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See which Iowa lawmakers voted to hike private health insurance taxes

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See which Iowa lawmakers voted to hike private health insurance taxes


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Some Iowa health insurance plans will see a tax hike under a bill headed to Gov. Kim Reynolds to be signed into law.

House File 2739 raises taxes on health insurance providers known as health maintenance organizations, or HMOs, to bring in millions of dollars to fill a shortfall in the state’s Medicaid budget.

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That group includes companies that offer some of the state’s largest private insurance plans, like Wellmark, Sanford, Wellpoint and Aetna.

Fourteen Republicans across both chambers broke from their party to join Democrats and oppose the proposal, which put the GOP majority in the rare position of being at odds with business groups lobbying against tax hikes. But Republicans in each chamber had enough votes to pass the measure.

How much will health insurance taxes increase?

The taxes will increase from the current rate of 0.925% up to 3.5% between Jan. 1 and Sept. 30, 2026. Beginning Oct. 1, 2026, the tax would drop to 0.95%.

The tax increase would allow the state to access federal matching funds and is expected to bring in $123 million to shore up Iowa’s growing Medicaid budget deficit, which is expected to climb to $167.6 million in fiscal year 2027.

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The bill also appropriates $89 million to cover the state’s current-year Medicaid budget deficit of $90.6 million.

Democrats warned Iowans will face higher insurance costs as a result of the bill.

Scott Sundstrom, a lobbyist for Wellmark, said at a March 18 public hearing that Wellmark estimates that its customers who are covered by the company’s plan will see a $115 tax increase per person. The company expects to pay $24.2 million more in taxes this year because of the increase.

Why are Iowa Republicans raising taxes?

Republicans have pointed to insurance companies’ profit margins and said health insurers — who have been highly critical of the bill — do not need to raise premiums to cover the cost of the tax increase.

GOP legislative leaders have said there’s a limited window to bring in matching federal funds because of Republicans’ sprawling tax and spending package dubbed the “One Big, Beautiful Bill.”

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“This bill will bring investments that benefit our neighbors on Medicaid and those providing the services to them,” said Sen. Mark Costello, R-Imogene.

Here’s how every Iowa lawmaker voted.

How every Iowa House lawmaker voted on health care tax increase

The Iowa House voted 53-40 to pass the measure on March 19.

Ten Republicans joined every Democrat in voting against the bill: Reps. David Blom, R-Marshalltown; Mark Cisneros, R-Muscatine; Bill Gustoff, R-Des Moines; Thomas Jeneary, R-Le Mars; Judd Lawler, R-Oxford; Norlin Mommsen, R-De Witt; Jennifer Smith, R-Dubuque; Ray Sorensen, R-Greenfield; Ryan Weldon, R-Ankeny; and David Young, R-Van Meter.

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Representatives voting yes

Andrews (R), Barker (R), Behn (R), Bergan (R), Bloomingdale (R), Boden (R), Bossman (R), Bradley (R), Collins (R), Determann (R), Dunwell (R), Fett (R), Fisher (R), Gearhart (R), Gehlbach (R), Grassley (R), Harris (R), Hayes (R), Henderson (R), Hermanson (R), Holt (R), Hora (R), Ingels (R), Johnson, C. (R), Jones (R), Kaufmann (R), Kniff McCulla (R), Larson (R), Latham (R), Lohse (R), Lundgren (R), Meggers (R), Meyer, A. (R), Mohr, G. (R), Moore, T. (R), Nordman (R), Rinker (R), Shipley, (R) Sieck (R), Siegrist (R), Sitzmann (R), Stone, (R), Thompson, M. (R), Thomson, C. (R), Vondran (R), Watkins (R), Wengryn (R), Wheeler (R), Williams (R), Wills, J. (R) , Wilz, H. (R), Wood (R), Wulf (R)

Representatives voting no

Baeth (D), Bagniewski (D), Blom (R), Brown-Powers (D), Cisneros (R), Cooling (D), Croken (D), Ehlert (D), Gjerde (D), Gosa (D), Gustoff (R), Jacoby (D), James (D), Jeneary (R), Johnson, R. (D), Judge (D), Konfrst (D), Kressig (D), Kurth (D), Lawler (R), Levin (D), Madison (D), Matson (D), McBurney (D), Meyer, B. (D), Mommsen (R), Nielsen (D), Olson (D), Ramirez (D), Scholten (D), Smith (R), Sorensen (R), Srinivas (D), Turek (D), Weldon (R), Wichtendahl (D), Wilburn (D), Wilson (D), Young (R), Zabner (D)

Representatives absent or not voting

Amos Jr. (D), Dieken (R), Gaines (D), Gerhold (R), Golding (R), Wessel-Kroeschell (D), Windschitl (R)

How every Iowa Senate lawmaker voted on health care tax increase

The Iowa Senate voted 26-19 to pass the bill on Tuesday, March 24, sending it to Reynolds.

Four Republican senators joined Democrats in voting against the bill: Sens. Mike Bousselot, R-Ankeny; Doug Campbell, R-Mason City; Charlie McClintock, R-Alburnett; and David Sires, R-Cedar Falls.

