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Should California taxpayers chip in to fund political campaigns? Prop. 4 lets you decide
Prop. 4 proponents say allowing candidates to use public funds for campaigns will encourage more to run. Opponents say there’s little evidence.
Trump’s multimillion-dollar taxpayer-funded ad campaign ends Sunday, officials say
(CNN) — The Trump administration has spent $19 million in taxpayer money on the controversial ad campaign to promote President Donald Trump and his policies, a push that officials say
Effective Governance in Behavioral Healthcare Organizations
As pressures on behavioral healthcare organizations mount, operational complexity compounds with it. With added payer scrutiny, increased regulation and
Trump hit with second lawsuit over taxpayer-funded political propaganda ads
The lawsuit came the same day the Democratic National Committee (DNC) filed a separate challenge in Washington, D.C., seeking to stop the administration from using federal funds for the ad campaign.
Trump says he will stop using US taxpayer funds for ads
The ads, which tout Trump and his policies, could have violated US laws barring public government funds being spent on political advertising.
Trump says he will pay for campaign-style ads himself after backlash over taxpayer-funded effort
President Donald Trump said Monday he will no longer use taxpayer money to fund a series of promotional television ads, announcing that he will instead pay for them with funds raised for MAGA, Inc., the pro-Trump super PAC.
Malia Cohen explains why she should be reelected State Controller
California State Controller Malia Cohen is seeking reelection for an office that is responsible for the state's checkbook at a time when voters across the nation are focused on waste, fraud and abuse of taxpayer money.
Judge orders Trump to cancel taxpayer-funded TV ads
A federal judge has ordered President Trump to cancel any remaining television commercials paid for with millions of dollars in taxpayer money to promote his political message.
DNC sues Trump administration, alleging taxpayer-funded ads violate propaganda law
The Democratic National Committee has sued the Trump administration over recent TV ads promoting the president. Its lawsuit filed Wednesday claims the ads are government-sponsored propaganda that runs afoul of
Judge orders the Trump administration to cancel taxpayer-funded promotional TV ads
A federal judge has ordered President Donald Trump to cancel any remaining television commercials paid for with millions of dollars in taxpayer money to promote his political message. The administration said the ad campaign was already coming to an end. U.S. District Judge Jennifer L. Rochon in N...
A note to readers: Science, accountability and elections
Dear readers, As early voting begins, I wanted to share some news — and why it connects to the decisions we make at the ballot box. I’ve been selected for the inaugural cohort of the South Atlantic Climate Journalism Hub mentorship program, hosted by Covering Climate Now. I’m excited to join this group, learn from scientists and fellow journalists, and expand my science reporting. Science directly ties to governance. Local officials make decisions about where development goes, how infrastructure is maintained, what emergency preparations receive funding, and how communities rebuild after disasters. Understanding the evidence behind those decisions helps us evaluate whether our government is serving us well. Here in western North Carolina, those connections are all around us, in Lake Lure and beyond. Flood maps inform decisions about property and development. Engineering assessments help identify risks at dams and bridges. Rainfall forecasts guide emergency preparations. Geological information helps explain landslide hazards. Water testing gives communities information they need to assess conditions. Meteorologists’ knowledge and public perception of weather events shape public safety. Each involves scientific or technical knowledge. Each also raises questions about public responsibility: What did officials know? How did they use that information? What did they tell the public? What did taxpayers receive for their money? A study can identify a problem. Elected officials still have to decide what to do about it, how to pay for it, and how to explain their choices. Reporting should examine both the evidence and the response. That is where I want to strengthen my work. My reporting on Helene recovery, infrastructure, flooding, public safety, and public spending has repeatedly brought me to questions that require scientific expertise alongside public records. This mentorship may help me better understand the research, ask more precise questions, and explain the answers clearly. I also bring the perspective of someone living with these concerns. I live downstream of Lake Lure Dam, and landslides affected my property during Helene. Those experiences bring urgency to my questions. Careful reporting helps establish the answers. Readers deserve to know what the evidence shows, where uncertainty remains, and whether officials accurately describe the information guiding their decisions. You also deserve scrutiny of proposed solutions: what they cost, what they are expected to accomplish, and what risks remain. Access to that information matters. As a mostly deaf journalist who relies on written communication, I will continue pressing for written public warnings, records, and explanations that people can read and use in real time. As you consider the candidates seeking your vote, consider how they approach evidence, preparedness, and transparency. Do they support local journalism, even when it’s not parroting a press release? Do they explain weather events clearly in plain English and explain their decisions after them? Make supporting records available? Acknowledge uncertainty? Follow through when a report identifies a risk? Those are practical questions about governing. Thank you for supporting Cops & Congress and the work that makes these questions part of the public conversation. I’m grateful to David Dickson and the CC Now team for this opportunity, and I look forward to bringing what I learn back to you. Annie DanceEditor & Publisher, Cops & Congress — Learn more about this newsletter, ethics policy, how you can help shape this work, and support it. Follow on X and Facebook. Send constructive criticism, fan mail, and tips with public documents for future stories: CopsandCongress@gmail.com ICYMI: View the Cops & Congress archive — Annie Dance is the publisher of Cops & Congress, a newsletter that analyzes what happens when crime, courts, disaster, democracy, and small-town policies collide. Views expressed here are covered by the First Amendment. Dance has a Bachelor of Arts from Manhattan University in Communication with a focus in Journalism and Government. She has been a journalist for over 20 years. Share Upgrade now or give a gift subscription
Dems kill Republican's chances of lowering Americans' electricity bills in key election flashpoint
Senate Democrats blocked the Ratepayer Protection Act, a bill aimed at making AI data centers bear rising electricity costs that Jon Husted championed.
