Here is the latest Iowa news from The Associated Press at 3:55 a.m. CDT

(HANLONTOWN) — A pedestrian on 390th Street in northern Iowa’s Worth County was struck and killed by a car Friday evening. The Iowa State Patrol reports the unidentified victim was walking eastbound on 390th Street, about one-eighth of a mile east of Ironwood Avenue at around 5:20-p.m., when they were hit by a 2013 VW Passat. The accident took place northeast of Hanlontown. The name of the driver was not released. The accident remains under investigation.

DES MOINES, Iowa (AP) — Gov. Kim Reynolds has signed a budget bill that prohibits the use of Medicaid funding to pay for sex-reassignment surgery. The Republican governor signed the Health and Human Services funding bill Friday and opted not to issue a line item veto of the ban. Republicans added the prohibition in the closing days of the Legislature, saying it was a response to a recent Iowa Supreme Court decision that said the state couldn’t deny two transgender women Medicaid coverage for sex-reassignment surgery.

OMAHA, Neb. (AP) — When the Mississippi River reached record levels 26 years ago, the overflowing water covered 400,000 square miles and caused dozens of deaths in a disaster dubbed “The Great Flood of 1993.” But when portions of the river exceeded those levels in parts of the Midwest this week, the flooding affected much less land. Officials say the difference largely comes down to actions taken by communities following the 1993 flood, such as the erection of floodwalls and temporary flood barriers.