# Analysis



How to curb gun carnage: really

Writing under the handle “Bronxiniowa,” Ira Lacher, who actually hails from the Bronx, New York, is a longtime journalism, marketing, and public relations professional.

“The problem with doing nothing,” Groucho Marx famously said, “is that you never know when you’re finished.” Our esteemed leaders embody Mr. Marx’s wisdom, because they keep doing nothing about the assassinations of innocent individuals by gun, a continuous horror that has impelled numerous countries to warn against traveling to America.

As of 8:30 PM Central time on May 13, nearly 15,500 people in America had died from gun violence in 2023. At this rate, we could surpass the record 21,000, set in 2021, before we reach Independence Day.

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Good news, bad news in Iowa Supreme Court's latest ruling on trans rights

Disclosure: The ACLU of Iowa is representing Laura Belin and other plaintiffs in an open records lawsuit now pending in Polk County District Court. That case is unrelated to the litigation discussed here.

“We are celebrating today,” said the ACLU of Iowa’s legal director Rita Bettis Austen during a May 12 news conference to discuss the Iowa Supreme Court’s latest decision in a transgender rights case.

In Vasquez and Covington v. Iowa Department of Human Services, the court dismissed as moot the state’s appeal of a lower court ruling, which had found a 2019 law and related administrative rule to be unconstitutional. The result means the state cannot enforce a regulation barring Medicaid coverage for Iowans who need gender-affirming surgery.

Bettis Austen told reporters, “The importance of this truly cannot be overstated,” adding that “Transgender Iowans on Medicaid can continue to receive the coverage for life-saving gender-affirming care, that they desperately need.” Plaintiffs Aiden Vasquez and Mika Covington fought for nearly four years to obtain this outcome and can feel proud of making history for trans Iowans.

However, other aspects of the court’s unanimous decision, authored by Justice Thomas Waterman, raise questions about how Iowa’s high court may approach future challenges to state laws or policies designed to discriminate against transgender people.

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Iowans sue governor for cutting off pandemic unemployment benefits

Clark Kauffman is deputy editor at Iowa Capital Dispatch, where this article first appeared.

A potential class-action lawsuit claims Governor Kim Reynolds’ refusal to pay pandemic-related jobless assistance to 30,000 Iowans was unlawful and deprived those individuals of “life-sustaining benefits.”

Lawyers for Karla Smith of Pleasantville and Holly Bladel of Clinton have filed a lawsuit in U.S. District Court for the Southern District of Iowa claiming the two women and thousands of other Iowans were illegally denied unemployment benefits in 2021 due to the actions of Reynolds and Iowa Workforce Development Director Beth Townsend.

The lawsuit alleges Reynolds and Townsend violated Iowa’s Employment Security law, which requires the state to “cooperate with the United States Department of Labor to the fullest extent” and make available to Iowans “all advantages available under the provisions of the Social Security Act that relate to unemployment compensation.”

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The Supreme Court needs guardrails

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

“Power tends to corrupt, and absolute power corrupts absolutely.”—Lord Acton, 1887

We usually hear this statement when someone wants to make a point about someone else, someone in power. I’m doing just that. And those to whom I want to point in this case are the justices of the U.S. Supreme Court.

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Six ways the GOP budget shortchanged Iowans with disabilities

The biggest stories of the Iowa legislature’s 2023 session are well known. Before adjourning for the year on May 4, historically large Republican majorities in the Iowa House and Senate gave Governor Kim Reynolds almost everything on her wish list. They reshaped K-12 public schools; passed several bills targeting LGBTQ Iowans; enacted new hurdles for Iowans on public assistance; cut property taxes; reorganized state government to increase the power of the governor and “her” attorney general; and undermined the state auditor’s ability to conduct independent audits.

Many other newsworthy stories received little attention during what will be remembered as one of the Iowa legislature’s most influential sessions. This post is the first in a series highlighting lesser-known bills or policies that made it through both chambers in 2023, or failed to reach the governor’s desk.


