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    Trump Budget Eliminates Funding for Crucial Global Vaccination Programs

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    The spending proposal terminates support of health programs that, according to the proposal, “do not make Americans safer.”The Trump administration’s proposed budget for the coming fiscal year eliminates funding for programs that provide lifesaving vaccines around the world, including immunizations for polio.The budget, submitted to Congress last week, proposes to eliminate the Centers for Disease Control and Prevention’s global health unit, effectively shutting down its $230 million immunization program: $180 million for polio eradication and the rest for measles and other vaccine-preventable diseases. The budget plan also withdraws financial support for Gavi, the international vaccine alliance that purchases vaccines for children in developing countries.Overall, the budget request explicitly follows President Trump’s America First policy, slashing funds for global health programs that fight H.I.V. and malaria, and cutting support altogether to fight diseases that affect only poorer countries.“The request eliminates funding for programs that do not make Americans safer, such as family planning and reproductive health, neglected tropical diseases, and nonemergency nutrition,” the proposal said.Many public health experts said that such thinking is flawed because infectious diseases routinely breach borders. The United States is battling multiple measles outbreaks, prompting the C.D.C. last week to warn travelers about the risks of contracting measles. Each of those outbreaks began with a case of measles contracted by an international traveler.“Every single measles case this year is related to actual importations of the virus into the United States,” said Dr. Walter Orenstein, associate director of the Emory Vaccine Center and a former director of the United States’ Immunization Program.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Trump Asks Congress to Claw Back $9 Billion for Foreign Aid, NPR and PBS

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      The request seeks to codify spending cuts advanced by Elon Musk’s Department of Government Efficiency.The White House formally asked Congress on Tuesday to claw back more than $9 billion in federal funds that lawmakers had already approved for foreign aid and public broadcasting, seeking to codify spending cuts put forward by Elon Musk’s Department of Government Efficiency. In a package compiled by the Office of Management and Budget, officials outlined 22 programs targeted by President Trump in executive orders and by DOGE. The bulk of the rollbacks — $8.3 billion — are aimed at foreign aid spending. The rest — $1.1 billion — would rescind funding for the Corporation for Public Broadcasting, which funds NPR and PBS. The proposal comes as the White House has aggressively challenged Congress’s power of the purse and made clear it is willing to steer around the legislative branch to unilaterally control federal spending.In this case, though, the administration is going through normal channels and asking Congress to go along with its efforts to redirect federal money. Lawmakers can approve such a measure by a simple majority vote in both chambers. Republican lawmakers have argued that it is important for Congress to codify spending cuts that were already enacted by the Trump administration by executive order. “This rescissions package reflects many of DOGE’s findings and is one of the many legislative tools Republicans are using to restore fiscal sanity,” Speaker Mike Johnson said on Tuesday. “Congress will continue working closely with the White House to codify these recommendations, and the House will bring the package to the floor as quickly as possible.”The last time the Trump administration asked lawmakers to pull back federal funds they had already approved, during Mr. Trump’s first term, the effort failed after two Republican senators joined Democrats to defeat what had been a largely symbolic effort.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      House Republicans Will Vote Again on President Trump’s Legislative Agenda

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      A group of fiscal hard-liners on the Budget Committee blocked the bill Friday morning. The group will try again to pass the president’s megabill out of committee Sunday night.The House Budget Committee will meet late Sunday night to try once again to advance President Trump’s domestic policy bill toward a floor vote after a handful of fiscally conservative Republicans blocked the measure on Friday over concerns about the ballooning national deficit.The remarkable revolt among hard-right lawmakers has threatened to upend Republicans’ goal of approving the legislation before the Memorial Day recess. G.O.P. leaders have been searching for a way to pacify the holdouts.Five Republican representatives — Chip Roy of Texas, Ralph Norman of South Carolina, Josh Brecheen of Oklahoma, Andrew Clyde of Georgia, and Lloyd Smucker of Pennsylvania — joined Democrats to block the legislation on Friday. The vote was 16 to 21 on a motion to advance the bill.“This bill falls profoundly short,” Mr. Roy said.Mr. Smucker, who changed his “yes” vote to a “no” at the last minute, said he did so for procedural reasons. Because he voted against the bill, he will be able to ask to call the legislation back up for consideration.But it was unclear what changes Speaker Mike Johnson and his leadership team could come up with to win enough votes.Without the support of Republican hard-liners, the bill cannot advance. Any changes to win their backing could alienate the more moderate Republicans whose votes will also be needed to pass the measure on the House floor.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Trump Budget Cuts Hobble Antismoking Programs

