John Morrissey is a longtime Des Moines resident who has investigated state spending increases, financial anomalies, and payment disruptions associated with Medicaid privatization in Iowa. -promoted by Laura Belin

The “he said/she said” controversy between an insurance company CEO and Iowa’s governor about why UnitedHealthcare decided to leave the state’s Medicaid program might make entertaining copy, but it doesn’t address who is going to manage the care of 420,000 Iowans left in the lurch.

Nor does it address whether the remaining company (Amerigroup) is adequately prepared to handle more members, and whether a new player poised to enter our state’s Medicaid market (Iowa Total Care) has the expertise to handle special populations in Iowa such as the elderly, disabled, and very ill.

It also doesn’t consider whether the state’s traditional fee-for-service Medicaid offering has the financial wherewithal to shoulder an even larger share of the enrollment and cost. Fee-for-service was held over from the old state-run program when most of the Medicaid program was privatized in 2016. The fee-for-service program pays the claims of Iowa’s sickest and most frail Medicaid members, which the for-profit managed care organizations (MCOs) don’t want or can’t handle.

The Iowa Deparment of Human Services (DHS) did not respond to a request for comment on these issues.

Bleeding Heartland welcomes guest posts about the Iowa caucuses, including candidate endorsements. Please read these guidelines before writing. -promoted by Laura Belin

Dear Reader,

It is early, perhaps far too early for someone to talk about changing their caucus vote from one candidate to another. It is arguably anyone’s race at this stage, but I feel it is critical (especially in Iowa) to give Pete Buttigieg my support early on.

I really do like Elizabeth Warren, in both policy and style. If she ends up being the nominee come November of 2020, I will gladly cast my ballot for her as I would any Democrat.

That being said, I think Pete is what America needs.

UPDATE: This bill did not advance, but Republicans put comparable language into the “standings” budget bill, Senate File 638 (see Division IX on pages 16 and 17). Governor Kim Reynolds can and should item veto this section.

Energy-efficiency programs that benefit low-income Iowans would be cut under a bill Republicans advanced today from an Iowa Senate subcommittee.

Senate Study Bill 1256 would compound the harm done by Senate File 2311, which Republicans enacted in 2018 over objections from many stakeholders. Whereas last year’s bill reduced utility companies’ required spending on energy efficiency programs with a 25-year track record, the new bill would limit allowable spending on such programs.

CORRECTION: Speaking by phone on April 17, Mauro said he is considering a campaign for U.S. Senate but hasn’t decided to whether to run. He doesn’t have a time frame for making a final decision and needs to “make sure my family is on board” before weighing other factors, such as whether he “might be a viable candidate.”

Iowa Democrats may have their first candidate for the 2020 U.S. Senate race. Eddie Mauro told activists in Panora on April 16 that he will may run against first-term Republican Senator Joni Ernst, according to sources who attended the event. Guthrie County Democratic Party chair Kathy Miller told Bleeding Heartland that she invited Mauro to attend the central committee meeting after he called her on April 14 to discuss his plans.

Mauro is CEO of Des Moines-based insurance company UIG and director of Purify Project, which installs water systems in Africa. He previously ran for Iowa’s third Congressional district and finished second in the 2018 Democratic primary with 26.4 percent of the vote. Before that, he challenged State Representative Jo Oldson in the 2016 Democratic primary for Iowa House district 41. Mauro’s 2018 campaign website does not currently reference a U.S. Senate bid. I’m seeking comment from him and will update this post as needed.

Earlier this year, Mauro launched a political action committee called Midwest Victory PAC. The group’s goals include helping to defeat Ernst and support Democratic candidates for the Iowa House and Senate in 2020. Mauro was the founding chair of the Midwest Victory PAC and still holds that position, according to the PAC’s website. Once he formally declares his Senate candidacy, he will need to step aside from that role. Iowa law states that “A candidate for statewide or legislative office shall not establish, direct, or maintain a political committee.”

I enclose below additional background on Mauro and the Midwest Victory PAC.

UPDATE: After I corrected this post, several Democrats contacted me on April 17 to say that in their recent conversations with Mauro, he sounded like a definite candidate, not someone who was only considering the Senate race. A person who attended the Adair County Democratic Central Committee meeting on April 13 got the same impression from listening to Mauro. State Senator Claire Celsi said that last week, Mauro “told me he was running and asked for my support.” (Celsi represents Senate district 21, containing the Des Moines south side neighborhood where Mauro lives.)

