Skip to main content
Category

News

NEW REPORT: Trump, Musk, and RFK Jr.’s Destruction of HHS Will Hurt Millions of Americans

From Cancer Patients and Pregnant Women to Seniors with Alzheimer’s and Kids with Autism – Report Shows Trump’s Dismantling of HHS Isn’t Streamlining Government, It’s Risking Lives

Click here to read the new report.

Washington, D.C. — Protect Our Care is releasing a new report detailing who will be hurt by Donald Trump, RFK Jr., and Elon Musk’s massive cuts and layoffs at HHS. Rather than lowering costs or improving care, Trump and MAGA Republicans are focused on slashing essential health programs to bankroll more tax breaks for the wealthy. The report comes as the administration proposes cutting one-third of HHS’s budget, continues to freeze grant payments, and suspends FDA food safety inspections. Across the Mall, Republicans in Congress continue to pursue devastating cuts to Medicaid. Republicans are waging a full-scale attack on Americans’ health care, and the deadly consequences are only beginning to surface.

These GOP cuts aren’t ‘draining the swamp’ or making government more efficient. They are tearing apart the programs and health care Americans count on and endangering American lives. By slashing HHS, Trump and Musk are targeting women, children, people with disabilities and chronic illnesses, cancer patients, seniors with Alzheimer’s, pregnant women and infants, people of color, and more. Trump and his administration are ripping care and critical research away from the Americans who need it most. They are undermining the safety of our food and water, slashing vital programs that protect kids from lead poisoning or help prevent domestic violence, and eliminating millions of dollars in research and innovation around cancer, diabetes, children’s health, and so much more.

“These cuts are more than just chaotic and uninformed – they are dangerous and deadly,” said Protect Our Care Chair Leslie Dach, Former Senior Counselor to Obama’s HHS Secretary. “Trump and RFK Jr., with the help of Elon Musk, have launched a senseless attack on the programs that keep Americans safe and healthy. These cuts target couples looking for the best IVF care, people with mental health or substance use disorders, low-income children enrolled in Head Start, and every American who’s ever worried about whether their food, drugs, or cosmetics are free of harmful chemicals. And the scary part is that we are only beginning to understand the devastating impacts these unprecedented cuts will have on public health and our health care system.”

Here’s a summary of who will be hurt: 

  • Women: Gutted research funding for women’s health issues and programs around reproductive health, sexual and domestic violence prevention, and maternal health
  • People with disabilities: Cut Meals on Wheels and the agency helping people with disabilities live independently
  • Children: Dismantled offices administering key child care programs and programs around asthma control, lead poisoning prevention, school shootings, and more
  • People fighting cancer and chronic illnesses: Eliminated and delayed critical research and jeopardized critical data
  • Seniors: Halted Alzheimer’s and other research and dissolved the agency responsible for supporting seniors and community living programs
  • People battling addiction and mental health issues: Gutted agencies combating drug overdoses and mental illnesses, regulating tobacco, and working to improve care
  • LGBTQ+ individuals and people of color: Eliminated research on health care disparities and inequity and targeted programs aimed at addressing diseases that disproportionately impact LGBTQ+ individuals and people of color

New Polling Shows Widespread Popularity of Expanding Medicare Drug Negotiations

While Republicans Work With Big Drug Companies to Ban Medicare Negotiation, Polling Shows Voters Across the Political Spectrum Support Expanding Lower Prices for Hard-Working Families

New polling from Fabrizio Ward commissioned by Arnold Ventures found that more than two-thirds of voters across the country and the political spectrum want to give Medicare power to negotiate lower prices for ALL drugs – expanding the Drug Price Negotiation Program, not contracting it. Medicare recently started negotiating the prices of some drugs for people with Medicare, but some in Congress are threatening to take that away – banning the negotiation of lower prices. 

Donald Trump and his Republican allies are working to weaken or ban Medicare from negotiating lower drug prices, which would increase costs for seniors and taxpayers –  all to line the pockets of big drug companies. Donald Trump recently signed an executive order designed by big drug companies to delay Medicare drug price negotiations. If Republicans ban or severely limit Medicare from negotiating lower drug prices, polling confirms that they will be turning their backs on their own constituents.

Meanwhile, Democrats lowered drug prices for people with Medicare without a single Republican vote, and they have since been fighting to expand these drug savings for hard-working families and give Medicare the authority to negotiate lower costs for more drugs more quickly. 

No Matter the Political Party Affiliation, Voters Want the Government to Negotiate Lower Drug Prices. 88 percent of all voters and 86 percent of Trump voters say it is important for the government to negotiate prices. 

A Majority of Voters Want Medicare to Negotiate the Price for All Prescription Drugs Right Now. 66 percent of Trump voters and 67 percent of swing voters want Medicare to negotiate the prices of all the prescription drugs it buys right now. And when given the choice between saving money to pay for Trump’s tax cuts by expanding Medicare negotiations or by cutting Medicaid, voters choose lowering drug prices by nearly 70 points.

A Large Majority Believe Prescription Prices Are Too High. 89 percent of all voters, including 89 percent of Trump voters, think Americans spend too much on prescription drugs. 

Over 90 Percent of Voters Want Congress to Reduce Prescription Drug Costs. 78 percent of all voters say it is very important and 13 percent of all voters say it is fairly important for Congress to take action. 

HEADLINES: SCOTUS Hears Arguments In Kennedy v. Braidwood, The Case That Puts Free Preventative Care At Risk

Yesterday, the Supreme Court heard oral arguments in Kennedy, et al. v. Braidwood, a case in which far-right extremists are seeking to invalidate a key portion of the Affordable Care Act (ACA) that requires insurers to cover lifesaving preventive services for free, including cancer screenings, statins to address high cholesterol levels, mental health screenings, and HIV prevention medication. Providing no-cost coverage of lifesaving screenings and services has saved innumerable lives, improved health outcomes, and reduced disparities in care. In total, over 150 million Americans have benefited from this provision of the ACA. Read more about the case here. Last week, Protect Our Care held a press call warning of the threats to American health care posed by the case.

Court watchers report the Supreme Court seems poised to reject the right-wing plaintiffs’ claims, but the threat does not stop there. Given the Trump administration’s ongoing attacks on experts, science, and health care, they are likely to undermine the availability of free vaccines, contraception, mental health, and other critical services.

Politico: Supreme Court Appears to Reject Conservative Argument Over Obamacare Provision.

  • “But while President Joe Biden’s Justice Department argued that eliminating the coverage requirements would harm the public’s health, Trump’s attorneys focused exclusively Monday on Kennedy’s supervisory power. That argument has made progressive health advocates who filed amicus briefs in the case nervous — particularly given Kennedy’s views about vaccines and other preventive health care that contradict the medical community’s consensus, as well as his reported desire to overhaul other HHS advisory committees.”

Jezebel: This Supreme Court Case Underscored How Much Power RFK Jr. Has Over Our Health Insurance.

  • “Leslie Dach, a former HHS aide who now leads the group Protect Our Care, told Politico: ‘We are very, very nervous that they will take a sledgehammer to vaccines, take a sledgehammer to contraception and a number of other preventative services that the American people benefit from and need.’”

Axios: ACA Preventive Care Case Reaches Supreme Court.

  • “Progressive advocacy groups remain concerned that the Trump administration could use its authority to limit coverage of vaccines, contraception and other scientifically backed preventive services. ‘We’re going to have to remain very, very vigilant in seeing how the administration, which thankfully is defending the law now, behaves when the power is in their hands,’ Leslie Dach, chair of Protect Our Care, told reporters last week.”

Politico: Obamacare Returns to SCOTUS, With Preventive Care on the Line.

  • “‘It’s important that they’re looking to protect this authority, but we’re hoping that they’re not just doing it because they want the ability to ruin our health care,’ said Leslie Dach, a former senior counselor at HHS who now leads the group Protect Our Care. ‘We are very, very nervous that they will take a sledgehammer to vaccines, take a sledgehammer to contraception and a number of other preventative services that the American people benefit from and need.’”

The Hill: SCOTUS to Hear Obamacare Free Care Case.

  • “‘The minute that provision gets struck down … we will be back at the mercy of the insurance companies. They’ll still get the same premium from you, but they’ll offer less services,’ said Leslie Dach, executive chair of the Democratic-aligned group Protect Our Care.” 

Politico Pulse: Obamacare in Court … Again.

  • “‘It’s important that they’re looking to protect this authority, but we’re hoping that they’re not just doing it because they want the ability to ruin our health care,’ said Leslie Dach, a former senior counselor at HHS who now leads the group Protect Our Care. ‘We are very, very nervous that they will take a sledgehammer to vaccines, take a sledgehammer to contraception and a number of other preventative services that the American people benefit from and need.’”

