Iowa Senate Democrats

Fighting for a Better Deal for Iowans.

  • Democrats denounce secret meeting on Medicaid problems

    News Release
    For Immediate Release: February 21, 2018

     

    DES MOINES — Four key Democratic state legislators today denounced plans by officials with Governor Kim Reynolds’s Administration to have a closed-door meeting to discuss the failed Medicaid privatization experiment.

    The four legislators – Senators Amanda Ragan and Liz Mathis and Representatives Lisa Heddens and Beth Wessel-Kroeschell – were reacting to plans by Iowa Medicaid Director Michael Randol to hold a closed-door meeting with Medicaid providers on Thursday, February 22.

    The stated purpose of the meeting is to identify and discuss payment issues that Iowa health care providers are having with privatized Medicaid.

    Here’s a joint statement from the four Democratic legislators:

    “This meeting should be open to the public because problems with Medicaid affect all Iowa taxpayers, more than 600,000 Medicaid members and healthcare providers across the state.

    “Hundreds of hospitals, nursing homes and other Iowa healthcare providers face financial jeopardy because of Medicaid privatization. This issue affects Iowans in every county.

    “If there’s going to be a bipartisan solution to this problem, more – not fewer – Iowans should be at the table for the discussion.”

     Requests by legislators to attend the meeting have been denied.

    The four legislators also renewed their concerns about a proposal by the Reynolds Administration to eliminate much of the oversight for the privatized Medicaid program.

    Sen. Ragan and Rep. Heddens are ranking members of their respective Health and Human Services Appropriations subcommittees, and Sen. Mathis and Rep. Beth Wessel-Kroeschell are ranking members of their respective Human Resources committees.

    -end-

  • Lawmakers Unveil “Putting Iowans First” Plan

    IOWA LEGISLATURE NEWS
    Thursday, January 25, 2018

     

    Focus On Improving Lives for Everyday Iowans

    DES MOINES – Democratic lawmakers outlined their new plan today called Putting Iowans First.  The plan was developed by lawmakers to keep the 2018 session focused on improving the lives of everyday Iowans.

    “Iowans don’t ask for much. They just want a decent paying job and the chance to lead a happy, healthy life. But we know today that too many Iowans who are working hard are just struggling to get by. Stagnant wages, rising health care costs, and fewer dollars going to job training and public education are hurting Iowa families,” said House Democratic Leader Mark Smith.

    “Democrats believe it’s time to get back to the basics—to help improve Iowans’ everyday lives and give each of us opportunities to get ahead. Our Putting Iowans First plan focuses on better paying jobs, a great education, and affordable health care. Democrats believe that Iowa values include investing in Iowans. It’s a mistake to believe that the state can cut its way to prosperity,” said Senate Democratic Leader Janet Petersen.

    The Putting Iowans First plan has four parts:

    1. Better-Paying Jobs
    2. A Revitalization of Small Towns and Rural Areas
    3. The Best Education in the Country
    4. A Quality of Life that Makes Iowa the #1 Best Place to Live

    “It’s time to say goodbye to the back room deals and corporate tax giveaways. Our Putting Iowans First plan will bring the focus of our government back to improving the lives of everyday Iowans,” added Smith. “That means affordable job training and new recreational opportunities in rural areas. It means increasing the use of renewable fuels and investing in our public schools again to produce a highly skilled workforce. It also means expanding access to affordable health care.”

    The full plan can be found at http://iowansfirst.com.

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  • Perpetrators must pay for bad behavior – not Iowa taxpayers

    Iowa Senate News Release
    For Immediate Release: January 24, 2018

     

    DES MOINES — A group of Senators introduced legislation today to ensure that state employees – not all Iowa taxpayers – would be financially responsible for egregious and illegal workplace behavior.

