Milwaukee Public Schools is using a nearly $400,000 federal grant to get more children tested for lead over a year after the start of a lead crisis that resulted in the temporary relocation of students at six schools due to lead hazards.
The West Allis clinic operated by Rogers Behavioral Health is one of two in Wisconsin where employees are seeking union representation. (Rogers Behavioral Health media photo)
Staff members at two Wisconsin mental health clinics are seeking union representation after what some employees describe as policy changes that have increased client caseloads and reduced one-on-one care for clients.
The clinics — one in Madison and one in West Allis — are owned by Wisconsin-based Rogers Behavioral Health. The Oconomowoc-based nonprofit organization operates a network of mental health hospitals, residential treatment clinics and outpatient clinics in 10 states.
Starting Monday, officials with the National Labor Relations Board will hold a hearing in Milwaukee to set union election dates for 63 employees in West Allis and 35 in Madison.
The hearing is expected to take up to three days, according to documents filed with the NLRB by a lawyer representing Rogers. The case will entail “extensive testimonial and documentary evidence” about which employees at each location should be included in the vote, the attorney stated in a motion to schedule the hearing and reserve the dates.
Workers at the West Allis and Madison locations want to join the National Union of Healthcare Workers. The California-based NUHW already represents Rogers employees at three locations in California as well as one in Pennsylvania.
Three employees at the West Allis clinic have been fired, according to the union, which has filed an unfair labor practice charge with the NLRB. The union is accusing Rogers of violating federal labor law by retaliating against the terminated health professionals for supporting the union.
The Wisconsin Examiner sent email messages to Rogers Friday morning, Feb. 20, seeking comment about the union drive, and at the invitation of the organization’s communications office sent five questions Friday afternoon. Rogers has not responded; this report will be updated with comments Rogers supplies.
Clinic employees cite increased caseloads
Employees involved in the union drive said in interviews that they and their colleagues enjoyed their jobs and caring for their patients. But recent changes, they said, have made their work more difficult and didn’t benefit patients.
“When I first started, people were pretty happy and satisfied with their roles,” said T’Anna Holst, a therapist who works at the West Allis clinic. “As time goes on, caseloads kept increasing for therapists.”
Other program changes reduced patients’ ability to have individual time with their clinicians, which “was really unfortunate for us, but also for the patients, who were expecting that when they come to our program,” Holst said.
“All of the changes were about increasing the number of patients that were coming into the building,” said Stephanie Lohman, a nurse practitioner. “It did not seem to have a cohesive plan and no plan would be communicated.”
Lohman said she is one of the three employees fired from the West Allis clinic, and that her termination came the Monday after she and nearly a dozen other coworkers had presented a petition seeking union recognition. When she directly asked the upper level executive who fired her, she said, she was explicitly told she was being dismissed “without cause.”
“Our local leaders, including my direct boss, were not aware this was happening,” Lohman said, adding that she was not given time to prepare notes in order to transfer coverage for the patients in her care.
Patient advocacy
At the Madison clinic, Erin Quinlan is a behavioral specialist whose job includes assisting therapists and helping to conduct group therapy sessions.
“The people that I work with are incredible,” Quinlan said. “They care very, very deeply about the work that they do and having a positive impact on the lives of patients.”
After she was hired in July 2024, “Caseloads increased and individual time with patients was decreasing,” Quinlan said. “I just became concerned about how that was impacting our being able to support those patients.”
Coworkers shared those concerns, she said.
Employees said they were left with the impression that the changes that concerned them were coming from higher up in the organization’s hierarchy, not their local managers.
Lohman said that in measuring staff productivity, the organization moved to relying on “metrics like visits per day.” That replaced a system that took into account that some patients needed more time than others, she said.
Increased caseloads were presented as ways to increase the number of patients being served, Lohman said, but instead, employees were working “to their maximum capacity, ignoring actual patient or worker needs.”
At the clinic level, “Rogers is run by caring professionals,” she said. “Despite the corporate push to do metric care, patient-centered care continues to be done.”
All three employees said they and their coworkers believed forming a union and being able to bargain collectively would give them a stronger voice as advocates for their patients.
“I take being an advocate and speaking up as a very important part of my job,” Quinlan said. She added that she routinely sought to raise concerns with “anyone who would listen, including management.”
She said she got no response, however. “It was because I didn’t really see any return communication, that was when I made the decision to go to the union,” Quinlan said.
Both the Madison and West Allis groups initially petitioned for Rogers to voluntarily recognize the union, citing large majorities of supporters. The organization rejected those requests, and union supporters then sent petitions for elections to the NLRB.
Union represents other Rogers workers
The NUHW grew out of a California health care union that was founded in the 1930s and subsequently joined what would later become the Service Employees International Union. After an acrimonious split from SEIU in 2009, the National Union of Healthcare Workers formed as an independent union.
An unsigned memo from the organization urging employees to vote against the union was briefly posted at the Madison clinic in the days after members petitioned for union representation Jan. 23. The Wisconsin Examiner obtained a photograph of the memo, which employees said was later taken down.
The memo describes the union as having “no experience or connection in Wisconsin.” It does not state that Rogers employees in four other U.S. clinics are now represented by the union.
Employees at a Rogers mental health and addiction services clinic in Walnut Creek, California, voted for the union to represent them in 2023 and settled afirst contract in 2024.
“It’s an excellent contract,” said NUHW’s communications director, Matt Artz, and included “substantial salary increases and caseload limits,” according to the union’s website.
After employees at Rogers clinics in Los Angeles and San Diego petitioned for union representation, the union was recognized voluntarily at those locations, which then negotiated contracts similar to the agreement at Walnut Creek, Artz said. In December 2025, a Rogers clinic in Philadelphia also voluntarily recognized the union after being petitioned by employees there.
