New Law Requires Equal Insurance Coverage for Oral Chemotherapy

CHICAGO - July 27, 2011. Governor Pat Quinn today signed legislation to ensure health insurance benefit equality between oral and injectable cancer drugs, allowing cancer patients more affordable treatment options and protecting them from significantly high out-of-pocket costs. House Bill 1825 requires private health insurance plans that provide coverage for oral and intravenous chemotherapy to cover both at the same benefit level.

"Patients battling cancer shouldn't have to forgo potentially life-savings treatments because of costs," Governor Quinn said. "This legislation will provide more affordable coverage options, so that patients can choose the best, most appropriate therapy to fight their cancer."

Historically, chemotherapy drugs have been primarily administered intravenously. Today, many types of chemotherapy can be taken via a liquid, tablet or capsule, a less invasive therapy alternative. Oral chemotherapy is the only appropriate treatment for certain types of cancer, and can also provide an alternative for patients who have trouble responding to other treatments.

Many healthcare benefit plans have not changed to ensure patient access to oral chemotherapy, resulting in some cancer patients facing higher out-of-pocket costs simply because their treatment is dispensed orally rather than intravenously.

The disparity in coverage for oral treatments is also a factor in deployment of "smart drugs" in cancer treatment. Traditional radiation and chemotherapy are effective in killing cancerous cells, but also kill many healthy cells, weakening a patient's immune system. Smart drugs are delivered orally and designed to navigate the bloodstream with precision to stop the growth of cancer cells, often avoiding damage to healthy cells. While these regimens are often more costly up front, they may be able to significantly decrease the amount of therapy time, increase positive outcomes and reduce longer-term costs associated with traditional intravenous treatments.

Illinois joins a number of states that have enacted cancer drug parity laws including Connecticut, Colorado, Indiana, Iowa, Hawaii, Kansas, Minnesota, Oregon, Vermont, the District of Columbia, and New Mexico. Medicare recipients also receive this benefit for identical oral and intravenous chemotherapy drugs.

Sponsored by Rep. Ann Williams (D-Chicago) and Sen. Heather Steans (D-Chicago), HB 1825 passed the General Assembly unanimously and takes effect Jan. 1.

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DES MOINES, IA (07/27/2011)(readMedia)-- State Treasurer Michael Fitzgerald reminds Iowa State Fair visitors to stop by the College Savings Iowa booth and register for a chance to win a $1,000 College Savings Iowa account for their child or grandchild. "Some lucky boy or girl will go home from the fair this year with more than just fond memories -- free money for college," says Fitzgerald. "Make sure you stop by our booth and see us while you're in the Varied Industries Building."

Treasurer Fitzgerald encourages families to start saving for college as soon as possible. "Saving ahead of time may reduce a need to borrow to cover educational expenses, which can help parents - and their children - get through college with less debt," says Fitzgerald. "Even a small amount of money, invested regularly over time, can grow into a substantial sum," he added.

Anyone - parents, grandparents, friends and relatives - can invest in College Savings Iowa on behalf of a child. Participants who are Iowa taxpayers can deduct contributions up to $2,865 per beneficiary from their 2011 adjusted gross income, and there are no income or residency restrictions.* Investors can withdraw their investment federally tax-free to pay for qualified higher education expenses including tuition, books, supplies and certain room and board costs at any eligible college, university, community college or accredited technical training school in the United States or abroad.

Investors can enroll online in about ten minutes with as little as $25. Online account services and multiple contribution methods, including electronic investment options that allow for the transfer of money directly from an existing checking or savings account, make it easy for busy families to save regularly and manage their accounts.

Saving for a child's education is always a smart investment, and College Savings Iowa is here to help. For more information about College Savings Iowa, visit www.collegesavingsiowa.com or call 1-888-672-9116.

