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centers for medicare and medicaid services
Senate Urged to Reject Trump Plot to Unleash AI for Medicare Service Denials
"The bottom line is this: Seniors who choose traditional Medicare should not have their care blocked by AI," said one campaigner.
Jul 15, 2026
Advocates for seniors on Wednesday urged US senators to vote for a resolution that, if passed, would block a new Trump administration pilot program under which claims by patients seeking certain healthcare services through traditional Medicare would be reviewed by private companies using artificial intelligence to deny care.
Upper chamber lawmakers are set to vote Thursday on a resolution introduced by Sen. Ron Wyden (D-Ore.) and supported by 20 Democratic colleagues and Sen. Bernie Sanders (I-Vt.) to stop the US Centers for Medicare and Medicaid Services' so-called Wasteful and Inappropriate Service Reduction (WISeR) Model.
CMS claims WISeR "helps protect American taxpayers by leveraging enhanced technologies, such as artificial intelligence (AI) and machine learning, along with human clinical review, to ensure timely and appropriate Medicare payment for select items and services."
What CMS doesn't mention—and what alarms a growing number of physicians and advocates—about the voluntary model is that AI-assisted reviews could contribute to inappropriate care denials, despite the required human review. Private Medicare Advantage healthcare profiteers have been using AI to deny care for years.
Critics argue that, even if a human must sign off, AI will effectively drive many of the recommendations, making it easier and faster to deny or delay care. They also warn of inevitable financial incentives tied to reducing Medicare spending, raising concerns that AI would likely be used as a cost-cutting tool.
"WISeR is not wise at all. It is a dangerous, profit-motivated experiment that allows private third parties to use artificial intelligence to delay and deny seniors’ medical care," Social Security Works executive director Alex Lawson said Wednesday. "Under the WISeR pilot program, which went live in January 2026, reports already show Medicare beneficiaries are waiting 2 to 4 times longer to access certain care."
"This is just one more example of the harm that Republicans’ disastrous healthcare agenda has already waged on American patients," he continued. "Last year, Republicans slashed $1 trillion in Medicaid and Affordable Care Act spending to line their cronies’ pockets. Now, they are importing the worst parts of Medicare Advantage—automated care denials—into traditional Medicare."
"The bottom line is this: Seniors who choose traditional Medicare should not have their care blocked by AI," Lawson added.
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'Despicable': Vance, Oz Announce Freeze on Some Medicaid Funding for Minnesota
"The Constitution clearly gives Congress the power to spend taxpayer funds, and no law allows the president to halt if he feels some US states aren’t being 'good stewards' of the money," said one critic.
Feb 25, 2026
US Vice President JD Vance said Wednesday that the Trump administration will pause some Medicaid funding for Minnesota over fraud concerns—without offering any guarantees that the suspension will not adversely impact the more than 1 million Minnesotans who depend upon the key healthcare program.
"We're announcing today that we have decided to temporarily halt certain amounts of Medicaid funding that is going to the state of Minnesota in order to ensure that the state of Minnesota takes its obligations seriously to be good stewards of the American people's tax money," Vance said at a White House press conference with Centers for Medicare and Medicaid Services (CMS) Administrator Mehmet Oz.
"Now what is this gonna mean?" Vance continued. "What this means is that, first of all, the providers on the ground in Minnesota have actually already been paid... What we're doing is we are stopping the federal payments that will go to the state government until the state government takes it obligations seriously to stop the fraud that's being perpetrated."
They already targeted SNAP in Minnesota. They’ve killed two Minnesotans and injured or kidnapped hundreds more. Now they’re stealing their Medicaid. They’re going to deny people healthcare because of a YouTube video about a Somali daycare scam that wasn’t even true.
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— Kelly (@broadwaybabyto.bsky.social) February 25, 2026 at 3:05 PM
Oz demanded that Democratic Minnesota Gov. Tim Walz determine "who these providers are; make sure they're not already in trouble for doing bad stuff, and then reevaluate all the current providers to make sure they're supposed to be able to provide these services."
Responding to Oz's remarks, Gaia Leadership Project founder Elizabeth Cronise McLaughlin said on Bluesky, "So Minnesota is supposed to review every appointment by a Medicaid recipient with every doctor to get funds already lawfully allocated to the state?"
Asked by a reporter how he intends to ensure that the funding pause "doesn't impact the people who are enrolled in Medicaid," Vance said he is "worried about the justice of it all."
"I think it's offensive that American taxpayers pay into these programs and they're defrauded... and it's really sad that American children who need these services are unable to get them, because they're going to fraudsters," Vance replied.
"Look, we're certainly gonna make sure that our anti-fraud efforts go after the fraudsters and not after anybody who actually benefits from these services," he continued. "But I actually think the question is a little off, in a way, because the problem is not going after the fraud, the problem is that these programs are being defrauded to begin with."
"Our social safety net will disappear unless we take fraud more seriously," added the vice president, whose boss, President Donald Trump, last year signed into law the biggest cuts to Medicaid and the Supplemental Nutrition Assistance Program, or SNAP, in the nation's history as part of the One Big Beautiful Bill Act.
