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Lawmakers seek hospital price transparency, while hospitals say they should focus on insurers

"What major purchase does anyone in this room make without knowing the cost before you make the purchase? It is inconceivable to me that we do not know what something is going to cost of that magnitude before we actually consent to the cost,” Sen. Mary Felzkowski said. (Photo by Baylor Spears/Wisconsin Examiner)

A bill to implement state-level enforcement of federal hospital price transparency requirements in Wisconsin, with the goal of bringing down the cost of health care, received pushback from hospital representatives and support from employers on Wednesday.

Sen. Julian Bradley (R-New Berlin) told the Senate Licensing, Regulatory Reform, State and Federal Affairs Committee that ensuring that the cost of services provided would help with health care affordability.  

“When hospitals clearly share pricing information, patients can make informed decisions. Trust in the system grows and costs come down naturally,” Bradley said, adding that the bill would ensure Wisconsin “reaps the benefits” of changes made by the Trump administration. 

During his first term, President Donald Trump’s administration implemented rules to require hospitals to post pricing information online. The effects of the changes on patients’ costs have been mixed. At the start of his second term, Trump signed an executive order intended to bolster the effort and in December, the administration proposed a new rule that aims to simplify how price data is organized and shared with people. 

SB 383 would instruct the Wisconsin Department of Health Services to enforce federal price transparency requirements for hospitals. 

Bradley and Rep. Robert Wittke (R-Caledonia), the bill coauthors, said it is needed to help ensure that federal policies are being followed.

“Sometimes we need to take action to make sure that it goes all the way through the state and all of our residents have access to the things that are expected through federal law,” Wittke said. 

Bradley said the lawmakers aren’t trying to penalize hospitals, just ensure people have access to information. 

If a hospital is found to be out of compliance under the bill, Wisconsin DHS would be able to take several actions including providing a written notice to the hospital, requesting a corrective action plan or imposing a financial penalty. DHS would also need to keep a public list of any hospitals that have violated the requirements.

Hospitals would also need to be certified as being in compliance with the requirements when seeking judgment from a court against a patient who owes a debt for services.

Lawmakers introduced a similar bill in 2023, but it failed to receive a floor vote in the Senate and advance in the Assembly.

The current version of the bill includes a provision that says that if federal laws change and are eliminated, then provisions in the bill that establish state level requirements for publishing prices will take effect.

Under those provisions, each hospital would need to make a list of “shoppable services” — ones that can be scheduled in advance such as a knee replacement — available with the standard charge for each item that would be publicly available. A hospital’s list would need to include at least 300 “shoppable services,” and if a hospital doesn’t provide that many, it must list all of its shoppable services.

The change is meant to avoid overlapping and varying requirements, though hospital representatives expressed concerns that would happen anyway.

The Wisconsin Hospital Association (WHA) opposes the bill. Christian Moran, the WHA vice president of Medicaid and payer reimbursement policy, said during the hearing that the organization’s opposition to the bill is not opposition to price transparency.

“Our opposition is to the added regulatory complexity that is created by layering on state level enforcement and state level regulations and unlimited fines on Wisconsin hospitals when robust federal regulation and enforcement already exists,” Moran said.

Moran said no Wisconsin hospitals have been fined for noncompliance since the first federal regulations went into effect. 

“Personal experience, it’s somewhat inevitable: if you pass legislation on the state level that mirrors the federal level it will eventually not match up,” John Russell, president and CEO of Prairie Ridge Health, said. 

Hospital representatives also expressed concerns that not enough attention was being given to the role of health insurance companies. 

“The solution proposed to you in [SB] 383 is to double up on existing enforcement for hospitals while ignoring the state’s current responsibility to enforce and monitor insurance compliance,” Moran said.

Brian Stephens, CEO of the Door County Medical Center, said the state should be more focused on the “middlemen” including insurance providers, saying that bolstering the transparency of hospital costs has its limitations. He spoke to the work that his medical center has done over many years to improve transparency of prices.

“There’s a disconnect in this country between the concerted efforts of health care providers to provide reasonable and transparent prices and the costs that people are paying for health insurance. Unfortunately, hospital price transparency efforts have not put a dent in that dichotomy,” Stephens said. “Perhaps we need to be asking for more transparency from health insurance companies and other middlemen to understand the real drivers of health care costs in our country. Perhaps hospitals have just become a good punching bag for folks who need an effective sound bite. The reality is that, despite our wholehearted commitment to providing reasonable upfront prices, transparency has its limitations. What are the odds that a person waking up with pain will take the time to bring out his or her phone and search the most affordable hospital or clinic prior to seeking treatment.”

Sen. Steve Nass (R-Whitewater) said the testimony focused on the insurance companies’ role sounded like “a lot of finger-pointing.” 

Several other states have adopted laws or are in the process of advancing bills to bolster price transparency including Colorado, Washington State and Ohio

Patrick Neville, a former Republican state representative in Colorado who helped pass a similar law in his state, testified on the Wisconsin bill, saying provisions in his home state have already helped. He told the story of one patient who was charged nearly $80,000 for a hysterectomy, but didn’t have to pay the cost.

“Because we had the consumer protections in this bill in Colorado, and they weren’t compliant with price transparency. They couldn’t actually collect that $80,000,” Neville said. “That was really important and powerful for the actual consumer in this case, and so it’s actually working in Colorado.” 

Neville added that the Colorado legislation did not codify the federal rules, but he wishes it had. 

“Any president could get rid of those rules at any point and I think the way this bill is crafted… It’s hugely important,” Neville said. “That’s a clever way to craft it.” 

Several employers testified in favor of the legislation. 

Erik Sonju, president of Fitchburg-based Power System Engineering, described the unpredictable jumps in health care costs that his company has grappled with since 2018 when he started in his position. He said that 2023 was the year the “straw broke” as they dealt with a 20% increase in insurance rates and he wasn’t able to get clear answers about the rising cost. 

Sen. Mary Felzkowski (R-Tomahawk) told the committee that the cost of health care is too high. 

“This is common sense. What major purchase does anyone in this room make without knowing the cost before you make the purchase? It is inconceivable to me that we do not know what something is going to cost of that magnitude before we actually consent to the cost,” Felzkowski said.  

Felzkowski is the lead coauthor on two of the other bills the committee took up. SB 796 would require insurers to submit information about claims to the Wisconsin Health Information Organization (WHIO), a nonprofit organization that collects health care claims data, and SB 797 would provide a $600,000 grant for the WHIO to establish an online dashboard of health care claims information and to add new payer data.

The committee also took testimony on SB 703, coauthored by Wittke and Sen. Rob Hutton (R-Brookfield), which would establish that employers who sponsor group health insurance plans have a right to data relating to the employees and dependents covered under those plans, including claims data, utilization reports and other information necessary to understand and manage health care costs.

Wittke said the bill will maintain privacy protections by requiring employers to designate a HIPAA compliance privacy officer and ensure that the Office of the Commissioner of Insurance maintains oversight. The bill also includes a provision prohibiting data from being sold to any party without the permission of the plan sponsor and the person to whom the claims data relates.