    “Iowans are disgusted by the harassment, discrimination and retaliation against Kirsten Anderson and other legislative staff by some Republican Senators and staff members,” said Senator Tod Bowman of Maquoketa, the legislation’s main sponsor. “Most Iowans can’t believe they’re on the hook for $1.75 million because of the misconduct and mismanagement of some Republican Senators. Especially in a tight budget year, this money should be put towards our kids’ education, job training programs or mental health care. Taxpayers expect more from their leaders.”

    The legislation is proposed in the wake of a jury decision last year to award $2.25 million to former Senate Republican staffer Kirsten Anderson in a sexual harassment lawsuit she brought against Iowa Senate Republicans. Anderson was fired in May 2013, just seven hours after filing a complaint alleging a sexually hostile work environment. Subsequently, Anderson agreed to a reduced award of $1.75 million to avoid a lengthy appeal process.

    Under current law, Iowa taxpayers must pay for such awards, and there’s no recourse for state officials to recoup that money from offending state employees.

    The legislation introduced today – which is sponsored by all 20 Democratic State Senators and independent Senator David Johnson – would allow the plaintiff to receive an award from the state but would require the Iowa Attorney General to recover the amount of the award from offending state employees.

    The legislation applies to state employment cases, which includes hostile work environment cases involving sexual harassment, race, religion, age or disability.

    “This proposed legislation is part of the national conversation about preventing sexual harassment in the workplace,” Bowman said. “We must send a message to legislators and other state employees who harass their co-workers or subordinates that their conduct will not be tolerated and that they will be held responsible for their illegal behavior.”

    “This legislation is another important step in our efforts to improve the workplace culture in the Iowa Senate and our commitment to making sure the Statehouse is a safe and healthy environment.”

    – end –

     

  • Senators introduce bill to end privatized Medicaid

    All 20 Democrats and the one Independent in the Iowa Senate have introduced SF 2058, a bill to end privatized Medicaid and put Iowans back in control of a state-run system that provides affordable health care to more than 560,000 citizens.

    Since April 2016, when Iowa Medicaid was turned over to out-of-state companies, constituents have complained about the obstacles they face getting care and services.

    Hospitals, nursing homes and other health care providers – especially in Iowa’s small towns and rural areas – agree that the privatized system is not working. They aren’t being properly reimbursed for the care they provide. They face red tape and bureaucratic nightmares. Many are in financial jeopardy, and some have even been forced to close their doors.

    The state keeps giving private, out-of-state companies more of your tax dollars to run Medicaid. In fact, Governor Reynolds just agreed to give them another $130 million. Yet things continue to get worse.

    This is not how health care for sick, injured and disabled Iowans is supposed to work. Privatized Medicaid is not saving taxpayer dollars. Iowans are not getting healthier. The entire system is in shambles.

    For the health and safety of our citizens, let’s put Iowans back in control of Medicaid.

  • Democrats call on Statehouse Republicans to ‘put Iowans back in control of Medicaid’

    Iowa Senate News Release
    For Immediate Release: December 15, 2017

     

    DES MOINES — Iowa’s Democratic state legislators are asking Governor Kim Reynolds and Republican lawmakers to work together during the 2018 session to end Iowa’s failed Medicaid privatization experiment.

    “We do our best work when we work in a bipartisan fashion” to expand access to affordable health care for many Iowans, Democratic legislators wrote in a letter emailed today to the Governor and every Republican lawmaker.

    “For the past 20 months, constituents of all ages have been bombarding Governor Reynolds and Republican and Democratic legislators with real problems caused by Medicaid privatization,” Democrats wrote. “There is clear evidence that Iowans have died as a result of life-sustaining services being cut off to extremely vulnerable individuals.”

    The letter also stresses the “financial jeopardy” that Medicaid privatization has imposed on hospitals, nursing homes and other Iowa health care providers, especially in Iowa’s small towns and rural areas.

    Democratic lawmakers noted that “privatization is not saving money for Iowa’s taxpayers, and it is not resulting in healthier Iowans. Under Medicaid privatization, the state of Iowa keeps giving the private, out-of-state companies more and more money, while giving Iowa taxpayers less and less.”

