The working of Iowa’s state legislature is transparent in many ways. The official legislative website provides thorough, timely and permanently accessible information about bills, legislators, committees, votes, and other events. Most Iowa House and Senate members are accessible to interested constituents, even listing their home and/or cell phone numbers on the web. When the legislature is in session, members of the public can come to the Capitol during working hours and often speak to key lawmakers about the issues they care about.

Nevertheless, it can be hard for those on the outside to figure out what is really going on at the statehouse. So it was last week when the Iowa House approved House File 2109, “An Act relating to vapor products and alternative nicotine products, and providing penalties.” Following the lead of the bill’s sponsor, news headlines made this legislation sound like a step toward protecting children’s health: “Iowa House approves ban on sale of e-cigarettes to minors”; “Iowa House passes ban on e-cigarettes for minors”; “House votes to ban e-cigarette sales to minors.”

The lobbyist declarations told a different story.  

Friends of Iowa Midwives has worked with legislators to present companion bills in the House and Senate that would allow for safe and legal access to Certified Professional Midwives (CPMs) in Iowa.  For 15 years Friends of Iowa Midwives has worked toward licensure for CPMs. In 1999 the Iowa Legislature conducted a scope of practice review, the result of which was a recommendation to the legislature that the CPMs should be licensed through the Iowa Department of Public Health.  The bills propose that a license be created for the already trained and nationally certified midwives who seek to provide quality and safe care to Iowa women.

Every year in Iowa, more than 500 women choose to give birth outside of the hospital.  This number is on the rise both in Iowa and nationally.  A study published last month in the Journal of Midwifery and Women’s Health again demonstrated that for low-risk women out-of-hospital birth with skilled providers is a safe option.  This study found that almost 94% of the nearly 17,000 participants had a spontaneous vaginal birth.  The cesarean rate for this study was 5.2%.  The national average cesarean rate is 33%.  The in-labor transfer rate for this study was between 8-23%.  The most common reason for a transfer of care was prolonged labor or what is commonly called failure to progress. This study was one of among several that have demonstrated that out-of-hospital birth is a safe option for low-risk women. 

Although Iowa House Republicans sought to restrict abortion rights after regaining the majority in the lower chamber in 2011, anti-choice bills were never a high priority for leadership. In fact, House leaders sometimes put the brakes on conservative efforts to bring anti-abortion legislation to the floor. During the 2013 legislative session, not a single bill restricting abortions even made it out of a committee in the Republican-controlled Iowa House.

House leaders must have gotten some flack from their caucus or outside advocacy groups, because even though restricting abortion isn’t a top agenda item for House Speaker Kraig Paulsen or Majority Leader Linda Upmeyer, they made sure to move an anti-abortion bill quickly during this year’s session. Yesterday the Iowa House approved House File 2175, which would ban the use of telecommunications technology for the purpose of terminating a pregnancy. (A similar bill died in the funnel last year.)

Follow me after the jump for background and details on the roll call.

What’s on your mind, Bleeding Heartland readers? Here’s an open thread.

Change for the better: According to Maj. Gen. Tim Orr, adjutant general of the Iowa National Guard, no members of the Guard are stationed in war zones for the first time since before the Iraq War. Orr delivered his annual “Condition of the Guard” speech to Iowa legislators today. Only about 100 of roughly 9,400 National Guard or Air National Guard members from Iowa are stationed overseas; the largest group is in Kosovo.

Change for the worse: U.S. House Energy and Commerce Committee Chair Henry Waxman announced last week that he will retire after 40 years in Congress. He is one of the giants of his generation, having helped pass the Clean Air Act and a wide range of consumer protection laws, from tobacco regulations to food safety. Until I read this article by Timothy Westmoreland, I didn’t realize that Waxman was also an “unsung hero in the fight against AIDS” during the 1980s.

Changes don’t get much bigger than climate change. U.S. Secretary of Agriculture Tom Vilsack announced today that seven news “regional hubs for risk adaptation and mitigation to climate change” will open around the country. The Midwestern “climate hub” will be located in Ames. The full USDA press release is after the jump.

Every year I’m amazed by some of the bills Iowa House and Senate members introduce. An Iowa House Public Safety subcommittee provided the latest head-scratching example yesterday, when two Republicans and a Democrat unanimously advanced a bill to lower from fourteen to twelve the age at which Iowans can “possess a pistol or revolver or the ammunition therefor for any lawful purpose” while being supervised by a parent or guardian or an instructor authorized by a parent or guardian. Details are after the jump.  

“States’ rights” has typically been a rallying cry among American conservatives, but six Democratic Iowa legislators are concerned that the Trans-Pacific Partnership now being negotiated may infringe on local control and states’ ability to legislate in the public interest. In an open letter, 43 state lawmakers have asked 23 state attorneys general, including Iowa’s Tom Miller, to analyze the Trans-Pacific Partnership’s possible impact on state and local governments.

