Under a settlement in a federal lawsuits a northern Wisconsin town has agreed to make voting machines available that can help people with disabilities cast a ballot. (Photo by Isiah Holmes/Wisconsin Examiner)

A Rusk County community that more than two years ago rejected the use of electronic voting machines has agreed to provide them so people with disabilities can vote in federal elections.

The agreement, signed in federal court in Madison earlier this month, ends a lingering legal dispute over voter access in the northern Wisconsin town of Thornapple that prompted a federal investigation.

The case underscores the importance of provisions in the federal Help America Vote Act, enacted in 2002, which includes voting rights guarantees for people with disabilities, according to Lisa Hasenstab, public policy manager for Disability Rights Wisconsin.

“Access to accessible voting is something that is not always a top priority in the mix of everything that has to happen for elections,” Hasenstab told the Wisconsin Examiner on Tuesday. “But it is the law. It’s federal law. and state law as well, that accessible means of voting be provided at every polling place. If at even one polling place that option is not provided, that is a violation of voters’ rights.”

Hasenstab said a variety of voting machine systems include provisions tailored to people with disabilities who have difficulty marking paper ballots. Systems also include headphones for voters who can’t see, so they can  listen to the names of candidates on their ballots.

The Help America Vote Act requires every polling place to include such machines for people who need them, and any voter is able to use them, Hasenstab said.

Thornapple Town Chairman Tom Zelm declined to tell the Wisconsin Examiner in a phone conversation Tuesday why the town had stopped using voting machines and said he would have no comment on the settlement that the town and the U.S. Department of Justice signed in federal court on Dec. 12.

According to a May 13, 2024, report in the Milwaukee Journal Sentinel, the  Thornapple town board voted in June 2023 to stop using electronic voting machines and use only paper ballots.

That same summer, Douglas Frank — profiled in the Los Angeles Times as a purveyor of “baseless claims about suspicious voting trends and secret algorithms used to steal elections” — visited the area, giving talks that stoked conspiracy theories about voting machines, according to several published reports.

After the April 2024 Wisconsin presidential preference primary, a local Democratic Party activist called another town board member to complain about the absence of voting machines that could be used by some people with disabilities. She recorded the call, in which the board member repeated false claims that the 2020 presidential election was stolen from Donald Trump and blamed voting machines. The activist then posted the recording on YouTube.

DOJ lawyers wrote to the town’s chief election officer on May 7, 2024, referring to reports received by the department that the town board “may have voted to remove all electronic voting machines in all elections,” including presidential primary.

The DOJ letter stated that some voters with disabilities had reported their requests to use accessible voting machines in the primary election were not granted. It quoted the Help America Vote Act’s requirement for all polling places to include systems that enable voters with disabilities to cast their ballots.

The Lawrence Town Board in Brown County also passed a measure in 2023 to stop using voting machines. Lawrence reversed its decision Sept. 9, 2024, according to DOJ, and signed an agreement with the feds to comply with HAVA.

Thornapple did not reverse its voting machine ban, and DOJ sued the town. That October a federal judge issued an injunction, requiring the town to use accessible voting machines in the November 2024 election.

Separately, the Wisconsin Elections Commission ordered the town and its elections clerk to “take affirmative steps” and comply with Wisconsin’s law that also requires accessible electronic voting equipment at polling places to accommodate people with disabilities.

The town appealed the federal court injunction, losing before the 7th Circuit Court of Appeals in July.

Under the Dec. 12 settlement, Thornapple and the town’s election officials “will ensure their voting systems are accessible to people with disabilities as required by HAVA.” The deal requires the town to use an electronic voting system “or other voting system equipped for individuals with disabilities at each polling place in the state, for each election for federal office.”

Town officials are also required to be trained on how to implement accessible voting systems that comply with HAVA, to keep the equipment in working order and provide all software and other updates. The deal also requires them to certify after every federal primary and general election that they have complied with the agreement.

Because the cases was originally pursued by the DOJ in the last year of President Joe Biden’s term, Hasenstab acknowledged that voting rights advocates watched the progress of the case with some concern after President Donald Trump took office and began reversing many Biden administration policies.

“We did have some nervousness that they wouldn’t pursue a final resolution to the case,” Hasenstab said Tuesday. “We’re pleasantly surprised that an agreement ended up being reached and that the Department of Justice stuck with that case.”

An accounting error at the Wisconsin Department of Transportation that erroneously increased the paper value of state infrastructure assets has been corrected, according to the Legislative Audit Bureau. (Getty Images)

An accounting error led the Wisconsin Department of Transportation to erroneously increase the value on paper of the state’s infrastructure assets by nearly $900 million, legislative auditors said in a new analysis.

WisDOT corrected the error after the Legislative Audit Bureau drew it to the attention of the department, and the erroneous information was not included in the state’s 2024-25 fiscal year financial statements.

WisDOT had initially added $896 million to the value of the state’s capital infrastructure assets. It took that step after a previous audit report recommended a change in some of the department’s accounting procedures. In the process, however, WisDOT overlooked other accounting principles and procedures, which if followed would not have led to the error, according to the audit bureau’s report on the Wisconsin’s 2024-25 financial statements

WisDOT officials agreed with the new audit finding and said they would follow through on the audit bureau’s recommendations to update their procedures.

WisDOT was one of two state agencies that the Legislative Audit Bureau spotlighted in the financial statement audit report. The report was released Friday, Dec. 19, and highlighted Monday by the co-chairs of the Legislature’s Joint Audit Committee.

The audit report also said the state Department of Administration hasn’t adequately addressed security concerns relating to the state’s information technology systems that have been raised in previous audits.

“These audit findings have been found for numerous years, with no corrections taken by DOA,” stated a press release from the audit committee’s Republican co-chairs, Sen. Eric Wimberger (R-Oconto) and Rep. Robert Wittke (R-Caledonia).

Corrections are underway, however, according to Kathy Blumenfeld, DOA secretary-designee.

In a letter responding to the audit, Blumenfeld wrote that while the audit bureau’s findings were “repeated from previous years,” the department “has in the last year implemented certain corrective actions consistent with the auditors’ recommendations.”

Those changes will require “sustained multiyear execution,” she wrote, given the nature of the audit findings. She also wrote that lawmakers have declined to increase DOA funding for cybersecurity, adding that more state funding “will be imperative to ensure the long-term security needs of the state.”

A sign advertises the availability of flu and COVID-19 vaccines at a pharmacy in Madison, Wisconsin. (Wisconsin Examiner photo)

Vaccination rates for influenza and COVID-19 are low in Wisconsin, and on Thursday, the Wisconsin Department of Health Services announced that two children have died within the last month: one from the flu in northeast Wisconsin and one from COVID-19 in the western part of the state.

Citing concerns for family privacy, DHS is not releasing the ages of the children. At a media briefing, Tom Haupt, the DHS respiratory epidemiologist, said they were the first deaths of people under 18 from those illnesses since the start of the flu season Oct. 1.

Although year-to-year comparisons in mid-season are difficult, “we are definitely seeing an increase in influenza and COVID-19 at this particular point,” Haupt said.

Haupt said DHS has not yet verified whether either of the two children were vaccinated. Both had “some underlying conditions that would increase their risk” for more serious illness, he said.

Five people under 18 died from flu in January and early February 2025, Haupt said. DHS monitors certain illnesses, including flu and COVID-19, through data from hospital emergency rooms, lab tests and studying municipal wastewater for evidence of the viruses responsible.

Vaccination is the best tool for preventing serious illness from both flu and COVID-19, Haupt said.

“Our vaccination status for children for both COVID-19 and influenza are very low,” he said. “We want them to be increased significantly.”

Across all ages, about 28% of Wisconsinites have been vaccinated against the flu and 10.6% against COVID-19. “These numbers are lower than what we’ve seen over the past few years and that’s very unfortunate,” Haupt said.

DHS recommends both vaccines for everyone 6 months or older. The COVID-19 and the flu shots can both be given at the same time.

Flu can have outcomes much worse than its usual symptoms.

“Influenza could lead to cardiac problems for both children and adults. It can lead to encephalitis,” Haupt said. “So, it’s not only the acute acute part of influenza, it’s what can happen later on.” With vaccination people are “protecting yourself and protecting those people who are around you.

For a third serious respiratory illness, respiratory syncytial virus, or RSV, DHS recommends the maternal RSV vaccine for expectant mothers who are 32 to 36 weeks pregnant, to protect their infants after they’re born.

DHS recommends the RSV vaccine for infants younger than 8 months if they were born to mothers who did not get the vaccine during pregnancy. DHS also recommends the vaccine for children 8 to 19 months old with a higher risk of RSV, as well as for adults 75 and older and for adults 50 to 74 years old who have an increased risk for the virus.

Haupt said doctors have told DHS that they’re encountering more vaccine hesitancy in the general public than in the past. One cause appears to be confusion about shifting recommendations from the federal Centers for Disease Control and Prevention and the CDC advisory council that makes recommendations on vaccines, he said.

Haupt said that for people hesitating about getting vaccines for themselves or their children, the “most accurate sources” for information are the state health department, local public health departments, community clinics, pharmacies and primary care doctors.

Miguel Aranda speaks with Democratic Party members after a party meeting in Kenosha on Nov. 6, 2025. (Photo courtesy of Aranda congressional campaign)

In Miguel Aranda’s bid to be the Democratic nominee for Congress in Wisconsin’s 1st Congressional District, the college administrator says he brings a variety of assets.

One is local political experience. In his second term on the Whitewater School District school board, he serves as vice president. Board elections are nonpartisan.

