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The Dictatorship

Massachusetts advocates fear Trump’s bill will unravel health safety net in Obamacare’s model state

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Massachusetts advocates fear Trump’s bill will unravel health safety net in Obamacare’s model state

BOSTON (AP) — In the state that served as the model for Obamacareadvocates and health care workers fear the Trump administration is dismantling piece-by-piece a popular program that has provided insurance, preventive care and life-saving medication to hundreds of thousands of people.

The House on Thursday gave final approval to a massive tax and spending cuts bill that strips health insurance from up to a quarter of the roughly 400,000 people enrolled in the Massachusetts Health Connector, according to state estimates.

FILE — A woman walks past a sign outside the Boston Children's Hospital, Aug. 18, 2022, in Boston. (AP Photo/Charles Krupa, File)

FILE — A woman walks past a sign outside the Boston Children’s Hospital, Aug. 18, 2022, in Boston. (AP Photo/Charles Krupa, File)

The legislative package — a centerpiece of President Donald Trump’s agenda that he is expected to quickly sign — will create anew the coverage gaps state leaders were working to close when Massachusetts in 2006 became the first U.S. state to enact a law requiring nearly every resident to have health insurance, state officials say. Beyond the effect on residents’ health, losing care could have broader repercussions — both for the program’s finances and residents’ ability to make a living.

“The idea of needing to unwind that now and pull back on that promise and commitment is really frustrating and heartbreaking and cruel and counterproductive,” said Audrey Morse Gasteier, executive director of Massachusetts’ health insurance marketplace.

Trump and Republican supporters in Congress say the changes, which include new documentation requirements and limitations on who can apply for tax credits to help pay for insurance, are necessary to root out what they call fraud, waste and abuse. The Affordable Care Act changes in the bill, along with massive cuts to Medicaid and other programs, will eliminate roughly $1.1 trillion in health care spending over the next decade, according to the nonpartisan Congressional Budget Office.

In Lawrence, a mill community of around 90,000 people on the Merrimack River, where more than 80% of the population is Hispanic or Latino, Kesia Moreta said she’s already seeing people slip out of the state’s health care network because of the Trump administration’s aggressive effort to crack down on illegal immigration.

Moreta, who manages a program created under the ACA that helps people sign up for coverage, said clients have been missing meetings out of fear that being enrolled for health insurance will harm their effort to stay in the U.S. legally.

Recently, a father of a U.S.-born teenage son with epilepsy deleted every email related to his health plan and stopped answering calls from the Connector after watching reports about deportations on social media. When his son’s medication ran out, Moreta said the father finally reached out, whispering over the phone, “Is this going to get me deported?”

“That breaks our hearts,” Moreta said.

What the big bill does

More than 98% of Massachusetts residents have health insurance, the lowest rate of uninsurance in the country, according to the Massachusetts Health Insurance Survey.

Vicky Pulos, an attorney for the Mass Law Reform Institute who helps low-income people gain access to health care, said Republicans who tried and failed to repeal the Affordable Care Act during the first Trump administration have decided to take it apart incrementally despite its growing popularity.

A woman walks toward the Greater Lawrence Community Action Council office where immigrants receive health assistance, June 25, 2025, in Lawrence, Mass. (AP Photo/Charles Krupa)

A woman walks toward the Greater Lawrence Community Action Council office where immigrants receive health assistance, June 25, 2025, in Lawrence, Mass. (AP Photo/Charles Krupa)

“It really seems like this is just a less transparent way of effectively dismantling the accomplishments of the Affordable Care Act in both Medicaid and the marketplace,” Pulos said.

The changes, she added, “will massively drive up the number of uninsured but without openly repealing the ACA.”

Another provision in the mega bill requires people applying for or renewing coverage to provide more documentation of their income, household size and immigration status to be eligible for premium tax credits when the state marketplace already has that information, which Morse Gasteier said would cause “friction, red tape and delays.”

The Trump administration has said the proposals will “put a stop” to immigrants “stealing taxpayer-funded health care benefits meant for American citizens.”

No states use federal money to provide health insurance to people who are in the U.S. illegally. Some, like Massachusetts, use state tax dollars to do so to provide basic primary care services for a small population of vulnerable residents, like children.

No undocumented immigrants receive insurance through the state marketplace.

