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U.S. Quietly Drafts Plan to End Program That Saved Millions From AIDS

U.S. Quietly Drafts Plan to End Program That Saved Millions From AIDS

New York Times3 days ago
The federal program to combat H.I.V. in developing nations earned a reprieve last week when Congress voted to restore $400 million in funding. Still, officials at the State Department have been mapping out a plan to shut it down in the coming years.
Planning documents for the President's Emergency Plan for AIDS Relief, obtained by The New York Times, call for the organization to set a new course that focuses on 'transitioning' countries away from U.S. assistance, some in as little as two years.
PEPFAR, as the program is called, would cease to exist as an initiative to provide medicines and services needed to treat and prevent the spread of H.I.V. in low-income countries.
It would be replaced by 'bilateral relationships' with low-income countries focused on the detection of outbreaks that could threaten the United States and the creation of new markets for American drugs and technologies, according to the documents.
'With targeted investment, PEPFAR's H.I.V. control capabilities in these countries could be transformed into a platform for rapid detection and outbreak response to protect Americans from disease threats like Ebola,' the plan says.
A State Department spokeswoman said the document had not been finalized. 'The referenced document is not reflective of the State Department's policy on PEPFAR and was never cleared by Department leadership,' she said.
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Landlord jailed for decades in hate-crime attack on Palestinian American family has died
Landlord jailed for decades in hate-crime attack on Palestinian American family has died

Yahoo

time24 minutes ago

  • Yahoo

Landlord jailed for decades in hate-crime attack on Palestinian American family has died

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Why Florida is missing out on $200 million a year in Medicaid funding for schools
Why Florida is missing out on $200 million a year in Medicaid funding for schools

Miami Herald

time25 minutes ago

  • Miami Herald

Why Florida is missing out on $200 million a year in Medicaid funding for schools

Florida lawmakers reached a rare consensus after the deadly Parkland school shooting: More money was needed for mental health counseling at schools. 'We haven't put enough resources into mental health issues,' said then-Sen. Kathleen Passidomo, R-Naples. 'And look what happens.' Two years later, lawmakers passed a bill allowing Medicaid dollars assigned to school districts to be used for more types of care for kids, including counseling. But state officials didn't adopt the changes. And they have refused to comply with federal guidelines that would help school districts provide that care. Florida schools have missed out on about $200 million a year in Medicaid funding — a total of $2.2 billion since 2014 — to support children's mental health counseling, physical therapy and other services, advocates say. 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But Kniepmann, who worked as associate director for health at the Florida Conference for Catholic Bishops before moving to the health agency, argued the state is stalling for reasons that remain unclear to him. He said the 2023 guidance was not intended to be a way for Florida to further delay implementing rules put in place more than a decade ago. Every holdup, he and others said, means less money available to pay for medical and related services. 'Eleven years and $2.2 billion is not a little thing,' he said. Hillsborough district officials, also leery of the state's ability to pull off a new rule by mid-2026, said they are looking into a different approach to bring in more Medicaid money. Gorassini told the board that her department would conduct a rate study for each service it provides and submit the updated amounts to the state for inclusion on the existing reimbursement schedule. Kniepmann said it's a long-shot effort that requires a lot of work at the district level, adding that the agency has discouraged such an approach. It's worth a shot, though, Gorassini told the Hillsborough school board. 'We'll never get what we spend,' she said. 'But in the meantime we're going to try to maximize our reimbursement.' What's really at stake is student health, said Thomas, the Leon County Medicaid specialist who also serves on the National Alliance for Medicaid in Education leadership team. Her district stands to reap about $2 million more per year if the change is made. 'That is the difference between being able to hire actual medical professionals who have the ability to recognize actual medical issues, and purchase medical equipment, actual things that could help the children that are most medically needy in this county,' she said. 'When I can't afford to pay for a nurse, all kids suffer.'

USDA to relocate HQ in part to Northern Colorado, Congressman Gabe Evans and cattlemen celebrate
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The United States Department of Agriculture, or USDA, will close down a major portion of its current headquarters in Washington, D.C., moving some of the staffers to Northern Colorado. Fort Collins was selected as one of five locations around the country where the headquarters will be relocated. "At first blush, everything about having offices out here makes sense," said Kenny Rogers, a cattleman in Yuma. Rogers has been a cattleman for decades, at times serving in leadership roles among his peers. He said the announcement of the partial move to Fort Collins was a surprise to him, but one he welcomes. "Getting boots on the ground where the action is occurring, rather than in an office in Washington, D.C., that is not a bad thing," Rogers said. "If you are USDA, this is where the action is, right around this area." Congressman Gabe Evans said he learned about the USDA's plans on Thursday. "It was great news for us to find out about," Evans said. Evans, who represents a large portion of Northern Colorado, said this change will be beneficial not only for his rural constituents but also for the surrounding area near the office. The office is currently located in the center of Fort Collins near the CSU veterinary sciences school. "We are a massive agricultural producing region here. In Colorado as a whole, but specifically in Northern Colorado," Evans said. "(By moving to Fort Collins) they are closer to the farmers and ranchers. They are closer to the people doing the boots on the ground hard work of producing America's food supply. That can only help our agricultural producers by closing that gap between the bureaucracy and the actual farmers and ranchers," Evans said. The USDA has a wide reach of oversight, including the U.S. Forest Service and even nutrition in schools. While the exact number of jobs moving to Fort Collins has not yet been announced, Evans said he is hoping the change will benefit urban and rural parts of Colorado. "It is a huge boost to our agricultural producers, and it is a boost to the region, honestly. That is more good paying jobs that will be coming to Northern Colorado," Evans said. Both Evans and Rogers noted that the Bureau of Land Management's headquarters was relocated to Colorado years ago, bringing more jobs and access to Colorado. Evans said he hopes the relative proximity of both the BLM and USDA in Colorado will also help cut down fire risks by creating a symbiotic relationship when it comes to ridding of fuels in the Colorado mountains. Rogers said he also hoped the change would save taxpayers money. "I would assume square footage office rental is much less than it is out in D.C.," Rogers said. The other cities selected for USDA offices were Indianapolis, Kansas City, Salt Lake City and Raleigh.

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