# Jack Hatch



Branstad rejecting Medicaid expansion and other health care news

Roughly 150,000 people, or about 5 percent of Iowa’s population, will not receive Medicaid coverage under the 2010 federal health insurance law if Governor Terry Branstad gets his way. The governor repeated yesterday that he does not intend to go along with the Medicaid expansion, because he doesn’t believe the federal government should or will provide the promised funding to cover the cost.

Congressional Republicans including Representative Steve King are urging governors to reject other aspects of the Affordable Care Act, such as the state-based health insurance exchanges. Branstad has not yet decided whether to take that route. More details on these stories and other fallout from last Thursday’s U.S. Supreme Court ruling are after the jump.  

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Iowa reaction to Supreme Court upholding health care reform law

The U.S. Supreme Court today upheld the constitutionality of the 2010 Affordable Care and Patient Protection Act, better known as health care reform. I am shocked not only by the decision, but by the 5-4 breakdown with Chief Justice John Roberts (not Justice Anthony Kennedy) being the swing vote in favor of upholding the law. Most commentators and the betting site Intrade thought the court would strike down at least the individual mandate to purchase health insurance, if not the whole law. To her credit, Linda Greenhouse of the New York Times consistently predicted that Roberts would vote to uphold the law.

Any comments related to health care reform are welcome in this thread. I will update this post frequently during the day as Iowa elected officials, candidates, and activist groups weigh in on the decision.  

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Iowa legislature post-funnel news roundup

The Iowa legislature’s second “funnel” deadline passed on Friday, which means that most non-appropriations bills are dead unless they have been approved in one chamber and in at least one committee in the other chamber. It’s time to catch up on the most significant bills being debated in the Iowa House and Senate.

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Iowa Senate passes two bills favored by Big Ag (updated)

The Democratic-controlled Iowa Senate passed two bills today favored by corporate agricultural interest groups. House File 589, the notorious “ag gag” bill, seeks to prevent whistleblowers from reporting alleged abuse at agricultural facilities. Senate File 2172 would reduce the number of sows that confined-animal feeding operations need to report for manure management purposes. Details on the bills and how senators voted are after the jump.

UPDATE: Bypassing normal legislative procedures, the Republican-controlled Iowa House also passed the “ag gag” bill on February 28. Scroll down for details on how the state representatives voted.  

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Iowa legislature 2012 opening day linkfest

The Iowa legislature’s 2012 session begins today with several major policy reforms on the agenda. Making progress on even one of those issues would be daunting under any circumstances, but particularly during an election year when different parties control the Iowa House and Senate. Lots of links are after the jump.

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Who's who in the Iowa Senate for 2012

The November special election in Iowa Senate district 18 confirmed that Democrats will maintain a 26 to 24 majority in the upper chamber during the legislature’s 2012 session, set to begin on January 9.

Senate Democrats and Republicans recently announced updated committee assignments. Majority and minority leadership teams are after the jump, along with all members of standing committees. I’ve also noted which senators are up for re-election in 2012 and which are retiring next year.

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IDPH won't eliminate top job on smoking prevention

Iowa Department of Public Health Director Mariannette Miller-Meeks on Friday reversed plans to eliminate the top administrator’s position at the Division of Tobacco Use Prevention and Control. Her comments came several hours after Democratic State Senator Jack Hatch predicted “legal action” to challenge the way IDPH downsized its smoking prevention programs.

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Iowa legislature trying to wrap up on last day of fiscal year (updated)

The last day of fiscal year 2011 has arrived, and Iowa lawmakers still have not completed work on next year’s budget. Several pieces have cleared the Iowa House and Senate after backroom deals were reached on some contention issues. Notably, House Republicans and Senate Democrats reached a compromise on preschool and K-12 school funding. However, abortion language is still holding up the health and human services budget bill, covering a huge chunk of Iowa government spending.

More details about this week’s budget deal-making are after the jump. I will update this post throughout the day as news emerges from the Iowa House and Senate. Legislators plan to pass a one-month stopgap budget to keep state government funded while Governor Terry Branstad reviews the budget bills that reach his desk. (The governor has the power to item-veto certain appropriations.) As of this morning, the same abortion dispute blocking the health and human services bill is holding up passage of the stopgap budget.

