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The Dictatorship

Trump administration admits error in New York health care fraud probe

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Trump administration admits error in New York health care fraud probe

NEW YORK (AP) — President Donald Trump’s administration this week acknowledged it made a significant error in figures it used to help justify a fraud probe into New York’s Medicaid program, a glaring mistake that undercuts a federal campaign to tackle waste, mostly in Democratic-led states.

The error, which the administration admitted first to The Associated Press, prompted health analysts to question how many of the Republican administration’s sweeping anti-fraud efforts around the country were based on faulty findings. One of a few mischaracterizations it made about New York’s Medicaid program, it also reflected a common criticism that’s been made of Trump’s second administration — that it tends to attack first and confirm the facts later.

“These numbers could have been cleared up in a phone call, so it’s really slapdash,” said Fiscal Policy Institute senior health policy adviser Michael Kinnucan, whose recent analysis called attention to the Trump administration’s inaccurate claim.

The mistake appeared in comments made last month by Dr. Mehmet Ozthe administrator of the Centers for Medicare & Medicaid Services, in a social media video and in a letter to New York’s Democratic governor announcing the fraud investigation.

Oz claimed that New York’s Medicaid program last year provided some 5 million people with personal care services, which assist people in need with basic activities like bathing, grooming and meal preparation. That would add up to nearly three-fourths of the state’s 6.8 million Medicaid enrollees.

“That level of utilization is unheard of,” Oz said in the video, adding in his post that New York needs to “come clean about its Medicaid program.”

But the real number of New Yorkers who used those services last year was about 450,000, or between 6% and 7% of total enrollees, CMS spokesman Chris Krepich told the AP this week. He said the agency misidentified New York’s approach to applying billing codes and had since refined its methodology.

“CMS is committed to ensuring its analyses fully reflect state-specific billing practices and will continue to work closely with New York to validate data and strengthen program integrity oversight,” he said in an emailed statement.

Krepich said the probe was ongoing as the administration still has concerns with New York’s oversight of personal care services and the Medicaid program and is reviewing the state’s response to last month’s letter. CMS had raised other flags about New York’s program, including that it spends more per beneficiary and per resident than the average state, has high personal care spending and employs so many personal care aides that the job category is now the largest in the state.

Health analysts said the state’s high spending reflected both high costs for services in New York and a policy choice to provide robust at-home care. Cadence Acquaviva, senior public information officer for the New York Department of Health, called Oz’s initial mischaracterizations “a targeted attempt to obscure the facts.”

“New York State remains committed to protecting and preserving vital Medicaid programs that deliver high-quality services to New Yorkers who depend on them,” she said.

In a statement, a spokesperson for Gov. Kathy Hochul said, “The initial claim by CMS was patently false, and we are glad they now admit it.”

“Governor Hochul has been clear that New York has zero tolerance for waste, fraud and abuse in Medicaid, or any other state programs, and will continue her efforts to root out bad actors, protect taxpayer dollars, and safeguard the critical programs that New Yorkers rely on,” spokesperson Nicolette Simmonds said.

New York probe is part of a larger crackdown

The Trump administration’s investigation into New York comes as it has similarly approached at least four other states, including California, FloridaMaine and Minnesota, with investigations into potential health care fraud. The anti-fraud effort appears to be expanding as voters in the upcoming midterm elections say they’re concerned about affordability.

Trump last month signed an executive order to create an anti-fraud task force across federal benefit programs led by Vice President JD Vance. As part of that project, Vance announced the administration would temporarily halt $243 million in Medicaid funding to Minnesota over fraud concerns, a move over which the state has since sued.

Kinnucan, the analyst with expertise in New York’s Medicaid program, said he’s concerned that the Trump administration’s adversarial approach to targeting fraud in some states “politicizes” a conversation that should be a team effort.

“We want to think collaboratively among all the stakeholders in the program about how we can actually fix it,” Kinnucan said. “We don’t want to have fraud be this political football.”

Oz made other claims New York advocates say are inaccurate

In his video, Oz made at least two other claims about New York that Medicaid advocates and beneficiaries say distorted the facts.

In one instance, he said the state recently made its screening for personal care eligibility “more lenient by allowing problems like being ‘easily distracted’ to qualify for a personal care assistant.”

Rebecca Antar, director of the health law unit at the Legal Aid Society, said the opposite was true — that the state in a rule change that went into effect last September instead made its program requirements more stringent. She said being “easily distracted” doesn’t appear anywhere among them.

Krepich said the administrator was referring to whether New York’s standard for personal care services was “sufficiently rigorous.”