Cities keep shelling out taxpayer money for sports stadiums, yet the economics almost never makes sense
Communities almost never see a boost in job or income growth after taxpayers subsidize a new sports facility.
NC treasurer: Atrium affordability program could bankrupt state employees’ health plan
State Health Plan officials say Atrium's new affordability program is "trickery" that will drive up costs for plan members and taxpayers
Trump’s Medicaid cuts strip refugees and other legal immigrants of their health coverage
Advocates warn that without Medicaid, many people will delay care or rely on ERs, and that will further strain the health system. The administration claims the cuts help ensure immigrants can support themselves without burdening taxpayer-funded programs.
Food-Is-Medicine Has No Billing Code, So A Startup Merged
Attane Health had contracts inside major health plans and sold anyway. Founder Emily Brown on billing codes, 18-month payer cycles and a $5.5 million cap table.
New Legislation Would Close Loopholes in No Surprises Act, Alleviate Pressure on Health Premiums
This solution is urgently needed for payers and for the public that rank health care costs as their top concern.
Democrats Demand Tougher Standards for Companies Running Medicaid Systems
A year after launching an inquiry into companies, including Deloitte, that receive billions in taxpayer dollars to build complex computer systems determining Medicaid eligibility, senators are urging the federal government to impose stricter rules.
Judge orders the Trump administration to cancel taxpayer-funded promotional TV ads
President Donald Trump must cancel any remaining television commercials paid for with millions of dollars in taxpayer money to promote his political message, a federal judge ordered on Sunday night as the administration said the ad campaign was coming to an end.
Science, health research bond to appear on March 2028 ballot
(The Center Square) – A bond that would cost California’s taxpayers $7.5 billion for health and science research will go on the March 2028 primary election ballot.
Science, health research bond to appear on March 2028 ballot
A bond that would cost California’s taxpayers $7.5 billion for health and science research will go on the March 2028 primary election ballot.
Trump defends ad, says MAGA Inc. will cover cost instead of taxpayers
Trump defended a federally funded ad as patriotic but said Monday that MAGA Inc. would cover the cost after complaints from critics.
As prior auth becomes an AI ‘arms race,’ Otter Health raises $8M for a different approach
Prior authorization has long been a source of friction between payers and providers, and now, with algorithmic tools for claims reviews and LLMs for appeals, it's evolved into an AI "arms race" as | The company built an AI-powered real-time clinical quality platform to better manage healthcare utilization by influencing care decisions rather than requiring clinicians to get permission for them.
Why health systems, payers back a PACE-like program for kids
Some health systems are investing in pediatric day centers in a bid to keep medically complex children out of the hospital and lower costs.
Homeland Security spending $20M in taxpayer funds for pro-Trump ads
The Department of Homeland Security has tapped $20 million to pay for the campaign-style ads glorifying President Donald Trump that have drawn widespread criticism from Republicans and Democrats as a blatant misuse of taxpayer dollars that likely runs afoul of anti-propaganda law.
Taxpayer support for Michigan-Israel biz accelerator draws scrutiny
A Michigan taxpayer investment in an Israeli counter-drone company has sparked backlash from critics of Israel's prosecution of Mideast wars.
Trump's PAC won't pay taxpayers back for his ads
At least $11 million in taxpayer money has already gone toward the spots.
September Monthly Review: Health MCP Guy?
