The Dictatorship
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.
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Associated Press writers Geoff Mulvihill in Philadelphia, Steve Karnowski in Minneapolis and Fatima Hussein in Washington contributed to this report.
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.”
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Associated Press writer Anthony Izaguirre contributed to this story.
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.
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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