I’ve enclosed the text of the letter below, along with a news release on the initiative from the National Caucus of Environmental Legislators. The Iowans who signed are State Representatives Chuck Isenhart, Marti Anderson, Dan Kelley and Curt Hanson, and State Senators Bill Dotzler and Joe Bolkcom. The letter spells out ten areas of state regulation that signers fear could be undermined by the Trans-Pacific Partnership. Isenhart stressed that the lawmakers’ concerns go beyond environmental issues, citing Iowa’s support for the biofuels industry as well as state policies to protect consumers and discourage smoking.

President Barack Obama is seeking to fast-track the Trans-Pacific Partnership. Activists who oppose the trade agreement have criticized the secrecy surrounding the negotiations as well as the agreement’s tilt toward corporations and potential to undermine environmental and public health protections.

UPDATE: Bleeding Heartland user cocinero notes in the comments that the American Cancer Society is concerned about this trade agreement. At the end of this post I’ve enclosed a joint statement from Campaign for Tobacco-Free Kids, American Cancer Society Cancer Action Network, American Heart Association, American Lung Association and the American Academy of Pediatrics.

Here’s your mid-week open thread, Bleeding Heartland readers: all topics welcome. Earlier this evening, Governor Terry Branstad made his re-election campaign official. I’ll post a roundup of news clips and highlights tomorrow morning.

One thing’s been bothering me all week. We hear so much about how renewable energy is too expensive for consumers compared to coal and other fossil fuels used to generate electricity. But we don’t often calculate the hidden costs of this allegedly “cheap” coal. Even under normal circumstances, coal takes an enormous toll on human health every step of the way, from mining to combustion to waste disposal. Chronic illnesses shorten lives, reduce productivity and can be expensive to treat.

Costs escalate when a catastrophe happens like last week’s chemical spill in West Virginia. Not only were 300,000 people in the area left without usable water for days, residents of Cincinnati may be affected too as the pollution flows downstream. Taxpayers will foot the bill for the emergency water deliveries and probably most of the cleanup. The government board that will investigate the chemical spill lacks the resources to do its job properly.

Here’s some good news, though, courtesy of the Iowa Environmental Council’s blog:

Iowa is also making progress retiring coal-fired generation.  In fact, a recent announcement by Alliant energy that it will convert its M.L. Kapp station in Clinton to burn natural gas means that Iowa utilities have announced over one gigawatt of coal retirement in the last year.  These announcements include three Iowa plants involved in a settlement over Clean Air Act violations the Sierra Club reached with MidAmerican Energy last year.

Click through for a table showing coal-fired plants in Iowa that will either close or shift to natural gas. (Disclosure: I’m involved with the Iowa Environmental Council but not with their blog.)

Immediately following Governor Terry Branstad’s Condition of the State address to Iowa legislators yesterday, Senate Majority Leader Mike Gronstal told Iowa Public Television that he “didn’t hear anything I disagreed with.” Not every Iowan who closely follows state government shared his reaction. State Senator Jack Hatch, the leading Democratic challenger to Branstad, slammed the governor’s “very shallow agenda” of “low expectations.”

After the jump I’ve posted more detailed comments from Hatch and a few other Iowa Democrats, as well as statements released by several non-profit organizations, which called attention to important problems Branstad ignored or glossed over.  

The Iowa House and Senate convened today to begin the 2014 legislative session. All of the opening remarks reflected on key achievements of the 2013 session, such as compromise bills on commercial property tax cuts, education reform, and providing health care to low-income Iowans. All of the speeches called for more bipartisan work this year, and all stressed “pocketbook” issues such as improving education and building the middle class rather than social issues. But Republican and Democratic leaders take different priorities into the 2014 session.

I’ve summarized below the key points Iowa House and Senate majority and minority leaders raised today. I also enclosed lengthy excerpts and in some cases the full texts of their opening day speeches.

Click here for a tentative schedule of key dates during the 2014 legislative session. Lawmakers tend to finish their work earlier in election years than in odd-numbered years, but I highly doubt they will be ready to adjourn by March 30, as House Speaker Paulsen hopes. They will be lucky to finish work on the state budget by April 22, when lawmakers stop receiving per diem payments.

Talk about lousy timing: just before a chemical spill made tap water unusable for 300,000 West Virginians, the U.S. House approved a bill that would “weaken the nation’s hazardous waste laws and place American communities at increased risk of toxic exposure.” The Reducing Excessive Deadline Obligations Act of 2013 (H.R. 2279) includes three bills House Republicans drafted last year. In a letter signed by 129 public interest groups, Earth Justice listed the key points of each bill and explained why the package would “threaten human health and the environment while protecting polluters from liability for the costs of toxic cleanups.” I’ve posted an excerpt from that open letter after the jump. In a post for the Earth Justice blog last week, Lisa Evans called this bill “Kryptonite for Superfund” and “a con job of the highest order, allowing polluters to walk away without losing a penny, while taxpayers are left footing the bill.”