Employees at the Madison clinic operated by Rogers Behavioral Health are seeking union representation. (Rogers Behavioral Health media photo)
Republican lawmakers watch Gov. Tony Evers’ final State of the State address, shaking their heads, making side comments and pulling their phones out during portions of the speech. (Photo by Baylor Spears/Wisconsin Examiner)
Before Assembly Speaker Robin Vos (R-Rochester) announced his retirement Thursday, it was obvious something had changed. The longest serving speaker in Wisconsin history, known for keeping Assembly Republicans on a tight leash, slipped out of a caucus meeting late Wednesday night. Capitol reporter Baylor Spears tracked him down at a fundraiser at the Madison Club, where, she reported, Vos told her his caucus was meeting without him. Later that evening, Assembly Republicans announced that Vos had suddenly dropped his yearslong opposition to letting Wisconsin expand postpartum Medicaid coverage for new mothers for one year. Vos’ last-minute change of heart allowed eight Republicans facing competitive reelection races to hold a late-night press conference proclaiming the news that they planned to pass postpartum coverage, along with another measure extending life-saving breast-cancer screenings that Vos was suddenly permitting to come up for a vote. Vos himself didn’t bother to attend.
With both Vos and Gov. Tony Evers retiring, the two most powerful politicians in the state — and the often dysfunctional dynamic between them — are going away. It’s the end of an era characterized by toxic partisanship, although probably not the last we’ll see of divided government in our 50/50 state.
Still, as Vos relaxes his grip, Wisconsin Republicans are starting to wrap their heads around the new reality that they no longer hold complete control over what was once, effectively, a one-party state.
New, fairer voting maps have already eroded gerrymandered GOP supermajorities in the Legislature that previously endured even when Democrats won every statewide race. In the upcoming November elections, the new maps will, for the first time, take full effect.
The creation of more competitive districts has not immediately ushered in an atmosphere of productive bipartisanship in the Capitol. But it did cause enough of a thaw that Wisconsin could finally join the other 48 states that have already expanded postpartum Medicaid. Republicans running in newly competitive districts can campaign on this bit of belated progress. Two cheers for Wisconsin! We’re 49th!
At the Vos-less press conference Wednesday night, Republicans gave emotional testimony about “the women who need this protection.” They thanked the speaker for finally listening to their pleas. Then, instead of reaching across the aisle, they delivered a scorching rebuke to Democrats who had been pushing for months for a vote on both of the women’s health bills they were celebrating. When the bills were not scheduled, Democrats vowed to bring them up as amendments to other bills, holding up action on the floor and threatening to put their GOP colleagues in the embarrassing position of having to vote down their efforts.
“I’m very angry at what happened today — very angry,” Rep. Patrick Snyder (R-Weston) said. “I talked to my Democratic colleagues and told them that I was close, that it was going to get done, but then they throw this crap at us today. It almost blew it up.”
By speaking up, Democrats nearly ruined Republicans’ efforts to gain support within their own caucus, according to Snyder. That analysis caused Democratic Minority Leader Greta Neubauer to roll her eyes. “It seems that the bills are going to the floor after years of Rep. Pat Snyder telling us that these bills were going to be passed and them not being passed, so it does seem like our actions made a difference today,” Neubauer said.
Partisan habits die hard.For much of the most recent legislative session, Republicans formed a Sorehead Caucus whose sole aims were rehashing grievances about their loss of power and trying in vain to recreate the dominance they enjoyed when they controlled every branch of government.
Back in 2018, when Evers won the first time, breaking the GOP stranglehold by beating former Republican Gov. Scott Walker, Republicans held a lame duck session to claw back the incoming governor’s powers. Eight years later, as Evers is about to leave office at the end of his second term, they’re still at it. Motivated by spite over Evers’ line-item veto extending their modest, two-year increase in school revenue limits for the next 400 years, they have insisted on starving school districts of state funds, punishing not only Wisconsin schoolchildren but also the property taxpayers who, in the absence of state funding, are forced to pick up the tab.
In a similarly spiteful vein, Republicans just killed off the popular, bipartisan Knowles Nelson stewardship program, setting up the 36-year-old land conservation effort to die this summer. Over and over in hearings on whether to renew the program or drastically cut it back, Republicans cited a state Supreme Court decision that held they cannot anonymously veto individual conservation projects. GOP legislators said the decision — written by the most conservative justice on the Wisconsin Supreme Court — left them no option but to gut the program just to show who’s boss.
As Henry Redman reports, a handful of conservation-minded Republicans could have joined forces with Democrats to save the program, but Republican bill authors insisted on negotiating only within their own caucus, ignoring Democratic efforts to make a deal and instead trying to please the program’s far-right enemies by making deeper and deeper cuts before finally giving up and letting the program lapse.
This style of governing — a hangover from the Walker era — might satisfy certain politicians’ hunger for power, but it’s ill-suited to getting anything productive done for the people who live in the state.
Let’s hope Vos’ departure marks the end of the petty partisanship that has blocked progress in Wisconsin for far too long.
A traveler from out of state stopped in Madison on Friday, Feb. 6 and later tested positive for measles, according to officials at Public Health Madison & Dane County.
While median wages in Wisconsin have kept pace with inflation over the last 25 years, many essential household costs have risen much faster than wages and overall inflation.
Clinic escorts attempt to stand between patients and anti-abortion protesters outside A Preferred Women’s Health Center of Atlanta in Forest Park, Georgia, in July 2023. Some abortion opponents say a law created to protect access to reproductive health clinics and houses of worship should be repealed, though providers fear a continued rise in violence. (Photo by Ross Williams/Georgia Recorder)
The Trump administration is using a law Congress passed in the 1990s after a wave of deadly violence at abortion clinics to prosecute demonstrators and reporters who were at a immigration-related church protest in Minneapolis last month.