AP News: US Supreme Court Appears Likely to Uphold Obamacare’s Preventive Care Coverage Mandate.

  • “The case could have big ramifications for the law’s preventive care coverage requirements for an estimated 150 million Americans. Medications and services that could be affected include statins to prevent heart disease, lung cancer screenings, HIV-prevention drugs and medication to lower the chance of breast cancer for high-risk women.”

ABC News: Supreme Court Divided Over Obamacare Mandate for No-Cost Preventive Health Benefits.

  • “‘The ACA’s preventive services requirement has been a game-changer, providing access to evidence-based preventive care and early detection of serious medical conditions,’ said Wayne Turner, a senior attorney at the National Health Law Program, a nonprofit group that advocates for low-income communities. ‘The ACA’s coverage and cost-sharing protections are especially important for low-income persons, who will be harmed most if the Supreme Court refuses to allow the ACA provision to stand.’”

The New York Times: Supreme Court Wrestles With Challenge to Affordable Care Act Over Free Preventive Care. 

  • “But the case, Kennedy v. Braidwood Management, could have broader implications for tens of millions of Americans who receive a wide array of free health care services, including cancer and diabetes screenings, medications to reduce heart disease and strokes, and eye ointment for newborns to prevent infections causing blindness. A ruling in favor of the challengers could mean that insurers would no longer be required to offer free coverage for any care the United States Preventive Services Task Force has recommended since 2010.”

CBS: Dispute Involving Affordable Care Act’s Preventive Care Coverage Faces Supreme Court.

  • “If the Supreme Court affirms the decision of the U.S. Court of Appeals for the 5th Circuit, major hospital associations and leading nonprofits advocating on behalf of breast cancer and HIV patients have warned it would limit access to life-saving medical care for millions of patients, as insurers would no longer be required to cover at no cost to patients the services recommended by the task force.”

CNN: Supreme Court Could Help Preserve Obamacare’s No-Cost Preventive Care Task Force.

  • “At stake is the ability of millions of Americans to access cost-free services under the Affordable Care Act such as cancer screenings, statins that help prevent cardiovascular disease, PrEP drugs that help prevent HIV infections, and counseling referrals for pregnant and postpartum women at increased risk of depression. The task force’s recommendations were challenged by a Texas business, Braidwood Management, that objected on religious grounds to covering certain preventive services, including the PrEP medications.”

The Washington Post: Challenge to ACA Preventive-Care Panel Draws Skepticism From Supreme Court.

  • “Health-care providers and nonprofit organizations say the closely watched case could affect critical health services for many Americans who might otherwise not have access to them.”

Fierce Healthcare: Supreme Court Appears Willing to Save ACA Preventive Services Task Force.

  • “‘Stepping back and looking at the bigger picture, the challengers’ claim is supposedly about political accountability,’ said Andrew Pincus, a partner at law firm Mayer Brown. ‘But if that is what they really were after, it’s been achieved: the government agrees that the Secretary can control whether recommendations become binding on private parties through his power to appoint and remove USPSTF members and his power to issue regulations determining when and whether recommendations become effective.’”

The Advocate: Justices Kavanaugh & Barrett Signal They May Uphold Access to PrEP and Preventative Care Protections. 

  • “The case began as a religious objection to PrEP and has expanded into a full-blown assault on the ACA’s preventive care guarantees. LGBTQ+ and public health advocates warn that a ruling in favor of the plaintiffs would allow insurers to begin denying or charging for services currently guaranteed to be free—like STI testing, diabetes screening, contraception, and maternal care.”

Mother Jones: The Latest Supreme Court Case Targeting the ACA Comes from a Longtime Anti-Gay Activist.

  • “‘The people who are going to be hurt most are the people who can’t just pull out a credit card and pay full cost for a service, or pay a $50 co-pay or an $80 co-pay,’ says Wayne Turner, senior attorney at the National Health Law Program. ‘It is a literal lifesaver for people to be able to have some early detection.’” 

Fierce Healthcare: ‘At the Mercy of Insurance Companies’: Supreme Court Braces for ACA Preventive Coverage Suit Oral Arguments.

  • “‘I think at the end of the day, we need to make sure we understand this is going to mean more deaths at even a higher cost to Americans, and there’s no question that there’s savings down the line when we do this,’ said Georges Benjamin, M.D., executive director at the American Public Health Association. If the provision is overturned, it will lead to more deaths from cancer, strokes and drug use, he added.”
  • “‘It was an easy choice,’ said Minnesota Attorney General Keith Ellison in a press briefing April 16. ‘First, the plaintiff’s argument doesn’t hold up and relies on bad faith reading of the appointments clause, and the court could also take steps to repair the provision in question without destroying these essential programs.’”

STAT: In Braidwood v. Kennedy, Supreme Court Is Hearing Challenge to ACA Rule Requiring Free Preventive Care.

  • “‘This is about giving them the power, to some extent. This is a fight to say, the secretary has the power. If they win, they can uphold the experts’ recommendations or attempt to veto them, which then would likely trigger a court challenge,’ said Andrew Pincus, a lawyer representing the American Public Health Association in an amicus brief filed to the Court.”

Washington Examiner: Supreme Court Skeptical Of Undoing Obamacare Preventive Coverage Mandates.

  • “Braidwood Management, a Texas Christian-owned business, argued that the task force members ought to be construed as ‘primary officers,’ meaning it is unconstitutional for them to be appointed by the secretary of Health and Human Services, as they are today. Instead, they should be subject to presidential appointment and Senate confirmation under the appointment clause of the Constitution.”
  • “If the court rules in favor of Braidwood, all changes that the task force has made since 2010 would be invalidated, including the HIV medication PrEP, cancer screenings, and certain maternal care measures.”

STAT: Opinion: Employers Should Continue Waiving Preventive Care Out-Of-Pocket Costs Regardless Of How Supreme Court Rules.

  • “The Supreme Court has several options in this case: It could rule narrowly or broadly in favor of the plaintiffs, rule against them, or avoid making a substantive ruling altogether. A narrow ruling for the plaintiffs might apply only to their specific circumstances, leaving preventive care provisions intact for other employers. A broader ruling could eliminate the requirement for insurers to cover services recommended by the USPSTF without cost-sharing — potentially limited to those recommendations issued after 2010, including PrEP. A very broad decision could strike down all preventive service mandates under the Affordable Care Act. Alternatively, the court may rule against the plaintiffs entirely or decline to decide the case on procedural grounds.”
  • “Preventive health care coverage has proven to be a worthwhile benefit that saves lives and improves health. Regardless of the Supreme Court decision, there are compelling reasons for employers to maintain coverage of preventive services without cost sharing like deductibles and copays.”

NEW: District-Level Fact Sheets Expose House Republicans’ Hypocrisy As They Move to Slash Medicaid 

Protect Our Care’s New District-Specific Fact Sheets Cover Key Republican Lawmakers from AZ, CA, NY, PA, WA, IA, CO, MI, and NJ 

Washington D.C. – Protect Our Care is releasing new district-level fact sheets that expose key House Republicans for lying to the American people about their scheme to gut Medicaid in order to fund tax breaks for the wealthy and large corporations. The fact sheets cover ten Republicans from swing districts as well as four GOP members of the Energy & Commerce Committee who are currently tasked with cutting $880 billion from Medicaid.

In addition to outlining the lies from each Congressman, each fact sheet outlines past budget votes, the number of constituents – including seniors, children, and people with disabilities –  whose health care would be put at risk, and research proving Republicans’ proposed $880 billion in cuts will take Medicaid benefits away from people.

“Republicans are only weeks away from ripping health care away from millions of Americans, including their own voters,” said Protect Our Care Chair Leslie Dach. “They are lying to their constituents at home while continuing to vote for dismantling Medicaid in Washington.”

April is Medicaid Awareness Month, and Protect Our Care is leading the charge to defend Medicaid and the care that Americans count on with its “Hands Off Medicaid” campaign. The campaign includes TV, digital, and radio ads targeting Republican-held swing districts, report releases, and events around the country. 

Click below to access each district-specific fact sheet:
David Schweikert (AZ-01)
David Valadao (CA-22)
Young Kim (CA-40)
Ken Calvert (CA-41)
Nick LaLota (NY-01)
Andrew Garbarino (NY-02)
Mike Lawler (NY-17)
Ryan Mackenzie (PA-07)
Rob Bresnahan (PA-08)
Dan Newhouse (WA-04)
Mariannette Miller-Meeks (IA-01)
John James (MI-10)
Tom Kean Jr. (NJ-07)
Gabe Evans (CO-08)

TODAY: Protect Our Care Holds Events Across the Nation Headlined By  Senator Gallego and Reps. Pocan and Latimer

***MEDIA ADVISORY FOR APRIL 22***

Protect Our Care Is Holding Events in New York, California, Iowa, Arizona, and Wisconsin

Today, Protect Our Care is holding events across the country to call on Republicans to put an end to their war on health care, including any cuts to Medicaid in the upcoming budget. These events are just a few of the 30+ events Protect Our Care is organizing during April recess as we work to defend Medicaid from devastating cuts. Protect Our Care is also collaborating with SEIU to host events discussing the importance of Medicaid to patients, workers, and communities.

