WASHINGTON (AP) — The Trump administration has fired the two leaders of an influential health group that determines when insurance must provide free preventive care, like mammograms and colonoscopies, for millions of Americans.

In letters dated May 11, Health Secretary Robert F. Kennedy Jr. notified the two doctors who chaired the U.S. Preventive Services Task Force that he was terminating their appointments immediately, before the end of their multiyear terms.

The Department of Health and Human Services already had largely sidelined the task force, indefinitely postponing scheduled public meetings over the past year and thus leaving some long-expected updates on cervical cancer screenings and other topics in limbo.

The panel, first created in the 1980s, is composed of experts who scrutinize the latest evidence behind a wide array of disease prevention tools, such as depression screenings ad the use of statins to prevent heart attacks. The panel updates guidelines with letter grades showing the strength of the science. Under the Affordable Care Act, most insurance plans must cover preventive services given an “A” or “B” grade without requiring a co-pay.

Kennedy’s letters don’t make clear why he ousted Drs. John Wong and Esa Davis from the panel. He wrote that their “leadership, contributions and expertise” have advanced the task force’s work “to improve the health of Americans” and encouraged them to reapply. He said he was reviewing task force appointments “to ensure clarity, continuity and confidence” in HHS oversight.

The letters were first reported by The New York Times. An HHS spokesman didn’t respond to questions about why the two were fired.

Kennedy told lawmakers last month that he was reforming the task force, calling it “lackadaisical,” so that it would meet more frequently and “have, for the first time, transparency.” The panel holds public meetings, opens its draft guidelines to public comment before finalizing them, and publishes the scientific evidence behind them.

Some health advocates had worried that Kennedy was preparing to replace the expert panel with less experienced political appointees, like he had done with a critical vaccine advisory committee. Over the past year, the task force wasn’t allowed to publish its final update to the cervical cancer screening guideline or take steps to update recommendations about maternal depression, said former task force chairman Dr. Michael Silverstein, a pediatrician.

“This is a level of government intrusion into scientific processes that I’ve not experienced in my 10 years on the task force,” he said.

The panel has staggered terms so that normally health secretaries can regularly appoint new members, making their mark on the task force without upending it, said Aaron Carroll of the nonpartisan healthy policy group AcademyHealth.

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

MIAMI (AP) — Federal prosecutors on Wednesday announced criminal charges against former Cuban President Raúl Castro in the 1996 downing of civilian planes flown by Miami-based exiles as the Trump administration escalated pressure on the island’s socialist government.

The indictment accuses Castro of ordering the shootdown of two small planes operated by the exile group Brothers to the Rescue. Castro, who turns 95 next month, was Cuba’s defense minister at the time. The charges, which were secretly filed by a grand jury in April, included murder and destruction of an airplane. Five Cuban military pilots were also charged.

“For nearly 30 years, the families of four murdered Americans have waited for justice,” acting Attorney General Todd Blanche said in Miami at a ceremony coinciding with Cuban independence day to honor those killed. “They were unarmed civilians and were flying humanitarian missions for the rescue and protection of people fleeing oppression across the Florida straits.”

Asked to what lengths American authorities would go to bring Castro to face charges in the U.S., Blanche said: “There was a warrant issued for his arrest. So we expect that he will show up here, by his own will or by another way.”

Asked what will happen next for Cuba, President Donald Trump said, “We’re going to see.” He added that the U.S. is ready to provide humanitarian assistance to a “failing nation.”

The charges pose a real threat, observers said, following the capture by U.S. forces in January of former Venezuelan President Nicolás Maduro to face drug charges in New York.

“He’s going to have to keep his head pretty low from now on,” said Peter Kornbluh, a specialist on the U.S.-Cuba relationship at the National Security Archive at George Washington University.

Cuban president condemns indictment

While it remains unclear whether Castro will ever step foot in a U.S. courtroom, the murder and conspiracy charges carry the potential for life in prison or the death penalty upon conviction.

Cuban President Miguel Díaz-Canel condemned the indictment as a political stunt that sought only to “justify the folly of a military aggression against Cuba.” In a message on social media, he accused the U.S. of lying and manipulating events surrounding the shootdown, including ignoring repeated warnings by Cuban officials at the time that they would defend against “dangerous violations” of their airspace “by notorious terrorists.”

Among those attending Wednesday’s ceremony in downtown Miami was Marlene Alejandre-Triana, whose father, Armando Alejandre Jr, was killed while she was away for her first year of college.

