Iowa
Eight months after the fact, board discloses charges against Iowa nurse
POLK COUNTY, Iowa (Iowa Capital Dispatch) – Eight months ago, a state licensing board charged an Iowa nurse with multiple regulatory violations, including soliciting or accepting money from a patient. This week, for the first time, the Iowa Board of Nursing publicly disclosed those charges.
The records show the board has charged Abbriel Rae Mitchell, 44, of Roland with five separate regulatory violations: violating patient confidentiality or privacy rights; soliciting, borrowing, or misappropriating money or property from a patient; committing an act that causes physical, emotional or financial injury to a patient; participating in or attempting to initiate a sexual, social or business relationship with a patient; and engaging in behavior that is contradictory to professional decorum.
As is customary with the Board of Nursing, it has publicly disclosed no information as to the alleged conduct that gave rise to the charges or indicated when or where that conduct is alleged to have taken place.
State records indicate the board’s investigation of the matter was initiated in 2024. The charges were formally approved by the board on Oct. 8, 2025, but were made public only this week in the Iowa Department of Inspections, Appeals and Licensing’s official Notice of Board Action for the month of June 2026.
It’s not clear why the charges were not publicly disclosed last year. In recent months, DIAL has indicated questions about the numerous licensing board errors and lengthy delays in public disclosure of disciplinary charges are best directed to the Iowa Attorney General’s Office. That office has, in turn, referred such questions back to DIAL.
Board records indicate Mitchell was first authorized to work in Iowa as a licensed practical nurse in July 2005.
A hearing on the charges against her is scheduled for Oct. 15, 2026.
Copyright 2026 Iowa Capital Dispatch. All rights reserved.
Iowa
Iowa State women’s basketball, home-and-home league opponents announced
Iowa State WBB coach Bill Fennelly on future timeline
Iowa State women’s basketball coach Bill Fennelly on end of career timeline, thoughts on possible retirement?
The Iowa State women’s basketball team will face a trio of its old Big 8 opponents at home and on the road next season during conference play.
The Cyclones’ home-and-home league partners for the 2026-27 campaign are Kansas, Kansas State and Oklahoma State, the Big 12 announced June 11.
Iowa State’s home-only opponents are BYU, Colorado, Houston, TCU, Texas Tech and Utah. The Cyclones get Arizona, Arizona State, Baylor, UCF, Cincinnati and West Virginia on the road only.
The unbalanced schedule — with just three home-and-home opponents — has been in place since the league expanded to 16 teams.
It will be a pivotal season for the Cyclone program after losing nine players to the transfer portal, including stars Audi Crooks, Addy Brown and Jada Williams.
Dates, times and broadcast information will be released later this summer.
Iowa State columnist Travis Hines has covered the Cyclones for the Des Moines Register and Ames Tribune since 2012. Contact him at thines@amestrib.com or (515) 284-8000. Follow him on X at @TravisHines21.
Iowa
Rob Sand says audit shows PBMs may be overcharging Iowa taxpayers
Hear Rob Sand as he details his ‘Accountability for All’ plan
Iowa Democratic gubernatorial candidate Rob Sand talks through his ‘Accountability for All’ plan at a press conference on April 2, 2026.
State Auditor Rob Sand said pharmacy benefit managers who work with Iowa’s Medicaid program appear to be overcharging taxpayers by using prohibited pricing techniques.
But Sand said he wasn’t able to get a full picture of the financial impact to the state’s Medicaid program because the three pharmacy benefit managers that work with Iowa Medicaid did not provide certain financial records and other information his office requested.
“We believe that Iowans deserve to know how their tax dollars are being spent and that PBMs shouldn’t be allowed to rip off taxpayers by hiding behind what they say is proprietary information,” he said at a news conference Wednesday, June 10.
At issue is the use of what is known as effective rate pricing, which Sand said allows PBMs to claw back payments previously made to pharmacies at the end of the year. That results in “spread pricing,” which the audit says occurs when the PBM receives a larger reimbursement payment from the Medicaid managed care organization it works with than the PBM pays to the pharmacy.
Sand said spread pricing is prohibited under Iowa Medicaid.
“It can inflate costs for taxpayers, reduce the quality of care and create financial hardships for pharmacies,” he said. “That’s especially true for the independent pharmacies in smaller communities.”
Sand’s office released a report Wednesday covering transactions from 2019 to 2021. While incomplete, he said it showed the effective rate reconciliations for one of the three PBMs that works with the state totaled $100 million over that time period.
“That’s $100 million that Iowa taxpayers may have been overcharged,” Sand said. “We believe it to be even more than that because despite the fact that we made repeated requests and negotiated, the PBMs still at the end of the day withheld critical financial information.”
Sand said his office hired a firm called 3Axis Advisors that has performed similar work in other states to assist with the audit, at a cost of about $30,000.
Sand’s report recommends banning year-end reconciliations and requiring PBMs, managed care organizations and other state contractors to provide unrestricted access to information for the auditor’s office.
The report says there should be additional regulations on PBMs to separate Medicaid payments from non-Medicaid payments and to remove pricing variability from PBM contracts.
