Televised debates mostly attract viewers who already support one of the candidates. But Iowans who are on the fence between Governor Kim Reynolds and Democratic challenger Fred Hubbell could learn a lot from watching their October 17 debate.

You can find the full video on the website or Facebook page of KTIV in Sioux City. My takeaways and notes on the discussion:

John Morrissey investigates anomalies in financial reports filed by AmeriHealth Caritas, which left Iowa’s Medicaid program last year. -promoted by desmoinesdem

A managed care company that left the Iowa Medicaid program last November financially engineered its first quarter report to state regulators this year, even as it dragged its feet in paying Iowa medical providers for claims that were then more than 90 days old.

AmeriHealth Caritas Iowa, Inc. claimed in its calendar first quarter filing with the Iowa Insurance Division (IID) that general administrative costs to run its Iowa operation totaled $20 million. But at the end of June, the company reduced that expense to $6 million without explanation.

Governor Kim Reynolds and Democratic challenger Fred Hubbell held the first of three debates tonight in Ankeny. You can watch a nearly-complete video on the Des Moines Register’s website. I’ve enclosed the notes I took in real time (live blog style) at the end of this post. But first, my takeaways:

Tax and budget policy expert Randy Bauer explains that although personal income has been rising across the country in recent years, Iowa is not doing as well in comparison to other states. -promoted by desmoinedem

How is Iowa doing, economy-wise, in comparison to other states? There are a variety of statistics and competing claims. I would argue that one key measure, which the federal government uses to figure out Iowa’s federal share of a very important program, suggests that Iowa is not doing as well in comparison to other states.

In fact, using this measure, Iowa has been falling behind for the last four years.

Iowa’s disastrous Medicaid privatization is becoming an important theme of Rob Sand’s campaign for state auditor. While Republican incumbent Mary Mosiman was slow to embark on a review of the program and won’t promise to release her office’s findings before the November election, Sand has pledged to thoroughly investigate the operations of managed-care organizations (MCOs), which now make health care decisions affecting more than 600,000 Iowans.

If Iowans were voting for governor today, 43 percent would support Democrat Fred Hubbell and 41 percent Governor Kim Reynolds, according to a new poll by Selzer & Co for the Des Moines Register and Mediacom. Another 9 percent of the 555 likely voters surveyed were undecided, and 7 percent backed Libertarian Jake Porter. The poll validates the view of leading election forecasters that the governor’s race is a toss-up. Selzer’s poll has a margin of error of plus or minus 4.2 points.

If this snapshot of the race accurately reflects the views of Iowans likely to vote in November, I’d rather be Hubbell than Reynolds. An incumbent barely above 40 percent despite much higher name recognition than her opponent is not in a strong position. Nevertheless, the Register’s survey points to ways either Reynolds or Hubbell could improve their prospects during the final six weeks of the campaign.

John Morrissey delved into a little-noticed financial report by AmeriHealth Caritas. -promoted by desmoinesdem

Although it left the Iowa Medicaid program more than seven months ago, AmeriHealth Caritas Iowa, Inc. continues to string along claims payments due to Iowa providers.

AmeriHealth – which is owned by Independence Blue Cross of Philadelphia – reported $14.6 million in unpaid liability for claims submitted last year by Iowa Medicaid providers, according to the company’s most recent quarterly financial filing with the Iowa Insurance Division. Meanwhile, the managed-care organization has racked up more than $6 million in administrative costs so far this year to manage the now-closed operation.

Democrats have opportunities to make big gains in the Iowa House this year. Thirteen of the 59 Republican-held seats in the lower chamber are open. A number of Democratic challengers have done well on fundraising, in some cases even out-raising the GOP incumbents in their districts. The past year’s special elections for Iowa House seats suggest that Democratic turnout may be much higher than the level seen in Iowa’s last two midterms, thanks to extreme laws enacted by statehouse Republicans and an unpopular president in Washington.

But winning a state legislative race often requires more than a favorable political environment. Bleeding Heartland observed in February that “the latest set of campaign financial disclosures reveal little sense of urgency among Democratic incumbents who could do much more to help others win competitive districts this November.”

Unfortunately, the latest fundraising numbers tell the same old story.

