Wisconsin pediatricians are celebrating two decades of a cancer-preventing vaccine. But state data shows nearly half of the state's teenagers aren't getting the shots.

The post Wisconsin doctors say HPV vaccine has cut cancer rates. Only half of teens get the shots. appeared first on WPR.

When her son was a teenager, Connecticut mom Amy Wadsworth said, he was the type of kid parents rarely worry about.

He played sports, cared about his health and stayed away from drugs. In 2018, when he left West Hartford to start his freshman year at American University in Washington, D.C., she expected his biggest challenge would be adjusting to college life.

Instead, she said, he began using cannabis to cope with social anxiety and as a sleep aid.

Within months, Wadsworth’s son was calling home in the middle of the night, terrified and disoriented.

Over the next several years, his behavior became increasingly erratic, he had psychotic episodes and he was eventually diagnosed with severe cannabis use disorder. That’s when a person’s marijuana use becomes difficult to control and begins interfering with daily life.

Now 25, Wadsworth’s son has spent much of the past several years cycling through hospitals and treatment programs across the country.

“It’s definitely changed the trajectory of his life,” Wadsworth said. “It did nothing but harm him, literally harm every facet of his life — every facet, physical, mental, everything.”

States have spent the past several decades debating whether to legalize cannabis. Now, they are debating how intoxicating legal products should be.

A growing body of research suggests that frequent use of high-THC cannabis increases the risk of cannabis use disorder, psychosis and other mental health problems for users, particularly adolescents and young adults. In response, lawmakers in some states this year have moved to impose stricter potency caps, while others have scaled back or rejected such measures amid industry opposition and uncertainty over research findings.

While cannabis flower once commonly contained THC levels in the single digits, many products sold legally today contain 15% to 20% THC or more. Concentrates — such as waxes, oils and shatter — can exceed 80%.

About 15% of Americans ages 12 and older reported using marijuana in the past month in 2024, according to the Substance Abuse and Mental Health Services Administration. And about 3 in 10 people who use cannabis have cannabis use disorder, according to the federal Centers for Disease Control and Prevention.

Some public health researchers and addiction specialists argue that public perceptions of marijuana have not kept pace with the growing availability of high potency products. They say broader legalization efforts — including the federal government’s recent move to reclassify medical marijuana as a less restrictive drug under the Controlled Substances Act — may reinforce the belief that cannabis is harmless.

“Moving cannabis from Schedule I to Schedule III doesn’t help me save lives by decreasing the perception of that risk,” said Dr. Alta DeRoo, the chief medical officer of the Hazelden Betty Ford Foundation, one of the largest nonprofit treatment providers for addiction and mental health. DeRoo also is a board-certified addiction medicine physician and OB-GYN.

Some state efforts to impose potency limits have been stalled by resistance from the cannabis industry and questions about how far governments should go in regulating a legal product.

In Connecticut, lawmakers this year reinstated a 35% THC cap on flower just weeks after voting to eliminate it. Lawmakers from both sides of the aisle said they were concerned about the potential public health effects of increasingly potent marijuana products.

At the same time, the legislation moved forward with other cannabis market expansions. Lawmakers removed a 70% THC cap on concentrates, increased the amount of THC allowed in certain cannabis-infused beverages and expanded the market to include products such as topicals, tablets and capsules.

Proposals to cap THC potency have surfaced in statehouses across the country for years. This year, lawmakers in California, Georgia, Mississippi, Oklahoma, Oregon and South Dakota introduced similar measures, though most did not advance.

Georgia Republican Gov. Brian Kemp signed a law in May that removes the state’s previous 5% THC potency cap starting July 1. The new law will also add a 12,000 mg possession limit for registered medical cannabis patients and allow patients over 21 to vaporize medical marijuana.

‘A perennial debate’

Lawmakers across the country have proposed a range of measures aimed at limiting the potency of cannabis products.

In Washington state, Democratic state Rep. Lauren Davis has spent years trying to place guardrails on high-potency cannabis products. Since 2020, she has introduced at least five bills that would have capped THC levels in concentrates or imposed safeguards, including age restrictions, warning labels and a higher tax rate on products with elevated THC levels.

Most of those measures were thwarted by opposition from the cannabis industry, Davis told Stateline.