Of the 400,000 enrolled in the state marketplace, around 60,000 are noncitizens who are in the U.S. legally and would lose access to federal premium tax credits. The number includes domestic violence and human trafficking victims, refugees, people granted asylum or humanitarian parole, temporary protected status and other work-authorized immigrants.

Without the credits, premiums will cost upwards of $500 or $600 — an increase many people can’t afford, Morse Gasteier said. Around half are green-card holders with an annual income of $15,000 a year or less.

The remaining 40,000 people expected to lose coverage are U.S. citizens Morse Gasteier said could be stymied in applying or recertifying coverage by provisions like the increased documentation requirements.

Fears of trust l

ost

Morse Gasteier said Massachusetts’ marketplace worked “tirelessly” to enroll vulnerable and hard-to-reach populations after the state program — formed under the leadership of then-Gov. Mitt Romney and known as “Romneycare” — was created.

She worries that if people hear help is no longer available, “entire populations will just sort of give up on health insurance.”

In addition to affecting residents’ health, that could have an economic impact in the state.

Immigrants with legal status enrolled in the state marketplace tend to be younger than the rest of the population, Morse Gasteier said. Their presence brings premiums down for others because they tend to be healthier.

In Lawrence, advocates who help people obtain insurance coverage though the ACA marketplace say the burden would fall disproportionately on people with chronic health issues like diabetes and chronic heart disease.

Massachusetts Health Connector Executive Director Audrey Morse Gasteier poses for a portrait at her desk in the state health insurance marketplace's office Tuesday, July 2, 2025, in Boston. (AP Photo /Leah Willingham)

Massachusetts Health Connector Executive Director Audrey Morse Gasteier poses for a portrait at her desk in the state health insurance marketplace’s office Tuesday, July 2, 2025, in Boston. (AP Photo /Leah Willingham)

The Greater Lawrence Community Action Council assists around 10,000 people a year with either signing up for or renewing health insurance.

“If you’re not healthy, let me tell you, you can’t work. If you can’t work, you can’t pay your bills. It’s just as simple as that,” said GLCAC CEO Vilma Martinez-Dominguez.

Moreta said one man who called her from the emergency room recently said he discovered his health insurance had lapsed. Moreta said she could help him renew it, and urged him to wait at the hospital.

He told her not to do anything. He was leaving the hospital. She has no idea what became of him.

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The Dictatorship

Iran negotiator or private investor? Raskin launches investigation into Jared Kushner.

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House Judiciary Democrats are launching a new investigation into President Donald Trump’s son-in-law — and Iran ceasefire negotiator — Jared Kushner, citing his “glaring and incurable conflict of interest.”

In a letter obtained first by MS NOW, Rep. Jamie Raskin, D-Md., writes that Kushner’s dual roles as Trump administration peace envoy and leader of a private equity firm have “been haunting American foreign policy since President Trump returned to Washington in 2025,” with the Iran war only compounding concerns that Kushner’s financial work could distort his priorities.

“Your client Saudi Arabia,” Raskin writes, “wants to see a continuation and escalation of President Trump’s Iran war, but the American people have an interest in minimizing the loss of American lives and treasure in this conflict.”

“To whom do your professional obligations and fiduciary duties belong?” Raskin asks in the letter, which was sent to Kushner, his firm, and the State Department on Thursday.

Kushner, who is married to Trump’s eldest daughter Ivanka, founded the investment firm Affinity Partners in 2021 after serving as a senior adviser during Trump’s first administration.

Affinity’s largest and earliest investor, according to The New York Timesis Saudi Arabia’s Public Investment Fund, which is led by Crown Prince Mohammed bin Salman. The fund invested roughly $2 billion after the first Trump White House ended. Sovereign wealth funds tied to other Gulf nations, such as Qatar and the United Arab Emirates, have also invested.

Affinity has earned a 25% rate of return since 2021, according to a person familiar with the firm’s internal dynamics.

Since Trump returned to the White House, Kushner has taken on the role of peace envoy, working on negotiations between Ukraine and Russia, Israel and Hamas and, most recently, the U.S. and Iran. The latter two, critics note, are in the region that is the source of sizable investments in Kushner’s firm.

“​​You cannot both be a diplomat and a financial pawn of the Saudi monarchy at the same time,” Raskin writes in the letter. “You cannot faithfully represent the United States with billions of dollars in Saudi and Emirati cash burning a hole in every pocket of every suit you own.”

