071019 432 The Iowa Department of Human Services will pay an additional $386 million to two insurance companies that will provide Medicaid services for the 2020 fiscal year. DHS says the rates include changes made by the Iowa Legislature, which account for about 2 percent of the increase. Last year the agency approved a $344 million increase over the previous year. Gov. Kim Reynolds is defending contract payment. But Senate Democratic Leader Janet Petersen says the new contracts are “outrageous”