Affordable Care Act

Do you have questions about the Affordable Care Act? Are you trying to enroll in the new health exchanges? Do you know how the ACA will impact your bottom line? Join Iowa Public Radio’s reporters and talk shows as we report on the implementation of Obamacare. We’ll share news and issues as the health exchanges begin enrollment, businesses react to the law’s implementation, how the new law will impact Iowans, and what this means for the country.

Do you have questions you want answered or a story idea related to the ACA? Share it with our News team, and be a part of developing our reporting around the Affordable Care Act.

Or, consider joining the IPR Insight Network, where you may be called upon to provide knowledge and experience to help Iowa Public Radio in our reporting efforts. Sign Up here.

Congress.gov

Iowa’s only Democrat in the U.S. House of Representatives says he still doesn’t know the details of what Republicans will propose as a replacement for the Affordable Care Act.  Dave Loebsack is on the House Energy and Commerce Committee, which will vote on a replacement before sending it to the full House.

“So far what I have heard is that what they have offered is wholly inadequate and it doesn’t deal with the problems that we tried to deal with in the Obamacare legislation,” he says.

Sarah Boden/IPR

Iowa’s Republican lawmakers are a step closer to defunding the state’s Planned Parenthood clinics. A bill to instead fund organizations that don’t provide abortion services passed out of a state senate subcommittee today.

Planned Parenthood of the Heartland supporters crammed into the meeting to voice their objection to the legislation. The hallway behind the senate chamber held those who couldn’t fit into the hearing room, with their chants of "Women's Rights! Women's Rights" carrying into the room.

Wikimedia Commons

A repeal of the Affordable Care Act could leave more than 230,000 Iowans, including 25,000 children under the age of 18, without health coverage. That’s according to the Iowa Policy Project. Peter Fisher is research director for the IPP. He says there are two ways the ACA expanded access to care in Iowa.

“About 70,000 people were covered by the Medicaid expansion, and another 47,000 received subsidies for their insurance when they purchased insurance on the exchange. So there are two ways that the ACA insured substantially more Iowans than were previously insured,” he explains.

Sarah Boden/IPR

The Republican-controlled Iowa statehouse aims to limit abortion access by cutting off public funding to Iowa’s 12 Planned Parenthood clinics, which serve a reported 26,000 patients.

Lawmakers say they’ll fund sexual and reproductive healthcare services provided by organizations other than Planned Parenthood of the Heartland. But the healthcare organization said in a conference call this morning this will create a vacuum for critical services.

FLICKR / WILLIAM PATRICK BUTLER

Opponents of the privatization of Iowa’s Medicaid system say recent revelations show the program should not be run by for-profit companies. A Des Moines Register report this week revealed the three companies in charge of Iowa Medicaid say they are facing dramatic losses.

When private companies took over Iowa’s Medicaid system in April, many wondered if they could make a profit. The companies claimed profits would come as a result of better management, but now they say underfunding is threatening the program’s stability and that state payments are insufficient.

LinkedIn

Iowa’s Insurance Commissioner Nick Gerhart is stepping down on the 23rd of this month. He’s served as state insurance commissioner since February 2013, overseeing the state’s Medicaid transition, as well as the implementation of the Affordable Care Act. During this River to River interview, he talks with host Ben Kieffer. 

Gerhart says that policy makers need to step back and take a look at the entire healthcare ecosystem, not just the insurance piece. 

Gage Skidmore

On this politics day edition of River to River, Ben Kieffer talks with political analysts, Tim Hagle and Justin Holmes, about President-Elect Donald Trump’s latest cabinet picks and what the current appointees may plan to do if approved by the Senate.

Trump most recently nominated Georgia Rep. Tom Price as secretary of Health and Human Services. Price has been a consistent opponent of the Affordable Care Act in Congress, and he’s developed an alternative plan to replace the ACA.

Hagle doesn't expect the popular aspects of the ACA to be abolished.

Mandie/flickr

Women who use legal drugs such as alcohol during pregnancy could be reported for possible child abuse under proposed legislation state lawmakers may be considering in January.   

Currently, mandatory reporters of child abuse must speak up if it appears an infant is born with exposure to illegal drugs. 

However, mandatory reporting does not kick in if the baby is showing signs of withdrawal from other substances.

Wellcome Images

On this edition of River to River, host Ben Kieffer and producer Emily Woodbury talk with medical providers about how different medical robots work, as well as the pros and cons of working side-by-side with machines to provide patient care.

Robots at the bedside: Telemedicine and the stroke robot

julep67 / Flickr

Tuesday marked the first day of open enrollment for Obamacare health insurance. It comes just a week after the Department of Health and Human Services announced the prices of policies sold on the exchanges would rise an average 22 percent for 2017.  Pete Damiano, Director of the Public Policy Center and of the Health Policy Research Program at the University of Iowa, says that number may be scarier in theory than it is in reality.