House Republicans have pressed forward with their budget, which includes $880 billion in cuts to Medicaid to fund tax breaks for the wealthy and large corporations. Speakers will address the urgent need for Congress to stop Republican efforts to slash Medicaid and call on lawmakers to protect access to affordable health care, not take it away.

April is Medicaid Awareness Month, and Protect Our Care is leading the charge to defend Medicaid and the care that Americans count on with its “Hands Off Medicaid” campaign. The campaign includes TV, radio, and digital ads targeting Republican-held swing districts, report releases, and events around the country. 

TUESDAY

NEW YORK

WHO:
Representative George Latimer (NY-16)
White Plains Mayor Tom Roach
New York health care advocates

WHAT: Medicaid Awareness Month Event

WHERE:  White Plains Adult Community Center, 65 Mitchell Place, White Plains, NY 10601

WHEN: Tuesday, April 22, 2025 at 11:45 AM ET

CALIFORNIA

WHO:
SEIU
California health care advocates

WHAT: Medicaid Rally in Representative Young Kim’s District (CA-40)

WHERE:  180 N. Riverview Drive, Anaheim, CA

RSVP: Event Sign-Up

WHEN: Tuesday, April 22, 2025 at 11:30 AM PST // 2:30 PM ET

IOWA

WHO:
Antonia Rivera, Progress Iowa
Sue Dinsdale, Iowa Citizen Action Network
Gabriela Fuentes, Planned Parenthood
Randy Dillon from Fairfield, Iowa
Jill Kordick, Health care administration, Warren County
Elizabeth Feldman

WHAT: Congresswoman Miller-Meeks Office Visit

WHERE:  Rep. Miller-Meeks’ Indianola Office, 126 N Howard St, Indianola, Iowa 50125

WHEN: Tuesday, April 22, 2025 at 2 PM CT // 3 PM ET

ARIZONA

WHO:
Senator Ruben Gallego
Healthcare Rising Arizona (SEIU)
Reproductive Freedom for All
Morgan Finkelstein, POC Arizona 

WHAT: “Save Medicaid Town Hall”

WHERE: Location available upon RSVP.

WHEN: Tuesday, April 22, 2025 at 12 PM AZT // 3 PM ET

WISCONSIN

WHO:
Representative Mark Pocan (WI-02)
Opportunity Wisconsin
Protect Our Care Wisconsin
Climate Power
The Main Street Alliance
Working Families Party
Family Friendly Wisconsin
Committee to Protect Health Care

WHAT: Rep. Mark Pocan Town Hall

WHERE:  Cappella Performing Arts Center, 721 King St, La Crosse, WI 54601

WHEN: Tuesday, April 22, 2025 at 5 PM CT // 6 PM ET

Trump’s War on Health Care: Public Health Watch

“He’s the same Bobby Kennedy, 100%” – RFK Jr.’s extreme anti-vaccine beliefs reach the forefront of his leadership of HHS

Welcome to Public Health Watch, a weekly roundup from Protect Our Care tracking catastrophic activity as part of Donald Trump’s sweeping war on health care. From installing anti-vaccine zealot RFK Jr. as Secretary of HHS to empowering Elon Musk to make indiscriminate cuts to our public health infrastructure, including the National Institutes of Health and the Centers for Disease Control, Donald Trump is endangering the lives of millions of Americans. Protect Our Care’s Public Health Watch will shine a spotlight on the worst of the Trump/RFK/Musk war on vaccines, science and public health and serve as a resource for the press, public and advocacy groups to hold them accountable. 

What’s Happening In Public Health?

Catastrophic Cuts Are Creating Chaos And Endangering Americans’ Health And Scientific Innovation

CNN: Internal Trump administration document reveals massive budget cut proposal for federal health agencies The Trump administration is formulating plans to cut roughly a third of the federal health budget, eliminate dozens of programs and vastly whittle down health agencies, according to an internal document reviewed by CNN. The preliminary memo, sent from White House budget officials to the Department of Health and Human Services, previews the administration’s plans to slash discretionary federal health spending and rework health agencies in the image of President Donald Trump and HHS Secretary Robert F. Kennedy Jr’s “Make America Healthy Again” mandate. The document, dated April 10, could still be finalized with changes. If enacted as is, it could cut total federal health spending by tens of billions of dollars a year. It would also consolidate dozens of health programs and departments into the Administration for a Healthy America (AHA), a new entity unveiled by Kennedy during mass layoffs earlier this month. The plan calls for steep cuts to the Centers for Disease Control and Prevention, which would see its budget reduced by more than 40% under the administration’s proposal. It also eliminates CDC’s global health center and programs focused on chronic disease prevention, and domestic HIV/AIDS prevention. While some of the agency’s work would be moved into new AHA centers, programs on gun violence, injury prevention, youth violence prevention, drowning, minority health and others would be eliminated entirely.

CBS: Beyond Ivy League, RFK Jr.’s NIH Slashed Science Funding Across States That Backed Trump  The National Institutes of Health’s sweeping cuts of grants that fund scientific research are inflicting pain almost universally across the U.S., including in most states that backed President Trump in the 2024 election. A KFF Health News analysis underscores that the terminations are sparing no part of the country, politically or geographically. About 40% of organizations whose grants the NIH cut in its first month of slashing, which started Feb. 28, are in states Mr. Trump won in November. The Trump administration has singled out Ivy League universities including Columbia and Harvard for broad federal funding cuts. But the spending reductions at the NIH, the nation’s foremost source of funding for biomedical research, go much further: Of about 220 organizations that had grants terminated, at least 94 were public universities, including flagship state schools in places such as Florida, Georgia, Ohio, Nebraska, and Texas. The Trump administration has canceled hundreds of grants supporting research on topics such as vaccination; diversity, equity, and inclusion; and the health of LGBTQ+ populations. Some of the terminations are a result of Mr. Trump’s executive orders to abandon federal work on diversity and equity issues. Others followed the Senate confirmation of anti-vaccine activist Robert F. Kennedy Jr. to lead the Department of Health and Human Services, which oversees the NIH. Many mirror the ambitions laid out in Project 2025’s “Mandate for Leadership,” the conservative playbook for Trump’s second term.

Washington Post: DOGE begins to freeze health-care payments for extra review The U.S. DOGE Service is putting new curbs on billions of dollars in federal health-care grants, requiring government officials to manually review and approve previously routine payments — and paralyzing grant awards to tens of thousands of organizations, according to 12 people familiar with the new arrangements. The effort, which DOGE has dubbed “Defend the Spend,” has left thousands of payments backed up, including funding for doctors’ and nurses’ salaries at federal health centers for the poor. Some grantees are waiting on payments they expected last week.

Wired: HHS Systems Are in Danger of Collapsing, Workers Say Much of the IT and cybersecurity infrastructure underpinning the US health system is in danger of a possible collapse following a purge of IT staff and leadership at the Department of Health and Human Services (HHS), four current and former agency workers tell WIRED. This could put vast troves of public health data, including the sensitive health records of hundreds of millions of Americans, clinical trial data, and more, at risk of exposure. As a result of a reduction in force, or RIF, in the Office of the Chief Information Officer (OCIO), the sources say, staff who oversee and renew contracts for critical enterprise services are no longer there. The same staff oversaw hundreds of contractors, some of whom play a crucial role in keeping systems and data safe from cyberattacks. And a void of leadership means that efforts to draw attention to what the sources believe to be a looming catastrophe have allegedly been ignored.

New York Times: Leading Nutrition Scientist Departs N.I.H., Citing Censorship For the past two decades, Kevin Hall, a nutrition and metabolism scientist at the National Institutes of Health, has devoted his career to studying how people’s diets affect their health. He has led some of the world’s most important research on ultraprocessed foods, including one study that demonstrated, for the first time, that they caused people to overeat. This linked ultraprocessed foods to chronic conditions like Type 2 diabetes and obesity. Dr. Hall had planned to keep doing this work for many years — and hoped it might accelerate under the health secretary, Robert F. Kennedy Jr., who has said that fixing the nation’s food supply is a priority. But now, at 54, he is retiring early. In an interview with The New York Times, Dr. Hall said his decision was driven in part by several instances in which federal officials censored his work. In one, he said he was barred from speaking freely with reporters about a study that might have been seen as contradicting Mr. Kennedy’s stance on the addictive nature of ultraprocessed foods, which include products like chicken nuggets, hot dogs, packaged cookies and chips. “We experienced what amounts to censorship and controlling of the reporting of our science,” Dr. Hall said, adding that he was worried that if he stayed, officials might also interfere with the design and execution of his studies. “That would make me hate my job every day,” he added.

