The bill President Donald Trump signed on November 12 to end the longest federal government shutdown includes $16 million for designated projects in Iowa, according to Bleeding Heartland’s analysis of a Senate Appropriations Committee report. U.S. Senators Joni Ernst and Chuck Grassley were among 60 senators who approved the funding bill on November 10. All four U.S. House Republicans from Iowa—Mariannette Miller-Meeks (IA-01), Ashley Hinson (IA-02), Zach Nunn (IA-03), and Randy Feenstra (IA-04)—were among the 22 representatives who voted for the bill two days later.

The bill funds most federal government operations through January 30, 2026. A few agencies and programs, including the U.S. Department of Agriculture, are funded through the end of the federal fiscal year on September 30, 2026.

Miller-Meeks, Hinson, and Nunn had all requested “community project funding” through various USDA programs. The final bill included eleven of those earmarked projects: five in Hinson’s district, and three each sought by Miller-Meeks and Nunn.

The 36 counties in IA-04 will receive none of the earmarked funding, because for the fifth straight year, Feenstra declined to submit any requests for community projects. Ernst and Grassley have not participated in the earmarks process in recent years either. Abstaining from the process does not save any taxpayer dollars; it only ensures that the federal funds allocated for Congressionally-directed spending flow to other members’ districts.

These are the first earmarks Iowa will receive from a government funding bill since 2024. Miller-Meeks, Hinson, and Nunn submitted a combined $115 million in community project requests for fiscal year 2025, but the appropriations bill Congress approved in March of this year—with Iowa’s whole delegation voting in favor—included no money for any earmarked projects.

Miller-Meeks, Hinson, and Nunn each submitted fifteen community project funding requests (the maximum allowed for each U.S. House member) for the current fiscal year. Most of them were repeated from last year. The fate of the other projects—which include improvements to roads, flood mitigation, higher education, and airports—won’t be known until Congress approves and Trump signs final appropriations bills for fiscal year 2026.

President Barack Obama has instructed the Health and Human Services department to develop new rules for hospitals that receive Medicare or Medicaid funding.

The memorandum from Obama to HHS Secretary Kathleen Sebelius, made public late Thursday night, orders new rules that would ensure hospitals “respect the rights of patients to designate visitors.”

Obama says the new rules should require that hospitals not deny visitation privileges on the basis of sexual orientation or gender identity.

“Every day, all across America, patients are denied the kindnesses and caring of a loved one at their sides whether in a sudden medical emergency or a prolonged hospital stay,” Obama says in the memo.

Affected, he said, are “gay and lesbian American who are often barred from the bedsides of the partners with whom they may have spent decades of their lives — unable to be there for the person they love, and unable to act as a legal surrogate if their partner is incapacitated.”

Cue conservatives to start whining about “special rights for homosexuals,” as if there is something extraordinary about visiting a loved one in the hospital or granting your life partner power of medical attorney. I’m glad the president took a stand on this issue.

I’m curious to see how the U.S. Conference of Catholic Bishops reacts to this executive order. I don’t know whether Catholic hospitals are more likely to have rules in place preventing visitation by gay or lesbian partners, but I would expect religious conservatives to complain about the government nullifying such rules. I wonder whether there is even grounds to challenge Obama’s order in court, if hospitals could demonstrate that their visitation bans are grounded in religious principles.  

While most of us are focused on insurance or universal care, the Bush Administration has been incrementally shredding Iowa’s existing public health safety net in ways that have yet to become apparent.  The most recent assault on our public health care infrastructure is escaping the notice of mainstream media and citizen journalists alike, probably because it is not easily explained. I am referring to a proposed set of arcane regulation changes by the Center for Medicaid and Medicare Services (CMS) which, if enacted, will result in $15 billion dollars in cuts over five years to service providers, closing or scaling back emergency rooms, medical education and school based services in Iowa communities.