Hundreds of Iowans are alive today thanks to Medicaid expansion

Expanding Medicaid “saved the lives of at least 19,200 adults aged 55 to 64” during the four years after the Affordable Care Act went into effect, including an estimated 272 Iowans, according to a new paper by Matt Broaddus and Aviva Aron-Dine for the Center on Budget and Policy Priorities.

Conversely, 15,600 older adults died prematurely because of state decisions not to expand Medicaid. […] The lifesaving impacts of Medicaid expansion are large: an estimated 39 to 64 percent reduction in annual mortality rates for older adults gaining coverage.

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Iowa Senate district 32 preview: Craig Johnson vs. Pam Egli

Republicans won six Democratic-held Iowa Senate districts in 2016. All of them were among the eighteen Iowa Senate districts where voters had favored President Barack Obama in 2012 but Donald Trump four years later.*

Some of the largest swings toward Trump occurred in northeast Iowa. Parts of four counties make up Senate district 32, where Democrat Pam Egli recently announced that she will challenge first term State Senator Craig Johnson.

While this race does not currently appear to be among the best 2020 pickup opportunities for Democrats in the upper chamber, it could become competitive. Either way, state legislative elections in this part of Iowa will be important to watch for signs of whether Republicans are able consolidate their 2016 gains.

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Charlie Hodges is second Democrat running for Iowa Senate district 20

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

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

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Celebrating what's working in Iowa Medicaid

Upgrade Medicaid is a grassroots group of individuals with disabilities “who are dedicated to building a space for Iowans to tell the stories that need to be seen and heard for Medicaid policy to change.” -promoted by Laura Belin

October 13 through October 19 is National Case Management Week. In recognition of this occasion, the #UpgradeMedicaid team would like to recognize and celebrate what is working in Iowa Medicaid.

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Five thoughts about Linda Upmeyer's tenure as Iowa House speaker

Iowa House Republicans meet in Des Moines this morning to elect new leaders for the 2020 legislative session. Linda Upmeyer announced on September 30 that she will step down as House speaker when the legislature reconvenes in January and will not seek re-election next November. She said in a written statement that she wants to spend more time with her husband, children, and grandchildren.

Speaking to WHO Radio’s Jeff Angelo on October 1, Upmeyer said she was also influenced by her predecessor Kraig Paulsen’s decision to leave the post long before an election. A new speaker is “well-served” by having a session under their belt, which helps them with fundraising and recruiting candidates, she explained. “I wanted to make sure that whoever was going to be leading the caucus in the future had those tools at their disposal going into this next election.”

Sources close to the legislature indicate that current House Appropriations Committee chair Pat Grassley is likely to become the next speaker, with Matt Windschitl moving up from House speaker pro-tem to majority leader. Current Majority Leader Chris Hagenow may not be part of the new leadership team, for reasons that remain unclear. UPDATE: The caucus selected Grassley as speaker, Windschitl as majority leader, and State Representative John Wills as speaker pro tem.

I’ve been thinking about Upmeyer’s legacy and how she influenced the chamber.

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