health care

File Photo, House Democratic Caucus

With the privatization of Iowa’s health care program for the poor and disabled set to go into effect tomorrow, state lawmakers Wednesday grilled company representatives and Medicaid managers about the change.    

There was emotional debate in the House about a young cancer patient’s treatment being delayed.        

John Pemble/IPR

After months of discussion, out of state for-profit companies now have the go-ahead to take over Iowa’s Medicaid program for the poor and disabled on April 1st.  

The Branstad administration Tuesday received word of approval from the federal government though the date was once again delayed.  

In December, the federal Centers for Medicare and Medicaid Services delayed implementation from January 1st to March 1st, stating that key requirements on 16 action items were not met, including adequate provider networks to serve Iowa’s more than 500,000  Medicaid patients. 

John Pemble / Iowa Public Radio

Even though lawmakers in the Iowa Senate voted to stop privatization of the state's Medicaid program last week, the measure is unlikely to pass in the Iowa House. The system is still slated to switch to private management on March 1 unless the federal government steps in. 

Save Medicaid Action

Democrats in the Iowa Senate today ratcheted up their challenge to Governor Branstad’s plan to privatize Medicaid, the state’s health care program for the low-income and disabled.  

They introduced a bill to repeal the initiative, but Republicans are standing by the Governor’s proposal.  

Democrats say privatizing Medicaid will disrupt long-standing relations between patients and providers and compromise patient care.   Their bill would cancel the contracts with three for-profit, out of state companies chosen to manage the program.     

UCI UC Irvine/flickr

A Democratic-backed bill in the Iowa Senate designed to improve access to contraceptives, especially in rural Iowa, passed a first hurdle at the statehouse Wednesday.     

Under the bill, women on Medicaid, the government health care program for low-income Iowans, would receive a full year of birth control pills, instead of the current limit of three months.   

Robins Democrat Liz Mathis says for rural women, getting to a pharmacy that often can be an impediment. 

A year ago, Iowans enrolled in the healthcare startup Co-Opportunity found out they were losing their healthcare coverage. Since then a dozen of these so-called “co-ops” that were funded by the federal government have failed.

Joyce Russell/IPR

Governor Branstad is minimizing complaints about the private firms selected to manage Iowa’s more than four billion dollar Medicaid program that provides health care for Iowa’s poor and disabled.  

A Des Moines Register investigation shows fraud and mismanagement by the firms in other states.       

The state is scheduled to turn over management of the giant program to the four companies starting in January.    But three firms that didn’t win the contracts are requesting a review of the bidding process, which they call haphazard.