American Family Children's Hospital, part of the UW Health system, is seen in Madison, Wis., on April 1, 2020. (Photo by Dee J. Hall/Wisconsin Watch)

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• Health care systems including SSM Health, Aurora Health, UW Health and, most recently, Ascension have removed from their websites language related to diversity, equity and inclusion (DEI).

• The changes have come in the months since President Donald Trump has signed executive orders abolishing federal DEI programs.

• UW Health publicly announced changes such as the removal of anti-racism modules titled “Being a leader in anti-racism” and “anti-racism funding” and replacement with modules called “Being a social impact leader” and “Community giving.”

Republished from Wisconsin Watch. 

Multiple Wisconsin health care systems have removed diversity, equity and inclusion language or resources from their websites in the wake of President Donald Trump’s federal ban on funding for DEI programming.

The systems include SSM Health, Aurora Health, UW Health and, most recently, Ascension. Froedtert ThedaCare Health has maintained its DEI webpage, though it removed a link to its equal employment opportunity policy in recent months.

Aurora Health, Ascension, Froedtert and SSM Health made the changes quietly, without directly alerting the public. UW Health, however, released an op-ed in Madison 365 April 8 explaining the changes.

“As we enter the next phase of this important work, we are further aligning with our organizational mission under the name of Social Impact and Belonging,” the op-ed said. “This reflects both the evolved nature of the work and our desire that these mission-focused priorities endure despite the current tumultuous political environment.”

The changes occurred in the weeks after President Donald Trump’s executive order abolishing DEI programs from all federally funded institutions and programs.

The executive order, issued Jan. 20, states the “Biden Administration forced illegal and immoral discrimination programs, going by the name ‘diversity, equity, and inclusion’ (DEI), into virtually all aspects of the Federal Government, in areas ranging from airline safety to the military.”

In response to attacks on DEI programs by the federal government, some organizations have pushed back, arguing Trump’s actions are a threat to a multiracial democracy. Some institutions are also suing the federal government for its actions, such as threatening to withhold federal grants and funding.

Harvard University has filed a lawsuit, citing First Amendment principles to protect “academic freedom” and “private actors’ speech.”

But while some federally funded institutions are pushing back, others are not.

Different approaches to DEI purge

In the past couple of months, SSM Health removed the word “diversity” from its website, including changing a page titled “Our Commitment to Diversity” to “Our Commitment to Culture & Inclusion.”

SSM has hospitals located throughout Wisconsin including Ripon, Fond du Lac, Waupun, Baraboo, Janesville, Madison and Monroe.

In changing the webpage, SSM Health also removed an entire section regarding its commitment to fostering a diverse workplace and health care center, including a section that read, “​​SSM Health makes it a point to work with diverse organizations broadening our reach into the communities we serve to support and promote a more inclusive society.”

SSM Health also notably replaced the section discussing diversity with comment on SSM Health’s mission as a Catholic ministry. On the updated page, the system discusses its commitment to follow in the footsteps of its founders to ensure “all people have access to the high-quality, compassionate care they need.”

In removing the word “diversity,” SSM replaced the statement “At SSM Health, diversity is an integral part of who we are and a reflection of our mission and values” with “At SSM Health, inclusion is an integral part of who we are and a reflection of our Mission, Vision and Values.”

”Today, our belief that every person was created in the image of God with inherent dignity and value calls us to foster a healthy culture, inviting each person to be the best version of themselves,” SSM Health communications consultant Shari Wrezinski said when asked for comment.

Wrezinski said the organization’s mission has remained the same, and its communications, policies, programs and practices reflect the organization’s mission.

“This has not and will not change,” Wrezinski said. “As such, our website and other communications materials are continually updated as we strive to clearly convey our commitment to a welcoming environment where everyone feels valued and respected.”

Despite removing the section on diversity, SSM Health has maintained its equal opportunity section.

Froedtert did the opposite, by maintaining its webpages on diversity, equity and inclusion, but removing its equal opportunity policy document from the pages.

The equal opportunity document, which can still be found online but was removed from the DEI website, specifically outlines Froedtert’s commitment and policy to maintain equitable and nondiscriminatory recruitment, hiring and human resources practices.

The document outlines two policies specifically: “FH is committed to its affirmative action policies and practices in employment programs to achieve a balanced workforce” and “FH will provide equal opportunity to all individuals, regardless of their race, creed, color, religion, sex, age, national origin, disability, military and veteran status, sexual orientation, gender identity, marital status or any other characteristics protected by state or federal law.”

