By Noam N. Levey, KFF Health News Worried that President-elect Donald Trump will curtail federal efforts to take on the nation’s medical debt problem, patient and consumer advocates are looking to states to help people who can’t afford their medical bills or pay down their debts. “The election simply shifts our focus,” said Eva Stahl, who oversees public policy at Undue Medical Debt, a nonprofit that has worked closely with the Biden administration and state leaders on medical debt. “States are going to be the epicenter of policy change to mitigate the harms of medical debt.” New state initiatives may not be enough to protect Americans from medical debt if the incoming Trump administration and congressional Republicans move forward with plans to scale back federal aid that has helped millions gain health insurance or reduce the cost of their plans in recent years. Comprehensive health coverage that limits patients’ out-of-pocket costs remains the best defense against medical debt. But in the face of federal retrenchment, advocates are eyeing new initiatives in state legislatures to keep medical bills off people’s credit reports, a consumer protection that can boost credit scores and make it easier to buy a car, rent an apartment, or even get a job. Several states are looking to strengthen oversight of medical credit cards and other financial products that can leave patients paying high interest rates on top of their medical debt. Some states are also exploring new ways to compel hospitals to bolster financial aid programs to help their patients avoid sinking into debt. “There’s an enormous amount that states can do,” said Elisabeth Benjamin, who leads health care initiatives at the nonprofit Community Service Society of New York. “Look at what’s happened here.” New York state has enacted several laws in recent years to rein in hospital debt collections and to expand financial aid for patients, often with support from both Democrats and Republicans in the legislature. “It doesn’t matter the party. No one likes medical debt,” Benjamin said. Other states that have enacted protections in recent years include Arizona, California, Colorado, Connecticut, Florida, Illinois, Minnesota, Nevada, New Jersey, New Mexico, Oregon, Rhode Island, and Washington. Many measures picked up bipartisan support. President Joe Biden’s administration has proved to be an ally in state efforts to control health care debt. Such debt burdens 100 million people in the United States, a KFF Health News investigation found . Led by Biden appointee Rohit Chopra, the Consumer Financial Protection Bureau has made medical debt a priority , going after aggressive collectors and exposing problematic practices across the medical debt industry. Earlier this year, the agency proposed landmark regulations to remove medical bills from consumer credit scores. The White House also championed legislation to boost access to government-subsidized health insurance and to cap out-of-pocket drug costs for seniors, both key bulwarks against medical debt. Trump hasn’t indicated whether his administration will move ahead with the CFPB credit reporting rule, which was slated to be finalized early next year. Congressional Republicans, who will control the House and Senate next year, have blasted the proposal as regulatory overreach that will compromise the value of credit reports. And Elon Musk, the billionaire whom Trump has tapped to lead his initiative to shrink government, last week called for the elimination of the watchdog agency . “Delete CFPB,” Musk posted on X. If the CFPB withdraws the proposed regulation, states could enact their own rules, following the lead of Colorado, New York, and other states that have passed credit reporting bans since 2023. Advocates in Massachusetts are pushing the legislature there to take up a ban when it reconvenes in January. “There are a lot of different levers that states have to take on medical debt,” said April Kuehnhoff, a senior attorney at the National Consumer Law Center, which has helped lead national efforts to expand debt protections for patients. Kuehnhoff said she expects more states to crack down on medical credit card providers and other companies that lend money to patients to pay off medical bills, sometimes at double-digit interest rates. Under the Biden administration, the CFPB has been investigating patient financing companies amid warnings that many people may not understand that signing up for a medical credit card such as CareCredit or enrolling in a payment plan through a financial services company can pile on more debt. If the CFPB efforts stall under Trump, states could follow the lead of California, New York, and Illinois, which have all tightened rules governing patient lending in recent years. Consumer