Industry groups and cannabis businesses argued that Washington’s existing regulations already protected consumers and kept cannabis away from minors. Opponents also warned that limiting high-THC products would drive consumers to the illicit market, hurting legal businesses and exposing users to unregulated, possibly contaminated products.

“(The industry) then went on to basically rain down all fire and brimstone and crush every bill that I’ve ever attempted in this area,” Davis said.

The only proposal to become law was a 2024 measure that requires retailers to warn customers about the association between high-potency THC products and psychotic disorders.

Washington state does not currently impose THC caps on flower or concentrates, but it does set limits on edibles and beverages.

Nearly all states have some form of medical-only or hybrid medical and recreational cannabis program, but just eight states, Connecticut, Mississippi, Montana, Nevada, New Mexico, Oregon, Rhode Island and Vermont, have potency caps on some products, including flower, according to the National Conference of State Legislatures. Potency limits on edibles are far more common.

“This is a perennial debate that comes up in Vermont and elsewhere around higher potency products,” said James Pepper, who chairs the Vermont Cannabis Control Board, the agency that regulates the state’s market.

“I feel like the concerns are certainly real,” he added.

In Oklahoma, a recent incident in which a 4-year-old boy was hospitalized and remained unconscious for more than a day after his parents said he ingested a 1,000 mg edible found at a playground has added to growing debate over high-potency cannabis products in the state.

“We know that some of our medical patients truly do need higher potency products, but do we really need a 2,000 milligram gummy available for anyone with a patient license to purchase in an Oklahoma dispensary?” said Adria Berry, the executive director of the Oklahoma Medical Marijuana Authority, which oversees the state’s medical market.

Oklahoma Republican Gov. Kevin Stitt also signed a measure into law last month that will take effect in November, adding stricter packaging and labeling requirements, including restrictions intended to prevent products from resembling candy or appealing to children.

While some industry experts acknowledge the potential harms, they say the focus should be on consumer education and clear information about potency and effects, rather than new restrictions.

An official with Trulieve, a cannabis company that operates dispensaries in eight states, told Stateline that its products are independently tested and that potency information is available for customers to review and ask questions about, including a product’s effects.

“We believe that that piece of information is critical for a consumer to make an educated decision on what type and what potency of product they are looking to consume,” said Lauren Niehaus, Trulieve’s executive director of government relations.

Some advocacy and trade groups, such as the National Cannabis Industry Association and the National Organization for the Reform of Marijuana Laws (NORML), argue that policymakers should steer consumers into tightly regulated legal markets rather than imposing blanket THC caps that could push some users back to illicit sellers. They say that accurate labeling, child-resistant packaging and public education campaigns are the best strategies to protect public health and prevent youth access.

“It’s undoubtedly safer and better for public health outcomes to regulate these products,” said Adam Rosenberg, who chairs the board of the National Cannabis Industry Association.

Paul Armentano, NORML’s deputy director, said potency caps oversimplify the risks of cannabis products and fail to account for how consumers actually use them. Consumers view ultra-potent products as a novelty, he said, and ultimately gravitate toward lower-potency options.

“When you look at state-tracked sales in legal states, cannabis flower or botanical cannabis still outsells every other product, and I would dare say it’s because that is the most moderate to low potency product available on the shelf, and that’s what most people want,” Armentano said.

Armentano also argued that some of the strongest calls for THC limits come from opponents of legalization, who see potency restrictions as a way to gradually roll back access to legal cannabis.

What the research says

A study published earlier this year in JAMA Health Forum found that adolescents who use cannabis, including products with higher potencies, had a significantly increased risk of developing psychotic and bipolar disorders, along with higher risks of depression and anxiety. The research followed about 463,000 adolescents in Northern California between ages 13 and 17 and tracked outcomes into early adulthood. The study did not, however examine whether the use of higher-potency products is more likely to cause psychotic and bipolar disorders.

But other research has linked frequent use of high-potency cannabis to a greater risk of psychosis and psychotic disorders, particularly among heavy users. Several studies have found a dose-response relationship, meaning the risk tends to rise as THC concentration and frequency of use increase. Experts caution, however, that many studies cannot definitively prove that cannabis causes psychosis and that individual risk varies widely.

Other research suggests the risk of developing psychosis may be higher for adolescents and young adults, whose brains are still developing, as well as people with existing mental health conditions or a family history of psychotic disorders.

