# COVID-19



Most Iowans in Congress supported latest COVID-19 package

The U.S. House and Senate on December 21 approved a $2.3 trillion package to fund the federal government through September 30, 2021 and provide approximately $900 billion in economic stimulus or relief connected to the coronavirus pandemic.

No one in either chamber had time to read the legislation, which was nearly 5,600 pages long, before voting on it. Statements released by Iowans in Congress, which I’ve enclosed below, highlight many of its key provisions. The unemployment and direct payments to families are clearly insufficient to meet the needs of millions of struggling Americans. Senate Republicans blocked aid to state and local governments, many of which are facing budget shortfalls. President-elect Joe Biden has vowed to push for a much larger economic stimulus package early next year.

The legislation headed to President Donald Trump’s desk includes some long overdue changes, such as new limits on “surprise billing” by health care providers for emergency care and some out-of-network care.

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What we've learned from Iowa's newly accurate COVID-19 death count

Since the Iowa Department of Public Health (IDPH) changed how it counts and reports COVID-19 deaths on December 7, fatality numbers on the official website coronavirus.iowa.gov have become more accurate in several respects. The state’s dashboard no longer routinely lowballs how many Iowans have died in the pandemic. Instead, the IDPH numbers track closely with weekly figures published by the U.S. Centers for Disease Control.

We now know that COVID-19 deaths accelerated in Iowa this fall even more rapidly than was previously apparent. Through the end of November alone, at least 3,308 Iowans had died in the pandemic. That number was more than 600 higher than the state website indicated before the IDPH began implementing the new counting method.

Two drawbacks have accompanied this important policy change. First, there is a greater lag time between when an Iowan dies and when that fatality tends to appear on the dashboard. In addition, updates to the state website have become more erratic, with IDPH staff adding few or no deaths on some days, and more than 100 deaths on others.

Now more than ever, media organizations that report COVID-19 statistics daily must put those numbers in context. Anyone following news on the pandemic needs to understand that changing totals from one day to the next on the IDPH website do not reflect how many Iowans died of COVID-19 during the previous 24 hours.

That said, the more accurate counting method is bringing the horrifying scale of the pandemic into focus.

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Václav Havel’s “Letters to Olga” as a COVID-19 companion

For today’s anniversary of Václav Havel’s death, Kieran Williams makes the case for why Havel’s prison letters are timely reading in our pandemic. -promoted by Laura Belin

the course of this year I have read a lot about COVID-19, its effects on the human body, and what we might do to treat or halt it. I don’t yet feel ready to read about its other effects, on the psyches of billions of people who have had to adjust their daily lives. The fact is that until it is over, I won’t even understand how it has affected me, let alone everyone else.

That’s why I’ve wanted to turn instead to a record of another person’s experience of existential shock, one that happened far enough in the past that we can treat it as a completed event: Václav Havel’s letters as a political prisoner 40 years ago in communist Czechoslovakia, published as Letters to Olga.

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Vaccine council's secrecy rests on questionable reading of Iowa law

Iowa’s new Infectious Disease Advisory Council will continue to meet behind closed doors, Iowa Department of Public Health (IDPH) interim Director Kelly Garcia confirmed on December 16. Garcia established the council earlier this month, naming 25 “external and internal subject matter experts” to help the agency develop guidelines for allocating limited supplies of COVID-19 vaccines and therapeutics.

Iowans are unable to observe council members as they consider how to balance the needs of disparate groups at high risk from the novel coronavirus. Ryan Foley reported for the Associated Press on December 16 that the council “has met twice this month without giving prior notice to the public, publishing an agenda or allowing the public to participate as required by the Iowa Open Meetings Act.”

The IDPH maintains that Iowa Code Chapter 21 does not apply to an advisory council created by a state agency. But not every expert on the law concurs.

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Iowa governor offers state employees two-year pay freeze

At televised news conferences, Governor Kim Reynolds often expresses appreciation for Iowans “doing the right thing” and helping our state get through the COVID-19 pandemic.

Her gratitude apparently doesn’t extend to some 19,000 state employees, many of whom worked longer hours than ever this year, under extraordinary stress. The governor’s offer to nurses, university staff, corrections officers, and others represented by AFSCME Council 61: no raise for the two years beginning on July 1, 2021.

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Exclusive: Iowa governor overspent office budget before tapping CARES Act

Governor Kim Reynolds’ office would have had a large shortfall for the fiscal year that ended June 30 without a transfer of federal funds from the Coronavirus Aid, Relief and Economic Security (CARES) Act, state financial reports show.