Sand, a Democrat who is the party’s nominee for governor, earlier this year released a health care platform pledging to crack down on pharmacy benefit managers.
Last year, Iowa lawmakers passed legislation placing several new regulations on PBMs, including requiring them to pay higher reimbursement rates to pharmacies.
A federal judge partially blocked portions of the law last summer while a lawsuit is pending from a coalition of business groups. It is awaiting an appeal.
Sand praised the law as “very good” but said “I think there’s a lot more that could be done.”
“The regulations that were contained in it would prevent some abuses,” he said. “But again, I think it’s very important to emphasize that auditors need to have access to this information to make sure that taxpayers are being protected, and they’re not being ripped off.”
Heather Nahas, a spokesperson for Gov. Kim Reynolds, said Iowa has recovered hundreds of thousands of dollars in improper fees charged to pharmacies.
“For the last several years, Gov. Reynolds and Iowa lawmakers have been leading the fight against abusive PBM practices, advancing reforms, strengthening oversight and defending those efforts against repeated challenges,” she said in a statement.
Nahas called Sand’s report “irrelevant and outdated,” saying the data he looked at does not reflect current practices at Iowa’s Department of Insurance and Financial Services or Medicaid pharmacy oversight.
Nahas said the report includes recommendations that Iowa Medicaid implemented more than three years ago.
“The auditor may be late to the game, but he’s finally arrived at the same conclusion that Iowans, the Republican legislature, and the Reynolds administration have known for years: PBM practices demand scrutiny, transparency and reform,” she said. “The difference is we’re doing something about it.”
Sand said his efforts to gather data were delayed by resistance from the PBMs and by a Republican-passed law, Senate File 478, that blocks the auditor from going to court against other state entities to force them to turn over documents.
“It took absolutely forever to get all of this data, to go back and forth with the PBMs, to evaluate legal claims about trade secrets or about SF 478,” he said. “And so as usual with this industry everything is much murkier and slower moving than any reasonable person would expect.”
Stephen Gruber-Miller is the Capitol bureau chief for the Des Moines Register. He can be reached by email at sgrubermil@registermedia.com, by phone at 515-284-8169 or on X at @sgrubermiller.
Iowa
“Retracing the Dragoon Trail in Iowa” with Kevin T. Mason
Kevin T. Mason, author of “Retracing the Dragoon Trail in Iowa,” came to the Ames Public Library on Wednesday. Mason went to ISU as a student and now teaches at the University of Northern Iowa. He is a rural and environmental historian of the American Midwest. Mason talked about his book covering the old Dragoon Trail, which runs across Iowa. Many have probably seen the signs all over Iowa marking the Dragoon Trail.
This all started in 1835, when the Dragoons went on an expedition across Iowa to survey the land for future Americans. Dragoons were military foot soldiers who rode horses and explored the land. When the Dragoons first encountered Iowa and explored it, the Iowa they saw was very different from the Iowa we see today.
The Dragoons are said to have hated Iowa. It was all marsh, full of mosquitoes, and it became unbearable in the winter. They were also said to have seen the largest herd of buffalo ever, with around 5,000 individuals. Iowa was also chock-full of prairies; however, today we have lost 99.8% of them.
Stephen Watts Kearny, one of the Dragoons, escorted settlers and projected military dominance; he took New Mexico and California in 1846. Albert Miller Lea dealt with the reconnaissance and mapping of the Dragoon Trail and published notes on the Wisconsin territory also. Nathan Boone led Dragoon patrols, stretched survey changes and charted the arterial paths of settlement; he is memorialized in Boone County, which is named after him, and he is honored as the son who set the stage for American settlement.
“The Dragoons are looking for a place to build a new fort,” Mason said. “They cover 1,000 miles. They’re actually going to leave, and they are going to follow the ridge between the Skunk River and the Des Moines River on their outward journey. Conveniently, we built Highway 163 right on top of it.”
The Dragoons cover in their writings, the prospect of coal, soil profiles and about the people and animals that lived here. They thought Iowa was going to become rich because of its coal, and it was going to be a great commodity.
Mason walked the entire Dragoon Trail. It was 371 miles long. It took him 21 days to walk up the river. There was some help along the way from his wife, who followed along in her car.
“In each of these chapters, I’m trying to pull a strand from at least the Dragoons all the way forward to 2021 to tell small histories of Iowa in a hyper-connected way, which took six drafts, and I still don’t know that I did it,” Mason said.
Mason also offered an interesting snippet from his book that told the tale of Boneyard Hollow:
“Just off the river’s west bay, tucked unassumingly along the winding main road of Dolliver Memorial State Park, lies a place with a name alluding to a gristly past. Boneyard Hollow, the shallow sandstone gorge slices through the park’s northern edge, shaded by oaks and maples, often quiet, save for bird song. An ancient buffalo jump, Boneyard Hollow, is only one of Iowa’s rare surviving testament to a way of life long predicting clouds and durian tiles packing miles… Shaggy mountains. Some move, and faster than man. Bison could kill with a horn or hoof. Still, human hunger demanded hunting…”
Mason says that his book is a mile wide and an inch deep. One student of Mason’s said that it was a “gateway drug into Iowa history.”
To learn more about Mason’s book, please visit his webpage.
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