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"Corporate consultants and vendors are getting to make a killing off of Medicaid work requirements' administration machinery while our patients will lose healthcare and suffer," said one advocate.
Three of the US Senate's top critics of corporate greed and anticompetitive behavior are investigating a scheme by credit report firm Equifax that they say will allow the company to profit from Republican policies that are set to rip away healthcare coverage and food assistance from millions of Americans.
Sens. Elizabeth Warren (D-Mass.), Ron Wyden (D-Ore.), and Bernie Sanders (I-Vt.) wrote to Equifax CEO Mark Begor on Tuesday with several questions about the company's anticipated profits from provisions in the One Big Beautiful Bill Act (OBBBA) that imposed work requirements on recipients of Medicaid and Supplemental Nutrition Assistance Program (SNAP) benefits.
Begor told investors last summer that the policy presented a "massive" business opportunity for Equifax, as a product owned by the company called the Work Number is used by many states to instantly verify the wages and work hours of Medicaid applicants.
At least 99 million workers across the country are covered by Equifax's database, which the company has filled with data through exclusive contracts with employers and payroll firms. Equifax has frequently imposed steep price hikes on the product and has been accused of having a monopoly on providing income data to state agencies.
North Carolina's Medicaid program was hit with a 24% price increase in 2022 and a 36% hike in 2024.
"We have very little leverage and recourse to back out," state Medicaid director Jay Ludlam told the New York Times in November.
Luke Farrell, a former employee of the US Digital Service under the Biden administration, told the Times that Equifax owns "a product that has become a core piece of the safety net. I’ve never seen another vendor do such price hikes across public benefits.”
With the new work requirements set to go into effect in January 2027, states will be required to check the database more frequently.
The OBBBA's $1 trillion in cuts to SNAP and Medicaid are projected to cause "over 5 million people to lose their health insurance and over 3 million people to pay higher grocery prices within the next few years," wrote the senators this week.
"But for Equifax, these new threats to Americans’ food assistance and health insurance coverage 'represent the chance to become a lot richer,'" they wrote, quoting the Times' article from November about Equifax's plan to price-gouge states.
The senators continued:
Because Equifax is already dominant in this market, the law’s new red tape requirements allow the company to consolidate power even further, using extractive contracts to price-gouge states, squeeze competitors, and drive up profits. In fact, Equifax is laying the groundwork to cash in by proactively building out a platform called “TotalVerify,” which is specifically marketed as a tool to help “Prepare Your Agency For H.R.1.” Equifax also pitched the platform as a “single-source” for states and government agencies to be able to verify employment, income, incarceration status, consumer address, and phone number history and claims to “help state and government agencies manage the complexities of SNAP and Medicaid programs.” Given that Equifax’s tight grip on this business has “border[ed] on a monopoly,” Equifax stands to gain even more as OBBBA’s red-tape requirements take effect nationwide.
The lawmakers noted that judging from history, the work requirements are unlikely to "be effective at anything but increasing red tape," as the vast majority of Medicaid and SNAP recipients who are eligible to work already do and states have already run "failed" experiments with Medicaid work requirements.
In 2018, Arkansas' program resulted in 18,000 low-income people losing coverage in under a year, with people who had no home internet access and those who qualified for an exemption from the work requirement most likely to lose their benefits.
"Now, President Trump and Republicans in Congress have expanded this policy in a move that will ensure more Americans get tangled up in red tape and lose essential healthcare coverage and food assistance as a result," wrote Warren, Wyden, and Sanders. "That these requirements could allow Equifax to profiteer off of this ‘solution’ [makes] them even more egregious."
Adam Gaffney, former president of Physicians for a National Health Program, summarized the senators' objections to Equifax's price-gouging practices: "Corporate consultants and vendors are getting to make a killing off of Medicaid work requirements' administration machinery while our patients will lose healthcare and suffer. Meanwhile taxpayers will fund the bureaucratic lard."
The senators demanded to know Equifax's per-query costs for each state contract for the Work Number, the number of OBBBA-related contracts it expects to bid for in 2026 and 2027, the company's lobbying expenditures over the past five years for federal, state, and local governments, and whether Equifax plans to retain a clause in its contracts that allows it the “categorical right” to change prices with 30 days’ notice.
"Equifax’s long history of anti-competitive behavior," said the senators, "raises serious concerns about the company’s potential moves to price gouge states and taxpayers."
"Trump, Putin, and Xi can and must put the world on a safer path by taking commonsense actions to build down the nuclear danger," said one campaigner.
Secretary of State Marco Rubio on Wednesday implicitly confirmed that New START—a key arms control treaty between the United States and Russia—will expire Thursday, prompting renewed demands for what one group called "a more coherent approach from the Trump administration" toward nuclear nonproliferation.