Medicaid is the primary healthcare safety net for lower-income Americans, with nearly 70 million people enrolled nationwide at the end of last year.
While federal prosecutors are investigating Minnesota’s Medicaid system—specifically, 14 high-risk service programs such as housing support and personal-care services—on suspicion of billions of dollars in fraudulent billings since 2018, and dozens of people have been convicted of stealing public money through the state’s social services system, critics noted that Congress, not the president, has the power of the purse.
Some observers noted that Trump has already targeted Minnesota—which voted against him all three times he ran for president—with his deadly crackdown on undocumented immigrants and their defenders and racist attacks on Somali immigrants, including Congresswoman Ilhan Omar (D-Minn.).
The Medicaid freeze follows the Trump administration's $10 billion cut in federal childcare funding to five Democrat-led states, including Minnesota, last month—a move that opponents argue punishes working families who committed no fraud.
University of Illinois professor Nicholas Grossman called the Medicaid pause "taxation without representation."
"The Constitution clearly gives Congress the power to spend taxpayer funds, and no law allows the president to halt if he feels some US states aren’t being 'good stewards' of the money," he said on Bluesky. "In case there’s any confusion on this, the Impoundment Control Act forbids it."
"The people of Minnesota vote for representatives to Congress," Grossman added. "Minnesota representatives and senators were in DC, representing their constituents, when Congress passed laws using proper procedure that allocated Medicaid funding. The president breaking those laws violates the fundamental compact of the republic."
Oz on Wednesday also announced "a six-month national moratorium blocking all new enrollments for durable medical equipment—prosthesis, orthotics—supplies across the board" in the name of fighting fraud. The move targets suppliers, not individual Medicaid beneficiaries.
This from Oz, a promoter of privatized Medicare Advantage programs, which are notorious for overcharging taxpayers and denying patients necessary care. The CMS under Oz increased federal funding for Medicare Advantage plans by more than $25 billion for 2026.
As Common Dreams recently reported, United Health Group (UHG), one of the country's largest for-profit health insurance companies, has been the leading beneficiary of a long-running Medicare Advantage fraud scheme that the Medicare Payment Advisory Commission—an independent, nonpartisan legislative branch agency—warned could cost US taxpayers $1.2 trillion over the next decade.
Some critics said that if Trump really cared about fraud, he'd go after companies like UHG—and stop pardoning so many convicted criminals who committed billions of dollars worth of fraud.
"These guys are despicable," Michigan State University professor Brendan Cantwell said Wednesday in response to Vance and Oz's announcement.
Robert Weissman, co-president of the consumer advocacy group Public Citizen, said in a statement Wednesday that “Medicaid fraud is a serious problem that requires cracking down on fraudsters—not patients."
Weissman continued:
This administration’s anti-fraud rhetoric is itself a fraud. In fact, the administration has gutted anti-fraud government agencies and programs and let fraudsters off the hook. It has issued record-breaking pardons to fraudsters; sought to eliminate the most important anti-consumer fraud agency, the Consumer Financial Protection Bureau; eviscerated the corps of inspectors general whose job is to root out waste, fraud, and abuses; and dropped dozens of fraud and fraud-related investigations against large corporations.
“The Trump administration suspension of Medicaid funding in Minnesota is a bad-faith, punitive, and shameful measure that will punish people in Minnesota as part of the same deceptive story that the Trump administration has told to justify the outrageous [Immigration and Customs Enforcement] invasion of the state," Weissman added.
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A Rural Health Fund Band-Aid Will Not Staunch the Bleeding
The Trump administration’s rural hospital fund, meant to soften the impact of the brutal Medicaid cuts in HR1, will require a murky submission process and will not come close to closing the gap for rural communities.
Nov 04, 2025
Amid furious efforts to cover their tracks, Republicans included $50 billion in new funding to offset the disastrous cuts that rural hospitals will face as a result of President Donald Trump’s House Resolution 1. Trump’s new Centers for Medicare and Medicaid Services Director, Dr. Mehmet Oz, gave an explanation which would be laughable if this weren’t so serious. He stated that the Rural Health Fund “is part of a broader effort to modernize rural healthcare… [and that] innovation is the reigning theme” citing growing opportunities for rural providers to become more engaged in the healthcare system.
The “Rural Health Fund” was established by HR1 to soften the impact of the legislation, which cuts $911 billion in federal Medicaid spending over 10 years, due to start after 2030. The good news is that the distribution of the $50 billion will begin before the Medicaid cuts take effect (conveniently before the midterms). The bad news is that the temporary $50 billion in new funding will offset a little over one-third (37%) of the estimated $137 billion in permanent cuts to federal Medicaid spending in rural areas. People everywhere can do the math. Fifty is a whole lot less than 137.
On September 15, Centers for Medicare and Medicaid Services (CMS) released a Notice of Funding Opportunity for states to apply for the funds. Half of the funds, $25 billion, will be distributed by CMS equally across all states with approved applications, and the other half distributed based on four factors identified by CMS, including priorities that align with the Make America Healthy Again agenda. While some of the goals are welcome, such as expanding access to opioid-use and substance-use disorder treatment and mental healthcare and recruiting and retraining clinicians in rural areas, other priorities, such as supporting value-based care, alternative payment models, and other innovative delivery arrangements that shift risk to practitioners away from insurance companies and that have been demonstrated to increase costs in Medicare, are worrisome. Predictably, no funds can be used to pay for abortions for women living in rural areas.
