The costs and management of Medicaid has become a major campaign issue in Iowa.
The state moved to private management of caseloads of almost six hundred ninety thousand people in an effort to cut costs.

Senate Randy Feenstra of Hull says it appears that the state will have to put more money into the system…

Feenstra says state officials need to take responsibility for the services provided by Medicaid….

Feenstra, a republican, says the legislature may have to become more involved in the management of the care system….

Medicaid management was shifted to the private sector under former Governor Terry Branstad in 2016.