“When standards are overly permissive, it risks diverting resources away from individuals with the highest levels of need and placing long-term pressure on the sustainability of the Medicaid program,” he said.

Oz in the video also referred to personal care services as “something that our families would normally do for us, like carrying groceries.”

Kathleen Downes, a 33-year-old who has quadriplegic cerebral palsy and uses personal care services in New York’s Nassau County, said she was offended by the notion that all Medicaid beneficiaries have family members who are willing and able to help.

Downes, who has been disabled since birth and needs personal care help for things like showering, using the toilet and eating, said she hires both her mother and outside assistants for personal care services, so her aging mother doesn’t have to take on those tasks full time. She said her mother did the labor unpaid for years, precluding her from pursuing other career opportunities.

“He’s assuming that everybody wants to and can just do it for free forever,” Downes said. “And that’s not feasible for a lot of people.”

___

Associated Press writer Anthony Izaguirre contributed to this story.

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The Dictatorship

Trump’s proposed cuts to NASA are an insult to astronauts like the Artemis crew

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Friday’s splashdown of the Artemis II crew, the first to travel to the moon since the Apollo program ended in 1972, is a moment of celebration for all of us on Earth.

But it’s also an important reminder that, despite this success, the current administration’s Office of Management and Budget is proposing budget cuts that will all but dismantle much of NASA. It’s surprising, illogical and very troubling.

The proposed cuts would terminate 53 NASA Science missions, throwing away more than $13 billion in taxpayer investment.

The proposed cuts would terminate 53 NASA Science missions, throwing away more than $13 billion in taxpayer investment and halting the development of nearly every future NASA Science mission.

These cuts would be an insult to our astronauts and entire NASA workforce. Astronauts and their colleagues are civil servants who work hard, accomplish nearly impossible things and represent our country to the world.

It’s an odd choice from an administration that has pledged to put America first, to be sure. But stranger still, and quite personal to me, is the OMB’s proposal to completely end NASA’s STEM (Science, Technology, Engineering, and Math) outreach program, which supports students and teachers nationwide. Programs like this have helped the United States be a world leader in science and technology.

We cannot allow this.

The U.S. has many great institutions, but NASA is a unique part of the American story. NASA is the best brand our nation has. When people around the world think of the U.S. at its best, they think of astronauts exploring the moon, telescopes opening new windows on the cosmos and spacecraft making profound discoveries on other worlds. NASA is who we are when we’re curious, bold and united.

There is also a growing consensus in Washington that we are in a new space race, this time, with the China National Space Administration, which, by the way, is planning to have taikonauts walk on the Moon in 2030. If the race is on, why abandon so much? Why cede the lead? The U.S. cannot be first in space if it is second in science and technology.

The administration proposed almost the same draconian cuts to NASA last year. When it did, we the people fought back. The Planetary Society, along with more than 300 advocates and 19 other partner organizations, went to Washington and organized the largest grassroots advocacy outreach for space science in history. Tens of thousands of citizens from every state and congressional district wrote, called and made their case to their elected officials. Together, we successfully saved NASA.

Now, this year, we have no choice but to fight back. On April 20, we will return to Washington, where people can join in person or join our Save NASA Science campaign online.

Science is not a luxury. It is a responsibility. Our founders knew it; you will find “Science” cited in Article 1, Section 8 of the Constitution. Only a public space agency can sustain decades-long investments in the kind of science that tells us whether life ever existed on Mars, that tracks the asteroids that could threaten every living thing on Earth and that reveals the story of our origin.

NASA’s science program is a bargain for Americans. It accounted for one-tenth of 1% of the nation’s expenditures last year, a tenth of a penny of every tax dollar.

Cutting science would not just delay discovery; it would destroy it. It would shatter our STEM talent pipeline. It would abandon our international partners. And, it would cede U.S. leadership in space science to China and other nations.

NASA’s science program is a bargain for Americans. It accounted for one-tenth of 1% of the nation’s expenditures last year, a tenth of a penny of every tax dollar. And for every dollar spent, three come back into the economy. Every year, NASA generates $75 billion of economic growth and supports over 300,000 jobs in all 50 states.

Members of Congress and the Senate agree: NASA is a remarkable investment. I’ve met with both Republicans and Democrats, all of whom support space science. And last year, an overwhelming bipartisan majority rejected these same cuts.

NASA is what makes America great. It represents our best values: curiosity, determination, tenacity, and global cooperation. It proves that we are capable of extraordinary things. When we invest in scientific exploration, we invest in ourselves — in our economy, security and future.