    Medicaid is a health care safety net that is administered by the states and funded through a federal-state partnership. Roughly 70 percent of Medicaid expenses are for the care of our very poor elderly and severely disabled Iowans. In 2015, the Branstad/Reynolds Administration announced that the state employees running the program would be replaced by for-profit Medicaid managers.

    Despite widespread opposition and repeated delays, large, out-of-state companies took over care of the majority of Iowans receiving Medicaid services on April 1, 2016. As of today, three of the four companies initially hired to manage the program have abandoned the project. When AmeriHealth Caritas quit the state last month, the health care of 215,000 Iowans was disrupted.

    Governor Reynolds has promised that more managed care organizations are being recruited to replace those that left.

    In today’s letter, Democratic lawmakers propose a different approach: “When Connecticut realized its privatized Medicaid was not working, state leaders made the decision to go back to a publicly managed Medicaid system. Connecticut is now seeing much better results with their new model. They are saving money and improving care.”

    The letter concludes with this plea:

    “More than ever before, we all know that privatized Medicaid is not working for Iowa. For the health and safety of so many, will you work with us to put Iowans back in control of Medicaid? We can and should do better for Iowans. Watching our health care system collapse is not an option.”

     

    -end-

  • Senators call on Gov. Reynolds to extend sign-up period for Medicaid

    Iowa Senate News Release
    For Immediate Release: November 29, 2017

     

    DES MOINES – Citing continuing turmoil for Iowa’s Medicaid recipients, two key State Senators today called on Governor Kim Reynolds to give a break to more than 200,000 Medicaid recipients who were denied a choice of Medicaid providers.

    In a letter delivered this afternoon, Sen. Amanda Ragan of Mason City and Sen. Liz Mathis of Hiawatha called on the Governor to grant an additional 30 days for former AmeriHealth members to choose either UnitedHealthcare or the fee-for-service system. A 30-day extension would address the concerns of Iowans who did not have a choice of managed care organizations, which directly affects which doctors, hospitals and other health care providers they can see.

    “We are writing to you today to express our grave concerns about Medicaid,” the Senators wrote in their letter. “The loss of AmeriHealth Caritas and the inability of Amerigroup to take new members leaves too many Iowans without choice.”

    The Senators also point out that federal law requires Medicaid beneficiaries get a choice of managed care plans.

    “It is a fundamental, legal requirement to offer Medicaid beneficiaries a choice of managed care plans. It is completely unfair to offer the fee-for-service system to only those members that were able to make a choice before November 16,” the Senators stated. “Due to the lack of timely notice, more than 200,000 Iowans are being assigned to United Healthcare, regardless of their preference.

    “In the name of fairness and choice, we are requesting that you grant an additional 30 days for former AmeriHealth members to choose either UnitedHealthcare or the fee-for-service system.”

    Senator Ragan is Ranking Member of the Health & Human Services Budget. Senator Mathis is Ranking Member on the Human Resources Committee.

    -end-

  • Mathis named “Hero in the Fight” for better mental health treatment in Iowa

    State Senator Liz Mathis

    IOWA SENATE NEWS
    For immediate release: Oct. 6, 2017

    CEDAR RAPIDS, Iowa – State Senator Liz Mathis (D-Hiawatha) has been named a Hero in the Fight by the Linn County chapter of the National Alliance for Mental Illness.

    “Senator Mathis works relentlessly to advocate for our most vulnerable citizens. With Medicaid moving to a managed care system, Senator Mathis has been active in the community, listening to individuals and families about their experiences and making sure no one falls through the cracks. She listens to providers and advocacy groups so that she truly understands how real people are impacted. Her genuine care is evident,” said Kathy Johnson, a member of the board of directors for NAMI Linn County.

    The Heroes in the Fight awards are given each year to those who help fight stigma the stigma of mental illness and promote positive changes to ensure all Iowans have access to affordable and effective mental health treatment.

    “Iowans struggling with mental illness are some of our most vulnerable citizens, but their needs are often overlooked, or they get lost in our complicated health care system. They deserve someone who will stand up for them, fight for them and not quit until we get the job done,” Mathis said.