Independent journalists Don Lemon and Georgia Fort, along with several activists, are accused of violating a 1994 law that made physically obstructing access to reproductive health clinics and places of worship a federal crime. Lemon pleaded not guilty Friday, while Fort is set to be arraigned next week and has denied any wrongdoing. Other plaintiffs have vowed to fight the charges — they’re also accused of conspiring against churchgoers’ right to worship — and maintained they were exercising their First Amendment rights.
Some abortion opponents say the law should be repealed entirely, even though the statute also protects access to anti-abortion crisis pregnancy centers. Reproductive rights advocates say getting rid of the law altogether could spur more attacks on clinics and providers, which already increased in recent years.
“It would give an even stronger signal to the zealots who would wish to shut us down to intimidate and harm our clinic folks and patients,” said Julie Burkhart, who owns clinics in Wyoming and Illinois.
The Minnesota indictment is only the second time that the Department of Justice has brought charges under the religious provision tucked in the Freedom of Access to Clinic Entrances Act. In September, the federal government filed a civil complaint against pro-Palestinian groups and demonstrators, accusing them of violating the FACE Act after they protested outside a New Jersey synagogue in 2024.
During a news conference announcing the charges, Harmeet Dhillon, the assistant attorney general for the DOJ’s civil rights division, said the New Jersey case was the “first time in history” the FACE Act was used to “prosecute an attack civilly on a house of worship.”
While the Trump administration has started to use the FACE Act in religion-related cases, it has also relaxed enforcement of the law against people who interfere with access to abortion clinics.
Republican President Donald Trump pardoned 23 anti-abortion protesters convicted of violating the law within weeks of taking office in January 2025, and the DOJ released a memo that stated abortion-related cases should only be pursued in “extraordinary circumstances,” such as death, serious bodily harm or severe property damage.
“This sent a very clear signal to anti-abortion extremists that this administration was OK and even encouraged anti-abortion violence, and we’ve seen the same people that were pardoned within Trump’s first week in office go right back out and start harassing abortion providers and their patients, whether that is putting together blockades or clinic invasions,” National Abortion Federation President and CEO Brittany Fonteno told States Newsroom.
FACE Act followed murder of abortion provider, clinic sieges
Tactics by the anti-abortion movement were starting to reach a fever pitch in the U.S. before the FACE Act’s passage. In 1988, hundreds of protesters were arrested in Georgia during the “Siege of Atlanta,” where abortion opponents staged routine clinic blockades over a three-month period. In 1991, thousands of anti-abortion protesters were arrested by local officials for invading abortion clinics in Kansas during the “Summer of Mercy.”
“We were literally unable to do our jobs,” said Burkhart, who worked in Wichita that summer with Dr. George Tiller, a provider who was later killed by an anti-abortion extremist.
In 1993, Dr. David Gunn was murdered by an anti-abortion protester outside a Florida clinic, and six months later, Tiller was shot outside his Kansas clinic. Tiller survived that attack, but he was assassinated at his church in 2009.
Sen. Ted Kennedy and then-Rep. Chuck Schumer, both Democrats, introduced the FACE Act in Congress alongside former Republican Rep. Connie Morella, and President Bill Clinton signed the legislation the following year.
Legal experts said the religious part of the reproductive health law was added to broaden legislative support for the bill.
The law protects reproductive health clinics and places of worship from being physically obstructed or damaged, and makes it a federal crime to intentionally injure, intimidate or interfere with access to those places. Violators face up to a year in prison or a $10,000 fine, and up to six months in prison for nonviolent obstruction. A defendant could face 10 years if they inflicted bodily harm or life behind bars if someone is killed.
Mary Ziegler, an abortion historian and professor at the University of California, Davis School of Law, said the measure was modeled on other civil rights laws, which typically include protections for religious institutions. She said Congress already had a Democratic majority at the time, but the religious part of the law could have been added to avoid accusations of viewpoint discrimination.
“Even people who saw themselves as pro-life were disturbed by some of the violence,” Ziegler said.
After the law took effect, violence against abortion clinics declined by 30%, according to the National Abortion Federation.
The power of anti-abortion groups like Operation Rescue, known for orchestrating mass clinic blockades, waned.
“The FACE Act was created to suppress civil disobedience at abortion centers, so it’s had a massively negative impact on the anti-abortion movement,” said Terrisa Bukovinac, the founder of Progressive Anti-Abortion Uprising.
Trump reconfigures enforcement while abortion opponents call for repeal
Violence against abortion clinics increased after the Dobbs v. Jackson Women’s Health Organization decision. From 2021 to 2022, clinics saw a 100% increase in arsons, a 25% increase in invasions and a 20% increase in death threats or threats of harm, according to the National Abortion Federation.
The Biden administration pursued enforcement of the FACE Act by prosecuting people convicted of blocking access to abortion clinics in Michigan, Tennessee and Washington, D.C.
Trump pardoned all of those defendants. But for some abortion opponents, the Republican administration’s narrow use of the FACE Act does not go far enough.
“It should be repealed because it’s a draconian law,” Bukovinac said. “There are local laws that address trespass, disorderly conduct, disruptions of churches, and various other violations of statutes, but the FACE law adds the full weight of the federal government in these situations.”
Ziegler said the law isn’t a trespassing statute, it’s about conduct and obstruction. No legal challenges against the law have held up in court before or after Dobbs, she said.
“If you’re shooting someone in the head because they’re trying to go to a synagogue or they’re trying to go into an abortion clinic — or you’re threatening to kill them or you’re physically blocking all the entrances — that’s not speech protected by the First Amendment,” Ziegler said.
