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

A new state report on staffing in Iowa nursing homes indicates employee turnover rates are continuing to climb 15 years after state lawmakers approved, but failed to fund, a program to address the issue.

The 2024 Nursing Facility Turnover Report from the Iowa Department of Health and Human Services indicates that between 2022 and 2023, the average rate of turnover among registered nurses working in nursing homes increased from 52 percent to 66 percent. Among licensed practical nurses, turnover increased from 53 percent to 68 percent.

Among certified nurse aides, who provide much of the hands-on care in Iowa nursing homes, the average turnover rate increased from 72 percent to 77 percent.

Rachel Bruns is a volunteer advocate for quality maternal health care in Iowa.

With the Iowa legislative session beginning January 13, it is time for a rundown of important maternal health policies that should become priorities for state lawmakers in 2025.

Since I am focusing on access to midwifery care, it is worth noting that in October 2024 the World Health Organization issued a new position paper on “Transitioning to Midwifery Models of Care.” That paper offers an international definition by describing the guiding principles of midwifery models of care and reviewing the advantages of adopting them. 

According to the World Health Organization’s position paper, 

State Representative Adam Zabner being sworn in as a legislator in January 2023

Adam Zabner represents Iowa House district 90, covering part of Iowa City. He delivered remarks on this topic as a point of personal privilege in the Iowa House on April 10; you can listen here.

American democracy is at its best when Americans participate. Unfortunately, Iowa’s Department of Health and Human Services is holding some Iowans back from participating in our elections.

In 1993, Congress, with bipartisan support from Iowa’s federal delegation, passed the National Voter Registration Act to encourage participation. The NVRA is the reason you are asked to register to vote every time you renew your driver’s license.

The bill also requires that Americans be given a chance to register to vote every time they register or renew their registration for Medicaid. Nationally, the NVRA has been a roaring success. In particular, the provisions around Medicaid have helped improve voter registration rates among low-income Americans and people of color, groups that have historically been underrepresented in elections and in government.

Interactive School Nutrition Dashboard created by the Iowa Hunger Coalition

At least four bills that would have helped needy Iowa families feed their children didn’t make it through the state legislature’s first “funnel.”

Most bills not related to taxes or spending are considered dead for the 2024 session if not approved by at least one Iowa House or Senate committee by February 16. Efforts to expand access to meals didn’t receive a subcommittee hearing, let alone consideration by a full committee. That was true even for one school lunch bill with 20 Republican co-sponsors.

Rachel Bruns is a volunteer advocate for quality maternal health care in Iowa. This article originally appeared on the Des Moines Register’s website.

The Des Moines Register article “What Patients Should Know About Hospital Drug Testing” missed some key information that may help families disrupt the illegal maternal and newborn drug screening practices taking place at Iowa hospitals and clinics.

The U.S. Supreme Court made clear in 2001 (Ferguson v. Charleston) that prenatal drug testing without specific informed consent is unlawful. Nevertheless, some Iowa clinics and hospitals continue to conduct such tests, when urine is gathered for testing of urinary tract infections or to check urine glucose or protein levels. Such practices are not only unlawful, but also create mistrust of the medical system—putting the lives of moms and babies at risk. 

Zachary Roth is the national democracy reporter for States Newsroom. Jared Strong is senior reporter for Iowa Capital Dispatch, where this article first appeared.

Iowa’s health department is failing to comply with the federal requirement to make voter registration accessible to people applying for Medicaid, multiple advocates say, likely leading significant numbers of low-income Iowans to be left off the rolls.

“I would regard this as major noncompliance with an agency’s obligations under the NVRA,” said Brenda Wright, special litigation and policy counsel at the NAACP Legal Defense Fund. She was referring to the National Voter Registration Act, the 1993 law that requires state agencies to offer their clients the chance to register to vote. 

The concerns come at a time when Iowa already appears to be struggling to get people on public assistance to register, and as the 2024 election approaches.

When Iowa Republicans gained the trifecta following the 2016 elections, defunding Planned Parenthood was near the top of their agenda. GOP legislators promised a new state-funded family planning program would increase access to reproductive health care and give women more options, especially in rural Iowa.

The latest official data, first reported by the Des Moines Register’s Michaela Ramm, show the program has flopped. In just five years, the number of Iowans receiving services such as contraception, pregnancy tests, Pap smears, and testing or treatment for some sexually transmitted infections dropped by 90 percent compared to the population served during the last year of the previous Medicaid waiver. The number of health care providers involved is down by a staggering 97 percent.

The Iowa Department of Health and Human Services has done almost nothing to promote the program, even as enrollment crashed.

The reality could hardly be more different from the scenario Republicans described in 2017: “connecting folks with their home health care” for essential services by taking Planned Parenthood’s mostly urban clinics out of the equation.