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, 

Kali White VanBaale is an Iowa-based novelist, creative writing professor, and mental health care advocate. Find more of her work at kwhitevanbaale.substack.com (where this essay first appeared) and www.kaliwhite.com.     

This month, Governor Kim Reynolds signed several critical pieces of mental health care legislation, including House File 626, “an Act relating to continuity of care and non-medical prescription switching by health carriers, health benefit plans, and utilization review organizations.” This legislation has a long, contentious history at the Iowa capitol.

Why was this bill important enough to lobby for it year after year with no success? What exactly is non-medical switching?

Following two days of contentious debate in the Iowa Senate, the chamber’s calendar for Wednesday, February 21 appeared to be stacked with non-controversial bills.

Then State Senator Jeff Edler rose to offer Senate File 2369, an “act relating to autologous and directed blood donations.”

The blood donation bill may not be as impactful as other legislation Senate Republicans approved last week: proposals to undermine Iowa’s state auditor, reduce Medicaid eligibility for pregnant Iowans, make state funded crisis pregnancy centers less accountable, enable discrimination if grounded in religious beliefs, and repeal the gender balance requirement for state boards and commissions.

Yet Senate File 2369 is important—not only because of its potential impact on the blood supply, but for what it reveals about legislative culture in the eighth year of Iowa’s Republican trifecta.

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.

Iowa Senate chamber, as photographed by Nagel Photography, available via Shutterstock

The Iowa Senate convened in Des Moines on January 8 for the first day of the 2024 legislative session. Although the balance of power remains the same (34 Republicans, sixteen Democrats), I’m publishing a new version of this post to note changes in leadership or among the chairs, vice chairs, and members of standing Senate committees.

Fourteen senators (nine Republicans, five Democrats) were elected to the chamber for the first time in 2022. Seven of them (four Republicans and three Democrats) previously served in the Iowa House.

Fifteen senators are women (eight Democrats and seven Republicans), up from twelve women in the chamber prior to the 2022 election and more than double the six women senators who served prior to the 2018 election.

Democrat Izaah Knox is the second Black state senator in Iowa history. The first was Tom Mann, a Democrat elected to two terms during the 1980s. The other 49 senators are white. No Latino has ever served in the chamber, and Iowa’s only Asian-American senator was Swati Dandekar, who resigned in 2011.

Democrat Janice Weiner became the first Jewish person to serve in the Iowa Senate since Ralph Rosenberg left the legislature after 1994. Democrat Liz Bennett became the first out LGBTQ state senator since Matt McCoy retired in 2018.

Iowa’s Republican leaders have few checks remaining on their power. But one law approved during the 2023 legislative session appears unlikely ever to go into effect.

Federal judges in four states have blocked the government from enforcing bans on gender-affirming care for minors.

U.S. District Court Judge James Moody issued the most comprehensive ruling on the matter on June 20, when he permanently enjoined an Arkansas law enacted in 2021. Moody found the law violated the Fourteenth and First Amendments of the U.S. Constitution. Three other judges, including two appointed by President Donald Trump, have issued preliminary injunctions on similar laws in Indiana, Alabama, and Florida while litigation proceeds.

Although Arkansas Governor Sarah Huckabee Sanders has said she will appeal the ruling in Brandt v Rutledge, Judge Moody’s extensive findings of fact could influence the outcome on the Eighth Circuit Court of Appeals, where a challenge to Iowa’s ban on gender-affirming care may eventually be heard.

Second in a series on under-covered stories from the Iowa legislature’s 2023 session.

During the seven years of the Iowa GOP trifecta, the majority party has often enacted significant public policy through eleventh-hour appropriations bills. Just before adjourning in 2019, Republicans amended spending bills to change the judicial selection process, restrict medical care for transgender Iowans on Medicaid, and block Planned Parenthood from receiving sex education grants.

A lengthy amendment to a budget bill approved in the closing hours of the 2020 session made it harder for Iowans to vote by mail and sought to restrict some companies from bidding on electric transmission lines projects.