“I’ve seen patients come through our facilities where they haven’t done any other drugs other than just high-potency marijuana, and their psychosis is remarkable,” said DeRoo, of the Hazelden Betty Ford Foundation. “They don’t have a grasp of reality. They come in seeing things, they come in believing things, alternate realities.”

John Puls, a psychotherapist and addiction specialist in Florida, has seen similar patterns in his practice at Full Life Comprehensive Care, particularly among adolescents and young adults using high-potency products.

He said families often don’t believe cannabis alone could be driving such dramatic changes. Beyond psychosis, he added, cannabis can chip away at more ordinary parts of life: Motivation drops, executive functioning suffers, patients miss appointments or forget obligations, and short‑term memory and relationships start to fray.

Some medical and industry experts say that cannabis can provide meaningful relief for some people, including those undergoing cancer treatment or who have chronic pain. But there is very little consensus on appropriate medical uses, dosing and long-term effects, particularly as products vary widely in potency.

“If there’s no standardized testing of products, or if there’s no enforcement of potency limits, then we might be putting people at more risk,” said Dr. Smita Das, an adult addiction psychiatrist and a clinical professor at Stanford University School of Medicine.

Stateline reporter Amanda Watford can be reached at awatford@stateline.org.

During the most recent legislative session, Senate and Assembly child marriage bills sat in committees led by state Sen. Chris Kapenga and state Rep. Patrick Snyder. The bills died without a committee hearing, just like in past sessions.

The post Child marriage with parental consent is still legal in Wisconsin. Republicans have blocked Democratic efforts to change that appeared first on WPR.

Gov. Tony Evers announced the state’s first settlement with a Marinette manufacturer of firefighting foam over alleged violations of the state’s spills law for failing to report PFAS contamination.

The post Wisconsin reaches $10M settlement with Tyco, Johnson Controls over PFAS contamination appeared first on WPR.

The Cenovus oil refinery in Superior has shut down a unit that treats and removes hydrogen sulfide gas due to a small leak, according to the Wisconsin Department of Natural Resources.

The post Superior refinery shuts down unit that removes harmful emissions appeared first on WPR.

A new grant will help the Portage Community School District create an in-house clinic offering mental health support to students at school.

The post With new grant, Portage schools hopes to put mental health experts right beside classrooms appeared first on WPR.

The report, which is conducted by the Wisconsin Department of Health Services every five years, looks at how factors like income, housing and the environment affect health outcomes in the state.

The post Report: 1 in 10 Wisconsinites skipped needed health care due to cost appeared first on WPR.

Vaccine hesitancy fed by misinformation is causing new surges of measles and whooping cough, while COVID-19 hotspots persist in some states and a new threat looms from an Ebola outbreak in central Africa.  

Nationally there have been 1,983 measles cases this year, nearly the 2,288 total for all of 2025, which in itself was the worst year since 1991, the federal Centers for Disease Control and Prevention reported Friday.  

Halfway through the year, 12 states and the District of Columbia already have more measles cases than they did for a full year in 2025. That’s true for South Carolina and Utah, where cases are already more than double last year, and also for states such as Florida, which has 139 cases so far compared with eight in 2025, and Virginia, which already has 63 compared with six in all of 2025.  

South Carolina, the state with the highest number of cases this year at 669, declared an end in April to an outbreak that was the nation’s largest in 35 years. The outbreak in the northwestern part of the state was centered in Spartanburg County, where religious exemptions to vaccination have spiked.  

The Utah outbreak, which began in the Short Creek area on the Utah/Arizona border, where vaccination rates are low, has generated 484 cases this year and is now slowing, said Dr. Andrew Pavia, a pediatrician and professor at the University of Utah, speaking at a May 26 briefing for the Infectious Diseases Society of America. 

Dozens of measles patients have been hospitalized with serious symptoms such as brain inflammation or pneumonia, he said, and one baby developed life-threatening congenital measles during pregnancy but survived, he said.

The national increases signal that the U.S. will certainly lose the measles elimination status it gained in 2000, Pavia said, in a determination due this fall. 

“Most state public health departments are stretched very, very thin, limiting their ability to contain measles. Anti-vaccine rhetoric has made this all the more difficult,” Pavia said. He referred to $11 billion in federal funding cuts to local public health last year that were delayed by a restraining order when states sued. The case is in settlement negotiations, according to court records. 

