Category: Health

  • MIL-OSI Canada: Reinforcing legislation, refocusing health care

    [. Since then, significant changes have been made to both legislation and regulations to establish the refocused health care system. The proposed Health Statutes Amendment Act, 2025, would address all outstanding policy items and ensure a successfully refocused health care system.

    Under Bill 55, amendments are proposed to the Provincial Health Agencies Act, Hospitals Act, Protection of Persons in Care Act, Health Information Act and the Public Health Act.

    “A year and a half in, and we are in the final stages of refocusing Alberta’s health care system. The proposed changes will help us continue to improve the health care system for all Albertans.”

    Adriana LaGrange, Minister of Health

    Refocusing public health

    Throughout the public engagement sessions held across the province, Albertans and health care workers have stressed the need for a consistent and strategic approach to public health, which the current organizational structure doesn’t facilitate.

    As part of the health care system refocusing, Alberta’s government will transfer several public health functions that currently reside within Alberta Health Services to Primary Care Alberta later this year. Primary Care Alberta will oversee front-line public health services, such as communicable disease control, immunizations, newborn screening and health promotion.

    Additionally, key functions like policy development, public health inspections and surveillance will be moved to Alberta Health, and the province’s medical officers of health will move into the Office of the Chief Medical Officer of Health. Amendments to the Public Health Act will enable these transitions while ensuring these important functions are not interrupted and Albertans can rely on a consistent delivery of services.

    “Promoting and protecting the health of individuals, families and communities is foundational to Primary Care Alberta’s commitment to bringing the right care to patients where they are. I look forward to welcoming our front-line public health providers to the Primary Care Alberta team and working with these dedicated professionals to build a strong, unified health care system that improves health outcomes for all those who call Alberta home.”

    Kim Simmonds, president and CEO, Primary Care Alberta

    There will be no disruption to public health delivery in the province during the transition. Albertans will continue to access public health services as they always have. There will be no front-line job losses, and the collective bargaining process will be respected as this work moves forward.

    Other proposed amendments

    If passed, amendments will strengthen health foundations by streamlining governance functions like bylaw approval and board member appointment processes, bring clarity to public health’s role in the refocused system and ensure legislation accurately reflects how hospitals will be managed and operated.

    The new health shared services entity, which supports all four health services sectors, will provide oversight for health foundations in the refocused system. This is a natural fit for health foundations, as they work across all sectors. Legislation will also establish a clearer connection between health foundations and the communities they serve.

    The Government of Alberta takes all allegations of abuse in publicly funded care facilities seriously. A proposed amendment to the Protection of Persons in Care Act will provide additional capacity to complete investigations into allegations of abuse and is part of Alberta Health’s commitment to provide timely service and protect vulnerable adult Albertans in care.

    The Health Information Act is also being amended to provide the Ministry of Seniors, Community and Social Services with further powers to enable it to fulfil its mandate as the sector ministry for continuing care. This ensures the Ministry of Seniors, Community and Social Services can collect, use and disclose health information necessary to support the minister’s role as the sector minister responsible for continuing care in Alberta, including Assisted Living Alberta, the provincial health agency that became a legal entity on April 1 and will be operational later this year.

    Also proposed in this legislation is that sections of the Hospitals Act be repealed. Certain aspects of the Hospitals Act will be integrated into the Provincial Health Agencies Act and will ensure governance of the health system is under one statute. The Hospitals Act is outdated legislation that does not reflect current acute-care system governance or the introduction of new governance structures and ministerial roles. There will be no effects on the standards of care provided within hospitals by repealing portions of this act.

    Quick facts

    • Amendments to legislation would enable key policy shifts to support refocusing efforts, including:
      • Updating the oversight and governance for health foundations.
      • Ensuring hospital governance aligns with the health system refocusing direction.
      • Reorganizing the governance and planning for public health services.
      • Repealing references to regional health authorities, health regions and Alberta Health Services (AHS) in legislation (to be proclaimed in fall 2025, after AHS’ functions and responsibilities as the regional health authority have transitioned to other entities).
    • In spring 2024, the Health Statutes Amendment Act, 2024, passed, along with regulatory amendments to enable the stand up of the provincial health agencies.
    • In fall 2024, the Health Statutes Amendment Act, 2024 (No.2), amended the Provincial Health Agencies Act and its regulations, establishing AHS’ legal status as it transitions from a regional health authority to an acute-care service provider.
    • The Health Information Act was amended in fall 2024 to designate the Ministry of Seniors, Community and Social Services (SCSS) as a custodian under the act, meaning SCSS can access specific health information for the purpose of fulfilling its mandate.

    Related information

    • Streamlining the health care system for Albertans
    • Bill 55: Health Statutes Amendment Act, 2025

    Related news

    • Refocusing emergency services (March 10, 2025)
    • Refocusing continuing care for the future (Jan. 30, 2025)
    • Refocused health care: Continuing the conversation (Jan. 9, 2025)
    • Refocusing acute care leadership for the future (Jan. 8, 2025)
    • Ensuring a successfully refocused health system (Nov. 18, 2024)

    Multimedia

    • Watch the news conference
    • Listen to the news conference

    MIL OSI Canada News

  • MIL-OSI USA: Senator Marshall, Rep. Tenney Introduce the No Subsidies for Gender Transition Procedures Act

    US Senate News:

    Source: United States Senator for Kansas Roger Marshall

    Washington – U.S. Senator Roger Marshall, M.D. (R-Kansas) today introduced the No Subsidies for Gender Transition Procedures Act,a bill that would prohibit taxpayer funding for gender transition procedures covered by Medicaid, Medicare, the Children’s Health Insurance Program, and the Affordable Care Act. The bill also would deny the medical expense tax deduction for gender transition procedures. U.S. Representative Claudia Tenney (R-New York-24) introduced the House companion version of this bill.
    Due to the bill’s targeted approach toward altering the tax code and mandatory spending, Senator Marshall is advocating for this legislation to be included in the FY2025 budget reconciliation package. 
    “Americans overwhelmingly agree that hard-earned taxpayer dollars should not go toward paying for harmful gender transition procedures,” said Senator Marshall. “This legislation delivers on President Trump’s promise, eliminates taxpayer-funded transgender procedures on both minors and adults, and defends our nation’s values. As the reconciliation process continues, I urge my colleagues to support this commonsense legislation and ensure it is included in the One, Big, Beautiful Bill.” 
    “Taxpayers should never be forced to fund dangerous and irreversible gender transition surgeries. The No Subsidies for Gender Transition Procedures Act sets a sweeping precedent by applying to both adults and minors and applying to as many federal funding streams as possible,” said Representative Tenney. “This will ensure that regardless of the age of the individual looking to mutilate themself, the American taxpayer will not be forced to subsidize it. We are working to ensure that not a dime of federal funds can be used to pay for gender transition procedures.”
    This legislation is cosponsored by U.S. Senators Bill Cassidy (R-Louisiana), Mike Lee (R-Utah), and Pete Ricketts (R-Nebraska).
    “Americans don’t want tax dollars funding sex change operations for children,” said Dr. Cassidy. “Let’s use that money for real medical treatment, not to prop up gender ideology.”
    “Trans ideology is anti-science, anti-truth, and anti-child – our government cannot make American families complicit in these controversial medical procedures, especially against young and vulnerable people in our society,” said Senator Lee. “Our necessary legislation prevents taxpayer dollars from funding the gender transition regime through reimbursements, Medicare, Medicaid, and other avenues.”
    “American tax dollars should not fund gender reassignment surgery,” said Senator Ricketts. “This bill ends the misuse of tax dollars on these procedures. It also stops federal healthcare facilities from providing these procedures.”
    The legislation is supported by the American Principles Project.
    “Every year, the federal government subsidizes the transgender medical industry with our tax dollars, despite the vast majority of Americans opposing this horrific waste of taxpayer funding,” said Terry Schilling, President of American Principles Project. “The No Subsidies for Gender Transition Procedures Act would deal a serious blow to the woke trans agenda’s biological and fiscal insanity, and I am grateful for Senator Marshall’s leadership on this problem. It’s time for Congress to pass this important legislation.”
    Click HERE to read the full bill text.
    Background:

    By eliminating federal spending on transgender procedures, we can save American taxpayers $200 million.
    25 states and D.C. have Medicaid policies that explicitly cover transgender-related health care.
    Over 276,000 of the 1.3 million transgender adults are enrolled in Medicaid.
    In March of 2025, Senator Marshall introduced the End Taxpayer Funding of Gender Experimentation Act – similar legislation that prohibits the use of federal funding for gender transition procedures and bars federal healthcare facilities, physicians, and providers from providing such procedures.

    MIL OSI USA News

  • MIL-OSI USA: Governor Polis Signs Bills Into Law Expanding Access to Behavioral Health Care and Higher Education for Military Connected Coloradans

    Source: US State of Colorado

    Governor also signs new laws focused on cell phones in the classroom and increased transparency for library resources 

    DENVER – Today, Governor Polis joined by Lt. Governor Primavera, signed legislation to expand healthcare access and services for veterans and military-connected families, and provide tuition waivers for eligible members of the Colorado National Guard.

    • SB25-247 – Tuition Waiver & Colorado National Guard Members, sponsored by Senators Jeff Bridges and Barbara Kirkmeyer, and Representatives Shannon Bird and Rick Taggart
    • HB25-1132 – Military Family Behavioral Health Grant Program, sponsored by Representatives Sean Camacho and Rebekah Stewart, and Senators Nick Hinrichsen and Jeff Bridges 

    “In Colorado, we are committed to expanding support and opportunities for our valuable military community, by saving military-connected families more money on healthcare and reducing the cost of college for the next step in their careers. Thank you to the sponsors for creating legislation that uplifts and protects Colorado’s important military community,” said Governor Polis. 

    “Colorado has always proudly stood behind those who serve — and today, we’re reaffirming that commitment,” said Lt. Governor Dianne Primavera. “With these bills, we’re taking real steps to continue supporting our military members, their families, and Veterans. We honor your service not just in words, but through meaningful action. Colorado is proud to stand with you and is committed to being the best home for our military-connected communities.” 

    Governor Polis also signed bills into law promoting transparent and healthy educational practices in Colorado to help Colorado students grow academically and succeed. 

    • SB25-063 – Library Resource Decision Standards for Public Schools, sponsored by Senators Lisa Cutter and Dafna Michaelson Jenet, and Representatives Lorena Garcia and Jenny Willford.
    • HB25-1135 – Communication Devices in Schools, sponsored by Representatives Meghan Lukens and Mary Bradfield, and Senators Janice Marchman and Lisa Frizell. 

