NEW YORK (AP) — President Donald Trump’s administration is expanding its crackdown on state Medicaid programs to New York, launching a fraud probe in the state a week after it said it was freezing nearly $260 million in Medicaid funding in Minnesota over similar accusations.

Centers for Medicare and Medicaid Services Administrator Dr. Mehmet Oz announced Tuesday that the Trump administration identified concerning trends in New York’s Medicaid program and demanded that state officials provide details about their handling of fraud, waste and abuse within 30 days or risk deferred payments.

“Heart surgeons are trained to look at the numbers,” Oz, a former celebrity heart surgeon, said in a video on Tuesday. “Right now, the numbers coming out of New York’s Medicaid program don’t add up.”

The new investigation is part of an administration-wide initiative to address fraud around the country, which federal officials say is needed to rein in runaway spending and protect taxpayers. With many midterm voters concerned about affordability, Trump has ramped up those efforts, announcing that Vice President JD Vance would help balance the nation’s budget by spearheading a national “war on fraud.”

Targeted Democratic state officials have decried the Republican administration’s moves as politically motivated and potentially disastrous for the millions of people who rely on the health care safety net for low-income Americans.

New York’s Democratic governor says the move is politically targeted

In a letter to New York Gov. Kathy Hochul, a Democrat, Oz wrote that the state’s spending levels combined with “serious concerns” about its oversight of certain Medicaid services demand “immediate investigation, corrective action and enhanced transparency.”

The letter flagged specific areas of concern, including a high proportion of New York’s Medicaid beneficiaries receiving personal care services related to daily living activities like bathing, grooming and meal preparation.

New York’s soaring Medicaid costs have long vexed the state’s governors and were a top priority of Gov. Andrew Cuomo, a Democrat who grappled for years with the program’s spiraling price tag as residents age and receive additional benefits. The state’s program, which cost $115.6 billion in the 2025 fiscal year, provides health care for about 1 in 3 New Yorkers and spends more per person for care than Medicaid programs in any other state.

Hochul has also tried to rein in costs through an overhaul of how a home health care program is administered.

Asked Wednesday by reporters about Oz’s letter, Hochul said the Trump administration is targeting a Democrat-led state for political reasons but added, “I will have to stand up and show them the truth and show them the facts, that they’re wrong. When there is fraud I will help them fight it.”

Hochul’s office said the fraud investigation was an attempt by the Trump administration to rip health care away from everyday New Yorkers. CMS said in an emailed statement that ensuring states comply with federal rules is “a core part of the agency’s federal oversight role.”

New York investigation follows CMS action in other blue states

The New York investigation comes less than a week after CMS halted Medicaid payments to Minnesota over fraud concerns. Oz said the money would be delivered only after Minnesota implements “a comprehensive corrective action plan.”

The administration had previously cited allegations of fraud involving day care centers run by Minneapolis-area Somali residents as a reason for a massive federal enforcement surge there. Minnesota Gov. Tim Walz, a Democrat, called the new funding freeze “targeted retribution.”

Minnesota on Monday sued the Trump administration over the deferred payments. The state is also appealing CMS withholding $2 billion in annual Medicaid funds announced in early January.

Earlier this year, Oz announced that CMS had sent letters to Democratic governors in Maine and California demanding more information or corrective action on alleged fraud in government health programs in those states.

In the days after receiving Oz’s letter last month, Maine Gov. Janet Mills said she wouldn’t be intimidated by the administration and called the request “a political attack.” The 30-day timeline he gave her to respond or risk losing Medicaid payments is set to expire this week. A spokesperson for Mills didn’t immediately respond to a request for comment.

Maine is facing a political attack from a president who uses allegations of fraud as a pretense to send ICE and other weaponized federal agents into states led by Democrats with devastating consequences.