*Adjusted annually for inflation. If withdrawals are not qualified, the deductions must be added back to Iowa taxable income. The earnings portion of non-qualified withdrawals may be subject to federal income tax and a 10% federal penalty tax, as well as state income taxes. The availability of tax or other benefits may be contingent on meeting other requirements.

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  • Most 2- to 5-year-olds watch TV an average of 31 hours each week, or more than 4 hours each day.
  • Prime time TV has an average of 6 violent acts every hour; children's programming has an average of 26 violent acts every hour.
  • The average American child witnesses 45 acts of violence on TV each day.
  • Children watching TV may see 50,000 TV commercials each year.
  • The average American family has the TV on for 6.2 hours every day.

TV Violence

Children may:

  • develop strong emotional fears;
  • become less sensitive to the pain and suffering of others;
  • become "immune" to the horror of violence;
  • gradually accept violence as a way to solve problems;
  • imitate the violence they observe on television; or
  • identify with certain characters, victims and/or victimizers.

Parents can limit the negative effects of TV violence

  • Refuse to let children see shows known to be violent.
  • Refuse to buy violent videos.
  • Change the channel or turn off the TV when something offensive or violent comes on.
  • Verbally show disapproval of violent episodes.
  • Emphasize the belief that violent behavior is not the best way to solve a problem.

Who is watching?

Use your child's age and development to guide you in choosing TV programs.

Preschoolers have longer attention spans and are able to watch short programs. However, they often are not able to understand the whole story of a program. They can remember only small pieces of what they see and often cannot tie everything together.

School-age children understand much more than preschoolers; however, they often misinterpret what they see. School-agers can distinguish between reality and fantasy portrayed by live actors versus cartoons, but may have difficulty interpreting more subtle messages.

Contact Information:

Lesia Oesterreich
Family Life Extension Specialist
Human Development & Family Studies
Iowa State University
Phone: (515) 294-0363
Email: loesterr@iastate.edu

AMES, Iowa -- Hay is the third most valuable crop produced in Iowa, yet some producers lose as much as a fourth of their crop from improperly storing it. Iowa State University (ISU) Extension economist William Edwards said a new decision aid for comparing the costs of different hay storage options is now available on ISU Extension's Ag Decision Maker (ADM) website.

"This free electronic spreadsheet can compare up to eight alternatives at a time," Edwards said. "The standard for comparison is storing bales on bare ground with no cover. This is the least cost method, but also results in the most storage loss. Other methods include outdoor uncovered storage on gravel or pallets, outdoor covered storage, storage under a roof, and storage in a new or existing building."

Several types of cost are considered in the analysis, he said. Initial investments in storage structure, tarps, gravel and pallets are amortized over their individual expected lives. Annual costs such as repairs, insurance and property taxes are part of the spreadsheet, as are estimated labor costs for storing and feeding the hay. And, the estimated value of spoilage losses under each system is considered.

"Users will need to enter the expected volume of hay to be produced or that's needed, current hay prices and the size of bales they use," Edwards said. "For each method, a total annual cost is calculated, which includes spoilage losses and the tons of hay available to feed or sell."

The Excel®-based spreadsheet "Hay Storage Cost Comparison" is available for viewing and download on the ADM website at www.extension.iastate.edu/agdm/crops/xls/a1-15haystoragecost.xls.

IBC was established in 1996 with the goal of supporting the growth and vitality of the state's beef cattle industry. It comprises faculty and staff from ISU Extension, College of Agriculture and Life Sciences and College of Veterinary Medicine, and works to develop and deliver the latest research-based information regarding the beef cattle industry. For more information about IBC, visit www.iowabeefcenter.org or check out the IBC blog at http://blogs.extension.iastate.edu/iowabeef/.

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CHARITON, Iowa - Beef producers who attended a recent series of pasture management meetings in southern Iowa learned of the importance of timely and careful stockpiling of fescue pastures. Iowa State University (ISU) Extension and Outreach and Iowa Beef Center (IBC) sponsored the meetings that focused on fescue management and featured ISU Extension beef program specialist Joe Sellers and Craig Roberts of the University of Missouri.