    “Finding ways to create engaging and productive learning environments for Colorado students that foster stronger learning and bolster student engagement is critically important. This legislation strikes a balance between helping students learn better in the classroom and have access to technology when needed,” said Governor Polis. 

    Governor Polis signed the following bill into law administratively: 

    • HB25-1185 – Child Conceived from Sex Assault Court Proceedings, sponsored by Representatives Meg Froelich and Jenny Willford, and Senator Mike Weissman. This bill is bipartisan. 

    ###

    MIL OSI USA News

  • MIL-OSI USA: Mfume Joins Bicameral Letter on Cuts to Medicaid in District of Columbia

    Source: United States House of Representatives – Congressman Kweisi Mfume (MD-07)

    WASHINGTON, DC – Amid reports that House Republicans plan to reduce the Federal Medical Assistance Percentage (FMAP) in the District of Columbia, Congressman Steny H. Hoyer (MD-05), Congresswoman Eleanor Holmes Norton (D-DC), and Senator Chris Van Hollen (D-MD) led 15 Members in sending a letter to leaders on the House Committee on Energy & Commerce decrying the proposed cuts to Medicaid in the District. The letter is signed by all Democrats in the National Capital Region, including Senators Mark Warner (D-VA), Tim Kaine (D-VA), and Angela Alsobrooks (D-MD), and Representatives Robert “Bobby” Scott (VA-03), Gerry Connolly (VA-11), Donald Beyer, Jr. (VA-08), Jamie Raskin (MD-08), Kweisi Mfume (MD-07), Glenn Ivey (MD-04), Jennifer L. McClellan (VA-04), Eugene Vindman (VA-07), Suhas Subramanyam (VA-10), Johnny Olszewski (MD-02), Sarah Elfreth (MD-03), and April McClain Delaney (MD-06).

    In 2024, 264,332 people enrolled in Medicaid in the District, including 3 in every 7 children, 4 in every 5 nursing home residents, and 1 in every 2 working-age adults with disabilities. Many of these Americans risk losing coverage if D.C.’s FMAP is reduced. A lower FMAP would also force hospitals, clinics, and local health centers to close their doors, undermining care for everyone in the region. 

    “It is imperative that our constituents, and those who seek care within our jurisdictions, have reliable access to health care,” the Members wrote in their letter. “Cuts to Medicaid will have devastating impacts regionally and nationwide, decreasing the availability of providers and services, forcing millions of American families to lose coverage, and increasing wait times for patients in need. Moreover, cuts threaten our region’s health centers, hospitals, nursing homes, home and community-based care providers, and behavioral health providers.”

    “Such a change would be catastrophic, destabilizing the health care system of the Washington, D.C. metropolitan region and beyond and impacting the hundreds of thousands of constituents who live, work, travel through, or receive care in D.C. each day,” the Members continued.

    “As a top children’s hospital and the region’s only Pediatric Level 1 Trauma Center, we are deeply concerned that the proposed cuts to D.C. Medicaid will have unintended consequences and will put critical health care for children at risk,” said Michelle Riley-Brown, President and CEO of Children’s National Hospital. “These proposals would force us to immediately scale back the specialized care that hundreds of thousands of families from all 50 states and D.C. rely on each year, including the 55 percent of our patients who are covered by Medicaid.” 

    “Cutting DC’s Medicaid funding would decimate health care, emergency preparedness, and public safety in the city, impacting not only DC residents but those who work and visit the city,” said Jacqueline Bowens, President and CEO of DC Hospital Association. “Cuts would force reductions in services at hospitals and have a ripple effect on the city budget and essential public safety services, including police, fire, education, and substance abuse, mental health, and homeless services.”

    The full text of the letter is included below:

    Dear Chairman Guthrie, Ranking Member Pallone, Chairman Carter, and Ranking Member DeGette:

    We write in strong opposition to the proposals contemplated in the FY25 Budget Resolution to cut Medicaid. It is imperative that our constituents, and those who seek care within our jurisdictions, have reliable access to health care. Cuts to Medicaid will have devastating impacts regionally and nationwide, decreasing the availability of providers and services, forcing millions of American families to lose coverage, and increasing wait times for patients in need. Moreover, cuts threaten our region’s health centers, hospitals, nursing homes, home and community-based care providers, and behavioral health providers. These indispensable providers serve low-income, military-connected, and disabled children and adults, and play a unique role in our nation’s capital.

    We write with particular concern regarding proposals to reduce the Federal Medical Assistance Percentage (FMAP) for the District of Columbia. Such a change would be catastrophic, destabilizing the health care system of the Washington, D.C. metropolitan region and beyond and impacting the hundreds of thousands of constituents who live, work, travel through, or receive care in D.C. each day. Notably, this includes Members of Congress and their staff, members of the administration, visiting dignitaries, and their families, as well as families across the country who rely on D.C.’s specialized care. We all depend on and expect our nation’s capital to have a quality, responsive health care system. Efforts to weaken that system through cuts to Medicaid undermine the stability and resilience our region requires and would have reverberating effects across the country.

    In 1997, a Republican Congress passed the National Capital Revitalization and Self-Government Improvement Act of 1997 (Revitalization Act), which established the current 70 percent D.C. FMAP and transferred certain functions and costs from the D.C. government to the federal government. Congress passed the Revitalization Act in part because it recognized that it imposes unique revenue limitations on D.C., which operates as a state, county, and city. Congress imposes three main revenue limitations on D.C.: D.C. cannot tax income earned in D.C. by nonresidents, depriving D.C. of more than $3 billion in revenue per year; D.C. cannot permit buildings to exceed certain height limitations; and D.C. cannot tax its sizable federal property.

    As it currently stands, other jurisdictions are entitled to a higher FMAP than D.C. The Consolidated Appropriations Act, 2023 set the FMAP for American Samoa, Guam, the Northern Mariana Islands, and the U.S. Virgin Islands permanently at 83% and set the FMAP for Puerto Rico at 76% through FY 2027. Five states (Mississippi, West Virginia, Alabama, New Mexico, and Kentucky) have FMAPs that are higher than D.C.

    Reducing D.C.’s FMAP would weaken care for all in the Washington, D.C. metropolitan region, regardless of insurance status. Medicaid supports nearly a quarter of D.C.’s population, including 3 in 7 children and 4 in 5 nursing home residents. For example, proposals to reduce D.C.’s FMAP from 70 percent to 50 percent would create a $1.1 billion annual hole in local funds and ultimately result in a total loss of $2.1 billion per year in program funds to local hospitals, universities, and providers. This equates to a 40 percent cut in funding directly impacting health care providers. Hospitals in the region project at least $232 million in uncompensated care due to D.C.’s FMAP reductions, with at least one medical system expecting to close altogether. Impacts would reverberate across fire and emergency services, police recruitment and retention, and behavioral health resources and threaten the ability of hospitals and other safety net providers to stay open. Community-based providers in Virginia and Maryland risk being overwhelmed, as demand rises from D.C. residents seeking timely care.

    Further, without corresponding funding or infrastructure support, it would be challenging for the rest of the region to shoulder the responsibility for regional emergency response. D.C.’s four Level I trauma centers, including those at Children’s National Hospital and MedStar Washington Hospital Center, provide vital care for patients in major incidents or emergency situations, including those involving Members of Congress, federal employees, and visitors. Reducing D.C.’s FMAP would have a particularly disproportionate impact on the provision of trauma and specialty capacities, principally for burn and pediatric patients.

    Reductions to D.C.’s FMAP would adversely limit regional access to life-saving and specialized pediatric care. We note with particular alarm the potential impacts on Children’s National, which provides specialized care to patients from all 50 states, including West Virginia, Pennsylvania, Florida, and North Carolina. 73% of hospital stays and emergency department visits at Children’s National are covered by Medicaid. Reductions in Medicaid funding would likely result in the hospital making significant cuts to primary care, behavioral health, and outpatient subspecialty services, with families having to travel further to obtain such care or going without it. Further, local federally qualified health centers (FQHCs) anticipate that a change to D.C.’s FMAP would result in a loss of coverage for more than 33,000 adult health center patients and a loss of $58 million in payments, leaving them unable to serve over 24,000 of their current patients.

    Reductions to D.C.’s FMAP would be catastrophic for our local providers and pose grave challenges to ensuring patients in the mid-Atlantic region and beyond receive necessary care. As you consider potential policy options through Budget Reconciliation, we urge you to strongly oppose all cuts to Medicaid and to protect the current FMAP for the District of Columbia.

    ###

    MIL OSI USA News

  • MIL-OSI USA: Congressman Gabe Amo, Congresswoman Lizzie Fletcher, and Congressman Mike Quigley Introduce Legislation To Reverse Trump Administration Decision Allowing Federal Agencies To Ban Public Input

    Source: US Congressman Gabe Amo (Rhode Island 1st District)

    Washington, D.C.—Today, Congresswoman Lizzie Fletcher (TX-07), Congressman Mike Quigley (IL-05), and Congressman Gabe Amo (RI-01) introduced a resolution opposing the U.S. Department of Health and Human Services’ (HHS) proposal to limit public notice and public comment for proposed rules. Senator Ron Wyden (D-OR), Senator Ed Markey (D-MA), and Senator Angus King (I-ME) introduced this legislation in the U.S. Senate today.

    “For more than half a century, the Department of Health and Human Services — under Democratic and Republican administrations alike — has allowed the American people to weigh in on proposed rules that would affect public property, loans, grants, benefits, and contracts,” said Congressman Gabe Amo. “Secretary Kennedy committed to ‘radical transparency’ during his confirmation hearing, yet his decision to end this public input would eviscerate transparency, undermine public participation, and allow the department to operate in secret. President Trump and Secretary Kennedy’s push to rescind basic transparency in public health begs the question — what are they trying to hide?”

    “For decades, HHS has engaged with the public about policies that directly affect their lives and livelihoods,” said Congresswoman Lizzie Fletcher.  “As a result of this input, Democratic and Republican administrations alike have modified proposed rules in response to the issues and concerns exposed through this public comment process, often clarifying a rule’s intended meaning and correcting unforeseen errors.  Banning public comment not only reduces transparency and accountability in the HHS decision-making process, creating uncertainty for health care providers, research institutions, and advocacy groups in grantmaking processes, it also excludes the people from their government. That’s why I am glad to introduce this legislation in the House with Congressman Mike Quigley and Congressman Gabe Amo in partnership with Senator Ron Wyden, Senator Ed Markey, and Senator Angus King to reaffirm the importance of public engagement in our health care and of the people in our government.”