As the Iowa House and Senate debated one appropriations bill after another last week, Democrats repeatedly objected to plans that imposed status quo budgets or small increases (well below the rate of inflation) on services for disadvantaged Iowans.

Iowans with disabilities or special needs were not a priority in the education and health and human services budgets that top Republican lawmakers negotiated behind closed doors.

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Iowa agency's revision of CAFO rules raises concerns

Diane Rosenberg is executive director of Jefferson County Farmers & Neighbors, where this commentary first appeared.

Jefferson County Farmers & Neighbors and several other environmental organizations recently met with Kelli Book, legal counsel for the Iowa Department of Natural Resources (DNR), to learn how the agency is revising Chapter 65 of Iowa’s administrative code, dealing with animal feeding operations.

We came away with many concerns about how the DNR is approaching the “Red Tape Review,” required by Governor Kim Reynolds’ Executive Order Number Ten.

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Coronation streets

Ira Lacher reports from London in advance of the coronation of King Charles III.

With just days before the coronation of King Charles III, perhaps the enthusiasm in London for the royal shindig has increased over what it seemed when my wife and I, along with our son and daughter-in-law, visited London early in April: a combination of normal, hassled, and indifferent.

The weather was normal: cool, breezy with occasional rain every day. Prices, escalating since the Brexit-resulting falloff of the pound ($1.20 USD), were normal, which was to say high. Crowds, especially in the shopping destinations of Leicester Square, Piccadilly Circus, Soho, and in the West End theater district, were normal, which was to say mobbed, since most European schools were on spring break.

And British gentility was normal, which, to American ears, is totally quaint, such as in the elevators (“This is a lift going down,” advised a female voice straight out of Downton Abbey; watch the closing doors”) in our hotel, steps away from Westminster Abbey, where on May 6 the king will be crowned, as did countless kings and queens over the last thousand years or so.

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Keeping Iowa in the dark on water quality is not acceptable

Randy Evans can be reached at DMRevans2810@gmail.com

If you watch the Iowa legislature in action, you will see some truisms time and again. 

Such as: Each political party is in favor of transparency and accountability—until they gain the majority. Then those politicians see many reasons why transparency and accountability are problematic.

Another: If you don’t know where you are going, any path will get you there.

And then there is today’s truism: Don’t ask a question if you are afraid of the answer.

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Exclusive: Iowa governor's office hides the ball on its own spending

Iowa House and Senate Republicans have agreed to increase the allocation for Governor Kim Reynolds’ office by more than 20 percent, even as many state agencies are receiving status quo budgets for fiscal year 2024, which begins on July 1.

Senate Appropriations Committee chair Tim Kraayenbrink acknowledged during floor debate on April 26 that Republicans do not know how the governor’s office plans to use an additional $500,000 standing appropriation for FY2024.

It was an extraordinary moment, but not a surprising one. For years, Reynolds’ staff have avoided disclosing how the governor’s office was covering expenses that greatly exceeded the funds allocated by the legislature, by nearly $900,000 in fiscal year 2020 and roughly the same amount in fiscal year 2021.

The Reynolds administration has also made it increasingly difficult to uncover details about the governor’s office spending through open records requests. Budget reports for fiscal year 2022, which ran from July 2021 through last June, were provided in a different format from previous years, concealing how much other state agencies provided to compensate Reynolds’ staffers. In response to a records request, the governor’s office claimed to have no invoices for such payments.

Nevertheless, documents obtained by Bleeding Heartland indicate that other state agencies contributed about $670,000 to cover salaries and benefits for Reynolds’ staffers during fiscal year 2022. The governor’s office was able to cover another $115,000 in expenses by continuing to understaff the Office of State-Federal Relations, for which other state agencies are charged a fixed fee.

In other words, even an additional $500,000 appropriation, bringing the governor’s office general fund budget to $2.8 million for the coming fiscal year, probably would not be enough to cover all expenses.

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Victory for Sierra Club in Supreme Beef lawsuit

Wally Taylor is the Legal Chair of the Sierra Club Iowa chapter.

A Polk County District Court ruled on April 28 that the Iowa Department of Natural Resources (DNR) improperly approved Supreme Beef’s nutrient management plan.

