterday, “The bill as drafted will not be having a subcommittee next week and is taking on serious water. The speaker’s office said that [House Speaker Linda Upmeyer’s] members are getting more emails on the licensure provisions of that bill than they did on collective bargaining.” According to one rumor, the bill may be revised and reintroduced next week, so concerned citizens should call the governor’s office (515-281-5211) to share their views with Branstad’s staff.

UPDATE: A Facebook commenter reached Kaufmann, chair of the subcommittee, by phone on February 24: “He said this bill was assigned to him, he thinks it’s a bad bill and he’s going to kill it.”

SECOND UPDATE: On a different Facebook thread, someone reported speaking to House Majority Leader Chris Hagenow about this bill, having run into him while shopping. Hagenow indicated House Study Bill 138 would not advance in its current form.

Multiple sources confirmed on Friday that lawmakers have been bombarded with constituent contacts about this legislation. When the governor’s staff introduce a new and improved version of this proposal, I would guess they will leave licensing of mental health care professionals alone.

According to Claire Celsi, Hagenow announced at a February 25 legislative forum in Clive that the governor is wrong on this bill and that lawmakers do not support it.

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.

State Representative Todd Prichard spoke to a packed room at last night’s Northwest Des Moines Democrats meeting. Now in his third term representing Floyd and Chickasaw counties in the Iowa House, Prichard is ranking member on the Agriculture Committee and also serves on Natural Resources, Veterans, and Ways and Means, as well as on an Appropriations subcommittee. Pat Rynard recently profiled the army veteran and former prosecutor who may run for governor in 2018.

I’ve transcribed most of Prichard’s remarks from the Des Moines gathering below and uploaded the audio file, for those who want to listen. He speaks directly and fluidly without coming across as rehearsed or too polished, a common problem for politicians.

At one point, Prichard commented that Republicans didn’t spend a million dollars trying to defeat him last year, as the GOP and conservative groups did against several Iowa Senate Democratic incumbents. Republicans tested some negative messages against him with a telephone poll in August, but apparently didn’t sense fertile ground. Prichard’s opponent Stacie Stokes received little help from her party, compared to some other GOP candidates for Iowa House seats, including a challenger in a nearby district.

Based on the speech I heard on Tuesday, I would guess that if Prichard runs for governor, Republicans may regret not spending a million dollars against him in 2016.

One more point before I get to the transcript: Prichard is living proof that retiring lawmakers should not be allowed to hand-pick their own successors. When State Representative Brian Quirk resigned to take another job soon after winning re-election in 2012, he wanted his former high school football coach Tom Sauser to take his place. As a Bleeding Heartland reader who’s active in Floyd County described here, Prichard decided to run for the House seat shortly before the special nominating convention and barely won the nomination.

Prichard had a chance to start his political career because several days elapsed between his learning about Quirk’s preferred successor and the House district 52 nominating convention. Too often, Iowa Democratic legislators announce plans to retire only a day or two before candidates must submit papers to the Secretary of State’s Office. If Quirk had retired right before the March 2012 filing deadline, as three House Democrats did last year, his friend with the inside track would have been the only Democrat able to replace him. Nothing against retired teachers, but Sauser was not a potential future leader of the party, as Prichard is becoming.

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

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

Privatizing Medicaid is one of the most harmful things Terry Branstad has ever done to Iowans. -promoted by desmoinesdem

I have only been in this job a few weeks, but this is the first time I have come home simply seething with anger. The five of us on the Johnson County Board of Supervisors had to tell roughly 5/6 of the Mental Health and Disability caseworkers that they were going to lose their jobs, leaving 500+ of #JoCo’s most vulnerable twisting in the wind, and there’s not a damn thing we can do to stop it.

Worth noting: We didn’t start it either.

An Iowan living with disabilities wants to know: “How can you help me become a productive, taxpaying member of society?” -promoted by desmoinesdem

Dear President Trump:

I’m disabled due to a brain injury, heart problems and PTSD from an abusive marriage. I live on $735 per month Supplemental Security Income (a Social Security program), $138 in food stamps, and—thank God—I receive Medicaid. And thank God as well that my home is almost paid off, because today I couldn’t afford my own apartment on that income.

Because many of your supporters feel I’m a “drain” on the system, I’d like to tell you how I’ve spent my time on what some like to call “entitlements.”

On Thursday Iowa Senate Republicans approved a bill that would end most state and federal funding for Planned Parenthood’s family planning services. All 29 Republicans and independent Senator David Johnson voted for Senate File 2, while all 20 Democrats voted against the measure. The Senate Judiciary Committee had approved the bill on a party-line vote the previous day.

Passage was a foregone conclusion, since the entire GOP caucus co-sponsored the bill, and statehouse Republicans have been trying to defund Planned Parenthood for years.

Although I already knew Republican lawmakers were willing to force the state to spend ten times more for family planning services, with no reliable funding stream, I still learned some new things watching Senate File 2 move through the upper chamber.

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

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

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