Democratic and Republican negotiators gave up trying to find a compromise on property tax reform earlier this week. Both the Iowa House and Senate have passed property tax reform legislation, but the approaches differ vastly from one another and from Branstad’s preferred approach. If the governor calls a special legislative later this year, property taxes may come back on the agenda.

UPDATE: The last budget bills passed during the afternoon on June 30. The House approved the 30-day stopgap budget, 87 to 7. State representatives who voted no were Democrats Vicki Lensing, Mary Mascher, Mary Wolfe, Cindy Winckler and Beth Wessel-Kroeschell, and Republicans Tom Shaw and Kim Pearson.

The Health and Human Services budget conference committee report passed the Iowa House by a 61 to 33 vote. Most Republicans present voted yes, and most Democrats present voted no. Eight Democrats voted yes: Dennis Cohoon, Curt Hanson, Dan Muhlbauer, Brian Quirk, Andrew Wenthe, Chris Hall, Helen Miller, and Lisa Heddens. Four Republicans voted no: Kim Pearson, Glen Massie, Tom Shaw, and Jason Schultz. In other words, Republicans had the votes to pass the health and human services budget without any support from House Democrats.

The Iowa Senate approved the health and human services budget by a 27 to 18 vote. I don’t know yet who crossed party lines but will update once the Senate Journal containing roll call votes has been published.

After the jump I’ve added more details on the compromise Medicaid abortion coverage language. According to State Senator Jack Hatch, there will be “no change” to the circumstances in which Iowa women can receive Medicaid coverage for abortion costs.

Scroll to the end of this post for closing statements from House and Senate leaders of both political parties. Everyone sounds relieved to see the end of the third-longest session in Iowa legislature history.

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Iowa Senate may reject two Branstad appointees (updated)

The Iowa Senate confirmed six of Governor Terry Branstad’s appointees to state offices and boards yesterday, but Democratic senators indicated that two of the governor’s picks may not receive the two-thirds vote needed in the upper chamber. Meanwhile, Branstad suggested at his weekly press conference that race may be a factor in opposition to Isaiah McGee as director of the Iowa Department of Human Rights.

Follow me after the jump for more on who was confirmed yesterday and the battles coming later this week.

UPDATE: On April 12 the Senate rejected McGee as well as William Gustoff, one of Branstad’s appointees to the state Judicial Nominating Commission. Senators confirmed Teresa Wahlert with two votes to spare and three members of the Environmental Protection Commission. Details on the April 12 votes are below.

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Nine Iowa senators call for shelving pro-nuclear bill

Nine Iowa Senate Democrats have signed an open letter asking their colleagues to shelve a pro-nuclear power bill this session and to create a legislative commission “to thoroughly investigate all of the issues including the need for a nuclear power plant, the costs and impact on utility rates, financing and liability issues, safety and waste disposal issues, and renewable energy alternatives.” The senators who signed were Daryl Beall (district 25), Dennis Black (district 21), Joe Bolkcom (district 39), Dick Dearden (district 34), Robert Dvorsky (district 15), Gene Fraise (district 46), Jack Hatch (district 33), Rob Hogg (district 19) and Pam Jochum (district 14). The full text of their letter is after the jump. Excerpt:

Specifically, we have the following concerns:

* There is very little known about how much a new nuclear power plant would cost or how it would

impact utility rates, especially for seniors, working families, and Iowa businesses.

* The proposed technology – small modular reactors – is unproven and has not been approved by

the Nuclear Regulatory Commission.

* There are significant safety and financial liability concerns, especially after the nuclear disaster in Japan. United States Senator Joseph Lieberman has called for “putting the brakes on” the construction of new nuclear power plants “until we can absorb what has happened in Japan.”

* There are potential issues with the creation of a permanent government bureaucracy to permit, monitor, and regulate any new nuclear power plants.

* There are unresolved siting issues about where the plant or plants would be located and how the property would be acquired for the construction of the plants.

MidAmerican Energy is only in the first of what was represented to be a three-year study on the feasibility of constructing a new nuclear power plant in Iowa. When that bill was passed, it was contemplated that Iowa would take at least three years to make any decision about new nuclear power plants. There is no rush.