“It’s not certain to me that [my son] Matthew is safe with a Republican governor and a Republican legislature,” David Hudson told the Des Moines Register’s Tony Leys after Governor Kim Reynolds declined to reappoint him as co-chair of Iowa’s Medical Assistance Advisory Council. “And I say that as a lifelong Republican! Because I just don’t see the governor asking the right questions and doing the right thing for my son.”

By dumping Hudson and another council member who spoke out about problems related to Medicaid privatization, Reynolds has once again shown she is unwilling or unable to engage with facts on the ground related to Iowans’ health care.

Jeff Cox sees Democrats “campaigning only on issues that reliable Democratic voters care about.” He thinks a winning message will require addressing broader concerns among Iowans. -promoted by desmoinesdem

In the past decade, the Democratic Party has lost control of both houses of the Iowa legislature as well as the governor’s office. It is difficult to overstate the damage that has been done to the people of Iowa by the Republicans. If they keep control of the governor’s office and legislature next November, they can add the judiciary to their list of conquests. When that happens, things will get even worse–much worse.

When Fred Hubbell selected State Senator Rita Hart as his running mate, Democrats had to scramble to find a new candidate in Iowa Senate district 49. Patti Robinson announced her candidacy on July 3. She will face Republican Chris Cournoyer, who has been campaigning here since last November.

Hart was favored for re-election, having won by nearly 900 votes in 2014 despite the statewide GOP landslide. However, an open seat should be highly competitive. Both parties may devote hundreds of thousands of dollars to this race, based on spending totals from the battleground Iowa Senate districts during the 2016 cycle.

Democrats are looking at a difficult state Senate map this year and can’t afford to lose any ground to maintain a realistic chance of regaining the majority in 2020. Republicans currently hold 29 of the 50 Senate seats and will pick up Senate district 1, where Iowa’s only independent lawmaker David Johnson is retiring.

John Morrissey is a native Iowan and longtime Des Moines resident. -promoted by desmoinesdem

Despite promises of huge annual cost savings resulting from Medicaid privatization, Iowa’s medical assistance programs spent more in eleven months of the current fiscal year than during all of the previous fiscal year.

“Whether it’s her own story or distorting facts about my story, one thing is clear: Governor Reynolds is running a campaign about yesterday,” Fred Hubbell told Iowa Democratic Party state convention delegates on June 16. “We’re running a campaign about tomorrow. We are running to get Iowa growing the right way.”

Hubbell’s first speech to a large crowd since his decisive victory in the high-turnout June 5 primary served several purposes:

• Preview the main themes of his general election campaign;

• Reassure Democratic activists (many of whom had been strongly committed to other candidates) that he shares their values and goals;

• Address and reframe early attacks from Governor Kim Reynolds; and

• Introduce his running mate State Senator Rita Hart, who’s not well-known outside Clinton and Scott counties.

For those who weren’t able to attend the convention, I enclose below audio and full transcripts of the speeches by Hubbell and Hart.

A two-decade-old state administrative rule “clearly discriminates against transgender Medicaid recipients on the basis of gender identity by excluding coverage for medically necessary gender affirming surgery” while covering the same surgeries for non-transgender Iowans, a Polk County District Court ruled on June 7. Chief Judge Arthur Gamble found the rule violates both Article I, section 6 of the Iowa Constitution, which guarantees equal protection, and the Iowa Civil Rights Act, which has prohibited discrimination on the basis of gender identity since 2007.

The Iowa Department of Human Services “cannot ensure the accuracy, completeness, or reliability” of data released to the public about any programs administered by Iowa Medicaid Enterprise, including the managed-care system for some 600,000 Iowans on Medicaid.

When responding to all requests for information about Medicaid or related programs, the DHS also warns users that “there may be errors, omissions, or inaccuracies in the data provided.” Leading Iowa Senate Democrats were unaware of the disclaimer, which they described as “odd,” “troubling,” and “unacceptable.”

Republican lawmakers made big promises last year that Iowans would have “more access” to family planning services under a new state program that excluded Planned Parenthood.

As anyone could have foreseen, the opposite was true. In the first nine months of the State Family Planning Program’s existence, the number of Iowans enrolled dropped by a third. The number who obtained at least one reproductive health care service fell by more than 40 percent from the first quarter to the second quarter the program was operating. The number of health care providers billing the program also declined by 40 percent during the same time frame.

Republican lawmakers don’t want to hear how poorly the new system is serving their constituents. Even worse, GOP state senators voted unanimously last week to compound the mistake by blocking Planned Parenthood from participating in sex education programs.