Medpage Today: Medical Journals Get Letters From DOJ A federal prosecutor sent a letteropens in a new tab or window to a medical journal editor, probing whether the publication is “partisan” when it comes to “various scientific debates.” Edward R. Martin Jr., U.S. Attorney for the District of Columbia, sent a list of questions to CHEST Editor-in-Chief Peter Mazzone, MD, MPH, of the Cleveland Clinic, asking how the journal handles “misinformation” and “competing viewpoints,” among other things. MedPage Today has learned that at least two other journals have received similar letters. “It has been brought to my attention that more and more journals and publications like CHEST Journal are conceding that they are partisans in various scientific debates,” the letter stated. Martin’s letter asks five questions, including how the journal assesses its “responsibilities to protect the public from misinformation,” and how it “clearly articulate[s] to the public when you have certain viewpoints that are influenced by your ongoing relations with supporters, funders, advertisers, and others.” It also asks whether the journal accepts manuscripts from “competing viewpoints” as well as how it assesses the role of “funding organizations like the National Institutes of Health in the development of submitted articles.” Finally, it asks how the journal handles allegations that authors “may have misled their readers.” “I am also interested to know if publishers, journals, and organizations with which you work are adjusting their method of acceptance of competing viewpoints,” Martin wrote. “Are there new norms being developed and offered?”

Health Impacts:

Local Impacts: 

Chaotic Firings and Re-Hirings:

Cruel and Destructive Policy Changes:

The FDA Is Being Dismantled – Stalling Drug Development And Leaving Us Vulnerable To Food-Borne Illness 

CBS: FDA making plans to end its routine food safety inspections, sources say Senior Food and Drug Administration leaders are planning for cutbacks to the number of routine food and drug inspections conducted by the agency, multiple officials say, due to steep layoffs this week in support staff.  Around 170 workers were cut from the FDA’s Office of Inspections and Investigations, according to two federal health officials who were not authorized to speak publicly.  The Department of Health and Human Services has said layoffs ordered by Secretary Robert F. Kennedy Jr., with some 10,000 workers let go from the department, would not directly cut FDA’s inspections staff. But in meetings among federal health officials, the agency’s remaining leaders have grappled with how to deal with major delays and disruptions caused by the loss of administrative and management staff who had supported the agency’s inspectors, according to two FDA officials.

  • Reuters: US FDA suspends food safety quality checks after staff cuts The Food and Drug Administration is suspending a quality control program for its food testing laboratories as a result of staff cuts at the Department of Health and Human Services, according to an internal email seen by Reuters. The proficiency testing program of the FDA’s Food Emergency Response Network is designed to ensure consistency and accuracy across the agency’s network of about 170 labs that test food for pathogens and contaminants to prevent food-borne illness.
  • NBC:   A deadly E. coli outbreak hit 15 states, but the FDA chose not to publicize it An E. coli outbreak linked to romaine lettuce ripped across 15 states in November, sickening dozens of people, including a 9-year-old boy in Indiana who nearly died of kidney failure and a 57-year-old Missouri woman who fell ill after attending a funeral lunch. One person died. But chances are you haven’t heard about it.   The Food and Drug Administration indicated in February that it had closed the investigation without publicly detailing what had happened — or which companies were responsible for growing and processing the contaminated lettuce. According to an internal report obtained by NBC News, the FDA did not name the companies because no contaminated lettuce was left by the time investigators uncovered where the pathogen was coming from.  

Wall Street Journal: Drug Development Is Slowing Down After Cuts at the FDA Biotech companies developing drugs for hard-to-treat diseases and other ailments are being forced to push back clinical trials and drug testing in the wake of mass layoffs at the Food and Drug Administration. Significant delays in the FDA’s core functions—such as approving amendments to clinical trials and guiding companies through processes for drug approval—are hindering the ability to develop drugs, say industry officials. Those setbacks are contributing to drugs taking longer to get through clinical trials and ultimately reach patients—and straining dollars for testing new possible treatments, say people familiar with the matter.

Bloomberg: FDA’s Baby Formula Research Gutted After RFK Jr. Safety Pledge US Food and Drug Administration researchers working on ways to make powdered infant formula safer were told earlier this month they’d be let go, just weeks after Health and Human Services Secretary Robert F. Kennedy Jr. vowed to make the newborn staple healthier. Kennedy announced what he dubbed Operation Stork Speed last month to scrutinize infant formula ingredients and increase testing for heavy metals. Two weeks later, about 15 of 20 workers in the FDA’s Division of Food Processing Science and Technology in Illinois were told their jobs were being eliminated, according to a person familiar with the matter who asked not to be named for fear of reprisal. The cuts included about six workers focused on reducing contamination in powdered infant formula. The research was started after infant deaths linked to a bacteria called Cronobacter sakazakii led to nationwide formula shortages in 2022, the person said. Abbott Laboratories shut down a Michigan factory after FDA inspectors found Cronobacter in the plant, leading to an interruption in the nation’s supply.

Additional FDA News: 

RFK Jr. Is An Extreme MAGA Anti-Vaxxer Who’s Breaking His “Assurances” To Key Republicans To Get Confirmed And Mis-Managing HHS 

Stat: ‘The same Bobby Kennedy’: How RFK Jr.’s vaccine criticism came rushing back Robert F. Kennedy Jr. downplayed his past criticism of vaccines as he sought to become the nation’s health secretary. Now, just two months after winning confirmation, he’s frequently returning to rhetoric from his time as perhaps the most prominent vaccine critic in the U.S. In recent interviews and appearances, Kennedy has suggested without evidence that some vaccines are risky, argued that others don’t work at all, promoted fringe treatments for a vaccine-preventable disease, called the FDA a “sock puppet” for the industries it regulates, called the state of a key U.S. vaccine safety system “outrageous,” and moved to study — and, by September, potentially determine — the causes of rising rates of autism, which he has previously blamed on vaccines. To those who worked closely with him to foment skepticism of vaccines, his recent remarks sound familiar. “He’s the same Bobby Kennedy, 100%,” said Mary Holland, CEO of Children’s Health Defense, the anti-vaccine advocacy group Kennedy founded. “I think that he’s on the right track.”

  • Axios: RFK Jr.’s potential future targets HHS Secretary Robert F. Kennedy Jr.’s vaccine skepticism may be the hallmark of his public persona, but his and his followers’ questioning of the medical and pharmaceutical establishment goes much deeper. Why it matters: In recent weeks, it’s become pretty clear that Kennedy’s views haven’t changed all that much from his pre-HHS days. That could have implications that go far beyond vaccines and put him at even greater odds with the industries he’s charged with regulating, let alone mainstream science. If his past views hold up, antidepressants, ADHD medication and drugs that use mRNA technology — both those on the market and those under development — could end up as his next targets. In fact, some of his words and actions since being nominated and confirmed as the nation’s top health official suggest they’re already on his list.

Politico: ‘Whole generation of kids is damaged’: RFK Jr. takes MAHA on the road Robert F. Kennedy Jr. and Dr. Mehmet Oz took the Make America Healthy Again movement on the road Tuesday, reveling in their power to shape public health in an appearance riddled with false statements and dubious claims. Kennedy, the Health and Human Services secretary, spoke of the current “crisis” of chronic disease, autism and reminisced about his childhood years when rates of diseases such as diabetes were significantly lower. “This whole generation of kids is damaged by chronic disease,” he said, while advancing incorrect statistics on everything from vaccines to obesity rates.

Stat: RFK Jr. plans changes to vaccine injury reporting system Health secretary Robert F. Kennedy Jr. said Tuesday that he plans to roll out changes to a vaccine monitoring system to automate and increase data collection as well as look for negative impacts of the shots.  Reforming the current Vaccine Adverse Event Reporting System has long been part of Kennedy’s agenda to raise questions about the safety of immunizations that are currently in use. While the general idea of improving the system is uncontroversial, Kennedy has exaggerated the extent to which side effects of vaccinations go unrecorded, according to researchers. “It’s outrageous that we don’t have a surveillance system that functions,” he said at a Make America Healthy Again event in Indiana, noting that the agency would add datasets to study the effects of vaccinations. “We’re going to find out what contribution vaccines and everything else — mold, [electromagnetic fields], food, all of these other exposures [that] began in the late 1980s — which one of those are the culprits? I suspect we’re going to see that there’s a lot of culprits, but we need to know.”