advocates say states are also likely to continue expanding efforts to get hospitals to provide more financial assistance to reduce or eliminate bills for low- and middle-income patients, a key protection that can keep people from slipping into debt. Hospitals historically have not made this aid readily available, prompting states such as California, Colorado, and Washington to set stronger standards to ensure more patients get help with bills they can’t afford. This year, North Carolina also won approval from the Biden administration to withhold federal funding from hospitals in the state unless they agreed to expand financial assistance. In Georgia, where state government is entirely in Republican control, officials have been discussing new measures to get hospitals to provide more assistance to patients. “When we talk about hospitals putting profits over patients, we get lots of nodding in the legislature from Democrats and Republicans,” said Liz Coyle, executive director of Georgia Watch, a consumer advocacy nonprofit. Many advocates caution, however, that state efforts to bolster patient protections will be critically undermined if the Trump administration cuts federal funding for health insurance programs such as Medicaid and the insurance marketplaces established through the Affordable Care Act. Trump and congressional Republicans have signaled their intent to roll back federal subsidies passed under Biden that make health plans purchased on ACA marketplaces more affordable. That could hike annual premiums by hundreds or even thousands of dollars for many enrollees, according to estimates by the Center on Budget and Policy Priorities, a think tank. And during Trump’s first term, he backed efforts in Republican-led states to restrict enrollment in their Medicaid safety net programs through rules that would require people to work in order to receive benefits. GOP state leaders in Idaho, Louisiana, and other states have expressed a desire to renew such efforts. “That’s all a recipe for more medical debt,” said Stahl, of Undue Medical Debt. Jessica Altman, who heads the Covered California insurance marketplace, warned that federal cuts will imperil initiatives in her state that have limited copays and deductibles and curtailed debt for many state residents. “States like California that have invested in critical affordable programs for our residents will face tough decisions,” she said. ©2024 KFF Health News. Distributed by Tribune Content Agency, LLC.None
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NYC ad agency titans Omnicom and Interpublic to form $30 billion marketing powerhouse Omnicom is buying Interpublic Group in a stock-for-stock deal that will create an advertising powerhouse with combined annual revenue of almost $26 billion. The companies have had a hand in iconic marketing campaigns like “Got Milk” for the California Milk Processor Board, “Priceless” for Mastercard, “Because I’m Worth It” for L’Oreal and “Think Different” for Apple. The combined company will be worth more than $30 billion. Shares of Interpublic jumped more than 15% before the opening bell Monday, while Omnicom’s stock fell more than 2%. How should the opioid settlements be spent? Those hit hardest often don’t have a say People with substance use disorder are not getting a direct say on how most opioid settlement money is used. Some advocates say keeping them out of the process is a major reason money is going to law enforcement efforts instead of other programs more likely to prevent overdose deaths. Companies have agreed to pay more about $50 billion over time to resolve lawsuits filed by governments. Most of the money is required to be used to fight the crisis. Figuring out exactly to do with it is up to state and local governments that have used a variety of structures to make those decisions. The Onion's bid to buy Infowars goes before judge as Alex Jones tries stopping sale The Onion's bid to buy conspiracy theorist Alex Jones' Infowars has returned to a Texas courtroom. A federal judge in Houston is hearing arguments Monday on whether a bankruptcy auction was run properly as Jones alleges collusion and fraud. The hearing is expected to continue into Tuesday. The Onion satirical news outlet was named the winning bidder last month over a company affiliated with Jones. The auction was held to help pay nearly $1.5 billion in defamation judgments that Jones was ordered to pay families of victims of the 2012 Sandy Hook Elementary School shooting. The families won lawsuits against Jones for calling the shooting a hoax. It's his job to keep American's planes running on time FORT WORTH, Texas (AP) — It's the job of American Airlines' chief operating officer to make sure the carrier's flights take off on time and fly safely during