Under its current leadership, the House has been called “the most anti-environmental House in our nation’s history” because of the many bills passed that would curtail federal regulations and take power away from the U.S. Environmental Protection Agency. Occasionally Iowa’s two House Democrats have gone along with those efforts, but I was pleased to see that on January 9, Representatives Bruce Braley (IA-01) and Dave Loebsack (IA-02) voted against the latest effort to hamstring the EPA and for the Democratic motion to recommit this bill with instructions (often a last-ditch effort to kill legislation in the House). Iowa Republicans Tom Latham (IA-03) and Steve King (IA-04) lived up to their abysmal voting records on the environment by voting for the Reducing Excessive Deadline Obligations Act and against the motion to recommit.

Happy new year to the Bleeding Heartland community. Here’s an open thread. I’m among the minority of Iowans not watching the Outback Bowl today, but for what it’s worth, I do hope the Hawkeyes beat Louisiana State. LSU jumped out to an early lead.

Several new laws take effect in Iowa today, notably the alternative to expanding Medicaid, just approved by the federal government in mid-December. Under the plan, federal funds will cover Medicaid for Iowans earning up to 100 percent of the federal poverty level and private health insurance for Iowans with incomes between 100 and 138 percent of the federal poverty level. In theory, the Iowa Health and Wellness Plan is supposed to cover between 100,000 and 150,000 people, roughly half of our state’s uninsured population. Problems with the federal health insurance exchange website may leave a lot of people with a gap in coverage, though. The Iowa Department of Human Services has advised roughly 16,000 Iowans who applied for coverage through Healthcare.gov and may be eligible for Medicaid to apply again to the state agency. If they apply by January 31, they can get coverage retroactive to today.

Teen drivers in Iowa face new restrictions under Senate File 115, which passed both chambers with large bipartisan majorities last year. After completing driver’s ed and having an instruction permit for six months, teenagers will have an intermediate license for 12 months (extended from six months under the previous statute). Also, the teen driver’s parents have the option to limit the driver to having no more than one unrelated minor passenger in the vehicle. Rod Boshart explained more details about the new law, intended to reduce the risk of traffic accidents involving young drivers.

Boshart also reports, “Thousands of commercial property owners in Iowa face a Jan. 15 deadline to apply in their counties for a new tax credit established” in the compromise property tax bill approved at the end of last year’s legislative session with strong bipartisan support.

As of today, it is legal in the state of Colorado to sell marijuana to people over age 21 at certain licensed stores. Drivers with Colorado license plates were already among the groups more likely to be pulled over by Iowa State Patrol. I would guess that profiling will increase.

In some parts of the country, black-eyed peas are considered a lucky food to eat on New Year’s Day. I’m not a fan of “hoppin’ John,” the most traditional preparation, but I’ve posted the recipe for my favorite black-eyed peas dish after the jump.  

Below is a response to the article http://www.desmoinesregister.com/apps/pbcs.dll/article?AID=2013312050037&nclick_check=1 that was published on December 5th. The piece was submitted but not published. It was written in collaboration with staff from Pesticide Action Network:

Contrary to Mr. Lehr’s inflammatory remarks to the recent Iowa Farm Bureau Federation annual meeting, the trend of Iowans paying attention to agricultural practices is a far cry from the state rejecting farming. Iowans have a deep appreciation for agriculture. They want what is best for food production, and for the state... A healthy dialog about farming practices isn’t something to fear – it can help make Iowa a healthier and more economically secure place to live. 

It’s freezing cold across most of Iowa today, and road conditions are mixed after the first snowfall of several inches in central Iowa. It jogged my memory to post some links about winter safety.

The risk of carbon monoxide poisoning goes up during the winter, so be aware of that and other indoor air hazards common in cold weather.

For current road conditions, call 511 or use the Iowa Department of Transportation’s 511 website or apps for mobile devices.

Avoid unnecessary vehicle travel during icy conditions or snowstorms. Here’s good advice on how to drive in winter weather, what to keep in your car in case of emergency, and what to do if you become stranded in your car.

Frostbite is a problem for pets as well as humans during the winter.

I’ve been a “city girl” (in the Iowa context) all my life, but living in the country changes your midwestern winter experience. Danelle of the Stamps Family Farm posted “what you should know about winter on a farm.”

For those who like to play outside in the winter, here are safety tips for sledding and going out on pond or lake ice. Over Thanksgiving weekend, two brothers drowned in a terrible pond ice tragedy in southwest Iowa.