For all the time I spend talking about APIs and data exchange, this newsletter has had embarrassingly little interoperability of its own. It’s old-school SaaS, baby - UI or bust. Not all of that is my fault! Substack, for all its popularity, is (as mentioned before) really frustrating as my system of record. The primary user it optimizes towards is the reader, whose attention feeds the app, the Notes feed, and the recommendation network that Substack is actually selling. Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe They’re falling into the same trap that Medium once sprinted into, albeit at a much more glacial speed. Younger generations may not remember (or never knew) it, but Medium once lured publications like The Ringer and Signal v. Noise onto its platform, only to lose them as it rebuilt itself around a paywall and an algorithmic feed. Substack’s original pitch circa 2020 was the antidote (you own your list), but every new feed feature chips away at it. I get it: writers are generic supply in the eyes of the Substack product team. Generic supply follows demand, so the consistent pressure on the PMs is to generate demand, which leads to every product cycle going toward discovery (Notes, recommendations, the app, live video). The end result lackluster author tools (laggy and broken analytics are truly crippling) all despite the premium price point. The archive is where it crosses from authorial gripes to actual reader impact, though. Across Substack and LinkedIn, I’ve published 1,218 posts and nearly 900,000 words since 2018. Substack’s native search can see only the 464 posts that live on Substack, and even there it’s woefully inadequate at surfacing relevant content (even for the guy who wrote it)! Readers have the same problem, writ large. Ask the Archive Fixing search (for both my readers and my own use) turned out to be extremely non-trivial, unfortunately: There’s no public API for readers to access content RSS exists for new content notification, but it only carries the 20 most recent posts and cuts paid ones off at the preview The only Substack MCP is an admin tool for analytics The export exists for authors, but it’s painfully awkward and slow. So I built something to work around that: the Health API Guy MCP. It’s a private MCP server holding the full text of everything I’ve written across Substack and LinkedIn. Add it to Claude or ChatGPT as a connector and you can ask things like: It pairs keyword search (for acronyms and case names, of which we have many) with semantic search. Every post is also labeled by topic, form, and court case, so you can pull a lawsuit’s (or multiple cases’) entire docket across Substack and LinkedIn in one query: Hail, Healthapiguyhydra This is also a bit of me eating my own cooking. I’ve spent the year arguing that headless healthcare is arriving and that developers want primitives over abstractions. Last week in Hail, Benihydra, I watched Salesforce plug its platform into Claude and bet that the records underneath outlive whatever interface sits on top: Salesforce must believe that the Hydra’s immortal head is the records, permissions, and business logic (in that they will survive whatever happens to the interface). It felt a bit hypocritical to keep my own archive behind a Substack search bar. The archive is the body. Substack is one head, and now whatever tool you might use is another. Will the EHRs follow my lead? Probably not imminently, but one can hope! Why Founding Members Only The MCP is available to Founding Member subscribers. A few reasons: It costs money and time to run. Hosting, the database, Clerk usage and AI compute for search and labeling are significant operational costs (that increase with usage). Substack gives me no way to automate access. There’s no API to check whether someone is a paid subscriber, so every user is manual operations for now. It’s a beta. We’ll need to improve things and parts will break. I’d rather they break for a small group of dedicated readers who will tell me about it. The Founding tier deserved a real benefit. Until now it was mostly a generous tip. Now it comes with something. If you’re already a Founding Member, reply to this email with the address you’d like provisioned. If you’re not and want in, upgrade here. Larger teams (such as companies) can get access too: group subscriptions at the Founding tier come with the group discount. The admin for the subscription can reply with the list of addresses to provision. Get 20% off a group subscription Pricing Founding membership is now a flat $200 a year, replacing the old suggested $150 that readers could adjust. Existing Founding Members will have access grandfathered in at their previous rate. Month in Review Articles Published Make Networks Dumb Again (Sep 11): AI is making old analog networks cheaper to use and flooding them with machine traffic in the process. A plea for agent-native rails with the intelligence at the endpoints, and for Washington to drag them to ubiquity. Interoperability, Unbuttoned (Sep 29): Interoperability is a series of workflows in a trenchcoat, and this post finally takes the trenchcoat off. A