Iowa

Iowa reaches final settlement in lawsuit alleging state hasn’t provided adequate mental health care for kids

Published

1 year ago

January 31, 2025

Iowa reaches final settlement in lawsuit alleging state hasn’t provided adequate mental health care for kids

Iowa will take steps to ensure Medicaid-eligible children with mental illness diagnoses will receive the necessary mental and behavioral health care services as part of a recently announced settlement agreement.

The lawsuit, filed in early 2023 by Disability Rights Iowa and other national health and law advocacy organizations, accused Iowa of “longstanding failure” to provide Medicaid-eligible children with legally required and medically necessary mental and behavioral health services.

The suit was filed against Iowa Department of Health and Human Services Director Kelly Garcia.

The plaintiffs alleged that Iowa administers an inadequate mental health system, despite receiving federal funds for children’s mental health care. As a result, Medicaid-eligible children younger than 21 who require intensive home and community-based services face a high risk of being placed in institutions away from their families and communities, they argued.

More than 300,000 youth — or about three out of every eight Iowa youth under the age of 21 — are covered by Medicaid. Of that population, nearly 90,000 had a serious emotional disturbance in state fiscal year 2020, according to court records.

Advocates behind the lawsuit say the steps proposed by the state in the agreement present a “radical change” that will ultimately be a positive move for youth in Iowa who need mental and behavioral health services.

“That’s a lot of children that this is going to directly impact in terms of the services they’re able to receive, and change the trajectory of not only their immediate circumstances and immediate mental health needs, but also their long-term prospects,” Catherine Johnson, executive director of Disability Rights Iowa, told the Register.

A preliminary settlement was reached in December after more than a year of negotiation between the plaintiffs and the state health and human services agency. The judge issued preliminary approval of the agreement last week, and set a final approval hearing for early May.

What does this settlement mean?

To address the plaintiffs’ alleged shortfalls in behavioral health services for children, the state agreed to ensure key services are available statewide to Medicaid-eligible children with serious emotional disturbances. The state is required to complete this process by the end of 2032.

The settlement agreement includes a detailed implementation plan Iowa HHS, which has been dubbed by state officials as the Iowa REACH initiative.

The plan includes specific steps the state will take to develop and deliver intensive home and community-based mental health services to children statewide when deemed medically necessary, and will be lead by a team from across the agency who will be responsible for overseeing the plan.

The agreement, along with the state’s REACH strategy, signals “a major step in the right direction for Iowa youth and their families,” Garcia said in a statement Wednesday.

“Iowa HHS is fully committed to implementing new strategies and evaluating current outcomes to ensure we are meeting the needs that our children and youth deserve and families expect,” she said.

Johnson praised the significant work to develop the settlement agreement, noting that the plan laid out by the state would create major structural change to Iowa’s current mental and behavioral health system for youth. Because of this plan, she said youth will be able to stay with their families in their community, receiving the services and supports they need to succeed.

“They get to go to school with their friends and they don’t have to go to an institution or a hospital that’s scary and they don’t know anyone,” Johnson said. “They get to stay with the people that love them, and grow up with mental health services in place. Your future is different, perhaps, than it might have been without this brand new structure.

“I think it’s just very, very significant, and I’m really excited for the implementation to begin so that Iowa can have these services in place as soon as possible for our kids.”

What are the terms of the settlement?

Among the terms of the settlement, the state must ensure Medicaid-eligible children receive mental health services “in the most integrated setting appropriate to their needs and are free from serious risks of segregation and institutionalization, including the unnecessary use of out-of-home placements.”

These changes must ensure Iowa youth receive the supports necessary to maximize their success growing into healthy and independent adults, the settlement agreement states.

To reach that goal, the state must develop and implement certain relevant services, which include intensive care coordination. This is a “single point of accountability” for ensuring medically necessary Medicaid services are coordinated and delivered appropriately to Iowa youth, according to the settlement agreement.

State officials also agreed to provide intensive in-home and community therapeutic services, with the goal to “maximize the child’s ability to live and participate in the community and to function independently.” That includes individual and family therapy.

The state must also boost its 24/7 mobile crisis intervention and stabilization services for young Iowans as part of this settlement agreement.

To support their effort, state officials say they will utilize additional Medicaid services to support children with serious emotional disturbances and “to help maintain them in their homes and communities and avoid higher levels of care and out-of-home placements.”

