2024 Iowa maternal health priorities: Birth centers, Medicaid, and midwives

Photo provided by the author, showing maternal health advocates advocating for licensure of certified professional midwives during an Iowa House Ways and Means subcommittee meeting in February 2023.

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

This time last year I wrote about five policies that would improve maternal health in Iowa. I’m updating the piece for the 2024 legislative session with a focus on three core priorities. 

Although access to abortion care and contraceptives are critical to maternal and infant health, I do not discuss those topics here. I want to highlight lesser-known aspects of maternal health specific to prenatal, birth, and postpartum care, which receive much less media coverage.

For the 2024 legislative session, I am focusing on three issues I raised last year, which have a strong chance to be enacted. These policies would improve maternal health in Iowa by expanding access to midwives and expanding prenatal care options. I wrote at length in 2021 about how midwives save lives, and it seems like every week a different study or article underscores how the midwifery model of care leads to better outcomes. If you’re interested in diving deeper, one of my favorite resources released in 2023 is this Issue Brief on Maternity Medicaid Strategies from the Maternal Health Hub.

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Iowa counties are duty-bound to pass CO2 pipeline ordinances

Summit Carbon Solutions proposed CO2 pipeline route in Iowa, from the company’s website

Bonnie Ewoldt is a Milford resident and Crawford County landowner.

As 2023 ended, CO2 pipelines were among the most newsworthy developments in Iowa. Summit Carbon Solutions’ proposed CO2 pipeline would cross more than 30 of Iowa’s 99 counties.

Heading into 2024, county boards of supervisors bear a heavy responsibility as they deal with ordinances while the state awaits the Iowa Utilities Board’s decision on Summit’s permit application. 

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Are we the metro we think we are?

Mike Jones is the mayor of Windsor Heights.

If you’ve been overseas, you have to love the buses and trains. It’s effortless to get around in Paris, Berlin, Munich or London. They have vast transportation networks that can cheaply and quickly transport you miles in only a few short minutes. With a few exceptions, such networks don’t exist in U.S. cities.

Ford’s assembly line method of mass production finally made the automobile affordable for the everyman. After World War II, cheap mortgages, the construction of the Interstate Highway System, and veterans receiving benefits from the G.I. Bill gave birth to the sprawling suburbs that we see today. The convenience and the independence granted by the automobile became part of our culture and for better or worse, shapes how we fund infrastructure and public services in our country.

Unfortunately, the automobile revolution has also resulted in the minimizing and under-funding of mass transit.

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It's time to look for ways to reduce tragic toll of guns

Photo of Perry High School is by Richc80, available via Wikimedia Commons

Randy Evans is executive director of the Iowa Freedom of Information Council and can be reached at DMRevans2810@gmail.com

Like many Iowans, my thoughts have been rather chaotic since the horrible news from Perry High School last week.

The events were so sad and senseless. A 17-year-old student was dead, having shot himself. An 11-year-old sixth-grader, known for his big smile and cheerful outlook, was dead from three gunshot wounds. Seven other students and school employees, including the high school principal, were wounded by the teenager.

Americans are numb to the number and frequency of school shootings and other mass killings. Our leaders appear to be paralyzed. Yes, they express their sadness and concern, but thoughts and prayers are not enough.

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Haley and Trump wear their Confederate gray

Dan Piller was a business reporter for more than four decades, working for the Des Moines Register and the Fort Worth Star-Telegram. He covered the oil and gas industry while in Texas and was the Register’s agriculture reporter before his retirement in 2013. He lives in Ankeny.

Nikki Haley needed an entire day to admit, rather furtively, that slavery was a possible cause of the Civil War. Donald Trump thinks that the bloody struggle from 1861-65 (which Trump, in a rare burst of accuracy, described as “very rough time”) happened because Abraham Lincoln was born too soon to read the “Art of the Deal.” Had the Great Emancipator been so fortunate, Trump said in Newton on January 6, “you probably wouldn’t even know who Abraham Lincoln was.”

Iowans whose knowledge of the Civil War goes slightly beyond Ken Burns’ PBS series three decades ago are shaking their heads in wonderment at such ignorance. But history is as much a vantage point than an absolute certainty. I learned that lesson in September, 1963, and the first days of classes in my junior year at Lincoln High School in the Nebraska capitol city.