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Federal judge orders release of some records for Abrego Garcia’s vindictive prosecution claim

Kilmar Abrego Garcia stands outside U.S. District Court in Greenbelt with his wife, Jennifer Vasquez Sura, left, and Lydia Walther-Rodriguez with CASA, after a federal judge ruled earlier this month he was allowed to remain free. (File photo by William J. Ford/Maryland Matters)

Kilmar Abrego Garcia stands outside U.S. District Court in Greenbelt with his wife, Jennifer Vasquez Sura, left, and Lydia Walther-Rodriguez with CASA, after a federal judge ruled earlier this month he was allowed to remain free. (File photo by William J. Ford/Maryland Matters)

A federal judge in Tennessee is ordering federal prosecutors to turn over some documents to lawyers for Kilmar Abrego Garcia as they try to show his indictment on human smuggling charges was the product of vindictive prosecution.

U.S. District Judge Waverly Crenshaw’s nine-page ruling — issued under seal Dec. 3, but unsealed at noon Tuesday in U.S. District Court in Nashville — said a “subset” of more than 3,000 government documents he reviewed appear to undercut the government’s defense against vindictive prosecution.

“Specifically, the government’s documents may contradict its prior representations that the decision to prosecute was made locally and that there were no outside influences,” Crenshaw wrote.

The order is a partial victory for Abrego Garcia, the Salvadoran native who lives in Maryland, where he was stopped by immigration agents in March and deported to a notorious prison in El Salvador. His removal came without due process and despite an earlier court order that prohibited  immigration officials from deporting Abrego Garcia to his home country, for fear of violence.

A series of court battles ended with the U.S. Supreme Court in April ordering Abrego Garcia be returned to the United States. He was finally brought back to the U.S. in June, where he faced new charges of human smuggling, stemming from a 2022 traffic stop in Tennessee where he was let go without a citation.

Abrego Garcia argues that the smuggling charge was concocted years after the fact to punish him for embarrassing the administration in court, and should be thrown out.

The charges of “conspiracy to unlawfully transport illegal aliens for financial gain” and “unlawful transportation of illegal aliens for financial gain” are tied to a 2022 traffic stop in Putnam County, Tennessee, where he was pulled over for speeding. There were nine passengers in the back of his car.

Abrego Garcia was not arrested. No ticket was issued.

But three years later, as he was winning his case to be returned to the U.S., federal prosecutors were revisiting that traffic stop. A Homeland Security agent told a federal judge earlier this year that he was told on April 28 of this year to investigate the traffic stop.

Abrego Garcia pleaded not guilty to the charges, that his attorneys have claimed were filed as retaliation against their client. They claim senior officials in the Justice Department pushed for the indictment, citing television interviews where Deputy Attorney General Todd Blanche said the investigation began after “a judge in Maryland … questioned” the government and accused it of “doing something wrong,” according to Crenshaw’s order.

The government denies involvement by higher-ups, saying the decision to prosecute Abrego Garcia was made solely by Robert McGuire, the U.S. Attorney for the Middle District of Tennessee.

Crenshaw’s order includes a timeline of events. In it are several communications between McGuire and D.C.-based U.S. Associate Deputy Attorney General Aakash Singh that began on April 27, one day before a federal agent was assigned to investigate the 2022 traffic stop.

In an April 30 exchange, Singh writes that Abrego’s case is “a top priority.” McGuire writes “we want the high command looped in.”

In a May 15 email, McGuire writes about the pending indictment.

“Ultimately, I would hope to have ODAG [Office of the Deputy Attorney General] eyes on it as we move towards a decision about whether this matter is going to ultimately be charged,” he wrote, according to Crenshaw’s order.

McGuire adds: “While ultimately, the office’s decision to charge will land on me. I think it makes sense to get the benefit of all of your brains and talent in this process and as we consider this case. I have not received specific direction from ODAG other than I have heard anecdotally that the DAG and PDAG would like Garcia charged sooner rather than later.”

Singh is updated about the indictment over the next week, according to Crenshaw’s timeline.

“These documents show that McGuire did not act alone and to the extent McGuire had input on the decision to prosecute, he shared it with Singh and others,” Crenshaw wrote.

Abrego’s attorneys successfully made a case before Crenshaw that prosecutors had acted vindictively. They sought the release of documents through discovery. Federal prosecutors balked and withheld those documents, citing privilege.

Crenshaw, in his now-unsealed order, said allowing the privilege assertion to trump due process protections would undermine rulings by other federal courts.

“The Court recognizes the government’s assertion of privileges, but Abrego’s due process right to a non-vindictive prosecution outweighs the blanket evidentiary privileges asserted by the government,” Crenshaw wrote. “If the work product, attorney-client, and deliberative process privileges asserted by the government precluded all discovery in the context of a vindictiveness motion, defendants would never be able to answer the question ‘what motivated the government’s prosecution?'”

This story was originally produced by Maryland Matters, which is part of States Newsroom, a nonprofit news network which includes Wisconsin Examiner, and is supported by grants and a coalition of donors as a 501c(3) public charity.

Trump administration agrees to drop anti-DEI criteria for stalled health research grants

The James H. Shannon Building (Building One), on the National Institutes of Health campus in Bethesda, Maryland. (Photo by Lydia Polimeni,/National Institutes of Health)

The James H. Shannon Building (Building One), on the National Institutes of Health campus in Bethesda, Maryland. (Photo by Lydia Polimeni,/National Institutes of Health)

The Trump administration will review frozen grants to universities without using its controversial standards that discouraged gender, race and sexual orientation initiatives and vaccine research.

In a settlement agreement filed in Massachusetts federal court Monday, the National Institutes of Health and a group of Democratic attorneys general who’d challenged the new criteria for grant funding said the NIH would consider grant applications made up to Sept. 29, 2025, without judging the efforts related to diversity, equity and inclusion, or DEI, or vaccines.

The settlement provides an uncontested path for the agency while courts decide whether the administration can use its controversial analysis. The administration did not agree to permanently ditch its campaign to evaluate health research funding decisions based on schools’ DEI programs.

NIH officials “will complete their consideration of the Applications in the ordinary course of NIH’s scientific review process, without applying the Challenged Directives,” the settlement said, adding that the agency would “evaluate each application individually and in good faith.”

The settlement was signed by U.S. Department of Justice lawyers and the attorneys general of Massachusetts, California, Maryland, Washington, Arizona, Colorado, Delaware, Hawaii, Minnesota, Nevada, New Jersey, New Mexico, New York, Oregon, Rhode Island and Wisconsin.

In a Tuesday statement, Massachusetts Attorney General Andrea Joy Campbell said the agreement commits the Department of Health and Human Services to resume “the usual process for considering NIH grant applications on a prompt, agreed-upon timeline.” 

The 17 attorneys general sued in April over $783 million in frozen grants. 

A trial court and appeals court in Massachusetts sided with the states, but the U.S. Supreme Court ruled in August that the trial judge lacked the authority to compel the grants to be paid, especially in light of a similar decision involving the Education Department.

