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    Indiana passes law threatening non-profit status of expensive hospitals

    Indiana’s governor, Mike Braun, has signed a landmark bill that would strip charity hospitals of their non-profit status if they continue to charge high prices.The legislation, the first of its kind in the United States, followed uproar across the state after a Guardian series in October that investigated how one major Indiana non-profit hospital system bought up its competition, then hiked its prices, leaving businesses and patients struggling to pay their medical costs.In the wake of the Guardian investigation, Braun, then the Republican gubernatorial candidate, and his Democratic rival both criticized the hospital system, Parkview Health, for its high prices, and lawmakers vowed to take action against the non-profit chain, which charged some of the highest prices in the country despite being based in Fort Wayne, Indiana, the US’s most affordable metro area.Braun signed the legislation into law on Tuesday. It comes at a time of growing concern across the US about healthcare costs and medical debt.To implement the law, the Indiana office of management and budget will first study prices across the state and come up with a price benchmark for non-profit hospitals in consultation with the legislature, according to the bill’s author, Martin Carbaugh, a Republican representative who represents a district that includes Fort Wayne. Non-profit hospitals will then have until 2029 to get their prices under that average, though Carbaugh hopes some will lower their prices before then as they negotiate with insurers.“We’ll start to see the downward pressure put on them right away,” he said. “The hospitals know they can’t just go for broke and raise costs, only to have to lower it again in 2029.”According to data compiled by Hoosiers for Affordable Healthcare, an Indiana advocacy group, the legislation could result in average price reductions as large as 40% for Parkview, and similarly sized cuts for other large state hospital systems.“It’s gonna be beneficial to everybody,” said Doug Allen, a small business owner who has struggled to keep up with Parkview’s healthcare costs for his employees. “Maybe people won’t be hurting so bad. Maybe they won’t think twice before coming to the hospital. Almost everybody around here is on a payment plan with Parkview. Everybody owes money to Parkview.”Parkview Health did not respond to requests for comment but has previously said it is committed to lowering healthcare costs.In a statement, the Indiana Hospital Association said it was “concerned by the potential loss of non-profit status for hospitals based on meeting an unknown statewide average commercial price in the future. This does not take into consideration the uncertainty of rising cost pressures such as tariffs, inflation, and other significant economic factors that will further threaten the financial stability of Indiana’s health care ecosystem.”The group added that it looks forward to “continuing our work with legislators and Gov Braun’s administration on future solutions that strike the right balance of lowering costs while maintaining access for Hoosier patients”.The US spends far more on healthcare than other large, wealthy countries, a trend that has been exacerbated by decades of hospital consolidation limiting competition in the healthcare sector. Carbaugh said he was aware of how high healthcare prices are across the country and said Indiana’s legislation might be a model for other states too.“It’s great to be a leader,” he said. “I’m happy to be part of leading that charge.” More

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    Trump withdraws embattled candidate for top federal prosecutor in DC