The Trump administration has sought to withhold funding from Democratic-led states at least two other times in recent months citing fraud concerns. It happened with child care subsidies and other social services programs in Minnesota, New York and three other states and with the Supplemental Nutrition Assistance Program in 22 states that have declined to hand over data that the federal government says is needed to catch fraud.

In both those cases, judges have ruled that the money must continue to flow for now.

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Associated Press writer Geoff Mulvihill in Philadelphia contributed to this report.

WASHINGTON (AP) — Senate Republicans voted down an effort Wednesday to halt President Donald Trump’s war against Irandemonstrating early support for a conflict that has rapidly spread across the Middle East with no clear U.S. exit strategy.

The legislation, known as a war powers resolutionfailed on a 47-53 vote tally. The vote fell mostly along party lines, though Republican Sen. Rand Paul of Kentucky voted in favor and Democratic Sen. John Fetterman of Pennsylvania voted against.

The war powers resolution gave lawmakers an opportunity to demand congressional approval before any further attacks are carried out. The vote forced them to take a stand on a war shaping the fate of U.S. military members, countless other lives and the future of the region.

Underscoring the gravity of the moment, Democratic senators filled the Senate chamber and sat at their desks as the voting got underway. Typically, senators step into the chamber to cast their vote, then leave.

“Today every senator — every single one — will pick a side,” Senate Democratic Leader Chuck Schumer said before the vote. “Do you stand with the American people who are exhausted with forever wars in the Middle East or stand with Donald Trump and Pete Hegseth as they bumble us headfirst into another war?”

Sen. John Barrasso, second in Senate Republican leadership, said during the debate that GOP senators were sending a message that Democrats are wrong for forcing a vote on the war powers resolution.

“Democrats would rather obstruct Donald Trump than obliterate Iran’s national nuclear program,” he added.

Trump administration scrambles for congressional support

After launching a surprise attack against Iran on Saturday, Trump has scrambled to win support for a conflict that Americans of all political persuasions were already wary of entering. Trump administration officials have been a frequent presence on Capitol Hill this week as they try to reassure lawmakers that they have the situation under control.

Defense Secretary Pete Hegseth said Wednesday that the war could extend eight weeks, a longer time frame than has previously been floated by the Trump administration. He also acknowledged that Iran is still able to carry out missile attacks even as the U.S. tries to control the country’s airspace.

U.S. service members “remain in harm’s way, and we must be clear-eyed that the risk is still high,” Gen. Dan Caine, chairman of the Joint Chiefs of Staff, said at the same press conference.

Six U.S. military members were killed over the weekend in a drone strike in Kuwait.

Republican Sen. Joni Ernst of Iowa acknowledged the human costs of the war in her floor speech. Two of the soldiers killed Sunday were from Iowa and a National Guard unit from her state was also attacked in Syria in December, resulting in the deaths of two other soldiers.

“But now is our opportunity to bring an end to the decades of chaos,” said Ernst, who herself served as an officer in the Iowa National Guard for two decades.

“The sooner the better,” she added.

Trump has also not ruled out deploying U.S. ground troops. He has said he is hoping to end the bombing campaign within a few weeks, but his goals for the war have shifted from regime change to stopping Iran from developing nuclear capabilities to crippling its navy and missile programs.

“We should be careful about opening a door into chaos in the Middle East when we cannot see the other side of it,” Democratic Sen. Chris Coons of Delaware said in a solemn floor speech after the vote concluded.

He said he was praying for “grace to find a path forward together where more do not needlessly join those who have already fallen in this new war in the Middle East.”

Lawmakers go on record

The votes in Congress this week represented potentially consequential markers of just where lawmakers stand on the war as they look ahead to midterm elections and the consequences of the conflict.

“Nobody gets to hide and give the president an easy pass or an end-run around the Constitution,” said Sen. Tim Kaine, the Virginia Democrat leading the war powers resolution.

Republican leaders have successfully, though narrowly, defeated a series of war powers resolutions pertaining to several other conflicts that Trump has entered or threatened to enter. This one, however, was different.

