By James Q. Lynch, The Gazette CEDAR RAPIDS ? It?s too soon to know what changes Iowa will want ? or have ? to make to its Medicaid program as a result of changes Congress is contemplating in its replacement of the Affordable Care Act, Gov. Terry Branstad and Lt. Gov. Kim Reynolds said Monday.?I?m not going to speculate because we don?t know,? Reynolds said at the administration?s weekly news conference.?It?s ...