While I understand that politicians prefer to control the timing of their rollout, prospective candidates who tell Democratic activists that they’re running should expect word to get around.

An unknown person acquired the former campaign website of Iowa Senate Majority Leader Jack Whitver in February and has since posted regularly about furniture and home decor at JackWhitver.com.

As state lawmakers wrap up their work for 2019, one of the biggest question marks surrounds MidAmerican Energy’s push to make future solar development unaffordable for most Iowa homeowners and small businesses.

Four weeks after the bill cleared the Iowa Senate, it is still hung up in the House, where a group of Republicans recently took an unusual step to signal their opposition.

Ira Lacher: Lawmakers in Canada, the UK, and Germany “have accepted the premise that if you drop a hammer from the 15th floor of a building, you don’t need to look down to know the hammer has fallen.” -promoted by Laura Belin

There’s a new law in Iowa. Under the guise of promoting free speech, it’s intended to give free reign to those who, under cover of the First Amendment, deliver hate language on college campuses.

The legislation reads, in part: “[I]t is not the proper role of an institution of higher education to shield individuals from speech protected by the first amendment to the Constitution of the United States, which may include ideas and opinions the individual finds unwelcome, disagreeable, or even offensive.”

The law permits colleges to restrict hate speech only if that speech contains “a threat of serious harm and expression directed or likely directed to provoke imminent unlawful actions.” But there’s the problem: America, unlike other countries, does not define such language, much less outlaw it.

Bleeding Heartland published more work by guest authors in 2018 than ever before and is on track to set the bar higher this year.

With a record number of candidates seeking to take on Donald Trump and a more accessible Iowa caucus process, I anticipate massive engagement among Democratic activists. These rules and tips are for anyone who would like to contribute to this site’s coverage of the presidential campaign.

All four Iowa Congressional districts will likely be competitive in 2020. Republicans were already targeting the first and third districts, where Representatives Abby Finkenauer and Cindy Axne defeated GOP incumbents last November. Democrats could make a play for IA-04, if Representative Steve King wins the GOP nomination again (as I expect).

Representative Dave Loebsack announced on April 12 that he will retire from Congress after completing his seventh term, rather than running for re-election in the second district. Both Sabato’s Crystal Ball and the Cook Political Report immediately changed their ratings on IA-02 from “likely Democrat” to “toss-up.”

A close look at Loebsack’s last two elections shows why that’s the right call.

Ed Fallon remembers an Iowa farmer who fought “to the end” to stop his land from being taken for a pipeline. -promoted by Laura Belin

Sadly, those of us fighting the Dakota Access Pipeline (DAPL) lost one of our strongest allies this week. LaVerne Johnson died suddenly and unexpectedly on Sunday, April 7. My heart goes out to his wife, family, and closest friends — though he will be missed by more people than he would have imagined.

Republican attacks on working Iowans have received less attention this year than in 2017, when new laws shredded public employee collective bargaining rights, blocked local governments from raising the minimum wage, and reduced workers’ compensation benefits, especially for those who hurt their shoulder on the job.

But below the radar, GOP lawmakers have moved several bills lately that would make life harder for working people, including some facing the difficult circumstances of unemployment or workplace injury.

Matt Chapman has been helping to organize neighbors since residents of his mobile home park recently received notice that rent will go up by some 69 percent in June. -promoted by Laura Belin

The evictions have started where I live at Midwest Country Estates in Waukee. The new owners, Havenpark Capital, have a business model devoid of any compassion or even a passing concern for the elderly and vulnerable in the mobile home park they purchased. They made a promise to the shareholders, and apparently there is no room for empathy when dividends are being maximized.

ISU economist Dave Swenson exposes how a Republican property tax bill relies on flawed assumptions and would make the “important job of governing harder” for cities and counties. -promoted by Laura Belin

It is a common canard among the anti-property taxers that city and county governments, those closest to the electorate, are gouging unsuspecting taxpayers. It is their rallying lament, and it requires no substantiation, just confident assertion.

