Charles Bruner was a state legislator from 1978 through 1990 and ran his campaigns as an advocate for children and families, turning his Senate district blue after two decades of Republican representation. More resources on the Kamala Harris care agenda for children are available on the Harris for Kids website.

The image above is a refrigerator magnet I created for this election. I served in the Iowa legislature from 1978 to 1990, which were “kinder and gentler” times.

Molly Ivins has said that “if the state legislature didn’t have its share of fools, it wouldn’t be a truly representative body.” Yet she also said that democracy works because there are enough decent people elected who take the time to listen and learn and act diligently to try to do what is in the public interest. Moreover, they earn the respect of their less-diligent peers and influence them. They may not always be right, but they are right-thinking and open enough to prevail.

One of the most heartening things I have heard throughout this election season is Tim Walz’s interview with Jon Stewart on the Daily Show. It’s worth watching in full.

A commentary by correctional officer Mark Masterson. -promoted by desmoinesdem

Can I introduce you to my friend and co-worker? His name is Jason Moats. Jason is running for Iowa House district 84, left open by retiring Republican State Representative Dave Heaton. This district includes Mount Pleasant, where I live and work.

John Morrissey is a native Iowan and longtime Des Moines resident. -promoted by desmoinesdem

Despite promises of huge annual cost savings resulting from Medicaid privatization, Iowa’s medical assistance programs spent more in eleven months of the current fiscal year than during all of the previous fiscal year.

Iowa lawmakers went home for the year on May 5. In the coming weeks, Bleeding Heartland will catch up on some of the legislature’s significant work that attracted relatively little attention.

Two proposed state constitutional amendments passed both chambers and could appear on the 2020 general election ballot, if the House and Senate approve them in the same form during either 2019 or 2020.

Three other constitutional amendments cleared one chamber in 2017–in one case unanimously–then stalled in the other chamber as lawmakers completed this two-year session. Those ideas may resurface next year. But since changes to the state constitution must be passed by two consecutively elected legislatures before landing on the general election ballot (the last step in the process), Iowa voters would not be able to ratify those proposals until November 2022 at the earliest.

Republican lawmakers made big promises last year that Iowans would have “more access” to family planning services under a new state program that excluded Planned Parenthood.

As anyone could have foreseen, the opposite was true. In the first nine months of the State Family Planning Program’s existence, the number of Iowans enrolled dropped by a third. The number who obtained at least one reproductive health care service fell by more than 40 percent from the first quarter to the second quarter the program was operating. The number of health care providers billing the program also declined by 40 percent during the same time frame.

Republican lawmakers don’t want to hear how poorly the new system is serving their constituents. Even worse, GOP state senators voted unanimously last week to compound the mistake by blocking Planned Parenthood from participating in sex education programs.

Governor Kim Reynolds has an important decision to make in the next 48 hours: sign or veto Senate File 2311, a top legislative priority for utility companies.

Whether she cares about energy policy or is primarily concerned with her political image, this bill presents the perfect opportunity for the governor to exercise her veto power for the first time.

A coalition of true believers, cowards, and cynical manipulators worked together in the Iowa House and Senate last night to pass what will be the country’s most extreme anti-abortion law as soon as Governor Kim Reynolds signs the legislation.

Last night’s highly irregular Iowa House proceedings inspired Matt Chapman’s latest commentary. The chamber’s rules do not normally permit debate past midnight, but Republicans approved an amended version of a terrible energy bill a little past 5 am. A forthcoming Bleeding Heartland post will discuss the substantive changes to the legislation, which goes back to the Iowa Senate. -promoted by desmoinesdem

Senate File 2311, the Aliant Energy/Mid-American omnibus energy bill, was trotted out in the Iowa House after a more than eight-hour caucus after 10:00 pm last night. Much like last year’s bill that busted the unions for 180,000 public employees, this cowardly approach of sneaking legislation through while working Iowans are sleeping seems to be on par with the GOP’s values.

Governor Kim Reynolds has signed a bill designed to force Iowa police and sheriffs to assist with federal immigration enforcement.

In so doing, she undermined public safety and constitutional rights against unreasonable searches and seizures–not only for those living in Iowa without legal authorization, but also for immigrants who are lawfully present or even U.S. citizens.

State legislator retirements are typically a problem for the party out of power. Members of the majority can chair committees, drive the agenda, and get plenty of attention from lobbyists. Life in the minority caucus is much less satisfying.

Although Iowa House Republicans enjoy a 59-41 majority, four GOP representatives have already confirmed plans to step down this year, with more retirements likely before the March 16 filing deadline. When incumbents don’t seek re-election, party leaders sometimes must spend more resources defending open seats, leaving less money available for top and especially second-tier targets.

The Iowa House opens its 2018 session today with 58 Republicans, 41 Democrats, and one vacancy, since Jim Carlin resigned after winning the recent special election in Iowa Senate district 3. Voters in House district 6 will choose Carlin’s successor on January 16. UPDATE: Republican Jacob Bossman won that election, giving the GOP 59 seats for the remainder of 2018.

The 99 state representatives include 27 women (18 Democrats and nine Republicans) and 72 men. Five African-Americans (all Democrats) serve in the legislature’s lower chamber; the other 95 lawmakers are white. No Latino has ever been elected to the Iowa House, and there has not been an Asian-American member since Swati Dandekar moved up to the Iowa Senate following the 2008 election.

After the jump I’ve posted details on the Iowa House majority and minority leadership teams, along with all chairs, vice chairs, and members of standing House committees. Where relevant, I’ve noted significant changes since last year.

Under the Ethics Committee subheading, you’ll see a remarkable example of Republican hypocrisy.

Some non-political trivia: the Iowa House includes two Taylors (one from each party) and two Smiths (both Democrats). As for first names, there are six Davids (four go by Dave), four Roberts (two Robs, one Bob, and a Bobby), four Marys (one goes by Mary Ann), three Johns and a Jon, and three men each named Gary and Charles (two Chucks and a Charlie). There are also two Elizabeths (a Beth and a Liz) and two men each named Brian, Bruce, Chris, Todd, and Michael (one goes by Mike).

Who knew that when you tell a state agency leader to save another $1.3 million somehow, he might cut some important programs and services? Not State Representative Dave Heaton, the Republican chair of the Iowa legislature’s Health and Human Services Appropriations Subcommittee.

Who knew that when you impeach a mayor using a kangaroo court proceeding, a judge might order the mayor reinstated while her appeal is pending? Not Muscatine City Council members.

Follow me after the jump for more on those stories. This is an open thread: all topics welcome.