The Iowa Supreme Court sent the legislature a message in March, blocking the 2020 provision on transmission lines, on the grounds that it was likely passed through unconstitutional “logrolling.”

Republican legislators weren’t pleased with the ruling known as LS Power, but seem to have adapted to it. This year’s “standings” appropriations bill was relatively short and focused on spending and code corrections—a far cry from the usual “Christmas tree” featuring unrelated policy items from lawmakers’ wish lists.

Nevertheless, many surprises lurked in other bills that allocated spending for fiscal year 2024, which begins on July 1.

This post focuses on seven provisions that appeared in budget bill amendments published shortly before Iowa House or Senate debate. Most of this policy language never appeared in a stand-alone bill, allowing Republicans to avoid the scrutiny that comes with subcommittee and committee discussions. Democratic legislators had little time to review the proposed budgets before votes on final passage, which mostly fell along party lines.

UPDATE: The governor signed this bill on March 22. Original post follows.

Moving with unusual speed last week, Iowa Republican lawmakers approved Senate File 538, which broadly prohibits gender-affirming care, including puberty blockers, hormone treatments, and surgery, for Iowans under age 18.

Governor Kim Reynolds is expected to sign the bill soon, having used several opportunities over the past year to position herself against transgender youth.

The new law would certainly be challenged in court, as similar bans prompted lawsuits in Arkansas and Alabama.

During hours-long debates in the Iowa Senate and House, lawmakers raised points that would be central to litigation over whether banning gender-affirming care violates the constitutional rights of transgender children, their parents, and medical professionals.

For this post, I’ve pulled video clips to illustrate some of the core legal questions surrounding the bill. But there is much more of value in the passionate speeches delivered about Republicans’ latest attempt to target LGTBQ Iowans. You can watch the full Senate debate here (starting around 7:32:30) and the House debate here (starting around 1:40:45).

Proposals that would cause thousands of Iowans to lose Medicaid coverage or federal food assistance through the Supplemental Nutrition Assistance Program (SNAP) are eligible for floor debate in both the Iowa House and Senate.

Republicans in each chamber’s Health and Human Services Committee changed some provisions in the bills, now numbered House File 613 and Senate File 494, then approved the legislation before the March 3 “funnel” deadline. However, the amended versions would still threaten health care or food assistance for many Iowans who now qualify.

The Iowa Senate began its 2023 session on January 9 with 34 Republicans and sixteen Democrats, the largest majority seen in the chamber for about five decades. Five of the last seven Iowa general elections have been Republican waves.

Fourteen senators (nine Republicans, five Democrats) were just elected to the chamber for the first time in November. Seven of them (four Republicans and three Democrats) previously served in the Iowa House.

Fifteen senators are women (eight Democrats and seven Republicans), up from twelve women in the chamber prior to the 2022 election and more than double the six women senators who served prior to the 2018 election.

Democrat Izaah Knox is the second Black state senator in Iowa history. The first was Tom Mann, a Democrat elected to two terms during the 1980s. The other 49 senators are white. No Latino has ever served in the chamber, and Iowa’s only Asian-American senator was Swati Dandekar, who resigned in 2011.

Democrat Janice Weiner became the first Jewish person to serve in the Iowa Senate since Ralph Rosenberg left the legislature after 1994. Democrat Liz Bennett became the first out LGBTQ state senator since Matt McCoy retired in 2018.

I enclose below details on the majority and minority leadership teams, along with all chairs, vice chairs, and members of standing Iowa Senate committees. Where relevant, I’ve mentioned changes since last year’s legislative session. The Senate has added a new Technology Committee and renamed what used to be “Labor and Business Relations” as the Workforce Committee.

Some non-political trivia: the 50 Iowa senators include two Taylors, a Democrat and a Republican. As for first names, there are three Jeffs and two men each named Mark, Mike, and Dan.

