Politics
Trump administration pauses some Medicaid funding to Minnesota
WASHINGTON (AP) — Vice President JD Vance announced Wednesday that the Trump administration would “temporarily halt” some Medicaid funding to the state of Minnesota over fraud concernsas part of what he described as an aggressive crackdown on misuse of public funds.
Vance, who made the announcement with Dr. Mehmet Oz, the administrator for the Centers for Medicare and Medicaid Services, said the administration was taking the action “in order to ensure that the state of Minnesota takes its obligations seriously to be good stewards of the American people’s tax money.”
Oz, who referred to people committing fraud as “self-serving scoundrels,” said the federal government would hold off on paying $259.5 million to Minnesota in funding for Medicaid, the health care safety net for low-income Americans.
“This is not a problem with the people of Minnesota, it’s a problem with the leadership of Minnesota and other states who do not take Medicaid preservation seriously,” Oz said.
Wednesday’s move is part of a larger Trump administration effort to spotlight fraud around the country. That effort comes after allegations of fraud involving day care centers run by Somali residents in Minneapolis prompted a massive immigration crackdown in the Midwestern city, resulting in widespread protests. President Donald Trump, in his State of the Union address on Tuesday, announced Vance would spearhead a national “war on fraud.”
Trump also recently nominated Colin McDonald to serve as the first assistant attorney general in charge of a Justice Department division dedicated to rooting out fraud.
Minnesota pushes back
Oz said the administration was simultaneously notifying Minnesota’s Democratic Gov. Tim Walz as he was making the announcement publicly.
“We will give them the money, but we’re going to hold it and only release it after they propose and act on a comprehensive corrective action plan to solve the problem,” Oz said.
He said Walz would have 60 days to respond and advised health care providers and Medicaid beneficiaries who were concerned to contact Walz’s office.
Walz, former Vice President Kamala Harris’ 2024 running mate, said in a pair of social media posts that the administration’s move had nothing to do with fraud.
“This is a campaign of retribution. Trump is weaponizing the entirety of the federal government to punish blue states like Minnesota,” Walz said. “These cuts will be devastating for veterans, families with young kids, folks with disabilities, and working people across our state.”
Minnesota Attorney General Keith Ellison said in a statement that his team has secured over 300 Medicaid fraud convictions since he took office in 2019. And he noted that he called on the Legislature earlier Wednesday to give him more staff and new legal tools to combat Medicaid fraud.
“Courts have repeatedly found that their pattern of cutting first and asking questions later is illegal, and if the federal government is unlawfully withholding money meant for the 1.2 million low-income Minnesotans on Medicaid, we will see them in court,” Ellison said.
Oz said the Centers for Medicare and Medicaid Services were also taking action to crack down on fraud in Medicare, the health care system relied upon by millions of older adults.
He said CMS for six months would block any new Medicare enrollments for suppliers of durable medical equipment, prosthetics, orthotics or other supplies used to treat chronic conditions or assist in injury recovery.
The Office of the Inspector General for the U.S. Department of Health and Human Services found last year that Medicare improperly paid suppliers nearly $23 million for durable medical equipment from 2018 through 2024. But it found that most of that was before January 2020, when changes to the system were implemented.
Oz also announced a new crowdsourcing effort he said would help “crush fraud” by soliciting Americans’ tips and suggestions.
“All of us are smarter than any one of us,” he said.
In a news release accompanying the announcement, CMS said the funding being paused in Minnesota included some $244 million in unsupported or potentially fraudulent Medicaid claims and about $15 million in claims involving “individuals lacking a satisfactory immigration status.”
Immigrants who are not living in the U.S. legally, as well as some lawfully present immigrants, are not allowed to enroll in the Medicaid program that provides nearly-free coverage for health services.
CMS said in the release that if Minnesota fails to satisfy its requirements, it may defer up to $1 billion in federal funds to the state over the next year. CMS spokesperson Catherine Howden said the agency’s review of potential fraud cases would include sampling claims to see if they comply with federal requirements, and potentially requesting more information about specific claims.
Akeiisa Coleman, the senior program officer for Medicaid at the Commonwealth Fund, said CMS was taking a “highly unusual step” in deferring funding. She said if the state doesn’t have enough funds available, it may have to halt payments to providers, which could affect care.
Democratic-run states face cutoffs
The administration has threatened to cut off funding for various programs for some Democratic-run states over fraud concerns over the last few months.
One judge blocked those actions and required that payments flowing to Minnesota and four other states — California, Colorado, Illinois and New York — for a variety of social service programs. The government had said that there was “reason to believe” that those states were granting benefits to people in the country illegally. It did not initially explain where that information came from, but a government lawyer told the judge it was largely in reaction to news reports about possible fraud.
Another judge said she would not let it cut off funding for administrative costs for 22 states that have refused to hand over information about applicants and recipients of food aid through the Supplemental Nutritional Assistance Program.
The latest action was prompted in part by a series of fraud cases, including a nonprofit called Feeding Our Future accused of stealing pandemic aid meant for school meals. Prosecutors have put the losses from that case at $300 million.
Since then, Trump has targeted the Somali diaspora in Minnesota with immigration enforcement actions and has made a series of disparaging comments about the community. During his State of the Union address on Tuesday, Trump said “pirates” have “ransacked Minnesota.”
Federal agencies have also been enlisted to assist in targeting fraud in Minnesota.
Last December, the U.S. Treasury Department issued an order requiring money wire services that people use to send money to Somalia to submit additional verification to the Treasury.