Each state, regardless of the size of their rural population and needs, will receive the same amount from the first $25 billion tranche. States with few rural hospitals, such as Delaware, with three rural hospitals, will receive equal funding as California, with 66 rural hospitals, some of which have closed and many which are at risk of closing, and that assumes that both states are approved for funding.
We urge residents of rural communities to stand together and demand the right to excellent healthcare that our wealthy nation can and must provide.
Disbursement of the funds promises to be a cronyism gravy train requiring applications, murky decision criteria, no administrative or judicial review, and nonexistent information as to the amount a state will receive, how the funds will be distributed, or even if the funds will go only to rural hospitals. A merit review panel will review the state applications with final award decisions made by CMS. The program runs for five years, but because CMS will reevaluate state initiatives every year, CMS could withhold, reduce, or even recover funding from the state depending on a state’s progress or if continued funding is “in the government’s best interests.” The only thing that is clear is that hospitals and their administrators will spend countless hours and resources on evaluation, reports, and contractors hired to write these reports.
The stakes for rural hospitals couldn’t be higher. As a result of the Medicaid cuts, hundreds of rural hospitals are at risk of closing. But even before cuts, rural hospitals have been shuttering: From 2005 to 2024, 193 rural hospitals closed. In the wake of HR1Sen. Ed Markey (D-Mass.) and others asked the Sheps Center to identify rural hospitals at risk of closing because of the Medicaid cuts. The Sheps Center identified 338 hospitals which either experienced three consecutive years of negative total margins, serve the highest share of Medicaid patients, or both. These are the hospitals that, because of their heavy reliance on Medicaid funds, will likely shutter.
What will happen to the millions of people who live in these rural communities when these hospitals close? The median travel distance to the next hospital, emergency room, substance-use, or heart specialty care center will jump seven- to eightfold. This translates to higher mortality from many common conditions: heart disease, cancer, stroke, and unintentional injury.
In "The False Promises of VA Privatization", author Suzanne Gordon highlights the plight of healthcare access for veterans and Americans who live in rural communities, the majority of whom already live in so-called medical and mental health deserts. For example, 81% of rural communities do not have even one psychiatric nurse practitioner and 65% do not have a single psychiatrist. The shuttering of rural hospitals will also mean the loss of thousands of healthcare worker jobs and the ensuing negative economic impact on those communities.
The $50 billion rural health fund earmarked by the Trump administration will not transform these rural medical deserts, will not protect the livelihood of workers and their families, nor will it safeguard their communities. The piddly funds will not staunch the bleeding the brutal cuts to Medicaid will cause.
National Single Payer has launched a “Save Our Rural Hospitals with National Single Payer” campaign. We believe that a national, improved Medicare for All, free from profit in the financing and the delivery of care, would provide the reliable, equitable funding needed to help hospitals and physicians not only survive, but thrive in rural areas. The funding from global budgets would be based on community healthcare needs and not on industry interests.
We urge individuals who live in districts where the at-risk hospitals are located to contact their representatives and ask them to cosponsor HR3069, the Medicare for All Act. If your representative is already a cosponsor, tell them to do more to put national single payer on the nation’s agenda.
People can also pass a resolution in their local organization or city council going on record in favor of saving and sustaining their rural hospitals by calling on Congress to pass national, improved Medicare for All, free from profit.
We urge residents of rural communities to stand together and demand the right to excellent healthcare that our wealthy nation can and must provide. The 46 million people living in America’s rural communities don’t need a temporary Band-Aid—they deserve what everyone deserves, no matter where they live—healthcare as a human right, free from profit.
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Senators Accuse Trump Admin of Hiding Info on 'Biggest Premium Hike in History'
"Millions of Americans who buy their own insurance on Healthcare.gov are unaware of the catastrophic premium hikes barreling towards them," the senators warned.
Oct 27, 2025
More than half of the Democratic Party caucus in the US Senate on Monday accused the Trump administration of covering up massive planned premium increases that are going to hit Americans who buy their health insurance through Affordable Care Act exchanges.
In a letter to Centers for Medicare and Medicaid Services (CMS) administrator Mehmet Oz, the senators charged that his agency has "failed to open early window-shopping" the week before the start of open enrollment, which they said has left "millions of Americans who buy their own insurance on Healthcare.gov... unaware of the catastrophic premium hikes barreling towards them."
The senators emphasized that the early window-shopping period is crucial because "the 24 million people who buy insurance on the ACA Marketplace need as much time and information as possible to understand and prepare for these significant premium increases."
The letter also argued that CMS has reduced enrollees' ability to access this crucial information by issuing guidance last summer that "allowed insurance companies to omit premium numbers and tax credit information from the notices they are required to send to enrollees ahead of open enrollment," while also "allowing insurance plans to delay sending information to their enrollees."
As a result of this, the letter continued, "millions of Americans have still not received any information from their insurance plan, or from CMS, about the biggest premium hike in history."