The Iowa Senate convened for its 2022 session on January 10 with 32 Republicans and eighteen Democrats. Twelve senators are women (seven Democrats and five Republicans), up from eleven women in the chamber prior to the 2020 election and double the six women senators who served prior to the 2018 election.

I enclose below details on the majority and minority leadership teams, along with all chairs, vice chairs, and members of standing Iowa Senate committees. Where relevant, I’ve mentioned changes since last year’s legislative session. The biggest change: Republican Dave Rowley was elected in December to succeed Republican Zach Whiting, who resigned to take a job in Texas.

All current state senators are white. The only African American ever to serve in the Iowa Senate was Tom Mann, elected to two terms during the 1980s. No Latino has ever served in the chamber, and Iowa’s only Asian-American senator was Swati Dandekar, who resigned in 2011.

Some non-political trivia: the 50 Iowa senators include two Smiths, a Democrat and a Republican, and two Taylors, a Democrat and a Republican. As for first names, there are three Jeffs and two men each named Zach, Craig, Mark, Dan, Jim, and Tim.

Governor Kim Reynolds is one step closer to getting the massive broadband expansion she asked Iowa lawmakers to fund.

Whether Iowans in underserved communities will be able to afford new high-speed internet is an open question, however.

Andy Kopsa: Iowa’s new member of Congress from the fourth district brags that he “delivers for farmers.” Unless you are a Black farmer, that is. -promoted by Laura Belin

Politicians love farmers. Every caucus season they prove it: they throw a foot up on a hay bale and stump to a crowd at the Iowa State Fair, shove a pork chop into their mouth, use the term “heartland” and “kitchen table” a minimum of 400 times.

Vice President Mike Pence and the Iowa GOP love farmers so much that he came to town just after the August 2020 derecho to launch the Farmers and Ranchers for Trump Coalition. Senator Joni Ernst and Governor Kim Reynolds took time out of their disaster recovery schedule to accompany Pence to Living History [not a real] Farms. Pence didn’t visit a single farm, but he found time to host an exclusive fundraiser in Urbandale before flying away home.

U.S. Representative Randy Feenstra (IA-04) also loves farmers a lot. He introduced an amendment to allocate more aid to Iowans impacted by the derecho last year during a House Agriculture Committee markup of the proposed $1.9 trillion COVID-19 relief bill. Feenstra’s amendment passed by a single vote.

That vote came from Representative Cindy Axne (IA-03), the lone Democrat to cross the aisle.

The Iowa Senate convened for its 2021 session on January 11 with 31 Republicans, eighteen Democrats, and one vacancy in the district formerly represented by Mariannette Miller-Meeks. A record twelve senators are women (seven Democrats and five Republicans), up from eleven women in the chamber last year and double the six who served prior to 2018.

I enclose below details on the majority and minority leadership teams, along with all chairs, vice chairs, and members of standing Iowa Senate committees. Where relevant, I’ve mentioned changes since last year’s legislative session. A few committees have new Republican leaders.

All current state senators are white. The only African American ever to serve in the Iowa Senate was Tom Mann, elected to two terms during the 1980s. No Latino has ever served in the chamber, and Iowa’s only Asian-American senator was Swati Dandekar, who resigned in 2011.

Some non-political trivia: the 50 Iowa senators include two Smiths, a Democrat and a Republican, and two Taylors, a Democrat and a Republican. As for first names, there are three Jeffs, three Zachs, and two men each named Craig, Mark, Dan, Jim, and Tim.

UPDATE: Republican Adrian Dickey won the January 26 special election to represent Senate district 41, giving the GOP a 32-18 majority. After he’s sworn in, I’ll note his committee assignments below.

Iowans will elect 25 state senators today. Those races have attracted far less attention than this year’s Iowa House races, because Republicans have a lopsided 32-18 majority in the upper chamber and only a 53-47 advantage in the House.

Nevertheless, it’s important to keep an eye on the Senate races, because this year’s outcome will influence Democratic prospects under the new map coming in 2021.