Supreme Beef LLC is an 11,600-head cattle feeding operation in Clayton County. It sits at the headwaters of Bloody Run Creek, one of the most treasured trout streams in Iowa and officially designated as an Outstanding Iowa Water.

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Iowans back debt ceiling plan, after winning concession on biofuels

All four Iowans in the U.S. House voted on April 26 for a plan to raise the debt ceiling by $1.5 trillion for the coming year, in exchange for “aggressive caps on federal spending” over the next decade.

The House approved the Limit, Save, Grow Act of 2023 by 217 votes to 215, meaning House Speaker Kevin McCarthy had no votes to spare.

The speaker secured passage of his bill by making concessions on biofuels subsidies on the eve of the vote. McCarthy had previously indicated he was not open to altering the bill, but a group of Republicans from the Midwest—including Iowa’s Representatives Mariannette Miller-Meeks (IA-01), Ashley Hinson (IA-02), Zach Nunn (IA-03), and Randy Feenstra (IA-04)—insisted on changes.

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Ag/natural resources budget holds surprises on public lands, water quality

Robin Opsahl covers the state legislature and politics for Iowa Capital Dispatch, where this article first appeared.

The Iowa Senate passed the agriculture and natural resources spending bill on April 25 with a provision Democrats said could limit the acquisition of public lands.

Senate File 558 passed the Senate 33-16, appropriating more than $43 million in funds for the state’s agriculture and natural resources departments. The funding figures were approved via amendment, as the Senate Appropriations Committee passed spending bills without numbers in early April.

Senate Democrats criticized Republicans for releasing the amendment filling the blanks on the bill the morning of its debate on the Senate floor, without allowing time for review or public comment. State Senator Sarah Trone Garriott said the bill’s provision on public lands is “very concerning.”

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Why Walgreens may decide whether you can access reproductive care

Scott Syroka is a former Johnston city council member.

Does anyone remember voting for Rosalind Brewer? That’s the Walgreens CEO with the power to decide what kind of health care millions of Americans, including countless Iowans, get to access. The latest battle over reproductive rights shows us how.

Last Friday, the U.S. Supreme Court announced it was hitting pause on an early April decision by Trump-appointed federal judge Matthew J. Kacsmaryk to suspend approval of mifepristone previously granted by the Food and Drug Administration more than two decades ago.

If you’re not familiar yet, mifepristone is a safe and commonly used pill in abortion care. It can also be used to treat medical conditions like uterine fibroids (noncancerous growths in the uterus) as well as Cushing syndrome, a condition caused by prolonged exposure to high cortisol levels.

In the wake of the Supreme Court’s decision, pundits argued this meant that access to mifepristone would continue to be available to all Americans. Steve Vladeck, CNN Supreme Court analyst and professor at the University of Texas School of Law, went as far as to say, “…nothing is going to change with respect to mifepristone access until and unless the court both takes the case on the merits and sides with the challengers.”

But that statement is not true. Access to mifepristone was already restricted for millions of Americans prior to Judge Kacsmaryk’s decision, so the Supreme Court’s stay on his ruling only prolongs a status quo of continued restrictions for too many. Corporate monopolies like Walgreens are the reason why.

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Who knew there were two sides to waste, fraud, and abuse?

Randy Evans can be reached at DMRevans2810@gmail.com

I thought the often-repeated desire to weed out waste, fraud and abuse from government spending was something Republicans, Democrats, and independents could all agree on in Iowa.

Boy, am I naive.

A bit of recent Iowa government history illustrates this contradiction between our elected officials’ statements and their actions.

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How two more GOP bills will change public education in Iowa

Reshaping K-12 education has been a major theme of the Iowa legislature’s 2023 session. In January, Republican majorities quickly approved Governor Kim Reynolds’ plan to divert hundreds of millions of public dollars to private schools. In March, the House and Senate passed a “bathroom bill” prohibiting transgender people from using school facilities that align with their gender identity.