one of the busiest travel periods of the year. David Seymour oversees flight and airport operations for American, which expects to make about 6,500 flights a day between now and New Year’s Day. A West Point graduate and former U.S. Army infantry officer, Seymour has held a variety of operations-related jobs and was promoted to his current post in 2020. He spoke with The Associated Press recently about managing huge passenger numbers during the holidays and preventing people from getting on a plane before their boarding group is called. Stock market today: Nvidia drags Wall Street from its records as oil and gold rise NEW YORK (AP) — A slide for market superstar Nvidia helped pull U.S. stock indexes down from their records. The S&P 500 fell 0.6% Monday, coming off its 57th all-time high of the year so far. The Dow Jones Industrial Average fell 0.5%, and the Nasdaq composite dropped 0.6% from its own record. Nvidia was the market's heaviest weight after China said it's probing the chip giant for potential antitrust violations. Stocks in Hong Kong jumped after top Chinese leaders agreed on a “moderately loose” monetary policy. Prices for oil and gold rose following the ouster of Syrian leader Bashar Assad. Taylor Swift’s Eras Tour ends by shattering own record, grossing an estimated $2.2B, Pollstar says NEW YORK (AP) — Taylor Swift’s Eras Tour brought in approximately $2.2 billion in its nearly two-year run, making it the highest-grossing tour of all time for a second year in a row. That's according to Pollstar estimates from data collected across 149 shows and provided to The Associated Press on Monday. Last year, Swift’s landmark Eras Tour became the first to cross the billion-dollar mark. In North America, Swift’s tour earned an estimated $1.04 billion. Globally, that number jumps to an estimated $2.2 billion. Pollstar data is pulled from box office reports, venue capacity estimates, historical Pollstar venue ticket sales data, and other undefined research, collected from November 2022 to December 2024. Cyprus and the US double down on a joint effort to combat financial crimes with more training NICOSIA, Cyprus (AP) — Cyprus and the U.S. say they’re doubling down on a joint effort to crack down on illicit finance with additional training of Cypriot law enforcement authorities to identify, investigate and prosecute financial crimes. According to a joint statement issued Monday, an “ambitious” plan for next year will involve 21 weeks of training for different Cypriot law enforcement agencies on financial investigative and forensic accounting techniques, as well as the use of technology in investigations. The plan adds to a U.S. initiative launched 20 months ago following a pledge by Cypriot President Nikos Christodoulides to clean up the island nation’s sullied reputation as a money laundering and sanctions evasion hub. Mexican soldiers will get a pay raise after elimination of oversight agencies, president says MEXICO CITY (AP) — Mexico's president says much of the money gained by eliminating independent oversight and regulatory agencies will go to the army to fund a rise in soldiers’ pay. The announcement by President Claudia Sheinbaum on Monday is the latest in a a series of strange funding sources to pay for the country's increasingly influential military. Mexico's Congress last week approved charging every cruise ship passenger a $42 immigration fee with much of that money also going to the armed forces. The military has been given powers to build and run everything from railways, airports and airlines in Mexico. And some of those projects appear to be losing money. Nvidia's stock dips after China opens probe of the AI chip company for violating anti-monopoly laws Shares of Nvidia have slipped after China said it is investigating the high-flying U.S. microchip company over suspected violations of Chinese anti-monopoly laws. In a brief press release with few details, Chinese regulators appear to be looking into Nvidia’s $6.9 billion 2019 acquisition of network and data transmission company Mellanox. Nvidia shares dipped 2.7% in early trading Monday, falling below $139 each. Considered a bellwether for artificial intelligence demand, Nvidia has led the AI sector to become one of the stock market’s biggest companies, as tech giants spend heavily on the company’s chips and data centers needed to train and operate their AI systems. Meta shareholders seek sanctions for Sandberg, Zients for deleting Cambridge Analytica emails WILMINGTON, Del. (AP) — Attorneys for Meta shareholders are asking a Delaware judge to sanction former Chief Operating Officer Sheryl Sandberg and fellow Facebook board member and current White House chief of staff Jeff Zients for deleting emails related to the Cambridge Analytica privacy scandal. The plaintiffs say Sandberg and Zients used personal email accounts to communicate about key issues relating to their 2018 shareholder lawsuit alleging that Facebook official failed for years to protect the privacy of user data. The plaintiffs say the former board members were either “reckless or intentional” in destroying documents, even after being told to preserve records for litigation purposes. A defense attorney argued Monday that there was no intent or “grand scheme” to destroy relevant documents.