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      Students at Wyoming East High School in West Virginia’s coal country had different reasons for joining Raze, a state program meant to raise awareness about the health risks of tobacco and e-cigarettes.Cayden Oliver, 17, grew up around generations of people who smoked and vaped, and he wanted to make his own choice. Nathiah Brown, 18, was struggling to quit e-cigarettes and showed up for moral support. Kimberly Mills, 18, wanted to prove that even though she had been a foster child, she would defy the odds.This high school’s program cost West Virginia less than $3,000 a year and was meant to protect teenagers in the state that has the highest vaping rate in their age group. It fell prey to U.S. government health budget cuts that included hundreds of millions of dollars in tobacco control funds that reached far beyond Washington, D.C.At the high school, students pack into stalls in the school restrooms, sneaking puffs between classes. “It’s bad now,” said Logan Stacy, 18, a member of the Raze group. “Imagine what it will be like in two years.”Experts on tobacco control said the Trump administration’s funding cuts would set back a quarter-century of public health efforts that have driven the smoking rate to a record low and saved lives and billions of dollars in health care spending. Still, the Centers for Disease Control and Prevention estimates that nearly 29 million people in the United States continue to smoke.The decimation of antismoking work follows a year of lavish campaign donations by tobacco and e-cigarette companies to President Trump and congressional Republicans.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Citing N.I.H. Cuts, a Top Science Journal Stops Accepting Submissions

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      With federal support, Environmental Health Perspectives has long published peer-reviewed studies without fees to readers or scientists.Environmental Health Perspectives, widely considered the premier environmental health journal, has announced that it would pause acceptance of new studies for publication, as federal cuts have left its future uncertain.For more than 50 years, the journal has received funding from the National Institutes of Health to review studies on the health effects of environmental toxins — from “forever chemicals” to air pollution — and publish the research free of charge.The editors made the decision to halt acceptance of studies because of a “lack of confidence” that contracts for critical expenses like copy-editing and editorial software would be renewed after their impending expiration dates, said Joel Kaufman, the journal’s top editor.He declined to comment on the publication’s future prospects. “If the journal is indeed lost, it is a huge loss,” said Jonathan Levy, chair of the department of environmental health at Boston University. “It’s reducing the ability for people to have good information that can be used to make good decisions.”The news comes weeks after a federal prosecutor in Washington sent letters to several scientific journals, including The New England Journal of Medicine, with questions that suggested that they were biased against certain views and influenced by external pressures.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      U.N. Orders Agencies to Find Budget Cuts, Including via Staff Moves From N.Y.

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      The instructions from the office of Secretary General António Guterres were reviewed by The New York Times and came after President Trump ordered a review of U.S. funding to the agency.The United Nations, anticipating that President Trump will slash U.S. contributions to the global body, has told its departments to draw up plans for budget cuts, including through staff relocations from New York and Geneva to less-expensive cities.The instructions — outlined in a two-page memo dated April 25 that was reviewed by The New York Times — were sent from Secretary General António Guterres’s office to the heads of all agencies that report directly to him. The memo set a May 15 deadline for all proposals so that they could be added to the 2026 budget.“Your objective is to identify as many functions as possible that could be relocated to existing lower-cost locations,” the memo reads, “or otherwise reduced or abolished if they are duplicative or no longer viable.”In February, President Trump signed an executive order calling for a review of the overall U.S. funding and ties to the U.N. He withdrew the United States from several U.N. organizations, including those dealing with human rights, women’s reproductive rights, climate change, Palestinian aid and global health. In his first term, he also reduced U.S. contributions to peacekeeping efforts.Three senior U.N. officials said on Tuesday that the drastic, cost-cutting measures laid out in the memo had caught the agency’s departments by surprise and went beyond what they had expected. The officials, who requested anonymity because they were not authorized to speak publicly, said the directive was largely viewed as a way for the U.N. to brace for potential additional cuts by Mr. Trump and to proactively insulate it from the financial blow.But the U.N. officials said the budget cuts were ordered only partly in response to Mr. Trump’s moves. The directive comes as the U.N. is adjusting to a host of financial problems, they said, from the withdrawal and reduction in financial contributions by major donors like the United States and Europe to a cash-flow crisis caused by member states’ not paying their annual dues on time and in full.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Attorneys General Sue Over Access to $1 Billion in Federal School Aid