Last week, House and Senate Republicans finished work on another two major education bills. Senate File 496 will impose many new restrictions on public schools, while Senate File 391 will lower standards for teachers and librarians and relax several high school curriculum requirements.

The Senate approved both bills on straight party-line votes. Four House Republicans (Michael Bergan, Chad Ingels, Megan Jones, and Hans Wilz) joined Democrats to vote against Senate File 496. Ingels and all Democrats present opposed Senate File 391.

Reynolds is certain to sign both bills and claim victory for her stated goals of empowering parents and giving school districts more flexibility. This post will explain how key provisions changed before final passage, and which parts of each bill didn’t make the cut.

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Could the Tennessee debacle happen in Iowa?

Republicans who control the Tennessee House of Representatives used their supermajority this month to expel two Black lawmakers for “disorderly behavior.” State Representatives Justin Jones and Justin Pearson had helped lead a protest against gun violence in the House chamber, disrupting legislative work for a little less than an hour.

The power play was quickly revealed as a miscalculation. Jones and Pearson gained national acclaim and many new supporters. They were back at work within a week, after local government bodies reappointed them to the state House.

Meanwhile, the overreaction generated a tremendous amount of negative media coverage. Many reports noted that Tennessee Republicans had ousted two young Black men, while a third Democrat who took part in the same protest (an older white woman) barely survived the expulsion vote.

The episode also brought greater scrutiny to Tennessee’s Republican lawmakers. This week, a vice chair of the House GOP caucus resigned from the legislature after a Nashville-based television station uncovered evidence that he had sexually harassed at least one intern. An ethics committee had investigated that matter in secret, and the House speaker had imposed no consequences for the grotesquely inappropriate behavior.

Watching all of this unfold, I wondered whether anything like this scenario had happened, or could happen, to an Iowa lawmaker.

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What's done, what's left as Iowa legislature's 2023 session winds down

The Iowa House and Senate finished work this week on several priority bills for Republicans, and leaders are closer to agreement on the next state budget.

The accelerating pace raises the prospect that the Iowa legislature may adjourn for the year close to the session’s scheduled end date of April 28. Stalemates over policies related to education and COVID-19 vaccines pushed the last two legislative sessions well into overtime; the 2021 session ended on May 19, and last year’s work wrapped up on May 24.

This piece highlights where things stand with high-profile bills approved in either the House or Senate this week, and other legislation that will likely be part of late deal-making. Forthcoming Bleeding Heartland posts will focus on many of those bills separately.

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New Iowa law will politicize criminal prosecutions

Dr. Thomas Laehn is the Greene County attorney and the only Libertarian to hold an elective partisan office in Iowa. The Des Moines Register published an earlier version of this commentary.

After virtually no meaningful debate and only a single, relatively inconsequential amendment, both chambers of our Republican-controlled legislature approved Governor Kim Reynolds’ massive state government reorganization plan (Senate File 514) within a two-week period. Reynolds signed the bill on April 4.

Unsurprisingly, the new law—which originated in the executive branch—will transfer significant power from the legislature to the governor. Sadly, in both Washington, DC and Des Moines, our legislators (regardless of their party affiliation) have regularly displayed far greater loyalty to their party than to the constitutional system of separated powers to which they swore their allegiance upon assuming office.

While I am thus entirely unsurprised by our Republican legislators’ abdication of their constitutional responsibilities, I am deeply disappointed at their willingness to subvert the local administration of justice in our state in the process. Ironically, the political party that has always claimed to defend local government against those who would otherwise centralize power is systematically stripping our local elected officials—including our county auditors, school boards, and county attorneys—of their discretion.

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Republicans shatter another Iowa Senate norm

Iowa Senate debate on a proposal to relax child labor regulations stalled late in the evening of April 17, after the Republican floor manager Adrian Dickey and Majority Leader Jack Whitver refused to answer a Democratic senator’s questions about an amendment published earlier in the day.

After hours of delay, the Senate resumed its work and approved the child labor bill (Senate File 542) shortly before 5:00 am on April 18, with Republicans Charlie McClintock and Jeff Taylor joining all Democrats in opposition.