    “For an administration that claims to be transparent, Trump and RFK’s choice to insulate HHS from public input is repugnant,” said Congressman Mike Quigley. “This change reverses years of HHS precedent. As Founder of the Transparency Caucus, I’m proud to lead this resolution to preserve public involvement in HHS decisions.”

    In 1971, HHS adopted the Richardson Waiver to ensure that public notice and comment procedures for HHS would include rules related to public property, loans, grants, benefits, and contracts.  The 1971 directive built on legal requirements laid out by the Administrative Procedure Act of 1946 (APA) to allow the public greater input in agency matters.  On March 3, HHS Secretary Robert F. Kennedy announced that HHS would rescind this longstanding policy to solicit public comments on proposed rules, effective immediately.

    AFSCME, AFT: Education, Healthcare, Public Services, AI Arthritis, Alliance for Aging Research, America’s Essential Hospitals, American Academy of Family Physicians (AAFP), American Academy of Pediatrics (AAP), American Cancer Society Cancer Action Network, American College of Obstetricians and Gynecologists (ACOG), American Federation for Aging Research, American Kidney Fund, American Lung Association, Arthritis Foundation, Association of American Medical Colleges, Asthma and Allergy Foundation of America, CancerCare, Caring Across Generations, Center for Medicare Advocacy, Center for Reproductive Rights, Center for Reproductive Rights, Children’s Hospital Association, Community Catalyst, Cystic Fibrosis Foundation, Daily Voice National, Epilepsy Foundation of America, Families USA, Geriatric Circle, Gerontological Society of America, Gillette Children’s, Immune Deficiency Foundation, Justice in Aging, Large Urology Group Practice Association, LeadingAge, Medicare Rights Center, Muscular Dystrophy Association, National Bleeding Disorders Foundation, National Bleeding Disorders Foundation, National Consumer Voice for Quality Long-Term Care, National Family Planning & Reproductive Health Association, National Health Council, National Health Law Program, National Kidney Foundation, National MS Society, National Nurses United, National Organization for Rare Disorders, National Partnership for Healthcare and Hospice Innovation, National Partnership for Women & Families, National Patient Advocate Foundation, National Rural Health Association, National Women’s Law Center Action Fund, PHI National, Planned Parenthood Federation of America, Protect Our Care, SEIU, Susan G. Komen, and the United Steelworkers (USW) have endorsed the resolution.

    To read the full text of the resolution, click here.

    MIL OSI USA News

  • MIL-OSI: OptimizeRx Releases 2025 Environmental, Social, and Governance (ESG) Report

    Source: GlobeNewswire (MIL-OSI)

    WALTHAM, Mass., May 01, 2025 (GLOBE NEWSWIRE) — OptimizeRx Corp. (the “Company”) (Nasdaq: OPRX), a leading provider of healthcare technology solutions helping life sciences companies reach and engage healthcare professionals (HCPs) and patients, has published its Environmental, Social and Governance (ESG) report for 2025.

    As a company focused on optimizing meaningful engagement opportunities at critical junctures of the healthcare journey, we remain dedicated to aligning our mission with our responsibilities as a corporate citizen.

    “Our stakeholders continue to expect us to transparently disclose our commitment to environmental, social, and governance responsibilities,” stated Marion Odence-Ford, Chief Legal Officer & Chief Human Resources Officer. “During calendar year 2024, we enhanced our disclosures on a wide range of ESG topics. We improved our Institutional Shareholder Services (ISS) ESG rating, moving from the seventh decile to the first decile and earning prime status. We are proud of our achievements and look forward to realizing more progress in the years to come.”

    ESG Report Highlights:

    Governance:

    • The pursuit of responsible governance is a top-down endeavor, and the Company’s Board of Directors and the Nominating & Governance Committee have worked closely with the Executive Team to ensure our business strategies and practices align with our corporate governance policies.
    • Our annual double-materiality survey has identified a clear three-year trend in the topics our stakeholders care about most. These topics are clustered in three main areas:
      • Data Protection: Customer Privacy and Data & Cybersecurity;
      • Ethics and Governance: Business Ethics, Responsible Marketing & Advertising, Corporate Governance, and Anti-Competitive Behavior; and
      • Human Capital: Human Capital & Resources, Labor Practices & Management, and Talent Acquisition & Retention.

    Planet:

    • This year’s ESG Report continues to build on past successes, adding additional detail in the form of a methodology appendix, more comprehensive data on Scope 1 emissions, and reporting on additional individual greenhouse gases.

    People:

    • OptimizeRx continues to believe that impartiality in employment practices is an essential part of our business and is necessary to contribute to a culture of respect. We provide merit-based opportunities to all individuals without regard to age, race, color, national origin, ancestry, citizenship, religion, gender, sexual orientation or gender identity.
    • We prioritize recruiting, retaining, and incentivizing a highly qualified workforce as the success of OptimizeRx is dependent on the skills, experience, and efforts of our employees. We also believe that contributions stemming from each employee’s cultural, economic and social background, experience, and thought are essential in making our Company stronger. Collaboration drawn from a range of perspectives enhances decision-making, sparks innovation, and drives better business outcomes. An inclusive culture boosts employee engagement, attracts top talent, and reduces turnover which furthers long-term success.
    • This year, the Company introduced the SPARK employee recognition program to recognize and celebrate Sustained Excellence, Positive Impact, Accountability, Resilience and Kindness.
    • Another recent initiative includes a Competency Model to clearly define competency levels and expectations for skills, knowledge and experience, and to provide department-specific career progression visuals, to guide each employee’s growth and success.

    Prosperity:

    • We remain vigilant in our quest to turn healthcare challenges into opportunities. Not only do these opportunities present us with new ways to grow and learn, but also to do better for our customers, employees, and the patients we impact, because increasing stakeholder value also drives shareholder value.
    • The Company has seen strong adoption of its Dynamic Audience Activation Platform (DAAP), an AI-enabled platform that delivers predictive and privacy-safe marketing solutions that connects life sciences, HCPs and patients across the most robust network of personal and clinical platforms.
    • The 2024 integration of the consumer-focused solutions of Healthy Offers, Inc. (dba Medicx Health), strengthens our ability to deliver on our mission across expanded stakeholder groups with our increased data and analytics capabilities.

    To read OptimizeRx’s full ESG report, please visit the Company’s governance page on its website or click here.

    About OptimizeRx
    OptimizeRx is a leading healthcare technology company that’s redefining how life science brands connect with patients and healthcare providers. Our platform combines innovative AI-driven tools like the Dynamic Audience Activation Platform (DAAP) and Micro-Neighborhood Targeting (MNT) to deliver timely, relevant, and hyper-local engagement. By bridging the gap between HCP and DTC strategies, we empower brands to create synchronized marketing solutions that drive faster treatment decisions and improved patient outcomes.

    Our commitment to privacy-safe, patient-centric technology ensures that every interaction is designed to make a meaningful impact, delivering life-changing therapies to the right patients at the right time. Headquartered in Waltham, Massachusetts, OptimizeRx partners with some of the world’s leading pharmaceutical and life sciences companies to transform the healthcare landscape and create a healthier future for all.

    Important Cautions Regarding Forward-Looking Statements
    This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Words such as “anticipates”, “believes”, “estimates”, “expects”, “forecasts”, “intends”, “plans”, “projects”, “targets”, “designed”, “could”, “may”, “should”, “will” or other similar words and expressions are intended to identify these forward-looking statements. All statements that reflect the Company’s expectations, assumptions, projections, beliefs or opinions about the future, other than statements of historical fact, are forward-looking statements, including, without limitation, statements relating to the Company’s growth, business plans, future performance. These forward-looking statements are based on the Company’s current expectations and assumptions regarding the Company’s business, the economy, and other future conditions. The Company disclaims any intention or obligation to publicly update or revise any forward-looking statements, whether because of new information, future events, or otherwise, except as required by applicable law. Forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted, or quantified. Future events and actual results could differ materially from those set forth in, contemplated by, or underlying the forward-looking statements. The risks and uncertainties to which forward-looking statements are subject include, but are not limited to, the effect of government regulation, competition, and other risks summarized in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2024, its subsequent Quarterly Reports on Form 10-Q, and its other filings with the Securities and Exchange Commission.

    OptimizeRx Contact 
    Andy D’Silva, SVP Corporate Finance   
    adsilva@optimizerx.com   
      
    Investor Relations Contact
    Steven Halper
    LifeSci Advisors, LLC
    shalper@lifesciadvisors.com

    The MIL Network

  • MIL-OSI: Trupanion Reports First Quarter 2025 Results

    Source: GlobeNewswire (MIL-OSI)

    SEATTLE, May 01, 2025 (GLOBE NEWSWIRE) — Trupanion, Inc. (Nasdaq: TRUP), a leading provider of medical insurance for cats and dogs, today announced financial results for the first quarter ended March 31, 2025.

    “Q1 was a strong start to the year, with performance ahead of plan across key metrics,” said Margi Tooth, Chief Executive Officer and President of Trupanion. “We saw early momentum in both retention and pet acquisition, and with expanded margins in our subscription business, we’re well-positioned to continue to invest in growth.”

    First Quarter 2025 Financial and Business Highlights

    • Total revenue was $342.0 million, an increase of 12% compared to the first quarter of 2024.
    • Total enrolled pets (including pets from our other business segment) was 1,667,637 at March 31, 2025, a decrease of 2% over March 31, 2024.
    • Subscription business revenue was $233.1 million, an increase of 16% compared to the first quarter of 2024.
    • Subscription enrolled pets was 1,052,845 at March 31, 2025, an increase of 5% over March 31, 2024.
    • Net loss was $(1.5) million, or $(0.03) per basic and diluted share, compared to a net loss of $(6.9) million, or $(0.16) per basic and diluted share, in the first quarter of 2024.
    • Adjusted EBITDA was $12.2 million, compared to adjusted EBITDA of $4.8 million in the first quarter of 2024.
    • Operating cash flow was $16.0 million and free cash flow was $14.0 million in the first quarter of 2025. This compared to operating cash flow of $2.4 million and free cash flow of $(0.6) million in the first quarter of 2024.
    • At March 31, 2025, the Company held $321.8 million in cash and short-term investments, including $48.8 million held outside the insurance entities, with an additional $15.0 million available under its credit facility.