Documents Bleeding Heartland obtained through public records requests indicate that in mid-September, the state’s accounting system showed $448,448.86 was needed to balance the fiscal year 2020 appropriation for the governor’s office. Reynolds’ chief of staff Sara Craig Gongol invoiced the Iowa Department of Homeland Security for exactly that amount in CARES Act funds shortly before the books closed on fiscal year 2020.

That invoice and an accompanying document on “COVID-19 Personnel Costs” were revised to incorporate language from U.S. Treasury guidance on allowable Coronavirus Relief Fund expenditures.

For many years, during several administrations, Iowa governors have maintained a larger office than the general fund appropriation would otherwise allow by having separate state agencies support some employees’ salaries. But it has not been typical to use hundreds of thousands of federal dollars to balance the books. Without the CARES Act funding, Reynolds’ office would have been deeply in the red during the last fiscal year, even after four state agencies chipped in a total of $357,652 to cover part of four staffers’ compensation.

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Exclusive: Iowa's official COVID-19 website undercounts deaths

UPDATE: State officials changed their methodology for counting COVID-19 deaths in early December 2020. Original post follows.

The state’s official website on the coronavirus pandemic regularly understates the number of Iowans who have died of COVID-19, Bleeding Heartland’s analysis of U.S. Centers for Disease Control data indicates.

The Iowa Department of Public Health submitted information to the CDC indicating that 2,099 Iowans had died from COVID-19 through the week ending November 7. The latest figures published on coronavirus.iowa.gov show 2,206 total deaths, but account for only 1,920 deaths through November 7.

Sara Anne Willette, who maintains the Iowa COVID-19 Tracker website, has noticed the same discrepancy. It may explain why IDPH communications staff never answered Bleeding Heartland’s many inquiries about how the state counts coronavirus fatalities.

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Exclusive: Iowa medical director's 45% raise violated state policy

Iowa Medical Director Dr. Caitlin Pedati received a 45 percent raise this summer despite a state policy limiting within-grade pay increases, records obtained by Bleeding Heartland show.

Department of Administrative Services (DAS) Interim Director Paul Trombino III advocated for Pedati to receive the unusually large raise three weeks after informing state agency directors that they could give employees within-grade salary hikes of up to 3 percent.

State rules also require that “any within grade pay increase must be accompanied by a current performance evaluation,” Trombino reminded directors in the same memo. However, staff with the Iowa Department of Public Health (IDPH) and DAS did not answer questions about whether anyone has formally reviewed Pedati’s work this year.

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An open letter to Speaker Grassley and Majority Leader Whitver

From a concerned member of the Iowa legislature’s staff. -promoted by Laura Belin

To Iowa House Speaker Pat Grassley and Iowa Senate Majority Leader Jack Whitver:

On November 16, Governor Kim Reynolds signed a new public health disaster emergency proclamation that recognizes the increasing severity of the COVID-19 pandemic in our state. In it, the governor ordered that all “social, community, business, or leisure gatherings or events of more than 15 people” be prohibited in all indoor locations, barring some exceptions.

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Republican campaign events put Chuck Grassley, others at risk

U.S. Senator Chuck Grassley tested positive for COVID-19 on November 17, he announced on Twitter.

U.S. Representative-elect Ashley Hinson tested positive last week.

Grassley’s spokesperson declined to say where the senator was exposed the virus. Hinson told reporters she had “no idea” how she got COVID-19 and didn’t care to speculate.

Bleeding Heartland wishes Grassley, Hinson, and every person affected by coronavirus a speedy recovery.

As Iowa hospitals near the breaking point, now would be a good time for Republican politicians to apologize for holding numerous in-person campaign events in October, when our state’s case numbers and hospitalizations were exploding, and virus-related deaths were accelerating.

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Iowa GOP lawmaker seeks review of governor's emergency powers

Republican State Representative Steven Holt plans to review possible changes to the governor’s emergency powers, “including requiring legislative approval for declared emergencies lasting over a certain period of time,” he posted on Facebook November 17. Holt has been a vocal critic of business closures to reduce spread of COVID-19 and is unhappy with several aspects of Governor Kim Reynolds’ latest emergency proclamation.

First elected to the legislature in 2014, Holt has chaired the House Judiciary Committee since 2019. Republican leaders have not yet announced committee assignments for the 2021 session, when their majority will grow to 59-41.

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Refuting Superman

Ira Lacher spoke with two young women who were severely affected by COVID-19 despite their low-risk profiles. -promoted by Laura Belin

When President Donald Trump walked out of Walter Reed National Military Medical Center after being treated last month for COVID-19, he trashed every poll that predicted a Democratic presidential election rout.

