Iowa
Free-standing emergency rooms are popping up across eastern Iowa – what does this mean for patients?
CEDAR RAPIDS, Iowa (KCRG) – With both Mercy Medical Center and Unity Point Health – St. Luke’s in downtown Cedar Rapids, it can be a struggle for anyone outside the metro area to access emergency medical care.
But both hospitals are looking to change this.
”If you live in Marion, sometimes it’s 25 minutes to get downtown, so we’re bringing in emergency care closer to their homes.” said Mercy Medical Center Director Dr. Matthew Aucutt.
In August of 2020, Mercy Cedar Rapids opened Iowa’s first free-standing emergency room in Hiawatha.
Now, they’re building another one in Marion.
One physician says these centers help meet a growing demand at their main campuses.
“In our population, people are getting sicker and sicker. The baby boomer generation is getting older and have more emergent medical problems. And so, we’re going to see increased ER volumes across the country over time.” said Aucutt.
Both locations will function identically to an ER, but they can’t admit anyone.
But the cost of transporting patients to the hospital for admission is covered by the hospital.
Doctor Aucutt says he hopes this will be the go-to resource for people who need more than urgent care and don’t want to travel downtown.
“With a sicker population, urgent care just doesn’t meet the needs of those patients. And urgent cares aren’t open 24/7.. We can take care of them and provide the care that they need so they don’t need to get admitted.” he explained.
Though, a study out of Texas, which has 266 free-standing emergency rooms, shows that patients struggle to determine whether urgent care or free-standing E-Rs would meet their needs better.
This can often lead to patients paying more for emergency care when they could have gotten the same care for cheaper at an urgent care.
But Aucutt says most patients know where to go.
“Patients have learned over time in our community what level of service they can get at urgent care versus the emergency departments, and that’s up to them.” he said.
But with only 2 open free-standing ERs (and two more on the way), it’s unclear whether patients will actually understand which centers offer which services… and if their wallets will suffer because of it.
Copyright 2024 KCRG. All rights reserved.
Watch as Gov. Kim Reynolds reveals Iowa Office of Outdoor Recreation
Gov. Kim Reynolds signs an executive order June 8 creating an Iowa Office of Outdoor Recreation within the Iowa Economic Development Authority.
Iowa’s director of Health and Human Services has resigned after the Iowa Senate blocked his confirmation in April, but he will stay in leadership as deputy director.
Larry Johnson was appointed to succeed Iowa Department of Health and Human Services Director Kelly Garcia in September 2025. Johnson took over the department in October.
Johnson’s confirmation in April, however, was blocked by Iowa Senate Democrats. Johnson received the support of 28 senators, six votes short of the 34 needed.
“Hundreds of thousands of Iowans rely on the Department of Health & Human Services, but under Mr. Johnson’s leadership, those Iowans have been met with diminished care and services and a disrespectful lack of transparency and communication,” Iowa Senate Democratic Leader Janice Weiner said in a statement at the time of Johnson’s confirmation block. “Senate Democrats believe Iowans deserve more responsible leadership for such an important executive department.”
Under state law, 60 days after the Iowa Senate disapproves a person’s appointment, the nominee must step down. Johnson’s resignation came June 19, 58 days after his confirmation was blocked.
In a news release Friday, Gov. Kim Reynolds appointed Kraig Paulsen, the director of the Iowa Department of Management, to also serve as the director of Iowa Health and Human Services.
“This is not the first time I’ve called upon Director Paulsen to help lead executive branch departments during times of transition,” Reynolds said in a statement. “His experience across state government is unmatched, and I have full confidence in his ability to ensure our state’s largest agency has the leadership team required, not only to serve Iowans most in need of assistance, but also to advance strategic initiatives such as rural health transformation, cancer research, and child welfare technology improvements.”
Paulsen named Johnson as principal deputy director of the department to “ensure efficient and effective operations,” according to the release.
“Iowa HHS requires strong and experienced leadership at every level to ensure continuity of critical services such as Medicaid, SNAP, and child protection, and Larry Johnson is exactly that leader,” Paulsen said in the release. “I look forward to working closely with Principal Deputy Director Johnson to ensure Iowa’s strong commitment to our most vulnerable citizens continues as usual.”
