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Angela Bradbery, Director of Communications
w. (202) 588-7741
c. (202) 503-6768
abradbery@citizen.org, Twitter
The constitutional rights of two Utah firefighters were violated when officials searched a state database of prescription records without a warrant, Public Citizen told the 10th U.S. Circuit Court of Appeals in a brief filed today.
The brief was filed in the cases of Salt Lake City-area firefighters Ryan Pyle and Marlon Jones. In 2013, the Unified Fire Authority discovered that opioids and other pain medications were missing from several of its ambulances. To investigate the crime, Utah law enforcement officials searched, without a warrant, the state prescription database, looking at the prescription records of 480 public paramedics, firefighters and other personnel, including Pyle and Jones.
The database, created in 1995, holds records of all prescriptions for controlled substances given to all Utah patients - including the patient name and the date, medication dosage and quantity of the prescription. Pharmacists are required to report this information to the database.
More than 40 states, including all six under the 10th Circuit's jurisdiction, have prescription databases of this kind. In most states, including three under the 10th Circuit's jurisdiction (New Mexico, Oklahoma and Wyoming), law enforcement agencies can search the databases without judicial approval or oversight. Only about a dozen states require that patients be notified when their information in the database is accessed.
As a result of the search in Utah, law enforcement officials learned private facts about Pyle's and Jones' prescription history and used those facts to suspend them from their jobs and file charges related to wrongfully acquiring prescription medications from their doctors - charges that were later dropped.
At the time of the search, Utah allowed law enforcement officers to access the database without a warrant or any judicial review, which violated the Fourth Amendment rights of Pyle and Jones, Public Citizen argues. The wrongful nature of these searches was so obvious that in 2015, as a result of this case, the state legislature amended state law to require that law enforcement officers obtain a warrant before searching the database.
"It's as if someone kicked down my door and rifled through my medicine cabinet," said Jones, an assistant fire chief who has worked for Unified Fire since 1989. Jones was taking prescription medications for an on-the-job back injury, a double knee replacement and gout. The medications were legally prescribed by his doctors, and all of the doctors knew about each other's treatment.
His co-worker Pyle was taking pain medication after a motorcycle accident and for an infection in connection with a dental procedure, and both doctors knew about each other's prescriptions. Pyle's biggest fear during prosecution was its potential effect on the pending adoption of a young child by him and his wife. "When a cop looks me up in the database, that's my whole health history right there. If I'd have been convicted, they would have taken that child away from me. There's nothing more terrifying than that," Pyle said.
In 2015, Pyle and Jones separately sued the city of Cottonwood Heights, its mayor and a detective, but the state district court dismissed the claims. On appeal, Public Citizen argues that the defendants violated Pyle's and Jones' Fourth Amendment rights by searching their personal prescription records without a warrant, probable cause or individualized suspicion.
"Utah law officials went on a wild goose chase, violating nearly 500 people's Fourth Amendment rights," said Scott Michelman, the Public Citizen attorney handling the case. "Prescription histories are deeply private because of the facts they can reveal about a person's medical conditions, including HIV/AIDS, epilepsy or psychological conditions.
"This case can set a precedent not only in Utah, but also in other states under the 10th Circuit's jurisdiction," added Michelman. "There is a strong consensus among the public, medical community and the courts that individuals have a reasonable expectation of privacy when it comes to their prescription records."
The Ayres Law Firm of Draper, Utah, and the Legg Law Firm of San Mateo, Calif., serve as trial counsel for the plaintiffs and co-counsel on appeal.
Learn more about the case.
Public Citizen is a nonprofit consumer advocacy organization that champions the public interest in the halls of power. We defend democracy, resist corporate power and work to ensure that government works for the people - not for big corporations. Founded in 1971, we now have 500,000 members and supporters throughout the country.
(202) 588-1000"I honestly didn't even know this was a mistake you could make," said one observer.
Legal experts and reporters reacted with shock on Wednesday after Trump-appointed interim US Attorney Lindsey Halligan acknowledged that a grand jury never voted on the operative indictment filed against former FBI Director James Comey.
Politico reports that the admission appears to have put the Comey prosecution "in serious jeopardy," as Halligan told US District Judge Michael Nachmanoff the grand jury never saw the final indictment that was handed down in September that charged Comey with one count of making a false statement to Congress and one count of obstructing a congressional proceeding.
The final indictment was a revised version of an originally proposed three-count indictment that needed to be changed after the grand jury rejected one of the proposed charges against Comey.
Former federal prosecutor Ken White attempted to piece together exactly what Halligan did in a post on Bluesky.