This overview covers five districts where both parties are spending six-figure amounts, seven districts where Republicans spent a significant amount, and four more districts where the results could shed light on political trends in various parts of the state, even though neither Democrats nor Republicans targeted the race.

Republicans on the Iowa Senate State Government Committee have approved a proposed constitutional amendment that could eventually clear the way for a total ban on abortion.

Senate Joint Resolution 21 would add language to the Iowa Constitution clarifying that the document “shall not be construed to recognize, grant, or secure a right to abortion or to require the public funding of abortion.”

An earlier version cleared the Senate State Government Committee in March 2019. But for reasons they never explained publicly, Republican leaders did not bring the measure to the Senate floor during last year’s legislative session.

Governor Kim Reynolds urged lawmakers to act on this issue in her Condition of the State address earlier this month: “We must protect life by making clear, through an amendment, that our constitution does not grant a right to abortion.”

The goal is to make all future abortion restrictions immune from court challenges.

The Iowa Senate convened for its 2020 session on January 13 with 32 Republicans and 18 Democrats. Eleven senators are women (six Democrats and five Republicans), up from six women in the chamber before the 2018 elections.

I enclose below details on the majority and minority leadership teams, along with all chairs, vice chairs, and members of standing Iowa Senate committees. Where relevant, I’ve mentioned changes since last year’s legislative session. A few committees have new Republican leaders. On the Democratic side, Eric Giddens now represents the Senate district where Jeff Danielson resigned last year.

A few words about demographics: all current state senators are white. To my knowledge, the only African American ever to serve in the Iowa Senate was Tom Mann, elected to two terms during the 1980s. No Latino has ever served in the Iowa legislature; in 2014, Nathan Blake fell 18 votes short of becoming the first. No Asian American has served in the Iowa Senate since Swati Dandekar resigned in 2011.

Some non-political trivia: the 50 Iowa senators include two Smiths (a Democrat and a Republican) and two Taylors (both Democrats). As for first names, there are three Marks, three Zachs, and two men each named Dan, Jim, Tim, and Tom.

I’ve always enjoyed writing about legislative happenings and campaigns, since my first year on the job as an analyst covering Russian domestic politics during a parliamentary election year.

While most political reporters were understandably assigned to follow the many presidential candidates visiting Iowa in 2019, I made it a priority to keep an eye on down-ballot races. The 2020 Iowa House and Senate elections may affect our daily lives more than whether Donald Trump or the Democratic nominee wins our state’s electoral votes. For one thing, breaking the GOP trifecta is the only way to guarantee that Iowa preserves nonpartisan redistricting for the coming decade.

I’m proud that Bleeding Heartland provided more in-depth coverage of potentially competitive state legislative races than any other Iowa news source this year. All of those stories are linked below.

Some sobering facts about the bloodbath that was the 2016 election in Iowa:

Donald Trump carried eighteen state Senate districts that had voted for President Barack Obama in 2012.*

Eleven of those eighteen were even-numbered districts, which are on the Iowa ballot in presidential election years.

The four Republicans who already represented Obama/Trump districts all easily won another term in the Iowa Senate.**

But six of the seven Democratic senators up for re-election in Obama/Trump districts lost: Majority Leader Mike Gronstal (Senate district 8), Mary Jo Wilhelm (Senate district 26), Brian Schoenjahn (Senate district 32), Steve Sodders (Senate district 36), Tom Courtney (Senate district 44), and Chris Brase (Senate district 46).

With Republicans now enjoying a 32-18 majority in the upper chamber, Democrats need to win back at least a few Obama/Trump seats next year to have a realistic chance of regaining Iowa Senate control after the next round of redistricting.

Democrats have been actively campaigning in Senate districts 8 and 44 for some time. Now GOP State Senator Jeff Edler has a strong challenger in Senate district 36.

The Iowa Senate convened for its 2019 session on January 14 with 32 Republicans and 18 Democrats. A record eleven senators are women (six Democrats and five Republicans), up from six women in the chamber at the start of the last legislature’s work.