High-profile departures from the Des Moines Register newsroom have happened too often over the last decade. A series of layoffs and buyouts left readers less informed about important topics. For instance, ever since the Register let its last Washington-based correspondent go, readers rarely hear about what our state’s members of Congress are doing, unless the story originated from a press release or comments during a conference call with journalists.

The recent turnover at Iowa’s most important agenda-setting news organization is worrying for heavy consumers of political coverage.

Complaints to the Iowa Office of Ombudsman regarding privatized Medicaid increased by 157 percent last year, reflecting “systemic frustration” over cuts to health services for patients and unpaid bills for providers. Ombudsman Kristie Hirschman has “yet to be convinced” that the Department of Human Services is providing “adequate oversight” of the private insurance companies that control access to care and reimbursements, she wrote in a report released on April 2. The three outrageous examples she recounted resemble too many other tragic cases since Iowa shifted to a managed-care model for more than half a million Medicaid recipients.

Hirschman has assigned a full-time staffer to handle Medicaid-related complaints. The same issues come up again and again, more than a year after she, the state’s Long Term Care Ombudsman, and the advocacy group Disability Rights Iowa informed the DHS director about recurring problems with Medicaid managed-care organizations.

Although the ombudsman praised the legislature for “taking steps to correct some of the problems we and others have identified,” Senate Republican leaders haven’t brought up a Medicaid oversight bill that passed the Iowa House unanimously last month.

The Iowa Senate confirmed Jerry Foxhoven as director of the Iowa Department of Human Services in an unusually close vote on March 21.

Most of Governor Kim Reynolds’ appointees have won unanimous confirmation, as has typically been the case in Iowa for many years. Foxhoven’s nomination was controversial because of how privatized Medicaid has been managed, along with several tragedies involving abused children. Senate Democrats asked to defer consideration on the DHS director last month “until we can fully assess his leadership.”

During the last week before the filing deadline, Republican State Senators Mark Chelgren and Rick Bertrand announced that they will not seek re-election in 2018. Iowa Senate districts 41 and 7 were already the best Democratic pickup opportunities on a difficult midterm election map. Of the 29 Republicans now serving in the upper chamber, only four–Chelgren, Bertrand, Dan Dawson, and Tom Greene–hold seats where registered Democrats outnumber Republicans (barely in Dawson’s district). Dawson and Greene won’t be up for re-election until 2020.

Winning an open seat is usually easier than defeating a legislative incumbent, and Bertrand’s retirement clearly improves Democratic chances in Senate district 7.

But Republicans have likely increased their odds of holding Senate district 41 by swapping out Chelgren for Mariannette Miller-Meeks.

Across the United States, trans health care is an unstable patchwork of “islands.” Nowhere is this more evident than in Midwest states like Iowa and Indiana. -promoted by desmoinesdem

Iowa Senate Republicans are barreling ahead to debate a regressive tax plan that would reduce state revenues by 10 to 15 percent within five years. Senate Ways and Means Committee Chair Randy Feenstra, lead author of Senate File 2383, continued to describe his proposal as “bold, pro-growth tax relief” after a non-partisan analysis projected massive revenue losses.

Meanwhile, newly-released records show that in communications with other GOP senators, Feenstra greatly understated the cost of an earlier draft of his tax proposal. The documents don’t indicate whether the head of Senate’s tax-writing committee misunderstood numbers provided by the Iowa Department of Revenue or misrepresented them to downplay the price tag. (Feenstra has not responded to my inquiry.)

What is clear: the Department of Revenue never predicted that deeply cutting taxes would produce “excess” economic growth. Which isn’t surprising, since no economic boom materialized in states like Kansas and Louisiana after Republicans destroyed those states’ ability to pay for essential services.

A personal commentary by Matt Chapman to coincide with the “Day on the Hill” for our state’s National Alliance on Mental Illness chapter. NAMI Iowa’s “mission is to raise public awareness and concern about mental illness, to foster research, to improve treatment and to upgrade the system of care for the people of Iowa.” -promoted by desmoinesdem

In the last few years I have found myself politically active and seem to be trying to make up for years of not having the right to vote and taking it for granted when I did participate. I would like to share where my focus is and relate how I came to feel so intensely about these issues. You never know when you may find your voice, and if it took me until my 50s, so be it.