“I’m not in politics because I want to make a career out of it,” Aranda said in a recent interview. “I can work across the aisle.”

Aranda, 35, is one of a growing number of hopefuls aiming for the Democratic nomination to run against Republican U.S. Rep. Bryan Steil, now in his fourth term. Other declared Democratic candidates are ironworker Randy Bryce, emergency room nurse Mitchell Berman, Racine community activist Gage Stills and Janesville union leader Enrique Casiano.

“I’m the only one who has won a political campaign,” Aranda said. “I know how important it is to bring people together and stay united.”

The Cook Political Report’s most recent update, Dec. 9, maintained the 1st District’s projected 2026 outcome as “likely Republican.” Despite such forecasts, in the current cycle the district has drawn a broader array of potential Democratic opponents than it has seen in years.

The party’s last contested primary came in 2020. In 2024, what was expected to be at least a three-way primary race was avoided after Peter Barca’s late entry into the contest led the rest of the field to drop out by summer.

Aranda is the associate director of a college readiness program at the University of Wisconsin-Whitewater.

A Spanish speaker and an active Democratic party volunteer for the last 15 years, Aranda has organized bilingual workshops at party events. When the Whitewater school district held a referendum to raise property taxes in support of school district operations in 2022, Aranda said, he did presentations directed to the local Spanish-speaking community.

Public education is one of his top campaign priorities, he said. While funding is primarily a state and local function, the federal role in supporting public schools is important, he said, and he opposes the Trump administration’s attempts to dismantle the federal Department of Education.

“There’s a lack of public education funding,” Aranda said. “Local constituents are going to feel it in their pocket. Republicans aren’t doing much to assist in our investment for the future.”

Aranda’s parents, both Mexican immigrants, settled in Whitewater in the early 1990s, he said, and he grew up in the community, which straddles the line between Walworth and Jefferson counties.

“When we came to Whitewater, the only people that helped us were public school teachers,” Aranda said of his family’s experience.

He said immigration reform is another of his campaign’s concerns. On that, “there’s a lot of things at the local level we cannot do,” Aranda said. “I truly believe immigration reform that is comprehensive and fair will help not just public education but a lot of the scarcity and pain that people are feeling.”

Aranda has a master’s in business administration. He’s also held a variety of other jobs, he said, giving him the sort of direct experience he believes many voters can identify with.

“I’ve worked in call centers, custodial services and fast food,” Aranda said. “People want a good, stable job — this message is very simple. That’s what I want to guarantee for others.”

He supports a proposal advanced by Sen. Bernie Sanders, the Vermont independent, for a federal law setting the minimum pay for public school teachers at $60,000.

“Republicans say you can’t do that, but now you see ICE [agents] offered more money and debt forgiveness,” Aranda said.

While Aranda is not the only Hispanic entrant in the Democratic contest, he considers an ability to appeal to Hispanic voters to be one of his selling points. The 1st District has “a lot of Latino potential voters,” Aranda said. “They’ve been frustrated with both political parties.”

Aranda said he’s been traveling throughout the district to meet with Democratic Party groups and solicit their support. He also has been trying to educate and engage casual voters and non-voters, he said.

He described a recent visit to a college organization of Latino students. After introducing himself and his campaign for the 1st District, “Nobody knew who their representative was,” he said.

“Some don’t know what a Republican or a Democrat is and what they stand for,” he added. “Republicans take advantage of that, too.”

Aranda believes motivating more people who have been largely detached from politics to take an interest and go to the polls can help Democrats flip the seat.

“I think there’s a huge opportunity there,” he said. “I think there’s an opportunity for younger voters, too — for their voice to be heard.”

The first deadline for people to sign up for health insurance in 2026 through the federal health care marketplace passed Monday. With the loss of enhanced federal subsidies coverage is forecast to decline after rising for several years. (FS Productions/Getty Images)

When Chiquita Brooks-LaSure stepped into her job overseeing the federal health insurance marketplace in 2021, about 12 million Americans were purchasing their health coverage there.

By the start of 2025, that number had doubled.

Brooks-LaSure served as the administrator for the federal Center for Medicare & Medicaid Services in the Biden administration. In addition to managing the federal health insurance programs for people over 65 and people living at or below the federal poverty guidelines, CMS also manages HealthCare.gov — the health insurance marketplace created by the 2010 Affordable Care Act.

The purpose of the marketplace was to make it easier for people who had neither employer-provided  health insurance nor  Medicare or Medicaid to purchase a policy that would cover them.

 The ACA set standards for what the insurance plans are required to cover, and it established a system of nonprofit navigators to guide buyers as they sought to match their own health needs with the coverage that was available to them on the marketplace.

Early during President Joe Biden’s term, Congress passed and Biden signed legislation that increased tax credit subsidies making insurance plans purchased at HealthCare.gov much more affordable. Those enhanced tax credits brought in a flood of new insurance coverage.

“By the time we left, there were 24 million people who were enrolled” in marketplace health plans purchased through HealthCare.gov, Brooks-LaSure said during a video call with reporters last week. The call was organized by Opportunity Wisconsin, an economic issues messaging and organizing group aligned with the Democratic Party.

The federal move to give people on marketplace health plans larger  tax credits drove that increase in enrollment, health policy watchers agree.

Now the enhanced tax credits are due to expire at the end of this year. So far attempts in Congress to extend them, whether permanently or even temporarily, have gone nowhere.

On average, Brooks-LaSure said, premiums for 2026 have gone up by 26%. “For many people, they will choose to not buy health insurance coverage at all,” she said. “But others may choose to buy coverage that doesn’t cover all of their health care needs.”

Monday was the first of two red-letter days in the current history of the ACA and the health care marketplace. People hoping to get coverage starting Jan. 1 were required to sign up by the end of the day.

People can still sign up between now and Jan. 15, but policies won’t take effect until Feb. 1.

After four years of increases in the population with health insurance, the Congressional Budget Office has forecast about 4 million people will drop their coverage in 2026 without the higher subsidies.

“For 275,000 Wisconsinites, these tax credits have saved them on average almost $600 every month,” said Sen. Tammy Baldwin in another call with reporters. “Without them, these Wisconsinites will pay double, triple, or even worse for their premiums next year. And for 30,000 Wisconsinites, the price will be just too high. And they’ll choose to go without insurance.”

That was a decision that Shana Verstegen of Madison said she and her husband briefly considered. Verstegen spoke on Baldwin’s call about the choices the couple is having to make on behalf of themselves and their two sons, ages 7 and 10.

She and her husband both work for a small community gym, Verstegen said. Their employer has too few employees to be able to purchase a group health policy, so they went to the ACA marketplace.

This year they pay $460 a month, already a squeeze, but that will increase to more than $700 a month in 2026, she said.

“It’s an amount we just simply can’t afford,” Verstegen said. Realizing that they could not risk the family’s health by going without coverage, they’ve looked at other options — including possibly giving up work that has been a long-term career in order to find a job with employer-sponsored health insurance.

In the end, Verstegen said, the couple decided to increase their work hours and cancel some events in 2026 to save money to afford their higher-priced health plan.

“These are really tough and frustrating emotional and scary choices,” Verstegen said. “We’re a middle-class, healthy, hard-working family and like so many others we’re simply struggling to keep up.”

Forecasts are murky

The most recent “snapshot” from CMS on HealthCare.gov enrollment covers Nov. 1-29 this year. In Wisconsin, it shows enrollment down by almost 4,000 people compared to Nov. 1-30, 2024.

Nationally, however, the numbers are up — 5.76 million in November this year compared with 5.36 million a year ago. There isn’t enough data to confidently forecast a trend, however.

Of the people signing up in November, “a lot of those folks were probably people who already had coverage and were either renewing it or picking a new plan, but there were also likely some new enrollees,” said Louise Norris, a health policy analyst at healthinsurance.org, an insurance information website.

Norris said there could be a large upswing in enrollment ahead of Monday’s deadline for coverage starting Jan. 1. “Then again you’ll see another sort of surge as we get to mid-January” — the Jan. 15 deadline for coverage starting Feb. 1, Norris said.

Both Norris and Brooks-LaSure said that initial enrollment numbers also don’t tell the whole story.

“The people who are enrolling right now are people who absolutely know they need to have coverage,” Brooks-LaSure said. “But the number always drops when people have to pay their premiums. And so, it’s really the number in January, once people are enrolled, that we think that will be the important number to know about coverage.”

People who are not changing plans may be automatically renewed in their current plans, which can explain some of the initial signups, said Brooks-LaSure. In addition, she said, some people signing up may be opting for less expensive — but also less generous — health insurance than they purchased in the past.

HealthCare.gov classifies health plans as Gold, Silver or Bronze. Gold plans have costlier premiums but more generous coverage with lower deductibles and less cost-sharing required of patients. Bronze plans have lower premiums with higher deductibles and more cost-sharing, and Silver plans are in between.

Brooks-LaSure said she has heard anecdotally from people stepping down from Silver to Bronze plans, for example.

“Coverage is really important, of course, but your ability to actually pay when you go to the doctor is equally, if not more, important,” she said. “It may be that we don’t see the drop in the uninsured rate. We see people shifting to less generous coverage.”

Kelley Bruns, a Sawyer County resident who spoke on Baldwin’s call, said she and her husband took that route for 2026.

Bruns said her husband, a veteran and career firefighter, had to end his career early due to work injuries and resulting disabilities.