Joe Biden won the electoral college and the popular vote, but Trump still collected 8 million more votes overall than he did in 2016, and won some states by larger margins than his first run at the presidency.

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Voices from the classroom

Bruce Lear spoke to nine educators about the challenges of teaching during the COVID-19 pandemic. -promoted by Laura Belin

Some have compared teaching in 2020 to flying a plane while it’s being built. But that’s only true if the plane lacks basic safety equipment like seat belts and parachutes, or basic amenities like beverages and working restrooms because the airplane construction budget is woefully inadequate.

Public schools are struggling, and it is time to listen to teachers.

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Bumper cars as Tuesday approaches

Ira Lacher shares what’s on his mind two days before a momentous election. -promoted by Laura Belin

When deadline nears for sports columnists and they don’t have a clue what to write coherently about, many resort to “three-dot” columns, emptying their notebooks and typing whatever comes to mind, separated by three dots: “Iowa needed to play better Saturday. … How ’bout them Clones?”

As I write this, the election is just two days away and I don’t have a clue of long-form coherency. Instead, like bumper cars, a jumble of thoughts continues to career around my head; some colliding, some narrowly evading one another, but always in motion. Such as:

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As Iowa's COVID-19 trends worsen, Kim Reynolds is out campaigning

Governor Kim Reynolds isn’t on the ballot this November, but you wouldn’t know it from her schedule lately. She’s been putting in full-time hours at campaign events for other Republican candidates.

Since Reynolds’ last televised news conference on October 7, and even since Bleeding Heartland last reviewed this topic a week ago, key statistics reflecting the novel coronavirus pandemic have worsened. Iowa is reporting more deaths and setting new records for hospitalizations, as new daily cases and the fourteen-day test positivity rate also increase.

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Joe Biden, Theresa Greenfield best to confront challenges facing Iowa

Mitch Henry: The first step toward getting the state and the nation back on track is electing leaders with the vision and experience to deal with the challenges we face. -promoted by Laura Belin

Iowa faces many challenges in the months and years ahead.

On the economic front, our unemployment rate is 6 percent, nearly twice what it was before the COVID-19 pandemic began. The Iowa Leading Indicators Index, a mix of economic metrics showing where our economy is headed, “strongly suggests” that the state economy will weaken through 2021.

In health care, we are moving in the wrong direction both short-term and long-term. In the short-term, our state has been unable to get a handle on the COVID crisis. Eight months into the pandemic, we continue to set records for hospitalizations and cases. Long-term, we are going to have to help the 24,000 Iowans who have lost insurance since 2016.

Then there is the climate crisis. Whether or not you believe this summer’s derecho was a direct result of climate change, all of us can agree that warming temperatures and more severe weather will have a negative impact on our state.

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Exclusive: Payment scheme concealed CARES Act funds for governor's staff

Federal funds used to cover salaries and benefits for Governor Kim Reynolds’ staffers were routed through the Iowa Department of Homeland Security and Emergency Management, rather than going directly to the governor’s office.

Because of the unique arrangement, state agencies’ databases and published reports on expenditures from the Coronavirus Aid, Relief and Economic Security (CARES) Act do not reveal that any funding supported the governor’s office. Instead, some show allocations from Iowa’s Coronavirus Relief Fund to Homeland Security, from which $448,449 was spent on “COVID Staffing” or “State Government COVID Staffing.”

That’s the exact dollar amount Reynolds approved to pay permanent employees on her staff for part of their work during the last three and a half months of the 2020 fiscal year. Other agencies that had staff working on the pandemic response from the State Emergency Operations Center, such as the Iowa Department of Public Health, did not receive CARES Act funding through the same indirect route.

The governor’s communications director Pat Garrett and chief of staff Sara Craig Gongol did not respond to six inquiries over a three-week period about how these payments were made and recorded.

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An open letter to the Des Moines School Board

Dave O’Connor teaches at Merrill Middle School in Des Moines. -promoted by Laura Belin

On October 14, the president of the United States held a superspreader event at the Des Moines Airport for 6,000 mostly un-masked, non-socially distanced supporters. Governor Kim Reynolds was right at his side. He did it on the same day that our neighbors in Wisconsin, who are now at the epicenter of the pandemic, opened a field hospital with 500 beds to try to relieve pressure on their overtaxed hospital system, and only eight days after hospitalizations for COVID-19 reached an all-time high in Iowa–a record that has been surpassed multiple times since.

And just for good measure, the rally directly violated the governor’s own emergency proclamations, which require organizers of mass gatherings to “ensure at least six feet of physical distance between each group or individual attending alone.”