color-coded map shows which provider workflows went digital, which are fragmented, and which still run on fax. Video Content Antitrust’s System of Record Problem (Sep 3): The FTC’s investigation into Epic prompted a ninety-minute webinar, now posted with chapters and a smoothed transcript. We get into why market definition, missing B2B share data, and the SSNIP test leave antitrust poorly suited to systems of record, plus why information blocking may be doing more than any pending lawsuit. The Information Exchange: Cerner Milking Edition (Sep 18): This was so fucking fun. Ryan Tucker, Ryan Brickner, Brad Thorson, and I try an Around the Horn format, complete with points, penalties, and a mute button. We debate whether Oracle Health is dead, who would actually buy Cerner (IBM enters the chat), p(Doom), and why the front desk still hands you a clipboard. Regulatory Ask Not What Your Network Can Do (Sep 23): CDC’s RFI on public health data intermediaries lists use cases already served, unevenly, by eCR, lab reporting, IZ Gateway, and syndromic surveillance. The real opportunity sits in one question about AI: a network that can handle the next emergency without another interface project. Court cases Particle v. Epic: The Naughty Schoolteacher (Sep 4): After a summer-long vigil, the answer on Epic’s early summary judgment bid is two paragraphs and a remedial assignment. Particle advances to the next grade, and market definition gets another year of discovery. The Epic Discovery Files (Sep 8): Texas’s motions to compel arrive with a 251-page appendix of requests, objections, and meet-and-confer letters with Cravath. Inside: Epic using generative AI for document review, denied interoperability requests in scope, and Noerr-Pennington raised against lobbying discovery. Epic v. Health Gorilla: “Working as Designed” (Sep 9): Epic wants nothing to do with the data breach MDL, and explaining why puts fresh discovery on the public docket. The spiciest allegation: Health Gorilla told GuardDog to scrub its law firm business from its website instead of cutting off access. Veeva v. Epic: Legal Bypass Surgery (Sep 15): Veeva asks the Wisconsin Supreme Court to skip the Court of Appeals, while law professors and three policy groups line up as amici. Meanwhile, Epic’s lawyers apologize for another round of citation errors, including a quote that never existed. Texas v. Epic: Behind the Black Bars (Sep 17): The court portal served up Epic’s unredacted filings, revealing a $5 million document review budget and the AI workflow behind it. Also inside: the 200-plus company names Texas wants searched, and one very expensive Zoom invitation. OpenEvidence v. Doximity: Consequences Will Follow (Sep 25): OpenEvidence tells the court it will not comply with a discovery order, and its own lawyers at Quinn Emanuel say they won’t defend the choice. Add years of Slack reported unrecoverable, and Rule 37 sanctions come into view. Health Tech Keeps Choosing Violence (Sep 28): Doximity moves to end OpenEvidence’s case, Epic asks Texas to show its work, and a sleepy Audacious Inquiry patent fight sprouts antitrust and information blocking counterclaims. The main event is a long-sealed Cognizant v. Infosys ruling that hints where system of record antitrust claims can survive. EHRs One Verb for Oracle Health (Sep 14): Oracle’s earnings call quantifies every data center to the decimal point, while Oracle Health gets a single verb: “accelerate.” Panning the few healthcare mentions turns up an agentic care management system, a research-to-care ledger play, and the question of whether healthcare gets Larry’s patience. Epic’s Forretress Under Siege (Sep 30): Judy Faulkner tells a panel Epic paused hundreds of projects to harden its software and calls it a “shame,” while a spokesperson insists the roadmap hasn’t changed. Project Glasswing, a Pokémon-branded QAN sprint, and a trove of Jodel grievances reconcile the two Epics and preview the Jevons paradox coming for all software. Industry Analysis Scanning for a Network (Sep 1): Scan.com raises $220M to build the imaging network labs never got, speedrunning Zocdoc’s consumer-to-B2B pivot. Its wedge to network density may be the most American one available: personal injury litigation. The Front Desk Wants the Damn Whole Building (Sep 16): Hello Patient buys Converse Health, pushing its AI front desk into referrals, chart work, and prior auth. The copilot categories keep blurring, and your distribution partner is still your final boss. Cross-industry Comparisons A Different Patchwork Quilt (Sep 10): Healthcare loves to envy open banking, but the US version has no mandate, a toll booth at Chase, and data quality problems of its own. The grass isn’t greener; it’s another American patchwork quilt, and perhaps a worse one. Hail, Benihydra (Sep 21): Salesforce brings its platform into Claude, Slack, and its own agent, inviting the interfaces that might replace it. Cut off one head and more grow back, so long as the records underneath stay put. Living on A Trade Secret Prayer (Sep 22): Six credit unions are suing Fiserv, the Epic of core banking, by claiming their own