The snag in last night’s proceedings is not limited to one controversial issue.

According to Senate Minority Leader Zach Wahls, Whitver told him Senate Republicans would no longer answer questions during floor debate, in light of a recent Iowa Supreme Court decision. That ruling (known as LS Power) has also made Iowa House Republicans more cautious about answering questions in public, a debate on a firearms bill revealed last week.

The majority party’s new approach could leave Iowa lawmakers less informed as they vote on complex legislation. Floor debate may be the only time Democrats can clarify their understanding of certain provisions, since managers’ amendments containing big changes sometime appear just hours before a vote on final passage. Over the next few weeks, Senate Republicans are expected to unveil their spending plans for fiscal year 2024 right before lengthy budget bills are bought to the chamber floor.

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Governor entered private Iowa Supreme Court area—without permission

Governor Kim Reynolds, her staff, and security detail used a non-public elevator and “walked down the secure hallway” where Iowa Supreme Court justices have private offices before attending the April 11 oral arguments in a major abortion-related case.

“Neither the justices, supreme court staff, or Judicial Branch Building security knew or gave permission for the governor or Iowa State Highway Patrol to access the supreme court’s non-public office space” at that time, according to Molly Kottmeyer, counsel to Chief Justice Susan Christensen.

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Ethics board fines, reprimands Eddie Andrews again

The Iowa Ethics and Campaign Disclosure Board voted unanimously on April 6 to fine Republican State Representative Eddie Andrews $250 and reprimand him for distributing campaign materials in 2022 that lacked the attribution statements required by law.

In a separate complaint, the board vacated a $500 fine previously assessed to Andrews, but kept an official reprimand in place, citing his campaign’s “failure to cooperate with the Board’s investigation.”

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Iowa Senate Republicans hit new low for transparency

Iowa Republican lawmakers aren’t sticklers for tradition. They have used their trifecta to destroy a collective bargaining process that stood for more than four decades, and to overhaul a nearly 60-year-old judicial selection system on a partisan basis.

Iowa Senate Republicans have shattered norms in other ways. In 2021, they stopped participating in budget subcommittee meetings that had been a routine part of legislative work since at least the 1970s. Last year, they kicked all journalists off the chamber’s press bench, which had been designated for the news media for more than a century.

Senate Appropriations Committee members hit a new low for transparency last week. Led by chair Tim Kraayenbrink, Republicans advanced seven spending bills with blank spaces where dollar amounts and staffing numbers would normally be listed.

The unprecedented maneuver ensured that advocates, journalists, and Democratic senators will have no time to thoroughly scrutinize GOP spending plans before eventual votes on the Senate floor. Nor will members of the public have a chance to weigh in on how state funds will be spent during fiscal year 2024, which begins on July 1.

Bleeding Heartland was unable to find any former Iowa legislator, lobbyist, or staffer who could remember anything resembling this year’s Senate budget process.

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Iowa AG halted Plan B, abortion payments for sexual assault victims

The Iowa Attorney General’s office is not currently covering the cost of emergency contraception or abortions for Iowans who are victims of rape or sexual assault, Natalie Krebs reported for Iowa Public Radio on April 7.

Iowa law requires the state’s victim compensation fund to pay for a sexual assault victim’s medical examination “for the purpose of gathering evidence,” as well as any treatment “for the purpose of preventing venereal disease.” Under longtime Attorney General Tom Miller, that fund also covered the cost of abortion services or Plan B, medication that prevents ovulation and therefore pregnancy if administered soon enough following unprotected sex.

In a statement provided to Iowa Public Radio, spokesperson Alyssa Brouillet said Attorney General Brenna Bird “is carefully evaluating whether this is an appropriate use of public funds” as part of a broader review of victim assistance programs. Payment of “pending claims will be delayed” until Bird completes her review.

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Caitlin and Angel: Battle of the brands

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.

The overheated commentary in the aftermath of the NCAA women’s basketball Final Four has focused on race: the mostly-white Iowa women led by Caitlin Clark against the Black women from South Carolina and Louisiana State University.