These additional services include respite care or other supports meant to help children build skills and help the family’s ability to successfully care for the child at home.

However, state officials warn that while it can request funding from state lawmakers for these initiatives, the settlement ultimately does not have authority over the Iowa Legislature.

Both parties also agreed to an independent monitor tasked with evaluating the state’s progress in implementing the proposed plan. The monitor — which will be a third-party selected at a later date — will issue reports on the state’s effort each year, per the settlement agreement.

Michaela Ramm covers health care for the Des Moines Register. She can be reached at mramm@registermedia.com or at (319) 339-7354.

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Iowa

Gov. Kim Reynolds signs ban on local civil rights ordinances

Published

2 hours ago

March 11, 2026

Press Room

Gov. Kim Reynolds signs ban on local civil rights ordinances

DES MOINES, Iowa (Iowa State Capitol Bureau) – Local governments in Iowa will no longer be able to protect civil rights that are not protected by the state.

Gov. Kim Reynolds signed the measure into law Tuesday. The law follows another bill Reynolds signed last year that removed gender identity as a protected class in Iowa.

When lawmakers first debated the legislation, protesters showed up in opposition. Those against the law say local governments should be able to protect their residents.

Reynolds said the law clears up confusion for businesses and schools.

“We just believe that locals should follow the state laws, especially when it comes to civil rights,” Reynolds said. “Otherwise, we have a mismatch of rights out there, and we felt that it was the right thing to do.”

Reynolds also said the law ensures girls are protected in women’s sports and in public bathrooms.

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Iowa

‘¿Habla español?’ Iowa schools look overseas to find Spanish teachers

Published

14 hours ago

March 11, 2026

Press Room

‘¿Habla español?’ Iowa schools look overseas to find Spanish teachers

The Exchange Visiting Teachers from Spain helps schools find qualified Spanish teachers.
World language teaching positions are hard to fill in rural areas.

The sounds of Dallas Center-Grimes High School Spanish students singing “¿Por Que Te Vas?” by Jeanette with varying levels of gusto and prodding by teacher Antton Zuazu Hernández may seem like an unusual way to learn.

But the sing-along is how Zuazu Hernández, a native of Spain, helps engage his students and share his culture as part of a teacher-exchange program.

“I feel I’m a messenger in a way, and this is part of the program,” he said. “We’re expected to both bring our culture here and bring your culture back to Spain.”

Zuazu Hernández — who taught English in Spain — is among 26 bilingual teachers in Iowa as part of an exchange program between the Iowa Department of Education and Spain’s Ministry of Education and Culture.

“(The program) was created to address the shortage of qualified Spanish teachers in the state and helps expose students to different world cultures,” said Heather Doe, the department’s spokesperson. “… The Exchange Visiting Teachers from Spain program has been very successful in helping schools, especially in rural communities, hire highly qualified Spanish teachers.”

Iowa has nearly 1,200 world language teachers in kindergarten through college, according to the Iowa World Language Association website.

Some foreign language teachers in Iowa moved to the U.S. and later obtained teaching credentials. Others were recruited to work in Iowa schools.

Iowa schools, including Waukee Community School District, even offer financial incentives as a recruitment tool for hard to fill positions.

“Many of them, like me, will arrive with teaching experience from our home countries, but in the process of validating the credentials in the U.S. we find obstacles,” said Elizabeth Bulthuis, a Waukee High School world languages teacher who immigrated from Ecuador in 2003, “and the validating of credentials also can be lengthy and costly, because of all the educational systems and how they are structured differently.”

Exchange program is beneficial to schools, superintendent

The Spain exchange program — which brings hundreds of teachers to schools across the U.S. — comes with several requirements.

The Spanish teachers must be certified in the language with at least two years of experience, Doe said. Additionally, candidates go through a vetting process at the federal, state and local levels. Teachers also attend a three-day state orientation.

Schools and districts participating in the program pay an $895 fee to offset licensing and orientation costs, Doe said.

The program is a blessing for rural areas struggling to fill positions teaching foreign language, special education, math and science.

“It’s very difficult to even get an applicant,” said Deron Stender, the superintendent at the rural Creston Community School District, “… When I say it’s difficult to even find (the candidates) they don’t exist. And if they do, they’re probably going to be in a larger metro, urban, suburban areas where there’s just more opportunities.”