If we concede and retreat from the frontier of space after a half century of leadership, it would be an unworthy choice. If Artemis II has showed us anything, it’s that the public, across the political spectrum, strongly supports space exploration, scientific discovery and a deeper understanding of the universe and our place within it.

Bill Nye is the chief ambassador at The Planetary Society, the world’s largest space interest organization.

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Artemis II mission splashes down, returning to Earth

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Artemis II mission splashes down, returning to Earth

After making history as the farthest journey into space humans have ever made, NASA’s Artemis II mission returned to Earth on Friday, splashing down off the coast southwest of San Diego.

The Artemis II crew splashed down successfully at 5:07:47 p.m. PT. The Orion spacecraft launched last weekfrom the Kennedy Space Center in Florida, the first crewed flight to the moon in more than 50 years. The entire mission from liftoff took a total of nine days, one hour, 31 minutes and 35 seconds, which NASA rounds up, to call it a 10-day mission.

In the buildup to the mission, questions about the craft’s heat shield led to concerns among some experts about whether Orion would hold up on reentry to the Earth’s atmosphere, the most perilous part of any crewed mission. A NASA-commissioned panel ultimately deemed the ship safewith the astronauts themselves endorsing it ahead of time.

The four-member crew — NASA astronauts Reid Wiseman, Victor Glover and Christina Koch, along with Canadian Space Agency astronaut Jeremy Hansen — embarked on the 10-day mission to fly around the moon, setting the stage for future missions aimed at establishing a permanent lunar base.

After splashdown, NASA administrator Jared Isaacman praised the crew, calling them “wonderful communicators, almost poets,” during an interview Friday evening.

“These were the ambassadors from humanity to the starts that we sent out there,” Isaacman said.

He also emphasized that this mission set the stage for a future moon landing — and base.

“This is not a once in a lifetime … This is just the beginning,” he said during the interview. “We are going to get back into doing this with frequency, sending missions to the moon, until we land on it in 2028 and start building our base.”

On April 6, the spacecraft reached 252,756 miles from Earth, the farthest distance traveled by humans. Artemis II broke the Apollo 13crew’s record of 248,655 miles, set in 1970.

The crew conducted a seven-hour lunar flyby, coming within about 4,000 miles of the moon’s surface and seeing areas of the moon never before seen by the naked eye. In addition to testing the spacecraft, the astronauts studied the far side of the moon during a solar eclipse and observed lunar geological features and color variations.

Now back on Earth, the astronauts will undergo medical evaluations before heading to shore and traveling to NASA’s Johnson Space Center in Houston.

The next such mission, Artemis IIIis expected to launch next year.

Erum Salam is a breaking news reporter for MS NOW, with a focus on how global events and foreign policy shape U.S. politics. She previously was a breaking news reporter for The Guardian.

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Former staffer accuses Rep. Eric Swalwell of sexual assault, reports say

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Former staffer accuses Rep. Eric Swalwell of sexual assault, reports say

A former staffer has accused Democratic Rep. Eric Swalwell, a current candidate for California governor, of reportedly sexually assaulting her.

The allegations were first reported by the San Francisco Chronicle.

The woman, who has not been publicly identified and worked for Swalwell for nearly two years, alleged she had sexual encounters while he was her boss, and he sexually assaulted her on two occasions when she was too intoxicated to consent, the Chronicle reported. The woman told the paper Swalwell began pursuing her weeks after she was hired at age 21 to work in the Democrat’s district in 2019.

The woman claimed Swalwell invited her for drinks in 2019, and during that encounter, she became too intoxicated to remember what happened. She alleged she woke up naked in his hotel bed, and following the incident, he distanced himself and their relationship eventually dissolved.

Five years later, in 2024, the woman alleged she attended a charity gala where Swalwell was honored. After the event, she said they met for drinks and she became intoxicated, but remembers only fragments of the night, including pushing him away and saying “no” as he allegedly forced himself on her. She texted a friend three days later, according to the Chronicle, saying she had been sexually assaulted by Swalwell.

In text messages, independently review by the Chronicle, the woman told her friend she “blacked out” but “woke up once during it and even told him to stop at one point.”

The Chronicle spoke with the woman’s friend and the woman’s ex-boyfriend, who she said she told about the alleged 2024 assault the following day. Both corroborated her story and described her as appearing disoriented.

Medical records, according to the Chronicle, also show she sought pregnancy and sexually transmitted disease tests about a week after the incident.

The woman told the Chronicle she did not immediately tell authorities because she feared people wouldn’t believe she was telling the truth.

Swalwell, who has represented California’s 14th Congressional District since 2013 and launched his gubernatorial campaign earlier this year, strongly denied the claims in a statement Friday.