Matthew Cavedon, a criminal justice and religious liberty expert at the libertarian CATO Institute, has written that the law may be unconstitutional. He said the federal government has typically defended the FACE Act’s constitutionality based on the Commerce Clause and the 14th Amendment.
“Pro-lifers have made the point that in order to defend the FACE Act under the 14th Amendment, you have to have some sort of federal constitutional right to have an abortion,” Cavedon said. “Back in 1994 when the act passed, the Supreme Court said that you did have that right. It doesn’t anymore. That’s been reversed. So I think that’s a very strong argument.”
U.S. Rep. Chip Roy, a Texas Republican, introduced a bill last year that would repeal the law. The House Judiciary Committee advanced the measure in June, States Newsroom reported.
Roy did not respond to requests for comment, but during a hearing for the bill, he said he has been criticized by Trump administration officials who wanted to use the law to defend churches.
“That’s not what my goal is,” he said. “My goal is to alleviate the politicization in the first place.”
Renee Chelian, the founder and CEO of Northland Family Planning Centers in Michigan, testified before the committee about the importance of the FACE Act and the invasion of one of her clinics during the first Trump administration.
“Once the law went into effect, the violent blockades immediately stopped. This all ended when President Trump took office for his first term, emboldening extremists to resume their attacks,” she said.
In August 2020, a group of protesters blocked the entrance to Chelian’s Sterling Heights clinics, preventing patients and staff from entering the clinic.
“Patients were stuck in their cars, including three women who were coming in for abortions following the detection of fatal fetal anomalies,” Chelian said. One of those patients was losing amniotic fluid and needed to get to her appointment for the second day of her procedure, but protesters surrounded her car and chanted at her, her mother and her husband, according to the DOJ.
Trump’s decision to pardon seven people who invaded her clinic “left us reliving our trauma and feeling abandoned by the government that is supposed to protect us,” Chelian told lawmakers.
Last month, the Center for Reproductive Rights sued the Trump administration after the government did not respond to Freedom of Information Act requests about “selective enforcement” of the FACE Act and Trump’s pardons of 23 anti-abortion protesters convicted under the law.
“This is straight out of the anti-abortion movement’s playbook,” said Sara Outterson, the center’s chief federal legislative counsel. “They know they can’t ban abortion outright in a number of states, so they’ll try everything they can to restrict access to care, including allowing criminals to harass people as they try to go in to get care.”
This story was originally produced by News From The States, 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.
Three cases of measles has been confirmed in Wisconsin in recent weeks, the latest involving an out-of-state traveler who traveled through Milwaukee Mitchell International Airport to Walworth County on Jan. 29.
Milwaukee Health Commissioner Michael Totoraitis said during a news conference Tuesday that there were six individuals on the flight from the city of Milwaukee who may have been exposed as well as others.
“We have been in communication with those (six) individuals, and there’s also likely other contacts from the airplane that we do not have,” he said.
Measles is a serious disease that can cause high fevers and a spreading rash and lead to life-threatening complications such as pneumonia.
Lindsey Page, director of immunizations and communicable disease with the Milwaukee Health Department, said measles is highly contagious and the risk of it hitting the city is real.
Extremely contagious but can be prevented
According to the Wisconsin Department of Health Services, measles can spread from person to person through the air from coughs or sneezes. The department states that measles is so contagious that 90% of unvaccinated people who are around someone who is infected may also be infected.
Page said the measles, mumps and rubella, or MMR, vaccine is highly effective at preventing the spread of measles. Still, vaccine rates in the city are below the recommended rate for herd immunity. Herd immunity for measles is reached when 95% of people in the community have the MMR vaccine.
“It certainly poses a threat, which is why we’re obviously emphasizing the vaccination, which is key in preventing disease from spreading before it starts,” Page said. “The measles vaccine is one of the most effective and well-studied vaccines ever used.”
Three-fourths of 6-year-olds in Milwaukee have received both recommended MMR doses, according to the Milwaukee Health Department. Among 18-year-olds in Milwaukee, that number increases to 88%.
The Milwaukee Health Department and Milwaukee Public Schools are working to get residents access to vaccinations to increase those rates and keep them safe.
According to the International Vaccine Access Center, childhood vaccination rates in the U.S. have declined, and only 10 states had MMR rates above 95% during the 2024-25 school year.
Vaccination rates low in many Milwaukee schools
Neeskara is one of several Milwaukee schools where less than half the students have received the MMR vaccine. (Jonathan Aguilar / Milwaukee Neighborhood News Service / CatchLight Local)
Of the 152 Milwaukee public, private and charter schools with available vaccine data, only 11% have reached herd immunity levels of 95% for the MMR vaccine, according to data from the Washington Post.
Only two Milwaukee Public Schools for which data was available, Highland Community School and Cooper Elementary School, had an MMR vaccination rate of 95%.
Just 7% of Milwaukee schools have a 95% immunization rate for all required vaccinations.
Milwaukee Public Schools notifies families if immunization records are missing or incomplete, and students may be excluded from school if requirements are not met within a reasonable time, said Stephen Davis, MPS media relations manager.
Students are allowed to attend school while families work to get their required vaccinations or submit a valid exemption as allowed by state law, Davis said.
Page said the Milwaukee Health Department runs vaccine clinics inside select MPS schools at the beginning of the school year. Students take home vaccine consent forms for parents to sign so those students can get their required immunizations in school.
In the near future, the department will set up targeted clinics in schools with low MMR vaccination rates, Page said.
MPS prepares for potential measles cases
MPS is monitoring measles in the region and maintains regular communication with local and state public health partners, Davis said.
Davis said the district has an infectious disease response plan, which the district reviews periodically and updates as public health guidance changes. The district last reviewed the plan in 2025.