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Iowa House speaker hints at new law on "sexually explicit" books in schools

Republican lawmakers may take additional steps to remove “sexually explicit material” from schools, Iowa House Speaker Pat Grassley indicated on January 8. Speaking to fellow legislators, Grassley also blamed schools for politicizing what he called “a simple solution to protect Iowa’s students from inappropriate material.”

Grassley was the only House or Senate leader to address the school book bans in opening remarks on the first day of the legislature’s 2024 session. His comments came ten days after a federal court blocked the state of Iowa from enforcing a ban on library books and classroom materials that describe or depict sex acts.

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Race on a riverfront

Statue on Muscatine’s Mississippi riverfront erected in 1926 by the all-white Improved Order of Red Men.

This column by Daniel G. Clark about Alexander Clark (1826-1891) first appeared in the Muscatine Journal on June 7, 2023, under the headline “Alexander Clark does RAGBRAI?”

What would Alexander Clark say about Muscatine gearing up for another horde of RAGBRAI visitors in their sweat-drenched thousands?

A stretch of the imagination to wonder such a thing? It’s what I do while researching 19th century newspapers for dots connecting local Black history to—everything.

Clark was more than Equal Rights Champion. He did much to make his hometown better. Movers and shakers patronized his Hair Dressing Saloon, so he knew what was happening. He enjoyed travel, and his marketing sense and public demeanor took him places, especially in later years.

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Iowa legislative predictions from the Magic 8 Ball

Photo of Magic 8 ball is by ChristianHeldt, available via Wikimedia Commons

Bruce Lear lives in Sioux City and has been connected to Iowa’s public schools for 38 years. He taught for eleven years and represented educators as an Iowa State Education Association regional director for 27 years until retiring. He can be reached at BruceLear2419@gmail.com  

When my kids were younger, we had a Magic 8 Ball. If you asked a Yes or No question and shook it, up popped an answer like, “Without a doubt,” “Outlook not so good,” or “Concentrate and ask again.” 

The Iowa legislature’s 2024 session began on January 8. Like last year, public education may well be on top of the agenda. With that in mind. I thought I’d introduce the Bruce Lear Magic 8 Ball. My version is next generation, so there’s an explanation with each answer. 

Like all predictions, they may be flat wrong, and they sure aren’t inevitable, especially if the education community unites and acts.

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Who's who in the Iowa Senate for 2024

Iowa Senate chamber, as photographed by Nagel Photography, available via Shutterstock

The Iowa Senate convened in Des Moines on January 8 for the first day of the 2024 legislative session. Although the balance of power remains the same (34 Republicans, sixteen Democrats), I’m publishing a new version of this post to note changes in leadership or among the chairs, vice chairs, and members of standing Senate committees.

Fourteen senators (nine Republicans, five Democrats) were elected to the chamber for the first time in 2022. Seven of them (four Republicans and three Democrats) previously served in the Iowa House.

Fifteen senators are women (eight Democrats and seven Republicans), up from twelve women in the chamber prior to the 2022 election and more than double the six women senators who served prior to the 2018 election.

Democrat Izaah Knox is the second Black state senator in Iowa history. The first was Tom Mann, a Democrat elected to two terms during the 1980s. The other 49 senators are white. No Latino has ever served in the chamber, and Iowa’s only Asian-American senator was Swati Dandekar, who resigned in 2011.

Democrat Janice Weiner became the first Jewish person to serve in the Iowa Senate since Ralph Rosenberg left the legislature after 1994. Democrat Liz Bennett became the first out LGBTQ state senator since Matt McCoy retired in 2018.

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Who's who in the Iowa House for 2024

Photo by Carl Olsen of the Iowa House chamber in 2020

Iowa House members return to Des Moines on January 8 for the opening day of the 2024 legislative session. Although the balance of power remains the same (64 Republicans, 36 Democrats), I’m publishing a new version of this post to note small changes in leadership or among the chairs, vice chairs, and members of standing House committees. Where relevant, I’ve noted changes since last year’s session.