Judge Dugan found guilty of felony obstruction in federal trial 

Milwaukee County Circuit Judge Hannah Dugan leaves the Milwaukee Federal Courthouse on May 15, 2025. Judge Dugan appeared in federal court to answer charges that she helped Eduardo Flores-Ruiz, an undocumented immigrant, elude federal arrest while he was making an appearance in her courtroom on April 18. (Photo by Scott Olson/Getty Images)

Updated at 9:14 p.m. Thursday, Dec. 18

After six hours of deliberation, a federal jury found Milwaukee County Circuit Court Judge Hannah Dugan guilty of felony obstruction but not guilty of misdemeanor concealing a person from federal immigration law enforcement. The high-profile federal trial stemmed from Dugan’s interaction with federal agents who came to her courtroom to arrest a man who was appearing before her on April 18.

“You don’t have to agree with immigration enforcement policy to see this was wrong. You just have to agree the law applies equally to everyone,” Assistant U.S. Attorney Kelly Brown Watzka told the jury in closing arguments.

Dugan’s case gained national attention, with her defense attorneys saying in closing arguments that the federal government was trying to make an example of the 66-year-old judge in an effort to “crush” those who try to stand up to federal power. Defense attorney Jason Luczak asked the jury to consider whether they were willing to accept the level of government overreach he and other attorneys argued was exemplified in the case. 

Dugan invoked her Fifth Amendment rights and didn’t testify during the trial. 

During their deliberations, the jurors asked multiple questions of the judge. Among them was whether Dugan needed to know exactly who immigration officers had come to the courthouse to arrest. The question went to the obstruction charge Dugan faced, and U.S. District Judge Lynn Adelman decided that in fact Dugan would need to have known the federal agent’s target in order for the obstruction charge to apply. Prosecutors argued vehemently against Adelman’s decision.

Jurors also asked to see the policies of Immigration and Customs Enforcement (ICE) in regards to serving warrants. 

Later, after another jury question, Adelman advised jurors that Dugan needed to have “sufficient knowledge” of a “pending proceeding,” as defined in statute, in order to obstruct that proceeding. 

Closing arguments

Prosecutors made their closing arguments in the federal trial Thursday, asking jurors to consider what happens when judges decide which laws they want to follow based on their own personal beliefs. Dugan was accused of interfering with federal agents as they tried to make an immigration arrest outside her courtroom, and with helping their target to evade arrest. Jurors, Assistant U.S. Attorney Kelly Brown Watzka said in her closing argument, must draw a line, without which “there is only chaos,” and that “chaos is what the rule of law is intended to prevent. 

Calling immigration enforcement a “polarizing issue” nationwide, prosecutors said that Dugan was not on trial for her personal beliefs, but because she “stepped outside of the law.” As they flashed slides and footage to the jury, the prosecution heavily featured statements from Milwaukee County Circuit Court Judge Kristela Cervera, who accompanied Dugan into the hallway at the courthouse to confront the agents. Cervera testified against Dugan saying, “judges shouldn’t be helping defendants evade arrest,” a quote prosecutors highlighted to the jury. 

Dugan knew that the agents had a warrant, prosecutors argued, yet concealed Eduardo Flores-Ruiz, the immigrant they were there to arrest. Dugan’s obstruction of the agents was completed the moment she led Flores-Ruiz and his attorney, Mercedes de la Rosa, to a non-public door to exit her courtroom, the prosecution asserted. Flores-Ruiz exited into the same hallway where agents were waiting for him, and they arrested him shortly afterwards outside the courthouse. But “it simply does not matter what happened next,” prosecutors said. 

The Wisconsin Examiner’s Criminal Justice Reporting Project shines a light on incarceration, law enforcement and criminal justice issues with support from the Public Welfare Foundation.

Although de la Rosa, whom prosecutors described as “naive and inexperienced,” took the door to the public hallway where agents were waiting, they told the jury Dugan intended for Flores-Ruiz and his attorney to use a staircase to exit on the fifth floor. To buttress their argument, prosecutors played courtroom audio that captured Dugan talking with court reporter Joan Butz and saying “down the stairs” as well as Dugan saying, “I’ll do it…I’ll take the heat,” and Butz responding, “I’d rather get in trouble.” 

Prosecutors argued that had Flores-Ruiz taken the stairs instead of going out into the hallway, that the agents “would have never found” the Mexican-born man, who was in the country without legal authorization. Repeatedly, prosecutors said that no one should ever “second guess” the decisions of ICE agents and law enforcement. 

Dugan was described as “stern” and “angrily pointing” in the hallway, rounding up nearly the entire arrest team and telling them to go to the chief judge’s office. Cervera led the agents to the office, testifying that she felt “abandoned” by Dugan and  “roped into” Dugan’s plan. “No one is above the law,” the prosecution stressed.

Attorney Jason Luczak, delivering the closing  for Dugan’s defense, tried to poke holes in the prosecution’s narrative. “This is a very important case; this is a very unprecedented trial,” Luczak said. “Make no mistake…the government is trying to make an example” out of Dugan, he said. He added that the jury had the power to check what he described as “overreach” by the federal government. 

Luczak stressed that prior to the second Trump administration, ICE arrests had never occurred at the Milwaukee County Courthouse. When the arrests began in late March, individuals had been reportedly arrested in elevators and before attending family court, actions which should have been reported up the agency’s chain of command but weren’t, he said. “They’re not even following their own policies,” Luczak said. “This caused concerns, legitimate concerns, among the judges.” 

The jury was asked to consider whether they really believe that Dugan would put her career at risk for Flores-Ruiz. “This case is riddled with doubts,” said Luczak, stressing that the jury could only convict if they find Dugan guilty beyond a reasonable doubt. “There are consequences on rubber-stamping what the government wants you to rubber-stamp,” he said.

Jurors were reminded of the many emails sent by various judges asking for a policy, sharing stories of having people detained during court, and the slew of questions they had about how the county courthouse could respond. Chief Judge Carl Ashley had released a statement saying that ICE presence at the courthouse discouraged participation in the justice process and eroded trust in the courts’ integrity. 

Luczak also cast doubt on Cervera’s testimony. Jurors were played mute security camera video and asked to decide whether they believe Cervera that Dugan told the agents three times that they needed a judicial warrant, something that didn’t appear to happen in the video. “Judge Cervera is wrong,” said Luczak. “I don’t know if she’s lying, but I could think of some reasons why.” Cervera, the attorney argued, was trying to save herself by throwing Dugan under the bus. “You’re either a friend or an enemy of the government,” he said, asking the jury to consider why prosecutors relied on her statements so heavily. 

When Dugan spoke with the agents, Luczak said, “she’s not being confrontational, she’s being a judge.” He also highlighted that agents contradicted themselves in testimony and in the interviews they gave to FBI agents after the incident. Luczak pointed out that the agents never ran down the hallway to the elevators, as they’d implied. The audio evidence provided by prosecutors had also been taken from multiple microphones and put into one file, and was not audible in many areas, Luczak told the jury, adding, “I don’t think you can see this as very good evidence at all.” 