USA Today: RFK Jr. claims ‘leaky’ measles vaccine wanes over time. Scientists say he’s wrong. Health and Human Services Secretary Robert F. Kennedy Jr. said the measles vaccine is “leaky” because its effectiveness wanes over time, something medical experts dispute. Kennedy, a vaccine skeptic who now oversees the nation’s federal health agencies, said the Centers for Disease Control and Prevention is doing a “very good job” of controlling the measles outbreak that has infected more than 700 Americans in 25 states as of April 10. But Kennedy suggested the vaccine effectiveness wanes at a rate of nearly 5% a year – an assertion not backed by scientists

Associated Press: Video shows doctor with measles treating kids. RFK Jr later praised him as an ‘extraordinary’ healer A Texas doctor who has been treating children in a measles outbreak was shown on video with a measles rash on his face in a clinic a week before Health Secretary Robert F. Kennedy Jr. met him and praised him as an “extraordinary” healer. Dr. Ben Edwards appeared in the video posted March 31 by the anti-vaccine group Kennedy once led, Children’s Health Defense. In it, Edwards appears wearing scrubs and talking with parents and children in a makeshift clinic he set up in Seminole, Texas, ground zero of the outbreak that has sickened hundreds of people and killed three, including two children. Edwards is asked whether he had measles, and he responded, “Yes,” then said his infection started the day before the video was recorded.

Other MAHA Activities:

RFK’s Comments About Autism Draw Widespread Condemnation And Calls For His Resignation 

New York Times: Kennedy Calls Autism ‘Preventable,’ Drawing Ire From Researchers In remarks laced with scientific inaccuracies, Robert F. Kennedy Jr., the secretary of the Department of Health and Human Services, said on Wednesday that autism was preventable while directly contradicting researchers within his own agency on a primary driver behind rising rates of the condition in young children. Mr. Kennedy made his comments at a news conference, responding to a new report from the Centers for Disease Control and Prevention showing that rates of autism had increased to one in 31 among 8-year-olds, continuing a long-running trend. Blaming environmental risk factors for the uptick, he accused the media and the public of succumbing to a “myth of epidemic denial” when it came to autism. He also called research into the genetic factors that scientists say play a vital role in whether a child will develop autism “a dead end.” “Genes don’t cause epidemics,” he said. “You need an environmental toxin.”

CNN: Many in the autism community say RFK Jr. is pushing harmful and regressive rhetoric about who they are At his first news conference as head of HHS, Kennedy said this week that the rising rate of autism in the country is an “individual tragedy” and “catastrophic for our country.” A new report from the US Centers for Disease Control and Prevention found that autism rates in 8-year-olds in the US rose from 1 in 36 in 2020 to 1 in 31 in 2022. The increase continues a long-term trend that experts have largely attributed to better understanding of and screening for the condition. But Kennedy has rejected that concept, instead pushing the idea that autism is “preventable” and part of a “chronic disease epidemic” that “destroys” children and families. “These are kids who will never pay taxes. They’ll never hold a job. They’ll never play baseball. They’ll never write a poem. They’ll never go out on a date. Many of them will never use a toilet unassisted,” Kennedy said Wednesday. People with autism, their families and advocates were quick to refute Kennedy’s comments.

The Daily Beast: RFK Jr. Scrambles to Defuse Outrage Over His Autism Claims as Elizabeth Warren Calls for Resignation Robert F. Kennedy Jr. is in full damage-control mode after causing outrage with his comments about autism during his first official press briefing as health secretary. Kennedy, a longtime vaccine skeptic, attempted to dial back the controversy in a sit-down Thursday night with Fox News’ Sean Hannity. He had triggered a firestorm by claiming that people with autism—a neurodevelopmental disorder—will never play baseball, go out on dates, pay taxes, write poems, or hold down a job. He also described autism as a “preventable disease” caused by a mysterious environmental toxin. Kennedy has long claimed a link between vaccines and autism. The Health and Human Services Department’s Centers for Disease Control and Prevention is reportedly conducting a study examining potential links between vaccines and autism—despite the theory having been thoroughly debunked by extensive scientific research. “You actually got emotional yesterday while talking about children suffering from [autism],” Hannity said. “You said they’ll never hold a job, they’ll never pay taxes… people mistook that. Then you said they’ll never play baseball… they’ll never go out on a date, they’ll never be able to live unassisted lives.” Kennedy attempted to clarify that he wasn’t referring to all people with diagnosed with autism, but only to those who are “nonverbal”, meaning that they do not communicate using spoken language.

Stat: RFK Jr. promises autism answers by September. Prominent researchers and advocates have heard little  Robert F. Kennedy Jr. says the country will soon know what is causing a rise in autism rates, but there is little sign he has a team in place yet. Nearly two dozen prominent voices from mainstream autism research and in the anti-vaccine world said they have not been approached by Kennedy, and have no details about the proposed studies.  On Wednesday, the health secretary appeared at a press conference alongside Walter Zahorodny, director of a New Jersey autism surveillance study. They highlighted a new report from the Centers for Disease Control and Prevention that suggests autism prevalence rose to 1 in 31 among 8-year-olds — a benchmark Kennedy used to justify more research. “This is part of an unrelenting upward trend,” Kennedy said at the event, during which he called autism a preventable disease. “Within three weeks, probably — we’re hoping two weeks — we’re going to announce a series of new studies to identify precisely what environmental toxins are causing it. This has not been done before, and we’re going to do it in a thorough and precise way. And we’re going to get back to the American people with an answer very, very quickly.”  Kennedy said the studies would look at mold, pesticides, food, air, water, and medicines, with a particular focus on exposures that increased during the late 1980s (around when the U.S. saw a large uptick in autism diagnoses). Parental age and health status would also be studied, he said. The studies will supposedly involve university researchers around the world and arrive at “some of the answers” by September. But even Zahorodny, who was featured at the press conference, had no clue about Kennedy’s new autism research initiatives. “I’d like to learn about them, too. Before Monday, I never had contact with HHS or Mr. Kennedy,” Zahorodny told STAT before the conference.  Other researchers in the world of autism — who study drivers, risk factors, and predictors of the disorder — responded similarly when asked by STAT if they were involved in the project. Experts at 10 specialized autism research groups across the country said they had not been approached by HHS officials about it. Even members of the Interagency Autism Coordinating Committee, which harmonizes and guides autism research across federal health agencies, knew nothing about Kennedy’s project.

Washington Post: Autism rate rises in new CDC report that contradicts RFK Jr. on cause One in 31 8-year-olds had autism in U.S. communities examined by the Centers for Disease Control and Prevention, a small increase from previous years, according to a report released Tuesday. The study comes as autism is attracting intense interest from President Donald Trump and Secretary of Health and Human Services Robert F. Kennedy Jr., who have made the condition a priority for the new administration. Kennedy first shared the central finding of the biennial surveillance report in a Cabinet meeting last week, during which he vowed to discover the causes of the condition and eliminate “those exposures.” For years, Kennedy has linked the rising prevalence of autism to vaccines, despite voluminous scientific research that has debunked that claim. In a statement reacting to the report Tuesday, Kennedy said the “autism epidemic is running rampant.” Autism is a spectrum of neurological conditions that affect how people communicate, behave and interact with others. The Trump administration is launching a research program to investigate its causes, but a body of research already demonstrates the condition is primarily genetic and influenced by environmental factors that are still under investigation. Responding to Kennedy in the Cabinet meeting, Trump described the 1-in-31 figure, compared with 1-in-36 in the previous report, as a “horrible statistic.” He posited that there’s “something artificial out there that’s doing this.” Kennedy later blamed the rising autism prevalence on “an environmental toxin.” The CDC report undercuts claims by Kennedy and Trump, instead attributing the recent increase to better screening. The report used 2022 data to examine cohorts of 4-year-old and 8-year-old children in 16 communities. It focused on the prevalence of autism among 8-year-olds, who are more likely to have been diagnosed by that age, using 4-year-old children as a measure of early detection.

More fallout from RFK Jr.’s autism speech:

Disastrous, Dangerous Appointments

The New Republic: Trump’s New Medicaid Chief Has Boneheaded Idea to Lower Drug Costs Dr. Mehmet Oz made a particularly useless comment Friday, after being sworn in as Donald Trump’s administrator for the Centers for Medicare and Medicaid Services. “It is your patriotic duty, I’ll say it again, the patriotic duty of all Americans to take care of themselves because it is important for serving in the military, but it is also important because healthy people don’t consume health care resources,” Oz said during a ceremony at the White House. “The best way to reduce drug spending is to use less drugs ’cause you don’t need them, ’cause you’re healthy. And it feels a lot better, as well.”

