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Indiana health department may start fining hospitals that don't comply with abortion law
Indiana health department may start fining hospitals that don't comply with abortion law

Yahoo

time04-07-2025

  • Health
  • Yahoo

Indiana health department may start fining hospitals that don't comply with abortion law

In an effort to comply with an executive order from Gov. Mike Braun, the Indiana Department of Health may start fining hospitals that don't comply with the state's abortion laws, a report from the department says. That could include two of the state's health systems that perform the bulk of abortions, IU Health and Eskenazi Health, which recently refused to hand over Terminated Pregnancy Reports following abortions performed there, as mandated by state law. Among one of Braun's first executive orders as governor was one directing the state health department to examine how it's ensuring compliance with the state's abortion laws. That included not only the new provisions enacted in 2022, which ban abortion except in the case of rape, incest, fatal fetal anomaly or threats to the mother's life, but also the part of state law that requires hospitals and ambulatory surgical centers to report details about abortions they perform to the state health department. "Indiana is a state that supports Life, and the people's representatives have enshrined those protections for the unborn into state law," Braun said in a statement July 2. "We are taking the necessary steps to make sure those laws are properly implemented." State law has long required facilities that perform abortions, whether surgical or drug-induced, to provide the health department with detailed Terminated Pregnancy Reports. But IU Health and Eskenazi have refused to give these to the health department since the President Joe Biden administration enacted the HIPAA Reproductive Health Privacy Rule in mid 2024, which set limits on the disclosure of reproductive health information. An Indianapolis doctor is currently suing the state department in federal court over the submission of these reports, making this argument. However, a Texas federal judge in mid-June vacated the Biden Administration rule. The health department in its report says it is consulting with the two health systems and the attorney general's office on how to proceed in light of this court order. Eskenazi officials said the hospital is waiting for the result of the federal lawsuit to "clarify its responsibilities under the law," since the lawsuit "seeks to resolve what may be a significant conflict between the State's TPR statute and federal patient privacy laws," said Todd Harper, director of public affairs and communications. A spokesperson for IU Health declined to comment, saying "I don't have any information to share." In the meantime, the state health department is creating other tools to force compliance. Officials said the health department has begun to craft "new rules enabling the agency to issue fines" against providers that don't comply with state law. "This regulatory tool adds a layer of enforcement that does not rely solely on licensure action or criminal referral, allowing IDOH to address noncompliance swiftly and proportionately," the report states. A spokesperson for the agency said the agency hasn't yet finalized how steep the fines will be, but noted it will depend on "several factors" and that those fines cannot exceed $10,000 per state law. Another matter is whether the public can see individual Terminated Pregnancy Reports if the hospitals do provide them to the state. Immediately following Braun's order, IDOH had pledged to reverse its previous policy and start releasing individual TPRs for public disclosure under the Access to Public Records Act, but a new court case is blocking that from happening for now. Indiana's near-total abortion ban in 2022 not only sharply curtailed the number of abortions reported in Indiana, but required more personal information be added to these reports, such as demographics and medical history. After seeking an opinion from the Public Access Counselor in 2023, the state health department decided out of privacy concerns to withhold these individual reports from public disclosure. The anti-abortion group Voices For Life challenged that decision in court. After Braun's executive order, the state health department agreed to settle this lawsuit. However, a lawsuit blocking the records' release immediately followed, this one filed by two OBGYNs, Dr. Caitlin Bernard ― whose anecdote of treating a 10-year-old rape victim made national news ― and Dr. Caroline Rouse. The health department can't release any individual TPRs while this case is pending, but it continues to provide quarterly reports that aggregate abortion data. The health department's report also outlines steps it already takes to enforce abortion laws: It inspects and audits hospitals or ambulatory surgical centers, now the only medical facilities allowed to perform any abortions, to make sure they're following regulations and distributing the required "informed consent" paperwork. It checks the "reasons" given for the abortions on the Terminated Pregnancy Reports to ensure the procedures align with the exemptions in state law. It refers any criminal violations of the law, like unreported abortions, to prosecutors, and any professional issues to the appropriate licensing agency. The July 1 report also says the department has ramped up its coordination with the attorney general's office and elevated all abortion-related matters to the purview of the top levels of the agency. Contact IndyStar state government and politics reporter Kayla Dwyer at kdwyer@ or follow her on Twitter @kayla_dwyer17. This article originally appeared on Indianapolis Star: Indiana health department may fine hospitals for violating abortion law

Indiana health department may start fining hospitals that don't comply with abortion law
Indiana health department may start fining hospitals that don't comply with abortion law

Indianapolis Star

time03-07-2025

  • Health
  • Indianapolis Star

Indiana health department may start fining hospitals that don't comply with abortion law

