# Drugs



Hy-Vee's largest political donation in a decade preceded Trump event

Editor’s note: Hy-Vee’s PAC provided a comment on June 24, which is enclosed in full at the end of this post.

Great catch and great digging by Gwen Hope. -promoted by Laura Belin

Hy-Vee is one of those companies we often associate with small-town, everyone-knows-everyone “Iowa Nice” culture. Yet it’s important to remember that while some major Iowa businesses started small, many are no longer those small-town startups of yesteryear. Hy-Vee is no exception, having just made a conveniently-timed donation that was its largest single political contribution in a decade.

Like many livestock farmers, state businesses fill their animal troughs with corn and silage, but the resulting pork is of the political persuasion variety. In this vein, I looked into the fundraiser1 for the Republican Party of Iowa (RPI), held at Hy-Vee’s Ron Pearson Center in West Des Moines. President Donald Trump headlined the June 11 event.

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Logical, but disappointing: Reynolds vetoes medical cannabis bill

Carl Olsen analyzes the big news the governor tried to bury in a pre-holiday weekend news dump. He has been a leading advocate for medical cannabis in Iowa for many years and closely follows legislative happenings related to the issue. -promoted by Laura Belin

Governor Kim Reynolds vetoed House File 732 on May 24. The bill passed by overwhelming bipartisan majorities in both legislative chambers: 96 to 3 in the Iowa House and 40 to 7 in the Iowa Senate. The full text of the governor’s veto letter is enclosed at the end of this post.

This is a tough issue for me to write about. I totally agree with the governor’s logic. At the same time, I am disappointed with the outcome.

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First look at the Iowa House landscape for 2020

Republicans used their control over state government to inflict tremendous damage on Iowa during the 2019 legislative session: underfunding education, blocking steps that would improve Medicaid services, dismantling effective sex education programs, further undermining workers’ rights, targeting health care for transgender Iowans, and giving Governor Kim Reynolds the ability to pack our highest courts with conservative ideologues.

The disastrous outcomes underscored the urgent need for Democrats to break the Republican trifecta in 2020. The Iowa House is the only realistic path for doing so, since Reynolds won’t be up for re-election next year, and the 32-18 GOP majority in the Iowa Senate will take several cycles to undo. State Representative Andy McKean’s recent party switch improved Democratic prospects, shrinking the Republican majority in the chamber from 54-46 to 53-47. Nevertheless, a net gain of four House seats will be no easy task for Democrats.

The Daily Kos Elections team calculated the 2018 election results for governor and state auditor in every Iowa House district. Jeff Singer discussed their key findings in a May 2 post: Reynolds carried 60 state House districts, Democratic nominee Fred Hubbell just 39. The “median seat backed Reynolds 51.0-46.3, a margin of 4.7 points. That’s about 2 points to the right of her statewide margin of 2.8 points.” Eight Democrats represent districts Reynolds carried, and one (Dave Williams) represents a district where Reynolds and Hubbell tied, while “only one Republican is in a Hubbell district.”

I’d encourage all Iowa politics watchers to bookmark the DK Elections number-crunching, as well as the team’s spreadsheet on 2016 presidential results by House district.

The Daily Kos team also looked at the 2018 voting for state auditor, seeking clues on which House seats might be within reach for Democrats. I don’t find that angle as useful. Previous State Auditor Mary Mosiman ran a terrible campaign. Not only did Rob Sand outwork Mosiman on the trail, he ran unanswered television commercials for six weeks, allowing him to go into election day with higher name ID than the incumbent, which is almost unheard of. Sad to say, Democrats won’t be outspending incompetent, little-known GOP candidates in the 2020 state legislative races.

Here’s my first take on both parties’ best pickup opportunities. What appear to be competitive state House seats may shift over the coming year, depending on candidate recruitment and incumbent retirements, so Bleeding Heartland will periodically return to this topic.