It’s every young football player’s dream to score the game-winning touchdown in the state championship game. • Sign up for PennLive’s daily high school sports newsletter Troy running back Mason Smith lived out that fantasy Friday afternoon in the Trojans’ 25-24 win over Central Clarion in the PIAA 2A state championship. “It’s a surreal feeling,” Smith said. “My team behind me, that’s the only people I can thank.” Let’s set the scene. Clarion went on a long drive capped off by a 10-yard run from QB Jase Ferguson. With 6:27 remaining in the game, Troy stuck with what worked for them; running the football. Led by running back Brendan Gillilland, who had three scores up until this point, the Trojans methodically marched down the field taking precious minutes off the clock. Down at the Clarion 16-yard line with under two minutes remaining in the game, head coach Jim Smith dialed up what should’ve been a pitch pass. Clarion sniffed it out which led to Mason Smith taking matters into his own hands, becoming a Troy legend in the process. TOUCHDOWN | Mason Smith with the 16 yard TD run with time expiring (XP GOOD) Trojans lead 25-24 w/ 1:15 remaining in the game pic.twitter.com/o0kqMcfm0p “It was supposed to be a pitch pass,” Troy head coach Jim Smith said. “They were well prepared for it, nobody was open. He ad-libbed and he’s a great athlete and made a great play.” He only rushed for 46 yards on the day, but his longest run of the day gave the Trojans their first state championship in program history. -- Thanks for visiting PennLive. Quality local journalism has never been more important. We need your support. Not a subscriber yet? Please consider supporting our work. Follow Rymir Vaughn on X — @RymirVaughn More High School Sports Penn State flips Pa. No. 1 ranked prospect Andrew Olesh from Michigan Troy wins its first 2A football championship with stirring fourth quarter scoring drive Watch: Highlights of Troy’s PIAA 2A title win over Central Clarion 3-star 2026 wide receiver commits to Penn State, furthering a top-5 class in the nationWashington, Dec 8 (AP) The sudden collapse of the Syrian government under Bashar Assad is forcing the Biden administration and the incoming Trump team to confront intensifying questions about the possibility of greater conflicts across the Middle East. President-elect Donald Trump said Sunday that Assad had fled his country, which his family had ruled for decades, because close ally Vladimir Putin, the Russian president, “was not interested in protecting him any longer.” Also Read | Syria Crisis: Israeli PM Benjamin Netanyahu Declares Disengagement Agreement Defunct After Fall of Bashar al-Assad's Government. Those comments on Trump's social media platform came a day after he used another post to decry the possibility of the US intervening militarily in Syria to aid the rebels, declaring, “THIS IS NOT OUR FIGHT." The Biden administration had no intention of intervening, according to President Joe Biden's national security adviser. Biden was meeting with his national security team at the White House on Sunday. He was expected to make public comments later in the day. Also Read | Las Vegas Shocker: Football Coach Has Sex With Minor Student on Multiple Occasions, Films Act; Disturbing Videos Recovered. The US has about 900 troops in Syria, including forces working with Kurdish allies in the opposition-held northeast to prevent any resurgence of the Islamic State group. Assad's fall adds to an already tense situation throughout much of region on many fronts, including Israel's war with Hamas in Gaza and its fragile cease-fire with Hezbollah in Lebanon. Trump, who takes office January 20, 2025, made a connection between the upheaval in Syria and Russia's war in Ukraine, noting that Assad's allies in Moscow, as well as in Iran, the main sponsor of Hamas and Hezbollah, “are in a weakened state right now.” The Syrian opposition that brought down Assad is led by Hayat Tahrir al-Sham. The Biden administration has designated the group as a terrorist organisation and says it has links to al-Qaida, although Hayat Tahrir al-Sham says it has since broken ties with al-Qaida. Vice President-elect JD Vance, a veteran of the US-led war in Iraq, wrote on own social media Sunday to express scepticism about the