The senators' letter concluded with a demand for CMS to "launch window-shopping immediately and deliver the transparency American families deserve ahead of open enrollment on November 1."
The fight over health insurance premiums is at the heart of the current shutdown of the federal government, as Democrats say they will not vote to fund the government without an extension of enhanced ACA tax credits that were first passed into law under the American Rescue Plan in 2021.
The Washington Post last week reported on leaked documents showing that the most popular healthcare plans purchased on the ACA exchanges are expected to see a 30% hike next year, which would mark the "largest annual premium increases by far in recent years."
Were the enhanced tax credits for these plans allowed to expire, the Post added, this would likely result in millions of Americans seeing their insurance premiums double or triple next year.
The expiring subsidies aren’t the only threat to Americans’ healthcare, as Republicans over the summer passed a massive budget law that cut spending on Medicaid by nearly $1 trillion over the next decade, which the Congressional Budget Office estimated would result in more than 10 million people, among the nation’s poorest, losing their coverage. Congressional Democrats have also demanded undoing some Medicaid cuts in government shutdown negotiations.
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Just Say No to AI-Assisted Medicare Preauthorization
A new AI-driven Medicare prior-authorization pilot could dramatically weaken Medicare, just another frightening step toward privatization and profiteering.
Sep 03, 2025
The odds are that if you have private health insurance or someone in your family has private health insurance, you have heard the dreaded phrase “we need preauthorization” from your insurance company. What this means is that your insurance company needs to approve in advance that your treatment or prescription is covered. In theory, this should be no big deal. However, reality is something else. But as the New York Times points out:
Private insurers often require a cumbersome review process that frequently results in the denial or delay of essential treatments that are readily covered by traditional Medicare. This practice, known as prior authorization, has drawn public scrutiny, which intensified after the murder of a UnitedHealthcare executive last December.
So, reading this you might think that you are glad that you or someone in your family choose traditional Medicare (in other words not a Medicare Advantage plan), so you would be able to avoid the “prior authorization needed” drama. Well, unfortunately you would be wrong as the prior authorization is slowly coming to Medicare. In late June, the Centers for Medicare and Medicaid Services (CMS) issued a press release:
The Centers for Medicare & Medicaid Services (CMS) is announcing a new Innovation Center model aimed at helping ensure people with Original Medicare receive safe, effective, and necessary care. Through the Wasteful and Inappropriate Service Reduction (WISeR) Model, CMS will partner with companies specializing in enhanced technologies to test ways to provide an improved and expedited prior authorization process relative to Original Medicare’s existing processes, helping patients and providers avoid unnecessary or inappropriate care and safeguarding federal taxpayer dollars. This model builds on other changes being made to prior authorization as announced by the US Department of Health and Human Services and CMS on Monday.
In theory, this move by CMS does not sound bad. Who could be against reducing wasteful spending in Medicare and making sure that people receive appropriate treatment? A spokesman for CMS has been quoted that the government would not review emergency services or hospital stays.
The CMS prior Medicare authorization model is being rolled out in January 2026 as a six-year trial program in six states: Arizona, New Jersey, Ohio, Oklahoma, Texas, and Washington State. In theory, the preauthorization program will look at those medical treatments that are not of benefit to Medicare beneficiaries.
What CMS is not drawing attention to is that this preauthorization will be done by artificial intelligence (AI)—or as CMS puts it “enhanced technologies.” It is not until much later in the press release that CMS gets to the fact that AI will do the screening authorization:
The WISeR Model will test a new process on whether enhanced technologies, including artificial intelligence (AI), can expedite the prior authorization processes for select items and services that have been identified as particularly vulnerable to fraud, waste, and abuse, or inappropriate use.
CMS, at the moment, says that the AI preauthorization screening will be used on only an extremely limited number of procedures. But what guarantees do Medicare beneficiaries have? The bottom line is that you have to ask yourself: Would you be comfortable having your access to your earned Medicare benefits be determined by AI? My answer is a firm, “No, thank you.”
We also need to ask what are the financial incentives that Medicare is injecting into the system though preauthorization? It is hard not to conclude that this is a step toward privatization of traditional Medicare.
Healthcare professionals are concerned by CMS’ preauthorization program. In mid-July, the American Medical Association (AMA) wrote to CMS:
While the stated goal of the model is to curb wasteful spending and protect the Medicare Trust Fund, the mechanisms employed raise several significant issues that must be addressed prior to implementation. The AMA strongly urges CMS to pause the January 1, 2026 implementation of the WISeR Model to allow additional stakeholder input, full analysis of the model’s operational impacts, and development of clear guidance for physicians. Physicians should not be forced to adapt to such substantial administrative requirements without sufficient time to understand the implications and prepare. Absent this opportunity for meaningful physician and stakeholder engagement, the model risks creating confusion, administrative burden, and unintended consequences that could ultimately undermine CMS’ own goals to reduce waste, fraud, and abuse.