In a statement shared with MS NOW, Ian Brekke, chief legal officer for Affinity, said Kushner “​has complied with ​all applicable laws and ​requirements and has ​always operated ​in the best interests ​of ​the United States.”

“Jared is not raising funds and has not done business in Gaza, Ukraine or Iran and has no intention to do so,” Brekke said.

In response to a March report in The New York Times that Kushner had taken recent steps to raise money for his firm from governments in the Middle East, Brekke wrote, “Affinity had early conversations with its anchor investor and does not intend to take in any additional capital while Jared is volunteering for the government.”

And in a statement to MS NOW, White House spokesperson Anna Kelly said Kushner had “sacrificed time with his family and livelihood” to work on the Trump administration’s initiatives overseas. She called Raskin “an attention-seeking loser who has saved zero lives and hasn’t accomplished anything.”

As part of the new House Judiciary investigation that Democrats are unilaterally launching, Raskin is asking Kushner to hand over a trove of materials tied to his work for Affinity and with the government.

The documents Raskin wants include: records of his communications with Saudi, Emirati, Qatari, and Israeli officials and their state-linked investment funds dating back to 2022; the financial records detailing all investors in his Affinity investment fund; records of meetings with investors dating back to July2024; and all communications relating to financial investments in Gaza, Ukraine, Iran, and other areas where Kushner has played a role as a negotiator.

Raskin is also requesting Kushner’s communications with the White House and the Trump campaign, including with Trump himself, dating back to July 2024 regarding his role in the new administration.

While Kushner is unlikely to play ball with Democrats — and as long as Republicans don’t side with Democrats, Raskin doesn’t have the unilateral ability to subpoena Kushner — the inquiry is a bit of a preview of the investigations Democrats will launch should their party win control of the House.

As the midterms approach, Democrats are pledging to make rooting out corruption in the Trump administration a central focus. And while Kushner could ignore Raskin now, that would be much more difficult next year if Democrats take back the committee gavels.

For Raskin, this is the latest step in a yearslong effort to review Kushner’s activities.

In 2023, while serving as ranking member of the House Oversight Committee, Raskin wrote to Kushner questioning whether his business interests may have influenced his work during the first Trump administration.

In 2024, Raskin and Sen. Ron Wyden, D-Ore., called on the Department of Justice to appoint a special counsel to review possible violations of the Foreign Agents Registration Act.

Kevin Frey is a congressional reporter for MS NOW.

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The Dictatorship

House extends surveillance powers until April 30 after late-night revolt sinks GOP plan

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House extends surveillance powers until April 30 after late-night revolt sinks GOP plan

WASHINGTON (AP) — The House early Friday approved a short-term renewal until April 30 of a controversial surveillance programused by U.S. spy agencies in a post-midnight vote after Republicans revolted and refused President Donald Trump’s push for a longer extension.

GOP leaders rushed lawmakers back into session to late Thursday with a series of back-to-back votes that collapsed in dramatic failure, before they quickly pushed ahead the stopgap measure as they race to keep the surveillance program running past Monday’s expiration date.

First they unveiled a new plan that would have extended the program for five years, with revisions. Then they tried to salvage a shorter 18-month renewal that Trump had demanded and Speaker Mike Johnson had previously backed. Some 20 Republicans joined most Democrats in blocking its advance.

Shortly after 2 a.m. they quickly agreed to the 10-day extension, which was agreed to on a voice vote without a formal roll call. It next goes to the Senate, which is gaveling for a rare Friday session, as Congress races to keep the surveillance program running.

“We were very close tonight,” said Johnson after the late-night action.

But Democrats blasted the middle-of-the-night voting as amateur hour. “Are you kidding me? Who the hell is running this place?” said Rep. Jim McGovern, D-Mass., during a fiery floor debate.

At the center of the standoff that has stretched throughout the week is Section 702 of the Foreign Intelligence Surveillance Act,which permits the CIA, National Security Agency, FBI and other agencies to collect and analyze vast amounts of overseas communications without a warrant. In doing so, they can incidentally sweep up communications involving Americans who interact with foreign targets.

U.S. officials say the authority is critical to disrupting terrorist plots, cyber intrusions and foreign espionage.

Surveillance program fight is a debate over privacy and security

Its path to passage has teetered all week in a familiar fight, as lawmakers weigh civil liberties concerns against intelligence officials’ warnings about national security risks.