I’m also interested to know what readers think about Iowa Insurance Commissioner Doug Ommen’s request to waive certain provisions of the Affordable Care Act in order to bring Wellmark Blue Cross/Blue Shield back to Iowa’s individual insurance market for 2018. Elements of the “stopgap” measure violate federal law; health care law expert Timothy Jost told the Des Moines Register’s Tony Leys that some parts of Ommen’s proposal are “extremely problematic” and not likely “doable.” Writing in the Wall Street Journal, Anna Wilde Mathews and Louise Radnofsky saw the Iowa developments as “a key test of the ability to modify the [Affordable Care Act] through executive authority.” Slate’s Jordan Weissmann agreed.

This afternoon the Iowa House approved the amended omnibus gun bill state senators approved earlier this week. House File 517 passed by 57 votes to 35, mostly along party lines. Four Democrats (Bruce Bearinger, Scott Ourth, John Forbes, and Tim Kacena) voted for the bill. Bearinger and Ourth also supported the legislation the first time it came before the House. They explained their reasoning in comments I published here. I have asked Forbes and Kacena why they changed their minds and will update this post as needed.

Only two Republicans voted against the gun bill today. Dave Heaton and Michael Bergan also opposed last month’s version. Heaton could not abide the provisions making it more difficult for local governments to keep guns out of public buildings. His district includes Mount Pleasant, where a fatal shooting occurred during a city council meeting three decades ago. I have not seen public comments from Bergan about this issue, but will update this post if he responds to my inquiry.

Before the final vote, House members debated the Senate amendment to House File 517. Bleeding Heartland discussed the changes to various provisions here. Democratic State Representative Mary Wolfe offered an amendment to the amendment, which would have delayed until July 1, 2018 the implementation of the section allowing Iowans to carry concealed weapons on the state Capitol grounds. Her thinking: while it’s “fine” to let law-abiding Iowans carrying handguns in Capitol, the legislature has a “responsibility to visitors to ensure all permits to carry [are] valid.” The bill calls for the Department of Public Safety to create a statewide verifiable uniform permit to carry, but that process will take much longer than three months. Wolfe pointed to the risk that Iowans without permits might take advantage of the current non-uniformity of carry permits issued by county sheriffs (some with no photo). The state legislature will be held liable “if innocent people are killed by a person who is allowed to carry” a gun in the Capitol building.

Wolfe’s amendment was ruled not germane, and her motion to suspend the rules to force a vote on it failed along party lines. After that, House members approved the Senate amendment by voice vote, leading to closing speeches and the 57-35 vote on final passage mentioned above.

Matt Windschitl, who floor managed House File 517, used part of his closing remarks to go on a riff about Iowans “being lied to.” I expected a diatribe against people like me, who have raised concerns about Stand Your Ground and local pre-emption language facilitating more homicides. But in a plot twist, Windschitl’s target was Aaron Dorr, the none-too-ethical leader of Iowa Gun Owners. That group claims to be “Iowa’s only No Compromise gun rights organization.” On the House floor (beginning around the 4:42:15 mark here), Windschitl hammered Iowa Gun Owners for taking credit for a bill they did nothing to advance. “You need and you deserve the truth. Aaron Dorr is a scam artist, a liar, and he is doing Iowans no services and no favors. I feel better now,” Windschitl said, just before moving for a final vote on his bill.

UPDATE: Forbes commented via e-mail on April 7, “There were several changes made in the Senate that improved the bill and led to my support. While it is still not perfect, the Senate changes give the Governor more flexibility to restrict weapons in emergency situations, adds more safeguards for kids, and adds new protections to keep people who have committed a firearms-related crime behind bars.”

No matter how strained Iowa’s fiscal condition may be, count on Governor Terry Branstad to lend a sympathetic ear to corporations asking for more handouts. Tony Leys brought the latest example to light in a late Friday scoop for the Des Moines Register. The Iowa Department of Human Services will “help private Medicaid management companies shoulder huge losses they’ve suffered in covering more than 500,000 poor or disabled Iowans.” DHS officials estimate the deal struck in February will cost the state about $10 million, “which would be paid more than a year from now.”

The Branstad administration agreed last fall to transfer an extra $33.2 million to the three private firms picked to manage the state’s Medicaid program. It wasn’t enough to satisfy Amerigroup, UnitedHealthcare and AmeriHealth Caritas. They soon asked for much higher payments from the state, saying they were losing money under their contracts. Documents indicate each company lost at least $100 million during the first year of managing care for Iowans on Medicaid, Chelsea Keenan reported earlier this month for the Cedar Rapids Gazette.

One salient fact from Keenan’s story: administrative costs for the insurers totaled 6.8 percent, 11.6 percent, and 11.9 percent of expenditures. Before Branstad unwisely rushed to privatize Medicaid, our state-run program was only spending about 4 percent on administrative costs.

DHS Director Chuck Palmer told reporters in January that the state would not offer the Medicaid managed-care providers more money for the 15-month period running through the 2017 fiscal year. Only weeks later, officials amended the current-year contracts with “risk-corridor agreements” calling for the DHS “to shoulder the management companies’ financial losses if they grow beyond a certain point.”

Federal officials “have signed off on the contract amendments,” but no one informed key legislators about the development. Republican State Representative Dave Heaton, who co-chairs the Health and Human Services Appropriations Subcommittee, found out from Leys.

Speaking of appropriations, where will Iowa find extra money to pay the Medicaid managers? Around the time DHS leaders signed the contract amendments last month, the department was forced to absorb $25.5 million in spending cuts before June 30.

State lawmakers have not yet set fiscal year 2018 budget targets, but money will surely be tight following a recent downward revision to revenue projections. Mid-year budget cuts can’t be ruled out for next year either.

Meanwhile, Medicaid recipients are getting less care than before privatization or having to fight insurance companies over denied claims. Managed-care companies have slashed in-home services for Iowans with disabilities. About a quarter of the Iowans on Medicaid cannot access a program providing transportation to and from medical appointments. AmeriHealth Caritas is cutting payments to agencies that serve people with disabilities, leaving some caseworkers out of a job. Reimbursement problems drove some providers out of business last year.

Given Branstad’s track record of doing whatever big business asks of him, it wasn’t hard to predict that the DHS would end up shoveling more money to the Medicaid managers. The governor’s imminent departure creates an opportunity for Lieutenant Governor Kim Reynolds to learn from her predecessor’s mistakes. Here’s hoping she will demonstrate her capacity for independent thinking by pulling the plug on Iowa’s failed Medicaid privatization.