“While no increased risk has been identified within our schools at this time, we are remaining vigilant and prepared to respond if conditions change,” Davis said.
If a case of measles is identified in the city, Davis said MPS would implement its response plan, including coordinating with key staff and reinforcing illness reporting procedures.
“Schools would follow established exclusion, cleaning and notification procedures in accordance with public health guidance,” Davis said.
Where can I get vaccinations?
The Milwaukee Health Department and the Wisconsin Department of Health Services offer several resources to check your vaccination status and access free vaccinations.
Page said you can check your vaccination status with your pediatrician or doctor, look up your status on the Wisconsin Immunization Registry or contact the city Health Department at 414-286-6800.
Page said the Health Department offers free MMR vaccines to all residents at three immunization clinics regardless of age or insurance status.
These clinics also offer other vaccines, available for free for people without health insurance. Eligibility for certain vaccines depends on factors like age, and some vaccines are not always available.
Check vaccine availability by calling 414-286-8034.
Immunization clinic services in Milwaukee
Keenan Health Center, 3200 N. 36th St.
Open for vaccines on Thursdays from 1 to 4 p.m.
Northwest Health Center, 7630 W. Mill Road
Open for vaccines on Wednesdays from 3 to 6 p.m.
Southside Health Center, 1639 S. 23rd St.
Open for vaccines on Mondays from 3 to 6 p.m. and Tuesdays from 1 to 4 p.m.
Alex Klaus is the education solutions reporter for the Milwaukee Neighborhood News Service and a corps member of Report for America, a national service program that places journalists in local newsrooms to report on under-covered issues and communities. Report for America plays no role in editorial decisions in the NNS newsroom.
Jonathan Aguilar is a visual journalist at Milwaukee Neighborhood News Service who is supported through a partnership between CatchLight Local and Report for America.
UW-Madison will now require students to share their vaccination status for multiple diseases. This comes after state and local health officials confirmed a case of measles in a university student earlier this month.
Marathon Petroleum Company’s Salt Lake City Refinery in Salt Lake City on Wednesday, Jan. 3, 2024. (Photo by Spenser Heaps for Utah News Dispatch)
WASHINGTON — President Donald Trump and his top environmental policy officer finalized a move Thursday to undo an Environmental Protection Agency regulation that laid the foundation for federal rules governing emissions of the greenhouse gases that cause climate change.
At a White House event, Trump and EPA Administrator Lee Zeldin said they were officially rolling back the “endangerment finding” that labeled greenhouse gases a threat to public health and provided a framework for the EPA to regulate emissions.
The 2009 finding, established under President Barack Obama, called climate change a danger to human health and therefore gave the EPA power to regulate greenhouse gases, such as carbon dioxide from cars and trucks.
Such regulations created a challenge for automakers and other industries, which dragged down the entire economy, according to Trump, administration officials and allies in Congress.
Democrats and their allies in environmental and climate activism, though, consider the measure a crucial tool to address climate change and protect human health.
Undoing the finding will remove the economy-wide uncertainty, Trump argued.
“That is why, effective immediately, we are repealing the ridiculous endangerment finding and terminating all additional green emission standards imposed unnecessarily on vehicle models and engines between 2012 and 2027 and beyond,” he said Thursday.
Affordability argument
In its initial notice last year that it would repeal the endangerment finding, the EPA said it did not have the authority to regulate vehicle emissions.
With household costs, including transportation, expected to be a major theme in the fall’s midterm campaigns to determine control of Congress, members of both parties have framed it as an economic issue.
“This will be the largest deregulatory action in American history, and it will save the American people $1.3 trillion in crushing regulations,” White House press secretary Karoline Leavitt said at Tuesday’s press briefing.
Some Democrats and climate activists argue the rollback will hurt the country’s nascent renewable energy sector, driving up the cost of home heating, electricity and other common expenses.
Senate Minority Leader Chuck Schumer, D-N.Y., and Sen. Sheldon Whitehouse, D-R.I., issued a lengthy joint statement slamming the announcement.
“The Trump EPA has fully abandoned its duty to protect the American people from greenhouse gas pollution and climate change. This shameful abdication — an economic, moral, and political failure — will harm Americans’ health, homes, and economic well-being. It ignores scientific fact and common-sense observations to serve big political donors,” the senators said.
“This sham decision initially relied on a now thoroughly disgraced and abandoned ‘report’ by known climate deniers. Zeldin stuck to this charade anyway, undaunted by half a century of actual evidence, showing the fix was in from the beginning,” they continued.
Money and fossil fuels
The move outraged Democrats and climate activists when Zeldin first proposed it last summer. Climate activists say undoing the finding undercuts the federal government’s ability to address an issue critical to the United States and the entire world.
In a Tuesday floor speech, Schumer blasted the rollback as a giveaway to fossil fuel companies, leaders of which contributed to Trump’s 2024 campaign.
“Remember: In the spring of 2024, Donald Trump invited top oil executives to Mar-a-Lago and told them, if you raise me a billion dollars to get me elected, I will cut regulations so you can make more money,” Schumer said. “That devil’s bargain is now coming true. I never thought it would be this way in America, in this bald disgusting way that so hurts people’s health, but there it is.”
Democratic attorneys general and environmental groups are likely to sue over the rollback.
At least one lawsuit, from the Environmental Defense Fund, was promised Thursday afternoon.
“EDF will challenge this decision in court, where evidence matters, and keep working with everyone who wants to build a better, safer and more prosperous future,” Fred Krupp, EDF president, said in a statement Thursday.
Washington state Attorney General Nick Brown, a Democrat, said last year he would “consider all options if EPA continues down this cynical path.”