Opponents of the surveillance tool point to past misuses. FBI officials repeatedly violated their own standards when searching intelligence related to the Jan. 6, 2021, attack on the Capitol and racial justice protests in 2020, according to a 2024 court order.

Trump and his allies had lobbied aggressively all week for a clean renewal of the program, without changes.

A group of Republicans traveled to the White House on Tuesday, and on Wednesday CIA Director John Ratcliffe spoke directly with GOP lawmakers. House Majority Leader Steve Scalise said Thursday there had “been negotiations late into the night with the White House and some of our members.”

“I am asking Republicans to UNIFY, and vote together on the test vote to bring a clean Bill to the floor,” Trump wrote on Truth Social this week. “We need to stick together.”

The result of days of negotiations

Thursday’s proceedings came to a standstill as lawmakers retreated behind closed doors and Johnson reached for an agreement to resolve the standoff.

Shortly before midnight GOP leaders announced a new proposal, a five-year extension, with revisions. The changes were designed to win over skeptics of the surveillance program who have demanded greater oversight to protect Americans’ privacy.

Among the changes are new provisions to ensure that only FBI attorneys can authorize queries on U.S. persons, and to require the Office of the Director of National Intelligence to review such cases, said Rep. Austin Scott, R-Ga., during the debate.

But the final product, a 14-page amendment, did not go far enough for some holdouts in either party.

With Johnson controlling a slim majority, he has little room for dissent. As the Republicans fell short on both efforts before the short extension, a handful of Democrats stepped in to try to help them advance the longer extensions, but most Democrats were opposed.

“We just defeated Johnson’s efforts to sneak through a 5-year FISA authorization tonight,” said Democratic Rep, Ro Khanna of California. “Now, they will have to fight in daylight.”

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Acting ICE Director Todd Lyons resigns

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Acting ICE Director Todd Lyons resigns

Todd Lyons, the acting head of U.S. Immigration and Customs Enforcement, is resigning from the agency later this spring, the Department of Homeland Security confirmed to MS NOW.

He will remain in his role until May 31. The circumstances surrounding his departure were not immediately clear, and officials have not publicly identified his replacement.

“Director Lyons has been a great leader of ICE and key player in helping the Trump administration remove murderers, rapists, pedophiles, terrorists, and gang members from American communities,” DHS Secretary Markwayne Mullin said in a statement.

“He jumpstarted an agency that had not been allowed to do its job for four years. Thanks to his leadership, American communities are safer.”

Lyons, a longtime immigration enforcement official who assumed the acting directorship in 2025, has overseen ICE during a period of expanded deportation operations under President Donald Trump. His tenure has coincided with a sharp increase in enforcement tactics under the administration, including the killings of Renee Good and Alex Prettiby immigration officers in Minnesota in January.

ICE has cycled through multiple acting leaders in recent years and has lacked a Senate-confirmed director. Lyons’ departure comes at a pivotal moment for the agency as it navigates ongoing legal challenges and political divisions tied to the administration’s hardline immigration crackdown agenda. In recent months, Lyons has faced growing scrutiny, including a court order requiring him to appear before a federal judge over concerns that the agency failed to comply with directives related to detainees’ rights.

Earlier Thursday, Lyons testified before a House Appropriations subcommitteewhere he faced questions from lawmakers over ICE’s budget, enforcement priorities and compliance with court orders.

During the hearing, Lyons defended the agency’s recent surge in operations, arguing that increased resources were necessary to carry out its mission, while acknowledging ongoing legal challenges and scrutiny surrounding detainee treatment and due process protections.

Before assuming the top post, Lyons previously held senior roles within ICE’s Enforcement and Removal Operations division, where he helped oversee deportation efforts nationwide.

Following the announcement of his resignation, White House border czar Tom Homan said Lyons “served selflessly as a highly respected and effective” as the acting ICE chief.

“I commend him for a distinguished law enforcement career and the countless contributions he has made to protect our country and advance its interests,” Homan said in a statement.

White House Deputy Chief of Staff Stephen Miller praised Lyons as a “phenomenal patriot and dedicated leader.”

Didi Martinez is a freelance field producer for MS NOW.

Ebony Davis is a breaking news reporter for MS NOW based in Washington, D.C. She previously worked at BLN as a campaign reporter covering elections and politics.

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