Unlike Trump’s military campaigns against alleged drug boats or even Venezuelan leader Nicolás Maduro, the attack on Iran represents an open-ended conflict that is already ricocheting across the region. Several senators who have voted for previous war powers resolutions noted that they opposed this one because it applied to a conflict that is already raging.

“Passing this resolution now would send the wrong message to Iran and to our troops,” said GOP Sen. Susan Collins of Maine. “At this juncture, providing unequivocal support to our service members is critically important, as is ongoing consultation by the administration with Congress.”

House vote looms

On the other side of the Capitol, an intense debate over the war unfolded before a vote Thursday. The House first debated a resolution presented by GOP leadership affirming that Iran is the world’s largest state sponsor of terrorism.

Rep. Brian Mast, the GOP chairman of the House Foreign Affairs Committee, publicly thanked Trump for taking action against Iran, saying the president is using his own constitutional authority to defend the U.S. against the “imminent threat” of Iran.

Mast, an Army veteran who worked as a bomb disposal expert in Afghanistan, said the Democratic resolution was effectively asking “that the president do nothing.”

Rep. Gregory Meeks, the top Democrat on the Foreign Affairs panel, said before the debate that the hardest votes he has taken in Congress have been to decide whether to send U.S. troops to war. “Our young men and women’s lives are on the line,” he said, his voice showing emotion as he emerged from a closed-door bri efing late Tuesday with Trump officials.

At a news conference Wednesday, several Democratic members who are also veterans of the Iraq and Afghanistan wars spoke about the heavy costs of those conflicts.

One of them was Rep. Jason Crow, D-Colo. “I learned when I was fighting in Iraq and Afghanistan, that when elites in Washington bang the war drums, pound their chest, talk about the costs of war and act tough, they’re not talking about them doing it, they’re not talking about their kids,” Crow said. “They’re talking about working class kids like us.”

WASHINGTON (AP) — Tensions flared as questions mounted at the U.S. Capitol on Tuesday over the Trump administration’s shifting rationale for war with Iran as lawmakers demand answers over the strategy, exit plan and costs to Americans in lives and dollars for what is quickly becoming a widening Middle East conflict.

Trump officials made their case at the Capitol during a second day of closed-door briefings, this time with all members of the House and Senate ahead of a looming war powers resolution vote intended to restrict Trump’s ability to continue the joint U.S.-Israel campaign against Iran.

“The president determined we were not going to get hit first. It’s that simple,” Secretary of State Marco Rubio said in a testy exchange with reporters at the Capitol.

Rubio pushed back on his own suggestion a day earlier that Trump decided to strike Iran because Israel was ready to act first. Instead, he said Trump made the decision to attack this past weekend because it presented a unique opportunity with maximum chance for success.

“There is no way in the world that this terroristic regime was going to get nuclear weapons, not under Donald Trump’s watch,” he said.

The sudden pivot to a U.S. wartime footing has disrupted the political and policy agenda on Capitol Hill and raised uneasy questions about the risks ahead for a prolonged conflict and regime change after the killing of Iran’s Supreme Leader Ayatollah Ali Khamenei. At least six U.S. military service personnel have died so far.

The situation has intensified the push in Congress for the war powers resolution — among the most consequential votes a lawmaker can take, with the war well underway — as administration officials are telling lawmakers they will likely need supplemental funds to pay for the conflict. It comes at the start of a highly competitive midterm election season that will test Trump’s slim GOP control of Congress.

Senate Democratic Leader Chuck Schumer left the closed hearing, saying he was concerned about “mission creep” in a long war.

Senators demand answers, and some cheer Trump on

Senators spent the morning grilling Trump officials during an Armed Services Committee hearing over Rubio’s claim Monday that the president, believing that Israel was ready to act, decided it was better for the U.S. to launch a preemptive strike to prevent Iran’s potential retaliation on American military bases and interests abroad.

