🩸 Plasma Donation Access & Economic Boost Act

Why It Matters: 

The primary goal of this initiative is to create a net economic benefit for everyday Iowans. By providing fair compensation for plasma donations, the program injects money directly into local communities. Even if a center operates at a small financial loss, the increased consumer spending — from groceries to gas stations — and donor support will strengthen local economies. The public health benefits and economic stimulation together justify the investment.

2027 Pilot Launch Plan (Updated):

Launch 4 state-owned plasma centers in 2027

Each center will operate Tuesday through Sunday, open 10 hours per day

Facilities will have 20 donation beds, targeting 140 donations per day

Weekly donation capacity: 840 donations per center

Weekly donor compensation: $50 for first donation, $75 for second

Total weekly payout per center: $52,500

Annual payout per center (52 weeks): $2.73 million

Plasma sales revenue per center (at 840 donations/week): $4.2–7 million annually

Net potential margin per center (before other costs): $1.47–4.27 million/year

Labor & Operating Costs: Each center will require approximately 15–20 full-time staff, with total annual operating costs estimated at $1.5–2.2 million

Annual statewide donor income (4 centers): $10.92 million

Profit Sharing: Any remaining profit at year’s end will be distributed among donors proportionally to their donation frequency

The Problem: Many rural and underserved areas in Iowa lack access to plasma donation centers — a missed opportunity both for individuals who could earn supplemental income and for biotech companies seeking plasma for life-saving therapies. Currently, large portions of Iowa residents live more than 45 minutes away from the nearest donation site.

This geographic gap not only limits potential donors but also prevents small towns from benefiting from the economic ripple effect these centers create. Donors often spend money at nearby restaurants, grocery stores, and gas stations following their visits.

Iowa Context:

Iowa’s total area: ~56,000 square miles

Target coverage: Ensure that every resident is within a 45-minute drive of a donation center

Average 45-minute radius coverage: ~3,800–6,300 square miles per center depending on geography and road infrastructure

Existing facilities: At least 8 known centers

New facilities needed: To provide equitable access, an estimated 20–25 total facilities are required across the state

 

My Solution:

Plasma center within 45 minutes of every Iowan

Goal: Ensure equitable access to donation opportunities statewide

Create a State-Owned Plasma Donation Network

Iowa will develop and operate a statewide network of plasma donation centers

State retains revenue from plasma sales to pharmaceutical companies, reinvesting profits into healthcare, education, and community development

Increase Donor Compensation

Donors will receive $50+ for their first donation and $75+ for their second donation each week

This provides up to $125+/week in income — a meaningful boost for working Iowans, students, or anyone seeking supplemental earnings

At the end of each year, any remaining profits will be shared among donors based on the number of donations they made — a community-centered approach that rewards contribution

This ensures fair compensation for time and helps residents generate real supplemental income

State-funded infrastructure and start-up support

Estimated cost per facility: $3–6 million, depending on size and location

Use revenue bonds or a dedicated economic development fund to cover construction, staffing, and equipment

Create a central Iowa Plasma Authority (IPA) to manage operations, quality, compliance, and partnerships

Local Workforce Integration

Partner with Iowa’s community colleges and healthcare training programs to create career pipelines for lab techs, nurses, and support staff

Offer job priority to returning citizens, veterans, and individuals in workforce development programs

Labor & Operating Costs:

Each center will require approximately 15–20 full-time staff, including phlebotomists, nurses, lab techs, and administrative support

Estimated labor costs per center: $1.3–$1.7 million annually

Additional operating costs (utilities, equipment maintenance, insurance, supplies): $700,000–$1.3 million annually

Total annual operating budget per center: $2–3 million

Projected Cost:

Start-up cost for 20–25 facilities: $80–150 million

Annual operating budget per center: $2–3 million (salaries, supplies, maintenance)

Estimated Revenue & Economic Impact:

A single plasma center can process 300–900 donors/week, each earning $125+ per week across two donations

Potential donor income per site: $2.184 million–$4.368 million/year

Plasma sales can generate $4–8 million/year per center, with all revenue staying in Iowa

Donor spending stimulates local restaurants, shops, and services after each visit

 

How I Will Enact It:

Introduce legislation creating the Iowa Plasma Authority (IPA) and authorizing state-owned centers

Use Iowa’s bonding authority and economic development grants to fund initial construction

Launch pilot centers in underserved areas to demonstrate sustainability and community impact

Use profits to scale statewide and support long-term revenue for public services

 

Impact on District 88: 

This plan brings income opportunities, job creation, and medical infrastructure to towns like Keota, Washington, and Sigourney. It strengthens rural Iowa, builds public wealth, and gives residents a chance to support their families without needing to leave their community. With the state owning the centers, the people of Iowa benefit directly from the value they help create.

🏥 Bridge Off Medicaid Act

Helping Iowans Transition Off Medicaid Without Falling Through the Cracks

The Problem:

Too many Iowans face an impossible choice: take a raise or a better job — and lose their Medicaid coverage, only to find that private insurance is unaffordable. This "benefits cliff" discourages advancement, traps families in poverty, and punishes hard work.

The Bridge Off Medicaid Act is a commonsense solution that allows working-class Iowans to transition off Medicaid without sacrificing their health or financial stability.

 

My Plan

Eligibility

Iowa residents who exceed the Medicaid income threshold by up to 200% of the Federal Poverty Level (FPL)

Must have been enrolled in Medicaid for at least 6 of the past 12 months

Must be employed or have a job offer

Coverage Structure

Participants will pay a tiered monthly premium based on income:

Up to 138% FPL: $0/month

138.1%–155% FPL: $100/month

155.1%–175% FPL: $200/month

175.1%–200% FPL: $300/month

Coverage mirrors existing Iowa Medicaid plans, including doctor visits, prescriptions, mental health, and preventive care

Available for up to 12 months while the individual builds financial stability and/or obtains employer-sponsored insurance

Wraparound Supports

Access to free financial planning workshops

One-on-one support to explore marketplace options or employer plans

Option to reapply if they lose their job or income dips below eligibility threshold

 

How It Will Be Funded

Redirect existing Medicaid administrative funds already set aside for disenrollment and appeals

Use federal Medicaid waiver options to secure additional flexibility and cost-sharing

Estimated cost per enrollee: ~$3,000/year, which includes:

Reimbursement to providers for medical, mental health, and prescription services

Administrative overhead (claims processing, eligibility verification, etc.)

State’s portion of Medicaid costs not matched by federal funds

Estimated enrollment: 10,000–15,000 Iowans

Estimated annual cost: $30–45 million

Premium Revenue Generated:

If 10,000 enroll: $24 million

If 15,000 enroll: $36 million

This means the program could fund itself or require minimal additional investment, while improving long-term health and economic stability for Iowa families.

 

Legislative Path

As a state legislator, I will:

Introduce this program as a pilot initiative under a federal 1115 Medicaid waiver

Build bipartisan support by highlighting its fiscal responsibility and work-positive approach

Monitor results and outcomes to scale statewide after 3 years

 

Impact on District 88

This act will help working families, recent graduates, and career switchers throughout District 88 maintain their health care while improving their economic situation. It promotes responsibility, rewards effort, and ensures Iowans don’t get punished for trying to get ahead.

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