“If you don’t trust the evidence that the government is putting forward, it’s just another reasonable doubt,” Luczak said. Dugan never concealed Flores-Ruiz from the agents, who never entered her court to keep eyes on him, he said, adding that she never told de la Rosa to take the stairs. Luczak highlighted that prosecutors showed the jury video of the hall, with the filmer going down the stairs and not into the hallway, the opposite of what actually occurred. He called the government’s downplaying of concerns around ICE “tone deaf,” and questioned why Cervera herself texted her sister to warn her about sweeping arrests coming to the courthouse if she, too, didn’t have concerns.

“Justice is not what the government is seeking today,” Luczak. “They’re just wrong.” He told the jury to rely on Dugan’s emails to determine her state of mind, including one where she wrote: “We are in some uncharted waters with some very serious and even potential tragic community interests at risk in the balance.” 

The jury was given instructions by Adelman, and began deliberations shortly after 2 p.m. At around 3:45 p.m., the jury sent out a question to the judge. Interim U.S. Attorney for the Eastern District of Wisconsin Brad Schimel, who lost a bid for the Wisconsin Supreme Court earlier this year, made an appearance in the gallery as Adelman read the question from jurors about whether they were allowed to see ICE policies, which were included among the exhibits. 

Defense calls former Mayor Barrett as character witness

As witness testimony in the trial against Dugan concluded Thursday morning, Milwaukee County judges and public defenders spoke about the confusion and questions they faced when Immigration and Customs Enforcement (ICE) began arresting people at the county courthouse. Former Milwaukee Mayor Tom Barrett was also called to the stand as a character witness, testifying that he’s  known Dugan for over 50 years since they were in high school together. 

Milwaukee County Circuit Court Judges Katie Kegel and Laura Gramling-Perez testified for the defense about emails local judges sent each other, asking for guidance and sharing stories about having people “snatched” out of their courtrooms and seeing ICE agents sitting in cars outside the court. 

One judge chimed in on the chain, “does this mean that Milwaukee County is cooperating with ICE?” Milwaukee County does not cooperate with ICE detainer requests in the jail. The Milwaukee Police Department also has its own policies limiting cooperation with ICE.

Judges air concerns about courthouse arrests

In one of her emails, Gramling-Perez strongly urged the creation of a policy on courthouse arrests by ICE. Under such a policy, she testified, ICE agents would be required to check in with the chief judge before conducting any enforcement. When the arrest team arrived the morning of April 18, they checked in with security who notified their supervisors at the Milwaukee County Sheriff’s Office. Security initially believed the agents would need to be escorted by the sheriff’s office, but a sergeant told them that wouldn’t be necessary. 

Gramling-Perez reviewed emails on the stand that said “the historic protocols are now shifting quickly,” and explaining  that although state and local law enforcement have conducted arrests around the court in the past, those activities were always guided by clear policies or practices which were respected by law enforcement. “The ICE detentions are a different animal,” one email stated.

Prosecutors repeatedly attempted to get Gramling-Perez to say that ICE arrests were allowed in public hallways, per the “key takeaways” that she outlined in her email to Dugan and other judges. Gramling-Perez, however, didn’t budge. When prosecutors showed her images of documents they claimed were part of her presentation, she said she’d never seen them before. When they pressed her to say that ICE arrests could happen in public hallways, she countered that her emailed explanations were not all inclusive, that she is not an expert on the matter, but that even public hallway arrests have their limits. 

Gramling-Perez testified that although discussion of a policy had begun, no policy had yet been established by the chief judge. 

Attorney Maura Gingerich, a public defender, was also called to the stand as a defense witness. Gingerich testified wearing a black suit with a black mask she said she wore for health reasons — attire similar to what she wore on April 18, when security cameras captured her photographing the plain-clothes ICE, FBI, DEA, and Border Patrol task force members in the courthouse hallway. Gingerich testified that she took photographs of the agents to send to her supervisor, so that the chief judge would be notified that the agents had returned and could offer guidance. 

“I think that it was very stressful to see what I thought were a number of law enforcement on the sixth floor without uniform,” Gingerich testified, noting she had already gone to another courtroom when Dugan approached the agents. One of the prosecutors  suggested  Gingerich followed the agents to another courtroom and was cooperating with Dugan,  saying, “I know what you guys were trying to do,” but Gingrich denied that characterization. Gingrich said she never saw Dugan that morning. 

Barrett calls Dugan ‘extremely honest’; Dugan invokes the Fifth Amendment

Former Milwaukee Mayor Tom Barrett testified as a character witness for Dugan, saying he has known her and the Dugan family for half a century. They first met when they attended the same high school.

Barrett described Dugan as very active in the community, an enthusiastic participant in community organizations and in  her church. “I think that she is extremely honest and I know that she will tell you exactly how she feels,” Barrett testified, adding that he feels that Dugan is a good person. 

The defense rested its case ahead of a lunch break. Dugan invoked her Fifth Amendment rights not to testify. Defense attorney Steven Biskupic noted on the record that he objected  to draft instructions the judge gave the jury, after Adleman chose jury instructions crafted by the prosecution instead of the defense.

Dugan faces up to five years in prison and a $350,000 fine for the felony conviction, but as a nonviolent offender with a record of service to her community is unlikely to be sentenced to time behind bars. Her sentencing hearing has not yet been scheduled.

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Lawmaker views on Caribbean strikes unchanged after Hegseth briefing

Secretary of Defense Pete Hegseth and Secretary of State Marco Rubio speak to reporters on Dec. 16, 2025, following a closed-door briefing with all senators about U.S. military action in the Caribbean Sea and eastern Pacific Ocean. (Photo by Ashley Murray/States Newsroom)

Secretary of Defense Pete Hegseth and Secretary of State Marco Rubio speak to reporters on Dec. 16, 2025, following a closed-door briefing with all senators about U.S. military action in the Caribbean Sea and eastern Pacific Ocean. (Photo by Ashley Murray/States Newsroom)

WASHINGTON — U.S. senators left a closed-door meeting Tuesday with Secretary of Defense Pete Hegseth and Secretary of State Marco Rubio split over the Trump administration’s strikes on alleged drug-running vessels near Venezuela, particularly an early September follow-up strike that killed two survivors clinging to boat wreckage.

Hegseth and Rubio delivered the all-member briefings to Senate and House lawmakers on Capitol Hill as the death toll from U.S. military strikes on alleged drug traffickers in the Caribbean Sea and eastern Pacific Ocean has surpassed 90, and as U.S. Navy ships are amassed off the coast of Venezuela.

Controversy over the possibility of war crimes during the Sept. 2 follow-on strike that killed shipwrecked survivors drew attention after The Washington Post reported details last month, calling into question Hegseth’s orders.

Hegseth told reporters Tuesday he briefed members on a “highly successful mission to counter designated terrorist organizations, cartels, bringing weapons — weapons, meaning drugs — to the American people and poisoning the American people for far too long. So we’re proud of what we’re doing.”