Voting mostly along party lines, the Iowa House approved on March 7 a bill containing many items on the gun lobby’s wish list. House File 517 would make it easier for Iowans to acquire, carry, and use firearms, relaxing permitting rules, expanding where people can bring concealed weapons, and enacting “Stand Your Ground” language. The bill is certain to pass the Republican-controlled state Senate, due to the heavy involvement of pro-gun groups in defeating several Democratic incumbents last year. Governor Terry Branstad has never seen a gun bill he didn’t like, so will surely sign House File 517 when it reaches his desk.

The most important likely result will be more shootings of unarmed people by Iowans newly entitled to use deadly force, without having to demonstrate that any person was in danger, or that the shooter had valid reason to feel threatened. Other states that adopted “Stand Your Ground” legislation have experienced a documented increase in homicides, with no evidence of deterrence effects. After Florida enacted a law similar to what the Iowa House just passed, “there was an abrupt and sustained increase in the monthly homicide rate of 24.4% […] and in the rate of homicide by firearm of 31.6% […].”

As State Representative Ras Smith underscored by putting on a hoodie during the Iowa House debate, African-Americans will be at particular risk, since research indicates “Whites who kill blacks in Stand Your Ground states are far more likely to be found justified in their killings.”

More tragedies may also occur in Iowa municipal offices, thanks to provisions making it harder for cities and counties to ban weapons from government buildings.

I enclose below some highlights from yesterday’s debate and details on House File 517. Because gun advocates continue to spread misinformation in order to build a case for “Stand Your Ground,” I also included relevant language from current state law and an Iowa Supreme Court ruling.

Republicans in the Iowa House and Senate voted today to dramatically reduce collective bargaining rights for some 180,000 public employees, following approximately 27 hours of debate in the Iowa Senate and fourteen and a half hours of debate in the Iowa House. GOP leaders moved House File 291 and Senate File 213 simultaneously through both chambers in order to speed up the process.

Democrats had offered dozens of amendments to the bills, which were published for the first time on February 7. Instead of allowing full discussion of every amendment, GOP leaders moved to cut off debate at a “time certain” today. That maneuver had never been used in the Iowa Senate and has been invoked only rarely in the Iowa House–including to end debate on the collective bargaining bill Republicans passed in March 2011. Debate ended in the Iowa House at noon, after which the majority quickly voted down all the remaining amendments with no discussion. Six Republicans joined all 41 Democrats to vote against the bill on final passage. Two of them, Tom Moore and Dave Heaton, are former teachers. Clel Baudler is a retired state trooper. Andy McKean and Shannon Lundgren were just elected from eastern Iowa swing districts, where registered Democrats outnumber Republicans. McKean is also very familiar with Chapter 20 as a former county supervisor and longtime state lawmaker. I don’t know why Mary Ann Hanusa opposed the bill. UPDATE: Hanusa did not respond to my request for comment, but I learned from another source that she is also a former teacher who works in education administration.

Senators debated all night long Wednesday into Thursday morning, with Republicans voting down every Democratic amendment. Independent State Senator David Johnson voted with Democrats on all the amendments and joined them in giving several passionate speeches. Few Republicans in either chamber chose to speak in favor of the bills, aside from Senate Labor Committee Chair Jason Schultz, House Labor Committee Chair Dave Deyoe, and State Representative Steven Holt, who floor-managed the bill and distinguished himself as the legislature’s least convincing liar. The Des Moines Register’s William Petroski summarized some of the important Democratic amendments. I didn’t stay up to watch the whole debate, so would welcome examples of some of the most absurd Republican comments, like State Senator Mark Chelgren accusing Democrats of “stalling” while his party had shown an “incredible amount of patience.” Nothing says “patient” like making sweeping changes to a 43-year-old law, affecting 180,000 Iowans, after only nine days in the legislature.

Senate leaders ended debate at 2 pm Thursday, after which Republicans voted down the remaining Democratic amendments, then substituted the text of the House bill for the Senate bill, to get the legislation to Governor Terry Branstad more quickly. Branstad’s chief of staff, Michael Bousselot, spent the final hours of debate in the Senate chamber. House File 291 eventually passed on a 29-21 Senate vote.

Iowa’s largest public-sector union, AFSCME Iowa Council 61, plans to file a lawsuit claiming the new law is unconstitutional, presumably because of the way it grants more bargaining rights to “public safety” workers than to others, many of whom do dangerous jobs. Video from a February 16 press conference by labor leaders is available here.

I enclose below statements about the bill by legislative leaders from both parties, as well as documents prepared by Iowa House Democratic and Republican staff, which discuss in more detail how House File 291 will affect collective bargaining rights for different types of public employees. Regarding substantive impacts, I also recommend the recent guest posts here by state employee Ruth Thompson, University of Northern Iowa Professor Chris Martin, and attorney James Larew, who predicted that today’s action “will be remembered as the most destructive blow to our ability to govern ourselves fairly and efficiently in nearly half a century.”

GOP spin notwithstanding, collective bargaining “reform” in Iowa was designed primarily with political goals in mind, like similar measures in other states. Republicans know that crippling public sector unions will make it harder for Democrats to win elections.

Although Republicans repeatedly claimed during the House and Senate debates that their bill would help local governments, Chapter 20 has worked so well that more than 140 school districts rushed to sign new contracts with the teachers union before the legislature acted. Boards of supervisors in several large counties passed resolutions condemning the proposal. Linn County Supervisor Brent Oleson’s case against the bill is convincing.

The Iowa House opens its 2017 session today with 59 Republicans, 40 Democrats, and one vacancy, since Jim Lykam resigned after winning the recent special election in Iowa Senate district 45. The 99 state representatives include 27 women (18 Democrats and nine Republicans) and 72 men. Five African-Americans (all Democrats) serve in the legislature’s lower chamber; the other 95 lawmakers are white. No Latino has ever been elected to the Iowa House, and there has not been an Asian-American member since Swati Dandekar moved up to the Iowa Senate following the 2008 election.

After the jump I’ve posted details on the Iowa House majority and minority leadership teams, along with all chairs, vice chairs, and members of standing House committees. Where relevant, I’ve noted changes since last year.

Under the Ethics Committee subheading, you’ll see a remarkable example of Republican hypocrisy.

Some non-political trivia: the Iowa House includes two Taylors (one from each party) and two Smiths (both Democrats). As for first names, there are six Davids (four go by Dave), four Roberts (two Robs, one Bob, and a Bobby), four Marys (one goes by Mary Ann), and three men each named Gary, John, and Charles (two Chucks and a Charlie). There are also two Elizabeths (a Beth and a Liz) and two men each named Brian, Bruce, Chris, Greg, Michael, and Todd.

