Fireworks in Omaha
Clarinda Regional HealthRyan Gamboa/KMTV
Cass Health in Atlantic, IowaRyan Gamboa/KMTV
Joel DoughertyKatrina Markel/KMTV
New Medicaid changes are set to begin in Iowa on December 1, 2026 — while Governor-Elect Rob Sand (D-Iowa) pledges to begin changing the state's Medicaid system.Ryan Gamboa/KMTV
Governor-Elect Rob Sand (D-Iowa)KCCI
Jeanette Freel and Phil Lepert's family farm in Cass County, Neb. on Nov. 9, 2026.Jeremy Fredricks / KMTV
The sun sets to the west of Jeanette Freel and Phil Lepert's family farm in Cass County, Neb. on Nov. 9, 2026.Jeremy Fredricks / KMTV
The view from Jeanette Freel and Phil Lepert's family farm in Cass County, Neb. on Nov. 9, 2026.Jeremy Fredricks / KMTV