When the premium for the policy they had in 2025 rose to more than $1,600 a month — 40% of their monthly income — they opted for a less expensive plan for 2026. That plan, however, has copayments of up to $100, a $15,000 deductible and a cap on out-of-pocket expenses of more than $21,000.

“We have to pray we don’t need surgery or any other major medical procedure,” Bruns said, “since our out-of-pocket maximum is almost half of our annual income and would be a catastrophic expense for our family.” 

Wisconsin Supreme Court chambers. (Photo by Baylor Spears/Wisconsin Examiner)

The Wisconsin Supreme Court declined Monday to throw out Wisconsin’s religious exemption from the state’s unemployment insurance system and affirmed that Catholic Charities organizations in Wisconsin are exempt.

The state’s highest court acted in response to the U.S. Supreme Court’s ruling in June reversing the Wisconsin Court’s decision in 2024, which found the organizations didn’t qualify for the state law’s UI religious exemption.

Monday’s unsigned order made no statements for or against any of the numerous briefs that were filed with the Wisconsin Court after the Supreme Court ruling.

In a 4-3 ruling in March 2024, the Wisconsin Supreme Court held that Catholic Charities’ work was secular rather than religious, and that the organization therefore was not entitled to an exemption in Wisconsin’s unemployment insurance law.

The religious exemption is reserved for employees of churches, their parent organizations, employees of organizations “operated primarily for religious purposes” and controlled by churches or church associations, church ministers or members of a religious order.

The U.S. Supreme Court ruled unanimously June 5, 2025, that the Wisconsin Court’s ruling “grants a denominational preference by explicitly differentiating between religions based on theological practices” and therefore violated the First Amendment of the U.S. Constitution’s religious freedom provision.

After that ruling, both Catholic Charities and the Wisconsin Department of Justice filed proposed remedies with the Wisconsin Court. The Wisconsin DOJ called on the court to throw out the state law’s religious exemption to restore “equal treatment.”

Catholic Charities rejected that proposal, declaring it showed “animus” toward the charity, and urged the court instead to affirm the exemption.

In the decision Monday, the Wisconsin Supreme Court sent the case back to Douglas County Circuit Court. The order directs the lower court to vacate earlier Labor and Industry Review Commission decisions denying the religious exemption and to direct LIRC to declare Catholic Charities “eligible for the religious purposes exemption to unemployment taxation.”

Victor Forberger, a Wisconsin unemployment lawyer who has written about the case on his blog, told the Wisconsin Examiner that the state high court’s action Monday was not a surprise in light of the U.S. Supreme Court ruling.

The federal ruling, however, did not address calls by outside groups seeking a more sweeping religious exemption, Forberger said. “How this is going to play out with other entities and their claim for religious exemptions are all to be determined,” he added.

The Madison Social Security Administration field office. The federal Administration for Children and Families is calling on states, including Wisconsin, to stop diverting Social Security and other federal benefits that are supposed to be made available to foster children. (Wisconsin Examiner photo)

Federal officials are urging 39 states, including Wisconsin, to quit hoarding federal benefits that are supposed to go to children in foster care, but that agencies instead take to help pay for their foster care expenses.

The practice has been going on in various states for two decades or more, according to advocates who have been calling to ban it for nearly as long.

Wisconsin is among the states that received letters last week from the federal Administration for Children and Families, calling on them to stop diverting Social Security survivor’s benefits that are supposed to go to foster children.

“Every earned benefit dollar belongs to these foster youth, not the government agencies or bureaucrats,” said Alex J. Adams, the ACF assistant secretary, in a press release from ACF and the U.S. Department of Health and Human Services.

“ACF has notified all 39 governors who allow this practice and aims to work with states to end it,” the press release stated. “The goal is to ensure these earned benefits are no longer taken from foster youth and are instead preserved to support them as they transition out of state care.”

In Wisconsin, the office of Gov. Tony Evers pointed to a provision Evers included in his proposed 2025-27 state budget to end the practice, but that Republican lawmakers removed without comment at the start of budget deliberations.

“It’s been a long-time issue now, but unfortunately it has been largely under the radar,” said Daniel Hatcher, a University of Baltimore law professor and an early critic of the practice. Hatcher has advocated on behalf of affected foster children for more than two decades and written extensively about the issue, including in the Wisconsin Law Review.

A Marshall Project-National Public Radio project in 2021 found that 49 states at the time were rerouting foster children’s federal benefits to cover some of their costs. Hatcher said that has helped raise more attention to the issue.

“I think most people, when you talk to them about this practice, when they  understand what’s going on, they’re outraged,” Hatcher told the Wisconsin Examiner.

Foster children who would qualify for Social Security survivors’ benefits or veterans’ survivor benefits because their parents have died, as well as foster children who themselves have disabilities and qualify for Social Security disability payments (SSI) have all been affected, Hatcher said.

Hatcher first publicized the practice in a 2006 law review article that documented how state and local child welfare agencies, or the private contractors that they engage to manage their programs, were intercepting federal benefits that are supposed to go to foster children.

“The agencies identify foster children who are disabled or have deceased or disabled parents, apply for Social Security benefits on the children’s behalf, and then take the children’s benefits to reimburse foster care costs for which the children have no legal obligation,” Hatcher wrote.

A U.S. Supreme Court ruling in 2003 upheld the practice, but advocates have been fighting to end it ever since.

In Wisconsin, Hatcher wrote in a 2018 op-ed article for the CapTimes, the administration of then-Gov. Scott Walker signed a contract in 2011 with Maximus Inc. that the management company used to “increase the number of children classified as disabled and to locate children with deceased birth parents — not to provide more services to the children, but so the state can take their resources.”

Drawing on public records, Hatcher estimated that the contract yielded at least $3 million “in survivor and disability benefits from foster children each year” in Milwaukee County alone, “and the state has been taking millions more from foster children in other jurisdictions.”

Earlier this year the Evers administration estimated that about $3.2 million each year was being diverted from foster children’s SSI or Social Security survivors’ benefits, with about 95% going to fund the foster care system. The figures were cited in a Legislative Fiscal Bureau’s March summary of Evers’ proposed 2025-27 budget.

The governor’s budget proposal included a provision to end the diversion and instead deposit the benefits in trust funds for each child in foster care.

The proposal also included language to prohibit the Department of Children and Families or county child welfare agencies from using those funds to pay for foster care. DCF officials said the department would seek additional funding in the state budget to replace what counties lost as a result, according to the fiscal bureau’s summary.

The proposal to stop diverting the benefits was one of more than 600 items in Evers’ draft budget that the Republican majority on the Legislature’s budget-writing Joint Finance Committee deleted on the first day of budget deliberations.

Asked whether the Evers administration had any comment on the federal notice last week, the governor’s communications director, Britt Cudaback, replied in an email message, “Nothing beyond the fact we already tried to address this, but Republican lawmakers rejected the effort.”

Before his confirmation as ACF assistant secretary, Adams was director of the Idaho Department of Health and Welfare. In May, he directed the department to stop diverting foster children’s survivor benefits, the Idaho Capital Sun reported.

Idaho is one of 11 states that have ended the diversion of survivor benefits, according to the DHS/ACF press release.

The Children’s Advocacy Institute at the University of San Diego has identified at least eight states and the District of Columbia that have completely banned the diversion of all benefits designated for foster children. A number of other states have attempted to stop the diversion of selected benefits.

The federal notice marks an important step in the campaign to end the practice, said Amy Harfeld, the institute’s national policy director.

“We’re very excited about what this does,” Harfeld told the Wisconsin Examiner. “It doesn’t fix the whole problem but it sets a really solid marker in the ground that not only keeps states moving forward but leads toward the next changes that need to be made to actually put an end to it.”

The Children’s Advocacy Institute acknowledges Wisconsin’s unsuccessful attempt to curb the practice in the 2025 budget.

With the failure of that effort, however, “Wisconsin isn’t looking so good right now,” Harfeld said. “It’s one of only 11 states that haven’t done anything.”

Wisconsin's health department is sticking with a recommendation that children receive the hepatitis B vaccine at birth. (Photo by John Moore/Getty Images)

Wisconsin’s health department is reaffirming longstanding recommendations that all newborns get a vaccination for hepatitis B.

The Department of Health Services announced Thursday it has sent a memo to Wisconsin vaccination providers about the vaccine.

“DHS continues to recommend that all newborns receive the hepatitis B vaccine within 24 hours of birth, and then go on to complete the standard three-dose series within the first 18 months of life,” said Dr. Ryan Westergaard, chief medical officer in the DHS bureau of communicable diseases, at a media briefing Thursday.

Hepatitis B, a viral infection, can lead to lifelong liver disease, Westergaard said, including cirrhosis and liver cancer.

“Infants and young children are particularly at high risk,” he said. A baby infected with the virus has up to a 90% chance of developing chronic liver disease, he said.

Infants can be exposed during birth or through close contact with adults and caregivers “who may not even know that they carry the virus,” Westergaard added. “That’s why vaccination early in life is so important.”

DHS issued the announcement following a federal shift in vaccine policy, eliminating a recommendation in place since 1991 for newborns to receive the hepatitis B shot. The recommendation was eliminated Dec. 5 in a vote by the Advisory Committee on Immunization Practices at the Centers for Disease Control and Prevention.

In June, U.S. Health and Human Services Secretary Robert F. Kennedy Jr. replaced all 17 members of the advisory committee with a new group of appointees, many of whom are seen as vaccine skeptics.

CDC vaccine committee overturns decades-old hepatitis B recommendation for newborns

The decision to end the recommendation for all newborns to get the hepatitis B shot dismayed the leaders of  medical organizations, including the American Medical Association and the Association of State and Territorial Health Officials.