On Capitol Hill, a number of House Democrats led by Rep. Alexandria Ocasio-Cortez of New York have pushed back on the AI preauthorization pilot project. In late July, they wrote to CMS:
We understand that CMMI has intentionally selected healthcare services that are reported to have limited clinical value and may be vulnerable to abuse in the Medicare program, and we support efforts to ensure Medicare remains a good steward of taxpayer dollars. However, the expansion of AI-fuelled prior authorization will not improve program integrity in Traditional Medicare. Giving private for-profit actors a veto over care provided to seniors and people with disabilities in Traditional Medicare, even as a pilot program, opens the door to further erosion of our Medicare system. We therefore strongly urge you to immediately halt the proposed WISeR model and instead consider steps to address the well-documented waste, fraud, and abuse in the Medicare Advantage program.
The House Democrats raise a very intriguing question about why CMS is not focused more on fighting waste, fraud, and abuse in Medicare Advantage plans? As the Center for Budget and Policy Priorities reported in January of this year, there is considerable evidence to show that Medicare Advantage plans are overpaid by the government. It would make sense for CMS in pursing fraud and waste to follow the money which means looking at Medicare Advantage plans.
Give the political dynamics in Washington, it seems likely that the CMS preauthorization demonstration project will go into effect in January 2026. Then in the summer of 2026, with the midterm elections looming, as members of Congress will begin hearing from constituents who have had their earned Medicare benefits denied by AI, Congress will revisit this issue. It is tragic that in the meantime people will be hurt.
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Report Highlights Threat Posed by 'Trump Health Cabal'
"Trump has nominated unqualified and dangerous people to serve in the most important health positions in the country," said Eagan Kemp, the author of the report for the consumer advocacy group Public Citizen.
Jul 30, 2025
The government watchdog group Public Citizen published a report on Tuesday warning that U.S. President Donald Trump's "dangerous health cabal threatens patients, providers, and the programs they rely on."
The report, written by healthcare policy advocate Eagan Kemp, takes aim at several of Trump's appointees to top healthcare posts. Among those highlighted are Secretary of Health and Human Services (HHS) Robert F. Kennedy Jr., Centers for Medicare and Medicaid Services (CMS) head Mehmet Oz, Deputy HHS Secretary Jim O'Neill, and surgeon general nominee Casey Means.
"The first few months of the Trump administration have brought chaos and disaster to an already fragmented and dysfunctional health care system," the report says. "From efforts to make massive cuts to the ACA and Medicare and layoffs of huge numbers of HHS staff across the agency, it is tough to keep up with all the damage being done."
Kennedy, the report says, has aggressively promoted "conspiracy theories and dangerous anti-science views" during his time as HHS secretary.
The report notes Kennedy's fear-mongering about the safety of the highly effective measles vaccine as the U.S. experienced the largest outbreak in recent years, and his purge of credentialed independent experts from the panel that makes national vaccine recommendations in favor of a clique of anti-vaccine activists.
The report also points to Kennedy's decision to de-emphasize research into infectious disease and prescription drugs and his mass firings at other agencies within HHS, including the Food and Drug Administration (FDA) and the National Institutes of Health (NIH).
"With Kennedy taking command of the HHS, Americans are presented lies and disinformation at an unprecedented scale that are capable of unwinding a century of progress on fighting disease and promoting public health," it says.
The report also highlights Oz's efforts to further privatize Medicare by championing Medicare Advantage, which it says "would leave more Americans at the whim of greedy health insurance corporations." It cites one study, which found that since 2007, overpayments to private Medicare providers added up to more than $600 billion, and could amount to another trillion over the next decade.
Additionally, the report cites findings from the Government Accountability Office (GAO) that patients with significant healthcare needs were more likely to drop Medicare Advantage in favor of returning to traditional Medicare, which it says "indicates that these patients were unable to receive necessary care" under the privatized program.
It describes Oz's "massive conflicts of interest," including his six-figure investments in Medicare Advantage providers like UnitedHealth and CVS Health.
"Medicare Advantage plans regularly deny needed care, making it difficult for low-resource hospitals to remain open to serve the public," the report says."If Oz gets his wish of further expanding Medicare Advantage, it will threaten the solvency of many hospitals, particularly rural hospitals currently at risk of closure, as they would struggle to keep their doors open because they wouldn't have the consistent funding they need to continue serving their communities."
O'Neill, who was appointed last month as Kennedy's deputy at HHS, is described as "a long-time venture capital investor with concerning views that reflect his significant financial ties to for-profit biomedical companies," adding that "his interests run counter to [HHS's] public health mandate."
The report notes O'Neill—a staunch libertarian—is opposed to FDA regulations to ensure the safety and efficacy of drugs, which he said "kill a lot of people and provide a lot of harm to the economy."
He has called to eliminate the agency's mandate to ensure that drugs are effective before they are approved for sale. In a 2014 speech to a biotech group, O'Neill said the FDA should "let people start using them, at their own risk."
As an official in the George W. Bush administration's HHS, he also opposed FDA regulations on diagnostic tests that rely on computer algorithms—an even more pressing issue today given the increasing ubiquity of artificial intelligence, including in healthcare.
"While he has a limited public record of comments on health issues broadly," the report says, "his dangerous and misinformed views about the workings of the FDA provide deep cause for concern that he will prioritize ideological and corporate profit considerations over the public health mandate of the department."