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State board suggests more restrictive medical cannabis limits

Carl Olsen has been a leading advocate for medical cannabis in Iowa for many years and closely follows legislative happenings related to the issue. -promoted by Laura Belin

In a highly unusual move, the Iowa Department of Public Health (IDPH) announced on the afternoon of April 12 that the Medical Cannabidiol Advisory Board had rescheduled its planned meeting. Instead of convening for two and a half hours on May 3, the board would meet for one hour on April 16.

Members called the shorter, rushed meeting in order to discuss recommendations on the tetrahydracannabinol or THC cap and purchase limits in a bill the Iowa House approved last month.

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Iowa Senate committee puts THC cap in House medical cannabidiol bill

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

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

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What really happened last week with the medical cannabidiol bill?

Carl Olsen is a leading advocate for expanding access to medical cannabis in Iowa and maintains the Iowans for Medical Marijuana website. -promoted by Laura Belin

The Des Moines Register reported on March 29 that a member of the Iowa Medical Cannibidiol Advisory Board had resigned over comments made on the floor of the House during debate on House File 732. (Bleeding Heartland covered that bill’s passage here.)

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Iowa House approves small steps on medical cannabis

“Is it perfect? No, it’s not perfect. Are we moving in the right direction? Absolutely,” Democratic State Representative Wes Breckenridge said shortly before Iowa House members approved a bill to improve our state’s medical cannabis program.

House File 732 would allow some Iowans to use more potent products and would make it easier for some patients to apply for a registration card. The House passed the bill by 96 votes to three after Breckenridge and Republican State Representative Jarad Klein praised each other’s consensus-seeking.

But for a suspenseful few minutes during the March 26 floor debate, the future of the bill was in doubt because of a first-term Republican’s far-reaching amendment.

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Cannabis: A greener way forward for Iowa

Gwen Hope unpacks the economic and social possibilities that accompany legalizing cannabis, demystifying the oft-maligned psychoactive plant. -promoted by Laura Belin

Since the middle of the 20th century, cannabis has been a hot button issue, particularly since the Nixon Administration began the War on Drugs. Often political, the criminalization and demonization of the plant and substances derived from it has a complex, but living history in the United States.

A microcosm of the country incarnate, this issue is attached to almost every other issue and stance imaginable: from political party to patriotism, convention to community, race to religion, humanity to harm, morality to medicine, and everything in-between was and is attached to cannabis – the United States’s most popular illicit substance.

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Our new year of progress

On Wednesday, January 2 2019, Linn County Supervisor-elect Stacey Walker was sworn into office and voted chair of the new three-member board. Walker is the first African American to hold the position and serve as chairperson of the governing body of Iowa’s second most populous county. After he was sworn in, he shared the following remarks. -promoted by Laura Belin

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Recognizing Bleeding Heartland's talented 2018 guest authors

The Bleeding Heartland community lost a valued voice this year when Johnson County Supervisor Kurt Friese passed away in October. As Mike Carberry noted in his obituary for his good friend, Kurt had a tremendous amount on his plate, and I was grateful whenever he found time to share his commentaries in this space. His final post here was a thought-provoking look at his own upbringing and past intimate relationships in light of Dr. Christine Blasey Ford’s allegations against Judge Brett Kavanaugh.

Friese was among more than 100 guest authors who produced 202 Bleeding Heartland posts during 2018, shattering the previous record of 164 posts by 83 writers in 2017. I’m thankful for every piece and have linked to them all below.

You will find scoops grounded in original research, commentary about major news events, personal reflections on events from many years ago, and stories in photographs or cartoons. Some posts were short, while others developed an argument over thousands of words. Pieces by Allison Engel, Randy Richardson, Tyler Higgs, and Matt Chapman were among the most-viewed at the site this year. In the full list, I’ve noted other posts that were especially popular.

Please get in touch if you would like to write about any political topic of local, statewide, or national importance during 2019. If you do not already have a Bleeding Heartland account, I can set one up for you and explain the process. There is no standard format or word limit. I copy-edit for clarity but don’t micromanage how authors express themselves. Although most authors write under their real names, pseudonyms are allowed here and may be advisable for those writing about sensitive topics or whose day job does not permit expressing political views. I ask authors to disclose potential conflicts of interest, such as being are a paid staffer, consultant, or lobbyist promoting any candidate or policy they discuss here.