“For more than 30 years, the hepatitis B vaccine has been used safely and effectively in newborns,” Westergaard said Thursday. Since the 1991 recommendation was put in place, hepatitis B infections in children have declined by 99%, he said.

“This recommendation is grounded in decades of research showing that the vaccine is safe and effective, and it aligns with guidance of the American Academy of Pediatrics and other leading medical groups,” Westergaard said. “So, our message today is straightforward, hepatitis B and its long-term health consequences are preventable. And routine childhood vaccination remains one of our most effective tools we have to protect children’s health and prevent lifelong disease.”

Westergaard said there has been no change in insurance coverage for the vaccine and that the hepatitis B shot remains among the vaccines available through the Vaccine for Children’s program for patients without health insurance.

ACIP also recommended blood testing for antibodies before giving the rest of the hepatitis B series shots for infants and young children, but Westergaard said that recommendation is not supported by scientific evidence.

The presence of hepatitis B antibodies in adults is a good indicator that they are protected against an infection, he said. “There’s no science suggesting that that same strategy works for newborns and children,” he added.

Child care provider Heather Murray, right, gives Mandela Barnes, left, who is seeking the Democratic nomination for Wisconsin governor, a tour of her facility, Art House Preschool in Waunakee. Joining them were, second from left, Paula Drew and Kayla Gardner, both from the Wisconsin Early Childhood Association. (Photo by Erik Gunn/Wisconsin Examiner)

Wisconsin should make child care universally available, just as public education is, former Lt. Gov. Mandela Barnes said Thursday during a child care center visit that was part of the rollout for his campaign for governor.

“I support having full, comprehensive, universal childcare,” Barnes told the Wisconsin Examiner in an interview that followed a round table session with providers, parents and child care policy analysts. “I, for sure, hope others understand the urgency of this issue, understand the complexity of it as well, and we’ll be ready to fight tooth and nail to do everything we can to improve the system for our providers, for our parents and most importantly, for the young people, for the students, for our children.”

The round table took place at the Art House Preschool, a Waunakee child care center.

Barnes is not the first Democratic hopeful in the 2026 race for governor to visit the Art House. Milwaukee County Executive David Crowley held a round table on child care issues in November at the same location. And virtually every other active Democratic primary candidate in the governor’s race mentions affordable child care on their website as a priority of their campaigns.

During his event Thursday, Barnes coupled state funding for child care with his support for better public education funding.

“If we aren’t invested in children, what are we doing as a state? What are we doing as a country?” he asked at the start of the nearly hour-long discussion. “We need to ensure, one, that our schools, K-12, are fully funded, but also that our children are ready to enter K-12. And that means that early childhood education has support.”

During most of the session, Barnes refrained from lengthy policy prescriptions and focused instead on questions for the round table participants — asking for both their biggest challenges and their “biggest ideas” for addressing Wisconsin’s child care needs.

“Direct investment to providers, I believe, would be the best to keep people from closing their doors,” said Heather Murray, the owner of Art House, who has been a child care provider for nearly two decades. “I like to call it a public good, because I don’t believe it can exist without government funding.”

Stephanie Frontz is an IT specialist and the mother of four, one of them at Art House. She recently gave birth to infant twins who are slated to be enrolled there.

“We need the help there so the state can help pay fair wages,” Frontz said. That will  ensure child care workers stay, which in turn makes it possible for more parents to work, she added. “It impacts my family and the economy if I can’t work.”

Child care providers who have a shortage of teachers reduce the hours that they’re open, said Carly Eaton, a parent whose day job is with an organized labor environmental group.

She understands why, but jobs in construction, manufacturing and especially health care often “don’t fit in the 7 a.m. to 6 a.m. hours that you may be able to find child care,” Eaton said. “To hear legislators on a certain side of the aisle talk about the worker shortage and then not do anything about child care just breaks my brain.”

During the COVID-19 pandemic, federal relief funds included money designated for child care. In Wisconsin that money went to the Child Care Counts program, which originally distributed $20 million a month to the state’s child care providers.

The monthly support was later cut in half and extended through mid-2025 after the GOP majority in the Wisconsin Legislature rejected the proposal Gov. Tony Evers, a Democrat, made in the 2023-25 state budget to continue the subsidy with state funds.

Evers again proposed ongoing state funding in the 2025-27 budget. “I heard a lot of people say during the last budget cycle, ‘We can’t just keep writing checks …. It didn’t work,’” said Kayla Gardner, engagement specialist at the Wisconsin Early Childhood Association. “It actually did — it very much did work.”

“When the payments were the highest, we had very few closures,” said Paula Drew, director of early childhood education policy and research at WECA. “It stabilized the field.”

When the current budget finally passed in late June, it for the first time included some direct state funding for centers, but just for one year and at a smaller amount than Evers or child care advocates originally sought.

That money helped, said Jenn Bilderback, administrative director of Big Oak Child Care in Madison. But it also came with restrictions that made it less accessible for some providers and it will go away in June 2026.

“We have to do something that’s much more universal and that allows the flexibility for a provider,” Bilderback told Barnes.

She said her center’s board of directors, most of whom are parents, have supported providing benefits — a rarity for many child care providers — and paying a living wage. “We need to do this, but the cost of living in Madison and outside Madison is increasing too high to be able to keep up with that.”

Barnes — who along with most Democrats running for elected office in the 2026 cycle has seized on affordability as a campaign theme — responded that “the cost of living is top of mind for everybody.” But then he turned back to her earlier comments.

“You mentioned ‘something more universal,’ Barnes said. “I want you to say the thing out loud. Somebody can say it — universal child care, right?”

“We do dream big, and we do think of all these things,” said Gardner. “But what we see in return is almost nothing.”

Drew said that with turnover among child care teachers, programs are often operating at less than capacity, even as parents have trouble finding care.

“We don’t necessarily, right now, need new buildings, because we’ve got 33,000 open spots . . . across the state. We need teachers that can be working in programs to open up those 33,000 spots,” Drew said. “We’ve got the demand, but we also need the supply available in early education.”

Katie Licitis, an Art House Preschool teacher, said she first took the job four years ago after she and her husband moved to Wisconsin from Georgia. For the first time, she said, she needed child care after having been a stay-at-home mom until then. But with the turnover that providers are seeing, she asked Barnes, “Do you have a plan to retain teachers?”

“You shouldn’t have to choose between a job you love and Kwik Trip, as an example, because they’re paying more money, right?” Barnes replied. “Like, that’s an indictment on the way that things have been going. And I think that’s a big part of the broader universal child care package. And I don’t think people should be shy about wanting universal child care in this state. I think that this is exactly one of those areas that Wisconsin should be a leader in the nation.”

The Covering Wisconsin webpage. The nonprofit, housed at the University of Wisconsin Extension, is a navigator agency to help people understand their options when buying health insurance through the HealthCare.gov marketplace. (Screenshot)

About 4,000 fewer people in Wisconsin signed up at the federal HealthCare.gov marketplace in November for a health plan for next year than did in November 2024 for coverage this year, recently released numbers from the federal government show.

It’s too soon to tell for sure whether that will forecast a significant drop in health coverage through the marketplace, according to William Parke-Sutherland of the Wisconsin family policy research and advocacy group Kids Forward.

Parke-Sutherland and others who pay close attention to health care access in Wisconsin are watching those numbers closely, however.

Monday, Dec. 15, marks a critical deadline — the last day that people who purchase a health plan through the marketplace can sign up for coverage that starts Jan. 1, 2026.

The Healthcare.gov marketplace was created as part of the Affordable Care Act. Enacted in 2010 to drive down the ranks of Americans without access to health care, the ACA established the marketplace to make it easier and cheaper for people without coverage from an employer or through government programs such as Medicaid to buy health insurance.

Enhanced tax credit subsidies first enacted in 2021 on health plans sold through the marketplace have helped boost enrollment to new records over the last four years nationally and in Wisconsin. More than 300,000 state residents received their health coverage for 2025 through the marketplace.

Those enhanced subsidies expire at the end of this year, however, leading to forecasts that enrollment will decline in 2026 as the cost of insurance climbs.

“Many Wisconsinites will see their premiums double, and some will see staggering increases of over $30,000 a year,” Gov. Tony Evers said Wednesday during a press call with the ACA advocacy groups Protect Our Care and Main Street Alliance. “That’s ridiculous and unattainable for many.”

The event was held both to alert people about Monday’s open enrollment deadline and to urge voters to lobby Congress to extend the subsidies.

“Each year, the Affordable Care Act and open enrollment has ensured hundreds of thousands of Wisconsinites having life-saving health care coverage,” Evers said. “These tax credits are not luxuries — they are lifelines that make the difference between kids and families and communities getting care or going without it.”

This year, 88% of Wisconsin residents who enrolled at HealthCare.gov qualified for the enhanced subsidies and saved $644 a month on average, Evers said.

Thad Schumacher, a Fitchburg pharmacist who also joined the call, said losing coverage would lead people to forgo “their primary care visits, their medications, for chronic conditions like diabetes and hypertension, and preventative care that keeps people healthy.”

Early numbers send mixed signals

The federal Centers for Medicare & Medicaid reported that from Nov. 1 to 29 this year, 84,398 Wisconsinites enrolled in coverage through the marketplace. From Nov. 1 to Nov. 30, 2024, Dairy State enrollment totaled 88,189, according to CMS.

