Why state leaders needed to step back from work requirements

Why state leaders needed to step back from work requirements

Gazette Column
State work requirements for Medicaid recipients appear to be scuttled, at least for this year. That’s a good thing because research and experience show the numbers don’t add up for participants or for taxpayers. The bill passed by the Iowa Senate, Senate File 538, required the Department of Human Services to petition the federal government for permission to implement Medicaid requirements beyond those already in place at the federal level. Those new stipulations centered on work requirements. Specifically, “able-bodied” recipients would need to work or volunteer a minimum of 20 hours each week, and government officials would need to make larger investments in software and staffing in order to track the changes with the increased veracity required by the bill. Sticks of chalk sit around a partially completed drawing of the…
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Family planning services thin under Iowa GOP program

Family planning services thin under Iowa GOP program

Gazette Column
Despite Republican promises to the contrary, changes to family planning services has resulted in less access that will cost Iowans more. Last spring, Iowa Republicans crafted a new family planning program funded only with state dollars. They did so for the sole purpose of excluding providers that perform abortions or are part of a health network that does. Although abortion providers could accept public money under the previous program that was primarily funded at the federal level, none of the funds could be used for abortion services. The state’s new rules not only resulted in the expected exclusion of Planned Parenthood, but of other significant health care providers like the University of Iowa Hospitals and Clinics and the statewide UnityPoint network. Promises of expanded access haven’t materialized, according to a…
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Iowa misses opportunity to curb teenage risky behavior

Iowa misses opportunity to curb teenage risky behavior

Gazette Column
DES MOINES — Sex educators who gathered here last week for an annual conference have reason to be concerned. Iowa’s family planning landscape has changed, making it more difficult for teens to get needed information and services. The Legislature’s decision last spring to forgo federal family planning money in favor of a state-run program that excludes health care organizations that offer abortion services provided a small window for officials to write rules and implement the system. Even now, three months after the system was supposed to be in place, questions remain. The new process is time-consuming, requiring those hoping to access services to first apply at the nearest Department of Human Services or Title X office and wait for approval. A significant portion of providers listed on the department’s website…
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DHS director sends mixed messages on juvenile justice

DHS director sends mixed messages on juvenile justice

Gazette Column
Amid allegations of mistreatment at the Boys State Training School in Eldora, Iowa Department of Human Services Director Jerry Foxhoven says there’s no need for changes. But that’s not the opinion he expressed a few months ago. Disability Rights Iowa, a federally mandated and funded protection and advocacy group, released a report last week detailing concerns with the school, including improper use of seclusion and restraints and a lack of behavior health treatments. The school was established and is run by the state to provide treatment and rehabilitation services to boys, ages 12 to 18, who are found by juvenile courts to be delinquent. More often than not, these are male juveniles who have committed multiple, lower-level crimes, but the facility also houses teens convicted of violent acts. Capacity of the facility is…
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Temper home-school response

Temper home-school response

Gazette Column
The latest Iowa Poll shows state residents are reacting to recent deaths and abuses within the foster care system with more scrutiny of state home-school laws. Such sentiments are partially misplaced. There have been two high-profile deaths among youth adopted out of the Iowa foster care system, and a third first-person account of how one young women fled her abusers. In nearly all such cases, home schooling has played a significant role by allowing abusive parents to further hide their actions and neglect. It’s largely in reaction to these horrific cases that participants in a recent Iowa Poll responded with skepticism of all Iowans who chose to home-school: • 46 percent think families with foster children should be required to send children to an educational facility (not be allowed to home-school) • 67 percent…
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Resignation can’t stymie DHS probe

Resignation can’t stymie DHS probe

Gazette Column
Two of three teens the state pledged to protect were placed in homes where they were subsequently neglected and abused to death. The third fled her torturers. More than 4,000 other Iowa children are overseen by this most likely flawed system. A retirement announcement Wednesday by Department of Human Services Director Chuck Palmer does not absolve him of any failed obligations to these minors, living or dead. The move should spark renewed commitment to bring the truth to light. Known victims of the state system are 16-year-old Natalie Finn of West Des Moines, 18-year-old Malayia Knapp of Des Moines, and 16-year-old Sabrina Ray of Perry. [caption id="attachment_1221" align="alignleft" width="300"] Iowa DHS Director Charles Palmer speaks at a Johnson County Task Force on Aging forum at the Coralville Public Library in…
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More IJH rush jobs won’t serve Iowans or at-risk youth

More IJH rush jobs won’t serve Iowans or at-risk youth

Gazette Column
About midway through May, a moving van and trailer arrived at Toledo’s now shuttered Iowa Juvenile Home. According to the Iowa Department of Human Services, furniture, appliances (including older computers) and records were removed from the site and relocated to other state-run facilities. Area residents and former facility workers who had purchased flags in honor of loved ones or donated to the Iowa Juvenile Home Foundation to provide specialized materials for the school library, worried these items and other historical artifacts had been removed from the site. A DHS spokeswoman says while the future of these items are discussed, they remain at the Toledo facility. But the move, hit-and-miss property upkeep and near constant presence of highway patrol officers in the parking lot have done little to alleviate the worry…
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