Many saw racial overtones in the critiques of LSU player Angel Reese’s gestures toward Clark near the end of the championship game. Reese noted at the post-game press conference that all season, people have tried to “put her in a box” and said she’s “too hood” and “ghetto.” (Clark said in a later interview she didn’t “think Angel should be criticized at all,” adding that trash talk is part of the game.)

Race is always present in sports culture. But with today’s college athletes, a new factor has arisen that may be even bigger.

It’s money. The Iowa-LSU game coincided with a new era, where college athletes at long last are getting a share of what has been a rich marketing pie. Clark and Reese competed for their schools and states, to be sure, but it was also a battle of brands.

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What's in, what's out of Iowa governor's big education policy bill

Both chambers of the Iowa legislature have approved versions of Governor Kim Reynolds’ so-called “parental empowerment” bill, which would rewrite many state policies related to public schools. The state Senate changed some parts of the bill before approving Senate File 496 along party lines on March 22.

The House adopted a more extensive rewrite before passing the bill on April 4, by 55 votes to 42. Six Republicans (Michael Bergan, Austin Harris, Chad Ingels, Megan Jones, Brian Lohse, and Hans Wilz) joined all 36 House Democrats to vote no.

This post walks through the provisions in the governor’s initial proposal (Senate Study Bill 1145), noting how each section changed during Iowa Senate debate, and again when House Republicans approved a 38-page amendment before sending the legislation back to the upper chamber.

Reynolds is likely to get most of what she asked for, but the bill that eventually lands on her desk may contain quite a few additional changes to Iowa Code.

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Democrats to target Miller-Meeks, Nunn in 2024

Two of Iowa’s four U.S. House districts are among the 31 top targets for the Democratic Congressional Campaign Committee next cycle.

On April 3, Sahil Kapur of NBC News was first to publish the Democratic target list. It includes Iowa’s first and third districts, now represented by Mariannette Miller-Meeks and Zach Nunn.

Democratic Congressional Campaign Committee executive director Julie Merz told NBC that Democrats will present their candidates “as ‘team normal’ against a chaotic band of “MAGA extremists” they say have taken over the House Republican conference.”

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Iowa Republicans bolster case against own anti-trans law

As Iowa Republican lawmakers advanced Governor Kim Reynolds’ wide-ranging education bill this month, they expanded on language spelling out parents’ right to make decisions affecting their own child.

The latest version of the bill inadvertently admits that Iowa’s new law banning gender-affirming care for minors violates a “fundamental, constitutionally protected right.”

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A quiet Iowa House victory for public lands

The Iowa House State Government Committee did not take up a controversial public lands bill during its last meeting before the legislature’s second “funnel” deadline. Failure to act means the bill almost certainly will not move forward this year.

Senate File 516 would have required the Iowa Department of Natural Resources (DNR) to “prepare a statewide, long-range plan that shall prioritize the maintenance and protection of significant open space property throughout the state.” The state Department of Transportation would have been directed to “prepare a long-range plan for the development, promotion, management, and acquisition of recreational trails throughout the state.”

The Iowa Farm Bureau Federation advocated for the bill, on the grounds that “the state of Iowa should concentrate on management of currently owned land and reduce the efforts to acquire more public land.” Conservationists pointed out that Iowa has less public land than the vast majority of states.

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What's missing from Iowa's carbon pipeline debate

Scott Syroka is a former Johnston city council member.

There’s something missing in the debate over Iowa’s proposed carbon capture pipelines. Too often the discussion breaks down along familiar frames of the pipeline companies against landowners, or labor unions against environmentalists. When we stop the analysis here, we lose sight of what the fight is really about: the role of monopoly power in Iowans’ lives.

To date, no politician of either party is making this connection. Some have gotten close in their critiques of the pipeline companies, but none have highlighted the role of corporate monopolies in enabling these proposed schemes to exist in the first place. It’s strange because, as prominent politicians like U.S. Senator Amy Klobuchar note, history is sitting right there in front of them.

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Is Brad Zaun repeating Jake Chapman's mistake?