Public Health Threats

Associated Press: Michigan and Pennsylvania join six other states with measles outbreaks. Here’s what to know The U.S. has 800 cases of measles nationwide as of Friday, and two more states identified outbreaks this week. Texas is driving the high numbers, with an outbreak centered in West Texas that started nearly three months ago and is up to 597 cases. Two unvaccinated elementary school-aged children died from measles-related illnesses near the epicenter in Texas, and an adult in New Mexico who was not vaccinated died of a measles-related illness. Other states with active outbreaks — defined as three or more cases — include Indiana, Kansas, Michigan, Oklahoma, Ohio, Pennsylvania and New Mexico. The U.S. has more than double the number of measles cases it saw in all of 2024.

  • CBS: Large number of measles cases being missed, CDC says  A large number of measles cases are being missed by health authorities, a Centers for Disease Control and Prevention official said Tuesday, as the agency is now struggling to keep up with requests for support from states responding to outbreaks.  “We do believe that there’s quite a large amount of cases that are not reported and underreported,” said Dr. David Sugerman, senior scientist for the CDC’s measles response this year. Sugerman’s remarks, at a meeting Tuesday of the CDC’s Advisory Committee on Immunization Practices, mark the first time that a CDC official has been made available by the Trump administration to field questions publicly about the record measles outbreak this year.

CBS: CDC scraps plan to help Texas schools curb measles over layoffs, employee says  The U.S. Centers for Disease Control and Prevention has scrapped a plan to offer help curbing measles in Texas schools after some staff working on the agency’s response to this year’s record outbreak of the virus were warned they could face layoffs, an agency employee said. CDC officials had initially weighed expanding a service they had been offering to hospitals in Texas — onsite assessments to root out how errors in ventilation and air filtration could be enabling spread of the virus – to other kinds of facilities like schools as well.  “Being on the ground allows us to actually look at the filters that are in place, look at the HVAC systems, how they’re set up, how they’re being used, how they’re being monitored. And after seeing what we did, I’m glad we did,” Dylan Neu, who had led the CDC’s ventilation assessments in Texas, told CBS News. Neu is a biomedical engineer for the CDC’s National Institute of Occupational Safety and Health, or NIOSH, which was largely eliminated by Health and Human Services Secretary Robert F. Kennedy Jr.’s first wave of layoffs earlier this month.

Politico: CDC is ‘scraping’ to find resources to help Texas with measles, official says A top CDC scientist said the agency is scrambling to pull together the means to support states amid the ongoing measles outbreak. “We are scraping to find the resources and personnel needed to provide support to Texas and other jurisdictions,” Dr. David Sugerman, a senior scientist in the Division of Viral Diseases, said today at a virtual meeting of the agency’s panel of outside vaccine advisers. “There are funding limitations, in light of Covid-19 funding dissipating.”

CBS: As bird flu hits cattle herds in U.S., scientists say these H5N1 factors worry them most  As the H5N1 bird flu virus mutates and rapidly spreads through American cattle herds — a first for the U.S. — doctors and veterinarians are fearful that if the virus is left unchecked, it could spiral into a possible pandemic Avian influenza is constantly changing. Every new infection increases the odds bird flu could potentially become more deadly or easily transmissible between humans, infectious disease expert Dr. Kamran Khan warns. Today, the virus does not spread person to person, but Khan warns that could change. His company BlueDot was among the first to flag the virus in China that led to the COVID pandemic. Khan said bird flu is just as concerning. Khan said he wants people to know “this is a very serious threat to humanity” and that the longer bird flu is left to spread, “the greater the risks are going to be.” “We are really at risk of this virus evolving into one that has pandemic potential,” Khan said. “And the reality is none of us know whether this is next week, or next year, or never. I don’t think it’s never. But it may be here far sooner than any of us would like.”

Public Health Threats Around The World:

Opinion and Commentary

THIS WEEK: Protect Our Care Holds Events Across The Nation, Blasting Republicans for Cutting Medicaid and Putting Health Care for Millions in Jeopardy

***MEDIA ADVISORY FOR APRIL 21 – 25, 2025***

Protect Our Care Holds Events In Alaska, Arizona, California, Iowa, Maine, Minnesota, New York, North Carolina, Pennsylvania, West Virginia, Wisconsin

This week, Protect Our Care is hosting 18 events in 11 states, headlined by Senators Peter Welch (D-VT), Ruben Gallego (D-AZ), Representatives Gwen Moore (WI-04), Paul Tonko (NY-20), Mark Pocan (WI-02), and George Latimer (NY-16), and former Representative Gabby Giffords to call on Republicans to put an end to their war on health care, including any cuts to Medicaid in the upcoming budget. Protect Our Care is also joining events alongside SEIU to discuss the importance of Medicaid to patients, workers, and communities.

House Republicans have pressed forward with their budget, which includes $880 billion in cuts to Medicaid to fund tax breaks for the wealthy and large corporations. Speakers will address the urgent need for Congress to stop Republican efforts to slash Medicaid and call on lawmakers to protect affordable access to health care for Americans, not take it away.

April is Medicaid Awareness Month, and Protect Our Care is continuing its “Hands Off Medicaid” campaign with theme weeks to underscore the importance of Medicaid across the country. Alongside partners, lawmakers, and other advocates, Protect Our Care is working to defend Medicaid from the Republican-led plan to slash funding to pay for another round of tax cuts for the wealthy and big corporations. 

MONDAY

ARIZONA

WHO:
Former Representative Gabby Giffords, GIFFORDS Co-Founder
Mini Timmaraju, Reproductive Freedom for All, President and CEO
Arizona State Senator Priya Sundareshan
Dr. Lawrence DeLuca, Associate Professor of Emergency Medicine at the University of Arizona, Emergency and Critical Care Physician
Dr. Tori Fewell, Assistant Professor at the University of Arizona/Banner and Arizona Section, Chair of the American College of OB/GYN

WHAT: Medicaid Roundtable

WHERE:  Location available upon RSVP

WHEN: Monday, April 21, 2025 at 11 AM AZT // 2 PM ET

CALIFORNIA

WHO:
SEIU
California health care advocates

WHAT: Medicaid Rally in Representative Ken Calvert’s District (CA-41)

WHERE:  73710 Fred Waring Drive, Palm Desert, CA

RSVP: Event Sign-Up

WHEN: Monday, April 21, 2025 at 11:30 AM PST // 2:30 PM ET

ALASKA

WHO:
Stand Up Alaska
SEIU 775
Alaska Caregivers Union
Amber Lee, Protect Our Care Alaska

WHAT: Petition Delivery

WHERE: Representative Nick Begich’s Anchorage office, 1016 W Sixth Ave, Suite #406, Anchorage

WHEN: Monday, April 21, 2025 at 12 PM AKT // 4 PM ET

NEW YORK

WHO:
Senator Peter Welch (D-VT)
Representative Paul Tonko (NY-20)

WHAT: Medicaid Defense Event

WHERE:  Veterans of Foreign Wars (VFW) Post #125, 116 Boynton Avenue, Plattsburgh, NY

RSVP: Contact Elizabeth St. Onge at 202-841-4917

WHEN: Monday, April 21, 2025 at 5:30 PM ET

TUESDAY

NEW YORK

WHO:
Representative George Latimer (NY-16)
New York health care advocates

WHAT: Medicaid Awareness Month Event

WHERE:  White Plains Adult Community Center, 65 Mitchell Place, White Plains, NY 10601

WHEN: Tuesday, April 22, 2025 at 11:45 AM ET

CALIFORNIA

WHO:
SEIU
California health care advocates

WHAT: Medicaid Rally in Representative Young Kim’s District (CA-40)

WHERE:  180 N. Riverview Drive, Anaheim, CA

RSVP: Event Sign-Up

WHEN: Tuesday, April 22, 2025 at 11:30 AM PST // 2:30 PM ET

IOWA

WHO:
Antonia Rivera, Progress Iowa
Sue Dinsdale, Iowa Citizen Action Network
Gabriela Fuentes, Planned Parenthood
Randy Dillon from Fairfield Iowa
Jill Kordick, Health care administration, Warren County
Elizabeth Feldman

WHAT: Congresswoman Miller-Meeks Office Visit

WHERE:  Rep. Miller-Meeks’ Indianola Office, 126 N Howard St, Indianola, Iowa 50125

WHEN: Tuesday, April 22, 2025 at 2 PM CT // 3 PM ET

ARIZONA

WHO:
Senator Ruben Gallego
Healthcare Rising Arizona (SEIU)
Reproductive Freedom for All
Morgan Finkelstein, POC Arizona 

WHAT: “Save Medicaid Town Hall”

WHERE:  TBA

WHEN: Tuesday, April 22, 2025 at 12 PM AZT // 3 PM ET

WISCONSIN

WHO:
Representative Mark Pocan (WI-02)
Opportunity Wisconsin
Protect Our Care Wisconsin
Climate Power
The Main Street Alliance
Working Families Party
Family Friendly Wisconsin
Committee to Protect Health Care

