Iowa state Rep. J.D. Scholten has launched a campaign to unseat Republican U.S. Sen. Joni Ernst, citing recent comments Ernst made about Medicaid as a tipping point.
The proposed spending cuts would be implemented partly in the form of stricter eligibility requirements, including legal residency in the United States as well as work, volunteer, or study requirements for able-bodied adults of at least 80 hours per month, or an average of 20 hours per week.
When someone in the audience interrupted to shout, “People will die!” because of the proposed changes, Ernst replied: “People are not—well, we all are going to die. For heaven’s sakes, folks.”
Ernst later posted an apology video on Instagram, which has now been deleted, saying she made an “incorrect assumption” that everyone at the event understood the inevitability of death.
“So I apologize,” she said. “And I’m really, really glad that I did not have to bring up the subject of the tooth fairy as well.”
At the town hall, Ernst said that the goal is to make sure that only people who are eligible for those federal programs get the benefits.
“What you don’t want to do is listen to me when I say that we are going to focus on those that are most vulnerable,” she told the crowd. “Those that meet the eligibility requirements for Medicaid, we will protect them. Medicaid is extremely important here in the state of Iowa. If you don’t want to listen, that’s fine.”
Part of the controversy centers on proposed changes to how much the federal government contributes to Medicaid.
Currently, the federal government pays between 50 and 77 percent of Medicaid expenses for traditional enrollees, and 90 percent for those added under the Affordable Care Act’s expansion, which loosened eligibility requirements and was adopted by 40 states, including Iowa.
Ernst, who will seek a third term next year, was reelected in 2020 by a seven-point margin. Republicans have long held Iowa’s Senate seats, and Trump carried the state by eight points in the 2020 presidential election and widened that margin to 13 points four years later.
Scholten is the second Democrat to seek party nomination to unseat Ernst. Nathan Sage, an Army and Marine Corps veteran, launched his campaign in May. State Sen. Zach Wahls of Coralville and state Rep. Josh Turek of Council Bluffs are also considered potential contenders, although neither has officially declared their campaign.
On the Republican side, Joshua Smith, a Navy veteran and former Libertarian candidate for state Senate, has announced a primary challenge to Ernst.