Nationally numbers are up, however — 5.76 million in November this year, compared with 5.36 million in November last year, according to CMS.

While Wisconsin’s decrease of less than 4,000 people signing up may look small, “It’s just hard to know what this means,” Parke-Sutherland told the Wisconsin Examiner.

In the years going back to 2022, the first month of open enrollment saw anywhere from 29% to 42% of that year’s total HealthCare.gov sign-ups, he said.

At Covering Wisconsin — a federally licensed navigator that helps guide people through the process of enrolling in HealthCare.gov plans — the volume of November calls and contacts through the navigator’s web-based chat portal have been about even with the same month last year, said Allison Espeseth, the Covering Wisconsin director.

In 2024, however, there was “a pretty big spike” in contacts in the first two weeks of December leading up to the Dec. 15 deadline for coverage to start Jan. 1.

“This year, we are definitely continuing to have people call us, but we haven’t seen that spike,” Espeseth said.

She offered several possible reasons for that. Some people may have seen higher premiums for their plans and decided to go without. Others may think that there won’t be any subsidies, despite the fact that smaller subsidies that were part of HealthCare.gov plans from the beginning remain in place.

And some have wondered whether they should hold off on signing up in case Congress does reach a deal and extend the subsidies, Espeseth noted.

“We’ve been encouraging people to please sign up regardless,” Espeseth said. “Don’t wait.”

A new report urges federal policy makers to reverse the decline in resources and staff for federal statistics agencies. (J Studios/Getty Images)

Federal agencies that count jobs, measure incomes, track health information and provide countless other forms of data are under unprecedented strain, according to a new report — compounding years of neglect by Congress and the federal government.

The report, released Wednesday by the American Statistical Association, calls on the federal government to reverse course, bolstering support for the national statistics infrastructure with staff, expertise and resources. It’s part of an ongoing project by the association to monitor the work of federal statistics agencies.

“In combination, we are seeing the system approach a crisis point unless immediate action is taken by Congress and the Executive Branch to reform the current trajectory,” the report states.

It’s a call that state and local officials say matters to them as well.

“It  might make people’s eyes glaze over, but for 235 years, we’ve understood the value of using federal data in particular,” said Zach Brandon, president of the Greater Madison Chamber of Commerce. “This has been an underpinning of how this country has been built and the resources we use to understand not only where we’ve been but where we’re headed.”

Federal data informed a 2019 think tank report that found Wisconsin was uniquely poised to become a national hub for biomedical research and development, Brandon said. That conclusion culminated in the state’s selection for a biohealth technology hub under a program included in the 2022 federal CHIPS and Science Act.

He considers accurate data not just a record of the past, but an assist to forecasting the future — “a flashlight that helps you see the challenges and the opportunities before they just become anecdotes.”

Brandon is skeptical that the private sector can provide an adequate substitute. “Even if it could be as robust, we likely couldn’t afford it,” he said.

Resources needed, report finds

The statistical association’s report states that for federal agencies to produce accurate data promptly that can be trusted, they need expert staff and enough resources for now and the future.

Instead, however, federal budgets have shortchanged them for years, it states. The Trump administration is proposing more of the same in its 2026 budget, with cuts to all 13 of the federal statistical agencies, the report warns.

“Immediate action must be taken to halt the severe decline in the federal statistical agencies’ ability to meet their basic mission and be positioned to keep up with increasing information needs and to address uncertainty in the trustworthiness of federal statistics,” the report states.

The 43-day federal shutdown that began Oct. 1 and ended Nov. 12 was an especially dramatic gap in data collection — among other things, for the monthly national and state jobs reports.

“People rely on reliable, consistent and timely data from the federal government when they make decisions,” said Haley McCoy, communications director for the Wisconsin Department of Workforce Development, which produces Wisconsin’s reports drawing on surveys conducted by the federal Bureau of Labor Statistics.

Whether a business owner is considering opening a new plant or shutting one down, “they need to have the most robust information that they can have to make a solid decision,” McCoy said. “It’s like taking the boat out on the water without looking at the weather forecast.”

That data was missing for the month of September because the shutdown began before the federal report could be completed, and the October data was never collected. DWD will post the state’s September numbers Wednesday — two months behind schedule.

“Those are the last statewide numbers that will come out this year,” McCoy said. “The most recent data we have are three months old.”

The next releases will come in January — November jobs numbers early in the month and December numbers later. But the October numbers are unlikely to be produced or posted ever, she said.

Long funding decline

The statistical association report documents declining fiscal support for federal statistical agencies over the last 15 years — suffering losses of 16% or more in real dollars since 2009, while facing new mandates from Congress.

Most agencies have also lost 20% to 30% of their staff, the report finds — from senior managers with important statistical knowledge to specialized data scientists and experts in methods that ensure greater accuracy.

The report finds that the Trump administration’s actions that have weakened the statistical agencies outweigh actions that would support them.

The administration has left leadership positions vacant, disrupted operations by relocating or attempting to relocate agencies, and eliminated some data collection projects unilaterally without consulting Congress, the public or stakeholders.

That’s coupled with deteriorating safeguards for the integrity of federal data. “In several cases, delays in releasing key data and administration officials’ statements questioning agencies’ neutrality have raised concerns about the protections for credible, objective statistics,” the report states.

Public trust of federal statistics has plummeted, according to the report. A University of Chicago survey found that among U.S. adults, trust in federal statistics fell from 57% in June to 52% in September.

Increased support recommended

The report makes a series of recommendations — for increased staffing, support for innovation, stable and sufficient funding for statistical agencies to fulfill their mission under federal law and systematic management of the agencies and their work, as well as other changes.

It also calls on the administration and Congress to strengthen public trust, including ensuring the data collected for statistical purposes isn’t used for law enforcement or to impose regulations.

At DWD, according to McCoy, there have not yet been concerns about the accuracy or reliability of the federal data it relies on, such as for state job reports.

“We trust how the data is collected,” she said. “It goes through rigorous checks for accuracy.”

But concerns remain about gaps in the data as some collection projects — such as  a report on food security — get turned off, McCoy said.

Steve Pierson, the statistical association’s director of science policy, told the Wisconsin Examiner Tuesday that so far data from the government has continued to be trustworthy.

“We believe that the federal statistics being issued are absolutely still objective and credible,” Pierson said. “What would really help, though, is comments to that effect from the administration.”

Pierson said he believes there are reasons for hope even in the face of grave concerns about the nation’s statistical resources.

Congressional budget writers have rejected the Trump administration’s proposals to cut budgets for the BLS and the National Center for Education Statistics — the latter of which the administration proposed virtually eliminating, he observed.

Key staffers in Congress “hear our concerns, and they share that they’re also concerned,” Pierson said. “That is encouraging.”

Joeniece Jackson surveys food available at the Elver Park Neighborhood Center food pantry on Tuesday, Nov. 25. (Photo by Erik Gunn/Wisconsin Examiner)

The Elver Park Neighborhood Center on the far southwest side of Madison has long been a familiar and welcome source of help for Joeniece Jackson and her four children.

Her oldest, now 14, attended the center’s after-school programs from an early age, as have her other three kids. And Joeniece says she’s enjoyed volunteering as well, or bringing the children of friends who may need child care unexpectedly.

But in the last few years, the center has served another purpose as well — as a food pantry for families who need to stretch their family meal budgets.

“The food pantry has gotten us through some of our hard times,” Jackson says.

The Elver Park after-school program isn’t the only one doing double duty. Across Wisconsin, other after-school programs have added food pantry services to their offerings for families who may not be able to afford to keep their cupboards full.

“After-school programs have long been doing after-school meals and snacks for kids,” says Daniel Gage of the Wisconsin Out of School Time Alliance, a nonprofit that advocates on behalf of after-school programs. Food pantry programs are a newer addition to that work. “After-school programs tend to be a place where people come together as parents are coming to pick up their kids.”

The recent federal shutdown, when federal Supplemental Nutrition Assistance Payments were halted Nov. 1, exacerbated the need. With the shutdown finished and SNAP funds flowing again, that has eased off, but only slightly.

The Elver Park Neighborhood Center and its after-school program are run by the Wisconsin Youth Company. The agency operates two neighborhood centers in Madison along with school-based after-school programs in Dane County and  Waukesha County.

Elver Park’s food pantry began operating during the COVID-19 pandemic, when schools were closed and, for a time, the center’s after-school programs were on hold as well, according to Takela Harper, the assistant director of centers for Wisconsin Youth Company.

Originally the center partnered with the Madison Metropolitan School District to deliver food to school district families who needed it, Harper said. When schools and after-school programs reopened, the program converted to a store-style food pantry, where families come on Tuesdays and Thursdays to pick up donations of packaged as well as fresh foods.

At Elver Park, there’s been “a consistent flow” in traffic for the last couple of years, Harper says. But that doubled in October from the previous month, with about 30 to 50 families a week coming in for assistance.

In Nekoosa, located in Wood County in North Central Wisconsin, the Nekoosa School District launched a food pantry a year ago. The city has a population of about 2,500 and the school district an enrollment of just over 1,200.

Nikki Stearns organized the Nekoosa program while serving in Americorps with the local YMCA. Her Americorps assignment had her working with elementary school-age children, and she soon learned the extent of hunger in some of those kids.

“So many of my kids are hungry,” Stearns said. “I started bringing in snacks, and other teachers started bringing in snacks for students, too.”

A 2023 United Way report on ALICE families in the community — families on the edge and vulnerable to falling into poverty — documented how pervasive families are who cannot count on regular meals or an adequate supply of food .  