Flickr / Jimmy Emerson, DVM

The Iowa College Student Aid Commission says more than $700,000 in grants will be awarded to 16 healthcare professionals who work in rural Iowa. The grants will be matched by the communities where the recipients are employed.

Danielle Weber is a physical therapist who lives and works in Jefferson, the seat of Greene County. With more than $80,000 in debt she says the grant is like winning the lottery.

She explains that while her tuition at Des Moines University was “not cheap,” salaries in rural communities tend to skew lower.

Emily Woodbury

Andrew Duarte was only 31 years old when he was diagnosed with Parkinson’s disease. One of the biggest questions he had was, “What can I expect?”

“And there’s not really a good answer for that,” he says.

Today on Talk of Iowa - living with Parkinson’s disease. Host Charity Nebbe sits down with two Parkinson's patients and a clinical researcher to talk about recent developments in Parkinson’s research and find out what it’s like to live with the disease.

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.        

Iowa Public Radio / Sarah Boden

Iowa no longer has the only statewide telemedicine abortion network in the country. Today, Maine Family Planning has started providing the service at 16 of its clinics. 

"It was helpful for us to be able to look at another very rural state, not necessary a completely blue state, another state we could relate to and say this can be done," says Maine Family Planning's Jennifer Thibodeau. "It was just inspiring to see another state that we really felt similar to, be able to expand access at a time when other states are really struggling to keep doors open."

Dozens of Iowans begged members of the Iowa Senate Human Resources Committee Wednesday to make sure the state provides extensive oversight of the three healthcare management companies that will soon manage Iowa’s Medicaid system. The federal government says privatization can begin April 1. 

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. 

Astrid Westvang / Flickr

Every year, thousands of Iowa children are diagnosed with ADHD, Attention Deficit/Hyperactivity Disorder. While the condition is common and one of the most studied disorders in medicine, it still remains controversial.

On this edition of Talk of Iowa, host Charity Nebbe talks with Shannon Krone, a mother who struggled with her son’s behavior problems from an early age. Her son’s ADHD is more manageable with treatment, but still poses obstacles in day-to-day life.

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. 

One year ago Iowans and Nebraskans enrolled in the healthcare startup Co-Opportunity Health found out they were losing their healthcare coverage. There are 11 other of these so-called “co-ops” that were funded by the federal government that have failed. 

The Affordable Care Act had set aside funding for these so-called health co-ops.

They enabled organizations to compete in places where there weren’t many insurers.

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.

Photo by John Pemble / IPR

The Branstad administration is planning to shift Iowans who benefit from Medicaid to private management on Jan. 1, a move that would impact more than 560,000 recipients.

The governor contends that private management companies can offer more efficient service and save money, while those who rely on the program are worried, including Iowa City resident Heather Young.

“My husband and I are doing everything we can to keep the ship afloat," Young says. "Even with our best efforts, if this thing goes through, this ship is going to get torpedoed."

Clay Masters/IPR file photo

Democratic presidential candidate Hillary Clinton is vowing to move aggressively in controlling gun violence.  And, in a campaign stop in Davenport today, she took a swipe at a comment Republican Jeb Bush made last week after the shootings at a community college in Oregon.

“We can’t tolerate that,” she said, “this doesn’t just happen, this isn’t stuff that happens.  We let it happen and we have to act against those people who should not have guns in the first place.”

Julie Stevens

A student landscape architecture project at Iowa State University is being recognized by a national organization for working to make the Iowa Correctional Institute for Women a more humane and therapeutic environment.

The American Society of Landscape Architects has given the ISU project a Community Service Award of Excellence for creating outdoor classrooms using native Iowa limestone and prairie plants, and a decompression deck for staff at the women’s prison in Mitchellville.

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.  

photo submitted

Noonan syndrome is a genetic condition.  The characteristic facial features include low set ears, widely spaced-eyes, bright blue or blue-green eyes, a low hairline at the back of the head, and multiple congenital problems like heart defects and an unusually shaped chest.

A person with Noonan syndrome is often short, has a broad or webbed neck, low set nipples, and bleeding problems.  Developmental delay or intellectual disability are also common.

A new study by the Institute of Medicine suggests that cardiac arrest could be the third leading cause of death in the United States.

More than 600,000 people go into cardiac arrest each year outside of hospitals, and fewer than 6 percent of those survive. Dr. Dianne Atkins, a pediatric cardiologist at the University of Iowa Hospitals and Clinics who worked on the report, says it’s important to distinguish cardiac arrest from a heart attack.

Pages