    Conference Call
    Trupanion’s management will host a conference call today to review its first quarter 2025 results. The call is scheduled to begin shortly after 1:30 p.m. PT/ 4:30 p.m. ET. A live webcast will be accessible through the Investor Relations section of Trupanion’s website at https://investors.trupanion.com/ and will be archived online for 3 months upon completion of the conference call. Participants can access the conference call by dialing 1-866-250-8117 (United States) or 1-412-317-6011 (International). A telephonic replay of the call will also be available after the completion of the call, by dialing 1-844-512-2921 (United States) or 1-412-317-6671 (International) and entering the replay pin number: 10197710.

    About Trupanion
    Trupanion is a leader in medical insurance for cats and dogs throughout the United States, Canada, and certain countries in Continental Europe with over 1,000,000 pets currently enrolled. For over two decades, Trupanion has given pet owners peace of mind so they can focus on their pet’s recovery, not financial stress. Trupanion is committed to providing pet parents with the highest value in pet medical insurance with unlimited payouts for the life of their pets. With its patented process, Trupanion is the only North American provider with the technology to pay veterinarians directly in seconds at the time of checkout. Trupanion is listed on NASDAQ under the symbol “TRUP”. The company was founded in 2000 and is headquartered in Seattle, WA. Trupanion policies are issued, in the United States, by its wholly-owned insurance entity American Pet Insurance Company and, in Canada, by Accelerant Insurance Company of Canada. Trupanion Australia is a partnership between Trupanion and Hollard Insurance Company. Policies are sold and administered in Canada by Canada Pet Health Insurance Services, Inc. dba Trupanion 309-1277 Lynn Valley Road, North Vancouver, BC V7J 0A2 and in the United States by Trupanion Managers USA, Inc. (CA license No. 0G22803, NPN 9588590). Canada Pet Health Insurance Services, Inc. is a registered damage insurance agency and claims adjuster in Quebec #603927. Trupanion Australia is a partnership between Trupanion and Hollard Insurance Company. For more information, please visit trupanion.com.

    Forward-Looking Statements
    This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934 relating to, among other things, expectations, plans, prospects and financial results for Trupanion, including, but not limited to, its expectations regarding its ability to continue to grow its enrollments and revenue, and otherwise execute its business plan. These forward-looking statements are based upon the current expectations and beliefs of Trupanion’s management as of the date of this press release, and are subject to certain risks and uncertainties that could cause actual results to differ materially from those described in the forward-looking statements. All forward-looking statements made in this press release are based on information available to Trupanion as of the date hereof, and Trupanion has no obligation to update these forward-looking statements.

    In particular, the following factors, among others, could cause results to differ materially from those expressed or implied by such forward-looking statements: the ability to achieve or maintain profitability and/or appropriate levels of cash flow in future periods; the ability to keep growing our membership base and revenue; the accuracy of assumptions used in determining appropriate member acquisition expenditures; the severity and frequency of claims; the ability to maintain high retention rates; the accuracy of assumptions used in pricing medical plan subscriptions and the ability to accurately estimate the impact of new products or offerings on claims frequency; actual claims expense exceeding estimates; regulatory and other constraints on the ability to institute, or the decision to otherwise delay, pricing modifications in response to changes in actual or estimated claims expense; the effectiveness and statutory or regulatory compliance of our Territory Partner model and of our Territory Partners, veterinarians and other third parties in recommending medical plan subscriptions to potential members; the ability to retain existing Territory Partners and increase the number of Territory Partners and active hospitals; compliance by us and those referring us members with laws and regulations that apply to our business, including the sale of a pet medical plan; the ability to maintain the security of our data; fluctuations in the Canadian currency exchange rate; the ability to protect our proprietary and member information; the ability to maintain our culture and team; the ability to maintain the requisite amount of risk-based capital; our ability to implement and maintain effective controls, including to remediate material weaknesses in internal controls over financial reporting; the ability to protect and enforce Trupanion’s intellectual property rights; the ability to successfully implement our alliance with Aflac; the ability to continue key contractual relationships with third parties; third-party claims including litigation and regulatory actions; the ability to recognize benefits from investments in new solutions and enhancements to Trupanion’s technology platform and website; our ability to retain key personnel; and deliberations and determinations by the Trupanion board based on the future performance of the company or otherwise.

    For a detailed discussion of these and other cautionary statements, please refer to the risk factors discussed in filings with the Securities and Exchange Commission (SEC), including but not limited to, Trupanion’s Annual Report on Form 10-K for the year ended December 31, 2024 and any subsequently filed reports on Forms 10-Q, 10-K and 8-K. All documents are available through the SEC’s Electronic Data Gathering Analysis and Retrieval system at https://www.sec.gov or the Investor Relations section of Trupanion’s website at https://investors.trupanion.com.

    Non-GAAP Financial Measures
    Trupanion’s stated results may include certain non-GAAP financial measures. These non-GAAP financial measures may not provide information that is directly comparable to that provided by other companies in its industry as other companies in its industry may calculate or use non-GAAP financial measures differently. In addition, there are limitations in using non-GAAP financial measures because the non-GAAP financial measures are not prepared in accordance with GAAP, may be different from non-GAAP financial measures used by other companies and exclude expenses that may have a material impact on Trupanion’s reported financial results. The presentation and utilization of non-GAAP financial measures is not meant to be considered in isolation or as a substitute for the directly comparable financial measures prepared in accordance with GAAP. Trupanion urges its investors to review the reconciliation of its non-GAAP financial measures to the most directly comparable GAAP financial measures in its consolidated financial statements, and not to rely on any single financial or operating measure to evaluate its business. These reconciliations are included below and on Trupanion’s Investor Relations website.

    Because of varying available valuation methodologies, subjective assumptions and the variety of equity instruments that can impact a company’s non-cash expenses, Trupanion believes that providing various non-GAAP financial measures that exclude stock-based compensation expense and depreciation and amortization expense allows for more meaningful comparisons between its operating results from period to period. Trupanion offsets new pet acquisition expense with sign-up fee revenue in the calculation of net acquisition cost because it collects sign-up fee revenue from new members at the time of enrollment and considers it to be an offset to a portion of Trupanion’s new pet acquisition expense. Trupanion believes this allows it to calculate and present financial measures in a consistent manner across periods. Trupanion’s management believes that the non-GAAP financial measures and the related financial measures derived from them are important tools for financial and operational decision-making and for evaluating operating results over different periods of time.

    Trupanion, Inc.
    Condensed Consolidated Statements of Operations
    (in thousands, except share data)
        Three Months Ended March 31,
          2025       2024  
      (unaudited)
    Revenue:        
    Subscription business   $ 233,064     $ 201,134  
    Other business     108,911       104,987  
    Total revenue     341,975       306,121  
    Cost of revenue:        
    Subscription business     189,845       172,132  
    Other business     101,027       97,762  
    Total cost of revenue(1),(2)     290,872       269,894  
    Operating expenses:        
    Technology and development(1)     8,072       6,960  
    General and administrative(1)     19,892       14,673  
    New pet acquisition expense(1)     20,516       16,843  
    Depreciation and amortization     3,791       3,785  
    Total operating expenses     52,271       42,261  
    Loss from investment in joint venture     (305 )     (103 )
    Operating loss     (1,473 )     (6,137 )
    Interest expense     3,211       3,596  
    Other (income), net     (3,240 )     (2,843 )
    Loss before income taxes     (1,444 )     (6,890 )
    Income tax (benefit) expense     39       (38 )
    Net loss   $ (1,483 )   $ (6,852 )
             
    Net loss per share:        
    Basic and diluted   $ (0.03 )   $ (0.16 )
    Weighted average shares of common stock outstanding:        
    Basic and diluted     42,775,955       41,917,094  
             
    (1)Includes stock-based compensation expense as follows:
        Three Months Ended March 31,
          2025       2024  
    Cost of revenue   $ 1,259     $ 1,390  
    Technology and development     1,151       1,254  
    General and administrative     4,528       3,449  
    New pet acquisition expense     2,892       2,059  
    Total stock-based compensation expense   $ 9,830     $ 8,152  
             
    (2)The breakout of cost of revenue between veterinary invoice expense and other cost of revenue is as follows:
        Three Months Ended March 31,
          2025       2024  
    Veterinary invoice expense   $ 247,450     $ 233,569  
    Other cost of revenue     43,422       36,325  
    Total cost of revenue   $ 290,872     $ 269,894  
    Trupanion, Inc.
    Condensed Consolidated Balance Sheets
    (in thousands, except share data)
      March 31,
    2025
      December 31,
    2024
      (unaudited)    
    Assets      
    Current assets:      
    Cash and cash equivalents $ 166,308     $ 160,295  
    Short-term investments   155,508       147,089  
    Accounts and other receivables, net of allowance for credit losses of $1,046 at March 31, 2025 and $1,117 at December 31, 2024   290,104       274,031  
    Prepaid expenses and other assets   16,417       15,912  
    Total current assets   628,337       597,327  
    Restricted cash   39,702       39,235  
    Long-term investments   376       373  
    Property, equipment and internal-use software, net   101,938       102,191  
    Intangible assets, net   12,130       13,177  
    Other long-term assets   16,356       17,579  
    Goodwill   38,323       36,971  
    Total assets $ 837,162     $ 806,853  
    Liabilities and stockholders’ equity      
    Current liabilities:      
    Accounts payable $ 9,681     $ 11,532  
    Accrued liabilities and other current liabilities   36,907       33,469  
    Reserve for veterinary invoices   54,042       51,635  
    Deferred revenue   267,357       251,640  
    Long-term debt – current portion   1,350       1,350  
    Total current liabilities   369,337       349,626  
    Long-term debt   127,526       127,537  
    Deferred tax liabilities   1,884       1,946  
    Other liabilities   4,742       4,476  
    Total liabilities   503,489       483,585  
    Stockholders’ equity:      
    Common stock: $0.00001 par value per share, 100,000,000 shares authorized; 43,804,141 and 42,775,955 issued and outstanding at March 31, 2025; 43,516,631 and 42,488,445 shares issued and outstanding at December 31, 2024          
    Preferred stock: $0.00001 par value per share, 10,000,000 shares authorized; no shares issued and outstanding          
    Additional paid-in capital   578,293       568,302  
    Accumulated other comprehensive loss   (715 )     (2,612 )
    Accumulated deficit   (227,371 )     (225,888 )
    Treasury stock, at cost: 1,028,186 shares at March 31, 2025 and December 31, 2024   (16,534 )     (16,534 )
    Total stockholders’ equity   333,673       323,268  
    Total liabilities and stockholders’ equity $ 837,162     $ 806,853  
    Trupanion, Inc.
    Condensed Consolidated Statements of Cash Flows
    (in thousands)
      Three Months Ended March 31,
        2025       2024  
      (unaudited)
    Operating activities      
    Net loss $ (1,483 )   $ (6,852 )
    Adjustments to reconcile net loss to cash provided by operating activities:      
    Depreciation and amortization   3,791       3,785  
    Stock-based compensation expense   9,830       8,152  
    Other, net   349       (202 )
    Changes in operating assets and liabilities:      
    Accounts and other receivables   (15,965 )     (10,718 )
    Prepaid expenses and other assets   (204 )     287  
    Accounts payable, accrued liabilities, and other liabilities   1,527       (5,131 )
    Reserve for veterinary invoices   2,407       (885 )
    Deferred revenue   15,712       13,998  
    Net cash provided by operating activities   15,964       2,434  
    Investing activities      
    Purchases of investment securities   (40,875 )     (19,193 )
    Maturities and sales of investment securities   33,242       19,005  
    Purchases of property, equipment, and internal-use software   (1,928 )     (3,065 )
    Other   588       516  
    Net cash used in investing activities   (8,973 )     (2,737 )
    Financing activities      
    Repayment of debt financing   (338 )     (338 )
    Proceeds from exercise of stock options   1,024       372  
    Shares withheld to satisfy tax withholding   (915 )     (245 )
    Other   (230 )     (75 )
    Net cash used in financing activities   (459 )     (286 )
    Effect of foreign exchange rate changes on cash, cash equivalents, and restricted cash, net   (52 )     (313 )
    Net change in cash, cash equivalents, and restricted cash   6,480       (902 )
    Cash, cash equivalents, and restricted cash at beginning of period   199,530       170,464  
    Cash, cash equivalents, and restricted cash at end of period $ 206,010     $ 169,562  
    The following tables set forth our key operating metrics.
                                   