“In Nekoosa, 53% of our community is either living in poverty or one paycheck away,” Stearns says.

In the Nekoosa program, families who sign up receive a box of food each month. Some are also enrolled in FoodShare — Wisconsin’s name for the state’s SNAP benefits program. When SNAP payments stopped Nov. 1, however, the food pantry’s signups shot up.

Through September and October, the Nekoosa program served 38 people — eight to 10 families, Stearns said. That jumped to more than 50 in November after SNAP benefits stopped.

“The first day when SNAP benefits weren’t uploaded to people’s [electronic benefits] cards, I think I had 35 applications come in in one day,” Stearns said.
“Now we’re serving about 200 people.” Even with the resumption of SNAP after the end of the shutdown, the demand has not diminished significantly, she added.

The Nekoosa food pantry program had been housed with the YMCA after-school program, based at a middle school. In June, the school transferred the food pantry program to the operation of the YMCA, which moved it to share space with the Y’s child care program, where recipients pick up their monthly boxes of food.

Providing a monthly allotment of food proved to be the most practical way for the Nekoosa program to operate, Stearns said, because “I don’t always know what [food] donations we’ll get or how much funding we’ll have to support people.”

The Nekoosa program was launched as part of a Wisconsin Partnership Program grant that the University of Wisconsin School of Medicine and Public Health made to the Marshfield Clinic. With the $500,000 grant, the clinic was able to fund seven projects across the state’s northern half to address food insecurity.

“When students are fed and have those basic needs met, with food as one of those basic needs, they certainly can learn and focus so much more,” says Jill Niemczyk, a health educator with the Marshfield Clinic’s Center for Community Health Advancement who has been coordinating the program.

Other projects included a food pantry expansion, a teen meal program, gardening projects and a variety of nutrition education and community engagement programs.

“Each one of our seven sites is doing something a little bit different,” Niemczyk says.

The grant is now in its second year. In the third and final year, she says, attention will turn to assisting the various recipients as they look at how to establish ongoing community support and build on what they have been doing.

Even with SNAP benefits restored with temporary legislation to fund the federal government through January, Stearns expects the need to address hunger and food insecurity to persist.

“I think a lot of people are feeling like the food crisis is addressed” because the shutdown ended, Stearns says. “But a lot of us in food security are nervous about January. There’s a pretty big need to focus on people being fed — students are going to school hungry, whether there’s FoodShare or not.”

Group Health Cooperative of South Central Wisconsin's East Side Madison clinic. (Photo by Erik Gunn/Wisconsin Examiner)

Directors of a Madison health care system will consider Thursday whether to change course in the organization’s response to a union organizing campaign.

Supporters of the union campaign at Group Health Cooperative of South Central Wisconsin put five motions before the board of directors at an in-person meeting in October — including one to voluntarily recognize the union, SEIU Wisconsin.

A statement from the co-op management Wednesday did not address whether the board will directly act on any of the motions when it meets.

“The motions are advisory to the Board of Directors concerning its instructions to management about the unionization efforts of our direct care employees,” Group Health stated. “All the Motions will be considered by the Board at the November 20th meeting. The results of those discussions will be communicated to our membership in a future statement.”

Group Health’s response to the union drive, which became public about a year ago, has produced a rift between the co-op’s management and some of its members, who have criticized the organization’s response as a betrayal of its progressive heritage.

“To me it was horrifying to learn that we had people leaving because the conditions were not tolerable,” said Ruth Brill, a Group Health member since 1979 who has supported the union organizing campaign.

According to union supporters, the five motions offered at an Oct. 11 in-person mass meeting to discuss the union organizing campaign passed unanimously. About 170 Group Health members attended that meeting, and union allies said it was the largest turnout in memory for an in-person meeting of co-op members.

Three of the five motions call on the board, the co-op management, or both:

• To report to members how much money Group Health has spent in 2024 and 2025 to pay the law firm Husch Blackwell, which has represented the co-op in connection with the union campaign.
• To voluntarily recognize SEIU Wisconsin as the representative for the professions and departments that the union first sought to represent when workers petitioned the National Labor Relations Board for a union election on Dec. 12, 2024. That motion also demands that Group Health “observe strict neutrality regarding the unionization of any of its workers.”
• To compile a report “of all meeting minutes, emails, and other communications involving Board members, administrators, and/or supervisory employees regarding union activity, from January 2024 to the present.”

The third motion also demands a report on all legal or consulting fees that Group Health has spent related to the union drive, including itemized details.

The fourth motion demands that the board and administration “faithfully follow the democratically expressed will” of the co-op members, charging that the membership has “been denied an opportunity to duly and fully exercise its role” in leading the co-op.

The fifth motion calls for a meeting by mid-January “on the democratization of GHC governance.”

“GHC says members are the most important part of our cooperative and yet the board is not listening to what the members have very clearly stated what they would like to happen,” said Dr. Nisha Rajagopalan, a family practice physician and among the union campaign’s leaders.

“If we are a cooperative that is for our members and our patients, those people showed up in the room and they voted and said exactly what they wanted, and we would like to hear the board uphold that,” said Katie Cloud, a certified medical assistant who has also been active in the union campaign.

Paul Terranova, a Group Health member for 25 years, organized a presentation to the co-op board earlier this year to make the case for unionization in the context of a nonprofit co-op. He later helped organize a slate of candidates for the board in opposition to four incumbent board members. All four of the rival candidates were elected in June.

Terranova said that board members have not communicated directly with Group Health members about the union campaign. Board discussions about the matter have been conducted in closed sessions.

The board’s consideration of the motions is “a really pivotal moment for GHC,” Terranova said, “and how they handle this is going to say a lot about whether this is still a cooperative or if it’s become just a corporate board with cooperative window dressing.”

Lt. Gov. Sara Rodriguez speaks during a Wisconsin Technology Council forum featuring Democratic and Republican hopefuls in the 2026 governor's race Nov. 6, 2025. (Photo by Baylor Spears/Wisconsin Examiner)

The longest ever federal government shutdown that ended last week revolved around a top issue for Lt. Gov. Sara Rodriguez as she campaigns to be Wisconsin’s next governor: health and health care.

A registered nurse by training and former official at the Centers for Disease Control and Prevention, Rodriguez has been deeply involved in health care policy, first in her single term as a member of the Wisconsin Assembly and then, since 2023, as the No. 2 official in the state’s executive branch.

And, she says, it motivated her to declare her intention to succeed Gov. Tony Evers after Evers decided to stand down from the 2026 election.

“One of the reasons why I wanted to run is to make sure that we have somebody in a leadership position that, No. 1, understands health care, and No. 2, really gets how unaffordable and broken it is,” Rodriguez told the Wisconsin Examiner in an interview Monday.

She also sees a shift in the federal government away from established public health principles, forcing states to take the lead on setting public health standards. In the governor’s office, she said, her professional background would equip her to tackle  those issues.

As  a state representative, Rodriguez proposed a bill in the 2021-22 legislative term to accept the expansion of Medicaid — BadgerCare in Wisconsin — through the Affordable Care Act. Expansion would allow the state to enroll people with incomes between 100% and 138% of the federal poverty guidelines in Medicaid, with the federal government paying 90% of the additional cost.

When the ACA took effect, Gov. Scott Walker was in office and refused throughout his two terms as governor to accept the federal support and expand the program.

Evers defeated Walker in 2018 and promised to accept the federal expansion, but in the lame-duck session before he was sworn in, the Republican majority in the Legislature passed a bill that Walker signed, requiring the Legislature’s approval for expansion.

Since then, repeated attempts by Democrats to expand Medicaid, including the bill Rodriguez authored four years ago, have failed with Republican majorities in both houses of the Legislature.

Another form of Medicaid expansion — covering mothers for a year after they give birth — has the support of bipartisan majorities in the Senate and the Assembly, but Assembly Speaker Robin Vos (R-Rochester) has opposed bringing it to the floor. 

“We are one of two states that have not done that — us and Arkansas,” Rodriguez said. “And I think Arkansas may be working on it. So we may be the only one left at the end of the day.”

Rodriguez’s political career started with her Assembly race in 2020, flipping a Republican seat in the Milwaukee suburbs. She followed that with her race for lieutenant governor in 2022 and now her  campaign for the Democratic nomination to run for governor in 2026.

Throughout her political life, she said, she has been supported by 314 Action, a political organizing group seeking to elect more scientists and people in science-related professions, including health care.

During the recent federal government shutdown, Democrats in the U.S. Senate insisted that any resolution to fund the government also extend federal subsidies for health insurance under the ACA. The expiration of those subsidies at the end of this year will cause health insurance premiums to double, on average, participants in the ACA marketplace. 

Ultimately, a handful of Democratic senators voted with the Republicans to advance a GOP-authored spending bill that ended the shutdown without addressing the looming health insurance cost spike.

But the issue won’t go away, Rodriguez said.

“We’re looking at a doubling of premiums,” she said. “A 60-year-old couple are looking $1,500 to $2,000 more a month to be able to pay for their health insurance. That is absolutely unaffordable for most Wisconsinites.”

The problem extends beyond just people who buy their insurance through the federal marketplace, she warned.

“The larger amount of people who are uninsured in the state, the higher our health care costs are going to get, because they’re going to wait, they’re going to delay care, they’re going to be sicker when they get into care, and it’s going to cost hospital systems more in terms of uncompensated care,” Rodriguez said.

“If people will go uninsured, it’s going to raise costs,” she added. “And continuing to talk about it, continuing to let people know how that works, is something that I’m uniquely equipped to do as a nurse, as somebody who’s worked within the health care system. And it’s one of the reasons why I’m running for governor.”