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Why do I have to choose between opioids and medical cannabis for chronic pain?

Ann Crane (not her real name) is an Iowa woman who has suffered from chronic pain for nearly 18 years. -promoted by desmoinesdem

Around the country, there has been much discussion around the use of cannabidiol (CBD) and tetrahydrocannabinol (THC) to treat medical conditions. Most states allow the use of medical cannabis, and a few have legalized recreational use of cannabis as well. Under a 2017 Iowa law, cannabidiol with no more than 3 percent THC can be used to treat a small number of “debilitating medical conditions” (recently expanded by one).

I am one of thousands who suffer from “intractable or chronic pain,” one of the qualifying medical conditions in Iowa.

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State board rejects religious claim for cannabidiol

Carl Olsen is a longtime advocate for expanding access to medical cannabis in Iowa and maintains the Iowans for Medical Marijuana website. -promoted by desmoinesdem

On Thursday, September 20, the Iowa Board of Pharmacy moved to dismiss my petition for the religious use of medical cannabidiol, in Olsen v. Board of Pharmacy, No. CVCV056841 (Iowa District Court, Polk County).  The Board says the petition should have been filed with the Iowa legislature instead of the board.

The problem with the board’s position is that the legislature has given the board the duty of recommending changes in the schedules of controlled substances and medical cannabidiol is a controlled substance in Iowa.  There is also an existing exemption for the religious use of peyote, a Schedule 1 controlled substance.  Iowa Code § 124.204(8) (2018).

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Historic meetings seek to end racial profiling in Des Moines

Laural Clinton is a member of Iowa Citizens for Community Improvement’s racial justice team and the mother of Jared Clinton, who was the passenger in a recent racial profiling video released to the public. -promoted by desmoinesdem

Racial profiling. It’s a tough topic to discuss. But for us in the Black community, racial profiling is a reality we deal with every day–when we go to the store, when we drive our cars, when we eat at restaurants.

As a mother of three Black sons, I am intimately familiar with this issue.

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Medical cannabis board recommends adding ulcerative colitis

Carl Olsen is a longtime advocate for expanding access to medical cannabis in Iowa and maintains the Iowans for Medical Marijuana website. -promoted by desmoinesdem

I attended the seventh meeting of the state Medical Cannabidiol Advisory Board on August 3 at the Iowa Laboratory Facility on DMACC’s Ankeny Campus. Current law names nine “debilitating medical conditions” which can legally be treated with cannabidiol. See Iowa Code § 124E.2(2) (2018). The board considered three petitions to expand the list. Board members denied one, deferred one, and granted the petition to add ulcerative colitis.

My observations about these rulings may help advocates lobbying officials to allow medical cannabis for other diseases or chronic health conditions now excluded under Iowa law.

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Fight racism by voting in local elections

Jeff Cox offers some reasons for Iowans who care about racism to “think local.” -promoted by desmoinesdem

Low levels of voter turnout in America are disheartening. Bernie Sanders showed that large numbers of young, new voters can be brought into the electoral system. But what about local elections for school board and city council elections, not to mention bond issues, and the sadly neglected party primaries for local officials?

Here are some reasons to “think local” about elections if you care about racism, with evidence taken from five recent Johnson County elections.

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IA-03: David Young not defending Iowa's medical cannabis law

Carl Olsen is a longtime advocate for expanding access to medical cannabis in Iowa and maintains the Iowans for Medical Marijuana website. -promoted by desmoinesdem

Representative David Young is co-sponsoring federal legislation, the CARERS Act of 2017, H.R. 2920, that would interfere with Iowa’s Medical Cannabidiol Act of 2017, passed during the closing hours of last year’s legislative session.

And it’s not just Young. Representative Dave Loebsack, Iowa’s only Democrat in Congress, is also co-sponsoring the CARERS Act of 2017.  What is surprising to me as a Democrat is that the Republican representing the first district, Rod Blum, is actually the only Iowa member of Congress that understand federalism.  What I mean by “federalism” is that Blum is representing the people of the state of Iowa rather than federal interference with our new state medical marijuana law.