Jeff Cox sees one gubernatorial contender best positioned to help Democrats become the majority party again. Bleeding Heartland welcomes guest posts advocating for candidates in competitive Democratic primaries. Please read these guidelines before writing. -promoted by desmoinesdem

There is only one word to use when surveying the damage the Republicans are doing to Iowa and America: depressing. We need to keep our eye on the ball, though, and avoid being diverted into competitive name-calling with Republicans. We need to elect Democrats until we regain a majority at every level of government. In the present crisis, any Democratic victory is a win, no matter how awful the Democrat.

In addition to issuing an “all hands on deck” call to elect Democrats, we should also have a discussion about how we got into this mess of being a minority party at every level of government. We could do worse than look back to a period of history when Democrats were the natural party of government, the half century beginning in 1932.

Shawn Harmsen is a progressive activist in Iowa City. Bleeding Heartland welcomes guest posts advocating for candidates in competitive Democratic primaries. Please read these guidelines before writing. -promoted by desmoinesdem

Dear Editor and fellow Iowans,

I am supporting Nate Boulton for Iowa governor because a year ago I saw him out front with Iowa Democrats who, against near-impossible odds, fought back on behalf of Iowa families like mine.

The Department of Human Services, state universities, and Department of Corrections would have to absorb large mid-year spending cuts under recommendations Governor Kim Reynolds released this week. The governor’s focus is strikingly similar to cuts her predecessor Terry Branstad proposed and Republican lawmakers approved in early 2017.

Governor Kim Reynolds continues to take credit for a major benefit of the Affordable Care Act, even as she calls on Congress to repeal and replace the 2010 health care reform law. During today’s Condition of the State address, the governor boasted that compared to a few years ago, “150,000 more Iowans have mental health coverage today and have access to more local and modern service.”

She didn’t mention that those Iowans gained health insurance only because the Affordable Care Act included funding to expand Medicaid.

The Iowa House and Senate convened Monday with the usual big promises and platitudes about working together to build a better future for Iowans.

Behind the optimistic rhetoric, all signs point to another contentious legislative session. The opening day speeches by Republican and Democratic leaders, enclosed in full below, revealed almost no common ground about the focus of lawmakers’ work and no indication that the most important bills will incorporate Democratic ideas. My takeaways:

Senator Chuck Grassley hit a new low last week in running interference for the White House on the Trump/Russia investigation. After leaders of the private research firm Fusion GPS called on Congressional Republicans “to release full transcripts of our firm’s testimony” about the so-called Steele dossier, Grassley and Senator Lindsey Graham wrote to the Department of Justice and the FBI “urging an investigation into Christopher Steele.” Ranking Senate Judiciary Committee Democrat Dianne Feinstein was not consulted about the referral, which she accurately characterized as “another effort to deflect attention from what should be the committee’s top priority: determining whether there was collusion between the Trump campaign and Russia to influence the election and whether there was subsequent obstruction of justice.”

Here in Iowa, the Department of Human Services recently acknowledged that privatizing Medicaid “will save the state 80 percent less money this fiscal year than originally predicted,” Tony Leys reported for the Des Moines Register. The Branstad/Reynolds administration has claimed since 2015 that shifting care for one-sixth of Iowans to private companies would result in big savings for the state. Officials were never able to show the math underlying those estimates. Staff for Governor Kim Reynolds and the DHS now portray the miscalculation as an honest mistake, which a more “comprehensive methodology” will correct. The governor would have been wiser to pull the plug on this disaster last year.

Forthcoming Bleeding Heartland posts will address those failures in more depth. But now it’s time to hold myself accountable for the 17 Iowa politics predictions I made at the beginning of 2017. Did I improve on my showing of seven right, two half-right, and seven wrong out of my 16 predictions for 2016?

Since I started writing for this website a decade ago, I’ve never worked harder than I did in 2017. This momentous year in Iowa politics provided an overwhelming amount of source material: new laws affecting hundreds of thousands of people, our first new governor since 2011, and a record number of Democrats seeking federal or statewide offices.

In addition, my focus has shifted toward more topics that require time-consuming research or scrutiny of public records. As I looked over the roughly 420 Bleeding Heartland posts I wrote this year, I realized that dozens of pieces were as labor-intensive as some of those I worked hardest on in 2015 or 2016.