Rodriguez said she has seen the benefits that the ACA has brought in the last decade and a half.

Before it was in place, “people delayed care,” she said. “They came in sicker to my emergency department and it cost a whole lot more dollars to be able to treat them and they were out of work because they had to be treated within a hospital system as opposed to going to their regular doctor and being able to get the care that they needed and be able to take care of their diabetes, to take care of their hypertension. Those are the kind of things that the Affordable Care Act has allowed us to do.”

She said she’s heard from small business owners who were able to start a business because they could get health insurance thanks to the ACA.

“Do we need to fix it? Absolutely. Do we need to get it better? Absolutely,” Rodriguez said. “But to get rid of it is going to have devastating effects on health care in Wisconsin.”

Rodriguez said she also brings the perspective of health and health care to other policy topics.

“The medicine we give you, the procedures that we do — it’s such a tiny fraction of how healthy we are,” she said.

Food, housing and “a good-paying job to put a roof over our heads and to pay for the food we eat and to pay for the medications we’re prescribed” are health issues, too, Rodriguez said. That’s why housing affordability, for example, is part of her platform, she said. 

“Tom Tiffany in the governor’s seat [is] not going to put a priority on lowering costs for Wisconsinites,” she said.

She also predicted that, if elected, Tiffany would sign laws restricting abortion in Wisconsin — “and that is going to be extraordinarily dangerous for people.”

Rodriguez views her science background as a strong selling point. “I think we want somebody who’s going to use data and science to make decisions,” she said.

Robert F. Kennedy Jr., President Donald Trump’s secretary of the federal Department of Health and Human Services, has been “using conspiracy theories as his underlying belief system, and that hurts real people,” Rodriguez said.

She cited surging measles cases in Wisconsin and nationally and the deaths of children in some states after the federal government weakened its support for vaccination.

“That hasn’t happened in a decade, and they’re continuing to feed this anti-science rhetoric that is going to harm our kids here in Wisconsin,” Rodriguez said. “I’ve been clear, I think RFK Jr. should resign. I don’t think he’s qualified for the job that he has and he’s actually a danger to public health across the country.”

A Kwik Trip station in Mount Horeb, Wisconsin, was among the locations chosen for new charging stations in the first round of Wisconsin's build-out for its charging station network under the National Electric Vehicle Infrastructure program (NEVI), part of the bipartisan infrastructure law enacted during President Joe Biden's term in office. (Photo by Erik Gunn/Wisconsin Examiner)

A program to expand electric vehicle charging stations in Wisconsin is getting  a $14 million jolt with plans to build 26 more stations across the state.

Gov. Tony Evers and the Wisconsin Department of Transportation announced the expansion plan Monday.

The announcement recharges the state’s electrical vehicle charging network project, supported by the National Electric Vehicle Infrastructure program. NEVI, part of the 2021 bipartisan infrastructure law signed by  then-President Joe Biden, provides grants to states to build more charging stations.

“Transportation is evolving, and departments of transportation and states have to adapt with that evolution,” said John DesRivieres, WisDOT’s communications director. “As the market and the number of folks who are driving electric vehicles grows, EV infrastructure is needed.”

NEVI funding paused after President Donald Trump took office, and Wisconsin was one of 15 states along with the District of Columbia to sue the Trump administration in May for cutting off money for the program. A federal judge blocked the administration in June from defunding NEVI, and the Wisconsin DOT subsequently restarted its program.

The $14 million in federal funds for Wisconsin’s new round of charging stations will go to projects in communities throughout the state, from Superior in the northwest to East Troy in the southeast. They include 11 locations at Kwik Trip service stations, six locations at hotels or resorts, six locations at other service station brands and a handful of other businesses.

“My administration and I have prioritized ensuring our state’s infrastructure meets the needs of the 21st Century since Day One because expanding our clean energy and electric vehicle infrastructure helps create jobs and bolster our economy, and it’s good for our planet, too,” Evers said. “Thanks to our actions to get the Trump Administration to release this critical funding that they were illegally withholding, we are thrilled to see the NEVI program continue to support these goals and further move us toward the clean energy future Wisconsinites deserve.”

The transportation department chose projects based on their location, their potential for future development, and the business site’s hours. Extended hours were given preference to accommodate longer refueling times, according to WisDOT.

Wisconsin’s plan calls for charging stations along 15 major interstate, U.S. and state highway corridors that cross the state. A WisDOT EV charging station dashboard shows the locations for all planned chargers in the state.

With the round of grants announced Monday, Wisconsin has invested a total of $36.4 million in federal funds for 78 projects.

The first round, announced in May 2024, invested $22.4 million to build 52 stations. Of those, 11 are operational, 16 have been authorized for construction and the rest are in pre-construction phases.

A federal tax credit for electric vehicles that was included in the 2022 Inflation Reduction Act abruptly ended, effective Sept. 30, under the Republican tax-cut and spending mega-bill enacted in July.

“There are already 37,000 EVs on the road today, and we saw that number spike as people raced to purchase EVs before the federal tax credit expired,” said Alex Beld, communications director for Renew Wisconsin, a nonprofit that promotes policies and programs to expand solar, wind and hydropower along with building electrification, energy storage and electric vehicles.

“By expanding our network of charging stations, we hope to see that number continue to climb,” Beld said. “Through this transition away from gas-powered vehicles, we can reduce emissions and support our state’s economy.”

An analysis by SRI International published in 2023 for the Wisconsin Economic Development Corp. concluded that “there is a tremendous opportunity for Wisconsin to develop a globally competitive cluster centered on the manufacturing of EVs and EV-related equipment, which in turn can help revitalize Wisconsin’s automotive manufacturing industry and drive statewide economic development.”

Beld said that jobs related to clean energy grew four times faster than the rest of Wisconsin’s economy in 2024.

“If this funding had been clawed back permanently, I think we would have still seen progress,” Beld said. “It would have certainly been slower and would have likely cost the state jobs.”

State Rep. Christine Sinicki (D-Milwaukee) questions a witness at Thursday's hearing of the Assembly labor committee about the unemployment insurance bill produced by the Unemployment Insurance Advisory Council. (Photo by Erik Gunn/Wisconsin Examiner)

A business lobbyist Thursday sought to salvage a new unemployment insurance bill that has sparked opposition from some Democrats and advocates for people with disabilities.

The bill came from the joint labor-management Unemployment Insurance Advisory Council. The council is historically a source of consensus legislation to update Wisconsin’s laws on jobless pay, but its 2025 proposal includes provisions Democrats have strongly opposed.

The senior Democrat on the Assembly’s labor committee has disavowed the bill because it includes a financial penalty for people who receive federal disability pay if they apply for unemployment insurance when they’re laid off from a job.

The council bill also contains several other changes that Democratic lawmakers have unanimously opposed and Gov. Tony Evers has vetoed in the past.

At a public hearing Thursday on the legislation, AB 652, Scott Manley of Wisconsin Manufacturers & Commerce emphasized that the measure had the unanimous support of both the management and labor members of the advisory council.

Manley chairs the council’s management caucus. Representatives from the council’s labor caucus did not take part in the hearing.

“There’s a reason we have a council,” Manley told the Assembly Committee on Workforce Development, Labor and Integrated Employment. “It’s a process we believe in. We think it’s a process that works. And we would ask everybody in the community to respect that process.”

WMC and other business groups have repeatedly backed Republican legislators’ bills to change the state’s unemployment laws when they bypassed the joint advisory council.  Evers has regularly vetoed such bills.

Manley said that it would be unprecedented for an advisory council bill to split the Legislature on party lines, however.

“My fear is that if the Legislature decides to turn this into a partisan issue, despite the fact that it was unanimously supported by labor and management, that Gov. Evers would consider vetoing the bill,” Manley said.

If that happens, he said, the bill’s $25 bump in the state’s maximum weekly jobless pay — the first increase in more than a decade — would likely be put off until 2027.

Victor Forberger, a lawyer who specializes in unemployment law, said even that increase, bringing the maximum benefit to $395 a week, was inadequate compared with surrounding states.

Minnesota tops out at $914 a week, Forberger testified. Iowa’s maximum is $602 and Michigan’s is $446, with an increase to $530 in 2026.

“We’re not keeping pace with the states around us,” Forberger told the committee. “We’re not even coming close to that

The disability-jobless pay conflict

The advisory council bill’s highest-profile point of contention applies to people who receive Social Security Disability Income.

Since 2013, Wisconsin law has automatically disqualified SSDI recipients from collecting jobless pay, even if they get laid off from a job and otherwise meet the requirements for unemployment compensation.

A federal judge ruled in 2024 that the SSDI jobless pay ban violated federal law. After an additional court order this summer, the Wisconsin Department of Workforce Development is now reviewing the cases of people denied unemployment compensation in the last 10 years due to the SSDI ban, and is issuing payments to those who qualify.

The joint advisory council unemployment bill repeals the ban on unemployment insurance for SSDI recipients. But it would also cut their jobless pay by 50% of their SSDI pay.

That provision led Rep. Christine Sinicki (D-Milwaukee), the ranking Democrat on the labor committee, to keep her name off the list of sponsors for the advisory council bill.

“I simply cannot support taking benefits from those who are disabled,” Sinicki said when she, along with the committee’s other two Democrats, voted against the bill’s formal introduction Thursday. “They receive very little money to begin with. And now to reduce their benefits to me is unconscionable.”