    Senator Mathis authored legislation with the help of Kent Jackson, director of Behavioral Health for Unity Point, which allows certain patients with schizophrenia to get long-lasting injections of antipsychotic medicine so that they can avoid costly hospital stays and more easily return to their day-to-day life.

    She also created a Children’s Mental Health & Wellbeing Workgroup in 2015 that is building a child mental health care system. The workgroup will be presenting legislation in 2018 that will address children experiencing a mental health care crisis. The workgroup also has encouraged pilot projects for new ways of improving child wellbeing.

    The Heroes in the Fight awards ceremony took place Thursday at Mercy Hospital’s Hallagan Auditorium in Cedar Rapids. Other local award recipients were:

    • Ben Rogers – Linn County Board of Supervisor
    • Ursula Livermore – Eastern Iowa Health Center Medical Director
    • Diane Brecht – Local Provider of SCL services
    • Brad Neff – Volunteer with Family Support and Family-to-Family classes

    NAMI Linn County is the local affiliate of a state and national association dedicated to education, advocacy and support for individuals and families struggling with the impact of a mental illness.

    ###

  • Governor should urge Ernst, Grassley to oppose health care harmful changes

    July 18, 2017

    The top two Democratic State Senators on the Iowa Senate’s healthcare budget and policy committees are urging Governor Kim Reynolds to contact U.S. Senators Joni Ernst and Chuck Grassley about the threat that healthcare legislation pending in the U.S. Senate poses to Iowa families, health care providers and rural communities.

    The joint letter notes that Iowa Democrats and Republicans worked together in 2011 to “expand Medicaid to cover 150,000 working Iowans who did not earn enough to purchase insurance on the open market.”

    The successful Iowa Medicaid expansion has improved healthcare for thousands of Iowans, reduced costly charity care at rural and urban hospitals, and saved Iowa health care jobs.

    The State Senators warned Reynolds that the proposal currently being debated in the U.S. Senate would devastate Iowa’s success.  They wrote:

    “The cost of unpaid charity care in Iowa could again reach the billion-dollar-a-year level it had reached before the Medicaid expansion.  This would increase the price of health insurance generally and be especially harmful to hospitals and health care providers in Iowa’s rural communities.  If Medicaid is cut significantly, rural health care providers could be forced to close.  That would have a devastating effect on patient access to health care and would be a major blow to the continued viability of Iowa’s small towns.

    “In addition, some 72,000 Iowans on the individual market may soon be unable to buy health insurance at any price. You’ve stated that your administration is working on a stop-gap proposal to fix this problem for 2018.  We want to remind you of the urgent need to resolve this issue as soon as possible.  Iowa’s U.S. Senators must work with the Trump Administration to immediately eliminate the health care insecurity haunting these Iowa families.”

    In the letter, Senators Ragan and Mathis also urged the Governor  to “stand up for Iowa the way other Republican and Democratic Governors have stood up for their states.”  As examples, the senators cited statements by the Republican Governors of Nevada, Ohio, and Vermont that are critical of the proposal before the U.S. Senate.

    The senators ended their letter by stating:

    “Governor Reynolds, we urge you to speak up in defense of Iowa families, Iowa health care providers, Iowa jobs, and the state budget.  Specifically, we urge you to contact Senators Chuck Grassley and Joni Ernst as soon as possible.  Encourage them to speak out publicly against health care changes that would devastate Iowans and the Iowa economy.”

     

    Text of the letter is below

    July 18, 2017

    Dear Governor Reynolds,

    We write to urge you to join other Republican and Democratic Governors in speaking out against the healthcare bill currently being debated in the US Senate.

    In 2011, with bipartisan support and the participation of Governor Branstad and yourself, the Iowa Legislature voted to expand Medicaid to cover 150,000 working Iowans who did not earn enough to purchase insurance on the open market.