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      The Trump administration abruptly cut states’ access to Covid pandemic funding for school programs, saying they’d had enough time to spend it.Sixteen attorneys general and a Democratic governor sued the Trump administration on Thursday to restore access to over $1 billion in federal pandemic relief aid for schools that was recently halted, saying that the pullback could cause acute harm to students.The suit, led by New York’s attorney general, Letitia James, and filed in Manhattan federal court, is one of the latest efforts by states to fight President Trump’s clawback of funding allocated to programs he does not want the government to support. The funding was part of a windfall of more than $190 billion that the U.S. Department of Education distributed to schools at the height of the coronavirus pandemic.The government’s reversal “triggered chaos,” the suit says. New York was one of the states with the most unspent money: over $130 million. California had more than $205 million in unspent money, and Maryland had $245 million, the most among the states that sued.“Cutting school systems’ access to vital resources that our students and teachers rely on is outrageous and illegal,” Ms. James said in a news release.The coalition’s filing on Thursday comes nearly a month after 21 Democratic attorneys general sued the administration for firing about half of the Education Department’s staff. Linda McMahon, the education secretary, said the move would help the department deliver services more efficiently.The White House also suspended millions of dollars in teacher-training grants that it argued would promote diversity, equity and inclusion, which prompted yet another suit from New York and other states.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Republicans Plan to Skirt Senate Rules to Push Through More Tax Cuts

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      G.O.P. leaders are planning to use the “nuclear option” to steer around the Senate’s in-house referee and allow the use of a gimmick that makes trillions of dollars in tax cuts appear to be free.For decades, senators looking to push major budget and tax legislation through Congress on a simple majority vote have had to win the blessing of a single unelected figure on Capitol Hill.The Senate parliamentarian, a civil servant who acts as the arbiter and enforcer of the chamber’s byzantine rules, has traditionally been in a position to make or break entire presidential agendas. That includes determining whether budget and tax legislation can be fast-tracked through Congress and shielded from a filibuster, allowing it to pass along party lines through a process known as reconciliation.Now, in their zeal to deliver President Trump’s domestic policy agenda in “one big beautiful bill” of spending and tax cuts, Senate Republicans are trying to steer around the parliamentarian, busting a substantial congressional norm in the process.The strategy would allow them to avoid getting a formal thumbs up or thumbs down on their claim that extending the tax cuts that Mr. Trump signed into law in 2017 would cost nothing — a gimmick that would make it easier for them cram as many tax reductions as possible into their bill without appearing to balloon the deficit.In recent days, all eyes have been on Elizabeth MacDonough, the parliamentarian, to see whether she would bless the trick, smoothing the path for the G.O.P. bill. But on Wednesday, Republicans signaled that they planned to take extraordinary action to go around her altogether.Rather than have Ms. MacDonough weigh in, they asserted that Senator Lindsey Graham of South Carolina, as chairman of the Budget Committee, could unilaterally decide the cost of the legislation, citing a 1974 budget law. Senate Republicans on Wednesday unveiled a new budget resolution they planned to put to a vote as early as this week. And Mr. Graham declared in a statement that he considered an extension of the 2017 tax cuts to be cost-free.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      It’s Not Too Late to Rein In Holiday Spending

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      Research suggests that you’ll spend less than you otherwise would by setting a strict budget — even if you go over the budget.Black Friday and Cyber Monday have come and gone. So you may think that setting limits on holiday spending is a lost cause, right?Not so, said Jamie L. Clark, a certified financial planner in Seattle. The December holidays are still weeks away. “It’s never too late to make a plan.”Chuck Howard, an associate professor of business administration at the University of Virginia’s Darden School of Business, said research suggests you’ll spend less by setting a holiday budget that’s “optimistically low.”That’s because even when compliance with budgets is weak, setting stricter, even somewhat unrealistic budgets tends to lead to lower spending, according to a study he helped write on the influence of budgeting on personal spending.Dr. Howard cited this example. Say you usually spend $500 a month dining out. You may think a realistic budget is $400 a month. But if you really want to cut back, you should set a budget of, say, $250. That way, if you spend $350, you’ve still spent much less than you used to.A tight holiday-spending limit serves as a reference point, he said, and even if you surpass it, you’ll probably spend less than if you had set a higher limit or hadn’t set a budget in the first place.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More