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Sand, Lahn Call for Increasing Mental Healthcare Access, Medicaid Oversight in Debate

The debate gives Zach Lahn and Rob Sand one last chance to press their cases on taxes, schools and state spending before voters decide.

  • Republican Zach Lahn and Democrat Rob Sand met in Cedar Rapids on Tuesday, October 27, for their third and final gubernatorial debate before next week's general election.
  • Candidates are vying to succeed Governor Kim Reynolds, who is not seeking reelection after nine years in office. If elected, Sand would become the first Democratic governor in Iowa in 20 years.
  • Debating Medicaid, Sand cited an auditor's report showing an 891% increase in overturned service denials after privatization. Lahn warned removing managed care oversight could cost the state "about $1 billion in federal funding."
  • Both candidates expressed support for Medicaid work requirements under the "One, Big Beautiful Bill" Act, though Sand voiced concerns about paperwork barriers while Lahn argued for banning artificial intelligence from denying claims.
  • This third debate concludes the scheduled matchups before voters decide the next governor in less than one week. The race centers on healthcare policy, economic growth, and mental health access across Iowa.
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The Daily Nonpareil - Council Bluffs, Iowa… broke the news on Monday, October 26, 2026.
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