In an effort to comply with an executive order from Gov. Mike Braun, the Indiana Department of Health may start fining hospitals that don't comply with the state's abortion laws, a report from the department says. That could include two of the state's health systems that perform the bulk of abortions, IU Health and Eskenazi Health, which recently refused to hand over Terminated Pregnancy Reports following abortions performed there, as mandated by state law. Among one of Braun's first executive orders as governor was one directing the state health department to examine how it's ensuring compliance with the state's abortion laws. That included not only the new provisions enacted in 2022, which ban abortion except in the case of rape, incest, fatal fetal anomaly or threats to the mother's life, but also the part of state law that requires hospitals and ambulatory surgical centers to report details about abortions they perform to the state health department. "Indiana is a state that supports Life, and the people's representatives have enshrined those protections for the unborn into state law," Braun said in a statement July 2. "We are taking the necessary steps to make sure those laws are properly implemented." State law has long required facilities that perform abortions, whether surgical or drug-induced, to provide the health department with detailed Terminated Pregnancy Reports. But IU Health and Eskenazi have refused to give these to the health department since the President Joe Biden administration enacted the HIPAA Reproductive Health Privacy Rule in mid 2024, which set limits on the disclosure of reproductive health information. An Indianapolis doctor is currently suing the state department in federal court over the submission of these reports, making this argument. However, a Texas federal judge in mid-June vacated the Biden Administration rule. The health department in its report says it is consulting with the two health systems and the attorney general's office on how to proceed in light of this court order. Eskenazi officials said the hospital is waiting for the result of the federal lawsuit to "clarify its responsibilities under the law," since the lawsuit "seeks to resolve what may be a significant conflict between the State's TPR statute and federal patient privacy laws," said Todd Harper, director of public affairs and communications. A spokesperson for IU Health declined to comment, saying "I don't have any information to share." In the meantime, the state health department is creating other tools to force compliance. Officials said the health department has begun to craft "new rules enabling the agency to issue fines" against providers that don't comply with state law. "This regulatory tool adds a layer of enforcement that does not rely solely on licensure action or criminal referral, allowing IDOH to address noncompliance swiftly and proportionately," the report states. A spokesperson for the agency said the agency hasn't yet finalized how steep the fines will be, but noted it will depend on "several factors" and that those fines cannot exceed $10,000 per state law. Another matter is whether the public can see individual Terminated Pregnancy Reports if the hospitals do provide them to the state. Immediately following Braun's order, IDOH had pledged to reverse its previous policy and start releasing individual TPRs for public disclosure under the Access to Public Records Act, but a new court case is blocking that from happening for now. Indiana's near-total abortion ban in 2022 not only sharply curtailed the number of abortions reported in Indiana, but required more personal information be added to these reports, such as demographics and medical history. After seeking an opinion from the Public Access Counselor in 2023, the state health department decided out of privacy concerns to withhold these individual reports from public disclosure. The anti-abortion group Voices For Life challenged that decision in court. After Braun's executive order, the state health department agreed to settle this lawsuit. However, a lawsuit blocking the records' release immediately followed, this one filed by two OBGYNs, Dr. Caitlin Bernard ― whose anecdote of treating a 10-year-old rape victim made national news ― and Dr. Caroline Rouse. The health department can't release any individual TPRs while this case is pending, but it continues to provide quarterly reports that aggregate abortion data. The health department's report also outlines steps it already takes to enforce abortion laws: The July 1 report also says the department has ramped up its coordination with the attorney general's office and elevated all abortion-related matters to the purview of the top levels of the agency.