Froedtert did not respond to requests for comment.

The Froedtert system serves patients primarily in the Milwaukee area. Froedtert recently merged with ThedaCare, serving Wisconsin residents in the Fox Valley and Green Bay. In 2020, the system reported receiving tens of millions in federal funding through the CARES Act in response to the COVID-19 pandemic.

While removing a link to an equal opportunity document may be a simple change, the Rev. Marilyn Miller, a partner in Leading for Racial Equity LLC, said every small change pushes society further back in achieving full access and equity.

“So it might be a small tweak now, but what does that open the door to later? So, yeah, it’s impactful because any change that’s stepping back from full equity is a problem,” Miller said. “There’s populations that don’t feel any security anymore.”

Aurora Health Care also has removed DEI language in the past couple of months since the executive order.

In 2018, Aurora merged with Advocate Health, a system with more than 26 hospitals throughout the Midwest. Advocate Aurora Health later merged with Atrium Health in 2022, creating the third largest nonprofit in the nation.

Earlier this year, Aurora removed an entire page on diversity, equity and inclusion. The page now redirects to Advocate’s page titled “Access & Opportunity.”

That change cut statements such as: “Our diversity, equity and inclusion strategy is anchored by our purpose to help people live well and to deliver safe, consistent, and equitable health outcomes and experiences for the patients and communities we serve.”

A spokesperson for Aurora Health Care said the organization will continue to “deliver compassionate, high-quality, consistent care for all those we serve.”

“As our newly combined purpose and commitments state, we lift everyone up by ensuring access and opportunity for all,” the spokesperson said. “To provide our patients and communities clear and consistent information that explains our programs, policies and services, we are making various changes to our websites.”

Ascension, one of the largest nonprofit hospital systems in the nation, took down the entire page on diversity, equity and inclusion. The health care system currently operates at over 165 locations in Milwaukee, Racine, Appleton and Fox Valley.  The system still has modules on “Identifying & Addressing Barriers to Health” and “Ensuring Health Equity.” Ascension did not respond to a request for a comment.

Making a statement

UW Health removed its page on diversity, equity and inclusion, replacing it with a page titled “social impact in belonging.” In doing so, UW Health removed “anti-racism” from its entire website. It used to be one of the main themes.

UW Health removed the anti-racism modules titled “Being a leader in anti-racism” and “anti-racism funding,” and now in their place are modules called “Being a social impact leader” and “Community giving.”

Chief Social Impact Officer Shiva Bidar-Sielaff and CEO Alan Kaplan addressed the changes in a video, stating social impact and belonging align with their mission, values and strategies as a health care organization.

“At UW Health, social impact refers to the effects health care policies, practices and interventions have on the well-being of individuals and communities, improving health outcomes, access to care and quality of life,” Bidar-Sielaff said. “Belonging is the understanding that you are valued and respected for who you are as an individual.”

UW Health reported receiving $315 million in federal funding, totaling over half of the $622 million in grant funds — federal and non-federal — awarded to the School of Medicine and Public Health. That total is 37% of all grant funding awarded to UW-Madison.

Despite claims by health care centers that missions remain the same, advocacy groups in Wisconsin are raising concerns regarding the impact these changes could have on communities in Wisconsin.

Chris Allen, president and CEO of Diverse & Resilient — an advocacy group focused on health inequities for LGBTQ+ people in Wisconsin — said these quiet language shifts are significant.

“They send a message that commitments to addressing disparities may be weakening, even if that’s not the stated intention,” Allen said.

William Parke Sutherland, government affairs director at Kids Forward, a statewide policy center that advocates for low-income and minority families, said many health care partners feel pressured to preserve funding sources.

In Wisconsin, maternal mortality rates are 2.5 times higher for Black women than white women. Maternal morbidities — or serious birth complications — were the highest among Black women and people enrolled in BadgerCare, the state’s largest Medicaid program. From 2020 to 2022 there were 7.8 stillbirth deaths per 1,000 births among Black babies, compared with 4.5 among white babies.

Disparities in maternal and infant mortality rates could be attributed to stress caused by poverty, lack of access to quality care, or systemic racism, according to health care researchers. If a mother is stressed over a long period of time, that can cause elevated levels of stress hormones, which could increase premature births or low birth weights for infants.

For Black women, midwives have been found to reduce the disparities they otherwise may experience during pregnancy, reducing the risk of maternal mortality or morbidity. Access to midwives is currently covered by Medicaid, so losing federal funding could harm these services.