Donald Trump is too ignorant to be president, according to former Lieutenant Governor Joy Corning, the most prominent Iowa Republican to disavow the GOP nominee.

Corning served six years in the Iowa Senate, then eight years as lieutenant governor during Terry Branstad’s third and fourth terms. Since unsuccessfully seeking the GOP nomination for governor in 1998, she has held leadership roles in numerous non-profit organizations. As a pro-choice moderate, she has been increasingly outnumbered within Iowa GOP ranks. Nevertheless, she supported every Republican presidential nominee from Dwight D. Eisenhower through John McCain, Corning told Bleeding Heartland yesterday in a telephone interview. Despite voting for President Barack Obama in 2012, she never left the Republican Party and endorsed Jeb Bush before this year’s Iowa caucuses.

Corning said she realized while watching the Republican debates that Trump was not a candidate she could ever support. As for why, she cited his “know-it-all demeanor when he really doesn’t know what he’s talking about.” Had she ruled out voting for him by the time he locked up the GOP nomination? “Oh, yes. Yes.”

Like State Senator David Johnson, who came out against Trump this summer, Corning declined to state publicly for whom she will vote in November.

After Jeb Bush announced in May that he would not support Trump, I sought comment from State Senator Charles Schneider and the six Iowa House Republicans who had endorsed the former Florida governor before the caucuses. Schneider said, “I intend to vote for Trump assuming he is the nominee,” while State Representative Greg Forristall likewise confirmed he “will vote for the Republican nominee.” State Representative Dave Heaton commented at that time, “It’s pretty hard for us to turn our back on the party’s selection, so I probably would support [Trump].” State Representatives Zach Nunn, Linda Miller, and Ron Jorgensen did not respond to my inquiries.

Iowa families hoping for guaranteed insurance coverage of autism services will have to wait at least one more year. Despite Democratic efforts to add an autism coverage mandate to the health and human services budget for fiscal year 2017, the compromise approved on the final day of this year’s legislative session excluded such language. Instead, lawmakers increased state funding for various autism-related grants and programs.

According to the lead Republican negotiator on the human services budget, families affected by autism will have insurance coverage by January 2017 without a mandate, thanks to Wellmark Blue Cross/Blue Shield’s decision to sell policies through Iowa’s public insurance exchange. But those policies will not be available to Iowans living in dozens of counties, nor will they cover applied behavior analysis (ABA) interventions, which are effective but prohibitively expensive for many people with spectrum disorders.

In four months of work this year, Iowa lawmakers made no progress on improving water quality or expanding conservation programs, funded K-12 schools and higher education below levels needed to keep up with inflation, failed to increase the minimum wage or address wage theft, let most criminal justice reform proposals die in committee, didn’t approve adequate oversight for the newly-privatized Medicaid program, opted against making medical cannabis more available to sick and suffering Iowans, and left unaddressed several other issues that affect thousands of constituents.

But let the record reflect that bipartisan majorities in the Iowa House and Senate acted decisively to solve a non-existent problem. At a bill-signing ceremony yesterday, Governor Terry Branstad and supporters celebrated preventing something that probably never would have happened.

The Iowa House and Senate adjourned for the year this evening. As usual, the health and human services budget was one of the last deals Senate Democrats and House Republicans agreed on. Both sides gave significant ground on oversight of Iowa’s recently-privatized Medicaid program; a future post will look more closely at the terms of that agreement. In another example of history repeating itself, key negotiators had trouble finding common ground on what to do about Planned Parenthood funding through the Iowa Family Planning Network.

The outcome of last year’s budget talks left little doubt that Republicans wouldn’t achieve their goal of creating a new state family planning program, excluding abortion providers. Yet House Speaker Linda Upmeyer had promised a “deliberate and unwavering battle” on “pro-life issues,” and specifically to make defunding Planned Parenthood a “priority” for her caucus.

I’ve been wondering what Democrats might offer Republicans in exchange for preserving status quo language on state funding for Planned Parenthood’s non-abortion services.

As it turned out, they didn’t have to make any real concession.

What do state lawmakers do when they don’t want to pass something the overwhelming majority of their constituents support?

A time-honored legislative strategy involves 1) keeping the popular proposal from coming up for a vote, and 2) giving your members a chance to go on record supporting a phony alternative.

Iowa House Republicans executed that statehouse two-step this week in order to block efforts to make medical cannabis more widely available to Iowans suffering from serious health problems.

In an effort to halt Donald Trump’s momentum and also to preserve some self-respect, a growing number of Republicans are vowing never to vote for Trump, even if he becomes the GOP presidential nominee. As Megan McArdle reported for Bloomberg, the #NeverTrump faction represents “all segments of the party — urban professionals, yes, but also stalwart evangelicals, neoconservatives, libertarians, Tea Partiers, the whole patchwork of ideological groups of which the Republican coalition is made.”

Former New Jersey Governor Christine Todd Whitman said she would consider voting for Hillary Clinton over Trump. At a funeral in Des Moines this past weekend, the daughter of the deceased (like Whitman a moderate Republican) struck a chord with some of the mourners when she joked during her eulogy that she was a little envious her mother would not have to vote in the presidential election now.

At the other end of the GOP ideological spectrum, staunch conservative U.S. Senator Ben Sasse of Nebraska became the first member of Congress to take the #NeverTrump pledge, laying out his reasoning in a long Facebook post.

So far, the most prominent Iowa Republican to join the #NeverTrump camp is right-wing talk radio host Steve Deace, who explained his stance in a column for the Conservative Review website. Deace worked hard to persuade fellow Iowans to caucus for Ted Cruz. Meanwhile, Marco Rubio endorser and former Waukee City Council member Isaiah McGee described himself to me as a “founding member” of #NeverTrump.

Early signs suggest that few, if any, elected GOP officials in Iowa will join the club.

Iowa’s Medicaid program will shift to managed care for some 560,000 recipients on April 1, in accordance with waivers granted by the federal Centers for Medicare and Medicaid Services. CMS had previously denied the request from Governor Terry Branstad’s administration to privatize Medicaid by January 1, citing numerous signs that the state was not ready. In a letter the Branstad administration released today, Vikki Wachino of CMS noted “significant improvement” in several areas: the provider networks of three insurance companies picked to manage care for Medicaid recipients; plans for reimbursing out-of-network providers for services; better communication between state officials and Medicaid providers and recipients; and training of case managers to assist Medicaid beneficiaries during the transition.