insurgents. “Many of the rebels' are a literal offshoot of ISIS. One can hope they've moderated. Time will tell,” he said, using another acronym for the group. Trump has suggested that Assad's ouster can advance the prospects for an end to fighting in Ukraine, which was invaded by Russia in February 2022. Trump wrote that Putin's government “lost all interest in Syria because of Ukraine” and the Republican called for an immediate cease-fire, a day after meeting in Paris with the French and Ukrainian leaders. Daniel B. Shapiro, a deputy assistant secretary of defence for the Middle East, said the American military presence will continue in eastern Syria but was “solely to ensure the enduring defeat of ISIS and has nothing to do with other aspects of this conflict.” “We call on all parties in Syria to protect civilians, particularly those from Syria's minority communities to respect international military norms and to work to achieve a resolution to include the political settlement,” Shapiro said. “Multiple actors in this conflict have a terrible track record to include Assad's horrific crimes, Russia's indiscriminate aerial bomb bombardment, Iranian-back militia involvement and the atrocities of ISIS," he added. Shapiro, however, was careful not to directly say Assad had been deposed by the insurgents. “If confirmed, no one should shed any tears over the Assad regime,” he said. As they pushed toward the Syrian capital of Damascus, the opposition freed political detainees from government prisons. The family of missing US journalist Austin Tice renewed calls to find him. “To everyone in Syria that hears this, please remind people that we're waiting for Austin,” Tice's mother, Debra, said in comments that hostage advocacy groups spread on social media. "We know that when he comes out, he's going to be fairly dazed & he's going to need lots of care & direction. Direct him to his family please!” Tice disappeared in 2012 outside Damascus, amid intensification of what became a civil war stretching more than a decade. (AP) (This is an unedited and auto-generated story from Syndicated News feed, LatestLY Staff may not have modified or edited the content body)
President-elect Donald Trump sent a message to Russian President Vladimir Putin following the collapse of the Assad regime in Syria after Islamist opposition fighters captured Damascus. He called for an immediate cease-fire in Ukraine. “Assad is gone. He has fled his country,” Trump wrote on Truth Social on Sunday morning. “His protector, Russia, Russia, Russia, led by Vladimir Putin, was not interested in protecting him any longer. There was no reason for Russia to be there in the first place.” The incoming president added that Moscow had “lost all interest in Syria because of Ukraine, where close to 600,000 Russian soldiers lay wounded or dead, in a war that should never have started, and could go on forever.” Trump then said that Ukrainian President Volodymyr Zelenskyy “would like to make a deal” to end the nearly three-year-long war, noting the loss of hundreds of thousands of Ukrainian soldiers and civilians. “There should be an immediate cease-fire and negotiations should begin,” he said. “Too many lives are being so needlessly wasted, too many families destroyed, and if it keeps going, it can turn into something much bigger, and far worse. I know Vladimir well. This is his time to act.” Moscow, a backer of Syrian leader Bashar al-Assad, whom it intervened to help in 2015 in its biggest Middle East foray since the Soviet collapse at the end of 1991, is scrambling to protect its position, with its geopolitical clout in the wider region and two strategically important military bases in Syria on the line. Russia has yet to respond to Trump’s remark, although its foreign ministry confirmed that Assad left Syria amid the conflict. “There is currently no serious threat to their security,” the ministry said. Over the weekend, in a separate Truth Social comment, Trump said that the United States should not intervene in the Syrian conflict. A top adviser in the Biden administration made a similar remark, stressing that the United States will not send troops to the restive Middle Eastern country. “The United States is not going to ... militarily dive into the middle of a Syrian civil war,” President Joe Biden’s national security adviser, Jake Sullivan, told reporters in California. Sullivan stressed that the U.S. military would act out of necessity to keep the ISIS terrorist group from gaining a foothold in Syria should it happen. The insurgents who took over Damascus are led by Hayat Tahrir al-Sham, which the United States has designated as a terrorist group and says has links to the al-Qaeda terror organization, although the group reportedly has since broken ties with al-Qaeda.