Proposals that would cause thousands of Iowans to lose Medicaid coverage or federal food assistance through the Supplemental Nutrition Assistance Program (SNAP) are eligible for floor debate in both the Iowa House and Senate.

Republicans in each chamber’s Health and Human Services Committee changed some provisions in the bills, now numbered House File 613 and Senate File 494, then approved the legislation before the March 3 “funnel” deadline. However, the amended versions would still threaten health care or food assistance for many Iowans who now qualify.

“Medical Malpractice Reform gets Iowa back in the game of recruiting and retaining physicians to care for Iowans!” Governor Kim Reynolds tweeted on February 16. She had just signed House File 161, a bill limiting damages in medical malpractice lawsuits.

Reynolds waited a long time for that moment. Two years running, similar proposals failed to reach her desk for lack of support in the GOP-controlled state House.

The bill signing capped one of the most dramatic debates in recent Iowa political memory.

It’s rare for more than a handful of Republican lawmakers to go on record against any bill that’s a priority for leadership. Not only did seventeen GOP lawmakers oppose passage of House File 161, six members of the majority party explained their objections during the hours-long debates in the House and Senate on February 8.

In addition to exposing divisions within Republican ranks, some remarks from the legislative proceedings may become important if the new law is challenged in court.

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

Sometimes it’s easy to understand legislative proposals. Other times, not so much. House File 3, filed early in the Iowa legislature’s 2023 session, falls in the second category. To understand its potential effect on needy people, take a quick look at two preexisting food programs whose nutritional goals differ.

First, the Supplemental Nutrition Assistance Program (SNAP) is the federal program once called food stamps. It exists to help low-income households and those on Medicaid buy groceries.

Second, the Special Supplemental Nutrition Program for Women, Infants, and Children (commonly known as WIC) aims to meet the specific nutritional needs of its designated recipients. WIC doesn’t allow recipients to use those funds for meat, sliced cheese, butter, flour, or fresh produce.

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

A 2022 report from March of Dimes shows that “36% of counties nationwide — largely in the Midwest and South — constitute ‘maternity care deserts,’ meaning they have no obstetric hospitals or birth centers and no obstetric providers.” While their report does not provide state rankings, you can see whether your county classifies as being a maternity care desert here. Additionally, a report from Stacker in June 2022 ranked Iowa eleventh on a list of “states where the most people live in maternal health care deserts.”

Even if your area has maternal health care providers (OBGYNs, family physicians, midwives), finding quality care is another challenge facing pregnant and postpartum individuals in both urban and rural areas. I’ve discussed some of those problems in previous articles for this website. 

The good news is relatively low-cost, evidence-based solutions are available to make maternal health care more accessible in Iowa, which would improve outcomes. I have identified and prioritized opportunities that should be bipartisan based on successes in other states.

Note: I am not including abortion access in these recommendations, since the procedure continues to be legal in Iowa, the media regularly cover this topic, and several organizations advocate on this issue. This article from Commonwealth Fund explains how states with restrictive abortion laws have worse maternal health outcomes.

Sue Dinsdale leads Health Care For America NOW in Iowa.

This month Medicare and Medicaid celebrate their 57th Anniversary. These two biggest government health insurance programs in the nation were created by President Lyndon B. Johnson and the Democratic-controlled Congress in 1965. Together, they provide coverage and services to more than 150 million people in the United States, including 637,388 Medicare enrollees and 812,017 Medicaid enrollees in Iowa.

Medicaid has been a lifeline and resource for workers, families, state budgets and people of all ages. Whether it’s regular preventive care, prenatal or maternity care for new moms, addiction treatment in the swelling opioid epidemic or rapid response to national crisis like hurricanes, terrorist attacks and epidemics, Medicaid is a fundamental pillar of the American health care system that we all depend on.

Julie Russell-Steuart is a printmaker and activist who chairs the Iowa Democratic Party’s Disability Caucus.

Glenn Hurst is a rural doctor in the small southwestern Iowa town of Minden and a founding member of Indivisble Iowa, whose activism helped elect U.S. Representative Cindy Axne. He faces Abby Finkenauer and Mike Franken in the June 7 Democratic primary for U.S. Senate.

Dr. Hurst has earned our endorsement for his strong experience advocating for people with disabilities and because he is laser focused on improving the lives of the American people in crucial ways.