Community groups are joining statewide efforts to boost the quality of life for Wisconsin’s growing population of seniors, as projections show the number of people aged 65 and older could top 1.5 million by 2040.
Some Milwaukee County Supervisors are seeking more answers around what led to the lapse of a health care contract that left employees and retirees worried about their benefits.
New federal guidelines recommend Americans include full-fat dairy in their diets. While recent studies suggest full-fat milk may not harm heart health, scientists say more research is needed.
U.S. Secretary of Health and Human Services Robert F. Kennedy Jr. speaks during a policy announcement event at the U.S. Department of Health and Human Services on Jan. 8, 2026 in Washington, DC. (Photo by Anna Moneymaker/Getty Images)
WASHINGTON — Congress has approved the first public health funding bill since President Donald Trump began his second term, with lawmakers largely rejecting his proposed spending cuts and the elimination of dozens of programs.
A bipartisan group of negotiators instead struck a deal to increase funding on several line items within the Department of Health and Human Services’ annual appropriations bill, including for major initiatives at the National Institutes of Health and the Centers for Disease Control and Prevention.
“When you look at the differences between what was proposed and what was agreed to, it is astonishing,” House Appropriations Committee ranking member Rosa DeLauro, D-Conn., said during a hearing on the bill in late January.
The Trump administration’s budget request, released in May, called on Congress to cut funding for the Department of Health and Human Services by $33 billion, or 26.2%.
The president asked lawmakers to implement an $18 billion funding cut to the NIH, which he argued would bring the agency in line with the Make America Healthy Again agenda.
The Trump administration proposed a $3.6 billion cut for CDC programs, including the elimination of the National Center for Chronic Diseases Prevention and Health Promotion, National Center for Injury Prevention and Control, and Public Health Preparedness and Response, all of which it said could “be conducted more effectively by States.”
The James H. Shannon Building, or Building One, on the National Institutes of Health campus in Bethesda, Maryland. (Photo by Lydia Polimeni/National Institutes of Health)
The budget request said more than $1 billion should be cut from the Substance Abuse and Mental Health Services Administration, though it said the administration was “committed to combatting the scourge of deadly drugs that have ravaged American communities.”
Trump also requested lawmakers zero out any funding for the Low Income Home Energy Assistance Program, or LIHEAP, which he deemed “unnecessary.” The federal program helps millions of low-income households meet their home energy needs, via states and tribes.
The final spending bill Congress approved rejected nearly all of the major cuts.
Collins, Murray both praise final product
Senate Appropriations Committee Chairwoman Susan Collins, R-Maine, said the bills “reflect months of hard work and deliberation and contributions from members of both parties and on both sides of the Capitol.”
“Funding for NIH is not decreased, as was proposed in the administration’s budget,” she said. “Rather, it is increased by $415 million, including increases of $100 million for Alzheimer’s research and $10 million more for diabetes research, with a focus on type 1 diabetes.”
U.S. Senate Appropriations Committee Chairwoman Susan Collins, R-Maine, speaks with reporters inside the Capitol building in Washington, D.C., on Sept. 29, 2025. (Photo by Jennifer Shutt/States Newsroom)
Collins also touted an increase in “funding for low-income heating assistance, which is absolutely crucial for states like Maine and is an issue that I have worked for years on with my Democratic colleague Jack Reed of Rhode Island.”
Senate Appropriations Committee ranking member Patty Murray, D-Wash., said the difference between Trump’s budget request and the final bills was like the difference between “night and day.”
“Our bill rejects President Trump’s asks to rubber stamp his public health sabotage,” she said. “Instead, it doubles down on lifesaving public health investments. It rejects Trump’s efforts to slash opioid response funds. It rejects his proposal to chop the CDC in half. It rejects his call to end programs like title X, the teen pregnancy program, essential HIV initiatives, and more.”
Rare bipartisan agreement in Trump’s second term
Senators from both political parties indicated last summer they weren’t fully on board with Trump’s budget proposal and used a hearing with HHS Secretary Robert F. Kennedy Jr. in May and a separate hearing with NIH Director Jay Bhattacharya in June to highlight their concerns.
The Senate Appropriations Committee approved its HHS spending bill on a broadly bipartisan vote in July, while the House Appropriations Committee approved its funding bill in September without any Democratic support.
Neither of the original bills went to the floor for debate and amendment votes, though negotiations to find compromise on a final bill began late last year after the record-breaking government shutdown ended in November.
Washington state Democratic U.S. Sen. Patty Murray, speaks with reporters inside the Capitol building in Washington, D.C., on Friday, Sept. 19, 2025. Also pictured, from left to right, are Senate Minority Leader Chuck Schumer, D-N.Y.; New Jersey Democratic Sen. Cory Booker and Hawaii Democratic Sen. Brian Schatz. (Photo by Jennifer Shutt/States Newsroom)
Republicans and Democrats brokered a final agreement on the HHS funding bill in late January, the first time bipartisan agreement was reached during Trump’s second term.
Congress previously approved a series of stopgap spending bills to keep HHS up and running, mostly on funding levels and policies last set during the Biden administration.
The House originally voted on Jan. 22 to send the package that included funding for HHS to the Senate. But it stalled after federal immigration agents shot and killed a second U.S. citizen in Minnesota and Democrats demanded changes to the spending bill for the Department of Homeland Security.
The Senate voted 71-29 on Jan. 30 to send the package back to the House after removing the full-year DHS spending bill and replacing it with a two-week stopgap. The House then voted 217-214 on Tuesday to clear the package for Trump, who signed it later in the day, ending a four-day partial government shutdown.
The package also holds funding for the departments of Defense, Education, Housing and Urban Development, Labor, State, Transportation and Treasury.