Six of Iowa’s 34 Republican state senators introduced a resolution this week urging the federal government “to investigate and arrest” officials running the Washington, DC jail where some involved in the January 6 attack on the Capitol are being held pending trial. Senate Resolution 8 characterizes conditions at the jail as a violation of the U.S. Constitution’s prohibition on “cruel and unusual punishment” and akin to “the most notorious concentration camps of World War II, the gulags of the former Soviet Union, the prison camps of Communist China, and the torture camps of North Korea.”

Five of the six senators who co-sponsored this resolution represent solidly Republican districts, where Donald Trump received more than 60 percent of the vote in the 2020 presidential election.

Then there’s Brad Zaun.

It’s the latest sign Zaun is not moderating his behavior to reflect the mostly-suburban Senate district 22, where he is expected to seek re-election next year. That’s a risky approach for the five-term Republican from Urbandale, given that voters in Senate district 14 sent the arch-conservative Senate President Jake Chapman packing in 2022.

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Mental health care by video fills gaps in rural nursing homes

Tony Leys is Rural Editor/Correspondent for Kaiser Health News, where this story was first published. Follow him on Twitter @TonyLeys.

KNOXVILLE, Iowa ― Bette Helm was glad to have someone to talk with about her insomnia.

Helm lives in a nursing home in this central Iowa town of about 7,500 people, where mental health services are sparse. On a recent morning, she had an appointment with a psychiatric nurse practitioner about 800 miles away in Austin, Texas. They spoke via video, with Helm using an iPad she held on her lap while sitting in her bed.

Video visits are an increasingly common way for residents of small-town nursing homes to receive mental health care. Patients don’t have to travel to a clinic. They don’t even have to get cleaned up and leave their bedrooms, which can be daunting for people with depression or anxiety. Online care providers face fewer appointment cancellations, and they often can work from home. While use of some other telehealth services may dwindle as the COVID-19 pandemic winds down, providers predict demand for remote mental health services will continue to increase in rural nursing homes.

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Can Iowa's "bathroom bill" withstand court challenge?

UPDATE: The governor signed this bill on March 22. Original post follows.

Republicans took another step last week toward making the Iowa legislature’s 2023 session the worst ever for LGBTQ people. After letting similar bills die without committee approval as recently as 2021, the GOP fast-tracked legislation this year that prohibits transgender people from using the school restroom or locker room that corresponds to their gender identity.

The Iowa Senate passed the latest “bathroom bill,” Senate File 482, on March 7 in a party-line vote. The Iowa House approved the bill on March 16 by 57 votes to 39, with five Republicans (Chad Ingels, Megan Jones, Brian Lohse, Phil Thompson, and Hans Wilz) joining every Democrat present in opposition.

Governor Kim Reynolds is expected to sign the bill, along with legislation banning gender-affirming health care for minors. At this writing, neither bill has been forwarded to her office.

Iowa’s GOP trifecta won’t have the final word on the subject, however. Transgender plaintiffs have challenged restrictive bathroom policies in several states, and I expect one or more Iowa students to file suit soon after Senate File 482 goes into effect.

During the floor debates in the Iowa House and Senate, lawmakers pointed to key issues courts will consider as they weigh the bill’s stated goal (protecting students’ privacy) against its adverse impact on a specific group (students whose sex listed on a birth certificate does not match their gender identity).

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Ernst seeks to block abortion access for military service members

U.S. Senator Joni Ernst is the lead sponsor of a bill that would block a new Pentagon policy designed to expand service members’ access to abortion care.

The Defense Department has long covered abortions if the pregnancy resulted from rape or incest, or if continuing the pregnancy would endanger the mother’s life. The policy announced last month affects “non-covered” reproductive care, including abortion and various fertility treatments. Haley Britzky and Oren Liebermann reported for CNN on February 16,

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CO2 pipelines: The same-old, same-old

Don Ray grew up in Fort Madison and has lived in Ringgold County since 1993. 

“Can you imagine rural Iowa or our state in general with reduced ethanol plants and 60% of the demand for corn gone? It would be truly devastating to our schools, hospitals and roads, just from a tax perspective.”