"So here’s what apparently happened: they tried to indict Comey on the last day of the statute with a three-count indictment," he explained. "The grand jury rejected one. Rather than cross it out or indicate on the indictment that only two of the three counts were voted upon, Halligan creates a new indictment, which shows only the two counts they true billed, and has the foreperson sign it without presenting it to the grand jury."
Assistant US Attorney Tyler Lemons told Nachmanoff that it was necessary to revise the indictment on short notice after grand jurors no-billed one of the charges since the statute of limitations for Comey's alleged crimes was set to expire within mere hours.
"They really had no other way to return it," he told the court.
Nonetheless, many observers expressed shock that Halligan could make such an elementary error that could singlehandedly get the entire case against Comey dismissed.
"Lindsey Halligan should be immediately disbarred," wrote Anthony Michael Kreis, a law professor at the Georgia State College School of Law, in a post on X.
Political and leadership consultant Elizabeth Cronise McLaughlin, a former human rights attorney, also believed that Hallingan should face severe consequences for pushing forward with an indictment that had not been voted on by a full grand jury.
"This should result in the interim US Attorney losing her bar license," she wrote on Bluesky. "Never, in almost 30 years as an attorney, have I heard of this big of an intentional fuck up before a grand jury."
Rep. Ted Lieu (D-Calif.) argued that Halligan's actions were enough to justify her termination as interim US attorney.
"In a normal Department of Justice not run by hacks and sycophants and malicious clowns," he wrote, "Lindsey Halligan would resign and the indictment against James Comey would be dismissed."
Quinta Jurecic, a longtime legal journalist who writes for The Atlantic, said that she found Halligan's error to be "impressive" because "I honestly didn't even know this was a mistake you could make."
Anti-Trump attorney George Conway, meanwhile, encouraged his followers on X to "please remember to give thanks to the Lord that Trump and his people are so unbelievably incompetent."
Maya Sen, a political scientist at the Harvard Kennedy School, drew a line between the quality of legal competence in the Comey case and a three-judge panel in Texas shooting down the administration's efforts to redraw Texas' congressional map as part of a mid-decade gerrymandering scheme.
"High levels of incompetence between this and the DOJ-TX gerrymandering situation," she wrote on X. "It's hard to find people with high levels of competence and expertise when maximizing on ideological and personal loyalty, and this is a problem for [Republicans] in the age of educational polarization."
Despite a November 2024 truce between Israel and Hezbollah, Israeli forces have killed at least 121 civilians, including 21 women and 16 children, in Lebanon.
A series of Israeli airstrikes on targets in southern Lebanon have killed at least 17 people and wounded more than 100 others in recent days, including 13 people—mostly children, according to local officials—massacred Tuesday at a camp for Palestinian refugees.
Officials and residents said that the Israeli strike on Ain al-Hilweh near Sidon struck an area where children were playing soccer. Ain al-Hilweh is the largest camp in Lebanon housing refugees from the Nakba—the ethnic cleansing and terror campaign through which the modern Israeli state was founded—and their descendants.
The Israel Defense Forces said it targeted members of the Palestinian resistance group Hamas "operating in a training compound" in the camp.
Hamas rejected the IDF claim as "fabrication and lies."
The strike was the deadliest IDF attack in Lebanon since Israeli troops shot and killed at least 24 people including 6 women and injured 134 others in January.
The IDF carried out subsequent attacks, including a Wednesday morning drone strike on a vehicle in Al-Tayri that reportedly killed two civilians including the town's treasurer and wounded at least 10 university students. Israeli forces also bombed a residential area of the town of Tair Filsay in Tyre district. It is unknown if anyone was harmed in the strike.
Israeli warplanes carried out an airstrike on Wednesday, Nov. 19, targeting several points in the village of Tair Filsay in southern Lebanon’s Tyre district, Anadolu reports.Emergency teams moved toward the targeted locations after the attack.
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— Middle East Monitor (@middleeastmonitor.bsky.social) November 19, 2025 at 9:46 AM
Often overshadowed by its genocidal war on Gaza—which has left at least 249,600 people dead, maimed, or missing; millions more forcibly displaced, starved, or sickened; and the coastal strip in ruins—Israel's bombardment and invasion of Lebanon has killed more than 4,000 people since October 2023, according to the Lebanese Ministry of Public Health. This figure includes at least 790 women and 316 children. More than 16,600 others have been wounded. Upward of 1.2 million Lebanese were also forcibly displaced by Israel's attacks and invasion.
This, despite a November 2024 truce between Israel and Lebanon-based Hezbollah. Since then, Israeli forces have killed at least 121 civilians, including 21 women and 16 children, in its northern neighbor—which Israel has invaded or bombed numerous times since 1948, killing and wounding tens of thousands of Lebanese and Palestinians.