Thirty-eight House members (24 Republicans and fourteen Democrats) are serving their first term in the legislature. Two Republicans previously held other legislative offices: Craig Johnson served one and a half terms in the Iowa Senate, and David Young served two terms in Congress.

The House members include 71 men and 29 women (sixteen Democrats and thirteen Republicans), down from 31 women who served in 2021 and 2022. The record for women’s representation in the Iowa House was 34 female lawmakers in 2019.

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Best of Bleeding Heartland's original reporting in 2023

Before Iowa politics kicks into high gear with a new legislative session and the caucuses, I want to highlight the investigative reporting, in-depth analysis, and accountability journalism published first or exclusively on this site last year.

Some newspapers, websites, and newsletters put their best original work behind a paywall for subscribers, or limit access to a set number of free articles a month. I’m committed to keeping all Bleeding Heartland content available to everyone, regardless of ability to pay. That includes nearly 500 articles and commentaries from 2023 alone, and thousands more posts in archives going back to 2007.

To receive links to everything recently published here via email, subscribe to the free Evening Heartland newsletter. I also have a free Substack, which is part of the Iowa Writers Collaborative. Subscribers receive occasional cross-posts from Bleeding Heartland, as well as audio files and recaps for every episode of KHOI Radio’s “Capitol Week,” a 30-minute show about Iowa politics co-hosted by Dennis Hart and me.

I’m grateful to all readers, but especially to tipsters. Please reach out with story ideas that may be worth pursuing in 2024.

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Iowa’s vision of the future: Down the barrel of a gun

Gun violence doesn’t originate at the schoolhouse door, and it won’t be solved there. Our policy making and political rhetoric urgently need to reflect this reality.

Nick Covington is an Iowa parent who taught high school social studies for ten years. He is also the co-founder of the Human Restoration Project, an Iowa educational non-profit promoting systems-based thinking and grassroots organizing in education.

Around 7:45 on the morning of January 4, I was headed home after dropping my daughter off at her elementary school when I thought nothing of pulling over for an Iowa Highway Patrol car, lights and sirens blaring, headed west. Hours later, as reports came in, I saw state troopers were among the first on the scene at Perry High School, at the edge of a small Iowa town about 30 minutes due west of my own. A 17-year old student had inaugurated another year of gun violence in American schools, killing a 6th grader and injuring five other students and two staff before taking his own life.

Those dopplered sirens were an unsettling connection between my ordinary morning drop-off routine and the nightmare that had visited families of a nearby community; another sign of the persistent and unique exposure to gun violence that only the United States allows. 

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Iowa environmentalists, it's time to play hardball

Photo of Allen Bonini at Lincoln’s Tomb in Oak Ridge National Cemetery (Springfield, Illinois) provided by the author and published with permission.

Allen Bonini retired in January 2021 after nearly 45 years as an environmental professional, serving in various technical, managerial and leadership positions in water quality, recycling and solid waste across the states of Iowa, Minnesota, and Illinois. Most recently, he served fifteen and a half years as the supervisor of the Watershed Improvement Section at the Iowa Department of Natural Resources. In retirement he continues to advocate for responsible public policy and actions to improve and protect water quality in Iowa.

I devoted my entire 44 year professional career trying to protect and improve our environment across three Midwestern states. I tried to do that through the policies, programs and advocacy I’ve been involved with and/or led. Some who know me personally know I rarely back down from a fight or am afraid to call out injustices or wrong-headed decisions by organizational leadership—whether in state, regional or local governments or in corporate America (all of which I’ve served in one or more capacities throughout my career).

A select few of you know I believe “sometimes you have to play hardball.” That sums up my view of where we need to go in terms of the efforts to clean up our water and other natural resources here in Iowa. 

My fellow environmental colleagues, it’s time to recognize you don’t win an alley fight by bringing an olive branch, and you don’t take a knife to a gun fight.

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Or...we can trust Donald Trump

Bill Bumgarner is a retired former healthcare executive from northwest Iowa who worked in hospital management for 41 years, predominately in the State of Iowa.

Election year 2024 is upon us.

In recent months, some Bleeding Heartland commenters have voiced reluctance to support President Joe Biden in the November election. The reasons, as best I can surmise, are essentially he’s too old or not quite the new shiny object some younger governors and others appear to be.