I enclose below reaction to today’s news from the governor, key state lawmakers, and other stakeholders, as well as the full five-page letter from CMS to Mikki Stier, director for Medicaid in the Iowa Department of Human Services. Federal officials set several conditions on their approval of Iowa’s plans, such as monitoring the actions of the three managed-care organizations, making sure call centers are running their helplines competently, and preserving some “continuity of care” for Medicaid recipients.

Although the delay until April 1 will allow more time to prepare for the transition, the policy’s likely impact remains the same: more money for insurance company overhead and profit and less for health care services; a deterioration in care for disabled people, as seen in Kansas and other states; and less access to health care providers (a key issue for the three Iowa Senate Republicans who recently voted with Democrats to terminate Medicaid privatization).

Senate Democrats continue to push for “tough, bipartisan oversight and accountability protections.” Chelsea Keenan reported for the Cedar Rapids Gazette that the Senate Human Resources Committee will consider that bill (Senate File 2213) on February 24. I don’t expect that legislation to go anywhere. All I’ve heard from Iowa House Republicans is happy talk, backed up by no evidence, that privatizing Medicaid will save the state money and improve patient care.

Bleeding Heartland welcomes guest posts on state legislative races. Great to see a candidate stepping up in this district. Democrats failed to field a challenger against Heaton in 2012 or 2014. By the way, some Iowa politics junkies have Heaton on retirement watch. -promoted by desmoinesdem

Carrie Duncan is running for State Representative in House District 84 against eleven-term incumbent Dave Heaton (R-Mount Pleasant), as a Democrat. With the controversy surrounding the potential closure of a mental health facility in Mount Pleasant. Carrie felt the need to run against Representative Heaton, feeling that he was not a strong enough of a voice against the Branstad Administration’s plans to close the facility.

Carrie’s support for organized labor is fierce and deep. She is a proud member of the International Association of Machinists and Aerospace Workers (IAMAW), Chief Steward, Local 1010 She works at the American Ordinance LLC in Middletown. Carrie’s son, Zach also works at American Ordinance LLC. Zach lives with his wife Randee, in Mount Pleasant. Carrie has also worked at Pioneer Corn and Pinnacle Foods. She resides in New London.

Carrie got into this race as a voice for the middle class and the poor in the state of Iowa. She believes that the state government is simply giving too much away, using tax breaks to procure agreements with big corporations while not doing enough to educate our children. The unemployment rate is too high in District 84; this means that we need leaders in Des Moines that are regularly communicating with small businesses instead of constantly trying to lure extremely large companies, many times hiring out of state labor to fill the positions.

Carrie has worked in the New London School District as well; she has gained knowledge about the issues that our educators face daily. She has worked in some different industries, always fighting for fair wages and equal treatment for all in the workplace. She currently serves as the Vice President of the North Lee County Labor Council.

She is also hoping to see an end to the Governor’s plan to privatize Medicaid, and wants to see a more transparent process when large economic development agreements come to the area.

District 84 encompasses portions of Northern Lee County, Henry County, and Jefferson/Washington townships. [note from desmoinesdem: A map is after the jump, along with the latest voter registration numbers.]

Carrie is originally from Chillicothe, Illinois and she grew up on a family farm. She has a lifetime appreciation for our state’s local ag producers. Carrie is involved in a number of terrific charitable organizations in Southeast Iowa, as well.

For more information go here:

http://kilj.com/2016/01/news/carrie-duncan-announces-run-for-state-representative-in-washington-henry-jefferson-and-lee-counties/

The Iowa House opened its 2016 session today with 57 Republicans and 43 Democrats. The 100 state representatives include 27 women (21 Democrats and six Republicans) and 73 men. Five African-Americans (all Democrats) serve in the legislature’s lower chamber; the other 95 state representatives are white. No Latino has ever been elected to the Iowa House, and there has not been an Asian member since Swati Dandekar moved up to the Iowa Senate following the 2008 election.

After the jump I’ve posted details on the Iowa House majority and minority leadership teams, along with all chairs, vice chairs, and members of standing House committees. Where relevant, I’ve noted changes since last year. All are on the Republican side, mostly following from Kraig Paulsen’s decision to step down as speaker, Chuck Soderberg’s retirement, and the passing of Jack Drake.

Some non-political trivia: the Iowa House includes two Millers (one from each party), two Taylors (one from each party), and two Moores (both Republicans). As for first names, there are six Davids (four go by Dave), four Roberts (two Robs, one Bob, and a Bobby), four Marys (one goes by Mary Ann), four Johns, and three Brians. There are two Lindas, two Elizabeths (a Beth and a Liz), and two men each named Dan, Mark, Greg, Tom, Bruce, Todd, Chris, and Charles (one goes by Chuck).

November 11 first became a day to honor war veterans in 1919, one year after the First World War ended. Congress officially designated “Armistice Day” a national holiday in 1926 and changed its name to Veterans Day in 1954. Many Americans will make a special effort today to thank the veterans they know. In that spirit, Bleeding Heartland acknowledges some of the Iowans in public life who have served in the armed forces.

Iowa’s Congressional delegation includes only one person who has served in the military: Senator Joni Ernst. The number of veterans in Congress has declined dramatically over the last 40 years. In 1971, “when member military service was at its peak, veterans made up 72 percent of members in the House and 78 percent in the Senate.” But in the current Congress, just 81 U.S. House representatives and 13 U.S. senators have served in the military. I enclose below more statistics from Rachel Wellford’s report for NPR.

Governor Terry Branstad is the only veteran among Iowa’s current statewide elected officials.

Of the 50 Iowa Senate members, seven are veterans: Democrats Jeff Danielson, Tom Courtney, Dick Dearden, Bill Dotzler, and Wally Horn, and Republicans Bill Anderson and Jason Schultz.

Of the 100 Iowa House members, nineteen are veterans: Republicans John Kooiker, Stan Gustafson, John Landon, Dave Maxwell, Kraig Paulsen, Sandy Salmon, Quentin Stanerson, Guy Vander Linden, Matt Windschitl, Dave Heaton, Darrel Branhagen, Ken Rizer, Zach Nunn, John Wills, and Steve Holt, and Democrats Dennis Cohoon, Jerry Kearns, Todd Prichard, and Brian Meyer.

The population of veterans faces some special challenges, including higher rates of mental health problems such as post-traumatic stress disorder (PTSD). An estimated 22 U.S. military veterans die by suicide every day, which means suicide “has caused more American casualties than wars in Iraq and Afghanistan.” The Military Suicide Research Consortium provides information on the problem and resources for those needing help, in addition to white papers summarizing current research on factors that contribute to suicides. For instance, sexual assault in adulthood or childhood sexual abuse both increase the risk of suicidal thoughts and attempts. Also, veterans who know someone who died by suicide “reported more than twice the frequency of suicidal ideation.” I was surprised to read in this paper that major public holidays are not associated with higher rates of suicide. On the contrary, “holidays may act as more of a protective factor” against suicide, possibly because of greater “social integration during holiday periods.”