Senate Minority Leader Chuck Schumer addresses reporters after a closed-door briefing on U.S. military strikes on alleged drug smuggling boats near the coast of Venezuela. (Photo by Ashley Murray/States Newsroom)
Senate Minority Leader Chuck Schumer addresses reporters on Tuesday, Dec. 16, 2025, after a closed-door briefing on U.S. military strikes on alleged drug smuggling boats near the coast of Venezuela. (Photo by Ashley Murray/States Newsroom)

Dems decry edited video

Senate Minority Leader Chuck Schumer told reporters Hegseth again refused to show unedited footage, which Schumer described as “deeply troubling,” of a second strike on Sept. 2 that killed two people who survived the initial strike. 

“The administration came to this briefing empty handed,” Schumer, D-N.Y., said. 

“If they can’t be transparent on this, how can you trust their transparency on all the other issues swirling about in the Caribbean? Every senator is entitled to see it. There is no problem with (revealing) sources and methods” because the senators will view it in the Sensitive Compartmented Information Facility, a secure area of the Capitol where classified information is generally shared.

Schumer added that an “appropriate version” of the video should be disclosed to the public.

Senate Republicans downplayed loud concerns from Democrats, pointing to former President Barack Obama’s numerous counterterrorism drone strikes in the Middle East.

“We’ve been using the same technique for 24 years, and nothing has changed except the hemisphere,” said Sen. Markwayne Mullin, R-Okla.

Public release called for

Hegseth told reporters the unedited video will be shown to members of the Senate and House committees on the Armed Services Wednesday, alongside Admiral Frank Bradley, commander of U.S. Special Operations Command, who oversaw the strikes.

Hegseth did not address why the department declined to show the unedited video to all 100 senators. 

He did say, “Of course, we’re not going to release a top-secret, full, unedited video of that to the general public.”

Several Democratic senators have called for the video to be publicly released.

Sen. Chris Coons, D-Del., said he was told during the meeting that the video won’t be released because of “classification concerns.”

“It is hard to square the widespread, routine, prompt posting of detailed videos of every strike, with a concern that posting a portion of the video of the first strike would violate a variety of classification concerns,” Coons said.

Coons added “it’s increasingly important that the national security team of the Trump administration increasingly respect and recognize the role and power of Congress.” 

He highlighted a provision in Congress’s annual defense authorization bill that compels Hegseth to release the video or lose 25% of his travel budget. The massive defense bill is expected to pass this week.

Body count from boat strikes rising

U.S. Southern Command posted a video on social media Monday night of the military’s latest strikes on three boats “operated by Designated Terrorist Organizations in international waters” in the eastern Pacific. The strikes killed eight people, according to the post.

President Donald Trump has officially promoted his military actions in the Caribbean as a fight against drug trafficking and overdose deaths in the United States, particularly from illicit fentanyl. 

On Monday Trump issued an order declaring the powerful synthetic opioid as a “Weapon of Mass Destruction.”

The smuggling routes for illicit fentanyl and the chemicals used to make it follow the path from China to Mexico to the U.S., and is highlighted as such in the U.S. Drug Enforcement Agency’s 2025 National Drug Threat Assessment.

The administration has designated several drug cartels as foreign terrorist organizations, including “Cartel de los Soles,” an alleged Venezuelan group that the Department of State described as spearheaded by Venezuelan President Nicolás Maduro.

Trump has hinted at a land invasion of the South American country.

When asked by States Newsroom on Tuesday whether Hegseth addressed during the meeting what type of drugs were alleged to be in the targeted boats, Mullin and Sen. Dan Sullivan, R-Alaska, said cocaine.

“We’ve always heard it’s mainly cocaine. It doesn’t matter. It’s drugs,” Mullin said.

Sullivan said “it’s the same groups” smuggling the cocaine as the ones smuggling fentanyl.

Cocaine mixed with illicit fentanyl has become “an increasing public safety concern” over the last eight years, according to the National Drug Threat Assessment. 

Overall, all U.S. drug overdose deaths have decreased in recent years, according to the assessment and latest data published by the Centers for Disease Control and Prevention.

Trial of Milwaukee Judge Hannah Dugan begins in ICE obstruction case

People gather to sing and show support for Judge Hannah Dugan ahead of her federal trial. (Photo by Isiah Holmes/Wisconsin Examiner)

People gather to sing and show support for Judge Hannah Dugan ahead of her federal trial. (Photo by Isiah Holmes/Wisconsin Examiner)

A federal jury will begin hearing the case against Milwaukee County Circuit Court Judge Hannah Dugan, 66, on Monday in a lawsuit that has drawn national attention, weighing how far the Trump administration can go in squashing resistance to its nationwide crackdown on immigrants. 

The case revolves around events in  April, when Eduardo Flores-Ruiz, a 30-year-old Mexican immigrant who had  been charged with battery, appeared in Dugan’s courtroom. Federal agents also arrived at the courtroom that day, seeking Flores-Ruiz, whom they said entered the country illegally over a decade ago. 

The Wisconsin Examiner’s Criminal Justice Reporting Project shines a light on incarceration, law enforcement and criminal justice issues with support from the Public Welfare Foundation.

Dugan confronted  the federal agents as they waited outside her courtroom. Later, she led Flores-Ruiz  and his attorney out of her courtroom through a side door which led  into the same hallway where the federal agents were waiting. Flores-Ruiz was followed into the elevator and outside by the agents, who chased and then arrested him. 

Days later, Dugan was arrested and handcuffed by FBI agents and charged with obstruction and concealing an individual. FBI Director Kash Patel posted photographs of Dugan in handcuffs and celebrated her arrest, writing on X, “No one is above the law.” 

In early April, prior to Flores-Ruiz, ICE arrested two other people at the Milwaukee County Courthouse. Officials expressed concerns that the arrests were causing defendants, witnesses and victims to avoid coming to court or cooperating with law enforcement. 

Milwaukee County Executive David Crowley objected to what he characterized as intimidation tactics in enforcing its immigration crackdown and wielding the power of the state against  “anyone who opposes these policies.” In a statement, Crowley said, “we have an obligation to administer our courts in a safe, efficient manner that delivers due process for anyone.” 

Christine Neumann-Ortiz, executive director of the immigrant rights group Voces de la Frontera, said that the Trump officials  “basically want to be unleashed to do whatever they want to commit these raids in courtrooms across the country.” Milwaukee-area Democratic Sens. Chris Larson and Tim Carpenter and Reps. Christine Sinicki, Darrin Madison, Supreme Moore Omokunde, Angelito Tenorio, and Sequanna Taylor issued a joint statement calling the county courthouse “a sanctuary for justice and peace where the accused come forward willingly in a fair an unbiased process”, and warned that “arresting people out of a courtroom will lead to a breakdown of civil society.” 