Means, Trump's pick for surgeon general—who would be the top authority on public health recommendations—is described as having "little to no managerial experience in the context of government agencies or scientific research."
She does not have an active medical license, and dropped out of her surgical residency. According to colleagues, she did so after coming to believe "that modern medicine is a conspiracy to keep people sick."
A "wellness influencer" in the mold of Kennedy, she has a history of anti-vaccine views and has advocated for getting rid of the Hepatitis B vaccination for babies, which is credited with reducing HBV infection by 68% over a decade after its introduction in 1991. Means has also said that birth control pills are overprescribed, and that they signal a "disrespect of life."
She also stands to potentially profit from her decisions as surgeon general, the report says, since she remains the chief medical officer of a glucose monitoring technology company and has not stepped down from her post despite the possible conflicts of interest.
"The range of unscientific ideas, wellness products, and conspiratorial claims that Means is associated with," the report says, "makes her a potentially dangerous person to serve in a role that requires being a credible health communicator for the country and upholding sound science."
The state of healthcare in the United States, the report says, is about to become more precarious following the passage of the "One Big Beautiful Bill Act," which is projected to result in 10 million people losing their health insurance. Medicare privatization has also accelerated, with hiked rates for Medicare Advantage plans.
"The fact that Trump, Kennedy, and their allies have taken so many dangerous and misguided actions on health in just the early months of the new administration," the report says, "highlights the need for vigilance and strong pushback from anyone who wants a better healthcare system."
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'Terrible Development': Trump Admin Restricts State Efforts to Help Kids Stay on Medicaid
"The Trump administration will stop at nothing to rip coverage away from American families, even kids they claim they want to protect," said Sen. Ron Wyden.
Jul 18, 2025
The Trump administration on Thursday said it will restrict waivers that have allowed states to keep kids enrolled in Medicaid or the Children's Health Insurance Program beyond the 12-month period of continuous coverage required under federal law.
The Centers for Medicare and Medicaid Services (CMS), led by Mehmet Oz, announced the move on Thursday, saying that it has informed states of a "clear shift away from policies that extend beyond statutory limits," specifically restricting Section 1115 waivers that have been sought and approved in dozens of states across the U.S.
"CMS will allow currently approved initiatives to run out their course but does not anticipate extending them nor approving new waivers," the agency said in a statement, which came less than two weeks after President Donald Trump signed into law the largest Medicaid cuts in U.S. history.
Sen. Ron Wyden (D-Ore.), the top Democrat on the Senate Finance Committee, called the CMS announcement a "terrible development" and "yet one more awful example of the Trump administration's obsession with making it as hard as possible for Americans to access the healthcare they are eligible for."
In 2022, Oregon became the first state in the nation to receive federal approval to provide children with continuous Medicaid coverage from birth up to age 6 through a Section 1115 waiver. The policy was described as a "ground-breaking initiative" that would "help infants and young children get off to a healthy start in life without parents having to worry about renewing their Medicaid coverage annually," regardless of temporary changes to family income or other factors.
The CMS announcement points to the Oregon policy without explicitly naming the state. Oregon's federal waiver is set to expire in 2027.
Wyden said Thursday that "the Trump administration will stop at nothing to rip coverage away from American families, even kids they claim they want to protect."
Joan Alker, executive director of Georgetown University's Center for Children and Families, wrote that "in the name of 'protecting vulnerable Americans,' the Trump administration will rip away Medicaid coverage from babies and toddlers."
👀In the name of “protecting vulnerable Americans” the Trump Administration will rip away Medicaid coverage from babies and toddlers👀
CMS announces Medicaid demos that 8 states are implementing to cover babies and young children continuously w/o gaps will no longer be allowed pic.twitter.com/aXF0mKXL9S
— Joan Alker (@JoanAlker1) July 17, 2025
CMS insisted that the newly announced changes are aimed at protecting Medicaid's finances by ensuring that those who are no longer eligible for the program are removed.
But Amaya Diana, a policy analyst at the health research organization KFF, wrote Thursday that "not everyone who loses coverage at renewal is no longer eligible."
"During the unwinding of the [pandemic-era] Medicaid continuous enrollment provision, seven in 10 Medicaid enrollees who lost coverage were disenrolled for procedural reasons," Diana noted. "While some were no longer eligible, others lost coverage due to barriers such as communication issues."
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'Weaponization of Data': Trump Admin Gives ICE Personal Info of 79 Million Medicaid Recipients
"Trump said he would go after the 'worst of the worst' immigrants, yet now is giving ICE EVERYONE's Medicaid data, even as ICE targets U.S. citizens," said Rep. Pramila Jayapal.
Jul 17, 2025
The Trump administration is handing over the personal data of every Medicaid enrollee to U.S. Immigration and Customs Enforcement.
According to The Associated Press Thursday, all 79 million people currently receiving the government health insurance benefit will have information shared with ICE by the Centers for Medicare and Medicaid Services (CMS):
The database will reveal to ICE officials the names, addresses, birth dates, ethnic and racial information, as well as Social Security numbers for all people enrolled in Medicaid. The state and federally funded program provides healthcare coverage... for the poorest of people, including millions of children.