This is what ultrawealth looks like
This is what ultrawealth looks like

Sydney Morning Herald

time01-06-2025

  • Entertainment
  • Sydney Morning Herald

This is what ultrawealth looks like

In real life, the house is on West Crestwood Court in Deer Crest, a gated community adjacent to the Deer Valley ski resort, where celebrities such as Khloe Kardashian and Gwen Stefani have hit the slopes. Designed by architect Michael Upwall, it has seven bedrooms and 16 bathrooms, as well as a two-lane bowling alley, a full-size basketball court, an indoor rock-climbing wall, and a spa with a steam room and sauna. Outside, it features an infinity pool and a whirlpool bath, both built into a 465-square-metre heated patio. But it's more than just well-appointed. As Eskenazi pointed out, the house is 'not nestled into a community flanked by neighbours' but is 'set apart, elevated, with sweeping views that feel deliberately unobstructed'. That sense of 'space, privacy and silence', he said, provides 'its own kind of luxury'. This was a stark contrast to Armstrong's Succession and its protagonists, the Roy family, who own media conglomerate Waystar Royco. 'That kind of media-mogul wealth is about access and movement. It's flashy, public, very performative,' Eskenazi said. 'With Mountainhead, it was the opposite. Jesse wanted just one main house – huge, remote and a little unsettling.' 'It was more about isolation and privacy than prestige,' Eskenazi added. The remote home is the 'pinnacle of ultraluxury', in the words of Engel & Volkers, a real estate firm that recently listed the property for $US65 million. (It sold for a figure 'in the high-$US50 million range,' a representative for Engel & Volkers said.) Mountainhead wasn't conceived with this specific property in mind. Instead, the crew was briefed to search for something elevated and isolated, ideally set against snow and ice. What Armstrong wanted 'wasn't about a specific architectural style so much as a feeling', Eskenazi said. 'The house needed to be remote and imposing, yes, but also strangely intimate – a place that could hold both grandeur and silence. It had to feel like it had a history, even if we didn't spell it out on screen.' The search for the right setting started broad: the crew considered homes in Europe, while HBO urged it to consider locations in Canada, such as Whistler, British Columbia, because of the country's ample tax credits for visiting productions. An architectural profile in magazine Robb Report clued the crew into the Deer Valley property. 'The moment Jesse saw it, everything changed,' Eskenazi said. 'That was when the location locked in, and we knew: this is it.' Loading Stephen Carter, production designer on the film, and the crew added faux-stone veneers and cedar panelling to cover up some of the house's bare walls, and he was responsible for details such as art and furniture, including a $US300 toaster and 'a lesser-known Jeff Koons'. Some of these fixtures were meant to convey Hugo's desperation to impress as well as his status as the minor magnate. For example, the art: 'While these items would auction in the six figures, they're not quite at the level' of the others in the group, Carter said. ('Was your decorator Ayn Bland?' Jeff ribs Soups when he arrives.) One of the wittiest touches? A work by Damien Hirst in the entry hall: ' Beautiful Bleeding Wound Over the Materialism of Money Painting.' Loading The cumulative effect of these details and the property in which they're situated suggests a kind of gilded cage — the perfect place to sequester four rich tech bros as society starts to collapse all around them.

This is what ultrawealth looks like
This is what ultrawealth looks like

The Age

time01-06-2025

  • Entertainment
  • The Age

This is what ultrawealth looks like

In real life, the house is on West Crestwood Court in Deer Crest, a gated community adjacent to the Deer Valley ski resort, where celebrities such as Khloe Kardashian and Gwen Stefani have hit the slopes. Designed by architect Michael Upwall, it has seven bedrooms and 16 bathrooms, as well as a two-lane bowling alley, a full-size basketball court, an indoor rock-climbing wall, and a spa with a steam room and sauna. Outside, it features an infinity pool and a whirlpool bath, both built into a 465-square-metre heated patio. But it's more than just well-appointed. As Eskenazi pointed out, the house is 'not nestled into a community flanked by neighbours' but is 'set apart, elevated, with sweeping views that feel deliberately unobstructed'. That sense of 'space, privacy and silence', he said, provides 'its own kind of luxury'. This was a stark contrast to Armstrong's Succession and its protagonists, the Roy family, who own media conglomerate Waystar Royco. 'That kind of media-mogul wealth is about access and movement. It's flashy, public, very performative,' Eskenazi said. 'With Mountainhead, it was the opposite. Jesse wanted just one main house – huge, remote and a little unsettling.' 'It was more about isolation and privacy than prestige,' Eskenazi added. The remote home is the 'pinnacle of ultraluxury', in the words of Engel & Volkers, a real estate firm that recently listed the property for $US65 million. (It sold for a figure 'in the high-$US50 million range,' a representative for Engel & Volkers said.) Mountainhead wasn't conceived with this specific property in mind. Instead, the crew was briefed to search for something elevated and isolated, ideally set against snow and ice. What Armstrong wanted 'wasn't about a specific architectural style so much as a feeling', Eskenazi said. 'The house needed to be remote and imposing, yes, but also strangely intimate – a place that could hold both grandeur and silence. It had to feel like it had a history, even if we didn't spell it out on screen.' The search for the right setting started broad: the crew considered homes in Europe, while HBO urged it to consider locations in Canada, such as Whistler, British Columbia, because of the country's ample tax credits for visiting productions. An architectural profile in magazine Robb Report clued the crew into the Deer Valley property. 'The moment Jesse saw it, everything changed,' Eskenazi said. 'That was when the location locked in, and we knew: this is it.' Loading Stephen Carter, production designer on the film, and the crew added faux-stone veneers and cedar panelling to cover up some of the house's bare walls, and he was responsible for details such as art and furniture, including a $US300 toaster and 'a lesser-known Jeff Koons'. Some of these fixtures were meant to convey Hugo's desperation to impress as well as his status as the minor magnate. For example, the art: 'While these items would auction in the six figures, they're not quite at the level' of the others in the group, Carter said. ('Was your decorator Ayn Bland?' Jeff ribs Soups when he arrives.) One of the wittiest touches? A work by Damien Hirst in the entry hall: ' Beautiful Bleeding Wound Over the Materialism of Money Painting.' Loading The cumulative effect of these details and the property in which they're situated suggests a kind of gilded cage — the perfect place to sequester four rich tech bros as society starts to collapse all around them.

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