Final link: look how these Russians got an empty SUV out of a pond using only simple machines and some manpower.

Iowa wildflower Wednesday is on hiatus, but here’s an open thread. What’s on your mind, Bleeding Heartland readers?

I didn’t manage to post a Veterans Day linkfest on Monday, but I was interested in this article about the “long decline of veterans in Congress.”

Military service was once almost a prerequisite for service in Congress. Veterans comprised more than three-fourths of both the House and Senate at one point last century. Since then, their membership has declined to about 20 percent of both chambers.

Of the Iowans now serving in Congress, only Senator Tom Harkin is a veteran. Several Iowa candidates for federal office have served in the military, though, including Steve King’s Democratic challenger Jim Mowrer and Republican U.S. Senate hopefuls Sam Clovis and Joni Ernst.

The suicide rate among U.S. veterans has long been a national disgrace. The Military Suicide Research Consortium provides information on the problem and resources for those needing help.

Speaking of national disgraces, roughly 900,000 veterans who rely on the Supplemental Nutrition Assistance Program (formerly known as food stamps) saw their food assistance benefits cut at the beginning of November. The SNAP cuts King and other House Republicans are demanding in conference committee negotiations over the farm bill would deny federal food assistance to approximately 170,000 low-income veterans.

Representative Tom Latham fell for some Veterans Day-themed satire about MSNBC host Chris Hayes. A good reminder that deleted tweets and Facebook posts never truly disappear.  

As a member of the National Organic Standards Board (NOSB), I have been asked by consumers how the rules recently got changed in the National Organic Program (NOP) to make it easier for synthetic materials on the National List of Approved Materials to be relisted when they sunset after five years (as required by law).  To clarify, any synthetic materials approved for use in organic production and handling must be approved by the NOSB by a two-thirds majority vote.  And, by law, those materials sunset in five years and must be re-approved by the NOSB to remain on the National List.  

The recent rule change — made by USDA without consultation with the NOSB — turns the voting upside down, changing the voting for sunseting materials from a former two-thirds majority to re-approve a sunseting material to two-thirds majority to de-list a sunseting material.  As Jim Riddle, long-time leader in the organic community and former Chair of the NOSB points out below in a letter to the Organic Trade Association (who supports the rule change), that is a huge change.  

Imagine you own a business.  There’s a knock on the door.  It’s the government, and they’re here to help.  “We’re going to give everyone enough money to buy your product.  We’re not going to make anyone buy it, but it won’t cost them anything if they do.  Your profit is going grow 20%, but we’re going to take half of the new profit so we can afford to pay people to buy it.  But you get to keep the rest.

That’s essentially what happened with the Affordable Care Act (ACA) with respect to Medical Device Manufacturers (MDM).  MDM’s started paying a 2.3% excise tax on the sale of their wares in January 2013.  The logic behind the compromise was as simple as the opening scenario.  Prior to ACA, 30 million to 50 million people were either uninsured or uninsurable.  As a practical matter, people without insurance go without hip and knee replacements and similar procedures.  They just limp.

While there may well be more knee replacements, there will be many more people with insurance, and virtually everyone will have access to insurance if they need it.

Now the winds are shifting.  Tea Party Republicans, ostensibly opposed to deficit spending, have shut down the government and are threatening to cause the first credit default in US history.  In a particularly ironic twist, a compromise is emerging, most recently championed by Sen. Susan Collins, a Republican from Maine, to repeal the tax on MDMs.

In other words, the government will be greatly expanding the market and increasing the profits of MDMs, but will not ask for anything in return for that expanded market.  The result will be an increase in the deficit of $30 billion over the next 10 years.

Governor Terry Branstad announced yesterday that he had accepted the resignation of David Worley as commandant of the Iowa Veterans Home in Marshalltown. After the jump I’ve posted the official press release, including Worley’s resignation letter. His successor will be retired Brig. Gen. and former State Representative Jodi Tymeson, whom Branstad named chief operating officer at the Iowa Veterans Home in May. At that time, the governor’s staff dismissed claims that Worley (a holdover from Chet Culver’s administration) had created a hostile work environment at the home. I never understood why Branstad would create an entirely new management position for Tymeson if Worley truly had “the governor’s full faith and confidence.”

I also enclose below comments from Iowa Senate Veterans Affairs Committee Chair Daryl Beall and State Senator Steve Sodders, who represents the Marshalltown area. Beall presided over a lengthy Senate hearing on alleged problems at the Iowa Veterans Home in May, after which Sodders called for a full investigation of Worley’s conduct.

Veterans’ advocate Bob Krause, who is exploring a run for governor, discussed Worley’s resignation and ways to improve conditions for Iowa Veterans Home staff and residents in an open letter, which I’ve posted below.