Weiner, in a statement issued June 19, said Reynolds “has decided to blatantly disregard and circumvent the Senate in re-establishing Larry Johnson as the de facto head” of Health and Human Services.“This is partisan politics of the worst kind,” Weiner said in the statement. “Under Larry Johnson, the hundreds of thousands of Iowans who rely on HHS for critical services have received a diminished standard of care, a disrespectful lack of responsiveness, and a department more concerned with fealty to the governor than transparency to the public. And yet, this governor simply cannot handle a world in which she doesn’t get her way, so she has invented a title that allows Johnson to resume his work.”
Weiner said the decision to not confirm John was “not made lightly,” and “We did what was right for Iowans.”
“Our goal has been and remains to work within the bounds of the Senate for the benefit of all Iowans,” Weiner said. “Unfortunately, Gov. Reynolds would rather play politics than give Iowans the respect of a more diligent search for a qualified candidate.”
Kyle Werner is the breaking news and public safety reporter for the Register. Reach him at kwerner@registermedia.com.
The Iowa Lottery offers several draw games for those aiming to win big with rewards ranging from $1,000 to millions. The most an Iowan has ever won from playing the lottery was $343 million in 2018 off the Powerball.
Don’t miss out on the winnings. Here’s a look at Friday, June 19, 2026, winning numbers for each game:
Winning Mega Millions numbers from June 19 drawing
13-16-21-26-50, Mega Ball: 12
Check Mega Millions payouts and previous drawings here.
Winning Pick-3 numbers from June 19 drawing
Midday: 3-2-2
Evening: 7-1-4
Check Pick-3 payouts and previous drawings here.
Winning Pick-4 numbers from June 19 drawing
Midday: 4-2-1-0
Evening: 9-9-0-7
Check Pick-4 payouts and previous drawings here.
Winning Millionaire for Life numbers from June 19 drawing
02-20-28-51-54, Bonus: 02
Check Millionaire for Life payouts and previous drawings here.
Feeling lucky? Explore the latest lottery news & results
When are the Iowa Lottery drawings held?
- Powerball: 9:59 p.m. CT on Monday, Wednesday, and Saturday.
- Mega Millions: 10:00 p.m. CT on Tuesday and Friday.
- Lotto America: 9:15 p.m. CT on Monday, Wednesday, and Saturday.
- Lucky for Life: 9:38 p.m. CT daily.
- Pick 3 (Day): 12:20 p.m. CT daily.
- Pick 3 (Evening): 10:00 p.m. CT daily.
- Pick 4 (Day): 12:20 p.m. CT daily.
- Pick 4 (Evening): 10:00 p.m. CT daily.
- Millionaire for Life: 10:15 p.m. CT daily.
This results page was generated automatically using information from TinBu and a template written and reviewed by an Iowa editor. You can send feedback using this form.
DES Moines, Iowa — Gov. Kim Reynolds has ordered all flags in Iowa to be lowered to half-staff Saturday in honor of state Sen. Julian Garrett, who died June 8 at the age of 85.
Flags will be flown at half-staff from sunrise to sunset June 20, the day of Garrett’s funeral, on the Iowa Capitol Building and across the Capitol Complex. The order also applies to all public buildings, grounds and facilities throughout the state.
Garrett served 16 years in the Iowa Legislature, first representing House District 55 from 2011 to 2013 before serving in the Iowa Senate through the 2026 legislative session.
In addition to his legislative service, Garrett was a farmer, attorney and former employee of the Iowa Attorney General’s Office.
“Sen. Garrett was a friend who served our state with integrity — whether as a cattle producer, a Little League coach, an attorney in the executive branch, or a legislator,” Reynolds said in a statement. “For 15 years, we worked together to unleash opportunities for the Iowans we served, and his impact will be felt for generations to come.”
Reynolds is encouraging individuals, businesses, schools, municipalities, counties and other government entities to lower their flags to half-staff during the same time period as a sign of respect.
Garrett represented southwest Iowa in the Legislature and was known for his work on judiciary and agriculture-related issues during his tenure at the Statehouse.
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