"Producers planning to stockpile fescue pastures for late fall and winter grazing should think about reducing alkaloid levels in the fescue with good management practices," Sellers said. "Most tall fescue stands have an endophyte that produces alkaloids that can hurt cattle performance."

Sellers said producers often think of higher body temperatures, less grass consumption, more time in shade and ponds, and symptoms like loss of tail switches and lameness as negative effects of fescue, but there can be more to that story. While these are a concern, the biggest effects from fescue are reduced gains, lowered milk production and poor rebreeding rates in cattle.

Roberts said the problem has a high price tag.

"It's estimated that fescue toxicosis costs the Missouri beef industry over $160 million per year," Roberts said. "Similar problems exist in Iowa, but there are several proven management steps that can reduce the problem regardless of the location."

Practices that help cattle perform better on fescue have to do with managing the levels of alkaloid consumed by cattle. These practices include reducing spring nitrogen fertilization rates, providing more diverse stands with legumes and other grasses, rotating cattle to non-fescue based summer pastures, haying or clipping fescue during the late spring and early summer to reduce stems and seed heads, and supplementing feeds like soybean or corn co-products, Roberts said. More information is available in this presentation by Roberts.

Using several of these steps can alleviate the effects of fescue, but there is no "silver bullet" that will eliminate the problem. Studies looking at other methods like mineral additives and de-worming have found mixed results.

This past winter, several producers had more intense cases of fescue foot and other fescue related problems than during previous years. In part this was due to longer than recommended rest periods, followed by grazing during very cold weather, Sellers said.

"Many years of research in Iowa and Missouri on stockpiling resulted in recommending stockpiling periods of 70 to 100 days. Much longer rest periods will increase plant volume, but also will reduce forage quality and increase the alkaloid levels in the grass," he said. "If pastures are rested longer than 100 days, producers must be careful when those plots are grazed, graze mature bred cows in mid-pregnancy and dilute the fescue with other feeds. Late summer applications of moderate nitrogen rates can result in more grass growth and extended winter grazing, with less impact on alkaloids."

For more information on stockpiled grazing and managing fescue, contact Sellers by phone at 641-203-1270 or by e-mail at sellers@iastate.edu.

IBC was established in 1996 with the goal of supporting the growth and vitality of the state's beef cattle industry. It comprises faculty and staff from ISU Extension, College of Agriculture and Life Sciences and College of Veterinary Medicine, and works to develop and deliver the latest research-based information regarding the beef cattle industry. For more information about IBC, visit www.iowabeefcenter.org.

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Davenport, Iowa -- On September 6, Iowa State University Extension of Scott County, Lutheran Social Services of Iowa and Genesis Bright Beginnings will sponsor the parenting support and education program PACT (Parenting All Children Together) for an eight week series. The program is financially supported by Scott County Kids Early Childhood Iowa. The program is designed to educate and offer support to parents and caregivers of children age birth through five years old and reside in Scott County.

"Parenting is the most important job we will ever have. It is also the toughest! What we provide our children from birth through age five stays with them for the rest of their life. With this huge responsibility, we need to work together. This series will bring together parents and caregivers who want the very best for the children in their life," said Jennifer Best, Extension Educator and PACT instructor.

The upcoming PACT series will be the second time the program has been offered to the Scott County community. The last series ending in June was very successful. "It was very rewarding to watch the families open themselves up to the learning process," said Marisa Bloom, Families Program Assistant. "A lot of learning was happening and families were forming bonds and creating informal support systems with their peers. PACT is a needed resource for these very reasons."

For participating in the PACT program member will receive a free meal at every session, free childcare while adults are learning, a free gift at each session, bus tokens to get to the sessions if transportation is needed, $40 worth of items chosen by the participant if they attend at least 5 of the 8 sessions, fun and friendship with other families, and great information to help parents and caregivers help their children be all they can be.