Regardless of language, “Wisconsin’s racial disparities in health access and outcomes aren’t going away on their own,” Sutherland said in an email.

Removing language that acknowledges DEI efforts will not reduce the health care disparities felt by Wisconsin residents, Sutherland said. Federal funding cuts could also hurt rural families in Wisconsin, specifically those who rely on Medicaid for their health care needs.

“We cannot begin to address these challenges if we’re not willing to acknowledge them,” Sutherland said. “A colorblind approach has not helped in the past.”

This article first appeared on Wisconsin Watch and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

Committee Co-Chairs Rep. Mark Born (R-Beaver Dam) and Sen. Howard Marklein (R-Spring Green) said at a press conference ahead of the meeting that they were looking forward to getting to work on the budget despite negotiations stalling and were optimistic that they could still get the budget done on time. (Photo by Baylor Spears/Wisconsin Examiner)

The Wisconsin Legislature’s Joint Finance Committee on Thursday took its first actions on the budget since the breakdown in negotiations between Republican lawmakers and Gov. Tony Evers by approving over $700 million in bonding authority for clean water and safe drinking water projects and taking action on several other agencies.

Committee Co-Chairs Rep. Mark Born (R-Beaver Dam) and Sen. Howard Marklein (R-Spring Green) said at a press conference ahead of the meeting that they were looking forward to getting to work on the budget despite negotiations stalling and were optimistic that they could still get the budget done on time. 

“We’ve had some good conversations in the last few weeks between the governor and the legislative leaders, and unfortunately, those, you know, conversations have stopped,” Born said.

Lawmakers and Evers announced Wednesday evening that their months-long negotiations had reached an impasse for the time being. 

Republicans said they would move forward writing the budget on their own, saying the state couldn’t afford what Evers wanted, and Evers said Republicans were walking away because they refused to compromise. Evers had said he was willing to support Republican tax cut proposals that even as they were similar to proposals he previously vetoed.

“The spending really that the governor needs is just more than they can afford,” Born said Thursday, “and it’s getting to the point where it’s about 3 to 1 compared to the tax cuts that we were looking at.”

He declined to share specifics about the amounts that were being discussed.

“I don’t think we’re going to relive the conversations of the last few weeks in any details, but certainly, you know, we’ve been focused on tax cuts for retirees and the middle class,” Born said. 

Evers’ spokesperson Britt Cudaback said in an email that Republicans’ “math is not remotely accurate.”

Despite the breakdown in discussions, the GOP lawmakers said they were optimistic about the potential for Evers to sign the budget they write, noting that he has signed budget bills passed by Republicans three times in his tenure as governor.

“I’m very hopeful that we will do a responsible budget that we can afford that addresses the major priorities and a lot of the priorities that I think the governor’s office has,” Marklein said. “I’m very hopeful that the governor will sign the budget.” 

Democrats on the Joint Finance Committee were less optimistic about the prospect for the budget to receive support from across the aisle, saying that it likely wouldn’t adequately address the issues at the top of mind for Wisconsinites, including public K-12 education, public universities and child care.

“We’re going to see a budget that prioritizes more tax breaks for the wealthiest among us at the expense of all of the rest of us and a budget from finance that will get no Democratic votes and that will likely be vetoed by the governor,” Sen. Kelda Roys (D-Madison) said. 

Roys said they didn’t know about the specifics of what Evers had agreed to. 

“We can’t really speculate on that, but I can say that we absolutely support the process and the idea of collaborative, shared government,” Roys said. “We are committed to that. We have been ready from Day One to sit down with our Republic colleagues to negotiate.” 

She said for now JFC Democrats will focus on providing alternatives to Republicans’ plans.

“We’re going to do our best to advocate for what Wisconsinites have said they want to need,” Roys said. “We want a lower cost for families. We want to make sure that our kids are the first priority in the budget, and we’re going to be offering the Republicans the opportunity to vote in favor of those things.” 

There is less than a month until the June 30 deadline for the Legislature to pass and Evers to sign the state budget. If the budget isn’t passed on time, then state agencies continue to operate under the current funding levels. 

Committee approves bonding authority for clean water fund

While negotiations have hit a wall, some committee’s actions on Thursday received bipartisan support. 

The committee unanimously approved an additional $732 million in bonding authority for the Environmental Improvement Fund (EIF). The program uses a combination of federal grants from the U.S. Environmental Protection Agency’s clean water and drinking water state revolving funds and matching state funds to provide subsidized loans to municipalities for drinking water, wastewater and storm water infrastructure projects. 