    Donald Trump on Thursday said he would look for a new candidate for the role of top federal prosecutor in Washington DC, after a key Republican senator said he would not support the loyalist initially selected for the job.The president had in January appointed Ed Martin, a former Missouri Republican party chair and ardent supporter of Trump’s baseless claims of fraud in the 2020 election, as interim US attorney in Washington DC, an office that oversees both felony prosecutions in the capital city as well as many national security cases.Martin had quickly made clear he intended to use the role to defend Trump, writing on social media that the office would act as “President Trumps’ [sic] lawyers” and saying he would not hire graduates of schools that practiced the diversity policies the president has vilified.Interim US attorneys must leave the role after 120 days unless they are confirmed by the Senate. Earlier this week, Thom Tillis, a North Carolina Republican who serves on the chamber’s judiciary committee, said he would not advance Martin’s nomination, denying the GOP the votes needed to get his nomination through the committee.Speaking at the White House on Thursday, Trump called Martin “a terrific person” but said “he wasn’t getting the support from people that I thought”.He added: “He wasn’t rejected, but we felt it would be very, it would be hard. And we have somebody else that we’ll be announcing over the next two days who’s going to be great.”Tillis, who will be a prime target of Democrats in next year’s midterm elections, cited Martin’s support for Trump’s pardon of January 6 insurrectionists on his first day in office.“I have no tolerance for anybody who entered the building on January the sixth, and that’s probably where most of the friction was,” Tillis told reporters at the Capitol.“If Mr Martin were being put forth as a US attorney for any district except the district where January 6 happened, the protest happened, I’d probably support him, but not in this district.”The top judiciary committee Democrat, Dick Durbin, welcomed Martin’s withdrawal.“Mr Martin’s record made it clear that he does not have the temperament or judgment to be entrusted with the power and responsibility of being US attorney for the District of Columbia. I’m relieved to see that his nomination will be withdrawn by the White House,” Durbin said in a statement.Earlier this month, National Public Radio reported on ties between Martin and Timothy Hale-Cusanelli, a January 6 rioter whom federal prosecutors called a “Nazi sympathizer”. Martin had told the Senate “I am not close with him”, despite appearing with Hale-Cusanelli at events and praising him.Martin is known for being active on X and, shortly after Trump announced the withdrawal of his nomination, posted what appears to be a doctored photo of himself dressed as the pope.

    This story was amended on 8 May 2025 to correct that Ed Martin was appointed in January, not February. More

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    Identity of second man illegally deported to El Salvador prison revealed

    The identity of a second man illegally deported from the US by the Trump administration in defiance of a court order and now in detention in El Salvador has been revealed.Daniel Lozano-Camargo, a 20-year-old Venezuelan, was deported to El Salvador’s notorious Cecot terrorism confinement facility in March under the White House’s invocation of the Alien Enemies Act, Politico reported.His deportation came after authorities declared him, along with about 240 other men, to be a member of Tren de Aragua, a Venezuelan gang that the US government has defined as a terrorist organization. Lozano-Camargo’s family members deny that he has gang affiliations.Politico revealed Lozano-Camargo’s identity after a Maryland judge last month ruled that the Trump administration had improperly removed him in violation of a 2024 legal settlement that forbade immigration authorities from deporting him while his application for asylum was pending.The judge, Stephanie Gallagher, who was appointed to the bench by Trump, ordered officials to “facilitate” Lozano-Camargo’s return to the US. So far, the administration has not complied.He is reported to have entered the US in 2022 as an asylum seeker, initially spending time in a facility for underage migrants until he turned 18.According to Politico, he was subsequently twice arrested for possession of cocaine, most recently last November, and was sentenced in January to 120 days in prison. It was from there that he was transferred to the custody of the Immigration, Customs and Enforcement authority (Ice), which filed an application for his detention, claiming that he was in the country illegally.In her ruling, Gallagher agreed with immigrant rights advocates that Lozano-Camargo should not have been deported until his asylum application was resolved. While withholding his identity by referring to him only by a pseudonym, “Cristian”, she said he was “fleeing danger and threats in Venezuela”.Politico said Lozano-Camargo’s identity was disclosed in metadata embedded in government court filings.A justice department court filing released on Monday disputed the judge’s assessment, saying he belonged to “a violent terrorist gang”, thus disqualifying him from asylum in the US. Bringing him back to the US “would no longer serve any legal or practical purpose”, justice department lawyers wrote.Gallagher was due to further rule on the matter in a Baltimore court on Tuesday.Lozano-Camargo’s case resembles that of Kilmar Ábrego García, a Maryland resident who was deported to El Salvador in March despite a previous court order issued in 2019 establishing that he had protected status because he was at risk of violence if he was returned to the country of his origin. Ábrego García is Salvadorian by birth. The US government, which has claimed that he is a member of the MS-13 gang – something Ábrego García denies – admitted that he had been deported by mistake but has defied court orders to return him to the US.skip past newsletter promotionafter newsletter promotionÁbrego García was removed from the US on the same set of flights as Lozano-Camargo but has been transferred from Cecot to another facility because of the international publicity surrounding his case.Lozano-Camargo’s family has tried to draw attention to his plight in social media posts. His mother, Daniela, has proclaimed his innocence in a tearful Facebook video.Possessing a valid work permit, he is said to have been living in Houston and washing cars for a living before his detention.His deportation was among those highlighted by the Guardian in March, amid speculation that he was one of hundreds of Venezuelans singled out for removal on the basis of their tattoos, which authorities claimed identified them as members of Tren de Aragua.Lozano-Camargo is said to have several tattoos, including one bearing the name of his father – who died when he was a child. Critics say Tren de Aragua members do not use tattoos to advertise their membership of the gang. More