member records as trade secrets. Banking has no Cures Act, so its lawyers reach for legal alchemy that healthcare has already tried. Other News None this month External Media Nabla Accelerate NYC: I kicked off fall conference season at Nabla’s Accelerate event in New York, where Delphine Groll opened by asking the room to picture the company it wants to become and the one it doesn’t. I liked her framework of bureaucracy, fear, and ego as the blockers. I also love vendor conferences/events in general - different vibe than industry biggies. Healthcare 101 with Nikhil Krishnan: I briefly guest lectured Out-Of-Pocket’s Healthcare 101 class. Appreciated Nikhil’s takeaways cover whether AI doctors can query HIEs, why healthcare’s data-liberation rules beat most industries’, and the hi-res graphic is in the comments. HCN: Epic Probed by the FTC: I joined the HCN guys to talk through the FTC’s investigation into Epic. Cedric’s new hairdo was an unexpected plot twist. The episode also covers MFN drug pricing, healthcare M&A and Eli Lilly’s acquisition streak. Fall Conferences: At eHealth Exchange’s Annual Meeting in Austin on Oct 27, I’ll moderate a panel on the tensions between AI, HIEs, and timely patient access with Jean Ross (Primary Record), Therasa Bell (Kno2), Byron Crowe (Doctronic), and Michael Marchant (Freenome). Here’s the rest of my schedule if you want to meet up: CommonWell (Redwood Shores, CA): Oct 13-14 Will be participating in a fun Jeopardy event Open@Epic (Madison, WI): Oct 20-23 Will be enjoying Verona, Willy Street, and other local adventures eHealth Exchange and Sequoia Project (Austin, TX): Oct 27-29 Yeehaw HLTH (Vegas): Nov 15-18 Groundhog Day, Venetian Edition RSNA (Chicago): Nov 30-Dec 2 See me at “Governing AI in Breast Imaging: What Health Systems Are Actually Doing” Digital Health Counsel 2026 AI Summit (Seattle): December 2-3 Will likely be speaking to a bunch of lawyers about information blocking Posts I Liked ChatGPT’s Epic integration: game changer or nothing burger?: Joshua Liu, MD offers five thoughts on OpenAI’s Epic launch, starting from the point that it rides the same open APIs available to anyone. He argues read-only access leaves ordering to Art and the ambient startups, and asks why HCA is piloting it alongside Commure. He’s sorta a must-follow at this point - consistently excellent, thought-provoking takes. Epic, Lilly, and the Discovery pass: Seth Chaney reads Epic’s first major Discovery deal (with Eli Lilly), as well as its revised developer terms on commercial displays, as the pipe finally opening between EHRs and pharma. Life sciences and health continue to collide. Scott Rossignol on EHR payer platforms and ePA fees: Scott argues the top ambulatory EHR vendors are turning the prior auth mandate into a per-member-per-year toll on payers, for an API whose operating cost has nothing to do with covered lives. His fix is two lines of regulatory text: put the CRD/DTR/PAS certification criteria in the Base EHR definition, and bring payer-facing ePA connectivity under § 170.404’s cost-based fee rules. It’s a good solution. Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe
Payer-provider disputes increase amid federal cuts, inflation
After months of contract negotiations this year, Sentara Health and Anthem Blue Cross Blue Shield of Virginia weren’t close to an agreement, foreshadowing
DNC sues Trump administration, alleging taxpayer-funded ads violate propaganda law
The Democratic National Committee has sued the Trump administration over recent TV ads promoting the president | Newsradio 1140 WRVA
US judge orders halt to taxpayer-funded ads featuring Trump
Oct 11 (Reuters) - A US judge on Sunday blocked the Trump administration from using taxpayer money to pay for political advertisements, after publicly funded television ads glorifying US President Do...
Ken Paxton’s security for travel cost taxpayers millions. Just 1 in 6 trips had stated business
Records show the Texas attorney general has taken nearly 1,000 trips during his tenure, costing $3.3 million
Trump says he will stop using taxpayer funds for self-promoting ads after backlash
President claims commercials were ‘positive promotion for our Great USA’ but says he will now cover their cost
Homeland Security taps $20M in taxpayer funds for pro-Trump ads
WASHINGTON (AP) — The Department of Homeland Security has tapped $20 million to pay for the campaign-style ads glorifying President Donald Trump that have drawn
Trump told aide to use taxpayer money for TV ads praising him
Four spots have run, at a cost of about $5.5 million, and that is expected to grow, according to media tracker AdImpact and people familiar with the spending.
Trump says Super Pac will pay for taxpayer-funded ads that sparked outcry
President’s U-turn comes after Democrats and Republicans condemned use of tax dollars for pro-Trump ads
Trump’s multimillion-dollar taxpayer-funded ad campaign ends Sunday, officials say
The Trump administration has spent $19 million in taxpayer money on the controversial ad campaign to promote President Donald Trump and his policies, a push that officials say will end on Sunday.