Over the years, she spoke to multiple federal investigators about charging Castro, referring to him as “one of the main architects of the crime.” But none until now had the courage to seek justice for her family and the other victims.

“It has been long overdue,” she said standing before a giant photo of her father.

Trump has threatened military action for months

Trump has been threatening military action in Cuba ever since U.S. forces captured Maduro, the Cuban government’s longtime patron. After ousting the Venezuelan leader, the White House ordered a blockade that choked off fuel shipments to Cuba, leading to severe blackouts, food shortages and an economic collapse across the island.

Since Maduro’s capture, Trump has ratcheted up talk of regime change in Cuba after pledging earlier this year to conduct a “friendly takeover” of the country if its leadership did not open its economy to American investment and kick out U.S. adversaries.

Trump’s first administration indicted Maduro on drug-trafficking charges and used that to justify removing him from power and whisking him to New York to face trial.

Secretary of State Marco Rubio on Wednesday urged the Cuban people to demand a free-market economy with new leadership that he said will chart a new course in relations with the U.S.

“In the U.S., we are ready to open a new chapter in the relationship between our people,” Rubio, the son of Cuban immigrants, said in a Spanish-language video message. “Currently, the only thing standing in the way of a better future are those who control your country.”

Raúl Castro believed to wield power behind the scenes

Castro took over as president from his ailing older brother Fidel Castro in 2006 before handing power to a trusted loyalist, Díaz-Canel, in 2018.

While he retired in 2021 as head of the Cuban Communist Party, he is widely believed to wield power behind the scenes, underscored by the prominence of his grandson, Raúl Guillermo Rodríguez Castro, who previously met secretly with Rubio.

Last week, CIA Director John Ratcliffe traveled to Havana for meetings with Cuban officials, including Castro’s grandson. Two other senior State Department officials met with the grandson in April.

The investigation into Castro stretches back to the 1990s

In 1995, planes flown by members of Brothers to the Rescue buzzed over Havana dropping leaflets urging Cubans to rise up against the Castro government.

After Cuban protests, the Federal Aviation Administration also opened an investigation and met with the group’s leaders to urge them to ground the flights, according to declassified government records obtained by the National Security Archive.

But those calls went unheeded and on Feb. 24, 1996, missiles fired by Russian-made MiG-29 fighter jets downed two unarmed civilian Cessna planes a short distance north of Havana just beyond Cuba’s airspace. All four men aboard were killed. A third plane, carrying the group’s leader, narrowly escaped.

Raúl Castro faced earlier indictment

Guy Lewis, who was a federal prosecutor in Miami in the 1990s, first uncovered evidence linking senior Cuban military officials to cocaine trafficking by Colombia’s Medellin cartel. Following the shootdown, the investigation expanded, and prosecutors pursued charges against Raúl Castro for leading a vast racketeering conspiracy by Cuba’s armed forces.

In the end, only the head of the Cuban air force and two of the MiG pilots involved in the downing of the planes were indicted but have never been apprehended.

A fourth individual was convicted of leading a Miami-based spy ring called Operation Scorpion that collected intelligence about the flights. He was later swapped for a U.S. intelligence asset imprisoned in Cuba as part of President Barack Obama’s outreach to Cuba.

The shootdown led the U.S. to harden its position against Cuba, even though the Cold War had ended and the Castros’ support for revolution across Latin America was a fading memory.

But Castro himself was spared as the Clinton administration raised concerns about such a high-profile indictment.

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Durkin Richer reported from Washington. Associated Press reporters David Fischer in Miami; Dánica Coto in San Juan, Puerto Rico; Meg Kinnard in Houston; Will Weissert in Washington; Michael Weissenstein in New York; and John Seewer in Toledo, Ohio, contributed to this report.

WASHINGTON (AP) — Republicans are unhappier with President Donald Trump’s handling of the economy than they were a few months ago, but they’re largely continuing to stand behind him as the war with Iran continuesa new AP-NORC poll finds.

About 6 in 10 Republicans approve of how Trump is handling the economy, according to the poll from The Associated Press-NORC Center for Public Affairs Research. That’s down from about 8 in 10 in Februarybefore the war began.

The poll comes as the war with Iran fuels higher gasoline priceswhile the U.S. and Iran struggle to move toward a permanent ceasefire. Trump’s hold on the GOP remains strong, as he demonstrated on Tuesday when his handpicked candidate defeated Rep. Thomas Massiea Trump critic, in a primary election challenge. The findings highlight Trump’s continued strength within the Republican Party, even as economic frustration grows.