WHAT: Rep. Mark Pocan Town Hall

WHERE:  Cappella Performing Arts Center, 721 King St, La Crosse, WI 54601

WHEN: Tuesday, April 22, 2025 at 5 PM CT // 6 PM ET

WEDNESDAY

WISCONSIN

WHO:
Representative Gwen Moore (WI-04)
Rachel Crites
Felicia Clayborne
Chamomile Stevens
Terri Hart-Ellis
Lisa Orvis
Joe Zepecki, Protect Our Care Wisconsin

WHAT: Medicaid Awareness Month Event

WHERE:  Independence First, 540 S 1st St, Milwaukee, WI 53204

WHEN: Wednesday, April 23, 2025 at 10 AM CT // 11 AM ET

THURSDAY

WEST VIRGINIA

WHO:
Lynette Maselli, Protect Our Care West Virginia
Delegate John Williams, Morgantown
Ellen Allen, West Virginians for Affordable Health Care
Laura Jones, Milan Puskar Health Right
G.N. Janes, Valley Community Services

WHAT: Medicaid Awareness Month Event

WHERE:  Milan Puskar Health Right, 341 Spruce Street, Morgantown, WV 26505

WHEN: Thursday, April 24, 2025 at 11 AM ET

MAINE

WHO:
State Representative Drew Gattine
Anne Woloson, Consumers for Affordable Health Care
Toby McGrath, Protect Our Care Maine
Maine Medical Association

WHAT: Medicaid Awareness Month Event

WHERE:  Maine State House Welcome Center, Augusta, ME

WHEN: Thursday, April 24, 2025 at 12 PM ET

NORTH CAROLINA

WHO:
State Representative Sarah Crawford
Eric Schneidewind, Former AARP National President
Little Lobbyists
Vanessa Watson, Protect Our Care North Carolina

WHAT: Medicaid Defense Event

WHERE:  301 Hillsborough Street, Raleigh

WHEN: Thursday, April 24, 2025 at 2 PM ET

CALIFORNIA

WHO:
SEIU
California health care advocates

WHAT: Medicaid Rally in David Valadao’s District (CA-22)

WHERE:  2700 M Street, Bakersfield, CA

WHEN: Thursday, April 24, 2025 at 11:30 AM PT // 2:30 PM ET

IOWA

WHO:
Dr Andrea Greiner
Mandi Remington
Pat Kearns
Evelyn Irving
Mike Owen
Ed Esbeck

WHAT: Medicaid Town Hall

WHERE:  Gerdin Conference Center, 520 W Cherry Street, North Liberty

WHEN: Thursday, April 24, 2025 at 6 PM CT // 7 PM ET

ARIZONA

WHO:
Morgan Finkelstein, Protect Our Care Arizona

WHAT: Medicaid Awareness Month Event

WHERE:  Arizona State Capitol, Phoenix, AZ

WHEN: Thursday, April 24, 2025 at 2 PM AZT // 5 PM ET

MINNESOTA

WHO:
TBA
Trent Andersen, Protect Our Care Minnesota

WHAT: Medicaid Awareness Month Event

WHERE:  TBA

WHEN: Thursday, April 24, 2025 at TBA

PENNSYLVANIA

WHO:
TBA
Michael Berman, Protect Our Care Pennsylvania

WHAT: Medicaid Awareness Month Event

WHERE:  TBA

WHEN: Thursday, April 24, 2025 at TBA

Fact Sheet: Republicans Are Working to Gut Medicaid, a Lifeline for People With Mental Health Conditions and Opioid Addiction

This April marks the eighth annual Medicaid Awareness Month. Medicaid is the largest health insurance program in the country, providing health care for over 70 million Americans. About 15 million of those with Medicaid as their insurer experience a mental health condition and roughly 1 million enrollees receive treatment for an opioid addiction. 

Despite its importance to millions of Americans, Trump and Republicans in Congress are determined to gut Medicaid in order to give billionaires and big corporations another tax cut, even if it means dismantling the health care they rely on. Congressional Republicans are pressing forward with their budget, which will slash $880 billion from Medicaid, putting the health care of tens of millions of Americans at risk. A recent report by the Joint Economic Committee found that the cuts to Medicaid, proposed by Republicans, would significantly harm mitigation efforts to stop the opioid epidemic. Defunding Medicaid means thousands of people would lose access to addiction treatment. Recent polling found there is broad opposition across party lines to any cuts to Medicaid, with 67 percent saying Congress should increase spending on Medicaid or keep it about the same.

During Medicaid Awareness Month, Protect Our Care is continuing its “Hands Off Medicaid” campaign with theme weeks to underscore the importance of Medicaid across the country. Alongside partners, lawmakers, and other advocates, Protect Our Care is working to defend Medicaid from the Republican-led plan to slash funding to pay for another round of tax cuts for the wealthy and big corporations. 

By The Numbers

  • More Than 1 in 3 Nonelderly Adult Medicaid Enrollees Have a Mental Health Condition. Many of these enrollees experience severe symptoms and some experience overlapping mental illnesses which can complicate treatment and impact daily functioning.
  • Adults on Medicaid With Mental Health Conditions Receive Treatment for Their Condition at Rates That Are the Same or Higher Than Those With Private Insurance or Those Who Are Uninsured. In 2023, 59 percent of adults with a mental health condition received treatment through Medicaid compared to 55 percent of privately insured individuals and 37 percent of those who are uninsured.
  • 2.3 Million People With Serious Mental Health Conditions Are Covered by Medicaid. These conditions include bipolar disorder, schizophrenia, and other psychotic disorders. 
  • Two-Thirds of Medicaid Enrollees With a Mental Health Condition Have at Least One Other Chronic Condition. Without Medicaid coverage, many people with comorbidities would be unable to afford care for both a mental health condition and chronic physical disease or illness.
  • Medicaid Expansion Allows 600,000 to Receive Addiction Care. Roughly 1 million Medicaid enrollees depend on the program for addiction care, with more than 60 percent gaining coverage through Medicaid expansion.
  • Without Medicaid, Those With Opioid Addictions Would Have to Choose Between Affording Treatment or Putting Food on the Table. Medicaid spends anywhere from $5,874 to $15,183 per patient that receives opioid treatment. Cutting Medicaid means thousands of people will lose access to addiction treatment and would go uninsured, not replacing their loss of coverage with private insurers.

Americans with Mental Health Conditions Rely on Medicaid for Care. Nearly 50 million Americans struggle with a mental health problem. Of those, about 15 million are on Medicaid, making up about 21 percent of all enrollees, including 2.3 million with a serious mental health condition such as bipolar disorder, schizophrenia, or other psychotic disorders. People with Medicaid for insurance receive care for their mental health conditions at rates higher or similar to private insurers and much higher rates than those who are uninsured. In 2023, 59 percent of adults with a mental health condition received treatment through Medicaid compared to 55 percent of privately insured individuals and 37 percent of those who are uninsured.

Medicaid Provides Crucial Benefits To Children With Autism. Medicaid disproportionately serves children with autism: 5 percent of children aged 3 to 17 with Medicaid and CHIP have autism or autism spectrum disorder, while 2 percent of children with private insurance have autism. Autism is considered a disability under Medicaid allowing individuals with autism to qualify for care through Medicaid. Medicaid covers home and community based services that allow people with autism to participate in their communities. Health coverage is especially important for this population with 97 percent of children with public coverage reporting a coexisting disability, such as a learning disability, developmental delay, speech disorder, or other mental health conditions. Medicaid provides critical funding for schools to get equipment, services, and personnel that students with Individualized Education Plans require to succeed. Medicaid funding ensures schools can provide the wide range of services needed to educate students with disabilities and allows them to comply with Individuals With Disabilities Education Act (IDEA) requirements despite strained school budgets.

Medicaid Is Essential To Combat America’s Youth Mental Health Crisis. Nearly 1 in 5 children in the United States struggle with a mental, emotional, developmental, or behavioral disorder. Medicaid provides 31 million children with the help that they need by requiring states to cover mental health screenings as part of the EPSDT benefit. When asked why they missed class, 16 percent of high school students cited anxiety, and another 12 percent listed sadness and depression, according to a fall 2023 survey. Medicaid is supporting efforts to provide mental health support and helping them show up to school feeling their best.

Mental Health is a Comorbidity For 10 Million Medicaid Enrollees. Comorbidity is when an individual has more than one chronic illness or condition. People with a mental health problem are twice as likely to have comorbidity than those without a diagnosed condition. The most common chronic condition that appears alongside mental illness is substance use disorder. 1 in 4 Medicaid enrollees diagnosed with a mental health condition are also diagnosed with substance use disorder. Chronic physical conditions also commonly occur alongside mental health issues and are reported together in 20 to 70 percent of cases. Anxiety, depression, bipolar disorder, and schizophrenia are linked to 2 out of 3 chronic physical disorders. Without Medicaid coverage, many people with comorbidities would be unable to afford care for both a mental health condition and chronic physical disease or illness. Because of this, patients without coverage  opt for relief from a chronic physical illness or conditions accompanied by chronic pain, while forgoing treatment for their mental illnesses. 