“This is going to be very good for a lot of our local communities when it comes to clean water,” Marklein said ahead of the meeting. He noted that many communities were on a waiting list for their projects.

The Department of Administration and the Department of Natural Resources told lawmakers in late 2024 that that year was the first time the fund had not had enough resources to meet demand.

Demand for aid from the program increased dramatically starting in 2023, with a 154% increase in the clean water fund loan demand in 2023-24 and a 325% increase in demand for the safe drinking water loan program that year. Insufficient funding for the clean water program led to constraints in 2024-25 and left needs unmet for at least 24 projects costing around $73.9 million.

Rep. Deb Andraca (D-Whitefish Bay) said she was thrilled that lawmakers were approving money for infrastructure in the state.

“The state has over $4 billion here,” Andraca said. “A lot of that is one-time money and one-time money should be used for infrastructure — making sure that our communities are in a great position moving forward should the economy turn down.”

The action is meant to cover the next four years of state contributions to the fund.

Sen. Eric Wimberger (R-Oconto) said in a statement the loans will help Wisconsin communities address aging infrastructure and water contaminants.

“With these additional funds, municipalities will be able to access low-interest loans to modernize their water systems, saving local taxpayers millions of dollars and keeping their water clean for years to come at the same time,” Wimberger said. 

Peter Burress, government affairs manager for environmental nonprofit Wisconsin Conservation Voters, said including the additional revenue bonding authority in the budget is a “smart, substantive way” to make progress towards ensuring Wisconsinites have “equitable access to safe, affordable drinking water.” 

“We urge every legislator to support this same investment and send it to Gov. Evers for his signature,” Burress said. 

Actions on other agencies get mixed or party-line support

Republicans on the committee approved an additional $500,000 for the Medical College of Wisconsin’s North Side Milwaukee Health Centers Family Medicine Residency Program, which focuses on training family physicians with expertise and skills to provide individualized, evidence-based, culturally competent care to patients and families. 

The measure also included  $250,000 annually starting in 2026-27 for the Northwest Wisconsin Residency Rotation for family medicine residents. According to budget papers, starting the funding in the second year of the budget would allow time to find a hospital partner to support residents. 

Democrats voted against the measure after their proposal for higher funding was shot down by Republicans. The Democrats proposal also called for funding a  Comprehensive Assistance, Recovery, and Empowerment Fellowship Program focusing on treating substance use disorders and anAdvancing Innovation in Residency Education project to improve the behavioral health expertise of family medicine residents.

“I hope that my colleagues are reading national news because we’re seeing lots and lots of research funding being cut,” Andraca said. “The Medical College has lost about $5 million in research grants recently, and in addition to other research programs being canceled, I don’t know who has tried to make an appointment with the primary care physician, but there’s really long wait times right now, and this program is literally designed to bring doctors into the state.” 

Democrats proposed transitioning the Educational Communications Board’s Emergency Weather Warning System from relying on fees for funding to being covered by state general purpose revenue. 

Andraca, in explaining the proposal, said state funding for a system like that is more important now than ever.

“We’re talking weather alerts. We’re talking about making sure that people know when there’s something heading their way. We are in a time where we need these alerts more than ever. In fact, yesterday was an unhealthy air day, and… we’re looking at drastic federal cuts,” Andraca said. 

Republicans rejected the measure and instead approved a 5% increase that will be used on general program operations, transmitter operations and emergency weather warning system operations. Rep. Tip McGuire (D-Kenosha) joined Republicans in favor of the motion. 

The committee also took action on several other agencies with support splitting along party lines

Republicans approved a modification to the Wisconsin Economic Development Corporation’s budget, lowering it by $3.8 million, due to projections that surcharge collections appropriated to WEDC will be lower than estimated. They also rejected Democrats’ proposal to provide an additional $5 million in the opportunity attraction and promotion fund, which makes grants to  attract events that will draw national exposure and drive economic development.

WEC budget on pause after DOJ letter

The committee was scheduled to take action on the Wisconsin Elections Commission budget, but delayed that after the U.S. Department of Justice sent a letter to the state agency accusing it of violating the Help America Vote Act. The letter threatened to withhold funding and criticized the absence of  an administrative complaint process or hearings to address complaints against the Commission itself. Ann Jacobs, the commission chair, has disputed the accusations and said there is no funding for the federal government to cut. 

Marklein said the state lawmakers want more information before acting on the agency’s budget.

“Out of caution, we think we’re just going to wait and see,” Marklein said. “We need to analyze this and see what implications there may be for the entire Elections Commission and what impact that may have on the budget.”

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