Trump Directed Use of Taxpayer Money for Ads Praising His Presidency
The government-funded ads show just how much President Trump has been able to use federal money for his own aims.
Judge orders the Trump administration to cancel taxpayer-funded TV ads
President Donald Trump must cancel any remaining television commercials paid for with millions of dollars in taxpayer money to promote his political message, a federal judge ordered Sunday night.
Evans rips Dems for blocking data center bill foes say ‘has no teeth’
Rep. Gabe Evans blasted Senate Democrats after they blocked his Ratepayer Protection Act, setting off a dispute with Sens. Michael Bennet and John Hickenlooper over data centers and electricity costs.
Judge orders the Trump administration to cancel taxpayer-funded promotional TV ads
A federal judge has ordered President Donald Trump to cancel any remaining television commercials paid for with millions of dollars in taxpayer money to promote his political message.
Judge blocks Trump administration from airing taxpayer-funded campaign-style ads
A coalition of nonprofits had sued, calling the ads “propaganda.” The president has said campaign funds would be used to pay for the commercials going forward.
Medicare for All vs. moderate Democrats
Most Democrats in competitive races are moderates who aren't big fans of a single-payer system.
Thom Tillis takes jabs at Trump’s cabinet
Retiring Republican Senator Thom Tillis says he stands by his book’s blunt criticism of Trump’s cabinet. ‘They didn’t pass their annual reviews,’ he says to CNN’s Kaitlan Collins. He also urges the president to repay $10 million for taxpayer-funded ads.
Inside Iowa Politics: the five-day flurry that led to $1.5 billion taxpayer commitment for proposed $15 billion Iowa steel plant
The five days that led to $1.5 billion commitment by Iowa taxpayers for new steel plant in Lee County.
Can the government use taxpayer money for political commercials? New pro-Trump TV ads raise questions
Trump won't reimburse US for political ads, in fresh u-turn
US President Donald Trump will not reimburse taxpayers for political ads that have already aired, the White House said Tuesday in a fresh reversal on the controversial television spots.But on Tuesday ...
Voices: Teach to Fish North Miami Business Summit this weekend
Jawan sits down with Vice Mayor Kassandra Timothe and business owner Margarita Payero who benefited from the program.
CA voters to decide on Prop 4 to see if political campaigns can use taxpayer money
Proposition 4 would overturn current law, allowing state and local governments to be able to create public financing programs for campaigns.
Ken Paxton took nearly 1,000 trips with state-funded security
The Texas attorney general’s use of a taxpayer-funded travel security detail stands out when compared with his predecessor and other state officials, our analysis found.
Video Q&A: Why enrollment growth can hide years of risk for health plans
Health plans are moving past simple membership growth as the standard for success toward a model that brings pricing, network adequacy and acquisition cost information into one connected view. In this interview, a health payer strategy expert explores: Why enrollment is a leading indicator that can mask trailing risks for 12 to 24 months What […]
Homeland Security taps $20M in taxpayer funds for pro-Trump ads
The Department of Homeland Security has tapped $20 million to pay for campaign-style ads glorifying President Donald Trump.
GOP Focuses on Fraud, Seeking To Redirect Voters’ Ire Over Healthcare Costs
The anti-fraud efforts highlight a broader political fight ahead of the midterms. Republicans say they’re protecting taxpayer dollars by going after bad actors. Democrats contend the administration is — with insufficient evidence — targeting blue states to cut programs the GOP has long sought to shrink.
Ohio Appeals court rules EdChoice private school voucher system unconstitutional
An Ohio appellate court has ruled that the EdChoice voucher program, which uses taxpayer dollars to fund private school tuition, is unconstitutional.
DTE hints at new data center development, stirs fight on energy sources
Environmental groups fear gas plants will power data centers at ratepayers' expense.
Weight Watchers and Google Health Launch Weight Health Collaboration for Employers and Payers
Weight Watchers and Google Health Enterprise have launched a collaboration combining wearable technology, health insights and behavioral weight management, expanding Weight Watchers’ offering for employers, health plans and other payers. Key Investor TakeawaysWeight Watchers (NASDAQ:WW) is integrating Google Health Enterprise technology into select Weight Watchers for Business client programs.
Republican blocks Senate resolution criticizing Trump’s taxpayer-funded ads
Sen. Cynthia Lummis (R-Wyoming) argued that past presidents in both parties have aired similar announcements.