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A life that has led to advocacy

A personal commentary by Matt Chapman to coincide with the “Day on the Hill” for our state’s National Alliance on Mental Illness chapter. NAMI Iowa’s “mission is to raise public awareness and concern about mental illness, to foster research, to improve treatment and to upgrade the system of care for the people of Iowa.” -promoted by desmoinesdem

In the last few years I have found myself politically active and seem to be trying to make up for years of not having the right to vote and taking it for granted when I did participate. I would like to share where my focus is and relate how I came to feel so intensely about these issues. You never know when you may find your voice, and if it took me until my 50s, so be it.

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Exclusive: Two health giants block Iowans from medical cannabis program

Doctors affiliated with Mercy Cedar Rapids and The Iowa Clinic are refusing to sign paperwork their patients need to register for the Iowa Department of Public Health’s medical cannabis program. Iowa law requires applicants to obtain their doctor’s signature attesting that the patient has a “qualifying debilitating medical condition.” But the law stipulates that health care practitioners have “no duty to provide” written confirmation of the patient’s diagnosis.

Mercy Cedar Rapids appears to have instructed its 503 physicians not to sign the IDPH paperwork, according to two sources with qualifying conditions, who receive health care at different facilities in that network. Most if not all of the 250-plus health care providers at The Iowa Clinic, a doctor-owned group in the Des Moines area, are also refusing to sign medical cannabis card applications.

Without cooperation from a primary care provider, Iowans cannot start the process of receiving authorization to use cannabidiol legally. The number of patients affected by their health care group’s policies is unknown but potentially large. Mercy Cedar Rapids handled 451,400 outpatient visits last year at offices around Iowa’s second largest metro area. The Iowa Clinic averages 450,000 visits annually, serving about 148,000 unique patients across its central Iowa locations.

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Recognizing Bleeding Heartland's talented 2017 guest authors

Bleeding Heartland published 140 guest posts by 81 authors in 2016, a record since the blog’s creation in 2007.

I’m happy to report that the bar has been raised: 83 authors contributed 164 guest posts to this website during 2017. Their work covered an incredible range of local, statewide, and national topics.

Some contributors drew on their professional expertise and research, writing in a detached and analytical style. Others produced passionate and intensely personal commentaries, sometimes drawing on painful memories or family history.

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"Make America America again": photos, highlights from Iowa Democrats' fall gala

Everyone could have guessed Alec Baldwin would get Iowa Democrats laughing with jokes at President Donald Trump’s expense.

But who would have predicted the serious part of the actor’s speech would evoke an even stronger response from the crowd?

Follow me after the jump for audio and highlights from Baldwin’s remarks and those of the seven Democratic candidates for governor, along with Stefanie Running‘s photographs from a memorable evening in Des Moines.

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Weekend open thread: Veterans Day do's and don'ts

Thanking a veteran is easy. Tackling problems that face veterans is hard.

At no time is that political reality more apparent than on the 11th day of the 11th month.

The usual expressions of respect and gratitude can be found in the latest batch of Veterans Day tweets by Senators Chuck Grassley and Joni Ernst and Representatives Rod Blum (R, IA-01), Dave Loebsack (D, IA-02), David Young (R, IA-03), and Steve King (R, IA-04).

After the jump I’ve posted some concrete ways members of Congress could show they care about veterans. This is an open thread: all topics welcome.

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IA-Gov: Read the messages Fred Hubbell is testing with Iowa Democrats

Are Iowa Democrats more likely to support a successful businessman who is not a politician? Are they sympathetic to the argument that a self-funding candidate for governor is less susceptible to influence by special interests? Are they more impressed by private- or public-sector jobs Fred Hubbell has held, or by his charitable giving to causes like Planned Parenthood?

A recent survey of Democratic voters appears to be the Hubbell campaign’s first attempt to answer those and other questions.

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Major battle shaping up for Iowa House district 82 (updated)

Curt Hanson won the most important Iowa legislative special election of the last decade. So it’s fitting that the election to replace the Iowa House Democrat, who passed away last month after a long battle with cancer, is shaping up to be our state’s most consequential special legislative race in years.