People gather to sing and show support for Judge Hannah Dugan ahead of her federal trial. (Photo by Isiah Holmes/Wisconsin Examiner)
(Photo by Isiah Holmes/Wisconsin Examiner)

At the end of April, the Wisconsin Supreme Court suspended Dugan with pay. Her case catalyzed protests outside the Milwaukee FBI Office, and was repeatedly mentioned at the summer’s No Kings protests. In July, Republican lawmakers introduced a bill to withhold pay for suspended judges

“In these rare circumstances, these judges’ actions and alleged misconduct rose to such a level that suspension was warranted,” the bill’s authors, Sen. Cory Tomczyk (R-Mosinee), Assembly Majority Leader Tyler August (R-Walworth) and Rep. Shae Sortwell (R-Two Rivers) wrote in a memo.  “Simply put, Wisconsin taxpayers must be protected from the misconduct and/or commission of a crime by rogue judges.”

If convicted, Dugan, who has pleaded not guilty, faces six years in prison. Her legal team initially attempted to have the case thrown out,  t arguing that Dugan is covered by  judicial immunity. That argument was rejected by U.S. Magistrate Judge Nancy Joseph of the Eastern District of Wisconsin, who wrote that judges have civil immunity for official actions, but not criminal immunity, and that the case should go forward.

“As she said after her unnecessary arrest, Judge Dugan asserts her innocence and looks forward to being vindicated in court,” Dugan’s defense attorneys said in a statement.

People gather to sing and show support for Judge Hannah Dugan ahead of her federal trial. (Photo by Isiah Holmes/Wisconsin Examiner)
(Photo by Isiah Holmes/Wisconsin Examiner)

On Thursday night, a crowd gathered outside the federal courthouse to support Dugan. 

Therese Heeg, 66, told the Wisconsin Examiner that she felt a responsibility to attend the rally to “protect our democracy for my children, my grandchildren, my son-in-law who’s unable to live in the U.S. because he’s from Africa, my best friend’s children who are Hispanic who are afraid for their lives, even though they’re citizens.” Heeg said she’s worried about immigration enforcement coming to the city to take people away. “Every single day there’s more and more atrocities happening right here,” said Heeg. “We are trapping people in camps…I used to wonder what it was like to live under the Nazis, and now I know, I’m living it. It’s shocking, it’s hard to comprehend at the same time that it’s happening every single day. 

Jury selection on Thursday was  closed off from the public and media by U.S. District Judge Lynn Adelman, who is hearing the case. Adelman was responding to concerns from both the prosecution and defense that public questioning would taint the jury. An audio feed allowing media to listen to the jury selection process was restored following a legal   challenge by the Milwaukee Journal Sentinel.

Sister Barbara Pfarr, who is among the leaders of the faith-based social justice group MICAH, said that the national attention on Dugan’s case shows that the judge struck a nerve by standing up to the  Trump administration. Pfarr was disturbed by the effort to restrict press access during jury selection, and wondered whether anything similar would happen during the trial. “That’s the other big reason that I’m here, we’ve lost our democracy.”

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Kilmar Abrego Garcia, out of ICE custody, leaves with ‘head held up high’

Kilmar Abrego Garcia speaks before dozens of supporters Friday outside the U.S. Immigration and Customs Enforcement office in Baltimore. (Photo by William J. Ford/Maryland Matters)

Kilmar Abrego Garcia is a free man, at least temporarily.

Abrego Garcia, a Salvadoran immigrant and Maryland resident, appeared early Friday for a check-in at the U.S. Immigration and Customs Enforcement field office in Baltimore, less than day after a federal district judge ordered him released from ICE detention in Pennsylvania.

At his last ICE check-in, in August, Abrego Garcia walked in but didn’t walk out: Authorities detained him and held him until Thursday. But Friday, Abrego Garcia walked out of the building to cheers and chants, led by members of the immigrant rights group CASA to a black car that took him to rejoin his family in Prince George’s County.

Before Abrego-Garcia walked inside the building Friday, he thanked his supporters who rallied there, talked about spending the holidays with his family and offered advice for others suffering similar legal battles against the Trump administration.

“I stand before you as a free man, and I want you to remember me this way with my head held up high,” Abrego Garica said in Spanish, through a CASA translator.

“I stand here today with my head held up high, and I will continue to fight and stand firm against all of the injustices this government has done upon me,” Abrego Garcia said. “Regardless of this administration, I believe this is a country of laws, and I believe that this injustice will come to its end. Keep fighting. Do not give up. I wish all of you love and justice. Keep going.”

Simon Y. Sandoval-Moshenberg. one of the attorneys for Kilmar Abrego Garica, gives an update on the case Friday. (Photo by William J. Ford/Maryland Matters)

One of his attorneys, Simon Y. Sandoval-Moshenberg, told reporters and a few dozen protesters outside the field office that the federal judge who ordered Abrego Garcia freed Thursday said Friday that he could not be detained by ICE at his latest check-in.

Based on a temporary restraining order filed by his attorneys, Sandoval-Moshenberg said the judge will schedule a hearing at U.S. District Court in Greenbelt that Abrego Garcia will be able to attend.

“The legal fight is far from over,” Sandoval-Moshenberg said. “I wish I could say that with this, the government is going to leave well enough alone. This man has suffered enough.”

Department of Homeland Security spokesperson Tricia McLaughlin called the judge’s decision to let Abrego Garcia free “naked judicial activism.”

“This order lacks any valid legal basis and we will continue to fight this tooth and nail in the courts,” McLaughlin said in an email Friday morning that repeated her statement from the day before.

Abrego Garcia’s return to the Baltimore ICE office came one day after U.S. District Court of Maryland Judge Paul Xinis ordered the Trump administration to release him from the Moshannon Valley Processing Center in Pennsylvania, where he had been held since September. He was released Thursday evening and spent the night at his home in Beltsville.

Since he was first detained by immigration officials in March and wrongly deported to his home county of El Salvador, Abrego Garcia’s case has shone a spotlight on the Trump administration’s aggressive immigration crackdown.

Abrego Garcia was originally deported to a brutal prison in El Salvador, despite a previous court ruling that prohibited his transfer there because of fear of violence by Salvadoran gangs.

Months later — and months after the U.S. Supreme Court’s April order that the Trump administration “facilitate” Abrego Garcia’s return –he was brought back to the U.S. on June 6, only to face charges of human smuggling in Tennessee. The judge in that case eventually ordered Abrego Garcia released to home detention while his claim of vindictive prosecution in the Tennessee case proceeded.

Xinis, who got involved in the case when Abrego Garcia was first deported, issued a ruling Thurday that was highly critical of the administration’s actions in the case. She found that Abrego Garcia’s latest detention, since his August ICE check-in, was “again without lawful authority,” because the Trump administration has been holding him for deportation but has not made an effort to remove him to a third country.

Kilmar Abrego Garcia is led out of the ICE field office in Baltimore after a check-in Friday. (Photo by William J. Ford/Maryland Matters)

The government’s “conduct over the past months belie that his detention has been for the basic purpose of effectuating removal, lending further support that Abrego Garcia should be held no longer,” Xinis wrote in her opinion.