      Three Months Ended March 31,                        
        2025       2024                          
    Total Business:                              
    Total pets enrolled (at period end)   1,667,637       1,708,017                          
    Subscription Business:                              
    Total subscription pets enrolled (at period end)   1,052,845       1,006,168                          
    Monthly average revenue per pet $ 77.53     $ 69.79                          
    Average pet acquisition cost (PAC) $ 267     $ 207                          
    Average monthly retention   98.28 %     98.41 %                        
                                   
                                   
      Three Months Ended
      Mar. 31, 2025   Dec. 31, 2024   Sep. 30, 2024   Jun. 30, 2024   Mar. 31, 2024   Dec. 31, 2023   Sep. 30, 2023   Jun. 30, 2023
    Total Business:                              
    Total pets enrolled (at period end)   1,667,637       1,677,570       1,688,903       1,699,643       1,708,017       1,714,473       1,712,177       1,679,659  
    Subscription Business:                              
    Total subscription pets enrolled (at period end)   1,052,845       1,041,212       1,032,042       1,020,934       1,006,168       991,426       969,322       943,958  
    Monthly average revenue per pet $ 77.53     $ 76.02     $ 74.27     $ 71.72     $ 69.79     $ 67.07     $ 65.82     $ 64.41  
    Average pet acquisition cost (PAC) $ 267     $ 261     $ 243     $ 231     $ 207     $ 217     $ 212     $ 236  
    Average monthly retention   98.28 %     98.25 %     98.29 %     98.34 %     98.41 %     98.49 %     98.55 %     98.61 %
    The following table reflects the reconciliation of cash provided by operating activities to free cash flow (in thousands):
           
      Three Months Ended March 31,
        2025       2024  
    Net cash provided by operating activities $ 15,964     $ 2,434  
    Purchases of property, equipment, and internal-use software   (1,928 )     (3,065 )
    Free cash flow $ 14,036     $ (631 )
    The following tables reflect the reconciliation between GAAP and non-GAAP measures (in thousands except percentages):
      Three Months Ended March 31,
        2024       2023  
    Veterinary invoice expense $ 247,450     $ 233,569  
    Less:      
    Stock-based compensation expense(1)   (763 )     (862 )
    Other business cost of paying veterinary invoices(3)   (79,269 )     (81,213 )
    Subscription cost of paying veterinary invoices (non-GAAP) $ 167,418     $ 151,494  
    % of subscription revenue   71.8 %     75.3 %
           
    Other cost of revenue $ 43,422     $ 36,325  
    Less:      
    Stock-based compensation expense(1)   (482 )     (420 )
    Other business variable expenses(3)   (21,736 )     (16,498 )
    Subscription variable expenses (non-GAAP) $ 21,204     $ 19,407  
    % of subscription revenue   9.1 %     9.6 %
           
    Technology and development expense $ 8,072     $ 6,960  
    General and administrative expense   19,892       14,673  
    Less:      
    Stock-based compensation expense(1)   (5,396 )     (4,258 )
    Development expenses(2)   (1,406 )     (1,178 )
    Fixed expenses (non-GAAP) $ 21,162     $ 16,197  
    % of total revenue   6.2 %     5.3 %
           
    New pet acquisition expense $ 20,516     $ 16,843  
    Less:      
    Stock-based compensation expense(1)   (2,873 )     (1,857 )
    Other business pet acquisition expense(3)   (3 )     (13 )
    Subscription acquisition cost (non-GAAP) $ 17,640     $ 14,973  
    % of subscription revenue   7.6 %     7.4 %
           
    (1) Trupanion employees may elect to take restricted stock units in lieu of cash payment for their bonuses. We account for such expense as stock-based compensation according to GAAP, but we do not include it in any non-GAAP adjustments. Stock-based compensation associated with bonuses was approximately $0.3 million for the three months ended March 31, 2025.
    (2) Consists of costs related to product exploration and development that are pre-revenue and historically have been insignificant.
    (3) Excluding the portion of stock-based compensation expense attributable to the other business segment.
    The following tables reflect the reconciliation of GAAP measures to non-GAAP measures (in thousands, except percentages):
      Three Months Ended March 31,
        2025       2024  
    Operating Loss $ (1,473 )   $ (6,138 )
    Non-GAAP expense adjustments      
    Acquisition cost   17,643       14,985  
    Stock-based compensation expense(1)   9,514       7,397  
    Development expenses(2)   1,406       1,179  
    Depreciation and amortization   3,791       3,785  
    Gain (loss) from investment in joint venture   (305 )     (103 )
    Total adjusted operating income (non-GAAP) $ 31,186     $ 21,312  
           
    Subscription Business:      
    Subscription operating income (loss) $ 1,065     $ (4,525 )
    Non-GAAP expense adjustments      
    Acquisition cost   17,640       14,973  
    Stock-based compensation expense(1)   7,772       5,882  
    Development expenses(2)   958       774  
    Depreciation and amortization   2,584       2,487  
    Subscription adjusted operating income (non-GAAP) $ 30,019     $ 19,591  
           
    Other Business:      
    Other business operating loss $ (2,233 )   $ (1,510 )
    Non-GAAP expense adjustments      
    Acquisition cost   3       12  
    Stock-based compensation expense(1)   1,742       1,516  
    Development expenses(2)   448       404  
    Depreciation and amortization   1,207       1,298  
    Other business adjusted operating income (non-GAAP) $ 1,167     $ 1,720  
           
    (1) Trupanion employees may elect to take restricted stock units in lieu of cash payment for their bonuses. We account for such expense as stock-based compensation in accordance with GAAP, but we do not include it in any non-GAAP adjustments. Stock-based compensation associated with bonuses was approximately $0.3 million for the three months ended March 31, 2025.
    (2) Consists of costs related to product exploration and development that are pre-revenue and historically have been insignificant.
    The following tables reflect the reconciliation of GAAP measures to non-GAAP measures (in thousands, except percentages):
                   
      Three Months Ended March 31,
        2025       2024  
    Subscription revenue $ 233,064     $ 201,134  
    Subscription cost of paying veterinary invoices   167,418       151,493  
    Subscription variable expenses   21,204       19,407  
    Subscription fixed expenses*   14,423       10,642  
    Subscription adjusted operating income (non-GAAP) $ 30,019     $ 19,591  
    Other business revenue   108,911       104,987  
    Other business cost of paying veterinary invoices   79,269       81,213  
    Other business variable expenses   21,736       16,498  
    Other business fixed expenses*   6,739       5,555  
    Other business adjusted operating income (non-GAAP) $ 1,167     $ 1,721  
    Revenue   341,975       306,121  
    Cost of paying veterinary invoices   246,687       232,707  
    Variable expenses   42,940       35,905  
    Fixed expenses*   21,162       16,197  
    Total business adjusted operating income (non-GAAP) $ 31,186     $ 21,312  
           
    As a percentage of revenue: Three Months Ended March 31,
        2024       2023  
    Subscription revenue   100.0 %     100.0 %
    Subscription cost of paying veterinary invoices   71.8 %     75.3 %
    Subscription variable expenses   9.1 %     9.6 %
    Subscription fixed expenses*   6.2 %     5.3 %
    Subscription adjusted operating income (non-GAAP)   12.9 %     9.7 %
           
    Other business revenue   100.0 %     100.0 %
    Other business cost of paying veterinary invoices   72.8 %     77.4 %
    Other business variable expenses   20.0 %     15.7 %
    Other business fixed expenses*   6.2 %     5.3 %
    Other business adjusted operating income (non-GAAP)   1.1 %     1.6 %
           
    Revenue   100.0 %     100.0 %
    Cost of paying veterinary invoices   72.1 %     76.0 %
    Variable expenses   12.6 %     11.7 %
    Fixed expenses*   6.2 %     5.3 %
    Total business adjusted operating income (non-GAAP)   9.1 %     7.0 %
           
    *Fixed expenses represent shared services that support both our subscription and other business segments and, as such, are generally allocated to each segment pro-rata based on revenues.