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Senators voting yes

Alons (R), Gruenhagen (R), Costello (R), Dawson (R), Dickey (R), Driscoll (R), Evans (R), Green (R), Guth (R), Klimesh (R), Koelker (R), Kraayenbrink (R), Pike (R), Reichman (R), Rozenboom (R), Salmon (R), Schultz (R), Shipley (R), Sinclair (R), Sweeney (R), Taylor (R), Warme (R), Webster (R), Westrich (R), Whitver (R), Zumbach (R)

Senators voting no

Bennett (D), Bisignano (D), Blake (D), Bousselot (R), Campbell (R), Donahue (D), Dotzler (D), Drey (D), Hardman (D), Knox (D), McClintock (R), Petersen (D), Sires (R), Staed (D), Townsend (D), Quirmbach (D), Weiner (D), Winckler (D), Zimmer (D)

Senators absent or not voting

Garrett (R), Lofgren (R), Rowley (R), Trone Garriott (D), Wahls (D)

Marissa Payne covers the Iowa Statehouse and politics for the Register. Reach her by email at mjpayne@registermedia.com. Follow her on X at @marissajpayne.

Tim Webber is a data visualization specialist for the Register. Reach him at twebber@registermedia.com and on Twitter at @HelloTimWebber.

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Groundbreaking held for Iowa Valley Habitat for Humanity’s 16th Woman Build

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Groundbreaking held for Iowa Valley Habitat for Humanity’s 16th Woman Build


IOWA CITY, Iowa (KCRG) — Volunteers broke ground Saturday for Iowa Valley Habitat for Humanity’s 16th Woman Build, honoring a retired University of Iowa nursing professor.

Liz Swanson, a retired nursing professor, was chosen as this year’s honoree for her decades of impact. The Women Build program focuses on including women in every step of home construction.

While the home is built in Swanson’s honor, it will go to a fellow nurse and mother of three. The family applied through the affordable housing program.

Swanson said she’s proud to be part of a project that directly connects to her nursing legacy.

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“It’s very special to have the unique opportunity to help the nurse who is working nights,” Swanson said.

Swanson said stable housing gives families the security to plan for the future.

“It means security for families. We talked briefly to the children and they said, ‘we’re gonna have our own bedroom,’” Swanson said.

Volunteers are set to begin work on the home in August. Those interested in volunteering can find more information here.

Copyright 2026 KCRG. All rights reserved.

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Iowa Lottery Mega Millions, Pick 3 Midday results for May 8, 2026

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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, May 8, 2026, winning numbers for each game:

Winning Mega Millions numbers from May 8 drawing

37-47-49-51-58, Mega Ball: 16

Check Mega Millions payouts and previous drawings here.

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Winning Pick-3 numbers from May 8 drawing

Midday: 0-5-8

Evening: 9-9-2

Check Pick-3 payouts and previous drawings here.

Winning Pick-4 numbers from May 8 drawing

Midday: 0-2-7-3

Evening: 0-7-0-6

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Check Pick-4 payouts and previous drawings here.

Winning Millionaire for Life numbers from May 8 drawing

14-16-21-43-51, Bonus: 03

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.



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Iowa SNAP restrictions raise concerns over confusion, impact on summer food aid

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Iowa SNAP restrictions raise concerns over confusion, impact on summer food aid


Iowa’s new restrictions on SNAP benefits are drawing concern from advocates who say the changes could make it harder for families to buy food and could put future summer assistance for children at risk.

The state’s SNAP waiver took effect January 1, 2026, limiting what items can be purchased based on Iowa’s taxable food list. While that includes widely discussed restrictions on soda and candy, the policy also affects certain prepared foods, creating confusion for shoppers.

“Something as small as whether or not a utensil is included in a food item actually impacts whether or not you can continue to purchase that item using your SNAP benefits,” Paige Chickering, Iowa State Manager for the Save the Children Action Network, said.

Advocates say the rules can be difficult to navigate, especially for people relying on quick meals. Items like prepackaged salads or sandwiches may or may not qualify depending on how they are packaged.

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At the same time, new legislation slated for the next session at the statehouse could make those restrictions more permanent by requiring Iowa to continue seeking federal approval for the waiver.

That’s raising additional concerns about the future of Summer EBT, also known as “Sun Bucks,” which provides food assistance to children when school is out.

“This makes that food assistance dependent on a decision made in Washington, D.C. that is just arbitrary and not really dependent on the needs of Iowans and Iowa children,” Chickering said.

The program is expected to help around 220,000 children in Iowa during the summer months. Advocates worry leaving it up to federal approval of the waiver could jeopardize that support if policies change. They also point out that SNAP plays a major role in addressing hunger compared to other resources.

“We know that for every one meal provided by an emergency feeding organization, SNAP provides nine,” Chickering said.

Advocates say they support improving nutrition but argue there are more effective, evidence based ways to do that without limiting food choices.

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For now, organizations across Iowa are working to help families understand the new rules, while also pushing lawmakers to reconsider how the policy could impact food access moving forward.



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