So spoke pipeline lobbyist Jake Ketzner (Summit Carbon Solutions) at a legislative hearing last month. He was arguing that the carbon dioxide pipelines are needed to keep the ethanol industry afloat which would support corn profitability and, in the process, save rural Iowa. 

The ever-increasing production of corn seems to have been Iowa’s foremost agricultural goal for many decades. And how has that worked out?  

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Iowa ban on gender-affirming care would face uphill battle in court

UPDATE: The governor signed this bill on March 22. Original post follows.

Moving with unusual speed last week, Iowa Republican lawmakers approved Senate File 538, which broadly prohibits gender-affirming care, including puberty blockers, hormone treatments, and surgery, for Iowans under age 18.

Governor Kim Reynolds is expected to sign the bill soon, having used several opportunities over the past year to position herself against transgender youth.

The new law would certainly be challenged in court, as similar bans prompted lawsuits in Arkansas and Alabama.

During hours-long debates in the Iowa Senate and House, lawmakers raised points that would be central to litigation over whether banning gender-affirming care violates the constitutional rights of transgender children, their parents, and medical professionals.

For this post, I’ve pulled video clips to illustrate some of the core legal questions surrounding the bill. But there is much more of value in the passionate speeches delivered about Republicans’ latest attempt to target LGTBQ Iowans. You can watch the full Senate debate here (starting around 7:32:30) and the House debate here (starting around 1:40:45).

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Read the messages Ron DeSantis is testing with Iowa Republicans

Although Florida Governor Ron DeSantis has not formally declared his intent to run for president, he is already testing messages with Republican activists in Iowa.

A survey distributed to Iowans via text shows the governor’s team searching for points that could persuade GOP caucus-goers, not only highlighting what DeSantis has done in office—the focus of his remarks in Davenport and Des Moines on March 10— but also his military service and relative youth compared to former President Donald Trump.

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Iowa House backs improvement to open records process

UPDATE: On March 30, Iowa Senate leaders placed House File 350 on the “unfinished business” calendar, keeping it alive for the 2023 legislative session. However, House File 333 is dead for this year. Original post follows.

The Iowa House has unanimously approved a bill designed to improve the process for those seeking public records from government bodies.

House File 350 would add new language to the open records law, known as Chapter 22, requiring government bodies to “promptly acknowledge” requests for public records and provide contact information for the person designated to handle the request.

The records custodian would also have to provide an “approximate date” for producing the records and an estimate for the cost involved in compiling and reviewing them. Finally, the custodian would need to inform the person seeking records “of any expected delay” in providing them.

The Iowa Public Information Board, which is charged with enforcing the state’s sunshine laws, proposed the bill using language that closely follows one of the board’s advisory opinions.

The goal is to address a recurring problem: some government bodies ignore records requests for weeks or months, leaving members of the public with no idea when or whether they will receive the material. For instance, Clark Kauffman of Iowa Capital Dispatch and Bleeding Heartland guest author Rachel Bruns both experienced lengthy delays when seeking information from the Iowa Department of Public Health.

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Iowa governor sides with anti-vaxxers, not cancer experts

LATE UPDATE: Republican lawmakers kept this provision in the final version of Senate File 496, which Governor Reynolds signed in May. Original post follows.

Iowa’s leading cancer researchers released sobering numbers last week. Data from the Iowa Cancer Registry indicates that Iowa has “the second-highest overall cancer incidence of all U.S. states” and is “the only state with a significant increase in cancer incidence from 2015 to 2019.”

In addition, Iowa ranks first for “rates of new cases of oral cavity and pharyngeal cancer,” often known as head and neck or mouth and throat cancers. Iowa also has the country’s second-highest rate for leukemia and ranks fifth and sixth for melanoma and non-Hodgkin lymphoma, respectively.

Meanwhile, Governor Kim Reynolds is forging ahead with efforts to stop requiring Iowa schools to teach junior high and high school students that a vaccine is available to prevent human papillomavirus (HPV). That virus can cause cancer in several areas of the body, including the mouth and throat.

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