    Adjusted operating income is a non-GAAP financial measure that adjusts operating income (loss) to remove the effect of acquisition cost, development expenses, non-recurring transaction or restructuring expenses, and gain (loss) from investment in joint venture. Non-cash items, such as stock-based compensation expense and depreciation and amortization, are also excluded. Acquisition cost, development expenses, gain (loss) from investment in joint venture, stock-based compensation expense, and depreciation and amortization are expected to remain recurring expenses for the foreseeable future, but are excluded from this metric to measure scale in other areas of the business. Management believes acquisition costs primarily represent the cost to acquire new subscribers and are driven by the amount of growth we choose to pursue based primarily on the amount of our adjusted operating income period over period. Accordingly, this measure is not indicative of our core operating income performance. We also exclude development expenses, gain (loss) from investment in joint venture, stock-based compensation expense, and depreciation and amortization because some investors may not view those items as reflective of our core operating income performance.

    Management uses adjusted operating income and the margin on adjusted operating income to understand the effects of scale in its non-acquisition cost and development expenses and to plan future advertising expenditures, which are designed to acquire new pets. Management uses this measure as a principal way of understanding the operating performance of its business exclusive of acquisition cost and new product exploration and development initiatives. Management believes disclosure of this metric provides investors with the same data that the Company employs in assessing its overall operations and that disclosure of this measure may provide useful information regarding the efficiency of our utilization of revenues, return on advertising dollars in the form of new subscribers and future use of available cash to support the continued growth of our business.

    The following tables reflect the reconciliation of adjusted EBITDA to net loss (in thousands):
                                   
      Three Months Ended March 31,                        
        2025       2024                          
    Net loss $ (1,483 )   $ (6,852 )                        
    Excluding:                              
    Stock-based compensation expense   9,514       7,398                          
    Depreciation and amortization expense   3,791       3,785                          
    Interest income   (2,835 )     (3,045 )                        
    Interest expense   3,211       3,596                          
    Income tax expense (benefit)   39       (38 )                        
    Adjusted EBITDA $ 12,237     $ 4,844                          
                                   
      Three Months Ended
      Mar. 31, 2025   Dec. 31, 2024   Sep. 30, 2024   Jun. 30, 2024   Mar. 31, 2024   Dec. 31, 2023   Sep. 30, 2023   Jun. 30, 2023
    Net (loss) income $ (1,483 )   $ 1,656     $ 1,425     $ (5,862 )   $ (6,852 )   $ (2,163 )   $ (4,036 )   $ (13,714 )
    Excluding:                              
    Stock-based compensation expense   9,514       8,036       8,127       8,381       7,398       6,636       6,585       6,503  
    Depreciation and amortization expense   3,791       3,924       4,381       4,376       3,785       3,029       2,990       3,253  
    Interest income   (2,835 )     (2,999 )     (3,232 )     (3,135 )     (3,045 )     (2,842 )     (2,389 )     (2,051 )
    Interest expense   3,211       3,427       3,820       3,655       3,596       3,697       3,053       2,940  
    Income tax expense (benefit)   39       38       39       (44 )     (38 )     130       (43 )     (238 )
    Goodwill impairment charges         5,299                                      
    Non-recurring transaction or restructuring expenses                                       8       65  
    (Gain) loss from equity method investment               (33 )                       (110 )      
    Adjusted EBITDA $ 12,237     $ 19,381     $ 14,527     $ 7,371     $ 4,844     $ 8,487     $ 6,058     $ (3,242 )
     

    Contacts:

    Investors:
    Laura Bainbridge, Senior Vice President, Corporate Communications
    Gil Melchior, Director, Investor Relations
    Investor.Relations@trupanion.com

    A photo accompanying this announcement is available at https://www.globenewswire.com/NewsRoom/AttachmentNg/af9a2ab5-2802-4ca8-8a90-199e1c54b91a

    The MIL Network

  • MIL-OSI: iRhythm Launches Zio® Long-Term Continuous Monitoring Service in Japan as the Zio® ECG Recording and Analysis System, Advancing AI-Powered Arrhythmia Detection

    Source: GlobeNewswire (MIL-OSI)

    • iRhythm Zio®Long-Term Continuous Monitoring (LTCM) system — commercially introduced in Japan as the Zio®ECG Recording and Analysis System — brings AI-powered, continuous, uninterrupted ECG monitoring for up to 14 days to Japan
    • Launch is timely amid a growing demand for early, accurate detection of arrhythmias in Japan, the second largest ambulatory cardiac monitoring market in the world, where the prevalence is expected to rise alongside an aging population1-3

    SAN FRANCISCO, May 01, 2025 (GLOBE NEWSWIRE) — iRhythm Technologies, Inc. (NASDAQ:IRTC) today announced the commercial launch in Japan of its Zio® long-term continuous ECG monitoring (LTCM) system, commercially introduced in this market as the Zio® ECG Recording and Analysis System. The system provides up to 14 days of continuous, uninterrupted ECG monitoring and leverages a deep-learned artificial intelligence (AI) algorithm approved by Japan’s Pharmaceuticals and Medical Devices Agency (PMDA) – and represents a significant advancement over other ambulatory cardiac monitoring options in Japan, including commonly used wired Holter monitors, which capture only 24 to 48 hours of data and other patch-based services that monitor only up to 7 days.

    “We are honored to introduce our AI-powered Zio ECG Recording and Analysis System that provides up to 14 days of continuous, uninterrupted cardiac monitoring to Japan, where we see a meaningful opportunity to help advance arrhythmia detection,” said Quentin Blackford, President and Chief Executive Officer of iRhythm. “Together with our trusted distribution partner, Senko Medical Instrument, we are committed to expanding access to advanced cardiac monitoring that supports clinical excellence and aligns with Japan’s dedication to high-quality, patient-centered care.”

    Advancing Arrhythmia Detection in Japan

    The Zio ECG Recording and Analysis System consists of a prescription-only, patch-based ECG monitoring device (Zio monitor, iRhythm’s latest-generation ECG patch), worn for up to 14 days, and the ZEUS (Zio ECG Utilization Software) system.

    The unique attributes of the Zio ECG Recording and Analysis System offer meaningful advantages for patients and clinicians:

    Zio monitor (Patch ECG Device): Improving Patient Monitoring Experience

    • The latest-generation patch ECG is thinner, lighter, and smaller—designed for comfortable, discreet wear, ease of use,4 and patient satisfaction5,6
    • Enables up to 14 days of continuous, uninterrupted ECG monitoring
    • Demonstrates 99% patient compliance with prescribed wear time6-8 and 99% analyzable data, delivering high-quality, actionable data6,10,11

    Zio Service (End-to-End Monitoring System): Combining Advanced AI with Human Expertise

    • PMDA-approved, deep-learned AI algorithm detects 13 arrhythmia types, as well as sinus rhythm and artifact, and is clinically proven to perform at the level of cardiologists11-14
    • End-of-wear reports are reviewed and validated by certified cardiographic technicians (CCTs), with 99% physician agreement6,8
    • Zio ECG Recording and Analysis System is associated with the highest diagnostic yield and lowest likelihood of retesting compared to other monitoring services, including other LTCMs and 24- to 48-hour duration Holter monitoring services6,8,15-20
    • In clinical settings, the Zio LTCM service may help reduce misinterpretation of ECG data and improve clinical efficiency12

    Zio® monitor by iRhythm Technologies,
    part of the Zio®ECG Recording and Analysis System

    “The Zio service represents a new step forward in how we monitor for arrhythmias in Japan,” said Dr. Kohei Yamashiro, Vice President and Director of the Heart Rhythm Center at Takatsuki General Hospital (Osaka Prefecture), the first hospital in Japan to introduce the Zio ECG Recording and Analysis System. “Its ease of use, extended monitoring period, and clear reporting provide important benefits for both patients and clinicians.”

    Clinically Proven Performance

    The clinical value of the Zio LTCM service has been demonstrated in a robust, growing body of clinical evidence. The Cardiac Ambulatory Monitor EvaLuation of Outcomes and Time to Events (CAMELOT) study, published in the American Heart Journal, found that Zio LTCM service was associated with the highest yield of specified arrhythmia diagnosis and the lowest likelihood of repeat testing compared to all other monitoring services.

    iRhythm’s comprehensive clinical evidence, encompassing more than 125 original research manuscripts21 and insights derived from over 2 billion hours of curated heartbeat data9 and more than 10 million patient reports posted since the company’s inception, underscore the company’s ongoing commitment to expanding evidence that supports improved patient outcomes.

    “The Zio long-term continuous monitoring service offers a clinically validated approach to arrhythmia detection by combining advanced AI with expert clinical review to support accurate and timely diagnoses,” said Dr. Mintu Turakhia, iRhythm Chief Medical Officer, Chief Scientific Officer, and EVP of Product Innovation. “As the need for effective long-term monitoring grows, we believe the introduction of Zio LTCM in Japan presents an opportunity to enhance patient care and support evolving clinical needs in cardiac monitoring—an impact also recognized by the Japanese Heart Rhythm Society.”

    Cardiac Arrhythmias and Prevalence in Japan

    A cardiac arrhythmia is a condition in which the heart beats too quickly, too slowly, or irregularly due to abnormal electrical impulses. If undetected and untreated, some arrhythmias can damage the heart, brain, or other organs and lead to an increased risk of stroke and death.22-24

    These potential complications make accurate, timely arrhythmia detection and diagnosis critical to improving patient outcomes and quality of life.

    The prevalence of cardiac arrhythmias continues to rise globally, and Japan is the second largest ambulatory cardiac monitoring market in the world with an estimated 1.6 million tests prescribed annually. This number is expected to continue to increase based on stroke and cardiovascular disease burden in Japan’s aging population.1-3

    Availability in Japan
    Zio® ECG Recording and Analysis System will be available to healthcare customers beginning May 2025, with nationwide availability anticipated by July 2025, through Senko Medical Instrument, iRhythm’s exclusive distribution partner in Japan.

    Outside of Japan, iRhythm offers its Zio® portfolio of cardiac monitoring solutions in Austria, the Netherlands, Spain, Switzerland, the United States, and the UK – and remains dedicated to bringing access to its advanced cardiac monitoring to even more patients, clinicians and healthcare systems around the world.

    About iRhythm Technologies, Inc.
    iRhythm is a leading digital health care company that creates trusted solutions that detect, predict, and prevent disease. Combining wearable biosensors and cloud-based data analytics with powerful proprietary algorithms, iRhythm distills data from millions of heartbeats into clinically actionable information. Through a relentless focus on patient care, iRhythm’s vision is to deliver better data, better insights, and better health for all. To learn more about iRhythm and the Zio® LTCM service in Japan, please visit irhythmtech.com/jp/ja. For additional information about iRhythm, please visit its corporate website at irhythmtech.com.