The Trump administration cited a “non-existent pandemic that Americans moved on from years ago” in the funding cuts, but COVID-19 is still causing more than 1,000 deaths a month and wastewater surveillance still shows hotspots in the Appalachian region and some other states, including Michigan.

Whooping cough is also on the rise with Ohio and Florida most affected. Deaths last year were at the highest level, 22, since 2010, according to the latest CDC WONDER provisional statistics.  

“The rising number of deaths from whooping cough, including among infants, is a reminder of the vital importance of vaccination,” said Dr. Joshua Sharfstein, a pediatrician and professor at Johns Hopkins Bloomberg School of Public Health in Baltimore who follows whooping cough trends. 

“Families who follow public health guidance on vaccination and other precautions can avoid a needless tragedy,” Sharfstein said. 

Louisiana was accused of unusual delays in reporting a whooping cough outbreak last year that claimed at least two lives. Shortly after the deaths were reported, the state ended promotion of vaccines and vaccination events. At least three babies died in Kentucky last year along with at least one in Oregon. 

Unvaccinated people are like fuel for the wildfire of disease outbreaks, said Pavia, of the University of Utah, in his remarks. 

“Until we can restore faith in vaccines and restore funding for our public health agencies and increase measles vaccine coverage, we have to anticipate that there will be many more outbreaks, and some of these may blow up into very large conflagrations,” Pavia said.

Meanwhile the Trump administration announced a new quarantine center in Kenya opening Friday, May 29, for Americans exposed to the Ebola virus in the Democratic Republic of the Congo. The move was criticized by the Infectious Diseases Society of America in a statement, saying the decision to send exposed Americans to Kenya “raises serious questions about resources, timing and the level of care Americans sent there will receive.”

On Ebola, a May 22 CDC directive prohibited United States entry of non-citizens who had been in the Democratic Republic of the Congo, or nearby Uganda or South Sudan, in the previous 21 days. The disease has killed 224 people in that region, and there are more than 900 suspected cases. 

Stateline reporter Tim Henderson can be reached at thenderson@stateline.org.

The public radio show “Reveal” explained in a recent episode that nearly one in five 911 dispatch centers in America’s 100 biggest cities fail to answer 911 calls within 15 seconds. But Dane County’s center has beaten those standards for years. A reporter explains his findings and a Waukesha County official details how her county turned its dispatch around.

The post New investigation unpacks challenges 911 dispatchers face in Wisconsin and nationwide appeared first on WPR.

More than 800 nurses at a Madison hospital owned by a national nonprofit group will vote in the coming weeks on whether to join a union.

The organizing campaign at St. Mary’s Hospital is one of the largest in recent memory in Wisconsin.

In a statement earlier this month, a spokesperson said the hospital’s parent organization, SSM Health, “respects the right of its employees” to freely choose union representation. Nurses and the Service Employees International Union say the hospital’s management has responded with stiff opposition.

Union supporters are planning a rally Thursday afternoon in front of the hospital, with U.S. Rep. Mark Pocan (D-Black Earth) among the featured speakers.

“There’s a national crisis facing both our healthcare system and the nursing workforce,” Pocan said in a statement issued Tuesday announcing the event. “St. Mary’s nurses are trying to address this crisis right here in our community by having a strong voice for better staffing and retention. SSM should respect their freedom to vote in a fair union election without any pressure campaign.”

The union election, supervised by the National Labor Relations Board, will be the largest such vote in recent memory in Wisconsin. A date for the election hasn’t yet been set, but it could be announced as early as this week.

It comes amid a rising interest in unions among healthcare workers — one that coincides with the growth of increasingly concentrated multistate healthcare networks, including nonprofit organizations.

“We’re seeing more union elections, we’re seeing more petitions for recognition of unions as well,” said Dr. Ahmed Ahmed, a research fellow at Brigham and Women’s Hospital in Boston and Harvard Medical School, in a panel discussion earlier this month conducted by Wisconsin Health News.

With mergers and consolidations, hospitals and health systems have grown larger and larger. Labor costs are their biggest expense, and in trying to trim those costs, they’re increasing caseloads and reducing the time patients have with their providers, Ahmed said. Healthcare workers are turning to unions in search of “one collective voice that is able to govern and be able to bargain for those things.”

Centralized decision-making

Supporters of the St. Mary’s union campaign say that concentration is one of the reasons they’re organizing. Centralized decision-making at the Missouri headquarters of the parent organization have felt to some like a corporate takeover.