Dems push Medicare for All as Republicans, including Sen. Cruz, slam single-payer plan
From New York to Michigan, Medicare-for-all has become a major campaign issue this election cycle, drawing sharp opposition from many Republicans.
Trump Illegally Withheld Lifesaving Health Research Funds: Federal Watchdog
"Donald Trump is stealing taxpayers’ dollars that Congress set aside to improve Americans’ health," said a group of House Democrats.
Blakeman uses fatal subway shooting as campaign cudgel
Hochul’s team hit back, pointing to state taxpayer dollars she’s put towards NYPD overtime.
What we know about Trump’s latest taxpayer-funded ad campaign
The Trump administration has created at least 13 campaign-style ads as part of its controversial taxpayer-funded, multi-million-dollar effort to promote President Donald Trump and his policies. CNN’s Betsy Klein reports.
Revenue And Earnings Growth Could Be A Game Changer For agilon health (AGL)
agilon health has reported strong annual revenue and earnings growth from its model of partnering with primary care physicians to deliver value-based care for Medicare patients through long-term, globally capitated contracts. The combination of accelerating financial performance and the scaling of its value-based primary care network indicates that agilon health is gaining share where payers and physicians seek partners willing to take on population-level risk. We will now look at how agilon...
DNC sues Trump over use of government funds for political ads
The DNC sued the Trump administration on Wednesday, saying it misused taxpayer money to run "political propaganda ads" featuring Trump.
Judge orders the Trump administration to cancel taxpayer-funded promotional TV ads
President Donald Trump must cancel any remaining television commercials paid for with millions of dollars in taxpayer money to promote his political message, a federal judge ordered on Sunday night as the administration said the ad campaign was coming to an end.
Homeland Security taps $20M in taxpayer funds for pro-Trump ads
The Department of Homeland Security has tapped $20 million to pay for campaign-style ads glorifying President Donald Trump.
What Texas taxpayers say about giving $250M in school funds to arena
"Screw recapture. I'd rather them fund the construction of a $100m hot dog stand."
GOP senator blocks resolution that criticized Trump’s taxpayer-funded ads
A GOP senator blocked a resolution on Tuesday that criticized the Trump administration’s recent taxpayer-funded ads promoting President Donald Trump.
Should California taxpayers chip in to fund political campaigns? Prop 4 lets you decide
Proposition 4 would lift a ban that prohibits state and most local candidates from using public funding for their political campaigns. Proponents argue the mechanism helps more candidates run for office, but opponents are skeptical.
New Trump proposal would require tax filers to disclose citizenship status to IRS
The Trump administration would require U.S. taxpayers to disclose their citizenship and work authorization status to the IRS as part of a proposed change to the annual tax form that nearly all workers file each year.
Judge orders Trump to cancel $20 million in taxpayer-funded political ads ahead of the midterms
The ads praised Trump and included footage from his presidential campaign, drawing criticism from Democrats and some Republicans
Inside Gavin Newsom's taxpayer-funded team that never stops posting
Gavin Newsom has been a Twitch stream guest, a Substacker, a Tiktoker and a podcast bro. Here’s how he’s used the media to boost himself as governor.
Judge orders the Trump administration to cancel taxpayer-funded promotional TV ads
A federal judge has ordered President Donald Trump to cancel any remaining television commercials paid for with millions of dollars in taxpayer money to promote his political message
Federal judge orders pro-Trump TV ads funded by taxpayers off air immediately
In an earlier filing, the administration said it had planned to stop ad purchases on Sunday.
Government report calls for urgent immigration enforcement plans to stop wasting taxpayer money
A Government Accountability Office report says ICE's lack of planning while expanding detention and operations led to wasteful spending.
Husted's data center bill collides with campaign season politics
Senate Republicans are making a last-minute push on affordability—holding a vote on legislation to rein in costs associated with data centers—that could be a win for Sen. Jon Husted, R-Ohio, ahead of November’s elections.
Inside Broward County’s battle for health care real estate
Broward County’s health care giants are racing to snap up real estate, competing for space amid rapid population growth and development. The county’s health care map, long dominated by a neatly defined duopoly between taxpayer funded hospital districts Broward Health and Memorial Healthcare System, is changing as an outpatient construction boom floods the market with new facilities and health care systems look beyond traditional medical real estate to expand their portfolios. But with prime development sites growing scarce, the county has emerged as a medical development battleground, with systems jockeying for land, market share and the opportunity to redraw the […]
Taxpayers in Cairo welcome idea of downtown "entertainment district"
CAIRO, Ga. -- Downtown Cairo could soon get a taste of big-city nightlife.City leaders in the small South Georgia town are discussing ways to create a downtown
Trump says his super PAC will start paying for controversial taxpayer-funded ads
Judge orders the Trump administration to cancel taxpayer-funded promotional TV ads
A federal judge has ordered President Donald Trump to cancel any remaining television commercials paid for with millions of dollars in taxpayer money to promote his political message.