What happens here on August 8 won’t determine the outcome of Iowa’s 2018 elections but could have political repercussions beyond the three counties in House district 82.

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Let's not forget who made Iowa's new medical cannabis law so useless

Iowa’s new medical cannabis law goes into effect on July 1, but “obtaining the medicine will be difficult and manufacturers said it’s unclear if the state’s effort will be viable,” Linley Sanders reported for the Associated Press this week. Her story illuminated a few reasons the law won’t help most of the people who could potentially benefit from access to cannabis derivatives.

Iowa lawmakers closed out the session with all-nighter so as not to adjourn without doing something on this issue. The previous medical cannabis law, adopted in similar last-minute fashion three years earlier, was due to expire this summer. Even for people with seizure disorders, the only conditions for which cannabis oil was allowed, the old law was too limited and unworkable.

As the new law’s defects become more obvious, we need to remember that most state legislators favored a better alternative. House Republicans thwarted their efforts.

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24 things that won't happen under Iowa's new medical cannabis law

In one of his final official acts before he departs for China, Governor Terry Branstad signed into law the last bill approved during the 2017 legislative session.

House File 524 has been portrayed as a major expansion of medical cannabis in Iowa. Whereas the 2014 law permitted the use of only one cannabis derivative (CBD oil) to treat certain seizure disorders, the new law allows the same product (cannabidiol with no more than 3 percent THC) to be used for nine medical conditions: cancer, multiple sclerosis, epilepsy, AIDS or HIV, Crohn’s disease, amyotrophic lateral sclerosis (Lou Gehrig’s disease), Parkinson’s disease, untreatable pain, or “any terminal illness with a life expectancy under one year associated with severe or chronic pain, nausea or severe vomiting, cachexia or severe wasting.” Threase Harms, who lobbied for the bill, described it as a “great next step in the process of making medical cannabis available for many folks here in Iowa who need access to it as a medical treatment.”

A more comprehensive bill, which had gained broad bipartisan support in the Iowa Senate, had the potential to improve the quality of life for thousands.

I see little evidence anything “great” will come out of legislation finalized during an all-nighter by House Republican lawmakers who refused to take up that Senate bill.

As Iowa implements the new law, the following outcomes are predictable.

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A shameful end to the most destructive Iowa legislative session of my lifetime

The Iowa House and Senate adjourned for the year around 7:15 am on Saturday, after staying up all night while Republican leaders tried to hammer out last-minute deals on medical cannabis and water quality funding.

The medical cannabis compromise passed with bipartisan majorities in both chambers, but I’m not convinced the revised House File 524 will be an improvement on letting the current extremely limited law expire on July 1. The bill senators approved last Monday by 45 votes to five would have provided some relief to thousands of Iowans suffering from nearly 20 medical conditions. House Republican leaders refused to take it up for reasons Speaker Linda Upmeyer and House Majority Leader Chris Hagenow never articulated.

The new bill thrown together during the all-nighter theoretically covers nine conditions, but as Senator Joe Bolkcom explained in a video I’ve enclosed below, the only form of cannabis allowed (cannabidiol) will not be effective to treat eight of those. Although few if any Iowans will be helped, Republicans can now claim to have done something on the issue and will consequently face less pressure to pass a meaningful medical cannabis bill during the 2018 legislative session.

Republicans shut down the 30-year-old Leopold Center for Sustainable Agriculture, which supported research on farming practices that could preserve our soil and water resources. But on Friday night, they gave up on doing anything serious to clean up our waterways, 750 of which are impaired, according to the latest data released by the Department of Natural Resources. CORRECTION: More recent DNR data indicate Iowa “contains 608 waterbodies with a total of 818 impairments.” (Some waterways have more than one impaired segment.) On the opening day of this year’s session, Hagenow promised “significant new resources to water quality efforts.” Why not come back next week and keep working until they find some way forward?