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The COVID fatigue factor

Ira Lacher explores the phenomenon of COVID fatigue, which is “no surprise to psychologists” despite the devastating impact of the pandemic. -promoted by Laura Belin

With more than 224,000 Americans dead from COVID-19 and perhaps another 25,000 more to join them in November, you would think just about everyone would consider the coronavirus pandemic to be the top issue in the election.

And, that reasonable conclusion would join others from the Bizarro World.

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Kim Reynolds' commitment to "normalcy" is getting a lot of Iowans killed

Governor Kim Reynolds found a way to make a bad situation worse.

In the past month, Iowa’s coronavirus deaths have accelerated, while hospitalizations have nearly doubled, far surpassing the previous peak in early May.

Despite numerous warnings from experts that Iowa is on a dangerous path, Reynolds refuses to take any additional steps to slow community transmission of the virus. Instead, she is sticking with the “trust Iowans to do the right thing” playbook, confident that hospitals will be able to handle the influx of COVID-19 patients.

The numbers speak for themselves.

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Federal officials: Iowa can't use CARES Act funds for software system

The state of Iowa’s contract with Workday to upgrade computer systems “is not an allowable expenditure” under the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), the U.S. Treasury’s Office of Inspector General informed Iowa Department of Management Director David Roederer on October 16.

The State Auditor’s office released a copy of the letter on October 21. State Auditor Rob Sand announced two days earlier that he had also informed Governor Kim Reynolds and Roederer that spending $21 million on Workday-related costs was “not an appropriate use” of the Coronavirus Relief Fund.

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What would Jesus do about Iowa's broken mental health system?

Leslie Carpenter: Eliminating inpatient psychiatric beds has dire consequences for people with serious brain disorders. -promoted by Laura Belin

Mercy Iowa City recently announced that it will be closing its inpatient psychiatric unit, due to “the financial impact of COVID-19.” Hospital officials confirmed that the unit (recently staffed for ten inpatient beds) will close by the end of the calendar year, “in favor of expanding our outpatient service where there is greater community need.” 

However, outpatient care is no substitute for patients who need inpatient care. In fact, there’s no state in our country that needs to expand inpatient care more than Iowa.

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An unfortunate October surprise

Bruce Lear: History won’t be kind to Donald Trump’s COVID cruise and his unmasked grim reality show during a pandemic. -promoted by Laura Belin

President Donald Trump was whisked away by helicopter from the White House lawn to Walter Reed Hospital to undergo treatment for COVID-19. It happened on live TV, and the American public met the news with an outpouring of concern and best wishes.

Trump responded with reckless contempt. For a long weekend in October, America seemed less like a superpower and more like an emerging dictatorship led by a man who cares more about public relations than protection.

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How Polk County's COVID-19 map skews perception of virus spread

DougJ, a data nerd who works with statistics and graphics all day long, offers a lesson in “Data Presentation 101.” -promoted by Laura Belin

Let’s play “Fun with Gradient Scaling” on maps. I’m not a cartographer, but I do work with data and how it’s presented.

Here are three maps with different gradient levels. All of the graphs represent the same data, the 14-day average of positive COVID-19 tests in Polk County (containing most of the Des Moines metro area).

Many have questioned the accuracy of official positivity rates for Iowa counties, but I want to focus on how playing with the gradient can skew the perception of the data.

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Three days, three words

Ira Lacher‘s take on the bombshell news that President Donald Trump tested positive for COVID-19. -promoted by Laura Belin

Our moral makeup is really being tested this week. First, it was the prospect of forgiving during this season of atonement. Now, it’s whether we should feel sorry for someone who crashed to earth after jumping out of a plane while refusing to wear a parachute.

Mixed feelings are flowing like Clorox following the White House announcement that President Donald Trump has tested positive for COVID-19. The past 72 hours can be summed up in three words: “apparently,” “schadenfreude,” and “hubris.”

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Iowa Democrats split on latest COVID-19 relief bill

The U.S. House on October 1 approved a new version of a coronavirus relief package. The 214 to 207 vote split mostly along party lines, but Representative Cindy Axne (IA-03) was among eighteen Democrats to oppose the bill, along with all Republicans (roll call).

When the previous version of the so-called Heroes Act came before the House in May, Representative Abby Finkenauer (IA-01) joined Axne in voting no, while Representative Dave Loebsack (IA-02) supported the bill, as did most House Democrats. Today Finkenauer and Loebsack both voted with the majority of their caucus.

Statements from all three Iowa Democrats in Congress are after the jump. Republican Representative Steve King (IA-04) voted against the bill but didn’t post about it on his social media. His office has not put out a news release since a few days before King lost the June primary to State Senator Randy Feenstra.