Costa Rica has agreed to accept Abrego Garcia as a refugee, but Justice Department lawyers could not give Xinis a clear explanation of why the Trump administration would not send him there. Instead, the administration has proposed deporting Abrego Garcia to several countries in Africa.

Back in Baltimore on Friday morning, dozens of supporters braved the cold to hold up signs, chant and then clap and cheer when Abrego Garcia walked back outside the ICE building a free man, chanting “todos somos Kilmar,” or “we are all Kilmar.”

“It’s definitely a good day, but it is a good day to know that he’ll be able to spend the holidays with his family, “said Baltimore City Councilmember Odette Ramos, who attended the rally.

“He and his family have been so brave to go through all of this and to have their story really symbolize, frankly, what so many others are going through,” she said. “The fight’s not over.”

Maryland Matters is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Maryland Matters maintains editorial independence. Contact Editor Steve Crane for questions: editor@marylandmatters.org.

Report on strained federal data agencies hits home in Wisconsin

By: Erik Gunn

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.

Federal fallout

As federal funding and systems dwindle, states are left to decide how and
whether to make up the difference.
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“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.

It might make people's eyes glaze over, but for 235 years, we've understood the value of using federal data in particular.

– Zach Brandon, president of the Greater Madison Area Chamber of Commerce.

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.”

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Leaders of 2 major anti-abortion groups call for Trump’s FDA chief to be fired

Dr. Martin Makary testifies during his confirmation hearing to lead the Food and Drug Administration before the Senate Committee on Health, Education, Labor, and Pensions Committee at the Dirksen Senate Office Building on March 06, 2025 in Washington, DC.  (Photo by Kayla Bartkowski/Getty Images)

Dr. Martin Makary testifies during his confirmation hearing to lead the Food and Drug Administration before the Senate Committee on Health, Education, Labor, and Pensions Committee at the Dirksen Senate Office Building on March 06, 2025 in Washington, DC.  (Photo by Kayla Bartkowski/Getty Images)

WASHINGTON — Two of the country’s largest anti-abortion organizations want President Donald Trump to fire U.S. Food and Drug Administration Commissioner Marty Makary over access to medication abortion. 

Marjorie Dannenfelser, president of Susan B. Anthony Pro-Life America, expressed frustration Tuesday that the FDA hasn’t completed a review of the prescription drug mifepristone.

“The FDA needs a new commissioner who will immediately reinstate in-person dispensing as it existed under President Trump’s first term and immediately conduct a comprehensive study,” she wrote in a statement. “Commissioner Makary is severely undermining President Trump and Vice President Vance’s pro-life credentials and their position that states should have the right to enact and enforce pro-life protections. Makary must go.”

A spokesperson for the Department of Health and Human Services, which houses the FDA, wrote in a statement that “FDA’s comprehensive scientific reviews take the time necessary to get the science right, and that is what Dr. Makary is ensuring as part of the Department’s commitment to gold-standard science and evidence-based reviews.”

White House spokesman Kush Desai wrote in an email to States Newsroom that “Makary is working diligently to ensure that Americans have the best possible, Gold Standard Science study of mifepristone.”

“The White House maintains the utmost confidence in Commissioner Makary, whose leadership at the FDA has delivered and continues to deliver one landmark victory for the American people after another, from cracking down on artificial ingredients in our food supply to conducting the first safety review of baby formula in decades,” Desai added. “Uninformed attacks against Commissioner Makary from individuals outside the Administration will not change these facts.”

FDA approval 

Mifepristone is one of two pharmaceuticals used in medication abortion. It is FDA-approved for up to 10 weeks gestation and can be prescribed via telehealth and shipped to patients remotely. 

About 63% of the abortions in 2023 were medication, as opposed to procedural, according to the Guttmacher Institute. 

The U.S. Supreme Court rejected an attempt by anti-abortion medical organizations to overturn the FDA’s current prescribing guidelines for mifepristone in 2024. 

Numerous medical organizations, including the American College of Obstetricians and Gynecologists and the American Medical Association, filed briefs to the justices in that case attesting to the safety and efficacy of medication abortion. 

“The scientific evidence is overwhelming: major adverse events occur in less than 0.32% of patients,” the groups wrote. “The risk of death is almost non-existent.”

‘No preconceived plans’

Makary testified before a Senate committee in March as part of his confirmation process that he planned to review data on mifepristone and follow the research where it led him.

“I have no preconceived plans on mifepristone policy except to take a solid, hard look at the data and to meet with the professional career scientists who have reviewed the data at the FDA,” Makary said at the time.

Lila Rose, founder of the anti-abortion group Live Action, also called for Makary to be fired, writing in a social media post that his request to delay the results of the review until after the November 2026 midterm elections, which was reported by Bloomberg Law, was unacceptable. 

“If Dr Makary will not act as head of the FDA to protect children and mothers he should be fired,” Rose wrote, later adding the administration should, “Ban the abortion pill now!”

Americans United for Life CEO John Mize released a statement after meeting with Makary, saying it “is glaringly obvious that flawed political calculations” have stalled the FDA’s review of mifepristone. 

“To avoid political backlash in the upcoming midterm elections, advisors within the Administration are acting on a false premise, that emphasizing the importance of women’s safety and direct in-person consultation with her clinician is a political liability,” Mize wrote. 

Trump left contraceptives to rot — and women paid the price 

Drawing of female reproductive system with judge's gavel and stethoscope

Getty Images

As a practicing OB-GYN in Wisconsin, I see firsthand how many of my patients rely on contraception to protect their health, manage painful conditions, and plan their futures. When a woman sits across from me in the exam room, she’s not thinking about politics. She’s thinking about how to survive her work day without severe cramps, how to manage her bleeding so she can attend class without mishap, or how to avoid threatening her life with another high-risk pregnancy. 

These situations are only a few of the reasons why the news about abandoned U.S.–funded contraceptives overseas is so alarming. This action blatantly reflects the same disregard for women’s health that now shapes national policy. And that disregard lands directly on women’s bodies. 

Under the Trump administration, the U.S. government ordered the destruction of nearly $10 million worth of U.S.–funded contraceptives, based on the false claim that birth control is an “abortifacient.” This claim is absolutely nonsensical. Contraception doesn’t end a pregnancy — it prevents one. Unfortunately, ideology, and not medicine, guided that decision, leaving lifesaving, taxpayerfunded medicine stalled in warehouses instead of reaching women who need it. 

The full picture is even more disturbing. Several days ago, a new report found that the Trump administration left 20 of 24 U.S.–funded contraceptive shipments to waste away in Belgian warehouses. These were fully paid-for, taxpayer-funded supplies — IUDs, implants, pills, and other reproductive health essentials — intended for women in 13 countries. This is simply appalling. 

And if you think that kind of extremism stops at the water’s edge, think again. 

Back home, I see the fallout of the same ideology driving national attacks on contraception and women. 

Already, there are over 300,000 women of reproductive age in Wisconsin in need of contraception, and attacks are making this gap even worse. 