    Iowa’s Medicaid expansion improved the health of working Iowans, reduced the cost of charity care at Iowa’s hospitals, and increased the number of health care jobs across Iowa.   The state of Iowa will pay no more than 10 percent of the overall cost.  The benefits to Iowans are obvious and continue even though Medicaid has been privatized.

    Governor Reynolds, we know you are certainly aware that the United States Senate is debating legislation that would negatively affect Medicaid expansion.  The cost of unpaid charity care in Iowa could again reach the billion-dollar-a-year level it had reached before the Medicaid expansion.  This would increase the price of health insurance generally and be especially harmful to hospitals and health care providers in Iowa’s rural communities.  If Medicaid is cut significantly, rural health care providers could be forced to close.  That would have a devastating effect on patient access to health care and would be a major blow to the continued viability of Iowa’s small towns.

    In addition, some 72,000 Iowans on the individual market may soon be unable to buy health insurance at any price. You’ve stated that your administration is working on a stop-gap proposal to fix this problem for 2018.  We want to remind you of the urgent need to resolve this issue as soon as possible.  Iowa’s U.S. Senators must work with the Trump Administration to immediately eliminate the health care insecurity haunting these Iowa families.

    That’s why we ask you to stand up for Iowa the way other Republican and Democratic Governors have stood up for their states. Here are a few examples:

    Nevada Governor Brian Sandoval has said Medicaid expansion has been “a winner for the people of our state.”

    Ohio Governor John Kasich has said that he has “deep concerns with the details of the U.S. Senate’s plan to fix America’s health care system and the resources needed to help our most vulnerable.”

    Vermont Governor Phil Scott said this about the Republican Senate changes to Medicaid: “Even a small tweak could have a devastating impact on us as a state.”

    Governor Reynolds, we urge you to speak up in defense of Iowa families, Iowa health care providers, Iowa jobs, and the state budget.  Specifically, we urge you to contact Senators Chuck Grassley and Joni Ernst as soon as possible.  Encourage them to speak out publicly against health care changes that would devastate Iowans and the Iowa economy.

    Sincerely,

    Senator Amanda Ragan of Mason City
    Ranking Member, Health and Human Services Appropriations Subcommittee

    Senator Liz Mathis of Robins
    Ranking Member, Human Resources Committee

    -30-

     

  • Senator Mathis responds to appointment of new DHS director

    Iowa Senate News Release
    For Immediate Release:  June 14, 2017

     

    Statement on appointment of new DHS director
    by Senator Liz Mathis, lead Democrat on the Senate Human Services Committee

    “The selection of Jerry Foxhoven is a positive step. Along with his work as executive director of the Neal & Bea Smith Legal Clinic at Drake, Jerry has been a facilitator or co-chair of several state task forces and work groups. His inclusive style will serve him well as he digs into the work that needs to be done with the department and the issues around the Medicaid to managed care transition.”

  • Senators respond to DHS Director Palmer retirement

    Senators Liz Mathis and Amanda Ragan at a Medicaid Oversight Committee Meeting.

    Senator Amanda Ragan of Mason City, ranking member of the Health and Human Services Budget Committee:

    “I wish retiring Director Palmer well. He’s done his best under difficult circumstances.

    “However, the real problems of a disastrous budget, less staff, higher caseloads, and lack of oversight need to be addressed.  The rollout, implementation, and proven problems with Medicaid privatization can no longer be overlooked.  We need an open, honest assessment of the strengths and weaknesses of DHS and what it needs to succeed, including funding and staffing levels.”

     

    Senator Liz Mathis of Robins, ranking member of the Senate Human Services Committee:

    “With Director Palmer’s retirement comes the opportunity to address some of the problematic issues around casework and managed care. I hope Governor Reynolds will consider someone who is willing to work with both sides of the aisle to accomplish more accessibility to critical services like mental health.

    “I have worked with Director Palmer in a number of ways, from strategic planning on children’s mental health to Medicaid and managed care.  He had a difficult job but Director Palmer was professional and accessible to me as a legislator. I wish him well.”

    -end-