“There have been a lot more directives from corporate headquarters in St. Louis,” said Josh Taylor, a nurse in the hospital’s inpatient behavioral health unit.

St. Mary’s was one of several hospitals and healthcare facilities established by nuns from Europe and sponsored by Roman Catholic congregations in the 19th century. The facilities were only loosely connected until 1986 when the corporate structure changed with the creation of SSM Health, according to the SSM Health website.

SSM Health had been sponsored by the Franciscan Sisters of Mary until 2013, when sponsorship shifted to a new corporate entity, SSM Health Ministries, while remaining part of the Roman Catholic church.

SSM Health is headquartered in St. Louis and operates in four states — Wisconsin, Illinois, Missouri and Oklahoma — where it runs 24 hospitals and more than 540 other facilities, including doctor’s offices, outpatient services, home care and hospice programs.

According to SSM’s annual financial statements, SSM Health had $12.7 billion in revenues in 2025 and ended the year with a balance of $484 million in net revenue over expenses.

In 2014 SSM Health began applying its name to all of the healthcare facilities in its network.  It also consolidated its business operations including human resources, finance, strategy and planning and marketing and communications.

With those changes, nurses who are supporting unionizing say that decision-making on day-to-day policies and practices has moved farther away.

“We watched our personalized policies for our hospital disappear,” said Lynette Willsey-Schmidt, a labor and delivery nurse who has worked at St. Mary’s for more than 11 years.

Employee councils called ineffective

Willsey-Schmidt said labor and delivery nurses along with the doctors in the department had developed a series of practices to reduce intervention during births where risks and complications were lower. Those practices were welcomed by patients, she said.

But as SSM Health took charge of policymaking, “we were told we can’t do that anymore,” Willsey-Schmidt said, because those policies didn’t exist elsewhere in the SSM Health system.

Taylor said that while employee councils are supposed to relay feedback from the floor to upper management, they haven’t been effective.

“I’ve been on the unit councils,” he said. “We have tried the normal routes to bring our concerns to the table. We are heard, but nothing is acted on.”

When employees have raised concerns, “We’re told, ‘This is how it is. This is how all the hospitals have to do it,’” Taylor said.

Morgan Espich, an inpatient medical and surgical nurse, said the hospital recently purchased and began requiring nurses to use a new brand of intravenous pumps, different from what they had been using. She and her coworkers had been happy with the previous models, Espich said, and no one explained the reason for the change. “We just had to get new ones that no one asked for,” she recalled.

In addition, the hospital staff has to keep some of the older IV pumps on hand, said Carrie Schrank, an intermediate care trauma nurse, to substitute for the new pumps when they malfunction.

Nurses contend staffing levels have left employees straining to cover all their responsibilities, while nurses have been told to improve productivity.

“Productivity should be about patients’ outcomes,” Willsey-Schmidt said.

Consultants who visited earlier this year recommended ways to reduce staffing, but Schrank said their recommendations didn’t address how acutely ill some patients are.

“The days we’re busy, we go home and wonder, did I do enough?” Espich said.

Hospital stance — respect or intimidation?

SSM Health released a statement earlier this month in response to the Wisconsin Examiner’s submission of specific questions about the union campaign as well as a request for an interview.

“At SSM Health, we work hard to cultivate a supportive and collaborative work environment where every employee is treated with respect and compassion,” said the statement, delivered by Kim Sveum, SSM Health regional director of communications.

“We value our high-quality patient-centered care and place of healing.  We strive to ensure that our team thrives so that they can do their best work in realizing our Mission to provide exceptional patient care.”

The statement concluded, “SSM Health respects the right of its employees to make a free and informed choice as to whether or not they wish to be represented by a union.”

Union organizers say that there have been extensive messages posted on employee bulletin boards disparaging unions and the SEIU and emphasizing employees’ right to decline to sign a union authorization card.

“They have been constantly intimidating staff,” Schrank said.

Employees typically attach their work badges to a retractable line coiled up in a holder called a badge reel that can be clipped to a lapel or pocket. When they made their campaign public, pro-union nurses began using a customized badge reel with an emblem, “St. Mary’s Nurses United.”

Supervisors have ordered employees to remove those badge reels. Espich and other nurses said they have been told that “this is soliciting” against hospital policy, and that nurses who don’t remove the badge reel would be sent home without pay for the day.