‘Months of hard work turned into results’
House Appropriations Chairman Tom Cole, R-Okla., said during floor debate last month the process that led to the final bills proved lawmakers “can make tough decisions.”
“This is where months of hard work turned into results,” Cole said. “You see, we aren’t here for just another stopgap temporary fix. We’re here to finish the job by providing full-year funding and specifically this package addresses core areas of national consequence — defense; labor, health and education; and transportation and housing development.”
Congress is supposed to pass the dozen full-year appropriations bills by the start of the fiscal year on Oct. 1, though it hasn’t completed all of its work on time in decades.
Oklahoma Republican Rep. Tom Cole speaks with reporters following a closed-door meeting of the House Republican Conference inside the Capitol on Jan. 10, 2024. (Photo by Jennifer Shutt/States Newsroom)
Cole said during debate the programs funded “aren’t abstract concepts on a page, they affect how Americans live, work, learn and travel every day.”
DeLauro said the package of bills represents “a strong bipartisan, bicameral agreement that rejects the Trump administration’s efforts to eviscerate public services and reasserts Congress’ power of the purse.”
“It provides funding levels, removing ambiguity that the White House sought to exploit in the past,” DeLauro said. “It establishes deadlines for required spending, provides minimum staffing thresholds to prevent agencies from being hollowed out and increases notification requirements to ensure the administration is complying with the laws that Congress makes.”
HHS ends up with $210 million bump
The bill provides HHS with more than $116 billion, $210 million more in discretionary funding than the previous level and a rejection of Trump’s request to cut $33 billion, according to a summary from Murray’s office.
NIH will receive $48.7 billion in funding, $415 million more than its current spending level, showing that lawmakers were unwilling to slice its budget by $18 billion as requested.
Congress bolstered funding for the Substance Abuse and Mental Health Services Administration by $65 million to a total of $7.4 billion, according to Murray’s summary. Trump asked lawmakers to reduce its allocation by more than $1 billion.
U.S. Department of Health and Human Services headquarters in Washington, D.C., on Nov. 23, 2023. (Photo by Jane Norman/States Newsroom)
A $3.6 billion funding cut for the CDC was also rejected, with appropriators agreeing to provide the Atlanta-based agency with $9.2 billion.
A summary of the bill from DeLauro’s office says negotiators were able to keep funding for domestic and global HIV/AIDS activities, Firearm Injury and Mortality Prevention Research and Tobacco Prevention and Control, among other programs that House Republicans originally proposed to zero out.
The legislation bolstered, instead of eliminated, funding for the Low Income Energy Assistance Program, or LIHEAP, according to a summary from Cole’s office.
The bill, it said, “reprioritizes taxpayer dollars where they matter most: into lifesaving biomedical research and resilient medical supply chains, classrooms and technical programs that set Americans up for success, and rural hospitals and primary health care to support strong and healthy families.”
CDC program axed
The legislation does eliminate the CDC’s Social Determinants of Health program, which the agency’s website states are “nonmedical factors that influence health outcomes.” Those can include whether a person has access to clean air and water, a well-balanced diet, exercise, a good education, career opportunities, economic stability and a safe place to live.
HHS’ Office of Disease Prevention and Health Promotion writes that “people who don’t have access to grocery stores with healthy foods are less likely to have good nutrition. That raises their risk of health conditions like heart disease, diabetes, and obesity — and even lowers life expectancy relative to people who do have access to healthy foods.”
Cole’s summary of the HHS spending bill says that program “promoted social engineering while distracting grant recipients from combating infectious and chronic diseases.”
The American Public Health Association urged Congress to approve the bill, writing in a statement the compromise “rightly maintains funding for most public health agencies and programs.”
“While the bill is not perfect and we disagree with cuts to several HHS agency programs included, overall, the agreement rejects the devastating cuts and nonsensical agency reorganizations proposed by the Trump administration and is a positive outcome,” APHA wrote. “Importantly, the bill also includes language to ensure that CDC and other health agencies maintain an adequate level of staffing to carry out their statutory responsibilities.
“The bill will also ensure that Congress exercises its oversight over any future proposed agency reorganizations.”
A sign at a University of Utah health clinic warns visitors about the spread of measles. Under the Trump administration, federal health officials have cut back the number of recommended vaccines, and more states are offering exemptions for parents who don't want to vaccinate children entering public schools. (Photo by McKenzie Romero/Utah News Dispatch)
States that were leaders in childhood vaccination before the pandemic are among those losing ground as exemptions and unfounded skepticism take hold, encouraged by the Trump administration’s stance under U.S. Health and Human Services Secretary Robert F. Kennedy Jr.
Expanded exemptions for parents are likely to drop both Mississippi and West Virginia from the top national rankings they held before the pandemic, according to a Stateline analysis of federal data. Other states like Florida, Idaho, Louisiana and Montana also are pushing the envelope on vaccine choice.
At least 33 states were below herd immunity in the 2024-25 school year, compared with 28 states before the pandemic in 2018-2019, the analysis found. Herd immunity refers to the percentage of people who must be vaccinated or otherwise immune from an infectious disease to limit its spread.
Research shows that in the case of measles — a highly contagious disease — states need to maintain at least 95% vaccination rates to protect people who can’t get vaccinated. Other diseases have similar herd immunity rates. People who can’t be vaccinated might include infants too young to receive certain vaccines and those with underlying health conditions.
Misinformation and expressions of distrust from influential leaders have an effect on parents, doctors say, as do new state exemptions making it easier for families to avoid the vaccines.
Some people who never questioned vaccines before notice a national debate and get confused, said Dr. Patricia Tibbs, a pediatrician in rural Mississippi and president of the Mississippi chapter of the American Academy of Pediatrics. New religious exemptions may already be fueling an increase in pertussis, also known as whooping cough, in Mississippi, she said.