Asked about the impending expiration of New START during a Wednesday press conference, Rubio said he didn't "have any announcement" on the matter, and that President Donald Trump "will opine on it later."
"Obviously, the president’s been clear in the past that in order to have true arms control in the 21st century, it’s impossible to do something that doesn’t include China because of their vast and rapidly growing stockpile," Rubio said.
🇺🇸🇷🇺🇨🇳 Secretary of State Marco Rubio:
I don't have any announcement on New START right now. I think the President will opine on it later.
The President has been clear in the past that in order to have true arms control in the 21st century, it's impossible to do something that… pic.twitter.com/8pxi3bfdsy
— Visioner (@visionergeo) February 4, 2026
New START, signed in 2010, committed the United States and Russia to halving the number of strategic nuclear missile launchers in their arsenals. While the treaty did not limit the size of the countries' actual nuclear arsenals, proponents pointed to its robust verification regime and other transparency features as mutually beneficial highlights of the agreement.
“We have known that New START would end for 15 years, but no one has shown the necessary leadership to be prepared for its expiration,” said John Erath, senior policy director at the Center for Arms Control and Non-Proliferation and former longtime State Department official.
“The treaty limited the number of nuclear weapons the United States and Russia could have, but perhaps more importantly, New START also provided each country with unprecedented insights into the other’s arsenal so that Washington and Moscow could make decisions based on real information rather than speculation," Erath added.
The last remaining major treaty limiting the world's two largest nuclear arsenals expires Feb. 5. Does this mean the end of nuclear arms control? Not necessarily. Read our statement.armscontrolcenter.org/statement-on...
[image or embed]
— Nukes of Hazard (@nukesofhazard.bsky.social) February 4, 2026 at 2:04 PM
Daryl G. Kimball, executive director of the Arms Control Association, said Wednesday that "the end of New START requires a more coherent approach from the Trump administration."
"If President Trump and Secretary Rubio are serious, they should make a serious proposal for bilateral (not trilateral) talks with Beijing," he asserted. "Despite Trump’s talk about involving China in nuclear negotiations, there is no indication that Trump or his team have taken the time to propose risk reduction or arms control talks with China since returning to office in 2025."
Kimball continued:
Furthermore, there is no reason why the United States and Russia should not and cannot continue, as [Russian President Vladimir] Putin suggested on September 22, to respect the central limits of New START and begin the hard work of negotiating a new framework agreement involving verifiable limits on strategic, intermediate-range, and short-range nuclear weapons, as well as strategic missile defenses.
At the same time, if he is serious about involving China in “denuclearization” talks, he could and should invite [Chinese President Xi Jinping] when they meet later this year, to agree to regular bilateral talks on risk reduction and arms control involving senior Chinese and US officials.
"With the end of New START, Trump, Putin, and Xi can and must put the world on a safer path by taking commonsense actions to build down the nuclear danger," Kimball added.
Erath lamented that "with New START’s expiration, we have not only lost unprecedented verification measures that our military and decision-makers depended on, but we have ended more than five decades of painstaking diplomacy that successfully avoided nuclear catastrophe."
"Agreements preceding New START helped reduce the global nuclear arsenal by more than 80% since the height of the Cold War,"
he noted. "Now, both Russia and the United States have no legal obstacle to building their arsenals back up, and we could find ourselves reliving the Cold War."
Last week, the Bulletin of the Atomic Scientists’ Science and Security Board advanced its symbolic Doomsday Clock to 85 seconds to midnight, the closest it has ever been to global thermonuclear annihilation, citing developments including failure to extend New START, China's growing arsenal, and Russian weapons tests—to which Trump has vowed to respond in kind.
"The good news is," said Erath, is that "the end of New START does not have to mean the end of nuclear arms control."
"While New START can’t be extended beyond today, Presidents Donald Trump and Vladimir Putin could decide to respect the numerical limits the treaty set on nuclear arsenals," he explained. "They could also resume the treaty’s data exchanges and on-site inspections, in addition to implementing verification measures from other previous arms control treaties."
"Further, they could instruct their administrations to begin immediate talks on a new treaty to cover existing and novel systems and potentially bring in other nuclear powers, like China," Erath continued. "Meanwhile, Congress could—and should—fund nonproliferation and global monitoring efforts while refusing to fund dangerous new nuclear weapons systems."
Last December, US Sens. Ed Markey (D-Mass.) and Jeff Merkley (D-Ore.) and Reps. Don Beyer (D-Va.), John Garamendi (D-Calif.), and Jim McGovern (D-Mass.) reintroduced the bicameral Hastening Arms Limitation Talks (HALT) Act, "legislation outlining a vision for a 21st century freeze on the testing, production, and deployment of nuclear weapons."