I’ll tell you why: lawmakers’ per diems ran out on April 18. Heaven forbid Republicans should work a few more days with no pay to address our state’s most serious pollution problem. Incidentally, this crowd just passed an education budget that will force thousands of students to go deeper in debt. They voted earlier this year to cut wages for tens of thousands of Iowans living paycheck to paycheck in counties that had raised the minimum wage. These “public servants” also handed more than 150,000 public workers an effective pay cut by taking away their ability to collectively bargain over benefits packages. As if that weren’t enough, they made sure many Iowans who get hurt on the job will be denied access to the workers’ compensation system or will get a small fraction of the benefits they would previously have received for debilitating shoulder injuries.

Lives will be ruined by some of the laws Republicans are touting as historic accomplishments.

Even worse, lives will likely end prematurely because of cuts in the health and human services budget to a wide range of programs, from elder abuse to chronic conditions to smoking cessation to Department of Human Services field operations. I enclose below a Democratic staff analysis of its provisions. During House and Senate floor debates, Republican floor managers offered lame excuses about the tight budget, which doesn’t allow us to allocate as much money as we’d like to this or that line item. Naturally, they found an extra $3 million for a new family planning program that will exclude Planned Parenthood as a provider.

Different Republican lawmakers used the same excuses to justify big cuts to victims assistance grants in the justice systems budget. That choice will leave thousands of Iowans–mostly women–without support next year after going through horrific assaults or ongoing abuse.

Despite some big talk from House Appropriations Committee Chair Pat Grassley, Republicans didn’t even try to rein in business tax credits, which have been the state’s fastest-growing expenses in recent years. The budget crunch is real and may get worse. But no one forced Republicans to inflict 100 percent of the belt-tightening on those who rely on public services.

More analysis of the 2017 legislative session is coming to Bleeding Heartland in the near future. All posts about this year’s work in the Iowa House and Senate are archived here. The Des Moines Register’s William Petroski and Brianne Pfannenstiel summarized some of the important bills that passed this year.

After the jump you’ll find Bolkcom’s commentary on the medical cannabis bill that offers “false hope” to Iowans “who have begged us to help,” along with closing remarks on the session from House Minority Leader Mark Smith and Senate Minority Leader Rob Hogg.

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Near-total support for medical cannabis bill in Iowa Senate

What a difference two years makes: the Iowa Senate approved a comprehensive medical cannabis bill today by 45 votes to five. Almost two years ago to the day, a similar bill covering fewer medical conditions barely passed the Senate with just one Republican (Brad Zaun) joining 25 of the 26 Democrats. State Senator Tod Bowman was the lone Democrat not to support the 2015 cannabis legislation, and he was the only Democrat to vote against Senate File 506 today, joined by Republicans Mike Breitbach, Dan Dawson, Julian Garrett, and Mark Costello. (Garrett had voted for the bill in the Senate Appropriations Committee last week.)

Bleeding Heartland covered the important provisions of Senate File 506 here. Whereas the current law allows the use of cannabis oil to treat a few seizure conditions but doesn’t provide for in-state production, the new bill would cover thousands more Iowans, permit licensed users to obtain cannabis in more forms (but not smokeable marijuana), and create conditions for manufacturing and selling medical cannabis in Iowa.

Before final passage, senators adopted two amendments by voice vote. Language introduced by Republican Tom Greene added polyarteritis nodosa to the list of covered conditions and reduced the maximum number of licensed medical cannabis manufacturers in Iowa from twelve to four. Republican Mark Chelgren’s amendment removed a passage that would have allowed patients to register for a nonresident card in Minnesota and obtain medical cannabis from a manufacturer in that state.

Iowa House Republican leaders may not allow a vote on this bill without amendments to limit its scope. However, they will face pressure to do something before adjournment, because the current law expires on July 1. During today’s floor debate, several senators urged colleagues in the lower chamber to send the legislation to Governor Terry Branstad, Steffi Lee reported for CBS-2 in Cedar Rapids.

Advocacy groups representing Iowans affected by various diseases or medical conditions are lobbying in favor of Senate File 506, while some organizations representing law enforcement or medical professionals are registered against it, including the Iowa Pharmacy Association. Ironically, the only two pharmacists serving in the legislature are strong supporters of the bill. Greene floor-managed Senate File 506, and Democratic State Representative John Forbes has been one of the lower chamber’s leading advocates for medical cannabis reform for years.