“With this union-busting, though, we’re all fired up even more,” Espich said.

GET THE MORNING HEADLINES.

SUBSCRIBE

Reading Time: < 1 minute

I was delighted to read Wisconsin Watch’s article “Parkour for Seniors? Classes help older Wisconsinites build strength, community — and prevent deadly falls.” At a time when older Americans are facing a serious falls epidemic, we must promote fun ways to build fitness, prevent injury and maintain independence.

According to the U.S. Centers for Disease Control and the Wisconsin Department of Health Services, Wisconsin has the highest rate of deaths from falls in the country. The number of falls that emergency medical services respond to is rapidly growing each year, resulting in 55,000 emergency department visits in 2024 alone. This is bad for older adults who get hurt, first responders and health care providers who are stretched thin and taxpayers who shoulder the burden of hospitalizations and lengthy recoveries.

Unfortunately, many older adults are not getting the preventative care they need to maintain their balance and health. That needs to change. 

The Stopping Addiction and Falls for the Elderly (SAFE) Act, sponsored by U.S. Rep. Carol Miller and U.S. Sen. Jim Justice, both West Virginia Republicans, would address this crisis by allowing Medicare beneficiaries to receive a no-cost falls risk assessment from a physical or occupational therapist as part of their annual wellness visit. 

A growing number of bipartisan co-sponsors — including Democratic Rep. Mark Pocan of Wisconsin — supports this legislation. I urge all of Wisconsin’s congressional delegation to do the same.

Kevin Svoboda is a physical therapist in Greendale and a member of the Alliance for Physical Therapy Quality and Innovation.

Guest opinion: How Congress can reduce deadly falls among older Americans is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

More than 60 advocacy organizations and businesses in Wisconsin are calling on the state's top children's hospitals to resume providing gender-affirming care for transgender youth.

The post Children’s Wisconsin, UW Health under pressure to resume care for transgender youth appeared first on WPR.

A group of more than 60 nonprofits, advocacy organizations and businesses wrote to two Wisconsin health systems Thursday, urging them to resume gender-affirming care for minors that they halted five months ago.

The hospital organizations — UW Health in Madison and Children’s Wisconsin in Wauwatosa — stopped providing hormone medication and puberty-blocking medication to minors with gender dysphoria following Trump administration actions targeting such healthcare.

Thursday’s letter, led by the LGBTQ+ rights groups Fair Wisconsin and GSAFE, cites a federal judge’s ruling in April that threw out the administration’s order blocking gender-affirming care.

“Gender-affirming care is legal in Wisconsin, but it is increasingly more and more difficult to access due to decisions made to pause the provision of this care at your institutions,” states the letter. “These decisions must be reversed and care restarted immediately.”

Thursday’s letter was the second this week to UW Health and Children’s Wisconsin. On Tuesday, more than 90 elected officials from around the state released a letter urging both hospitals to restore the suspended services, “reaffirm [their] commitment to evidence-based care, and rebuild trust with the transgender and gender diverse community.”

“The most important thing for people to understand is that the support for this care is so much broader and deeper than people realize,” Abigail Swetz, executive director of Fair Wisconsin, told the Wisconsin Examiner Thursday. “I hope the leadership of these hospitals are seeing that in this letter and the others that are coming through.”

She said local groups, Madison TRAC and Reproductive Justice Action Milwaukee, are organizing petitions in their communities as well for the general public to sign.

Both hospitals released statements Thursday that acknowledged the concerns of families and their children seeking gender-affirming healthcare, but cited legal risks of providing such care.

“We know this issue matters deeply to many in our community, especially the patients and families we serve,” Children’s Wisconsin said.

“Due to ongoing legal and regulatory uncertainty affecting organizations and providers across the country, we are not currently providing gender-affirming pharmacologic care,” it said. “We recognize the impact this has on patients and families.”

Children’s said it continued to provide related mental and behavioral healthcare.

UW Health said it paused gender-affirming medication therapy for minors “due to ongoing federal actions that threaten health systems that provide this care.”

“While we continue to believe this is evidence-based care, threats from those federal actions are not fully resolved,” UW Health said. “Therefore, the current risk is too great to resume this care. We recognize the challenges faced by impacted patients and families and remain committed to providing patient-centered care and supporting their health and well-being throughout this critical time.”

Gender-affirming care is a response to gender dysphoria, which the American Psychiatric Association has defined as  “psychological distress that results from an incongruence between one’s sex assigned at birth and one’s gender identity.”