Bleeding Heartland published 140 guest posts by 81 authors in 2016, a record since the blog’s creation in 2007.

I’m happy to report that the bar has been raised: 83 authors contributed 164 guest posts to this website during 2017. Their work covered an incredible range of local, statewide, and national topics.

Some contributors drew on their professional expertise and research, writing in a detached and analytical style. Others produced passionate and intensely personal commentaries, sometimes drawing on painful memories or family history.

Zach Wahls announced his candidacy today in Iowa Senate district 37, where Democratic State Senator Bob Dvorsky plans to retire at the end of 2018. Janice Weiner launched her campaign for the same seat earlier this week, but Wahls will be heavily favored to win the Democratic nomination.

Follow me after the jump for background on both candidates and the political landscape in this must-hold district for Democrats.

Clear majorities of Iowans disapprove of how the state legislature and executive branch are handling mental health care, Medicaid, education funding, and taxes, according to the latest statewide survey by Selzer & Co for the Des Moines Register and Mediacom.

Even worse for Republicans: more than 70 percent of respondents said each of those issues would be a “major consideration when you choose how you will vote in the 2018 election.”

Scott County activist Emilene Leone joined the statewide steering committee for John Norris last month. Bleeding Heartland welcomes guest posts advocating for candidates in competitive Democratic primaries. Please read these guidelines before writing. -promoted by desmoinesdem

I am strongly endorsing John Norris for Iowa governor, and I encourage all concerned parents here in Iowa to do the same. John Norris is the best choice to protect Iowa’s future for our children.

Declaring the two-party system “badly broken,” State Senator David Johnson announced this morning that he will seek re-election as an independent in Iowa Senate district 1 next year. The former Republican won his first state House race in 1998 and was a successful candidate for the state Senate four times, serving for a decade as an assistant leader of the GOP caucus. He left the party in June 2016 to protest the nomination of Donald Trump as president.

In a statement enclosed in full below, Johnson said, “Politics in Des Moines has reached a bitterly partisan tipping point. Principle must come before party.” He added that “constituents of all political stripes have encouraged him to run again,” and that the “storied history of the House and Senate includes legislators who have not been affiliated with major parties.” According to Johnson, the last candidate to win an Iowa Senate race as an independent was William Schmedika in 1923.

Johnson didn’t face an opponent in his last two Senate races, but next year’s campaign is sure to be a hard-fought battle.

Governor Kim Reynolds made a strategic error by not distinguishing herself from her predecessor in any meaningful way, judging by the new Iowa poll by Selzer & Co for the Des Moines Register and Mediacom.

Changing course on even one high-profile policy could have demonstrated strong critical thinking and leadership skills. Instead, Reynolds is in effect running for a seventh Terry Branstad term. Unfortunately for her, Iowans are inclined to think it’s “time for someone new” in the governor’s office.

Bleeding Heartland welcomes guest posts advocating for candidates in competitive Democratic primaries. Please read these guidelines before writing. -promoted by desmoinesdem

I am Lane Kunzie and a senior at Wayne Community Schools in Corydon. This is my first political blog post and the Democratic primary on June 5, 2018 will be the first election I can vote in. My first vote I am going to cast will be for Andy McGuire.

Everyone could have guessed Alec Baldwin would get Iowa Democrats laughing with jokes at President Donald Trump’s expense.

But who would have predicted the serious part of the actor’s speech would evoke an even stronger response from the crowd?

Follow me after the jump for audio and highlights from Baldwin’s remarks and those of the seven Democratic candidates for governor, along with Stefanie Running‘s photographs from a memorable evening in Des Moines.

Thanking a veteran is easy. Tackling problems that face veterans is hard.

At no time is that political reality more apparent than on the 11th day of the 11th month.

The usual expressions of respect and gratitude can be found in the latest batch of Veterans Day tweets by Senators Chuck Grassley and Joni Ernst and Representatives Rod Blum (R, IA-01), Dave Loebsack (D, IA-02), David Young (R, IA-03), and Steve King (R, IA-04).

After the jump I’ve posted some concrete ways members of Congress could show they care about veterans. This is an open thread: all topics welcome.

For the second straight year, Iowa Senate Democrats will head into the legislative session with a new minority leader. Senators met at the Capitol today to elect Janet Petersen, replacing Rob Hogg, who had led the caucus since last November.