“These allegations are false and come on the eve of an election against the frontrunner for governor. For nearly 20 years, I have served the public — as a prosecutor and a congressman and have always protected women,” Swalwell said. “I will defend myself with the facts and where necessary bring legal action. My focus in the coming days is to be with my wife and children and defend our decades of service against these lies.”

An attorney for Swalwell sent the woman a cease-and-desist letter on Thursday, according to the Chronicle, accusing her of making false claims of sexual assault and nonconsensual encounters, and warning that legal action would follow if she did not retract the allegations.

In a separate report, three other women spoke with CNNabout alleged various kinds of sexual misconduct, including Swalwell sending them unsolicited inappropriate messages or photos. The messages, the women said, were often sent through Snapchat, which is a social media platform that allows messages to delete automatically and notifies users of screenshots.

“Some of the allegations I’ve seen, which is that we’ve had NDAs in the office — never. There’s never been an allegation, and there’s never been a settlement,” Swalwell told reporters Tuesday.

Political fallout

Swalwell’s campaign initially showed signs of strong momentum in the crowded California governor’s race to replace current Gov. Gavin Newsom, who has called the allegations “deeply troubling.”

“As we continue to learn more, these allegations from multiple sources are deeply troubling and must be taken seriously,” Newsom’s spokesperson said in a statement to MS NOW.

Swalwell’s campaign also benefited from backing from key Democratic allies, positioning him as a viable contender in a fragmented field with no clear front-runner.

But the reports of the allegations, along with separate unverified claimscirculating online, have sparked backlash and prompted some political fallout, including campaign disruptions and heightened attention from rivals. Multiple people resigned from Swalwell’s orbit ahead of Friday’s scathing report of sexual assault, including Courtni Pugh, who served as a strategic adviser.

Rep. Jimmy GomezD-Calif., resignedas co-chair of Swalwell’s campaign, saying in part “he cannot in good conscience remain” in the role and suggesting that Swalell “should leave the race now.” Rep. Adam Gray, D-Calif., also resigned as campaign co-chair and called for Swalwell to suspend the campaign.

Other prominent Democrats also quickly began distancing themselves.

House Democrats issued a joint statement calling for a “swift investigation” and for Swalwell to end his bid.

“All perpetrators of sexual assault and harassment must be held accountable,” House Minority Leader Hakeem Jeffries, D-NY wrote.

Former Speaker Nancy Pelosi declared this an “extremely sensitive matter” and said she discussed with Swalwell that the investigation would be “best done outside of a gubernatorial campaign.”

Sen. Adam Schiff, D-Calif., said he is “deeply distressed” about the allegations surrounding Swalwell and immediately withdrew his endorsement.

“This woman was brave to come forward, and we should take her story seriously,” Schiff said on X. “I am withdrawing my endorsement immediately, and believe that he should withdraw from the race.”

Sen. Ruben Gallego, D-Ariz., called the allegations “indefensible” and also immediately withdrew his endorsement of his longtime ally.

“Women who come forward with accounts like this deserve to be heard with respect, not questioned or dismissed. I regret having come to his defense on social media prior to knowing all the information. I am equally as shocked and upset about what has transpired,” Gallego wroteon X.

Two of Swalwell’s key labor allies, Service Employees International Union of California withdrew and California Teachers Association, retracted their support Friday, marking a significant blow to his campaign.

“The allegations are incredibly disturbing and unacceptable against Rep. Swalwell. We are immediately suspending our support. Our elected board will be meeting as soon as possible to follow our union’s democratic process to determine next steps,” the CTA said in a statement.

Democratic billionaire Tom Steyer said he commends“the brave former staffer who came forward with her story” about Swalwell.

“Speaking out is never easy, and her account must be taken seriously. At a moment like this, we must make sure that women are heard, and justice is pursued,” Steyer added.

Former Rep. Katie Porter called the allegation “horrifying,” adding she is thinking of the courageous women who have come forward to share their stories.”

The California Democratic Party labeled the allegations “deeply disturbing.”

“Any person engaged in misconduct must take responsibility and be held accountable for their actions — including a Member and candidate for Governor,” CADEM Chair Rusty Hicks said.

Swalwell’s Republican gubernatorial opponent, former Fox News host Steve Hilton, blasted Swalwell over the allegations in a statement to MS NOW.

“It’s incredible to me that Eric Swalwell thought he could run for Governor of California while all this was going on,” Hilton said in the statement. “It shows the complete contempt these career politicians have for the public.”

As of Friday evening, Swalwell’s fundraising page on ActBlue appeared to no longer be accepting donations.

Jillian Frankel and Syedah Asghar contributed to this report.

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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