Iowa’s director of Health and Human Services has resigned after the Iowa Senate blocked his confirmation in April, but he will stay in leadership as deputy director.
Larry Johnson was appointed to succeed Iowa Department of Health and Human Services Director Kelly Garcia in September 2025. Johnson took over the department in October.
Johnson’s confirmation in April, however, was blocked by Iowa Senate Democrats. Johnson received the support of 28 senators, six votes short of the 34 needed.
“Hundreds of thousands of Iowans rely on the Department of Health & Human Services, but under Mr. Johnson’s leadership, those Iowans have been met with diminished care and services and a disrespectful lack of transparency and communication,” Iowa Senate Democratic Leader Janice Weiner said in a statement at the time of Johnson’s confirmation block. “Senate Democrats believe Iowans deserve more responsible leadership for such an important executive department.”
Under state law, 60 days after the Iowa Senate disapproves a person’s appointment, the nominee must step down. Johnson’s resignation came June 19, 58 days after his confirmation was blocked.
In a news release Friday, Gov. Kim Reynolds appointed Kraig Paulsen, the director of the Iowa Department of Management, to also serve as the director of Iowa Health and Human Services.
“This is not the first time I’ve called upon Director Paulsen to help lead executive branch departments during times of transition,” Reynolds said in a statement. “His experience across state government is unmatched, and I have full confidence in his ability to ensure our state’s largest agency has the leadership team required, not only to serve Iowans most in need of assistance, but also to advance strategic initiatives such as rural health transformation, cancer research, and child welfare technology improvements.”
Paulsen named Johnson as principal deputy director of the department to “ensure efficient and effective operations,” according to the release.
“Iowa HHS requires strong and experienced leadership at every level to ensure continuity of critical services such as Medicaid, SNAP, and child protection, and Larry Johnson is exactly that leader,” Paulsen said in the release. “I look forward to working closely with Principal Deputy Director Johnson to ensure Iowa’s strong commitment to our most vulnerable citizens continues as usual.”
Weiner, in a statement issued June 19, said Reynolds “has decided to blatantly disregard and circumvent the Senate in re-establishing Larry Johnson as the de facto head” of Health and Human Services.“This is partisan politics of the worst kind,” Weiner said in the statement. “Under Larry Johnson, the hundreds of thousands of Iowans who rely on HHS for critical services have received a diminished standard of care, a disrespectful lack of responsiveness, and a department more concerned with fealty to the governor than transparency to the public. And yet, this governor simply cannot handle a world in which she doesn’t get her way, so she has invented a title that allows Johnson to resume his work.”
Weiner said the decision to not confirm John was “not made lightly,” and “We did what was right for Iowans.”
“Our goal has been and remains to work within the bounds of the Senate for the benefit of all Iowans,” Weiner said. “Unfortunately, Gov. Reynolds would rather play politics than give Iowans the respect of a more diligent search for a qualified candidate.”
Kyle Werner is the breaking news and public safety reporter for the Register. Reach him at kwerner@registermedia.com.
This article originally appeared on Des Moines Register: Blocked Iowa HHS director resigns but is appointed deputy director
Reporting by Kyle Werner, Des Moines Register / Des Moines Register
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By Kyle Werner, Des Moines Register | USA TODAY Network
