Medicaid

Some Iowans with disabilities are pushing lawmakers to remove income and asset caps from a special Medicaid program that allows them to work. But recent reductions to spending for Medicaid at the federal level may be giving lawmakers pause.

Mothers and infants in the U.S. without legal status and some lawfully present immigrants would be barred from food assistance under a bill that passed the Iowa House Tuesday. The bill would also expand Medicaid eligibility for employed people with disabilities.

A bill that would make several changes to public assistance programs advanced through an Iowa House subcommittee Wednesday over the objections of people who said it would result in more babies going hungry.

The One Big Beautiful Bill includes sweeping changes to Medicaid, and is estimated by the Congressional Budget Office to increase the number of people uninsured by 10 million. We hear from Des Moines resident who insured by Medicaid about what these changes could mean for him, including new work requirements. Then, we hear more about how this overhaul will impact Iowans from UI professor and Rural Policy Research Director Keith Mueller. We also talk with a rural hospital administrator about how they expect to lose millions of dollars annually due to these changes, and we hear from a rural Emergency Medical Services responder on how this could widen the financial deficit they already face when providing care to Medicaid patients.

Democratic state Rep. Lindsay James of Dubuque is running for Congress in Iowa’s 2nd District, she announced Tuesday.

Transgender Iowans on Medicaid, the health insurance program for low-income individuals, are having to find other ways to pay for some gender-affirming care after state lawmakers passed restrictions in the 2025 legislative session.