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    Trump to continue Biden’s court defense of abortion drug mifepristone

    Donald Trump’s administration on Monday pushed forward in defending US rules easing access to the abortion drug mifepristone from a legal challenge that began during Democratic former president Joe Biden’s administration.The US Department of Justice in a brief filed in Texas federal court urged a judge to dismiss the lawsuit by three Republican-led states on procedural grounds.While the filing does not discuss the merits of the states’ case, it suggests the Trump administration is in no rush to drop the government’s defense of mifepristone, used in more than 60% of US abortions.Missouri, Kansas and Idaho claim the US Food and Drug Administration acted improperly when it eased restrictions on mifepristone, including by allowing it to be prescribed by telemedicine and dispensed by mail.The justice department and the office of Missouri’s attorney general, Andrew Bailey, did not immediately respond to requests for comment.Trump said while campaigning last year that he did not plan to ban or restrict access to mifepristone. Robert F Kennedy Jr, the health and human services secretary, told Fox News in February that Trump has asked for a study on the safety of abortion pills and has not made a decision on whether to tighten restrictions on them.Last year, the US supreme court rejected a bid by anti-abortion groups and doctors to restrict access to the drug, finding that they lacked legal standing to challenge the FDA regulations.Those plaintiffs dropped their case after the high court ruling, but US district judge Matthew Kacsmaryk, a Trump appointee, allowed the states to intervene and continue to pursue the lawsuit.The US justice department moved to dismiss their claims days before Trump took office in January.In Monday’s filing, government lawyers repeated their arguments that Texas is not the proper venue for the lawsuit and that the states lack standing to sue because they are not being harmed by the challenged regulations.“Regardless of the merits of the States’ claims, the States cannot proceed in this Court,” they wrote.The three states are challenging FDA actions that loosened restrictions on the drug in 2016 and 2021, including allowing for medication abortions at up to 10 weeks of pregnancy instead of seven, and for mail delivery of the drug without first seeing a clinician in person. The original plaintiffs initially had sought to reverse FDA approval of mifepristone, but that aspect was rebuffed by a lower court.The Republican-led states have argued they have standing to sue because their Medicaid health insurance programs will likely have to pay to treat patients who have suffered complications from using mifepristone.They have also said they should be allowed to remain in Texas even without the original plaintiffs because it would be inefficient to send the case to another court after two years of litigation. More

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    ‘Fight back’: journalist taking Trump administration to court calls for media to resist attacks