I’ll say this for Branstad: he knows how to bury a story. On a slow news day, Worley’s resignation might have generated a lot of Iowa media coverage and questions about why the governor waited so long to replace him. Instead, this news will be overshadowed by coverage of the federal government shutdown and the new health insurance exchanges.

Iowa’s constitution allows the governor to line-item veto provisions in appropriations bills, and Governor Terry Branstad has used that power to overrule legislative decisions on many spending proposals, large and small. Among this year’s line-item vetoes, perhaps the most controversial was Branstad’s surprising decision to ax $13 million for mental health services. That line item was intended to cushion the blow for counties as Iowa reorganizes its mental health care delivery system. (In the past, available care depended greatly on a patient’s county of residence.) Despite broad bipartisan support for this appropriation and a large state budget surplus, Branstad decided that counties didn’t need extra help with mental health services.

This week four Democratic state senators and one Republican asked Branstad to help fix the mess he created, which has already led to some service cuts.

Better late than never with this weekend’s open thread and with links I had intended to post during National Suicide Prevention Week, which was September 8 through 14. If you are suicidal, click here for many free helplines. Please pass those numbers on to anyone you know who is motivated to end the pain by ending his or her life. The American Foundation for Suicide Prevention has many resources available here.

Last night I watched part of Piers Morgan’s interview with Rick and Kay Warren, who lost a son to suicide earlier this year. I don’t care what you think of Warren’s politics or the Saddleback mega-church he founded. It’s impossible not to be moved hearing the Warrens talk about their son’s struggle and their devastating bereavement. They didn’t just rely on prayer to heal his mental illness; they sought professional help in many different forms. They also tried to prevent him from getting hold of the gun he used to take his own life.

I did not realize until recently that suicide has directly affected Representative Bruce Braley’s family. His niece Kayla ended her life nearly three years ago. I’ve enclosed his statement on National Suicide Prevention Week after the jump.

Suicide is a leading cause of death for young Iowans. Too many families who keep a gun at home for “protection” end up grieving for a teenager who died accidentally or deliberately because that gun was close to hand at the wrong time. Research has shown that “access to firearms is associated with increased suicide risk” for adults as well as children, but the teenage brain is particularly impulsive and emotionally volatile. Please keep your firearms away from young people and anyone suffering from serious mental health problems.

The suicide rate among U.S. veterans has long been a national disgrace. Some of the helplines on this page are specifically aimed at veterans suffering from suicidal thoughts.

Des Moines-based blogger Ben Gran wrote a powerful post earlier this year about six people he has known who ended their own lives.

Iowa House Republicans failed in 2011 and again last summer to curtail Medicaid coverage of abortions in this state. A compromise passed near the end of this year’s legislative session gave the governor power to determine whether the state should reimburse abortion providers for certain Medicaid cases. However, administrators at the University of Iowa Hospitals in Iowa City have apparently let Governor Terry Branstad off the hook: the hospital no longer bills Medicaid for the handful of abortions that might be eligible for coverage.

Follow me after the jump for background and more details on the current policy.

Iowa Secretary of Agriculture Bill Northey announced yesterday that he has hired Mike Naig as the Iowa Department of Agriculture and Land Stewardship’s new deputy secretary. In the press release I’ve posted after the jump, Northey praised Naig as a “tremendous asset” and a “natural fit” for IDALS. Naig has spent the last 13 years working for Big Ag companies or trade associations, most recently as a state lobbyist for Monsanto.

While Naig helps the agriculture department be “accessible to Iowans by traveling regularly” to meetings, and assists in managing the IDALS budget and personnel, Northey will continue to ignore some big problems facing Iowa farmers. Research has implicated Monsanto’s genetically-modified “Roundup ready” seeds and/or glyphosate, the key ingredient in Roundup herbicide, in the following trends:

• the accelerated evolution of herbicide-resistant weeds;

• “sudden death syndrome,” a crop disease affecting soybeans;

• “harmful changes in soil” and possibly a “fungal root disease” in conventional crops;

• digestive problems in hogs fed a diet of GM crops;

• other diseases and reproductive problems observed in swine and cattle fed a diet containing Roundup ready corn and soybeans.

But never mind all that.

Speaking of government officials with their heads in the sand, you won’t hear anything from the Iowa Department of Public Health about the risks of glyphosate exposure in humans. Nevertheless, research has linked the key ingredient in Roundup herbicide to breast cancer, birth defects, obesity and other “diseases and conditions associated with a Western diet.”  