Ariel Gutierrez, a 55-year-old Republican in Wisconsin, usually requires his teenage children to pay for their own gas. But with spiking gas costshe’s helping out his 15-year-old, who’s just learning how to drive.

“The whole Iran issue has just exacerbated it,” he said. “Maybe we were seeing it in groceries before, but now — with this push on gas and travel and all that — that is how people want to live the leisure part of their lives … and it is directly impacting us there now. And yes, that is, I believe from Trump’s policies, not from his predecessors.”

Trump remains unpopular outside his base. Most Americans continue to disapprove of Trump’s approach to both Iran and foreign policy. His overall approval rating in the new poll stands at 37%, up slightly from 33% in April. Nearly all Democrats disapprove of his performance as president, as do about 7 in 10 independents.

The economy remains a struggle

About one-third of U.S. adults approve of how Trump is handling the economy. That’s in line with an AP-NORC poll conducted in late Aprilbut down slightly from the start of his second term, when 40% of U.S. adults approved.

The economy was a strength for Trump in his first term, but he’s struggled with skepticism about his handling of the issue ever since he reentered the White House last year, after repeatedly promising to bring prices down. His second-term economic approval has fallen among Republicans, in particular. While a majority, 63%, still approve, that’s down from 79% in February, a few weeks before the war with Iran began.

Richard Baumgartner, a 77-year-old Republican from Las Vegas, believes higher costs are a necessary side effect of the war, which he supports.

“Unfortunately, because of the war, the economy is a little bit off kilter,” Baumgartner said. “I think it’ll fall back into place after things resolve over there. Temporary price increases — it’s unfortunate, but it’s something that has to be confronted in a situation like this where you have a very serious problem.”

Trump regains some strength on immigration

While economic promises were pivotal to Trump’s reelection, so were his goals of stricter immigration enforcement — and this issue may be reemerging as an asset.

Immigration emerged as one of Trump’s strengths early in his second term, with about half of U.S. adults saying they liked his approach, but approval of his handling of the issue dipped to 38% in January and February, after months of aggressive immigration enforcement that led to the shooting deaths of two U.S. citizens in Minneapolis.

Now, just under half of U.S. adults, 45%, approve of how he is handling that issue.

Brenda Theiss, an independent from Cullman, Alabama, doesn’t like everything Trump is doing. But she gives him credit for being willing to disrupt the status quo to reduce the flow of immigrants who are in the country illegally compared to Democratic presidents Barack Obama and Joe Biden.

“I liked Obama; I voted for Obama — but Trump was the only one that did something. All of the other presidents sat back and went, ‘Well there’s nothing we can do,’” the 73-year-old said. “He’s closing the border. He did it. Biden didn’t do it. For that, I give him one hundred.”

Over the past few months, the Trump administration has appeared to recalibrate its approach on immigration, moving in many ways away from aggressive, public-facing tactics toward a quieter approach to enforcement.

Immigration remains one of Trump’s stronger issues among Republicans. About 8 in 10 approve of his handling of the issue, which is roughly 10 points higher than the share that say he’s doing a good job as president.

Few approve of Trump on Iran or issues abroad

Trump’s handling of the war with Iran remains unpopular.

Only about one-third of U.S. adults approve of how Trump is handling Iran. Roughly two-thirds of Republicans approve, though an AP-NORC poll conducted last month found that younger Republicans are more likely to disapprove of Trump’s performance on the issue than older ones.

Similarly, about one-third of Americans approve of Trump’s approach to foreign policy. Though Trump has zeroed in on a more aggressive international approach this year — including capturing the leader of Venezuela and threatening Cuba — Americans’ views of his overall handling of foreign policy have not shifted significantly in recent months.

Amanda Wylie, a 22-year-old who lives in Athens, Georgia, says Iran is one of the few issues where Trump doesn’t have her support.

“I feel like we’re wasting resources over there at this point and not for the benefit of the American people,” said Wylie, who identifies as a Republican-leaning independent. “Especially if everyone is worried about gas prices and the ultimate goal of this is to prevent Iran from having a nuclear weapon. Yes, that’s important, but at what cost?”

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The AP-NORC poll of 1,117 adults was conducted May 14-18 using a sample drawn from NORC’s probability-based AmeriSpeak Panel, which is designed to be representative of the U.S. population. The margin of sampling error for adults overall is plus or minus 3.8 percentage points.