    The lead plaintiff in a lawsuit fighting Donald Trump’s order to dismantle Voice of America has said the media has to resist as the administration becomes increasingly aggressive against the press.“I never in a million years thought I would have to fight for freedom of the press in the United States of America. And yet here we are,” says Patsy Widakuswara, the White House bureau chief for the broadcasting network. “As journalism is under attack, it feels empowering to fight back. We need more people to resist and fight back.”Kicked out of press conferences on multiple continents for asking pointed questions, Widakuswara is not the type to balk at challenging powerful leaders. In her three decades as a journalist those instincts have served her well, and perhaps at no better time than now.The White House reporter is now leading the charge to save VOA, which the US president has described as “anti-Trump” and “radical”. In March, Trump signed an executive order that effectively cut off its funding via its parent company, the US Agency for Global Media (USAGM).Launched in 1942, initially to counter Nazi propaganda, VOA is a federally funded international broadcasting network, produced in dozens of languages that reach about 350 million people around the globe.View image in fullscreenFor decades it has been seen as a form of soft power, encapsulating the values of liberal America. But after Trump’s order its operations have been suspended, with virtually all of VOA’s staff of 1,300 placed on immediate administrative leave and about 600 contractors terminated.The lawsuit filed by Widakuswara and several of her colleagues follows lawsuits the Trump administration has taken out against ABC News and CBS’s 60 Minutes in the US, and attempts to expel some press from the White House. Those backing the case argue that VOA has for decades provided an important source of objective information, especially in illiberal environments.“These are not just women in Afghanistan or farmers in Africa,” said Widakuswara of VOA’s audience. “They’re also activists in Russia and decision makers all around the world who are also facing the onslaught of disinformation and propaganda from Russia, Iran, China, and extremist organisations like [Islamic State] and al-Qaida.”At home having a quiet Saturday when she received the email about VOA’s demise, Widakuswara says to do nothing was inconceivable. In a matter of days she had rallied a team to fight against it, and by Friday morning had filed a lawsuit.“It’s just the way I’m wired,” she says over the phone from Washington. “Congress gave us a mandate to tell America’s story to the world through factual, balanced and comprehensive reporting. If they want to change the size, structure or function of VOA, they can’t just shut us down. They must go through Congress. That’s the law.”View image in fullscreen‘Holding autocratic governments to account’Starting her career in Jakarta in the late 90s, just as Indonesia’s decades-long dictator Suharto was being toppled, the Indonesian-born journalist has seen first-hand the impacts of authoritarian regimes.Widakuswara worked at a campus radio station, and later as a fixer for foreign journalists when they flooded in to cover the event, as mass student protests inundated the parliament building and forced Suharto to step down.skip past newsletter promotionafter newsletter promotion“That was my first taste in media,” she says. “Holding autocratic governments to account.”The experience led to a career in television, and a British Foreign and Commonwealth Office scholarship to obtain her master’s in journalism at Goldsmiths, University of London. After stints at the BBC and Channel 4, she was named VOA’s White House bureau chief in 2021.Now, she finds herself pushing against fascistic tendencies in her adopted home. “I grew up in 80s Indonesia where there was no press freedom and newspapers had to be careful what they printed to avoid government closure,” she says. “Could the US backslide that far? Not if enough people resist, and that’s why I’m fighting back.”Her lawsuit, backed by Reporters Without Borders and four unions, argues the Trump administration, through the actions of the defendants, USAGM, and the government’s special adviser Kari Lake, are attempting to unlawfully dismantle VOA’s operations because they deem it contrary to the government’s agenda.Widakuswara argues that Trump’s executive order is a violation of press freedom, the first amendment, and laws to prevent executive overreach, with VOA funding approved by Congress, not the president.Another motivating factor is to support her 47 colleagues at VOA on J-1 or journalist visas in the US, who could be sent back to countries such as Russia, Belarus, Vietnam and Myanmar which have previously jailed journalists.Widakuswara’s efforts to save VOA appeared to score an early win, with a judge in April ordering the Trump administration to restore funding to VOA and other US-funded media. But the preliminary injunction was only a temporary measure.On Saturday, just as VOA staff were preparing for a “phased return” to work, a court of appeals issued a stay on that ruling, saying the court did not have the authority to block Trump’s executive order regarding employment matters.Keenly aware of the unfavourable political climate she is up against, Widakuswara says it is hard to know if their case will ultimately prevail, but the only choice is to try. “Even if it’s just like a 5% chance or even a 1% chance, that’s better than a 0% chance, which is what happens if we do nothing.” More

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    Voice of America to resume airing after court halts Trump’s dismantling of broadcaster