Trump reverses course on publicly funded TV political ads
President Donald Trump announced Monday night that taxpayers will no longer pick up the tab for political TV advertisements promoting himself and administration policies. Facing a public backlash from lawmakers of both parties, Trump said in a post on his Truth Social site that he would in part use money raised by a super PAC, […]
Trump defends spending millions on taxpayer-funded promotional ads: 'For the country'
After bipartisan criticism, Trump says taxpayers’ dollars will no longer be used for TV ads promoting him
The president said the ads, which the White House has defended, will be funded by him and his super PAC, MAGA Inc.
Montgomery leaders still weighing new health care authority to protect hospitals, taxpayers
Montgomery city and county leaders are laying the groundwork for a new health care authority they say is intended to keep hospital doors open without putting taxpayers on the hook for hospital debt.
US judge orders Trump to cancel taxpayer-funded TV ads
US President Donald Trump must cancel any remaining taxpayer-funded television advertisements promoting himself, a federal judge ordered Sunday, following backlash from both sides of the political div...
Lehigh County commissioners reject plan to use taxpayer money to fund political campaigns: ‘Completely ridiculous’
Lehigh County Executive Josh Siegel’s landmark initiative to create a taxpayer-supported fund to seed local political campaigns got a thumbs-down from the county commissioners Wednesday.
The Political Recap: President Trump using taxpayer dollars for ads?
Capitol Bureau reporter Tyler Englander breaks down what you missed in Virginia politics this week.
Trump is clearly trying to buy votes with taxpayer money
President Donald Trump is ramping up his efforts to use taxpayer money and resources to help Republicans win the 2026 midterm elections.
Science, health research bond to appear on March 2028 ballot
(The Center Square) – A bond that would cost California’s taxpayers $7.5 billion for health and science research will go on the March 2028 primary election ballot.
Trump ads funded by taxpayers halted by federal judge
A judge ordered an immediate halt to taxpayer-funded ads featuring Trump in the run-up to the midterm elections, according to a filing posted Oct. 11.
Trump defends ad, says MAGA Inc. will cover cost instead of taxpayers
Trump defended a federally funded ad as patriotic but said Monday that MAGA Inc. would cover the cost after complaints from critics.
Judge halts Trump administration's taxpayer-funded ads
The ruling temporarily blocks the ads weeks before November's midterm elections.
After taxpayer-funded ads glorifying Trump sparked backlash, he says his super PAC will pay instead
In a post on his social media site, President Donald Trump defended the ads, which cost at least $1.5 million in federal funds and have drawn intense criticism.
Trump Does Not Plan to Reimburse Taxpayers for Promotional Ads
A day after the president said his super PAC would pay for the ads, which had drawn bipartisan backlash, officials said that he meant moving forward. A new taxpayer-funded ad aired Tuesday.
Dems push Medicare for All as Republicans, including Sen. Cruz, slam single-payer plan
From New York to Michigan, Medicare-for-all has become a major campaign issue this election cycle, drawing sharp opposition from many Republicans.
Cities keep shelling out taxpayer money for sports stadiums, yet the economics almost never makes sense
Communities almost never see a boost in job or income growth after taxpayers subsidize a new sports facility.
Husted's data center bill collides with campaign season politics
Senate Republicans are making a last-minute push on affordability—holding a vote on legislation to rein in costs associated with data centers—that could be a win for Sen. Jon Husted, R-Ohio, ahead of November’s elections.
Judge orders the Trump administration to cancel taxpayer-funded promotional TV ads
A federal judge has ordered President Donald Trump to cancel any remaining television commercials paid for with millions of dollars in taxpayer money to promote his political message.
US Democrats sue Trump over alleged taxpayer-funded political ads
Democrats sued US President Donald Trump on Wednesday over allegations that taxpayer money was used to fund political advertising, according to a lawsuit filed by the Democratic National Committee (DN...
DNC files lawsuit alleging Trump's taxpayer-funded ads are illegal propaganda
The Democratic National Committee on Wednesday sued President Donald Trump’s administration for recent television advertisements that promoted his political message while costing taxpayers millions of dollars.