Speaking to the Des Moines Register yesterday, Iowa House Speaker Kraig Paulsen predicted the bill will pass this year. Iowa’s only current nuclear power plant is in Paulsen’s district. Democratic Senate Majority Leader Mike Gronstal supports the bill.

MidAmerican Energy President William Fehrman is expected to attend an Iowa Senate Commerce subcommittee hearing on the bill later today. Fehrman has said the bill would help MidAmerican attract investors for a nuclear construction project. Critics point out that the legislation would lead to higher utility bills for hundreds of thousands of Iowans and would tilt the field so far in favor of expanding nuclear power that less costly energy efficiency and renewable energy projects might not be pursued.

On the other hand, even before this week’s crisis at the Fukushima facility in Japan, financing was not coming together for proposed nuclear power plant projects in the United States. So one could argue that even if this bill becomes law, MidAmerican probably won’t attract the investor support needed to build nuclear plants here. In that case, why let the company charge its Iowa customers more now to pay for anticipated future construction costs?

Meanwhile, the U.S. Nuclear Regulatory Commission has ranked the 104 nuclear power plants across the country in terms of earthquake risk. Iowa’s Duane Arnold nuclear reactor is 26th on that list. Yesterday several U.S. Senate Democrats urged the head of the NRC to conduct a thorough review of all nuclear reactors in this country, especially those in earthquake-prone areas.

In Germany, political leaders have decided to temporarily shut down seven of the country’s oldest nuclear reactors in order to conduct a safety review. The prime minister of Spain has also called for a review of all that country’s nuclear power plants. A nuclear energy expert whose name I didn’t catch pointed out yesterday on CNN that baseload demand for electricity is relatively low in the spring, so it wouldn’t cause problems on the grid to shut down U.S. nuclear power plants for a month or two during a safety review.

UPDATE: Fehrman told the Iowa Senate subcommittee that “MidAmerican Energy customers would see their power bills rise 10 percent over a decade to pay for the investor-owned utility’s share of a proposed Iowa nuclear plant.” He confirmed that the plant would be completed no sooner than 2020, and that Iowa ratepayers would not get their money back, even if the construction never moved forward.

Sen. Swati Dandekar of Marion said Iowans are concerned about paying for a project that may cost more than the utility thinks, given the nation’s record on cost overruns at nuclear plants.

“There is no doubt there is a history of cost overruns in this industry,” Fehrman said. “We’ve asked for more oversight of this project, and that’s in the bill.”

MidAmerican is pushing legislation that would set some of the rate-making principles to be applied to the plant, in effect telling investors how the utility would recover its expenses.

Also on Thursday, the Iowa chapter of the Sierra Club and the American Association of Retired Persons came out against the bill.  From an AARP statement:

“AARP believes it is unfair to consumers and bad policy for the Iowa General Assembly to enact legislation that would allow utility companies to charge consumers in advance for costs of a new plant before it is in service, and require consumers to continue to have to pay even if the plant development is canceled, or goes over budget [….] AARP is concerned about this legislation, not because of the question of nuclear power, but because we oppose raising rates for consumers already struggling to afford their utility bills for a plant yet to be built, where we don’t know the actual cost to build, and may or may not even be built in Iowa.”

Still the self-styled taxpayer watchdog groups are missing in action on this bill.  

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Catch-up thread on Branstad appointments

Governor Terry Branstad announced some important personnel decisions in the past few days, naming former State Representative Libby Jacobs to chair the Iowa Utilities Board and three new members of the Board of Regents, including Bruce Rastetter.

Follow me after the jump for more on those and other Branstad administration appointments.

UPDATE: On March 1 President Barack Obama named Branstad to co-chair the Council of Governors, “established by the National Defense Authorization Act in 2008 to strengthen further partnership between the Federal and State governments as it pertains to national security.” Branstad will serve a two-year term as co-chair.

SECOND UPDATE: Branstad announced more than 200 appointments to state boards and commissions on March 2. Bleeding Heartland covered the four appointees to the Environmental Protection Commission here; all have ties to large agribusiness.

Another name that caught my eye was Eric Goranson, a lobbyist and parochial schools advocate whom Branstad named to the State Board of Education. He has been a leading critic of the Iowa Core Curriculum (see here and here). The Under the Golden Dome Blog argues that Goranson’s appointment may violate Iowa code, which states, “A voting member [of the Board of Education] shall not be engaged in professional education for a major portion of the member’s time nor shall the member derive a major portion of income from any business or activity connected with education.” Several of Goranson’s lobbying clients represent religious private schools or Christian home-schooling parents.