    Voice of America (VoA), the US-taxpayer funded news service for overseas listeners, could be back on the air as soon as next week, after a federal appeals court granted a temporary stay on an executive order dismantling the broadcaster.VoA was effectively shut down after Trump signed an order on 14 March dismantling or shrinking seven agencies including the US Agency for Global Media (USAGM).The USAGM is an independent government agency that oversees VoA and distributes congressionally appropriated funds to several non-profit broadcasters which provide news and information in almost 50 languages in countries with limited or no access to independent media sources.After nearly every affected network sued, US district judge Royce Lamberth, a Ronald Reagan appointee, granted a preliminary injunction in late April, ruling that the executive order was arbitrary and likely exceeded the president’s authority.The Department of Justice appealed. On Thursday, a Washington DC federal appeals court, which included two Trump appointees, partly upheld the lower court ruling that will enable VoA to resume broadcasting while the appeal plays out.VoA staff can begin a “phased return” to the office and resume programming next week, according to an email from the justice department shared with the Washington Post. Some VoA and USAGM staff have had access to their government email accounts restored.But the latest court ruling was bad news for the other publicly funded broadcasters.The Trump administration’s freeze on congressionally approved funds for Radio Free Europe/Radio Liberty, Radio Free Asia and Middle East Broadcasting Networks will remain in place while the lawsuit makes its way through the court.While VoA is a federal entity, the other broadcasters are private non-profit organizations. The funding freeze has already forced them to make staffing cuts and reduce content.skip past newsletter promotionafter newsletter promotionThe USAGA had, until now, enjoyed bipartisan support, due to the vital role VoA and the other foreign-news broadcasters play in advancing democracy and US interests by reaching about 360 million people in countries that have little to no independent press.The Guardian has contacted both the USAGA and VoA for comment. More

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    Trump order targeting law firm Perkins Coie is unconstitutional, judge rules

    A federal judge on Friday permanently struck down Donald Trump’s executive order that targeted the firm Perkins Coie, which once worked with his 2016 presidential election rival Hillary Clinton, after declaring in an extraordinary ruling that the order was unconstitutional and unlawful.The decision from the US district judge Beryl Howell, which criticized virtually every aspect of the order in a 102-page opinion, marks a major victory for Perkins Coie and could be used as a model by other judges weighing cases brought by other law firms in similar orders.“No American president has ever before issued executive orders like the one at issue,” she wrote, adding: “In purpose and effect, this action draws from a playbook as old as Shakespeare, who penned the phrase: ‘The first thing we do, let’s kill all the lawyers.’”Howell found in particular that the executive order violated the first, fifth and sixth amendments and permanently barred its implementation. She also raised alarm at other law firms that opted to strike deals with the Trump administration rather than face the possibility of being targeted themselves.Perkins Coie was the first law firm to end up in the crosshairs of Trump’s executive orders aimed at law firms that terminated any government contracts and barred federal employees from engaging with its attorneys or allowing them access to federal buildings, including courthouses.The administration said at the time that Perkins Coie was a national security risk principally because it had hired Fusions GPS on behalf of the Clinton presidential campaign in 2016, which produced the “dossier” that pushed discredited claims about Trump’s connections to Russia.Howell rejected that contention outright in her decision, citing Trump’s own attacks against Perkins Coie and the stunning breadth of everyone from the attorneys to the assistants at the firm facing restrictions as evidence that the executive order was retaliatory.The provision in the executive order that barred its lawyers from entering federal government buildings and engaging with government employees in particular was not speculative, Howell said, in part because the government had cancelled meetings within days of it being issued.The attempt by the administration to argue that it was limited to only when such access would threaten national security or in the national interest of the US was unconvincing, Howell said, since the executive order itself said working with Perkins Coie was not in the national interest.“That is unconstitutional retaliation and viewpoint discrimination, plain and simple,” she wrote.Howell also rebuked Trump over the requirement in the executive order for any private companies that had government contracts to disclose whether they had ever worked with Perkins Coie, regardless of whether it was related to their government contract work.The requirement, Howell suggested, was at odds with the first amendment protection to freely use any lawyer, since the need to disclose any possible work with Perkins Coie could mean firms that contracted with the government would be dissuaded from using them at all.And the order was unlawfully broad, Howell said, since it required disclosure “whether the contract is for crucial classified military equipment costing millions of dollars per item delivered or for paper clips costing pennies, and no matter whether the disclosure of association with plaintiff had anything to do with a government contract”.The Trump administration is almost certain to appeal to the US court of appeals for the DC circuit. The ruling comes weeks after Howell previously issued a temporary restraining order that blocked Trump’s order from taking effect after a hearing last month in federal district court in Washington.That temporary injunction followed an emergency lawsuit filed by Perkins Coie on the advice of Williams and Connolly, another elite firm in the nation’s capital known for taking cases against government overreach.Perkins Coie had initially reached out to the firm Quinn Emanuel, which has previously represented people in Trump’s orbit, including Elon Musk, the Trump Organization itself, and the New York mayor, Eric Adams, whose corruption charges were dropped by the justice department last month.But Quinn Emanuel declined to take Perkins Coie as a client, as its top partners decided not to become involved in a politically sensitive issue that could make themselves a target by association just as they have been on the rise as a power center in Washington DC.While other law firms discussed whether to file amicus briefs or declarations supporting Perkins Coie, the firm was ultimately taken on by Williams and Connolly. They advised Perkins Coie to ask for an emergency hearing and temporary restraining order, both of which Howell granted. More