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The madness of Queen Kim

Randy Richardson: Now that schools are open, you can see the folly of the governor’s lack of leadership. All of the consistency that promotes student learning is gone. -promoted by Laura Belin

Many years ago I was sitting in Professor Pat Kolasa’s Human Growth and Development class at the University of Nebraska at Omaha. I still remember Pat telling all of us future teachers that one of the keys to student learning was consistency. She went on to explain that students needed to have a clear understanding of classroom procedures and their importance. That message stuck with me as I became a teacher and parent.

Unfortunately, Governor Kim Reynolds never had Pat Kolasa as a teacher.

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Largest farms received most trade bailout, COVID-19 payments

This article first appeared on the Environmental Working Group’s website. -promoted by Laura Belin

The largest and wealthiest U.S. farm businesses received the biggest share of almost $33 billion in payments from two subsidy programs – one created by the Trump administration to respond to the president’s trade war and the other by Congress in response to the coronavirus pandemic, according to updates to EWG’s Farm Subsidy Database.

The Market Facilitation Program, or MFP, was intended to offset the perceived damage done by the administration’s trade war, which reduced many farmers’ access to lucrative Chinese markets. Payments for the 2018 and 2019 crop years were just over $23 billion – more than $8.5 billion for 2018 and $14.5 billion for 2019.

EWG’s analysis of Department of Agriculture records, obtained under the Freedom of Information Act, shows:

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When pretending isn't fun

Bruce Lear explores the layers of pretense that have hampered our national, statewide, and local efforts to combat COVID-19. -promoted by Laura Belin

We love to pretend. We dress up at Halloween. We pretend there’s a Santa Claus, an Easter Bunny, and when one of our kids loses a tooth, we pretend to be the tooth fairy. It’s all in good fun, and it’s all for the pure joy of doing it.

But pretending isn’t always fun.

When American politicians at all levels exchanged pretending and pandering in a pandemic for leading, it’s deadly. Although hind sight is always 20/20, here are some examples of where our leaders surrendered to pretending.

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Five unanswered questions about Iowa governor's staff salary payments

Governor Kim Reynolds has defended her decision to use nearly $450,000 in federal funds from the Coronavirus Aid, Relief and Economic Security (CARES) Act to pay salaries and benefits for her permanent staffers.

But her comments at a September 16 news conference, along with information her staff provided to some reporters afterwards, left several salient questions unanswered.

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Transforming Trauma: Meeting the challenges facing youth

Nate Monson is executive director of Iowa Safe Schools. -promoted by Laura Belin

Collective trauma refers to the impact of a terrible experience that affects a group of people. Collective trauma is what we all are experiencing this year.

Our country has experienced collective trauma in the past but at no time have we had a pandemic, racial injustice, the derecho, a very divisive election, and an economic crisis larger than the Great Recession all at the same time.

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The wrong message at the wrong time

Dan Guild: Donald Trump has positive ratings on handling the economy. But he’s staking his campaign on a “law and order” message. -promoted by Laura Belin

Politics can be as complicated as you like. You can build statistical models to calculate the odds of a candidate winning. Complicated ideological positions can be constructed precisely delineating what is right and wrong.

Most of the time, politics isn’t that complicated.

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Politicians rearrange deck chairs as the S.S. Iowa hits COVID-19

Herb Strentz reviews recent comments from Senators Chuck Grassley and Joni Ernst and Governor Kim Reynolds. -promoted by Laura Belin

Sea-going metaphors and idioms hardly reflect life in Iowa, but may be useful in considering the double whammy that’s hit us with COVID-19 and Trump.

At least that drives this take on our U.S. senators and governor during past few weeks.  As one idiom would have it, they are rearranging the deck chairs aboard Iowa’s political and virus-ridden “Titanic.”

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Exclusive: Iowa governor used CARES Act funds to pay staff salaries

Governor Kim Reynolds directed that nearly $450,000 in federal funding the state of Iowa received through the Coronavirus Aid, Relief and Economic Security (CARES) Act be used to cover salaries and benefits for staff working in her office.

According to documents Bleeding Heartland obtained from the Iowa Department of Management through public records requests, the funds will cover more than 60 percent of the compensation for 21 employees from March 14 through June 30, 2020.

Reynolds has not disclosed that she allocated funds for that purpose, and reports produced by the nonpartisan Legislative Services Agency have not mentioned any CARES Act funding received by the governor’s office. Nor do any such disbursements appear on a database showing thousands of state government expenditures under the CARES Act.

The governor’s communications director Pat Garrett did not respond to four requests for comment over a two-week period.

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