For more information about PACT or to register, contact Marisa at the Iowa State University Extension office at 563-359-7577 or mbloom@iastate.edu.

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Iowa State University Extension specialists offer tips for taking care of your lawn, annuals and garden in hot weather. To have additional questions answered, contact the experts at hortline@iastate.edu or call 515-294-3108.

Is it necessary to water an established lawn during hot, dry weather?

Gardeners have two basic options when confronted with hot, dry weather. One option is to do nothing and allow the grass to go dormant. The alternative is to water the turfgrass during dry weather to maintain a green, actively growing lawn.

Cool-season grasses, such as Kentucky bluegrass, can survive long periods of dry weather. In dry weather, the shoots of the turfgrass plants stop growing and the plants go dormant. Dormancy is a natural survival mechanism for turfgrass. While the leaves have turned brown and died, the turfgrass roots and crowns remain alive. Generally, Kentucky bluegrass can remain dormant for four to six weeks without suffering significant damage.

Cool-season grasses are at risk of dying if dormant for more than six weeks. To ensure survival of dormant grass, it's best to water lawns that have been dormant for six weeks. Apply 1 to 1 ½ inches of water in a single application. Water again seven days later. The grass should begin to green up after the second application.

When is the best time to water a lawn?

Early morning (5 to 9 a.m.) is the best time to water a lawn. A morning application allows the water to soak deeply into the soil with little water lost to evaporation. When watering is completed, the turfgrass foliage dries quickly. Watering at mid-day is less efficient because of rapid evaporation; in addition, strong winds may cause uneven water distribution. Strong, mid-day winds also may carry water onto driveways, sidewalks or streets, wasting considerable amounts of water. Watering lawns in late afternoon or evening may increase disease problems.

How frequently should I water my lawn? How much water should be applied per week?

Most cool-season lawns in Iowa require approximately 1 to 1 ½ inches of water per week. When watering the lawn, apply this amount in a single application or possibly two applications three or four days apart. Avoid frequent, light applications of water, which promote shallow rooting and lush growth. Lush, shallow-rooted turfgrass is less drought tolerant. It also is more susceptible to pest problems. To determine the amount of water applied by a sprinkler, place two or three rain gauges within the spray pattern.

How frequently should I water annuals in containers?

The frequency of watering may vary considerably from container to container. Watering frequency depends on the size and type of container, composition of the potting mix, plant species and weather conditions. Some plants, such as impatiens, like an evenly moist soil. Others, such as vinca, possess good drought tolerance.

Annuals growing in containers should be checked daily (especially in summer) to determine whether they need to be watered. A few plants, such as New Guinea impatiens and fuchsia, should be checked twice a day (morning and late afternoon or evening), as they dry out quickly on hot, windy days.

When watering annuals in containers, continue to apply water until water begins to flow out the drainage holes in the bottom of the container.

How often should I water my garden?

A deep watering once a week is usually adequate for fruit, vegetable and flower gardens. When watering the garden, water slowly and deeply. Moisten the soil to a depth of 8 to 10 inches. Most annuals, perennials, vegetables and small fruits perform best when they receive 1 to 1 ½ inches of water per week (either from rain or irrigation).

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AMES, Iowa -- An Iowa biology professor and an Illinois educator were named Rural Champions of Change by the White House in recognition of their innovations and ingenuity that are strengthening rural communities. Linda Barnes, Marshalltown Community College (MCC) professor of biology and organic farmer, is the founder of the Entrepreneurial and Diversified Agriculture program at MCC, the first associate degree program in sustainable agriculture in the Midwest. Ruth Hambleton, of Woodlawn Illinois, is the founder of Annie's Project, a nonprofit organization that concentrates on education for farm women. Both women have Iowa State University Extension and Outreach support for their educational programs.