Based on survey data collected by the federal Centers for Disease Control and Prevention between 2021 and 2023, the Williams Institute at the University of California at Los Angeles Law School estimated in an August 2025 report that 3% of adolescents ages 13 to 17 and 1% of adults 18 or older identify as transgender or nonbinary.

Swetz said that when health professionals provide gender-affirming healthcare, they do so because it is medically necessary.

“I think it is sometimes seen as something that is not essential, but it absolutely is medically necessary, because we know that when gender dysphoria is treated then the mental health of our trans youth just drastically improves,” she said.

Gender-affirming care is also provided based on what is appropriate for the person’s age, “and always, with the full consent of parents and guardians,” Swetz said.

For a child who hasn’t yet reached puberty, it entails counseling and other forms of behavioral therapy — not medication, she said. At the start of puberty, medication may be used to pause that process, along with hormone treatment, but it’s also “highly individualized,” she added.

“We’re talking about high quality care that is respectful and meets a trans youth exactly where they’re at, in the age appropriateness of the kind of care that will help move them forward in their lives and make it possible for them to live in a body that really feels like home,” Swetz said.

The two hospitals paused their use of gender-affirming care medication after a Dec. 18, 2025 declaration from Health and Human Services Secretary Robert F. Kennedy Jr. that threatened to withhold federal health dollars, such as Medicaid reimbursement, from providers offering gender-affirming healthcare for minors.

Wisconsin was one of 21 states and the District of Columbia that sued to block the federal rule. In late March, a federal judge in Oregon ruled for the states on summary judgment, and in April issued a written order that vacated Kennedy’s declaration.

The judge ruled that the declaration violated the Administrative Procedures Act; that Kennedy and HHS officials lacked the authority to override professional standards for gender-affirming care; and lacked the authority to exclude providers from federal programs for providing gender-affirming care that meets professional standards.

The order also includes an injunction forbidding “any materially similar policy which supersedes or purports to supersede the professionally recognized standards of care for gender-affirming care that exist” in the 21 states and D.C. that filed the lawsuit.

“They’re trying to make sure that the federal government can’t go around and just, like, do something in another name,” Swetz said. “And I think it’s important for people to know that Wisconsin specifically is one of the states.”

This report was updated to correct the organizers of local petitions in Madison and Milwaukee.

GET THE MORNING HEADLINES.

SUBSCRIBE

Over the last two years, people have mailed in nearly 12,500 ticks from Wisconsin and the surrounding region to Marshfield Clinic Research Institute's Tick Inventory via Citizen Science project.

The post Half of deer ticks tested by Wisconsin researchers had Lyme-causing bacteria appeared first on WPR.

New data from Milwaukee County highlights how rates of suicide have changed since the COVID-19 pandemic.

The post Milwaukee study highlights post-COVID shift in suicide deaths appeared first on WPR.

After more than a year of political twists and turns, DeForest's board of trustees voted 4-2 to bring fluoridate back to the village's water.

The post Fluoride is coming back to DeForest’s water after months of political shake-ups appeared first on WPR.

Director of the Midwest Center of Excellence for Vector-Borne Disease says the more dangerous deer tick nymphs will be emerging in Wisconsin in the next couple of weeks.

The post Tick bites in Wisconsin are surging early this year. Here’s how to protect yourself. appeared first on WPR.

While some districts are still waiting for the promise of electric buses to catch up to reality, others are already reaping the benefits of cleaner, more cost-effective school transportation right now.

Across the country, more than 1,000 school districts are turning to propane autogas buses and seeing the benefits firsthand: healthier rides for students, happier drivers behind the wheel, and real cost savings that make a difference in the classroom. From public health experts to veteran drivers and transportation directors, those closest to the issue see how propane autogas is transforming student transportation for the better.

Healthier Rides and Cleaner Communities

For districts looking to make an immediate impact on air quality and student health, propane autogas buses are a smart choice. Compared with diesel, propane autogas reduces nitrogen oxides (NOx) by up to 96 percent and virtually eliminates particulate matter (PM). These pollutants contribute to asthma, respiratory issues, and other serious health concerns. By cutting emissions in the neighborhoods, school parking lots, and bus stops where children are most exposed, propane autogas can improve air quality.