I enclose below details on the majority and minority leadership teams, along with all chairs, vice chairs, and members of standing Iowa Senate committees. Where relevant, I’ve mentioned changes since last year’s legislative session. Note that Democratic Senator Nate Boulton will serve on committees after all. Minority Leader Janet Petersen had declined to assign him to any committees last month.

A few words about demographics: all current state senators are white. To my knowledge, the only African American ever to serve in the Iowa Senate was Tom Mann, elected to two terms during the 1980s. No Latino has ever served in the Iowa legislature; in 2014, Nathan Blake fell 18 votes short of becoming the first. No Asian American has served in the Iowa Senate since Swati Dandekar resigned in 2011.

Some non-political trivia: the 50 Iowa senators include two Smiths (a Democrat and a Republican) and two Taylors (both Democrats). As for first names, there are three Marks, three Zachs, and two men each named Dan, Jim, Tim, Tom, and Jeff.

The Iowa Senate Judiciary Committee has advanced a bill that would ban nearly all abortions after a fetal heartbeat can be detected. Senate Study Bill 3143 is the most extreme anti-abortion bill to clear an Iowa legislative committee in decades. Any physician terminating a pregnancy in the absence of a “medical emergency”–narrowly defined to include only life-threatening conditions–could be charged with a class D felony. All eight Republicans on the panel voted for the legislation, while all five Democrats opposed it. Committee approval on February 12 keeps the bill alive for at least another month, until the second “funnel” deadline on March 16.

Less than a year ago, Senate Judiciary Chair Brad Zaun was disappointed not to have the votes on his committee to advance a “personhood” bill, which declared that life would be protected from the moment of conception. The same eight Republicans who supported the heartbeat bill this week served on Judiciary during the 2017 session.

Which minds changed is not clear, nor is it apparent whether the bill will gain final approval in either chamber. Not every bill that comes out of committee receives a vote in the full Senate. Republican leaders blocked an effort to force a floor vote on personhood last year.

However, the shift among at least two Republicans on Judiciary suggests that GOP leaders may feel pressure to fire up the social conservative base.

I had mixed feelings about compiling last year’s review of highest-traffic posts. Being hyper-aware of clicks and views can be demoralizing, because the most labor-intensive stories rarely attract the most attention.

On the other hand, it’s fascinating to see what strikes a chord with readers. A preview of stores coming to an outlet mall in Altoona was the fourth most-read Des Moines Register article of 2017. The second most popular New York Times story contained highlights from a boxing match. And this year’s highest-traffic piece at USA Today was about the “kiss cam” at the NFL Pro Bowl.

During an unusually eventful year in Iowa politics, some hot topics at Bleeding Heartland were predictable. But surprises were lurking in the traffic numbers on posts published during 2017 (418 written by me, 164 by other authors).

A comprehensive medical cannabis bill received strong bipartisan support in the Iowa Senate Appropriations Committee today and could pass the full chamber as early as tomorrow.

The big question now is whether key House Republicans will accept a giant step toward relief for thousands of sick and suffering Iowans.

All over Iowa this year, record numbers of citizens have been turning out for legislative forums. Controversies over education spending and Planned Parenthood funding brought out many activists earlier in the legislative session. This weekend, the overwhelming majority of attendees wanted to talk about the Republican bill to eviscerate Chapter 20, Iowa’s law that has governed collective bargaining for public employees since 1974.

On Thursday Iowa Senate Republicans approved a bill that would end most state and federal funding for Planned Parenthood’s family planning services. All 29 Republicans and independent Senator David Johnson voted for Senate File 2, while all 20 Democrats voted against the measure. The Senate Judiciary Committee had approved the bill on a party-line vote the previous day.

Passage was a foregone conclusion, since the entire GOP caucus co-sponsored the bill, and statehouse Republicans have been trying to defund Planned Parenthood for years.

Although I already knew Republican lawmakers were willing to force the state to spend ten times more for family planning services, with no reliable funding stream, I still learned some new things watching Senate File 2 move through the upper chamber.