Sen. Angus King, the independent from Maine, said it’s “very disturbing” that Trump took the U.S. to war because Israel’s Prime Minister Benjamin Netanyahu wanted to bomb Iran. Past U.S. presidents, he said, “have consistently said, ‘No.’”

Defense official Elbridge Colby told senators the president directed the military campaign to destroy Iranian missiles and deny the country nuclear weapons.

Trump himself disputed the idea that Israel had forced his hand. In his own Oval Office remarks, he said, “I might might have forced their hand.”

Sen. Markwayne Mullin, a Trump ally from Oklahoma, said the president “did the world a favor.”

“How about we say, ‘Thank you, Mr. President, for finally getting rid of this nuisance,’” he said.

But Sen. Elizabeth Warren, D-Mass., demanded to know how this fits into Trump’s “America First” campaign promise not to commit U.S. troops to protracted military campaigns abroad.

Trump has suggested the war could drag on, and has not ruled out sending American troops into Iran.

“’America First’ and ‘peace through strength’ are served by rolling back — as the military campaign is designed to do — the threats posed,” Colby responded. “This is certainly not nation-building. This is not going to be endless.”

What’s next for the Iranian regime and its people

Questions are growing over who will lead Iran after the death of Khamenei, who has ruled the country for decades, and worries of a leadership vacuum that creates unrest.

Democrats warned against sending U.S. military troops into Iran after more than two decades of war in Iraq and Afghanistan in the aftermath of the Sept. 11, 2001, attacks.

“I am more fearful than ever we may be putting boots on the ground,” said Sen. Richard Blumenthal, D-Conn., after the closed briefing.

And while House Republicans applauded in support of the Trump administration’s operations, warning signs flared.

Rep. Chip Roy, R-Texas, said he supports the operation, for now. “My flag starts going up, the longer this goes, my flag starts going up, the more there’s boots on the ground,” he said.

Many lawmakers expressed concern over the number of Americans calling their offices seeking help evacuating from the region as the war spreads. “It’s getting worse, not better,” said Rep. Jason Crow, D-Colo., a former Army Ranger.

Trump, in calling for Iranians to seize this opportunity to take back their country, has acknowledged the uncertainty.

“Most of the people we had in mind are dead,” Trump said Tuesday. He also panned the idea of elevating Reza Pahlavi, the exiled crown prince of Iran’s last shah, to take over in Iran.

Republicans insist it’s not for the Americans to decide the future of Iran.

“That’s going to be largely up to the Iranian people,” said Senate Majority Leader John Thune, a Republican.

House Speaker Mike Johnson said flatly, “We have no ability to get into the nation-building business.”

War powers resolutions become a consequential vote

Both the House and Senate are preparing to vote on war powers resolutions that would restrain Trump’s ability to continue waging war on Iran without approval from Congress.

Under the U.S. Constitution, it’s up to Congress, not the president, to decide when the country goes to war. But lawmakers often shirk that duty, enabling the executive branch to amass more power to send the military into combat without congressional approval.

“Why are we spending billions of dollars to bomb Iran?” said House Democratic Leader Hakeem Jeffries, who said there would be strong support from Democrats for the resolution.

But Johnson has said it would be “frightening” and “dangerous” to tie the president’s hands at this time, when the U.S. is already engaged in combat.

Other lawmakers have suggested that if Congress does not vote to restrain Trump, it should next consider an Authorization of the Use of Military Force, which would require lawmakers to go on record with affirmative support for the Iran operation.

“The reason why there’s so much consternation on our side is because President Trump has not given us a clear reason why he is in Iran,” said Sen. Kirsten Gillibrand, D-N.Y. “If he wants to declare war on Iran, that is the job and responsibility of Congress under the Constitution.”

Former President George W. Bush sought, and received, authorization from Congress to launch the post-9/11 wars.

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Associated Press writers Stephen Groves and Mary Clare Jalonick contributed to this report.