    Forward-Looking Statements 
    This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995. An investor can identify these statements by the fact that they do not relate strictly to historical or current facts. They use words such as ‘anticipate’, ‘estimate’, ‘expect’, ‘intend’, ‘will’, ‘project’, ‘plan’, ‘believe’, ‘target’ and other words and terms of similar meaning in connection with any discussion of future actions or operating or financial performance.  In particular, these include statements regarding the Japanese market opportunity, our ability to penetrate the Japanese market, and expansion of patient access to our products and services in Japan. Such statements are based on current assumptions that involve risks and uncertainties that could cause actual outcomes and results to differ materially. These risks and uncertainties, many of which are beyond our control, include risks described in the section entitled “Risk Factors” and elsewhere in our filings made with the Securities and Exchange Commission, including those on the Form 10-Q expected to be filed on or about May 1, 2025. These forward-looking statements speak only as of the date hereof and should not be unduly relied upon. iRhythm disclaims any obligation to update these forward-looking statements. 

    Media Contact
    Kassandra Perry
    irhythm@highwirepr.com

    Investor Contact
    Stephanie Zhadkevich
    investors@irhythmtech.com

    —-
    Footnotes

    1. Irie S, Tada H. The Relationship between Holter Electrocardiography and Atrial Fibrillation Diagnosis Using Real-World Data in Japan. Int Heart J. 2023;64(2):178-187.
    2. Matsuda S. Health Policy in Japan – Current Situation and Future Challenges. JMA Journal, 2019.
    3. Annual Pharmaceutical Production Statistics, Ministry of Health, Labour, and Welfare (“MHLW”).
    4. Data on file. iRhythm Technologies, 2023.
    5. Zio monitor Instructions for Use. iRhythm Technologies, 2023.
    6. Based on US data.
    7. Data on file. iRhythm Technologies, 2022.
    8. Zio service provides continuous, uninterrupted recording and a comprehensive end-of-wear report.
    9. Data on file. iRhythm Technologies, 2024.
    10. Analyzable time is based off median values for a 14-day prescription
    11. Data on file. iRhythm Technologies, 2020.
    12. Hannun et al. Cardiologist-level arrhythmia detection and classification in ambulatory electrocardiograms using a deep neural network. Nat Med. 2019;25:65-69. https://doi.org/10.1038/s41591-018-0268-3
    13. Deep learned algorithm is only available in the United States, European Union, Switzerland, United Kingdom, and Japan.
    14. FDA 510K clearance, CE mark, UKCA mark, and PMDA-approval.
    15. Reynolds et al. Comparative effectiveness and healthcare utilization for ambulatory cardiac monitoring strategies in Medicare beneficiaries. Am Heart J. 2024;269:25–34. https://doi.org/10.1016/j.ahj.2023.12.002
    16. Diagnostic yield was assessed based upon the evaluation of specified arrhythmias, which refer to an arrhythmia encounter diagnosis as per Hierarchical Condition Categories (HCC) 96.
    17. Based on previous generation Zio XT device data. Zio monitor utilizes the same operating principles and ECG algorithm. Additional data on file.
    18. Zio LTCM service refers to Zio XT and Zio monitor service.
    19. Contraindications: Do not use the Zio monitor for critical care patients or for patients with symptomatic episodes where instance variations in cardiac performance could result in immediate danger to the patients or when real-time or in-patient monitoring should be prescribed. (Refer to the Zio monitor Instructions for Use for the full list of contraindications)
    20. Zio monitor and ZEUS are Japan PMDA approved.
    21. Data on file. iRhythm Technologies, 2025.
    22. Ataklte et al. Meta-analysis of ventricular premature complexes and their relation to cardiac mortality in general populations. The American Journal of Cardiology. 2013;112(8):1263-1270. doi:10.1016/j.amjcard.2013.05.065
    23. Lin et al. Long-term outcome of non-sustained ventricular tachycardia in structurally normal hearts. PLOS ONE. 2016;11(8). doi:10.1371/journal.pone.0160181
    24. Wolf et al. Atrial fibrillation as an independent risk factor for stroke: The Framingham Study. Stroke. 1991;22(8):983-988. doi:10.1161/01.str.22.8.983

    A photo accompanying this announcement is available at https://www.globenewswire.com/NewsRoom/AttachmentNg/6ffe8ed2-1063-4455-8784-d0278fd46373

    The MIL Network

  • MIL-OSI: Skyward Specialty Insurance Group Reports First Quarter 2025 Results

    Source: GlobeNewswire (MIL-OSI)

    HOUSTON, May 01, 2025 (GLOBE NEWSWIRE) — Skyward Specialty Insurance Group, Inc. (Nasdaq: SKWD) (“Skyward Specialty” or the “Company”) today reported first quarter 2025 net income of $42.1 million, or $1.01 per diluted share, compared to $36.8 million, or $0.90 per diluted share, for the same 2024 period.

    Adjusted operating income(1) for the first quarter of 2025 was $37.3 million, or $0.90 per diluted share, compared to $31.0 million, or $0.75 per diluted share, for the same 2024 period.

    Highlights for the first quarter included:

    • Gross written premiums of $535.3 million, an increase of 16.7% compared to 2024;
    • Combined ratio of 90.5%;
    • Ex-Cat combined ratio of 88.3%;
    • Annualized return on equity of 20.5%; and,
    • Book value per share of $21.06, an increase of 6% compared to December 31, 2024.
    (1)See “Reconciliation of Non-GAAP Financial Measures”

    Skyward Specialty Chairman and CEO Andrew Robinson commented, “We delivered outstanding first quarter results, including adjusted operating income(1) which increased over 20% to $37.3 million, which is the best in Company history, and we achieved annualized return on equity of 20.5%. We continued our consistent and strong record of growth in underwriting performance as gross written premiums increased by approximately 17%, and we delivered a 90.5% combined ratio inclusive of 2.2 points of catastrophe losses. Our strong growth this quarter highlights the strength of our diversified business portfolio, with our global agriculture unit and our accident & health division each having a breakout quarter; we have highlighted these two areas as part of our intentional strategy to grow in areas less exposed to the P&C market.”

    “As we look out to the remainder of the year, we remain confident that the strength of our diversified business portfolio, the power of our Rule Our Niche strategy, our investment in technology and talent, and our track record for consistent execution, positions us to continue to deliver strong financial results that create long-term value for our shareholders.”

    Results of Operations

    Underwriting Results

    Premiums            
    ($ in thousands)   Three months ended March 31,
    unaudited     2025       2024     %
    Change
    Gross written premiums   $ 535,326     $ 458,620     16.7 %
    Ceded written premiums   $ (192,055 )   $ (171,520 )   12.0 %
    Net retention     64.1 %     62.6 %   NM (1)
    Net written premiums   $ 343,271     $ 287,100     19.6 %
    Net earned premiums   $ 300,366     $ 236,342     27.1 %
    (1)Not meaningful            
                 

    The increase in gross written premiums for the first quarter of 2025, when compared to the same 2024 period, was driven by double-digit premium growth primarily from the agriculture and credit (re)insurance, accident & health and specialty programs divisions, partially offset by a decrease in gross written premiums in the global property division.

    During the first quarter 2025, the Company updated its underwriting divisions to align with how management currently oversees the business, allocates resources and evaluates operating performance. The Company added a ninth division, Agriculture and Credit (Re)insurance, which includes the Global Agriculture unit, previously reported with Global Property, and the Mortgage and Credit units, and focuses on specialty classes for which reinsurance provides a more attractive market entry. The Industry Solutions division is now the Construction & Energy Solutions division and the Inland Marine unit is now included in the Transactional E&S division. Programs is now Specialty Programs. Prior reporting periods have been conformed to reflect the new presentation.

    Combined Ratio   Three months ended March 31,
    (unaudited)   2025   2024
    Non-cat loss and LAE   60.2 %   60.6 %
    Cat loss and LAE(1)   2.2 %   0.4 %
    Prior accident year development – LPT   0.0 %   (0.1) %
    Loss Ratio   62.4 %   60.9 %
    Net policy acquisition costs   14.8 %   13.6 %
    Other operating and general expenses   14.0 %   16.0 %
    Commission and fee income   (0.7) %   (0.9) %
    Expense ratio   28.1 %   28.7 %
    Combined ratio   90.5 %   89.6 %
    Ex-Cat Combined Ratio(2)   88.3 %   89.2 %
             
    (1)Current accident year
    (2)Defined as the combined ratio excluding cat loss and LAE(1)        
             

    The loss ratio for the first quarter of 2025 increased 1.5 points when compared to the same 2024 period, due to higher catastrophe losses, primarily from convective storms in the Midwest and the California wildfires. Partially offsetting the increase in the cat loss and LAE ratio was improvement in the non-cat loss and LAE ratio driven by the business mix shift.

    The expense ratio for the first quarter improved 0.6 points when compared to the same 2024 period due to earnings leverage partially offset by higher acquisition costs due to the business mix shift.

    The expense ratios for the first quarters of 2025 and 2024 exclude the impact of IPO related stock compensation and secondary offering expenses, which are reported in other expenses in our condensed consolidated statements of operations and comprehensive income.

    Investment Results

    Net Investment Income        
    $ in thousands   Three months ended March 31,
    (unaudited)     2025       2024  
    Short-term investments & cash and cash equivalents   $ 4,041     $ 5,088  
    Fixed income     16,730       12,478  
    Equities     657       627  
    Alternative & strategic investments     (2,097 )     104  
    Net investment income   $ 19,331     $ 18,297  
    Net unrealized gains on securities still held   $ 5,491     $ 8,991  
    Net realized gains (losses)     1,350       (688 )
    Net investment gains   $ 6,841     $ 8,303  
     

    Net investment income for the first quarter of 2025 increased $1.0 million when compared to the same 2024 period, driven by increased income from our fixed income portfolio due to a higher yield and larger asset base. Partially offsetting the increase in income from our fixed income portfolio were (i) losses from the alternative and strategic investments portfolio due to the decline in the fair value of limited partnership investments, and (ii) less income from short-term investments driven by a lower yield.

    Stockholders’ Equity

    Stockholders’ equity was $850.7 million at March 31, 2025 which represented an increase of 7.1% when compared to stockholders’ equity of $794.0 million at December 31, 2024. The increase in stockholders’ equity was primarily due to an increase in the market value of our investment portfolio and net income.