Israeli forces also bombed the Qizan an-Najjar area, south of Khan Younis in the Gaza Strip on Wednesday, killing at least one Palestinian and wounding a mother and her child, according to local officials, who said at least 280 Palestinians have been killed and 650 others wounded in nearly 400 Israeli violations of the October ceasefire with Hamas.
"No matter how Republicans design their plan, their promise to take money out of the hands of big insurance companies and put it in the hands of patients will go unfulfilled."
US President Donald Trump and his Republican allies in Congress have made a show of criticizing insurance company greed as they stand firm against extending Affordable Care Act tax credits and offer ill-formed alternatives.
But a report published Wednesday by the office of Sen. Ron Wyden (D-Ore.) explains how a scheme endorsed by Trump and some top Republicans would further enrich insurance giants and big banks.
The report focuses on growing GOP support for a proposal that would give Americans money in tax-advantaged vehicles such as health savings accounts (HSAs) to help cover out-of-pocket costs. Last week, Trump championed the idea in the Oval Office, characterizing the proposal as a way to "forget this Obamacare madness."
In a social media post on Tuesday, Trump railed against "BIG, FAT, RICH INSURANCE COMPANIES" and doubled down on the idea of funding health savings accounts instead of extending the enhanced ACA tax credits.
But Wyden's report argues that "no matter how Republicans design their plan, their promise to take money out of the hands of big insurance companies and put it in the hands of patients will go unfulfilled, because the very arrangements they tout are administered by large financial institutions and the same big insurance companies."
The report notes that Optum Bank, a subsidiary of the corporate behemoth UnitedHealth Group, is one of the nation's largest administrators of HSAs and would be well-positioned to profit from the Republican plan.
"The numerous fees OptumBank charges, including a $20 Outbound Transfer Fee, a several-dollar monthly account maintenance fee, and a $2.50 ATM Transaction fee, flow directly out of consumers’ and patients’ pockets and into the coffers of the nation's largest health insurer," the report observes. "Even a fraction of these revenues adds up to massive profits."
"While some big insurance companies own HSA providers directly, others partner with large financial institutions to operate similar arrangements. Centene, for example, partners with Fidelity; Anthem partners with Bank of America," the report continues. "The common theme across these arrangements is massive profits for financial institutions and big insurance companies."
Wyden's report came as congressional Republicans worked to translate Trump's all-caps social media ramblings into coherent policy. Sen. Bill Cassidy (R-La.), chair of the Senate committee with jurisdiction over healthcare, is leading the effort as tens of millions of people brace for massive premium increases stemming from Republicans' refusal to extend enhanced ACA subsidies.
Cassidy has explained to reporters that the emerging GOP plan would entail Americans using existing ACA tax credits—not the enhanced subsidies that are set to lapse at the end of the year—to purchase high-deductible "bronze" plans on the insurance marketplace.
HSA funding from the federal government would then help enrollees cover out-of-pocket costs (HSA funds generally cannot be used to cover monthly premiums). Under the recently enacted Trump-GOP budget law, tax-advantaged HSAs are now available to everyone who buys a bronze plan on the ACA marketplace.
The average deductible for a bronze plan is $7,476 in 2026.
"Half-baked ideas that put more taxpayer dollars into health tax accounts will enrich big banks and insurance companies while saddling Americans with high premiums and deductibles," Wyden said in a statement on Wednesday. "Sending a few thousand dollars to Americans isn’t going to do them much good when they face a giant medical bill for a serious health diagnosis or even routine but expensive care, like giving birth in a hospital."
In a Fox News appearance on Wednesday, Cassidy likened his vision of an ideal health insurance marketplace to bargain-hunting for shampoo.
"By giving the patient the money herself... she becomes a wiser consumer," said Cassidy. "If she goes and gets two types of shampoo and one's a dollar cheaper, she'll get the cheaper one and the other one lowers their price."
Cassidy: "By giving the patient the money herself, she becomes a wiser consumer. If she goes and gets 2 types of shampoo and one is a dollar cheaper, she'll get the cheaper one and the other one lowers their price. One you give her the power of making the decision, she's gonna… pic.twitter.com/52u7IMJkFk
— Aaron Rupar (@atrupar) November 19, 2025
Ryan Cooper, managing editor of The American Prospect, wrote in response to the GOP healthcare scramble that "the stupidity is the point."
"For decades now, the Republican Party has been dedicated to the proposition that rich people are too highly taxed and the working and middle classes get too many benefits from the government. With the passage of the One Big Beautiful Bill, they have finally caught the car," Cooper wrote Tuesday. "Medicaid and Obamacare have been slashed to free up budget headroom for tax cuts heavily slanted to the wealthy."
"Republicans don’t have a 'healthcare plan' per se because this is their plan: to take your healthcare funding and give it to Elon Musk, Donald Trump, and the rest of the fascist billionaire class," he added.