Last month the Iowa Department of Public Health released the Iowa Plan for Suicide Prevention 2015-2018, which “seeks to reduce the annual number of deaths by suicide in Iowa by 10 percent by the year 2018 – a reduction of 41 from the 406 three-year average from 2012-2014 – with an ultimate goal of zero deaths by suicide.” The full report (which does not focus on veterans) is available here (pdf). Iowans with suicidal thoughts or who are concerned a loved one may be considering suicide can call the Suicide Prevention Lifeline at (800) 273-TALK or Your Life Iowa at (855)-581-8111. For online assistance: Suicide Prevention Lifeline or Your Life Iowa.

State Representative Jack Drake passed away this weekend at the age of 81. He had been the longest-serving Iowa House Republican, representing parts of southwest Iowa since his first election in 1992. His current district (House district 21) covers all of Union and Adams Counties and parts of Cass and Pottawattamie Counties. Since the Republicans regained the Iowa House majority in the 2010 elections, Drake had chaired the Agriculture and Natural Resources Appropriations Subcommittee. Iowa House Speaker-Select Linda Upmeyer said in a statement today, “Iowa lost a dedicated public servant with the passing of Rep. Jack Drake. […] During his time in the Iowa House, Jack was a leader and trusted resource on agricultural issues which are so important to the State of Iowa. As the most senior member of the House Republican Caucus, his expertise and guidance will be sorely missed.”

I have never met Drake, but by all accounts he was a wonderful person to work with. The word “kind” came up again and again today in my conversations with people who interacted with him, either as fellow lawmakers or as advocates.

Former State Representative Frank Wood, who was the ranking Democrat on Drake’s appropriations subcommittee in 2013 and 2014, told me he was “shocked” by the news and said Drake would be “sorely missed.” Wood “thought very highly of him when I worked with him. He always kept me in the know of what was going on and what his limitations were” in terms of the budget targets. Democrats often requested additional funding for various programs, and according to Wood, Drake “understood and flat-out told me, if I had more money, I would definitely put it in those areas.” During the 2014 legislative session, when environmental advocates and a bipartisan group of lawmakers fought for extra funds for the Resource Enhancement and Protection (REAP) program, Drake was generally supportive. (The legislature approved record funding for REAP that year, but Governor Terry Branstad vetoed part of the money.) Wood also described Drake as “a gentle giant” and “a very non-partisan individual.” He toted the Republican line, but was “very pleasant to work with. I don’t think he had a mean bone in his body.”

State Representative Scott Ourth, the ranking Democrat on the Agriculture and Natural Resources Appropriations Subcommittee during this year’s legislative session, told me, “What a sad day it is. Jack and I struck up a fast friendship right from the get go. He was very fair, an honest guy to work with, willing to compromise where his leadership would allow him to.” He “never stood in the way” of Ourth advocating for REAP funding or other Democratic priorities. Echoing Wood’s sentiments, Ourth described Drake as “a loving, kind, and generous man” and an elected official out of “the old school” with “no partisan divisiveness.” He was willing to work “with anyone and everyone” at the statehouse. Ourth summed up that he had “nothing but good things to say about that man” and would “miss him terribly.”  

Ourth also mentioned that since June, he has been working long hours in Drake’s district for a subcontractor on a large MidAmerican Energy wind farm project. (64 wind turbines are going up between Corning and Lennox in Adams County.) During these months, Ourth has talked with many of Drake’s constituents, who invariably said “what a great guy they thought he was” and how well he represented their district.

State Representative Chuck Isenhart, who also served on Drake’s subcommittee and is the ranking Democrat on the House Environmental Protection Committee, told me today, “Jack Drake was a kind and soft-spoken man.” He added that Drake “offered crucial, public bipartisan leadership to the establishment of Iowa’s local farms and food initiative in 2010, and has been a reliable supporter of the program ever since.”

With Drake’s passing, the most senior members of the Iowa House Republican caucus are Health and Human Services Appropriations Subcommittee Chair Dave Heaton and Transportation, Infrastructure and Capitals Appropriations Subcommittee Chair Dan Huseman, both of whom were first elected in 1994.

Iowa Attorney General Tom Miller has informed 56 Republican state legislators that his office has neither “jurisdiction over transfers of fetal tissue” nor the “authority to investigate or demand information about the transfer of fetal tissue.” In a letter dated today, Miller noted that “Iowa does not have any state laws governing the transfer of fetal tissue,” which means that only offices of U.S. Attorneys are able to enforce federal laws in this area.

Last month, the GOP lawmakers asked Miller’s office “to investigate current and planned abortion operations within Iowa to ensure compliance with the law.” Their letter set out ten detailed questions regarding the disposal, donation, or possible sale of body parts following abortions. Miller directed the legislators to contact U.S. attorneys’ offices in Iowa if they “have reliable information that federal laws relating to fetal tissue are being violated.”

I enclose below the August 24 letter from Iowa House and Senate Republicans, today’s written response from Miller, and a two-page letter Planned Parenthood of the Heartland provided to the Attorney General’s Office regarding the lawmakers’ query. Planned Parenthood’s response noted that the organization “does not now, and has not in the past, participated in” any fetal tissue donation programs but adheres to “rigorous standards of care” and “compliance with all applicable laws and regulations” in every area of its work, including abortion services.

Many Iowa Republicans will be furious, not only because Miller will not act on their unfounded suspicions, but also because the Attorney General’s Office responded to their query in what appears to be a textbook late-afternoon, pre-holiday-weekend news dump.

Also worth noting: Iowa House Speaker-select Linda Upmeyer and incoming House Majority Leader Chris Hagenow did not sign the August 24 letter to Miller, but House Speaker Pro-Tem Matt Windschitl, incoming Majority Whip Joel Fry, and Assistant Majority Leaders Zach Nunn, Jarad Klein, and Walt Rogers did. Iowa Senate Minority Leader Bill Dix did not sign the letter, but Minority Whip Jack Whitver and Assistant Minority Leaders Rick Bertrand, Randy Fenestra, Charles Schneider, and David Johnson did.

to make other people act like idiots.

I didn’t think anything could top some people’s freak-out over atheist ads on Des Moines buses, but the reaction to yesterday’s Wiccan invocation in the Iowa House is a contender.