And these gaps carry real health risks, because contraception does more than prevent pregnancy — it treats endometriosis, PCOS, severe bleeding and anemia, and it reduces the risk of reproductive cancers

Rural clinics that once offered contraception and family-planning visits have declined in number, a trend worsened by federal policy shifts that weaken the reproductive-health safety net and leave too many women without reliable nearby options for care.

And now, with health-insurance costs already skyrocketing for many families — and monthly bills set to jump even higher if those tax credits expire — the ACA’s no-cost contraception guarantee slips further out of reach. Road block after road block after road block. 

Fortunately, Wisconsin has leaders who understand the stakes. 

Sen. Tammy Baldwin’s leadership on the “Right to Contraception Act” reflects a truth every OBGYN knows: contraception saves lives. Contraception reduces maternal deaths, prevents unintended pregnancies, treats reproductive-health conditions, and empowers women to build stable lives. Baldwin fights to protect contraception — what Wisconsin women rely on every day — not because it’s politically convenient, but because she understands it’s a medical necessity. 

U.S. Rep. Mark Pocan co-sponsored the “Saving Lives and Taxpayer Dollars Act” — legislation designed to stop exactly what we’re seeing in Belgium. The bill requires that U.S.–funded food and medical supplies – like the contraception sitting in Brussels at this moment – reach the people they were purchased for, instead of being left to rot or destroyed for ideological reasons. In Washington, where too many have decided contraception is a cultural wedge rather than essential health care, Pocan’s voice matters. 

The women I see in my exam room aren’t looking for a political fight. They’re looking for care that lets them stay healthy, stay safe, and stay in control of their lives — something contraception makes possible every day. 

Jeopardizing contraception — whether through wasteful negligence abroad or political interference here at home — is harmful, cruel and simply unjust. 

We in Wisconsin cannot afford to look the other way. We need leaders who will defend the right to contraception, not undermine it. 

The stakes are simple: either we protect access to basic health care, or we allow ideology to decide who gets care — and who doesn’t. 

For the women in my clinic — and for women everywhere — contraception is essential care that strengthens their health and safeguards their freedom.

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Trump administration threatens to yank food stamps funding from Wisconsin, Democratic states

A store displays a sign accepting Electronic Benefits Transfer, or EBT, cards for Supplemental Nutrition Assistance Program purchases for groceries on Oct. 30, 2025 in New York City. (Photo by Spencer Platt/Getty Images)

A store displays a sign accepting Electronic Benefits Transfer, or EBT, cards for Supplemental Nutrition Assistance Program purchases for groceries on Oct. 30, 2025 in New York City. (Photo by Spencer Platt/Getty Images)

The U.S. Department of Agriculture will begin next week to block nutrition assistance funding for states led by Democrats that have not provided data on fraud in the program, Secretary Brooke Rollins told President Donald Trump at a Cabinet meeting Tuesday.

USDA sought data from states earlier this year related to their administration of Supplemental Nutrition Assistance Program, or SNAP, benefits, Rollins said Tuesday. She added the data was needed to address fraud that she called “rampant” in the program that helps 42 million people afford groceries.

Most states complied with the request, but 21, mostly run by Democrats, refused, she said. A USDA spokesperson later implied the department was missing data from 22 states.

“As of next week, we have begun and will begin to stop moving federal funds into those states until they comply, and they tell us and allow us to partner with them to root out this fraud and to protect the American taxpayer,” Rollins said.

A USDA spokesperson in an email listed 28 states, plus one territory, from which they said the department has received data.

That would leave the following 22 states, all led by Democratic governors, that have not provided data: Arizona, California, Colorado, Connecticut, Delaware, Hawaii, Illinois, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, New Jersey, New Mexico, New York, Oregon, Pennsylvania, Rhode Island, Washington and Wisconsin. 

The spokesperson provided some additional details of the initiative, including that the department was targeting administrative funds, and that the next step would be a formal warning.

Blue states sought to protect bad actors, including criminals and immigrants in the country without legal status, “over the American taxpayer,” the statement said.

“We have sent Democrat States yet another request for data, and if they fail to comply, they will be provided with formal warning that USDA will pull their administrative funds,” the spokesperson said.

Court records show the department sent the states a new request for data on Nov. 28, and asked for a response within seven days, which would be Friday. 

The letter was reproduced as part of a suit the 22 states have brought against the administration over the request for SNAP recipients’ data.

Leading Dem calls threat illegal

It’s unclear what authority Rollins would have to block funding, which Congress has appropriated.

The federal government pays for all benefits for SNAP, which was formerly known as food stamps. It splits the administrative costs with states.

The USDA spokesperson did not answer a direct question about the legal authority for withholding funds.

Democrats on the U.S. House Agriculture Committee said any effort to block SNAP funding would be illegal.

“Yet again, Trump and Rollins are illegally threatening to withhold federal dollars,” a social media post from an official account of committee Democrats read. “SNAP has one of the lowest fraud rates of any government program, but Trump continues to weaponize hunger.”

The committee’s lead Democrat, Angie Craig of Minnesota, issued her own statement that also accused the administration of “weaponizing hunger” and said Rollins “continues to spew propaganda.”

“Her disregard for the law and willingness to lie through her teeth comes from the very top – the Trump administration is as corrupt as it is lawless, and I will not sit silently as she carries out the president’s campaign against Americans struggling to afford food in part because of this president’s tariffs and disastrous economic policies.”  

SNAP fraud

The data USDA has sought from states includes verification of SNAP recipients’ eligibility, along with a host of personal information such as Social Security numbers.

An early USDA review of data provided by the 28 states and Guam “indicates an estimated average of $24 million dollars per day of federal funds is lost to fraud and errors undetected by States in their administration of SNAP,” the department said in the Nov. 28 letter.

Preventing those losses could save up to $9 billion per year, the letter added.

But the types of fraud cited in some of the public statements from Rollins and the department are rare, existing data show.

2023 USDA report showed about 26,000 applications, roughly 0.1% of the households enrolled in SNAP, were referred for an administrative or criminal review.

People in the country illegally have never been authorized to receive SNAP benefits.

“The long-standing data sources indicate that intentional fraud by participants is rare,” Katie Bergh, a senior food assistance policy analyst for the left-leaning think tank Center for Budget and Policy Priorities, said in a November interview.

Trump administration target

SNAP has been a consistent target for cuts during Trump’s second presidency.

The issue was a focal point during the six-week government shutdown, during which the administration reversed itself often but generally resisted calls — from states, advocates, lawmakers and federal judges — to fund food assistance.

Shortly after the government reopened, Rollins in television interviews said she would force all recipients to reapply for benefits, a proposal seen as logistically challenging by program experts.

And the Republican taxes and spending law passed by Congress and signed by Trump earlier this year included new work requirements and other restrictions on SNAP eligibility that advocates say will lead to major drops in benefits. 

The law will also make states pay for some share of benefits and increase the share of administrative costs that states are responsible for, potentially leading some states to cut benefits.

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