The "extraordinary" agreement was struck Monday with CMS and not meant to be publicized, according to the AP. The memo states that its intention is to help ICE find the "location of aliens" across the country.
As one unnamed CMS employee told the AP, "They are trying to turn us into immigration agents."
Republicans have often raised the specter of undocumented immigrants claiming benefits in order to justify cutting the government health insurance program.
However, undocumented immigrants are barred from receiving federally funded Medicaid coverage.
The only exception is emergency Medicaid, which covers lifesaving services and which the government requires to be extended to anyone who needs it regardless of status—though this makes up just 1% of overall Medicaid spending.
Some states have also expanded Medicaid to include noncitizens not covered by the federal program. However, that money comes from state budgets rather than the federal one.
Last month, President Donald Trump demanded that CMS hand over the personal data of the millions of Medicaid enrollees in the seven states that allow noncitizens to apply, a move that dozens of states sued to prevent.
At the time, the government justified it as a measure to simply root out fraud and abuse. But under Monday's agreement, the AP says, the Department of Homeland Security "will use the data to identify, for deportation purposes, people who [are] in the country illegally."
However, nearly everyone enrolled in Medicaid is either an American citizen or other legal resident.
Given that the president has made very clear his intent to begin denaturalizing and deporting American citizens, the handing of tens of millions of people's sensitive information to ICE is causing widespread alarm.
"Trump is letting ICE track Americans using their personal and private Medicaid health data. Undocumented immigrants aren't eligible to receive Medicaid, but other people they want to target and track are," said Melanie D'Arrigo, the executive director of the the Campaign for New York Health. "They're not going to stop at immigrants."
"The massive transfer of the personal data of millions of Medicaid recipients should alarm every American," Sen. Adam Schiff (D-Calif.) told the AP. "This massive violation of our privacy laws must be halted immediately. It will harm families across the nation and only cause more citizens to forego lifesaving access to healthcare."
Rep. Pramila Jayapal (D-Wash.) wrote in a post on X that, "This is about the weaponization of data, full stop. Trump said he would go after the 'worst of the worst' immigrants, yet now is giving ICE EVERYONE's Medicaid data, even as ICE targets U.S. citizens."
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Watchdogs Renew Warnings of 'Profoundly Unqualified' Dr. Oz After Senate Hearing
"Between his massive conflicts of interest across the healthcare sector and his endorsement of further privatizing Medicare, Oz would be a threat to the health of tens of millions of Americans," said one opponent.
Mar 14, 2025
Progressive watchdog organizations responded to the U.S. Senate Finance Committee's Friday hearing for Dr. Mehmet Oz by again sounding the alarm about the heart surgeon and former television host nominated to lead a key federal healthcare agency.
Since President Donald Trumpannounced Oz as his nominee for administrator of the Centers for Medicare and Medicaid Services (CMS) last November, opponents have spotlighted the doctor's promotion of unproven products, investments in companies with interests in the federal agency, and support for expanding Medicare Advantage during an unsuccessful U.S. Senate run in 2022.
"Dr. Oz's career promoting dubious medical treatments and pseudoscience often for personal financial gain should immediately disqualify him from serving in any public health capacity, let alone in a top administration health post," Accountable.US executive director Tony Carrk said in a Friday statement.
"Dr. Oz's nomination is part of President Trump's grand plan to enrich his corporate donors and wealthy friends while the rest of us get higher costs, less coverage, and weakened protections."
In December, Carrk's group found that based on disclosures from Oz's 2022 run against U.S. Sen. John Fetterman (D-Pa.), the Republican doctor reported "up to $56 million in investments in three companies" with direct CMS interests—including Sharecare, which became the "exclusive in-home care supplemental benefit program" for 1.5 million Medicare Advantage enrollees.
A spokesperson said at the time that Oz has since divested from Sharecare. However, critics have still expressed concern about how the nominee's confirmation could boost Republican efforts to expand Medicare Advantage—health insurance plans for seniors administered by private companies rather than the government.
"As a self-interested advocate of privatizing Medicare at a higher cost and more denials of care for seniors, Dr. Oz is surely eager to enact the Trump-Republican budget plan to gut Medicare and Medicaid and jeopardize health coverage for millions of Americans—all to pay for more tax breaks for billionaires and price gouging corporations," said Carrk. "Dr. Oz's nomination is part of President Trump's grand plan to enrich his corporate donors and wealthy friends while the rest of us get higher costs, less coverage, and weakened protections—especially those with preexisting conditions."
As he faces Senate confirmation, remember that Dr. Oz: -Pushed Medicare privatization plans on his show -Owns ~$600k in stock in private insurers -Has ties to pyramid scheme companies that promote fake medical cures His main qualification to oversee CMS is loyalty to Trump.
— Robert Reich ( @rbreich.bsky.social) March 14, 2025 at 1:41 PM
Robert Weissman, co-president of the consumer advocacy group Public Citizen, has been similarly critical of Oz, and remained so after senators questioned him on Friday, saying in a statement that "Mehmet Oz showed he is profoundly unqualified to lead any part of our healthcare system, let alone an agency as important as CMS."