Well, those outstanding governors are supporting Joe, because they know he offers the best chance for Democrats to retain the White House and continue to advocate for progressive public policy.

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Senate File 496: An educator's dilemma

Photo by Taylor Flowe on Unsplash

Steve Peterson has been an educator for more than 20 years and currently teaches fifth grade at Decorah Middle School. He is a master teacher and the president of the Decorah Education Association. 

On December 29, U.S. District Court Judge Stephen Locher blocked the state of Iowa from enforcing two parts of the wide-ranging education law Senate File 496: the ban on books depicting a sex act at all grade levels, and the prohibition on promotion or instruction relating to sexual orientation and gender identity in kindergarten through sixth grade.

The court’s preliminary injunction is good for the students I teach and for my colleagues in classrooms around the state. But the hold also comes at a great time for me, personally—because I was just about to report to the Iowa Department of Education that I may have broken the law.

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Teachers, need a resolution for 2024? Join the ISEA

Joe Biden speaks at the Iowa State Education Association (ISEA) legislative conference in 2020, as ISEA President Mike Beranek watches. Photo by Bernie Scolaro, published with permission.

Bernie Scolaro is a retired school counselor, a past president of the Sioux City Education Association, and former Sioux City school board member.

Resolutions for the New Year are easy to give up on. It often seemed the year had barely begun when I would forget whatever it was I said I would (or wouldn’t) do. So when I went to Planet Fitness yesterday, I looked around wondering how many of these people just joined because they made that resolution to feel better—to get fit, be in better shape, lose weight.

Why are resolutions so hard to keep? I think one of the obstacles to attaining a goal is that so much in life is out of our control.

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A losing candidate tells her side of the story

Photo of Joan Marttila provided by the author and published with permission.

Joan Martila is a retired Mississippi Bend Area Education Agency audiologist. She is a former president of the Iowa Speech Language Hearing Association as well as a former president of the Iowa Speech Language Hearing Foundation. 

Another election year is upon us. I can guess what you’re thinking, because I have heard others say it: Why do Iowa Democrats have so many losers running of office? 

I am one of those losers. Let me tell you my side of the story.

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What LGBTQ+ allyship looks like

Gordie Felger is a volunteer member of two LGBTQ+ organizations (CR Pride and Free Mom Hugs) and a One Iowa volunteer activist. He is a friend of many LGBTQ+ folks and an ally to the community. He also writes about the state of Iowa politics at “WFT Iowa?”

Do you have an LGBTQ+ person in your life? Are you an ally? How do you know? Who determines allyship? What does allyship look like?

These are all important questions. But there is no single correct answer. Allyship depends on your relationship with those you know and love. It takes many forms. The allyship of a parent looks different than that of a friend, co-worker, or classmate. Regardless, all types of allyship matter to those around you.

It’s important to understand you can’t declare yourself an ally. The people you interact with decide whether you deserve that label. It takes work to earn a reputation as an ally, but your efforts will be noticed and appreciated.

So, what does it take to be an ally? Here’s a useful—though not exhaustive—list of actions.

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Nine new year's wishes for a better Iowa


Ralph Rosenberg of Ames is a retired attorney, former state legislator, former director of the Iowa Civil Rights Commission, and former leader of statewide Iowa nonprofit organizations. He and Barbara Wheelock, also of Ames, signed this open letter on behalf of PRO Iowa 24, a group of concerned rural Iowans with progressive values from Greene, Guthrie, Boone, Story, and Dallas counties.

Now is a good time for the public to make their wishes known for 2024 state policies. Tell your legislators to act on behalf of all Iowans, create an economy that works for all Iowans, and use the government to protect the most vulnerable. Republicans can enact each and every one of these items on a bipartisan basis.

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Every thread was a prayer

Muscatine Daily Journal • Saturday, April 27, 1861.

This column by Daniel G. Clark about Alexander Clark (1826-1891) first appeared in the Muscatine Journal on May 24, 2023.

Muscatine volunteers fought in the first major Civil War battle west of the Mississippi, at Wilson’s Creek in southwest Missouri, August 10, 1861.

Outnumbered Union troops lost, and Gen. Nathaniel Lyon was killed, but the federal show of force is credited with keeping Missouri a neutral border state.

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