Senate ignores deadbeat corporations while targeting Iowans on Medicaid

Matt Chapman closely follows Iowa legislative happenings, including bills affecting Iowans on public assistance. -promoted by Laura Belin

Iowa Senate Republicans on March 19 approved new work requirements for tens of thousands of Iowans on Medicaid or receiving food assistance. Senate File 538 would instruct the Iowa Department of Human Services to request a federal waiver for the Iowa Health and Wellness Plan, our state’s version of Medicaid expansion. Approximately 170,000 adults receive Medicaid through that plan, and an roughly 61,000 of them also receive Supplemental Assistance Nutrition Program (SNAP) benefits.

If the waiver were approved, Medicaid recipients would face new reporting obligations for “community engagement.” If not part of an exempted group, they could lose coverage due to paperwork errors, even if they were working the requisite number of hours per week. Nonpartisan analysis estimated this bill would cost the state budget nearly $5 million the first year after the waiver and nearly $12 million each subsequent year.

During floor debate (beginning at 11:53:20 of this video), Republicans characterized the bill as a way to hold Iowans accountable. Democrats offered two amendments that would have extended that accountability to large employers and the for-profit insurers known as managed-care organizations (MCOs), which oversee Iowa’s privatized Medicaid.

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"Workfare" bill for Iowa Medicaid would cost nearly $17 million over two years

Matt Chapman has closely followed this year’s legislative proposals affecting Iowans on public assistance. He previously reported on a separate bill with a $40 million price tag. -promoted by Laura Belin

A Republican bill seeking to impose new work requirements on some 170,000 Medicaid recipients in Iowa would cost the state budget nearly $5 million more the first year and an additional $12 million every year thereafter, according to analysis by the nonpartisan Legislative Services Agency. Any savings to the state would be “minimal.”

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Bill targeting Iowans on public assistance would cost $40 million by 2021

Matt Chapman has closely followed this year’s legislative proposals targeting Iowans on public assistance. -promoted by Laura Belin

A bill requiring more frequent reviews of Iowans’ eligibility for public assistance programs would cost the state an additional $40 million during the first two years alone, according to analysis by the nonpartisan Legislative Services Agency. The federal government would be on the hook for an additional $35 million during the same period.

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Policy vs impact and the fig leaf of semantics

Matt Chapman: Lobbyists tend to disassociate advocating for a bill from the impact of that legislation. I couldn’t disagree more. -promoted by Laura Belin

Spending over two years at the Iowa legislature, watching committee meetings and floor action, I’ve picked up on the theme of decorum. It is necessary when powerful people of different ideology need to come to a consensus. There are times when that divide is too great and the decorum deteriorates. That is usually centered around hot-button topics.

President Ronald Reagan and then House Speaker Tip O’Neill had the six-o-clock rule. It was a designed to put partisan politics aside at the end of the day. They were bitter enemies, yet kept decorum and treated each other as equals. After six o’ clock, policy discussion was ended. They recognized that allowing each other to voice their position was the bedrock of this democracy.

In more recent history, when the debates are over, the debaters tend to go to their own corners.

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Five Senate bills target Iowans on public assistance

Matt Chapman has attended Iowa House and Senate subcommittee meetings nearly every day. These bills were among the most significant he has tracked lately. -promoted by Laura Belin

Over the past week, Iowa Senate subcommittees considered five bills drafted to address fraud in Iowa public assistance programs. Each bill would direct revenue generated by Iowa taxpayers to private vendors, who are charged with finding fraudulent claims. If investigation supports the claims of fraud, those funds could be recovered, and criminal charges filed.

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Lessons of 2018: Changing trends in Iowa's largest counties

Eighth in a series interpreting the results of Iowa’s 2018 state and federal elections.

Last week, Bleeding Heartland examined votes for governor in counties containing Iowa’s mid-sized cities, which collectively accounted for roughly 15 percent of Iowans who participated in this year’s election.

Today’s focus is ten counties where more than half of this year’s Iowa voters live. Whereas Fred Hubbell underperformed in all seventeen “micropolitan” areas, the results in larger counties were a mixed bag for the Democratic nominee.

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