St. Anthony’s conducts bilingual class for its students

St. Anthony’s Catholic school brings Spanish speaking teachers to the U.S. to teach students the language.

Zuazu Hernández taught Spanish and drove a bus at Creston during the 2024-25 school year. But falling enrollment and budget cuts resulted in his position being eliminated.

A program drawback is teachers only have three-year visas, he said.

“When you have a very good individual that comes to your district from a foreign country after the third year, you still have that need again,” Stender said. “So, we just open it back up to the same program, but you’re doing another refresh of the process, and while that’s a challenge, it’s still better than not having a teacher in the classroom.”

Not every world language teacher comes from Spain

Another issue schools have faced is filling teaching positions for immersion programs.

In the early 2000s, St. Anthony’s started a Spanish-immersion program after several families with children of Honduras and Guatemala descent wanted their kids to have a Catholic school education and maintain their connection to the Spanish language.

“A lot of teachers go to school to teach Spanish, but they go to school to teach it as a standalone Spanish class,” principal Jennifer Raes said. “… We were really searching for teachers that could come here and teach in any subject, just a regular teacher, but also has the skills of teaching in Spanish and English.”

Marisol Guerra, a Honduras native, came to the U.S. in 2010 to help start St. Anthony’s program. Guerra manage to come to the U.S. as part of that year’s Spain exchange program cohort.

More than a decade later, the school offers classes in English and an immersive track where 85% of the students’ day is spent learning in Spanish. While families were hesitant in the beginning to take part in the immersion program, there is now a waitlist of almost a dozen families.

“There was uncertainty, (but) they wanted their children to learn a second language,” Guerra said, “and they wanted without knowing, I think, they also were exposing them to other cultures and opening their minds to other things.”

The over the years, St. Anthony’s has employed teachers who moved to America from Spain, Mexico and other Latin American countries.

The over representation of teachers from Spain likely is due to other countries not offering similar exchange programs, said Bulthuis, a member of the Iowa World Language Association.

It took several years for the veteran teacher — who came to Iowa in 2005 — to become credentialed to teach in the U.S. because she was not part of an exchange program.

“I think that world language teachers can be difficult to recruit because the pool of candidates is relatively small, so teachers need a strong language proficiency, cultural knowledge and all the teaching certifications,” said Bulthuis, who left Ecuador in 2003 because of the country’s financial crisis, “(but) many people who speak another language also have opportunity in other careers.”

Bulthuis does not recommend loosening the criteria to teach in Iowa but suggests improving or streamlining the process for an international teacher to obtain a state teaching license.

“… Not every Spanish speaking country is going to have (an exchange) program like that in place to help their community,” Bulthuis said,

Cultural exchange

Educators say employing international teachers goes beyond language skills.

“International educators can bring tremendous cultural and linguistic expertise to the classroom, which is an incredible skill and very valuable for students,” Bulthuis said.

That cultural exchange can carry over into a school’s lesson plans.

Zuazu Hernández often lets his American students’ interests drive what he teaches them about Spanish culture. These questions have ranged from wanting more insight into bullfighting, the Spanish school system, stereotypes and politics.

“Sometimes, they are more interested in me as a person, or the things I can tell them about Spain than the actual Spanish language,” he said, “but they have that curiosity that I think all teachers, we have to take advantage of.”

While reading “¡Viva el toro!” by Lisa Ray Turner and Blaine Ray, a novel about bullfighting, Zuazu Hernández talked to students about his family’s love of the cultural spectacle and how it is losing popularity in Spain because of how the bulls are treated.

Zuazu Hernández is open about his perspective on the practice to his students.

“To me, bullfighting is not worth sustaining just because it’s a tradition — traditions are not always good or acceptable — but rather because it’s an art, and it expands the depth of human understanding of the most intense truths in life, with death as the scariest of all,” he told the Des Moines Register in an email.

His students appreciate his candidness and the chance to learn from teachers with different lived experiences.

“I like having different teachers because they have different experiences, and I think it adds to the overall class,” said Grace Heston, an 11th grader Dallas Center-Grimes High School. “When you’re learning about Spanish, you’re not just learning about a language, you’re learning about the culture associated with it.”