A bill that would raise Iowa’s gasoline tax by 10 cents a gallon is on its way to Governor Terry Branstad’s desk after approval today by both chambers in the Iowa legislature. The Iowa Senate passed Senate File 257 this morning by 28 votes to 21. Sixteen Democrats and twelve Republicans voted for the bill, while ten Democrats and eleven Republicans opposed it. Senate Majority Leader Mike Gronstal had reportedly insisted on at least half the GOP caucus supporting a gas tax increase as a condition for bringing the bill to the floor.

A few hours later, the Iowa House took up the Senate bill (rather than the bill that cleared two House committees last week). Thirty Republicans and 23 Democrats voted yes, while 26 Republicans and 20 Democrats voted no.

Only two state legislators missed today’s votes: Republican State Senator Mark Chelgren and Republican State Representative Chip Baltimore. Baltimore voted against the House version of this bill in committee last week, while Chelgren doesn’t serve on the committees that approved the bill in the Senate. Chelgren appears to have been absent for all of today’s votes, while Baltimore was at the Capitol but left the chamber when the gas tax bill came up. Speaking to reporters later, he tried to make a virtue out of his absence: “I refuse to legitimize either the bill or the process with a vote.” Weak sauce from a guy who is widely expected to seek higher office someday.

Conservative groups are urging Branstad to veto Senate File 257, but that seems unlikely, given the governor’s recent comments on road funding. Branstad’s spokesman said today that the governor will carefully review the final bill before deciding whether to sign it.  

After the jump I’ve enclosed the roll call votes in both chambers, as well as Senate Transportation Committee Chair Tod Bowman’s opening remarks this morning, which summarize key points in Senate File 257.

Final note: several of the “no” votes came from lawmakers who may face competitive re-election campaigns in 2016. Those include Democrats Chris Brase (Senate district 46), Steve Sodders (Senate district 36), and Mary Jo Wilhelm (Senate district 26), and Republicans Dennis Guth (Senate district 4) and Amy Sinclair (Senate district 14).

Four years ago, Republicans rushed to pass a state constitutional amendment restricting marriage to one man and one woman within weeks of regaining control of the Iowa House. Every member of the GOP caucus was on the same page.

Two years ago, the marriage amendment failed to come up for a vote in the Iowa House, but a majority of Republican lawmakers still co-sponsored the legislation.

Now, signs point to Iowa House Judiciary Committee Chair Chip Baltimore letting the marriage amendment die quietly, as he did in 2013. Fewer than a quarter of the 57 House Republicans signed on to the latest effort to turn back the clock on marriage rights. At the same time, only one GOP lawmaker is “loud and proud” about supporting the right of all Iowans to marry the person they love.

Follow me after the jump for a breakdown of where Iowa House Republicans stand on the “traditional marriage” amendment, and speculation on why so many of them aren’t trying to pass it anymore, even though they ostensibly don’t support LGBT marriage rights.  

The Iowa House will begin its 2015 session on January 12 with 57 Republicans and 43 Democrats (assuming a Republican wins the January 6 special election in House district 4). Depending on who wins that special election, the 100 state representatives will include either 27 or 28 women, and either 72 or 73 men.

After the jump I’ve posted details on the Iowa House majority and minority leadership teams, along with all chairs, vice chairs, and members of standing House committees. Where relevant, I’ve noted changes since the previous legislative session.

Some non-political trivia: two of the three state representatives with the surname Olson retired this year, as did one of the two Iowa House members named Smith. There are still two Millers and two Taylors in the legislature’s lower chamber, one from each party. As for first names, the new cohort contains five six Davids (four go by Dave), four Roberts (two Robs, one Bob, and a Bobby), four Marys (one goes by Mary Ann), three four Johns, and three Brians. There are two Lindas, two Elizabeths (a Beth and a Liz), and two men each named Dan, Mark, Greg, Chuck, Bruce, Todd, and Chris.

2015 UPDATE: Added below information for John Kooiker, who won the House district 4 special election, and David Sieck, who won the House district 23 special election.  

The filing period for general election candidates in Iowa closed last Friday, so it’s a good time to review where candidates not representing either the Democratic or Republican Party are running for office. The full candidate list is on the Iowa Secretary of State’s website (pdf(. After the jump I discuss all the federal, statewide, and state legislative races including at least one independent or minor-party candidate. Where possible, I’ve linked to campaign websites, so you can learn more about the candidates and their priorities.

Rarely has any Iowa election been affected by an independent or third-party candidate on the ballot. Arguably, the most recent case may have been the 2010 election in Iowa’s first Congressional district. Final results showed that Democratic incumbent Bruce Braley defeated Republican challenger Ben Lange by 4,209 votes, while conservative candidates Rob Petsche and Jason Faulkner drew 4,087 votes and 2,092 votes, respectively.

Any comments about Iowa’s 2014 elections are welcome in this thread.

When bills come to the floor of the Iowa House or Senate, the outcome of the vote is typically a foregone conclusion. Leaders rarely call up bills that don’t have the votes to pass. But in “the most surprising vote of the day, if not this year’s session,” Iowa House members on Friday rejected House File 2472, a bill designed to expand broadband access in small-town and rural Iowa. The initiative was among Governor Terry Branstad’s legislative priorities this year. While the goal is uncontroversial, especially in communities where people are stuck with dialup internet, lawmakers disagreed on how to accomplish the task.

The House Journal for April 25 includes details from the floor debate, including roll calls on two Democratic amendments that failed to pass on party-line votes. One of them was a “strike” amendment replacing the entire content of House File 2472 with stronger incentives favored by House Democrats. After the routine business of rejecting minority party amendments, a vote was called on final passage. But only 42 Republicans voted yes, joined by just two Democrats. I’ve posted a list of yes and no votes after the jump. House Minority Leader Mark Smith said Democrats opposed the bill because it “does not go far enough in expanding broadband access to more homes and small businesses.” The Republicans who voted no may have been put off by the size of the tax breaks or the lack of accountability. State Representative Guy Vander Linden told Radio Iowa, “We don’t say they need to meet any requirements in terms of our capacity, speed – anything. All we say is: ‘If you will put broadband infrastructure in place in any unserved or underserved area…we’ll give you all these benefits.’ That, to me, sounds like a blank check that I’m not willing to sign up to.”

House Majority Leader Linda Upmeyer has already filed a motion to reconsider the vote on this bill, so leaders may believe they can find the votes they need through friendly persuasion or arm-twisting. (She was one of the “no” votes, presumably to preserve her ability to file the bill again after realizing it would not pass.) Two Republicans (Clel Baudler and Ron Jorgensen) were absent from Friday’s vote. Assuming they support the broadband bill and Upmeyer changes her vote, House leaders would need to persuade four more Republicans or Democrats.