The Center for Medicare and Medicaid Services told Minnesota in January that it intended to freeze parts of payments for some Medicaid programs that were deemed high-risk. The state said that those cuts would add up to more than $2 billion annually if they lasted and made an administrative appeal.
___
Associated Press writers Geoff Mulvihill in Philadelphia, Steve Karnowski in Minneapolis and Fatima Hussein in Washington contributed to this report.
Politics
2028 Democrats say anyone can win. Voters aren’t so sure.
NEW YORK — A fear of losing again is already shaping how Democrats think about 2028.
Chants of “run again!” reverberated through the packed room as Kamala Harris spoke Friday at the National Action Network convention, a gathering of Black voters, lawmakers and power brokers that saw drop-ins from a steady stream of potential presidential candidates. But several Black attendees openly questioned whether anyone other than a straight, white man can win the White House.
“The Democratic Party, they’re going to have to consider … who can win? Who can win, Black, white, who can win?” the Rev. Kim Williams, 63, a New Yorker and registered independent said in an interview.
“I don’t think [the country is] ready for another different type of person,” said Annette Wilcox, a 69-year old New Yorker.
It’s an open question the party is grappling with in the wake of Harris’ decisive 2024 loss to President Donald Trump. Conversations with a dozen people on the sidelines of the Rev. Al Sharpton’s gathering found some lingering concerns that America remains too bigoted — and that as a result, the desire to diversify the highest reaches of government is in tension with the desire to win.
In interviews, several of the prospective 2028 Democrats themselves argued that anyone can win. They poured into the midtown Manhattan ballroom over the week to build their relationships with Black voters for what became a barely-hidden shadow primary.
Sen. Ruben Gallego, a first-term Democrat who won statewide in Arizona despite Harris losing the state, told Blue Light News on the sidelines of the convention that the party shouldn’t let fear narrow who ultimately runs.
“If you got stuck into this idea of what an ideal character is … you could potentially miss some really great talent,” said Gallego, who leaned intohis identity as a Latino veteran in his 2024 campaign.
Maryland Gov. Wes Moore, another possible 2028 candidate, said that he doesn’t “know many people back in 2022 who thought that an African American who had never held political office in his life was gonna be the next governor of Maryland.”
“People want to know, does your message meet a moment,” he added.
On stage with Sharpton on Friday, Harris seemed to agree. She made her most explicit overture at running again for the presidency, telling the audience she was “thinking about it” — to loud cheers and applause. Her appearance at the convention energized an otherwise largely staid event.
But even Harris, the first Black and South Asian woman to become vice president, has tacitly acknowledged the limitations of the country.
In her latest book, she divulged that former Transportation Secretary Pete Buttigieg — another 2028 contender who also made a pit-stop at NAN — was her top vice presidential pick in 2024. But she didn’t select him because she didn’t believe the country was ready for both a woman of color and a gay man in the White House.
A spokesperson for Harris declined to comment.
Some women, from former first lady Michelle Obama to various convention attendees disappointed by Harris’ 2024 loss, have said the U.S. isn’t ready for a female president.
“I believe the current climate of this country is not ready for a Black woman as president,” Aaliyah Payton, 30, a middle school teacher in the Bronx, said while waiting to see Harris speak on the third day of the convention in a line that spanned far outside the convention room.
“If Kamala Harris is running as a Democrat, and there is another white man also running as a Democrat, she would have a tough time winning,” said 60-year-old Donna Carr, who lives in New Jersey. “It’s a man’s world.”
“I’m not going to lie, it may be too soon,” said 27-year-old New Yorker Justina Peña when asked if Harris should run again.
The same handwringing roiled the 2020 Democratic presidential primary, and voters ultimately selected Joe Biden — a more moderate straight white man — to block Trump from winning a second consecutive term.
The debate within the Democratic Party over what kind of candidate is electable played out again most recently in Texas, where the Democratic Senate primary was defined by tensions over race and concerns over which candidate could unify enough Democrats, independents and disillusioned Republicans to flip the red state. Voters chose seminarian James Talarico, a white man, over political firebrand Jasmine Crockett, a Black woman, in the end.
“We saw it with the race with Crockett, and I saw a woman say she wanted to vote for Crockett, but she knew she could not win against [a] white male Republican,” said Williams, the 63-year-old reverend.
Now, those conversations are already emerging for 2028 before a single Democrat has officially announced a bid for the White House. The question over 2028 ambitions hovered over Moore, Gallego, Harris, Buttigieg, Illinois Gov. JB Pritzker, Pennsylvania Gov. Josh Shapiro and California Rep. Ro Khanna this week — and while nobody said they officially are, nobody ruled it out. Kentucky Gov. Andy Beshear and Arizona Sen. Mark Kelly are slated to speak on Saturday.
Buttigieg has dismissed concerns over his viability, including in a direct response to Harris’ revelation of why she didn’t choose him as a running mate in 2024.
“My experience in politics has been that the way that you earn trust with voters is based mostly on what they think you’re going to do for their lives, not on categories,” Buttigieg told POLITICO in a September interview.“Politics is about the results we can get for people and not about these other things.”
Some of the Black voters at the conference similarly expressed frustration with the idea that candidates’ identities should be a consideration in the looming 2028 primary.
“My concern — biggest concern — is when we get into a crisis like this in this country, people want to go to the ‘center,’ which usually is right of center in my view. A lot of people get kind of left out,” said Wilcox, the 69-year-old New York voter.
“In my experience, or history I’ve had with the Democratic Party, I feel like when that happens, Black people get tossed to the side.”
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