"Between his massive conflicts of interest across the healthcare sector and his endorsement of further privatizing Medicare, Oz would be a threat to the health of tens of millions of Americans," Weissman warned. "Privatized Medicare Advantage plans deliver inferior care and cost taxpayers nearly $100 billion annually in excess costs."
"It is time for President Trump to put down the remote, stop finding nominees on television, and instead nominate people with actual experience and a belief in the importance of protecting crucial health programs like Medicare and Medicaid," he argued, taking aim at not only the president but also his billionaire adviser Elon Musk, head of the so-called Department of Government Efficiency(DOGE) and, Robert F. Kennedy Jr., the conspiracy theorist now running the Department of Health and Human Services.
Weissman declared that "Trump, Musk, and RFK Jr. fail to put the American people first as they seek to gut agencies and make dangerous cuts to health programs to fund tax cuts for billionaires. Oz indicated he would not oppose such cuts, bringing more destruction to lifesaving programs. Oz has no place in government and should be roundly rejected by every senator."
During a Friday exchange with Sen. Ron Wyden (D-Ore.), the committee's ranking member, Oz refused to decisively commit to opposing cuts to Medicaid. As the Alliance for Retired Americans highlighted, Oz kept that up when given opportunities to revise his answer by Sens. Ben Ray Luján (D-N.M.) and Michael Bennet (D-Colo.).
Other moments from the hearing that garnered attention included Oz's exchange with Sen. Catherine Cortez Masto (D-Nev.) about Affordable Care Act tax credits and Sen. Maggie Hassan (D-N.H.) calling out the doctor for his unwillingness "to take accountability for" his "promotion of unproven snake oil remedies" to millions of TV viewers.
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Warren Urges Medicare Nominee Oz to 'Divest From Financial Conflicts of Interest'
"By making these commitments, you would increase Americans' trust in your ability to serve the public interest during your time at CMS—rather than the special interests of companies in your network."
Mar 12, 2025
U.S. Sen. Elizabeth Warren on Wednesday called on Dr. Mehmet Oz, President Donald Trump's nominee to head the federal agency in charge of Medicare, to divest all financial ties to Big Pharma and healthcare companies in order to avoid conflicts of interest and gain the public's trust.
"Congratulations on your nomination to serve as administrator of the Centers for Medicare and Medicaid Services (CMS)," Warren (D-Mass.) wrote in a letter to the celebrity heart surgeon and erstwhile purveyor of phony weight loss cures. "If confirmed, you will be expected to steward CMS' $1.5 trillion budget in the best interest of the over 140 million Americans on Medicare and Medicaid. Entering this role with financial conflicts of interest would undermine your effectiveness and the effectiveness of the programs you are slated to administer."
"To avoid this, I request that you agree to: divest any remaining financial interests in health-related companies or patents that you will have the power to influence, recuse from matters involving your former employers and clients, and, for at least four years after you leave office, not lobby CMS or join the industries that depend on CMS' work," the senator said.
"Entering this role with financial conflicts of interest would undermine your effectiveness and the effectiveness of the programs you are slated to administer."
"By making these commitments, you would increase Americans' trust in your ability to serve the public interest during your time at CMS—rather than the special interests of companies in your network," she added.
"You have deep ties to companies that could profit from your decisions at CMS," Warren noted. "You currently serve as a managing member or adviser of multiple healthcare and pharmaceutical firms with a financial stake in CMS policy, including how the agency sets payment rates and coverage determinations for Medicare and Medicaid."
Warren continued:
You also use your public platforms—including your website, TV show, TikTok, and Instagram pages—to promote drugs, such as Ozempic, produced by pharmaceutical companies that are currently seeking expanded CMS coverage approval and that are subject to government drug negotiations—which you would be responsible for conducting. You have been paid to push your show's viewers to enroll in the private alternative to Medicare, Medicare Advantage—a program run by private health insurers that overcharged CMS by at least $83 billion in 2024 alone.
Doctors have critiqued you for allegedly "promoting quack treatments and cures in the interest of personal financial gain." Furthermore, much of your financial portfolio (worth at least $98 million) is invested in healthcare and pharmaceutical companies whose value is tied to CMS' regulatory work.
Last December, the watchdog Accountable.US revealed that Oz had invested as much as $56 million in three companies with direct CMS interests. In 2022, Oz's single biggest healthcare holding was up to $26 million in Sharecare, a digital health company Oz co-founded, and which became the exclusive in-home supplemental care program for 1.5 million Medicare Advantage customers.
On Tuesday, the consumer advocacy group Public Citizen published a research brief examining the hundreds of millions of dollars spent on political lobbying by Medicare Advantage companies ahead of Oz's confirmation hearing, which is scheduled for Friday morning.
Warren and other Democratic lawmakers previously pressed Oz on his advocacy for Medicare privatization, including a 2020 call for enrolling all U.S. seniors in Medicare Advantage plans.
Last month, Oz pledged to divest from insurance companies and drugmakers and step down from his advisory positions if his nomination is confirmed.
"I appreciate that you have agreed to divest much of your portfolio and resign from your advisory posts," Warren wrote. "Still, given your close ties to the industry that you would regulate, if you are confirmed, the public would have reason to question your impartiality and commitment to serving the public's interest."
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