Public policy has been slow to make a dent in the obesity epidemic, which turns out to be “a lot more deadly than previously thought.” But a new report from the U.S. Centers for Disease Control shows that Iowa is one of eighteen states where obesity among low-income preschoolers declined by a statistically significant amount from 2008 through 2011. An estimated 14.4 percent of low-income two- to four-year-olds in Iowa were obese in 2011. Iowa Department of Public Health officials credited several programs with helping to reverse the trend.

Adult obesity is still a major health problem, according to the latest “F as in Fat” report by the Trust for America’s Health and the Robert Wood Johnson Foundation. Iowa had the twelfth-highest adult obesity rate in the country at 30.4 percent in 2012. The sort-of good news was that for the first time in decades, obesity rates held steady in most states. But it’s depressing to see that the adult obesity rate exceeds 20 percent in even the “healthiest” state of Colorado now. As recently as 1991, not a single state had an obesity rate that high.

Speaking to Radio Iowa about the new obesity estimates, Iowa Department of Public Health Director Mariannette Miller-Meeks had sensible advice:

“People don’t have to go out and do a programmed physical aerobics program for 30 minutes or an hour or two hours a day. […] Just eating less, a plant slant to your diet, and trying to get in 30 minutes of exercise a day.”

Mark my words: the Iowa Farm Bureau and other groups representing industrial agriculture will go nuts over Dr. Miller-Meeks encouraging Iowans to bring “a plant slant” to their diet, especially if she runs for Congress a third time in Iowa’s second district. But here’s an inconvenient truth for Big Ag: peer-reviewed research shows that “meat consumption is associated with obesity” in U.S. adults.

Here’s the second inconvenient truth: even if everyone ate responsibly and exercised regularly, Americans would be more prone to obesity because of exposure to certain chemicals, such as the endocrine disruptors Bisphenol-A (BPA) and phthalates, and some organotins used in pesticides. Long-term, low-level exposure to the prevalent herbicide atrazine can cause insulin resistance and obesity too (click here for an explanation of that research in layman’s terms).

Three years ago, a White House Task Force on Childhood Obesity called on federal and state agencies to “prioritize research into the effects of possibly obesogenic chemicals.” That won’t happen in my lifetime, at least not in Iowa.

P.S.- For anyone wondering, Iowa Department of Public Health Medical Director Dr. Patricia Quinlisk warns against ingesting a tapeworm as a weight-loss method.

Former State Senator Staci Appel rolled out her campaign in Iowa’s third Congressional district yesterday. Despite ruling out a race against ten-term Republican Representative Tom Latham earlier this year, citing “family obligations,” Appel filed papers with the Federal Election Commission a few days ago. After the jump I’ve posted background on the candidate, including her introductory video (with transcript) and an e-mail stating the case for her candidacy.

Many Democrats in Iowa and Washington have urged Appel to run for Congress, especially since Latham’s first declared challenger Mike Sherzan ended his campaign in April.

IA-03 is a swing district on paper, containing 157,406 registered Democrats, 164,101 Republicans, and 156,340 no-party voters as of July 2013. That said, any Democratic nominee will be an underdog Latham. He says and does little in Congress but has a history of outperforming the top of the Republican ticket.

Practically every Iowa town is holding an Independence Day parade tonight or tomorrow. Several Democratic statewide candidates will be at the Freedom Fest Parade in Coralville. Even in an off-year, your county party or a local candidate may be looking for help during the event.

I enclose below a slightly altered version of this diary, containing my best advice for parade volunteers.

What’s on your mind this weekend, Bleeding Heartland readers? It finally got warm enough to go swimming in Iowa, so I wanted to re-post this link on recognizing the signs of drowning. A few excerpts from the article are after the jump. A person in trouble in the water looks nothing like common depictions on television or in movies.

The Environmental Working Group’s latest guide to sunscreens is the best resources for finding effective sun protection with minimal harmful chemicals. Other good links on that site: Nine Surprising Facts About Sunscreen, why it’s better to avoid sunscreens containing vitamin A, and why marketing of sunscreens with SPF above 50 is misleading.

A recent report by AAA and experts from the University of Utah again confirmed that hands-free cell phones are not safe to use while driving. The DC Streets blog posted a good summary of the findings. The full report is here (pdf), and you can download a fact sheet here (pdf). I’ve posted excerpts from the AAA study after the jump. Earlier research reached similar conclusions (pdf) about distracted driving, one of the leading causes of fatal car accidents. Pull over when you need to make or answer a call. Even if both hands are on the wheel, a cellphone conversation can lead to “inattention blindness.” Many people wrongly believe it’s safe to send voice-activated texts while driving, texting while driving is extremely dangerous as well as illegal in Iowa.

If you saw the moon Saturday night or early Sunday morning, you witnessed the largest full moon of the year.

UPDATE: The wet weather has ushered in a banner year for mosquitoes, but it’s safer to protect yourself with DEET-free products. Also, watch out for poison ivy if you are out and about. It’s prevalent along recreational trails.  