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    Puerto Rico drops climate lawsuit after DoJ sues states to block threats to big oil

    Puerto Rico has voluntarily dismissed its 2024 climate lawsuit against big oil, a Friday legal filing shows, just two days after the US justice department sued two states over planned litigation against oil companies for their role in the climate crisis.Puerto Rico’s lawsuit, filed in July, alleged that the oil and gas giants had misled the public about the climate dangers associated with their products. It came as part of a wave of litigation filed by dozens of US states, cities and municipalities in recent years.Donald Trump’s administration has pledged to put an end to these cases, which he has called “frivolous” and claimed are unconstitutional. In court filings on Wednesday, his justice department claimed the Clean Air Act “displaces” states’ ability to regulate greenhouse gas outside their borders.The agency specifically targeted Michigan, whose Democratic attorney general last year tapped private law firms to work on such a case, and Hawaii, whose Democratic governor filed its suit on Thursday. Officials from both states condemned the justice department’s filings.Friday’s filing from Puerto Rico did not list a reason for the lawsuit’s dismissal. The Guardian has contacted the territory’s attorney general’s office for comment and asked whether it was related to the Trump administration’s moves on Wednesday.Reached for comment, John Lamson, a spokesperson for the San Francisco-based law firm Sher Edling, which filed the 2024 suit on behalf of Puerto Rico said: “We serve under the direction and control, and at the pleasure, of our clients in all of our representations.”Puerto Rico in November elected as governor the Republican Jenniffer González-Colón, a Trump ally. In February, González-Colón tapped Janet Parra-Mercado as the territory’s new attorney general.Climate-accountability litigation has also faced recent attacks in the media. Last month, an oilfield services executive published an op-ed in Forbes saying the Puerto Rico lawsuit “may derail” efforts to improve grid reliability.Groups tied to the far-right legal architect Leonard Leo have also campaigned against the lawsuits. And just days before the voluntary dismissal, the rightwing, pro-fossil fuel advocacy group American Energy Institute (AEI) sent a letter to González-Colón, Fox News reported, calling for an end to climate-focused “coordinated lawfare”.“Their goal is to bankrupt energy companies or to leverage the threat of tort damages to force outcomes that would be disastrous for Puerto Rico and the rest of the nation,” AEI’s CEO, Jason Isaac, wrote of the plaintiffs.AEI has attacked climate-focused legal efforts and has been linked to Leo, the Guardian has reported.In December, a California-based trade association of commercial fishers voluntarily dismissed a lawsuit accusing big oil of climate deception.In two earlier lawsuits, 37 Puerto Rico municipalities and the capital city of San Juan accused fossil fuel companies of conspiring to deceive the public about the climate crisis, seeking to hold them accountable for the devastation wrought by Hurricane Maria. More