Barnes and Hambleton joined 16 other Champions of Change, President Obama and Agriculture Secretary Tom Vilsack for a roundtable summit at the White House on July 6. A highlight of the meeting for both women was meeting the President and having conversation that generated many ideas. "I learned what others are doing around the development of local food hubs where regionally produced agricultural products are being aggregated for distribution," said Barnes.

Hambleton was proud to see over half the hands in the room go up in positive response when she asked how many knew about Annie's Project, and even more pleased when a fellow champion provided a testimonial for the program. "When others speak on behalf of Annie's Project, it lends credibility beyond what I could bring to the table," said Hambleton. "Annie's Project survives and grows because it is a demand driven program meeting a very real need for farm women."

Sharing vision for rural America

President Obama shared his vision for economic growth and development in rural areas during the summit. The President emphasized the need for high-speed Internet access and stated that rural areas should expect to have opportunities equivalent to those in other areas of the nation. The President also discussed the importance of identifying rural Americans' success stories and sharing that knowledge across the country.

For Barnes, the summit broadened an awareness of the changes occurring in the perception of place and food. "I'd like to see the Farm Bill name changed to Food and Farm Bill, because that is how the U.S. feeds itself," she said. "The government needs to remove barriers to growing different crops - such as fruits and vegetables. There is a huge disincentive for alternative crops, and yet the U.S. doesn't grow enough fruits and vegetables to feed our own citizens the five-a-day that we know we need for good health."

The vision Hambleton shared was based in part on the Preamble to the Constitution. "I feel it sums up the purpose of government; establish justice, insure domestic tranquility, provide for the common defense, promote the general welfare and secure the blessings of Liberty," she said. "To promote general welfare, the government has a role to support action that improves conditions for citizens of the U.S. That support can be in the form of regulation to promote fair play or can be fiscal support to get something started that otherwise would not happen."

Continuing the work of rural champions

Participating in the summit gave Hambleton a chance to thank the source of Annie's Project funding and ask for continued targeted support for the program. "New states introducing Annie's Project are grateful for grant funding sources and then are excited about the results this program generates for their states," Hambleton said. "I illustrated with real names and faces from the ranks of Iowa State University, names familiar to Secretary Vilsack, how important and impactful designated funding would be for taking education for farm and ranch women to the next level."

Hambleton went on to say that Iowa State University Extension and Outreach is the reason Annie's Project went beyond the borders of Illinois. Along with help from the University of Missouri the program has expanded to farm women business management education being offered in 26 states. "We also received help from the ISU Foundation to formalize our organizational structure, allowing us to move ahead to make Annie's something more than a good idea in our heads," she said. "Farm women across the country can look to Iowa State for a continued excellent program that will become for farm women what 4-H is to youth."

Barnes said she appreciates the Iowa State University research and outreach that supports regional food systems and consumer education on the health benefits of eating locally. She would like to see research on cropping systems that work for fruits and vegetables.

Find out more about the Rural Champions of Change and read blog posts from Hambleton and Barnes at www.whitehouse.gov/champions/blog. Learn more about the Annie's Project at www.extension.iastate.edu/annie and the Entrepreneurial and Diversified Agriculture Program at www.iavalley.edu/mcc/careers_degrees/images/EntreDiversifedAgM.pdf.

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AMES, Iowa - In past years, sudden death syndrome (SDS) has appeared during the last week of July or the first week of August in Iowa. Therefore, researchers at Iowa State University (ISU) anticipate symptoms of SDS will begin appearing in the state with the next couple of weeks. Although researchers do not expect SDS to be as widespread or as severe as the 2010 growing season, there have been some counties within the state that have received higher-than-normal precipitation. Scientists expect the risk of SDS in these counties to be higher since disease development is favored by wet conditions.