“If they hear something about it in the news, then it must be right, they think,” Tibbs said. “We’re just following the guidelines and informing patients that this is a scientific discussion. Nothing has changed about the science. But people who don’t know science are making decisions.”
Nothing has changed about the science. But people who don’t know science are making decisions.
– Dr. Patricia Tibbs, Mississippi pediatrician
Under Kennedy’s leadership, federal support for vaccination has continued to slide, and many states have joined a movement to set their own course by following more science-based recommendations from doctors. On Jan. 26 the Governors Public Health Alliance, a group of 15 Democratic governors, endorsed child and adolescent vaccination standards from the American Academy of Pediatrics rather than the federal government.
Federal health officials in Trump’s administration have cut back the number of recommended vaccines. The chair of a vaccine advisory committee, pediatric cardiologist Kirk Milhoan, suggested in a Jan. 22 podcast that individual freedom was more important than protecting community health with vaccines, even for measles and polio.
New leading states
Before the pandemic, Mississippi and West Virginia had the highest kindergarten vaccination rates in the nation, according to the Stateline analysis. About 99% of kindergartners in each state had their required vaccinations before entering public schools in the 2018-2019 school year.
In the latest statistics for the 2024-25 year, Connecticut gained the No. 1 spot, followed by New York and Maine. Those states have reined in exemptions to school vaccine requirements, while Mississippi and West Virginia have begun to allow more exemptions.
West Virginia didn’t report vaccinations to the federal Centers for Disease Control and Prevention for the 2024-25 school year. The state department of health told Stateline the data wouldn’t be available until later this year.
But the state is likely to be pushed out of the top 10. Republican Gov. Patrick Morrisey issued an executive order a year ago giving parents the right to ask for religious exemptions. To date, the state has approved 693 such requests for the current school year, spokesperson Gailyn Markham wrote in an email. That alone is enough to shift the state’s ranking significantly.
Stateline computed an average of required kindergarten vaccination rates to compare states. The analysis uses 2018-19 as a pre-pandemic baseline because a large number of states did not report the information in 2019-20 in the chaos that followed the early COVID-19 spikes and school closings.
A January study published by JAMA Pediatrics found increased vaccination rates among kindergartners in states that had repealed nonmedical exemptions, suggesting the repeals “played a role in maintaining vaccination coverage in repeal states during a period of heightened vaccine hesitancy.”
Requirements and exemptions
All 50 states and the District of Columbia require students to have certain vaccines before attending public school. They also all allow exemptions for children who cannot receive vaccinations for medical reasons, and most states allow nonmedical exemptions, often for religious or sometimes personal reasons. But Florida Republican Gov. Ron DeSantis’ administration has proposed dropping all requirements, and Idaho enacted a 2025 law allowing vaccination exemptions for any reason. Idaho had the lowest rate of kindergarten vaccination, about 80% in the 2024-25 school year before the law took effect in July last year.
Louisiana in 2024 enacted a law dropping COVID-19 vaccine requirements for public schools, and the state has opted to halt publicity about flu vaccination and end public vaccine clinics.
A Florida bill that progressed out of committee in January would maintain school vaccine requirements but expand exemptions to include “conscience” as well as medical and religious reasons.
Dr. Jennifer Takagishi, a Tampa pediatrician and vice president of the Florida chapter of the American Academy of Pediatrics, said the organization opposes both the DeSantis administration proposal to revoke vaccine requirements and the bill that would expand exemptions. Florida’s kindergarten vaccination rate fell from 94% before the pandemic to about 90% in 2024-25, according to the Stateline analysis.
“They’re ignoring the 90% of their constituents who want vaccines and want to stay safe,” said Takagishi. “The legislators are listening to the louder voice of those who want to oppose vaccines instead of the majority. We also know that there are teachers in the school system and school nurses who are fighting this because it puts them at risk.”
All states except Montana report kindergarten vaccine statistics to the federal government. Montana enacted a 2021 law making vaccine status private and unavailable for statistical reports, over the objections of medical experts. The law also made medical exemptions easier for families who think their children have been injured by vaccines.
Dr. Lauren Wilson, a pediatrician and then-vice president of the Montana chapter of the American Association of Pediatrics, said in a hearing that the law would make “vaccination information unavailable for responding to and mitigating public health emergencies.”
“Vaccines have saved millions of lives. I personally have seen cases of tetanus, pertussis, measles and meningitis and the tragedies that these mean for families,” Wilson said in her testimony.
A 2023 court order forced Mississippi to accept religious exemptions. West Virginia allows religious exemptions following the governor’s order last year.
Dr. Patricia Tibbs, right, poses for a photo with then-state Sen. Robin Robinson, a Republican, on a visit to the Mississippi Capitol last March. (Photo courtesy of Robin Robinson)
Tibbs, who practices pediatrics in rural Jones County, Mississippi, said she has been seeing more pertussis than usual, and thinks vaccine exemptions could be a factor.
In Mississippi, which reported 394 religious exemptions for the 2024-25 school year, overall rates remained high enough that year, at about 97.8%, to ensure “herd immunity” in most cases.
Mississippi has granted 617 religious vaccination exemptions for kindergartners this school year, about 1.8% of the class, according to Amanda Netadj, immunizations director for the state health department. About 96.3% of kindergartners have all required vaccinations this year.
But the state’s whooping cough cases last year were the highest they’d been in at least decade, and in September health officials announced an infant had died of the disease — the state’s first whooping cough death in 13 years.
“We do have a lot of people getting the religious exemption,” Tibbs said. ”But still, on any given day, the majority of my patients will still get their vaccines. We are keeping our fingers crossed that the numbers stay high enough.”
This story was originally produced by Stateline, 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.
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