Iowa Senate President Pam Jochum and House Minority Leader Mark Smith both called for raising Iowa’s minimum wage in their opening remarks to fellow legislators yesterday. Increasing the minimum wage from the current level of $7.25 would raise earnings for roughly 332,000 Iowa workers, according to a 2012 estimate. It would acknowledge the reality that “the minimum wage does not keep a full-time worker out of poverty.”  

Governor Terry Branstad said last week that a minimum wage hike is “not part of my agenda,” suggesting that job training and efforts to attract high-skilled jobs would be sufficient. Iowa House Speaker Kraig Paulsen indicated that he sees a minimum wage increase as “[m]aking it harder to be an employer in the state of Iowa.”

However, appearing on Iowa Public Radio’s “River to River” program yesterday, Senate Majority Leader Mike Gronstal pointed out that Branstad signed a minimum wage increase during the 1980s and that Paulsen had voted for the January 2007 bill that raised the wage. On the same program, Iowa House Majority Leader Linda Upmeyer acknowledged that there may be support for a minimum wage increase in her caucus, since at least half of current House Republicans who were in the legislature in 2007 had voted for that minimum wage hike. Like Paulsen, Upmeyer was a yes vote. At the time, he was House minority whip and she was one of four assistant minority leaders.

Iowa’s last minimum wage hike was the first bill Governor Chet Culver signed into law. House File 1 sailed through, passing by 79 votes to 19 in the Iowa House and 40 votes to 8 in the Iowa Senate. All of the Democrats supported the bill. After the jump I’ve listed how all of the current Republican lawmakers voted on the minimum wage increase. Twelve supported the bill, thirteen opposed it, and one was absent for the 2007 vote.

The Daily Kos Elections team has been compiling 2012 presidential election results by state legislative district as well as by Congressional district, state by state. Last week the Iowa numbers were added to the database. I took a first stab at previewing the battle for control of the Iowa Senate next year, using data including the raw vote totals and percentages for President Barack Obama and Mitt Romney in each district.

The Daily Kos database includes Obama and Romney vote totals and percentages for each Iowa House district here. After the jump I’ve incorporated that information and other factors to predict which Iowa House districts will be competitive in 2014. Writing this post has been challenging, because every election cycle brings surprises, and many more seats in the lower chamber will be in play. Unlike the Iowa Senate, where only half of the 50 members are on the ballot in each general election, all 100 Iowa House members are on ballot in every even-numbered year. Republicans currently hold a 53-47 majority in the lower chamber.

The Iowa Senate wrapped up its work for the year shortly after midnight on May 23, and Iowa House members adjourned about 11 hours later. Lawmakers in both parties have been congratulating themselves for compromising on some big issues that ended in stalemate the previous two years. Rod Boshart compiled an excellent list of what the legislature did and didn’t approve during 2013.

We all can appreciate the desire to finish a big project before a holiday weekend, and since legislators stopped receiving per diem payments weeks ago, they understandably wanted to get out of town as quickly as possible. However, I found it disturbing that votes were held before most lawmakers, let alone members of the public, had time to digest final conference committee deals on education reform, an alternative to Medicaid expansion, property taxes, and the health and human services budget. Transparency isn’t just a buzzword. Had journalists and advocacy groups been able to look over the last-minute compromises, people might have discovered problematic language or even simple drafting errors, which could produce unintended consequences after Governor Terry Branstad signs these bills into law.

I have a lot of questions about the final education reform bill and the plan to provide health insurance to low-income Iowans, particularly those earning between 101 percent and 138 percent of the poverty level. I also need more time to sort through the budget numbers and final changes to the standings bill. After the holiday weekend Bleeding Heartland will examine the important results of the legislative session in more detail. For now, I’ve posted after the jump details on who voted for and against the major bills approved this week.

UPDATE: In the May 24 edition of the On Iowa Politics podcast, statehouse reporters Mike Wiser and James Lynch discussed how the big issues came together “behind closed doors,” with no public scrutiny or oversight. Lynch commented that to his knowledge, the conference committee named to resolve the impasse over Medicaid expansion never formally met, except perhaps for one organizational meeting. Lynch recounted one occasion when Iowa House Republican Dave Heaton was briefing journalists about the health care talks, and the journalists asked when that happened, since there hadn’t been any public notices of conference committee meetings. According to Lynch, Heaton replied, “We’re not having meetings, but we’re meeting.” Senate President Pam Jochum said that negotiations between Democratic State Senator Amanda Ragan and House Majority Leader Linda Upmeyer produced the “key to Iowa’s health care compromise.” Notably, Upmeyer didn’t have a prominent role in passing the House health insurance plan, nor was she named to the conference committee assigned to merge the House and Senate proposals.

Speaking to journalists on May 22, Senate Majority Leader Mike Gronstal and Jochum weren’t able to answer a specific question about compromise wording reached regarding Medicaid coverage of abortions. That was no minor issue–it was the last sticking point holding up approval of the health and human services budget. In effect, Gronstal told journalists, you can see the wording after the final bill is published.

When news broke last week of a tax compromise skewed toward business, I wondered why Senate Democrats would agree to pass that bill without progress toward Medicaid expansion, one of their top priorities. Governor Terry Branstad was saying legislators should adjourn after approving a budget, education reform and the tax deal, returning later this year for a special session on health insurance coverage for low-income Iowans. In my opinion, Democrats would be insane to give Republicans what they want on taxes now, hoping for Medicaid expansion later.

Today several signs point toward a possible deal on Medicaid coverage before the end of the legislative session.

The Iowa legislature’s 2013 session is already in overtime, and the standoff over whether to expand Medicaid is one of the last obstacles to adjournment. A conference committee including five lawmakers from each party has been seeking middle ground between Medicaid expansion, a priority for the 26 Senate Democrats, and the “Healthy Iowa Plan” that barely cleared the Iowa House but failed in the Senate.

This week Senate Democrats offered another gesture toward the Republican desire for low-income Iowans to have more “skin in the game” when they obtain health insurance coverage.

Meanwhile, three major advocacy groups stepped up their efforts to persuade lawmakers that the Healthy Iowa Plan offers inferior access for patients while incurring substantially higher property tax costs.

Finally, a coalition of progressive organizations announced that it will run a television commercial this Sunday targeting GOP State Representative Dave Heaton, the weakest link among House Republicans trying to pass Governor Terry Branstad’s alternative plan. Details on all those developments are after the jump.