Bailey Arnold, director of healthy air solutions for the American Lung Association (ALA), shared on a recent School Transportation News (STN) webinar why acting now, with proven technology like propane autogas, matters more than ever.

“Doing something today is really vital in the fight to combat all these climate change impacts that we’re seeing,” Arnold said. “When you can’t breathe, nothing else matters. So, anything we can do to lower emissions is going to benefit our health.”

In addition to reducing NOx and PM, Arnold emphasized that the cumulative effects of carbon output are significant and avoidable. According to NASA, CO₂ emissions can remain in the atmosphere for 300 to 1,000 years. Arnold also pointed to information from Clean Fuels Alliance America that found that every five years of delay in introducing cleaner options requires reducing 13 times the emissions in the future.

That’s why it’s important to start today. Propane autogas reduces lifecycle greenhouse gas emissions by more than 24 percent compared with diesel, and renewable propane cuts that even further, reducing emissions by up to 80 percent depending on the feedstock. That means over a 10-year lifespan, a single renewable propane autogas school bus can cut carbon emissions by 1,600 tons compared with diesel.

“There’s a lot of benefit to using technologies like propane — fuels like propane autogas — to reduce those emissions so that we’re lowering its impact and protecting our lung health,” Arnold said.

Driver-Approved Experience

School bus drivers are on the front lines of student transportation. They know what makes a bus safe, reliable, and comfortable for themselves and for their passengers. And they know how propane autogas buses deliver on those benefits every day.

Drivers across the country consistently report that propane autogas buses provide a smoother ride with stronger acceleration than diesel, which is a major improvement in stop-and-go traffic. The buses are also quieter than diesel, so drivers can better hear activity inside the bus for improved safety.

Most importantly, drivers say they can instantly notice the difference in the smell of a propane autogas bus compared with diesel. With propane autogas, there’s no odor, no fumes, and no more headaches from harmful emissions. It’s why veteran drivers like Dawn Tiemann of Henrico County Public Schools in Virginia firmly believe in the benefit of propane autogas buses.

“There’s no smell, no fumes — nothing for the children to smell,” she said. “It’s so quiet, sometimes I have to ask myself, did I even start the bus?”

For transportation directors, that driver satisfaction can translate into stronger staff retention and more consistent operations, especially at a time when many districts are facing staffing shortages.

Savings That Help the Budget Go Further

Students and drivers aren’t the only ones benefiting from propane autogas buses. Transportation directors are seeing the impact where it matters most: in their budgets. Propane autogas school buses provide the lowest total cost of ownership thanks to reduced fuel and maintenance costs. Most districts report up to 50 percent savings on fuel costs alone compared with diesel. Those savings quickly add up and can be reinvested into other important areas like classrooms, driver pay, or fleet expansion.

Amy Rosa, director of school safety and transportation at Wa-Nee Community School Corporation in Indiana, has seen the value firsthand. Her district operates a mixed fleet that includes 25 propane buses.

“I was excited about buying buses for less money and realizing that the overall cost of ownership was going to be significantly lower,” Rosa shared during the STN webinar.

Those savings aren’t just theoretical. They’ve helped Wa-Nee keep extracurricular travel free for students.

“We offer all of our extracurriculars at no cost to students, so they don’t have to pay for travel,” Rosa said. “Every year we save money so that our kids can continue in sports and music programs with no fees there. That’s our goal. To save money for our students and our taxpayers.”

A Proven Solution That’s Working Today

While some school districts are waiting for the next wave of clean technology to arrive — and delaying significant emissions reductions in the process — others are already leading the way with propane autogas. Across the country, school transportation leaders are proving that a smarter, cleaner fleet doesn’t have to be years away. It can start now.

Explore what propane autogas can do for your district at propane.com.

The views expressed are those of the content sponsor and do not reflect those of School Transportation News.

The post Why Transportation Directors Are Choosing Propane Over Promises appeared first on School Transportation News.

Just weeks after changes to federal student loan policy officially reclassified nursing and other programs as no longer “professional” degrees, Wisconsin has joined two dozen other states in suing the Trump administration over the policy.

The post Wisconsin joins lawsuit after nursing degrees redefined as not ‘professional’ appeared first on WPR.

A new report looks at the tax revenue impacts of changing consumer behaviors around smoking and use of alternative nicotine products.

The post Declining cigarette use, popularity of vapes impact Wisconsin tax revenue appeared first on WPR.