Begin scouting for SDS soon
The first symptoms of the disease are usually found on more compacted and low areas of the field. First symptoms are seen on the leaves of infected plants as scattered, yellow spots between leaf veins. Large sections of leaf tissue between veins turn yellow as spots grow together. These yellow blotches soon turn brown, but the veins remain green. Eventually, the leaves die and drop, but the petioles remain on the stem. Infected plants are also easily pulled from the soil because the roots are rotted. When split lengthwise with a knife, the internal tissue of the main or tap root will be gray to reddish brown, not healthy white.
ISU researchers emphasize that, while there are no in-season management options for SDS, scouting is still important for several reasons. 

  • First, this is a good time to evaluate soybean varieties for resistance to SDS. Growing resistant varieties, or avoiding very susceptible varieties, is the most effective way to reduce losses to SDS.
  • Also, identifying fields or parts of fields with SDS can help with future management practices. These management tactics include reducing soil compaction since the disease has been associated with compacted soil; planting fields with a history of SDS towards the end of a planting schedule when soils may be warmer and drier; and testing for the presence of soybean cyst nematodes.
  • Soybean cyst nematode (SCN) is usually, but not always, associated with SDS and may increase its severity, especially in varieties that are SCN-susceptible. Therefore, management practices to reduce SCN populations, including SCN-resistant variety selection and preventing the spread of soil from field to field, may delay onset and spread of SDS.

"Several Iowa State University pathologists and agronomists continue research to improve our understanding the biology of the fungus that causes SDS and develop improved management options for the disease," said Alison Robertson, ISU Extension plant pathologist. "The ISU soybean breeding program continues to develop and release germplasm with improved resistance to SDS that is available to all private soybean breeding companies. ISU scientists collaborate with scientists at other universities."

Most of the SDS research at ISU is funded by soybean checkoff dollars from state, regional and national organizations, namely the Iowa Soybean Association, the North Central Soybean Research Program and the United Soybean Board.

ISU Research

Key advances from the last five years of research on SDS at Iowa State include :

  • Development and release of soybean breeding lines with improved resistance to SDS that can be used by seed companies to develop resistant varieties adapted to Iowa;
  • Discovery, identification and molecular characterization of a toxin produced by the SDS fungus that causes the disease and that the toxin needs to be exposed to light to cause the disease on the leaves;
  • Discovery that the fungus needs to colonize the central part (or vascular system) of the roots so the toxin can be moved up from the roots to the leaves in the cells that carry water up the plant;
  • Discovery that soybean seedlings are most vulnerable to root infection in the first few days after planting, and in cold soils the seedlings are vulnerable to infection for a longer period of time than when planting occurs in warmer soil;
  • Discovery that the SDS fungus can survive in corn residue, including corn kernels dropped in field, and this may be a way the fungus overwinters from season to season.


Several other ongoing projects include :

  • Sequencing of the entire genetic composition (genome) of the SDS pathogen, which will allow scientists to identify the genes involved in the ability of the fungus to cause disease on soybeans;
  • Identifying the mechanisms behind the interaction between the SCN and the SDS pathogen;
  • Identifying soybean genes involved in resistance to SDS using molecular approaches;
  • Continuing to screen soybean breeding populations adapted to Iowa for improved resistance to SDS;
  • Evaluating the impact of crop rotation, planting date and seed treatment for SDS management in Iowa.

Partially funded by the soybean checkoff.


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A budding workshop will be held at the ISU Scott County Extension Office in Bettendorf on August 18 from 7-8:30 pm. The instructor will be Patrick O'Malley, Commercial Horticulturist with Iowa State University Extension and Outreach.

The workshop will begin with a presentation overview of grafting methods with an emphasis on chip budding and t-budding. Chip budding is the primary method that ornamental and fruit nurseries use for propagating specific cultivars. This will be followed by a demonstration and hands on practice by the participants of the budding techniques using a variety of plant materials including plum, pear, and apple. Knives and grafting supplies will be provided, however rootstocks will not be available. Those participants that may have rootstocks are welcome to bring them to the class. The workshop has a $10 fee that can be paid at the beginning of the class. To reserve a spot, email Patrick O'Malley at omall@iastate.edu or call 319-337-2145.

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