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Health Care · Report · File No. 261101-195

Turek makes Medicaid cuts central to Iowa Senate bid against Hinson

Democrat Josh Turek is pressing Rep. Ashley Hinson on her vote for Trump's 2025 tax law and its Medicaid changes. A poll shows health care voters lean his way, but the economy still ranks first in Iowa.

15 of 18 paragraphs and bullets link directly to a source. The sources are listed at the bottom. How we work

Josh Turek
Josh Turek. Photo: Iowa General Assembly, Copyrighted free use

Two days before the midterm elections, Iowa Democrat Josh Turek is pushing health care as his main argument against Republican Rep. Ashley Hinson. The two are competing for a U.S. Senate seat that could help decide control of the chamber 1. Newsweek reported that health care has become one of Turek's strongest lines of attack 1.

Turek attacks Hinson's vote for the One Big Beautiful Bill Act, which President Donald Trump signed in July 2025. He says its Medicaid changes could leave thousands of Iowans without coverage 1. Medicaid is the joint federal-state health program for low-income people.

On tapeMS NOW · Oct 30
Josh Turek and former Sen. Tom Harkin discuss Iowa voters' issues and Turek's Senate campaign.Video: MS NOW on YouTube, “‘I’m of the ADA Generation’: Josh Turek carries Sen. Tom Harkin’s legacy into Iowa Senate race”. It plays from YouTube when you press play.

Turek said Hinson's vote on the bill, in a state facing a health care crisis and a cancer crisis, would cost Iowans their health care 1.

What the poll shows

An Emerson Polling survey of 650 likely Iowa voters, taken Oct. 5 and 6, found that voters most worried about health care lean toward Turek 1. The economy ranks first among Iowa voters at 42 percent. Health care follows at 18 percent, then threats to democracy at 10 percent 1.

From Channel GOPTurek hits Hinson on Iowa health care cutsJosh Turek · 17 plays · captioned, with the source named

Voters who put the economy first favor Hinson, 47 percent to 43 percent. That edge is smaller than Turek's lead among health care voters 1. Emerson's Spencer Kimball said voters focused on health care or democracy break for Democrats "by double digits" 1.

What Hinson says

Hinson has pointed to her work on cancer screenings. Iowa has the second-highest cancer rate in the country, according to the Iowa Cancer Registry 1. She says she and Sen. Chuck Grassley are leading a bipartisan effort to improve access to screenings 1.

She also says she would take on "Big Pharma and Big Health Insurance companies" to lower premiums and drug prices 1. The law she voted for also created a $50 billion fund to support rural hospitals, KCRG reported 2.

Where the claims get shaky

The coverage numbers are estimates. The Kaiser Family Foundation, a health research group, estimated the law's cuts would affect coverage for 60,000 to 100,000 Iowans 2. Turek's figure of 110,000 Iowans is higher than that estimate, though the sources do not say how he arrived at it 12.

On rural hospitals, KCRG checked an ad from the group VoteVets. Its figure of 20 rural Iowa hospitals near closing came from an older report based on data before the law took effect, and a July 2026 update put the number at 8 2. That update listed 8 rural Iowa hospitals at risk, 2 of them facing immediate risk. That report blamed low payments from private insurers more than Medicaid cuts 2.

The premium claim has firmer support. Hinson voted against extending temporary Affordable Care Act subsidies, which expired at the end of 2025. Iowa marketplace premiums rose 12 percent to 27 percent this year 2.

Why it matters

Iowa was long seen as safe for Republicans. It last elected a Democratic senator in 2008 and backed Trump by 13 points in 2024 1. It is now one of four GOP seats Democrats need to flip to take the Senate 1.

That matters because it tests whether health care costs can outweigh economic worries. The Emerson numbers suggest it can pull some voters, but the economy still leads. Voters decide on Tuesday. Newsweek said it asked both campaigns for comment 1.

The Record

  1. President Trump signed the One Big Beautiful Bill Act in July 2025, with Medicaid changes Turek attacks 1.
  2. KCRG fact-check found a claim of 20 rural Iowa hospitals near closing unsupported; the law also includes a $50 billion rural hospital fund 2.
  3. Emerson poll of 650 likely Iowa voters, taken Oct. 5-6, found health care voters lean toward Turek 1.
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Sources

  1. Newsweek, “Health Care May Be Josh Turek's Best Weapon Against Ashley Hinson” (2026-11-01). newsweek.com/iowa-midterms-senate-josh-turek-ashley-hinson-h
  2. KCRG, “FACT CHECK: Ad claims Hinson voted for health care, rural hospital cuts” (2026-08-24). kcrg.com/2026/08/24/fact-check-ad-claims-hinson-voted-health

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