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A closeted marijuana smoker's view of prejudice in the Iowa Code

As Iowa lawmakers consider proposals to allow the use of cannabis derivatives for some medical conditions, Matt Chapman makes the case for going further to legalize smokeable marijuana. -promoted by desmoinesdem

I illegally used marijuana for pain for years and it would be disingenuous to say I didn’t enjoy the side effects. It would also be disingenuous to say I don’t like the effect of hydrocodone or don’t like the effect of a large dose of ethanol as well. But to use ethanol every evening to take the edge off of pain and to get some good sleep would be a disaster.

And while it is under prohibition and illegal to use, it gave me a lot of relief and helped stave off the point where I could not take the pain any longer. I would use it in the evening. And before I went to bed I would use some along with amitriptyline and would sleep well. And I have no problem publicly discussing this as I had to choose which medication I would use and hydrocodone was the winner.

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The human cost of Big Pharma's greed: Overcharging the Hepatitis C cure

Did you know drug companies exploit charities to increase their profits? Neither did I before reading this piece by Austin Frerick. -promoted by desmoinesdem

Susan, a 52-year-old mother of two from Indianola, thought she had landed the perfect job. She would be sitting behind a desk in Des Moines after years of working on her feet in retail and even got new benefits like the day off on Christmas Eve. But her excitement ended when her life insurance application was denied because she had Hepatitis C.

Susan is one of 3.5 million Americans living with chronic Hepatitis C, nearly 80 percent of whom are “baby boomers” (born between 1945 and 1965). Susan, like most other baby boomers, was likely infected during a blood transfusion before hospitals screened blood for the virus. The infection can last a lifetime and lead to serious liver problems, including cirrhosis (scarring of the liver) or liver cancer. Many other baby boomers in Iowa only recently discovered that they were infected, either through a routine physical or when they started showing symptoms. A new report by the state Department of Public Health found that reported cases in Iowa have increased by nearly 200 percent since 2000.

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Key senator confident Iowa Senate will pass bipartisan medical cannabis bill

Iowa’s current medical cannabis program sunsets on July 1, and no proposal to replace it advanced in a state House or Senate committee before the legislature’s first “funnel” deadline. However, appropriations bills are exempt from the funnel, and Senate Appropriations Committee Chair Charles Schneider confirmed today he is working with colleagues in both parties to make medical cannabis more available to Iowans suffering from a wider range of medical conditions.

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It's time to take a stand for cannabis

No medical cannabis bills made it through the Iowa legislature’s “funnel” this week. Quinn Symonds comments on the debate and recounts a March 1 event advocates organized to inform state lawmakers about the issue. -promoted by desmoinesdem

In my previous Bleeding Heartland post, I talked about key differences between Republican and Democratic proposals on medical cannabis. I’m hoping that if you did catch the last piece, you understand how neither of the bills are adequate. After visiting the Capitol on Wednesday and talking to many leaders, one thing became clear to all of us: there isn’t so much a party divide as a lack of enthusiasm from Republican leaders.

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We all need to come together to make medical cannabis work in Iowa

Advocate Quinn Symonds shares his perspective on some medical cannabis proposals recently introduced in the state legislature. Iowa’s very limited current law, which is unworkable even for families of those suffering from seizure disorders, expires in July. Efforts to expand it failed in the Iowa House last year. -promoted by desmoinesdem

I’ve been asked to talk about the medical cannabis bills. There are basically two sides to watch right now. There are several bills introduced by Democrats and bills introduced by two Republicans, Iowa House Public Safety Committee Chair Clel Baudler and Iowa Senate Judiciary Committee Chair Brad Zaun. I will be referring to Democratic State Senator Joe Bolkcom’s proposals. He has two out currently: a version of last year’s bill that failed to pass, and a “newer” version of the same bill. On the Republican side I will focus on Baudler’s bill. These bills aren’t exactly great: they are supposed to help patients, and neither would do much of that.