"The Doomsday Clock is at 85 seconds to midnight," Markey—who co-chairs the congressional Nuclear Weapons and Arms Control Working Group—said Wednesday ahead of a press conference with HALT Act co-sponsors. "We need to replace New START now."
"Every single ICE and CBP agent should be out of Minnesota," the congresswoman said. "The terror campaign must stop."
President Donald Trump's "border czar," Tom Homan, announced Wednesday that 700 immigration agents are leaving Minnesota, but with around 2,000 expected to remain there, Democratic Congresswoman Ilhan Omar, whose district includes Minneapolis, declared that the drawdown is "not enough."
As part of Trump's "Operation Metro Surge," agents with Customs and Border Protection (CBP) and Immigration and Customs Enforcement (ICE) have invaded multiple Minnesota cities, including Minneapolis and Saint Paul, and committed various acts of violence, such as fatally shooting Alex Pretti and Renee Good.
In a pair of social media posts about Homan's announcement, Omar argued that "every single ICE and CBP agent should be out of Minnesota. The terror campaign must stop."
"This occupation has to end!" she added, also renewing her call to abolish ICE—a position adopted by growing shares of federal lawmakers and the public as Trump's mass deportation agenda has hit Minnesota's Twin Cities, the Chicago and Los Angeles metropolitan areas, multiple cities in Maine, and other communities across the United States.
In Congress, where a fight over funding for CBP and ICE's parent agency, the Department of Homeland Security, is playing out, Omar has stood with other progressives in recent votes. The bill signed by Trump on Tuesday only funds DHS through the middle of the month, though Republicans gave ICE an extra $75 billion in last year's budget package.
During an on-camera interview with NBC News' Tom Llamas, Trump said that the reduction of agents came from him. After the president's factually dubious rant about crime rates, Llamas asked what he had learned from the operation in Minnesota. Trump responded: "I learned that maybe we can use a little bit of a softer touch. But you still have to be tough."
"We're really dealing with really hard criminals," Trump added. Despite claims from him and others in the administration that recent operations have targeted "the worst of the worst," data have repeatedly shown that most immigrants detained by federal officials over the past year don't have any criminal convictions.
Operation Metro Surge has been met with persistent protests in Minnesota and solidarity actions across the United States. Jaylani Hussein, executive director of the Minnesota chapter of the Council on American-Islamic Relations, said Wednesday that "the limited drawdown of ICE agents from Minnesota is not a concession. It is a direct response to Minnesotans standing up to unconstitutional federal overreach."
"Minnesotans are winning against this attack on all our communities by organizing, resisting, and defending our constitutional rights. But this moment should not be a victory lap," Hussein continued. "It must instead be a call to continue pushing for justice. The deaths of Renee Good and Alex Pretti at the hands of federal immigration agents remain uninvestigated, and communities and prosecutors alike have raised grave concerns about violations of their oaths and the Constitution. This is not the time to pull back, it is the time to deepen our resilience, increase our support for one another, and keep fighting for our democracy and accountability until justice is served."
The Not Above the Law coalition's co-chairs—Praveen Fernandes of the Constitutional Accountability Center, Kelsey Herbert of MoveOn, Lisa Gilbert of Public Citizen, and Brett Edkins, of Stand Up America—similarly said that "Tom Homan's announcement that 700 federal immigration agents will be withdrawn from Minnesota is more a minor concession than a meaningful policy shift."
"The vast majority—approximately 2,000 federal agents—remain deployed in the state, and enforcement operations continue unabated," the co-chairs stressed. "This token gesture does nothing to address the ongoing terror families face or the constitutional crisis this administration's actions have created."
“The killings of Minnesotans demand real accountability," they added. "Families torn apart by raids and alleged constitutional violations deserve justice. Real change means the complete withdrawal of all federal forces conducting these operations in Minnesota, full accountability for the deaths and violations that have occurred, and congressional action to restore the rule of law. The American people deserve better than political theater when constitutional rights hang in the balance."
On Tuesday, the state and national ACLU asked the United Nations Committee on the Elimination of Racial Discrimination to "use its early warning and urgent action procedure in response to the human rights crisis following the Trump administration's deployment of federal forces" in the Twin Cities.
"The Trump administration's ongoing immigration enforcement operations in Minnesota are being carried out by thousands of masked federal agents in military gear who are ignoring basic constitutional and human rights of Minnesotans," said Teresa Nelson, legal director of the ACLU of Minnesota. "Their targeting of our Somali and Latino communities threatens Minnesotans’ most fundamental rights, and it has spread fear among immigrant communities and neighborhoods."