DES MOINES, Iowa — Any Iowa hospital or clinic seeking Medicaid payment for providing an abortion would need approval from the state’s most prominent abortion opponent: Gov. Kim Reynolds. No one bothers to try. Iowa’s Medicaid regulations include an unusual policy requiring signoff from the governor’s office before the public health insurance program could pay for any abortion services, even if they meet the state’s strict criteria. Reynolds is a Republican and a vehement foe of abortion. In more than six years as governor, she has never been asked to approve a Medicaid payment for an abortion, said her spokesperson, Kollin Crompton. The novel policy, instituted a deca
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