Medicaid is the Largest Payer for Addiction Treatment in the United States.  Roughly 1 million Medicaid enrollees depend on the program for addiction care, with more than 60 percent gaining coverage through Medicaid expansion. Medicaid covers both counseling and service based appointments, as well as life-saving medications such as Naloxone, a medication that reverses opioid overdoses, and other addiction treatment medications. Medicaid enrollees with substance use disorder who received a treatment medication had bills that were 30 percent lower than those who foregone treatment. Studies have shown that for every $1 invested in Methadone, a treatment for opioid addiction, there is a health care savings of up to $4 to $5. Cutting Medicaid means thousands of people will lose access to addiction treatment and would go uninsured, not replacing their loss of coverage with private insurers. Hospitals will also face financial consequences with cuts to Medicaid. Without Medicaid, in 2021 hospitals would have lost $2.4 billion in inpatient treatments of opioid use disorder.  

Medicaid Provides Prevention and Intervention Programs to Stop Early Development of Substance Use Disorders. Medicaid’s Early and Periodic Screening, Diagnostic and Treatment (EPSDT) program provides prevention and intervention of substance use disorders in adolescence. 74 percent of people with substance use disorder who received treatment admitted to starting use at age 17 or younger. EPSDT encourages mental and behavioral health and substance use treatment to be available in communities, limiting the worsening of these diseases into more complex diagnoses. 

FACT CHECK: Trump’s Drug Pricing Executive Order Is A Giveaway To Big Drug Companies And A Ripoff For Seniors

On Tuesday, after months of relentless lobbying and schmoozing from pharmaceutical executives at Mar-a-Lago, President Trump signed an executive order that will pad the pockets of big drug companies and raise seniors’ drug prices. His executive order sells out seniors, goes back on his promises to lower drug costs, and hands pharmaceutical companies exactly what they want. While big drug companies can afford to lose $1 trillion in revenue over a decade and still remain the most profitable industry in the world, seniors cannot afford President Trump’s drug price hikes. The reality of Trump’s executive order directly contradicts numerous headlines published this week. Here’s the truth about President Trump’s latest executive order: 

The Executive Order Is A Huge Giveaway To Big Drug Companies:

  • The executive order aims to delay Medicare from negotiating lower prices for drugs that make up 58 percent of the market, including high-cost lifesaving drugs such as cancer treatments.
  • Delaying Medicare from negotiating lower prices for small molecule drugs for an additional four years is a top lobbying priority of big drug companies, and will cost seniors and taxpayers billions. Voters across all political parties want Congress to expand Medicare negotiation to more drugs on a faster timeline. 
  • The executive order is aimed at helping drug companies escape negotiations and continue to pad their multibillion dollar profits, long after they’ve recouped their research and development costs.
  • If this policy was a part of the original Inflation Reduction Act, seniors would not be able to expect savings on more than half of the drugs that have been selected for lower, negotiated prices. The lower prices on these drugs are expected to save seniors $1.5 billion and taxpayers $6 billion in the first year alone. If this giveaway to pharma is made law, it will cost seniors and taxpayers billions.
  • The executive order is a culmination of nearly $1 billion spent on lobbying by pharmaceutical companies since 2022 in an effort to weaken the Inflation Reduction Act’s measures to lower drug prices.

The Executive Order Does Nothing To Lower Drug Prices:

  • The executive order is nothing but a distraction from Republican efforts to rip away health coverage and hike health care costs while handing out tax breaks to corporations.
  • Instead of going after high drug prices, the policy areas outlined in the executive order harken back to Trump’s failed attempts to lower drug prices in his first term. They largely focus on addressing the role of middlemen like pharmacy benefit managers (PBMs), hospitals, and 340B providers, which will do nothing to limit drug companies’ ability to set high drug prices. 
  • The executive order also relies on importing drugs with lower prices from foreign countries, which Trump started in his first term and has yet to deliver lower cost drugs to patients. 
  • The executive order encourages the development of generic and biosimilar drugs to lower drug prices through competition, but weeks before the executive order was issued, the administration closed the FDA office tasked with accelerating generic drug approvals, which is already slowing drug development. The development of new drugs is also hampered by the Trump administration’s reckless and damaging cuts to the National Institutes of Health, whose funding has supported the development of 99 percent of new drugs released in the last decade.

Trump Has Already Taken Many Actions This Term To Increase Americans’ Drug Prices:

  • Trump is trying to hand out massive tax breaks to big drug companies.
  • Trump eliminated the FDA office tasked with speeding approvals of cheaper generic drugs.
  • Trump eliminated a Biden-era program that would allow seniors to purchase generic drugs for just $2.
  • Trump is also trying to keep affordable drugs out of the hands of patients by revoking a Biden-era policy to require Medicare coverage for anti-obesity drugs. 
  • Trump plans to gut discretionary funding for the implementation of the Inflation Reduction Act, a law that is lowering drug costs for people with Medicare and cracks down on drug companies’ price gouging.
  • Trump’s current plans to add massive tariffs to drugs and drug ingredients imported from abroad will increase drug costs for Americans and lead to drug shortages. 

In His First Term, Trump Cut Drug Companies’ Taxes And Achieved Nothing To Lower Drug Costs:

  • President Trump’s “efforts” to lower drug costs were nothing more than smoke and mirrors while drug prices skyrocketed during his first term. 
  • Trump cut drug companies’ rate by 40 percent and provided incentives for them to move their profits abroad. 
  • During his first term, Trump was full of populist rhetoric and splashy media announcements, but all of his major drug pricing proposals were total failures: 
    • Trump failed to implement the state-sponsored prescription drug importation plan he proposed (which was so cumbersome it wouldn’t have provided timely relief to those who need it);
    • Trump failed to implement his Medicare Part B international reference pricing plan (it was so poorly conceived it was stopped in court); and 
    • Trump’s reforms to the Medicare Part D rebate system never went into effect (they were a giveaway to drug companies and would have resulted in huge Medicare premium increases and increased government spending). 

“An Ounce of Prevention Is Worth a Pound of Cure”: Minnesota AG Keith Ellison, American Public Health Association, Supreme Court Expert Join Protect Our Care to Discuss SCOTUS Oral Arguments in Braidwood Case

Watch the Full Event Here.

Washington, D.C. — Today, Minnesota Attorney General Keith Ellison, Executive Director of the American Public Health Association Georges Benjamin, and experienced Supreme Court and Appellate lawyer Andrew Pincus joined Protect Our Care for a virtual press conference to discuss the upcoming Supreme Court oral arguments in Kennedy, et al. v. Braidwood and the threats to American health care posed by the case. 

Far-right extremists are urging the Supreme Court to invalidate a key portion of the Affordable Care Act (ACA) that requires insurers to cover lifesaving preventive services for free. Eliminating patient fees for these lifesaving screenings and services has transformed how preventive care is delivered, saved countless lives, improved health outcomes, reduced disparities in care, and cut consumer health care costs. Read more about the case here

“An ounce of prevention is worth a pound of cure,” said Minnesota Attorney General Keith Ellison. “Prevention means families will have their loved ones with them longer and be able to enjoy greater health and greater experiences with each other. The plaintiffs are willing to destroy health care for everybody. Legally, they’re on weak grounds, but also on moral grounds, trying to dictate how people’s lives are lived at the end of the day.”

“We’ve had success in increased use of preventive health services since the Affordable Care Act was passed,” said Georges Benjamin, Executive Director of the American Public Health Association. “Should the Supreme Court not agree with our perspective on this, it means more preventable deaths at even a higher cost to Americans. Every American should be appalled at any attempt to remove it.”

“If the Supreme Court sides with the plaintiffs, the covered recommendations would be frozen as of the date that the ACA was enacted,” said Andrew Pincus, an experienced Supreme Court and Appellate Lawyer. “All of the new recommendations that have been adopted in the last 15 years would no longer have to be covered cost-free. This would be a tremendous loss for America, and a tremendous increase in overall health care costs, because it means terrible diseases are not going to be detected, and either people will have to be treated at greater cost, or they will die.”

”Free preventive care services are a lifeline that Americans cannot afford to lose,” said Leslie Dach, Chair of Protect Our Care. “This lawsuit is just the latest in a long line of targeted attacks designed to rip away affordable health care, and it’s everyday Americans who will pay the price. Unfortunately, the threat doesn’t stop with the Supreme Court. Given the Trump administration’s ongoing attacks on health care, we must remain vigilant to ensure access to science-backed preventative services are protected.”