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A year's worth of guest posts, plus tips for guest authors

One of my blogging new year’s resolutions for 2016 was to publish more work by other authors, and I’m grateful to the many talented writers who helped me meet that goal. After the jump I’ve linked to all 140 guest posts published here last year.

I encourage readers to consider writing for this site in 2017. Guest authors can write about any political issue of local, state, or national importance. As you can see from the stories enclosed below, a wide range of topics and perspectives are welcome here.

Pieces can be short or long, funny or sad. You can write in a detached voice or let your emotions show.

Posts can analyze what happened or advocate for what should happen, either in terms of public policy or a political strategy for Democrats. Authors can share first-person accounts of campaign events or more personal reflections about public figures.

Guest authors do not need to e-mail a draft to me or ask permission to pursue a story idea. Just register for an account (using the “sign up” link near the upper right), log in, write a post, edit as needed, and hit “submit for review” when you are ready to publish. The piece will be “pending” until I approve it for publication, to prevent spammers from using the site to sell their wares. You can write under your own name or choose any pseudonym not already claimed by another Bleeding Heartland user. I do not reveal authors’ identity without their permission.

I also want to thank everyone who comments on posts here. If you’ve never participated that way, feel free to register for a user account and share your views. If you used to comment occasionally but have not done so lately, you may need to reset your password. Let me know if you have any problems registering for an account, logging in, or changing a password. My address is near the lower right-hand corner of this page.

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Few changes in Iowa House Republican leadership team

Iowa House Republicans came out of this campaign in better shape than they could have hoped six months ago. The party successfully defended every incumbent and every GOP-held open seat, including one with a significant Democratic registration advantage. Even better, Republicans defeated State Representative Patti Ruff and picked off one of the four Democratic-held open seats, despite a big tax problem for the GOP candidate there. During the last presidential election year, Republicans suffered a net loss of seven Iowa House seats and were lucky to avoid losing more. In contrast, the caucus came out of last Tuesday with a two-seat gain and a 59-41 majority, just one seat shy of their advantage in the chamber after the 2010 landslide.

Happy endings provide little incentive to shake things up. To no one’s surprise, House Republicans re-elected most of their leadership team during yesterday’s caucus meeting in Des Moines. Linda Upmeyer will continue as speaker, her position stronger now than last year, since several representatives who were rumored to be at odds with her have now retired. Chris Hagenow stays on as majority leader and Matt Windschitl as House speaker pro-tem.

The biggest change is Zach Nunn moving up from one of the assistant majority leader positions to majority whip. Media reports don’t indicate whether last year’s majority whip Joel Fry sought the position again or stepped down from the leadership team voluntarily.

Similarly, Walt Rogers is no longer an assistant majority leader, having held one of those positions from early 2013 through last year’s legislative session.

If any readers can shed light on whether Fry and Rogers wanted out or were pushed out of leadership, please post a comment here or contact me confidentially at the e-mail address near the bottom right of this page. UPDATE: Two sources indicate that Fry is likely to lead the Human Resources Committee, since its previous chair Linda Miller retired this year. Under House rules, assistant leaders don’t chair committees. Still seeking insight on the next move for Rogers.

Two of the just-selected assistant majority leaders played the same role last year: Jarad Klein and John Wills. The other two, Mike Sexton and Megan Jones, join House leadership for the first time. UPDATE: According to one source, Jones and Klein ran against Nunn for majority whip.

Like her counterpart in the upper chamber, incoming Iowa Senate Majority Leader Bill Dix, Upmeyer didn’t lay out specific policy plans when speaking to reporters yesterday. We’ll find out later which taxes Republicans plan to cut, how badly they will decimate collective bargaining rights for public employees, and whether they will do anything to make medical cannabis more widely available to Iowans suffering from severe health conditions.

Upmeyer seemed to rule out raising the sales tax by 3/8 of a cent to fill the the Natural Resources and Outdoor Recreation Trust Fund. That fund has been empty since 63 percent of Iowans approved a constitutional amendment to create it in 2010. Cedar Rapids Mayor Ron Corbett is one of very few elected Republican officials to be on record backing a sales tax hike to fund conservation efforts.

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