A new study in a peer-reviewed journal indicates that pigs fed a diet containing genetically-modified corn and soy had more severe stomach inflammation and (in females) heavier uteri than pigs fed an equivalent diet in conventionally raised corn and soy that was not genetically-modified. You can read the full article describing research on an Iowa farm here (pdf). For a summary of key findings, click here or here. The pigs “were reared under identical housing and feeding conditions.”

These results are disturbing, considering that more than 90 percent of the corn and soybeans grown in Iowa are now “Roundup Ready” biotech varieties, sprayed with glyphosate, the key ingredient in Roundup herbicide. Many anecdotal reports have linked animal health problems to genetically-modified feed. At the 1000 Friends of Iowa annual meeting on June 8, large-animal veterinarian Arthur Dunham described nutritional deficiencies, fertility problems, and unexplained deaths that he has seen increasingly in the cattle and swine herds of his clients. Dunham has been in practice for nearly 40 years and presented data about lower levels of certain vitamins and minerals (including B-12, calcium, magnesium, phosphorus, potassium, manganese, and iron) in feed made from genetically-modified crops.

Monsanto and its allies dismiss such data as anecdotes and cite their own corporate-funded studies, which allegedly show the safety of GM crops. The new scholarly article describes the limitations of earlier research and calls for further studies on the subject. (Very few studies have been conducted over a time period longer than 90 days, for instance.) One Danish hog farmer saw big improvements after switching from genetically-modified feed, but Roundup crops are so dominant in this country that it can be hard for farmers to source animal feed that hasn’t been sprayed with glyphosate.

State Senator Jack Hatch announced on twitter and Facebook this evening that he will “take the next step on the road to Terrace Hill in 2014” tomorrow. It’s no surprise, since he had previously signaled his intention to challenge Governor Terry Branstad.

I will update this post tomorrow with details from Hatch’s announcement. His campaign website is here. Any comments about the governor’s race are welcome in this thread.

UPDATE: Added the official bio from Hatch’s website after the jump.

SECOND UPDATE: At a press conference on May 29 (audio at Radio Iowa), Hatch said he is exploring a run for governor and will tour Iowa for three months before deciding whether to pursue the campaign by the end of the summer. He hopes to raise $1 million by the end of this year. Hatch indicated that he will not run for governor if either Tom Vilsack or Chet Culver decide to seek the office again.

Many questions remain to be answered about Iowa’s new plan to provide health insurance to low-income citizens, but this much is clear: resolving the impasse over Medicaid expansion will be a major theme in State Senator Amanda Ragan’s re-election campaign next year.

Follow me after the jump for background on Ragan and more details about Iowa Senate district 27, sure to be targeted by both parties in 2014.  

The Des Moines Water Works provides drinking water for roughly 500,000 people in central Iowa, about one-sixth of the state’s population. The utility owns the world’s largest nitrate-removal system, larger than those operated by cities ten times the size of the Des Moines metro area. Last Friday, that facility was switched on for the first time in nearly six years when “levels of health-threatening nitrates hit records in both the Des Moines and Raccoon rivers.”

The news should be a wake-up call to state leaders: Iowa needs more than a voluntary strategy to reduce nutrients in our waterways. Not only are many of our rivers too polluted to support aquatic life, they are becoming more difficult and expensive to purify for drinking water. Nitrate levels are high in other parts of Iowa too, not only in the Des Moines area.

Less than 24 hours after the Republican-controlled Iowa House approved language to enact Governor Terry Branstad’s Healthy Iowa Plan, the Iowa Senate voted on party lines today (26 to 24) to reject the House version of Senate File 296. A conference committee will now attempt to work out a compromise on whether to expand Medicaid to all Iowans earning up to 138 percent of the poverty line, as the 2010 federal health care reform law envisioned.

After the jump I’ve posted a video of Senate President Pam Jochum speaking on the Senate floor today to contrast Medicaid expansion with the governor’s plan. I’ve also enclosed details on Branstad’s highly implausible claim that his plan would cost poor Iowans less out of pocket than expanding Medicaid. Senate Democrats have pointed out that Iowans living in poverty could never afford the co-pays and premiums envisioned in the Healthy Iowa Plan.

Finally, I’ve added below excerpts from the Iowa Hospital Association’s latest blog post explaining why Medicaid expansion is a better choice than the governor’s plan.

For months, I’ve been wondering if and when some Republican lawmakers would balk at supporting Governor Terry Branstad’s “costs more, covers less” alternative to expanding Medicaid in Iowa.

For the first time yesterday, an Iowa House Republican said he may not vote for Branstad’s plan. I doubt it’s a coincidence that the wavering lawmaker is unusually knowledgeable about health care services in Iowa.