Samantha Hernandez covers education for the Register. Reach her at (515) 851-0982 or svhernandez@gannett.com.

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Iowa

NCAA Wrestling Championships at-large bids announced

Published

1 day ago

March 10, 2026

Press Room

NCAA Wrestling Championships at-large bids announced

The 330 wrestlers competing in Cleveland at the NCAA Championships are now set.

After the conference tournaments established the lion’s share of wrestlers, the NCAA announced the at-large bids on Tuesday, March 10, completing the rest of the field.

Brackets and seeds will be announced on March 10, but here’s a look at the contingents each state of Iowa program will be sending after the at-large bids were announced.

Iowa wrestling NCAA qualifiers

For the third year in a row, Iowa wrestling will be sending nine to the NCAA Championships. Victor Voinovich did not earn an at-large bid at 157 pounds after finishing ninth at the Big Ten Championships, one place outside of NCAA automatic qualification. He concludes his season with a 12-6 record.

Voinovich narrowly earned the starting job over Jordan Williams at 157, with Iowa coach Tom Brands saying it was very close, but Voinovich had shown a little more “fight” this year. Now that Voinovich hasn’t qualified for NCAAs, it’s a decision that will go further under the microscope.

What’s done is done, however, for Iowa. They’ll take Dean Peterson (125), Drake Ayala (133), Nasir Bailey (141), Ryder Block (149), Michael Caliendo (165), Patrick Kennedy (174), Angelo Ferrari (184), Gabe Arnold (197) and Ben Kueter (285) to Cleveland in hopes of salvaging what has been a tough season.

Iowa State wrestling NCAA qualifiers

For the first time since 2010, Iowa State will send all 10 wrestlers to the NCAA Championships. Vinny Zerban earned an at-large bid at 157 pounds despite falling short of the automatic qualifying threshold at the Big 12 Championships. Zerban suffered a concussion and medically forfeited out of the tournament after his first match in Tulsa. His health status will be worth monitoring NCAAs inch closer, from March 19-22.

The Cyclones look poised for one of their best postseasons in recent memory with their 10 qualifiers ―Stevo Poulin (125), Garrett Grice (133), Anthony Echemendia (141), Jacob Frost (149), Zerban, Connor Euton (165), MJ Gaitan (174), Isaac Dean (184), Rocky Elam (197) and Yonger Bastida (285). The loss of Evan Frost hurts the Cyclones, considering his pedigree and season as a whole, but Grice’s has earned several ranked wins since entering the lineup in February and could still add some much-needed team points as the team chases a team trophy.

Behind title contenders Elam and Bastida, proven podium threats in Poulin, Echemnedia, Jacob Frost and Zerban (if healthy), Iowa State will be in the mix for a top-four finish in Cleveland.

UNI wrestling NCAA qualifiers

Northern Iowa will send five to the NCAA Championships. Automatic qualifiers Julian Farber (133), Caleb Rathjen (149) and Ryder Downey (165) will be joined by Jared Simma (174) and Nick Fox (184), who each earned at-large bids. The number of qualifiers could extend to six, with Trever Anderson (125) being the alternate at 125 pounds for NCAAs. However, he had to medically forfeit out of the Big 12 Championships, so his health status would be in question if he got called up.

With that, Max Brady (141), Cael Rahnavardi (157), John Gunderson (197) and Adam Ahrendsen (285) will have their seasons come to an end. Brady, a true freshman, will still have three NCAA chances in his career after showing promising moments in relief of Cory Land’s season-ending injury. Gunderson, a U23 World team member, will return for next season as well. Rahnavardi and Ahrendsen were both in their final seasons of eligibility.

Following injuries to Land and Wyatt Voelker, it’s been a hard year for the Panthers. This is half the number of NCAA qualifiers that UNI had last season when they qualified 10 for the first time since 1986. The last time UNI had five or fewer qualifiers was 2016.

However, all five of their wrestlers have each shown moments of brilliance, either this season or in prior NCAA Championships. They may be a smaller crew than normal, but Downey, Rathjen, Farber, Simma and Fox are all ones to watch in Cleveland.

Eli McKown covers high school sports and wrestling for the Des Moines Register. Contact him at Emckown@gannett.com. Follow him on Twitter at @EMcKown23.

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