Manley defended the 2013 law that excluded SSDI recipients from the unemployment insurance program.

“SSDI is intended to compensate somebody for their loss of earning capacity based on a disability,” he said. “And unemployment is supposed to compensate somebody through the loss of their earnings because they were laid off or their job was eliminated or some other reason that’s no fault of their own. So, that’s why the policy decision was made in the first place that we wouldn’t allow people to have both benefits.”

While the court ruled against a blanket exclusion from unemployment compensation for people getting SSDI, Manley argued that offsetting their jobless pay by a portion of their disability income is comparable to existing provisions that offset unemployment benefits based on other wage income.

But SSDI is not like a wage, said Forberger, whose lawsuit overturned Wisconsin’s SSDI jobless pay ban.

“SSDI is essentially getting your Social Security benefits early,” Forberger testified. While Social Security payments are based on lifetime earnings at retirement age, he said, unemployment is based on a recent job loss, and unemployment benefits are based on earnings in the last year and a half.

The average SSDI benefit in Wisconsin as of December 2023 was about $1,400 per month, he said. SSDI recipients take part-time jobs because their disability income “is not enough to support themselves,” Forberger said. “They need additional money to make ends meet.”

The federal Social Security Administration, which administers the disability program, encourages recipients to work so they might make a transition back to the workforce and no longer need benefits. “Essentially, what Wisconsin is saying to disabled folks here is . . . ‘We don’t want you working anymore,’” Forberger said.

Other provisions

Several other items in the advisory council bill previously were part of Republican bills that Evers vetoed in the past when they reached his desk.

One would require DWD to establish a website where employers could report unemployment compensation recipients who “ghosted” job interviews or didn’t show up for the first day on the job after an offer.

Another would require audits of 50% of all work searches by people collecting jobless pay. In 41% of work search audits that DWD conducted, “claimants failed to fulfill weekly work search requirements,” said Brian Dake of Wisconsin Independent Businesses. “We believe this data justifies the need for more audits.”

 A third provision stipulates specific checks that DWD should make to ensure that a person who makes an unemployment claim isn’t stealing another person’s identity or engaged in some other fraudulent activity.

The bill also would mandate electronic filing of payroll information for business owners with fewer than 25 employees.

Forberger, in his testimony, rejected all those provisions as ineffectual or unnecessary.

“Ghosting interviews is already illegal in this state,” he said, with stiffer penalties than outlined in the bill. Employers, he added, are unlikely to go to the trouble of filing a report and take the time for the hearings that would follow.

Forberger observed that the department already consults a wide range of databases in checking out claims. And he said small employers have sought his help after making mistakes and getting in trouble with the department in filing required payroll documentation.

“To mandate online-only filing is just going to make it that much harder for these employers,” Forberger said.

(According to DWD communications director Haley McCoy, in 2024 about 97% of taxable employers with fewer than 25 employees submitted their wage reports electronically. “Fewer and fewer employers file on paper every quarter with current figures showing less than 3% filing by paper,” McCoy told the Wisconsin Examiner.)

Forberger said the bill’s work search audit requirement was redundant, because DWD already conducts work search audits of every person who is approved for benefits. He said he’s heard from many people who don’t understand what constitutes a work search and how to report it.

“When they’re getting audited, they’re getting disqualified,” Forberger said. “If you really want to improve the system, DWD needs to start doing some training and helping people how to navigate the system.”

This report has been updated to clarify that work search audits are conducted for people who are approved for  unemployment benefits. 

Sen. Tammy Baldwin (D-Wisconsin) speaks Wednesday about the effort to extend enhanced Affordable Care Act insurance premium tax credits that will expire at the end of 2025. Nancy Peske, left, and Julia Harris-Robinson, center also joined the press conference. (Photo by Erik Gunn/Wisconsin Examiner)

With the loss of enhanced subsidies for the health insurance she has bought on the federal marketplace HealthCare.gov, Nancy Peske’s health plan will cost $1,163.50 a month in 2026.

That’s more than three times what she paid this year — $372 a month, Peske said Wednesday.

But if there’s one thing she wants everyone to know, it’s this: The higher prices for health insurance aren’t just something that she and other people who buy their coverage on the federal marketplace are facing.

Long before the ACA, Peske learned about “the premium death spiral,” she said.

“The more you raise the price, the more people drop out of the pool. This means you have to raise the price, which means more people drop out of the pool. And it goes on and on and on,” Peske said.

“It’s not just my health insurance that’s going to go up. It’s everybody’s — right?” she said. “We’re all in this together.”

Peske was one of two people who have relied on HealthCare.gov, created as part of the Affordable Care Act, who spoke Wednesday at a press conference in Milwaukee with Sen. Tammy Baldwin (D-Wisconsin).

Baldwin called the press conference  to draw attention anew to the skyrocketing cost of health insurance — and to the failure of Congress to address it in the stopgap spending bill that passed the U.S. Senate Monday, the U.S. House Wednesday evening and was signed by President Donald Trump.

“This is a health and wellness issue,” Baldwin said. “This is an affordability and cost-of-living issue, and this is a quality of life and dignity issue. And it touches every single one of us right now.”

A success amid ‘a broken system’

Health care in the U.S. is “a broken system that prioritizes profits over patients,” Baldwin said. Despite that, she said, the 2010 Affordable Care Act was an important advance for expanding health care access.

She said that was improved by enhanced federal subsidies enacted in 2021 to offset the cost of health insurance for people who must buy their own policies on the federal HealthCare.gov marketplace that was created by the ACA — making insurance more affordable and drawing record numbers of people to the marketplace to get health coverage.

The enhanced subsidies expire at the end of 2025, however, and until this week a Republican stopgap spending bill that passed the U.S. House in September stalled in the U.S. Senate as Democrats pushed unsuccessfully to extend the subsidies.  

“That is what is at the center of the government shutdown and debate in Washington, D.C.,” Baldwin said. “We know the impact of taking away these tax breaks. For 275,000 Wisconsinites, their health care [insurance] costs will double, triple or even more. For 30,000 Wisconsinites, they predict the price will be too high, and that those Wisconsinites will go without insurance altogether.”

A handful of Democratic Senators changed their votes Monday to advance the spending bill in return for a promise of a future vote on the subsidies, with the House taking up the revised bill Wednesday. Baldwin didn’t join them.

“I said the entire time that a handshake deal with my Republican colleagues to reopen the government and no real action to lower health care costs was simply not good enough,” said Baldwin of her vote against the bill.

She also forced an amendment to extend the tax credits for a year — a compromise, she said, because she wants them extended permanently, but one she offered “to avoid catastrophe for families across Wisconsin and give folks breathing room while we negotiate longer-term solutions.”

The amendment failed on a party-line vote.

“Every single Republican voted no on my amendment,” Baldwin said. “They chose to send a clear, unmistakable message that they are OK with jacking up health care costs on 22 million Americans.”

Early retirement, then sticker shock

HealthCare.gov user Erica Topps also joined Baldwin’s news conference. Topps took early retirement in April and bought a health insurance policy through the federal marketplace for herself and her college-age daughter that started in June.

At the marketplace open enrollment for 2026 that started Nov. 1, that plan’s premium increased by $1,200 a month and the deductible went from $6,700 per person to $10,600 per person, Topps told reporters She found another plan via the marketplace and is enrolling, but she’s concerned about the future beyond that.

“Part of my plan is to go back to work” so she can get health insurance, Topps told the Wisconsin Examiner, because it will be 10 years before she can qualify for Medicare.

Before taking early retirement, “I did my due diligence,” she said. “I feel like the rug was pulled out from under me.”

Peske is a freelance writer, editor and consultant. She is also a cancer survivor, whose diagnosis two years ago was covered thanks to her HealthCare.gov policy. Going without health insurance is unthinkable, but at the age of 63, she must wait another two years before she can go on Medicare, she said.

Peske told the Wisconsin Examiner that she will scrape together the money to afford her new premium. “I’ll not put a dime into my underfunded retirement account,” she said. She expects to “tighten the belt” on household expenses, “and I will probably cut into my savings.”

Freelancers and small businesses account for 40% of the U.S. economy, Peske told reporters.

“Do you want everyone to go out of business?” she asked. “Should I just do what so many people do and get a much lower paying job at a company? Because I’m desperate for health care. I don’t think that’s the solution. I think you want to keep people like me in business, generating money, adding to the economy, and being able to live, to not die of cancer.”

Seeking inroads with GOP lawmakers

Baldwin said she has been talking with Republicans about finding common ground in increased transparency in the health care system, from insurance companies, pharmacy benefit managers and providers.

In addition, she told the Wisconsin Examiner after the press conference, she continues to have conversations with GOP Senate colleagues who have expressed interest in continuing the subsidies to avert the sharp hike in premiums.

None of them were willing to break ranks and vote for her amendment this week, however.

“Those discussions were happening informally, in quiet, not in the public spotlight,” Baldwin said. “But they were afraid to vote on something that they, probably, some of them want, because Donald Trump said you can’t talk about this before the government reopens.”

Baldwin said that the next step will be for the Democrats to settle on the bill that Republican Senate Majority Leader John Thune has promised they could bring to the upper chamber for a vote.

As much as she favors a permanent extension of the enhanced credits, if the Democrats go that route, “we know it will go down, and it will be on a pretty much a partisan vote,” Baldwin said.

“I want results, so that probably dictates towards supporting something that conceivably does respond to some of the concerns Republicans have raised,” she said. “I’d like to pick the path most reasonably likely to succeed on behalf of the people who sent me to Washington to fight for them.”