Last week, Representative Bruce Braley (D, IA-01) voted for a bill that would force the construction of the Keystone XL pipeline. He did not send out any press release explaining that vote.

A Bleeding Heartland reader contacted Braley about his support for Keystone XL and shared the congressman’s reply. I’ve posted it after the jump, along with information challenging some of Braley’s assertions.

Last week Governor Terry Branstad finally introduced legislation to enact his Healthy Iowa Plan instead of the Medicaid expansion foreseen under the 2010 federal health insurance reform law. Strangely, neither the governor’s office nor the Iowa House Republican caucus held a news conference or even posted a press release about House Study Bill 232. The bill arrived at the statehouse on Thursday, April 4, after many legislators had left for the weekend.

So far House and Senate Republicans appear united behind Branstad’s approach, while the governor’s office strives to counter the obvious case against his plan (costs more, covers less). I’ve posted arguments for both sides and other news links after the jump.

April is designated the “Month of the Military Child,” with many events and activities scheduled to honor the occasion.

A new study from the University of Iowa indicates that children whose parents are deployed have higher rates of drug and alcohol abuse–another reminder of the massive hidden costs associated with U.S. military campaigns in Iraq and Afghanistan.  

What’s on your mind this weekend, Bleeding Heartland readers? This is an open thread.

Governor Terry Branstad didn’t draw the right lessons from Indiana’s experience when he proposed his Healthy Iowa Plan as an alternative to expanding Medicaid. Below I’ve posted excerpts from Laura Hermer’s recent commentary on the Healthy Indiana Plan.

Iowa’s top economic development official, Debi Durham, still can’t answer basic questions about why the state offered more than $100 million in tax incentives to a company that was going to build a fertilizer plant in Iowa anyway. Follow me after the jump for Durham’s non-responsive response on the Orascom deal during this week’s “Iowa Press” program.

Speaking of which, the Branstad administration is stonewalling Iowa Watchdog reporter Sheena Dooley’s efforts to obtain more information about the Orascom deal.

UPDATE: For the hundredth time, family budgets are not comparable to the federal budget. Plus, Michael Tomasky summarizes three basic principles of fiscal policy that should be conventional wisdom already: “Modest deficits are perfectly sustainable. Budget cutting, far from being ‘responsible,’ hurts the economy. And balanced budgets don’t create jobs-it’s the other way around.”

Happy St. Patrick’s Day to Bleeding Heartland readers who celebrate the occasion. This is an open thread; all topics are welcome. For a laugh, enjoy The Onion’s recent write-up of Iowa fashion week: “The big themes this season are ‘roomy,’ ‘loose,’ and ‘comfortable.'”

After the jump I’ve posted a few links about health and happiness, including details from Gallup’s 2012 report on well-being in the United States. Iowa ranked ninth on the “Gallup-Healthways Well-Being Index” but was not one of the “elite five states” that have shown consistently high levels of resident well-being over five years.

Iowa Senate Democrats offered Governor Terry Branstad a compromise this week to address his concerns that the federal government will not keep its promises to fund the Medicaid expansion provided under the 2010 health care reform law. Follow me after the jump for details on their latest offer and a cost comparison of Medicaid expansion and Branstad’s “Healthy Iowa Plan.”

Expanding Medicaid in Iowa would add nearly $2.2 billion to the state’s economy, create an estimated 2,362 jobs, and save state government about $1.6 billion, according to a new study. For now, Governor Terry Branstad is sticking to his alternative plan for covering some low-income Iowans, but Senator Tom Harkin predicted last week that federal officials will not approve a waiver for Branstad’s approach.

Follow me after the jump for details on those stories and more about Medicaid in Iowa. I’ve also enclosed a moving personal statement State Senator Mary Jo Wilhelm delivered today about Iowans who can’t afford health insurance.

Governor Terry Branstad announced his administration’s alternative to Medicaid expansion this morning at his regular weekly press conference. The “Healthy Iowa Plan” would cover approximately 89,000 Iowans with income below the federal poverty level. In contrast, Medicaid expansion would cover up to 150,000 Iowans with income below 133 percent of the poverty level.

Details on the new plan are after the jump. Early reaction from Senate President Pam Jochum suggests that the Iowa Senate will not be inclined to approve this proposal. I also question whether the U.S. Department of Health and Human Services will grant a waiver for Branstad’s plan. Federal officials have already denied requests from Branstad and other governors to allow a smaller Medicaid expansion than what the 2010 health care reform law provides.  

A Terrace Hill mystery: why doesn’t Governor Terry Branstad have more details to share about his proposed alternative to expanding Medicaid in Iowa?

Answer: Outside consultants are still working up a plan for him. CORRECTION: Branstad rolled out his “Healthy Iowa Plan” on March 4.