Bill Brauch, the former director of the Consumer Protection Division in the Iowa Attorney General’s Office, warns about a “little sleeper of a bill” that would be “a nuclear weapon against judicial fairness.” -promoted by desmoinesdem

Iowa Senate Republicans have hit the ground running this session, and their agenda is replete with extreme proposals. One of them hasn’t gotten much notice yet but, if enacted, would represent the most radical change to Iowa’s judicial system since its inception.

Senate Study Bill 1008 would impose the “loser pays” standard in all civil actions in Iowa courts. This means that if you lose a civil lawsuit you not only have to pay your own attorney fees, you have to pay the other side’s attorney fees as well. Another term for this would be “instant bankruptcy!”

Imagine you are injured in a car accident and sue the other driver to seek recovery for your injuries. If the case is hard-fought both sides might run up tens of thousands of dollars in attorney fees. Say the case is a close one and you lose by a whisker – the jury thought you had a good case but your proof fell just short. Under SSB 1008, you’ll not only have to pay your own attorney fees, you’ll have to pay the other side’s as well!

The Iowa legislature’s 2017 session begins today with minor adjustments to business in the state House but massive changes in the Senate. After ten years of Democratic control, the last six with a one-seat majority, the upper chamber now contains 29 Republicans, 20 Democrats, and one independent (former Republican David Johnson).

I enclose below details on the Iowa Senate majority and minority leadership teams, along with all chairs, vice chairs, and members of standing Senate committees. Click here to find the same information from the 2016 legislative session.

Just six senators are women (five Democrats and a Republican), down from ten women serving in the chamber in 2013 and 2014 and seven during the past two years. All current senators are white. To my knowledge, the only African-American ever to serve in the Iowa Senate was Tom Mann, elected to two terms during the 1980s. No Latino has ever served in the Iowa legislature; in 2014, Nathan Blake fell 18 votes short of becoming the first to join the Senate. No Asian-American has served in the state Senate since Swati Dandekar resigned in 2011.

As a group, the members of the new majority caucus have much less legislative experience than do their Democratic counterparts. As detailed below, only three of the 29 Senate Republicans have served ten or more years in the Iowa legislature, compared to thirteen of the 20 Democrats.

Some non-political trivia: the 50 Iowa senators include two with the surname Johnson, four Marks, three Bills, and two men each named Richard (Rich and Rick), Robert (a Rob and a Bob), Dan, Tim, Tom, Jeff, and Charles (one goes by Chaz).

All but one of the 29 Republicans who will serve in the Iowa Senate for the next two years elected their leaders on Friday, changing little from the group that led the minority caucus during the last legislative session.

Bill Dix moves from Senate minority leader to majority leader.

Jack Whitver moves from minority whip to Senate president.

Jerry Behn, who preceded Dix as minority leader but hasn’t been in leadership since 2012, will become Senate president pro tem. He’s the longest-serving current Republican senator.

My own state senator, Charles Schneider, moves from an assistant minority leader position to majority whip.

Dan Zumbach and Randy Feenstra will be assistant majority leaders, having been assistant minority leaders during the last legislative session. The other two assistant majority leaders are new to leadership: Michael Breitbach and Amy Sinclair, the only woman in the 29-member incoming GOP caucus.

After the caucus meeting, Dix spoke only in general terms about the new majority’s plans.

Iowa House and Senate candidates were required to file their last pre-election campaign finance reports on Friday. In stark contrast to four years ago, Republicans are outspending Democrats in most of the contested state Senate districts. (I’ll address spending in the key Iowa House races in a different post.)

Currently, there are 25 Senate Democrats, 23 Republicans, and one independent. If former GOP Senator David Johnson makes good on his promise to remain an independent in 2017, and Democrats win the December special election to replace the late Senator Joe Seng, Republicans would need to pick up three seats to gain control of the upper chamber for the first time since 2004.

I enclose below in-kind contribution figures for the Senate districts expected to be in play next Tuesday. Candidates running elsewhere did not report large in-kind contributions from their respective parties.