THIRD UPDATE: I forgot to mention Branstad’s two appointees to the State Judicial Nominating Commission: Helen St. Clair of Melrose and William Gustoff of Des Moines. I have been unable to find any information about Helen St. Clair, but a Maurice St. Clair of Melrose was among Branstad’s top 20 individual donors, contributing more than $45,000 to the gubernatorial campaign. I assume he is related to Helen St. Clair and will update this post if I confirm that. William Gustoff is a founding partner of the Whitaker Hagenow law firm, which includes Republican former U.S. attorney Matt Whitaker and State Representative Chris Hagenow. Branstad’s legal counsel Brenna Findley also worked at Whitaker Hagenow last year.

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Iowa reaction to ruling striking down health insurance reform

U.S. District Court Judge Roger Vinson struck down last year’s health insurance reform law yesterday, backing the lawsuit filed by Florida’s attorney general and joined by 25 other states. Vinson’s 78-page opinion can be read in full here. David Kopel summarized the key points at the Volokh Conspiracy blog:

1. The 26 states lose on the argument that the mandate for drastically increased state spending under Medicaid is unconstitutional. State participation in Medicaid always has been voluntary, and remains so. […]

2. The plaintiffs win on the individual mandate. The individuals plaintiffs, and the National Federation of Independent Businesses have standing to challenge the mandate. So do Utah and Idaho, at the least, because of state statutes forbidding health insurance mandates. According to original meaning, “commerce” was trade. Citation to Randy Barnett. Even the modern precedents require “activity” as a predicate for commerce clause regulation.[…]

3. Necessary & proper does not save the mandate. […]

4. The mandate is not severable from the health control act. Defendants themselves have argued forcefully that the mandate is absolutely essential to the entire regulatory scheme. There is no severability clause. The mandate is tightly integrated into the entire act. […]

6. The entire act is declared void. […] Of course the 11th Circuit might grant a stay, and Judge Vinson might also do so, but as of right now, there is no stay.

The White House immediately made clear that the federal government will continue to implement the Affordable Care Act. I would be shocked if the U.S. Court of Appeals doesn’t grant a stay of Vinson’s ruling, especially since two other U.S. district court judges ruled last year that the individual mandate is constitutional. Vinson’s ruling went further than U.S. District Court Judge Henry Hudson’s decision in December, which struck down the federal requirement that individuals purchase health insurance but let the rest of the law stand. Click here for links to numerous reactions to Vinson’s ruling. Legal analyst Ilya Somin finds the judge’s reasoning persuasive, while Orin Kerr argues that Vinson erred by going against precedent (Supreme court case law). Dave Weigel explains how Congressional Democrats failed to include a standard severability clause in this legislation. Brian Beutler notes that U.S. Supreme Court Chief Justice John Roberts (one of the most conservative members of the high court) recently struck down a single provision of a law that lacked a severability clause.

Representative Steve King (IA-05), a champion of efforts to repeal health insurance reform, was jubilant about yesterday’s news: “Many of us opposed ObamaCare in part because of our oath to the Constitution. Any member who had reservations should now be empowered to vote with those of us who will cut off all funding to ObamaCare starting with the continuing resolution.” The full text of King’s press release is after the jump.

Iowa State Senator Jack Hatch blasted Vinson’s “blatant judicial overreach” and expressed confidence that courts will ultimately uphold the federal law. Hatch chairs the Working Group of State Legislators for Health Reform and joined more than 70 state lawmakers who filed a “friend of the court” brief in the Florida case supporting the constitutionality of the law. The full press release from Progressive States Network and the Working Group of State Legislators for Health Reform is after the jump.

Senators Tom Harkin and Chuck Grassley didn’t release any statement on Vinson’s ruling, which surprised me, since both quickly reacted to Hudson’s ruling against the individual mandate in December. Yesterday Harkin publicized the first in a series of Senate HELP Committee hearings about “the tangible, positive impact that [health insurance] reform is having on Americans’ lives.”