As is frequently the case with made-up woes like this, Iowa House Republicans have a solution. The remedy is House Study Bill 165, a bill to place limits on city and county government property tax growth.

Ira Lacher discusses the appeal of South Bend Mayor Pete Buttigieg, who has recently moved up in Iowa and national polling of the Democratic presidential field. -promoted by Laura Belin

By conventional wisdom, Pete Buttigieg shouldn’t be a top-tier presidential candidate. At 37, he’s only two years older than the constitutional minimum age to be president. As mayor of a small city in Indiana, he hasn’t the national political experience to reach for high office. As a gay man with a husband, he defies the mold that the president of the United States has to be some “Marlboro Man.” And as a Christian, he risks turning off secular voters who feel that Christians’ agenda runs counter to progressive Democratic ideals.

And yet, Pete Buttigieg has vaulted to rock-star status not despite all of the above but because of it. He’s done it because he’s not afraid to wear his genuineness on his sleeve.

For many years, the Des Moines Register regularly published dispatches from Washington on what the Iowans in Congress were doing. Coverage deteriorated after the newspaper laid off Jane Norman in 2008. To my knowledge, no Iowa-based news organization has had a correspondent in the nation’s capital since the Register let Philip Brasher go in 2011.

In a wide-ranging review of the Register’s political reporting four years ago, I commented, “If a member of Congress didn’t brag about it in a press release, conference call, or social media post, the Register’s readers are not likely ever to learn that it happened.”

The newspaper’s recent coverage of U.S. Senator Chuck Grassley illustrates that problem.

“My name is Noah Wasserman. I made a mistake that impacted your lives.”

A year after Theresa Greenfield failed to qualify for the Democratic primary ballot in Iowa’s third Congressional district, her former campaign manager apologized in an unprecedented full-page advertisement in the Sunday Des Moines Register.

Wasserman’s account of how he derailed a promising candidacy conveys valuable lessons not only for people working in politics, but for anyone who feels overwhelmed by tasks at hand.

The Iowa Democratic Party’s State Central Committee approved a new rules package for the 2020 caucuses and convention process by a unanimous vote on April 6. Committee members did not amend any aspect of the proposal, which the party unveiled in February. I’ve enclosed the whole document near the end of this post.

The most significant innovation will be allowing voters to register a preference in the presidential contest without being physically present at a precinct caucus on February 3, 2020. Iowa Democratic insiders have long resisted that kind of change and probably would not have developed this plan if not for pressure from the Democratic National Committee.

This “virtual caucus” will significantly reduce barriers to participation that have kept thousands of politically-engaged Iowans from having their voices heard in past cycles. However, the rules won’t give equal weight to those who are unable to attend in person or prefer to call in. That will create a new set of challenges and perhaps some unintended consequences.

Carl Olsen reports on the latest legislative maneuvering around Iowa’s medical cannabis program. -promoted by Laura Belin

Key lawmakers said for months the 3 percent tetrahydrocannabinol (THC) cap would never be lifted unless Iowa’s Medical Cannabidiol Advisory Board recommended doing so. Nevertheless, the Iowa House mysteriously decided to lift the 3 percent cap on THC shortly before the first legislative funnel deadline on March 8.

Amy Adams is an organizer with Progress Iowa. -promoted by Laura Belin

On Thursday, April 4, Iowans rallied in four locations across the state (Indianola, Red Oak, Cedar Rapids, and Dubuque) as part of a nationwide day of action to demand a full release of Special Counsel Robert Mueller’s report.

Attorney General William Barr has released only a four-page summary of more than 400 pages submitted to the Department of Justice regarding Russian interference in the 2016 election and contacts between President Donald Trump’s campaign and Russian operatives.

Longtime renewable energy advocate Mike Carberry weighs in on MidAmerican’s bad solar bill, which has cleared the Iowa Senate and is eligible for debate in the state House. -promoted by Laura Belin

MidAmerican Energy has become the public face of Iowa’s clean energy leadership, touting its “climate pledge” and “bold vision” for 100 percent renewable energy future. But the company’s legislative work in Des Moines raises serious questions about its loyalties to clean energy consumers.

Last year, MidAmerican actively worked to gut energy efficiency funding and programming that saved customers millions of dollars. Now the company is trying to stomp out the Iowa solar industry, which it apparently views as competition.