Governor Terry Branstad joined the plaintiffs in the Florida lawsuit two weeks ago (disregarding Iowa Attorney General Tom Miller’s opinion). I was surprised not to see any statement from the Branstad administration on Judge Vinson’s ruling yesterday. I will update this post with further Iowa reaction as it becomes available.

UPDATE: Through the governor’s Twitter account, Branstad’s communications director Tim Albrecht said released this statement:

“This health care law is clearly not sustainable nor is it affordable for the long-term. I believe it would be appropriate for both parties to start over and advance a plan that is more workable.”

When I asked how questions about whether the law is sustainable or affordable related to the constitutional matters at hand (judge rejecting argument against Medicaid expansion but accepting case against individual mandate), Albrecht added, “The governor continues to believe the individual mandate is unconstitutional.” To my knowledge, Branstad has not publicly acknowledged that a few years ago he supported a state mandate to purchase health insurance.

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What you can do to support the public option

Iowa State Senator Jack Hatch was in Washington yesterday to chair the first meeting of a working group on health care. According to a White House press release,

State Legislators for Health Reform includes leaders from across the country who will educate their communities on the need for health reform this year.  The legislators will host public events, author opinion pieces in local publications, and use their established networks to organize constituents in support of health reform.

The Iowa Senate Democrats issued a statement from Hatch, who said the state legislators told Health and Human Services Secretary Kathleen Sebelius that “state-level health care reforms can only go so far.” He added that Sebelius

“stressed the need to expand choices in the health insurance market is essential.  Increased competition will lower costs and improve patient care.

“That’s why we all agreed that Americans must have a public health insurance option and now is the time to speak up.”

A public option that makes health insurance more accessible and affordable for adults is also likely to improve the health of children. Kevin Concannon of the Iowa Department of Human Services explained why in his contribution to the Reforming States Group’s May 2009 Healthy States/Healthy Nation report:

Ultimately, to achieve better health care access and better health status for children, the United States needs to cover parents as an essential, linked strategy for children. If parents have health insurance, they will better utilize the health care systems available to their children.

If you believe that real health care reform requires a public option for health insurance, you have two new and easy ways to do something about it. Neither will take more than a minute or two of your time.

Details are after the jump.

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No time like today to contact your state legislators

The 2009 legislative session is ending soon, and if you haven’t contacted your state representative or senator yet, quit procrastinating. I don’t think legislators diligently read every e-mail when the session gets busy, so I recommend calling them.

Iowa Senate switchboard: 515-281-3371

Iowa House Switchboard: 515-281-3221

I encourage you to tell your state representative and state senator that you support the Iowa Supreme Court’s decision in Varnum v Brien and want them to respect that ruling.

Although I haven’t had time to finish writing a post here about the tax reforms being proposed this year, I support most of what’s in the package, including ending federal deductibility. Right-wing groups are urging Iowans to call their legislators about this issue, so if you support the Democratic tax reform plan, please say so. This article describes the proposed changes to Iowa’s tax code, which Democratic legislative leaders and Governor Culver have agreed on.

Please also mention to members of the Iowa House that you want them to reject SF 432 (here’s why) or remove the Liquid Manure division in SF 432.

If you are speaking with a state senator, especially a Republican senator, please also mention that you want Shearon Elderkin to be confirmed as a member of the Environmental Protection Commission. Culver appointed her to that body last year, and she has been a good vote for the environment.

I happen to know Shearon (pronounced like “Sharon”), because we used to serve on the same non-profit organization’s board of directors. She reads widely on public policy and asks tough questions. She also is a good listener and does not view issues through the prism of partisan politics. Even after serving with her for more than a year, some of our board members did not know whether she was a Republican, Democrat or independent. (For the record, she’s a moderate Republican.)

Feel free to mention any other pending bills or tips for contacting legislators in this thread.

UPDATE: Senator Jack Hatch, who chairs the Senate Health and Human Services Appropriations Subcommittee, says Gene Gessow’s confirmation as director of the Department of Human Services “is in trouble.” I posted Hatch’s speech calling for Gessow to be confirmed after the jump. If your state senator is a Republican, you may want to bring this up as well.

SECOND UPDATE: 1000 Friends of Iowa sent out an action alert regarding Elderkin’s nomination. I’ve posted that after the jump.

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