    Conference Call

    At 9:30 a.m. eastern time tomorrow, May 2, 2025, Skyward Specialty management will hold a conference call to discuss quarterly results with insurance industry analysts. Interested parties may listen to the discussion at investors.skywardinsurance.com under Events & Presentations. Additionally, investors can access the earnings call via conference call by registering via the conference link. Users will receive dial-in information and a unique PIN to join the call upon registering.

    Non-GAAP Financial Measures

    This release contains certain financial measures and ratios that are not required by, or presented in accordance with, generally accepted accounting principles in the United States (“GAAP”). We refer to these measures as “non-GAAP financial measures.” We use these non-GAAP financial measures when planning, monitoring, and evaluating our performance.

    We consider these non-GAAP financial measures to be useful metrics for our management and investors to facilitate operating performance comparisons from period to period. While we believe that these non-GAAP financial measures are useful in evaluating our business, this information should be considered supplemental in nature and is not meant to be a substitute for revenue or net income, in each case as recognized in accordance with GAAP. In addition, other companies, including companies in our industry, may calculate such measures differently, which reduces their usefulness as comparative measures. For more information regarding these non-GAAP financial measures and a reconciliation of such measures to comparable GAAP financial measures, see the section entitled “Reconciliation of Non-GAAP Financial Measures.”

    About Skyward Specialty Insurance Group, Inc.

    Skyward Specialty is a rapidly growing and innovative specialty insurance company, delivering commercial property and casualty products and solutions on a non-admitted and admitted basis. The Company operates through nine underwriting divisions – Accident & Health, Agriculture and Credit (Re)insurance, Captives, Construction & Energy Solutions, Global Property, Professional Lines, Specialty Programs, Surety and Transactional E&S. SKWD stock is traded on the Nasdaq Global Select Market, which represents the top fourth of all Nasdaq listed companies.

    Skyward Specialty’s subsidiary insurance companies consist of Great Midwest Insurance Company, Houston Specialty Insurance Company, Imperium Insurance Company, and Oklahoma Specialty Insurance Company. These insurance companies are rated A (Excellent) with stable outlook by A.M. Best Company. Additional information about Skyward Specialty can be found on our website at www.skywardinsurance.com.

    Forward-Looking Statements

    Except for historical information, all other information in this news release consists of forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. The forward-looking statements are typically, but not always, identified through use of the words “believe,” “expect,” “enable,” “may,” “will,” “could,” “intends,” “estimate,” “anticipate,” “plan,” “predict,” “probable,” “potential,” “possible,” “should,” “continue,” and other words of similar meaning. These forward-looking statements are subject to risks and uncertainties that could cause actual results to differ materially from those projected, anticipated or implied. The most significant of these uncertainties are described in Skyward Specialty’s Form 10-K, and include (but are not limited to) legislative changes at both the state and federal level, state and federal regulatory rule making promulgations and adjudications, class action litigation involving the insurance industry and judicial decisions affecting claims, policy coverages and the general costs of doing business, the potential loss of key members of our management team or key employees and our ability to attract and retain personnel, the impact of competition on products and pricing, inflation in the costs of the products and services insurance pays for, product development, geographic spread of risk, weather and weather-related events, other types of catastrophic events, our ability to obtain reinsurance coverage at prices and on terms that allow us to transfer risk and adequately protect our company against financial loss, and losses resulting from reinsurance counterparties failing to pay us on reinsurance claims. These forward-looking statements speak only as of the date of this release and the Company does not undertake any obligation to update or revise any forward-looking information to reflect changes in assumptions, the occurrence of unanticipated events, or otherwise.

    Skyward Specialty Insurance Group, Inc.

    Investor contact:
    Natalie Schoolcraft,
    nschoolcraft@skywardinsurance.com
    614-494-4988

    or

    Media contact:
    Haley Doughty
    hdoughty@skywardinsurance.com
    713-935-4944

    Consolidated Balance Sheets        
    ($ in thousands, except share and per share amounts)        
    (unaudited)   March 31,
    2025
      December 31,
    2024
    Assets        
    Investments:        
    Fixed maturity securities, available-for-sale, at fair value (amortized cost of $1,410,269 and $1,320,266, respectively)   $ 1,397,508     $ 1,292,218  
    Fixed maturity securities, held-to-maturity, at amortized cost (net of allowance for credit losses of $250 and $243, respectively)     37,519       39,153  
    Equity securities, at fair value     108,075       106,254  
    Mortgage loans, at fair value     16,012       26,490  
    Equity method investments     88,588       98,594  
    Other long-term investments     37,646       33,182  
    Short-term investments, at fair value     308,042       274,929  
    Total investments     1,993,390       1,870,820  
    Cash and cash equivalents     112,916       121,603  
    Restricted cash     40,590       35,922  
    Premiums receivable, net     417,542       321,641  
    Reinsurance recoverables, net     902,970       857,876  
    Ceded unearned premium     232,147       203,901  
    Deferred policy acquisition costs     126,439       113,183  
    Deferred income taxes     26,984       30,486  
    Goodwill and intangible assets, net     87,089       87,348  
    Other assets     90,566       86,698  
    Total assets   $ 4,030,633     $ 3,729,478  
    Liabilities and stockholders’ equity        
    Liabilities:        
    Reserves for losses and loss adjustment expenses   $ 1,871,491     $ 1,782,383  
    Unearned premiums     708,347       637,185  
    Deferred ceding commission     45,544       40,434  
    Reinsurance and premium payables     243,083       177,070  
    Funds held for others     113,748       102,665  
    Accounts payable and accrued liabilities     78,154       76,206  
    Notes payable     100,000       100,000  
    Subordinated debt, net of debt issuance costs     19,545       19,536  
    Total liabilities     3,179,912       2,935,479  
    Stockholders’ equity        
    Common stock, $0.01 par value, 500,000,000 shares authorized, 40,402,879 and 40,127,908 shares issued and outstanding, respectively     404       401  
    Additional paid-in capital     721,186       718,598  
    Accumulated other comprehensive loss     (10,047 )     (22,120 )
    Retained earnings     139,178       97,120  
    Total stockholders’ equity     850,721       793,999  
       Total liabilities and stockholders’ equity   $ 4,030,633     $ 3,729,478  
             
    Condensed Consolidated Statements of Operations and Comprehensive Income
    ($ in thousands)   Three months ended March 31,
    (unaudited)     2025       2024  
             
    Revenues:        
    Net earned premiums   $ 300,366     $ 236,342  
    Commission and fee income     1,976       2,026  
    Net investment income     19,331       18,297  
    Net investment gains     6,841       8,303  
    Other income     13        
    Total revenues     328,527       264,968  
    Expenses:        
    Losses and loss adjustment expenses     187,309       143,914  
    Underwriting, acquisition and insurance expenses     86,551       69,774  
    Interest expense     1,834       2,727  
    Amortization expense     337       388  
    Other expenses     1,061       1,188  
    Total expenses     277,092       217,991  
    Income before income taxes     51,435       46,977  
    Income tax expense     9,377       10,193  
    Net income     42,058       36,784  
    Comprehensive income:        
    Net income   $ 42,058     $ 36,784  
    Other comprehensive income:        
    Unrealized gains and losses on investments:        
    Net change in unrealized gains (losses) on investments, net of tax     12,255       (5,418 )
    Reclassification adjustment for losses on securities no longer held, net of tax     (182 )     (908 )
    Total other comprehensive income (loss)     12,073       (6,326 )
    Comprehensive income   $ 54,131     $ 30,458  
             
    Share and Per Share Data        
    ($ in thousands, except share and per share amounts)   Three months ended March 31,
    (unaudited)     2025       2024  
             
    Weighted average basic shares     40,196,416       39,108,351  
    Weighted average diluted shares     41,680,595       41,085,136  
             
    Basic earnings per share   $ 1.05     $ 0.94  
    Diluted earnings per share   $ 1.01     $ 0.90  
    Basic adjusted operating earnings per share   $ 0.93     $ 0.79  
    Diluted adjusted operating earnings per share   $ 0.90     $ 0.75  
             
    Annualized ROE(1)     20.5 %     21.7 %
    Annualized adjusted ROE(2)     18.2 %     18.3 %
    Annualized ROTE(3)     22.9 %     25.0 %
    Annualized adjusted ROTE(4)     20.3 %     21.1 %
             
        March 31   December 31
          2025       2024  
             
    Shares outstanding     40,402,879       40,127,908  
    Fully diluted shares outstanding     42,234,957       42,059,182  
             
    Book value per share   $ 21.06     $ 19.79  
    Fully diluted book value per share   $ 20.14     $ 18.88  
    Fully diluted tangible book value per share   $ 18.08     $ 16.80  
             
    (1)Annualized ROE is net income expressed on an annualized basis as a percentage of average beginning and ending stockholders’ equity during the period
    (2)Annualized adjusted ROE is adjusted operating income expressed on an annualized basis as a percentage of average beginning and ending stockholders’ equity during the period
    (3)Annualized ROTE is net income expressed on an annualized basis as a percentage of average beginning and ending tangible stockholders’ equity during the period
    (4)Annualized adjusted ROTE is adjusted operating income expressed on an annualized basis as a percentage of average beginning and ending tangible stockholders’ equity during the period


    Adjusted operating income
    – We define adjusted operating income as net income excluding the impact of certain items that may not be indicative of underlying business trends, operating results, or future outlook, net of tax impact. We use adjusted operating income as an internal performance measure in the management of our operations because we believe it gives our management and other users of our financial information useful insight into our results of operations and our underlying business performance. Adjusted operating income should not be viewed as a substitute for net income calculated in accordance with GAAP, and other companies may define adjusted operating income differently.        

    ($ in thousands)   Three months ended March 31,
    (unaudited)     2025       2024  
        Pre-tax   After-tax   Pre-tax   After-tax
    Income as reported   $ 51,435     $ 42,058     $ 46,977     $ 36,784  
    Less (add):                
    Net investment gains     6,841       5,594       8,303       6,501  
    Net impact of loss portfolio transfer                 241       189  
    Other income     13       11              
    Other expenses     (1,061 )     (868 )     (1,188 )     (930 )
    Adjusted operating income   $ 45,642     $ 37,321     $ 39,621     $ 31,024  
                     


    Underwriting income
    – We define underwriting income as net income before income taxes excluding net investment income, net realized and unrealized gains and losses on investments, impairment charges, interest expense, amortization expense and other income and expenses. Underwriting income represents the pre-tax profitability of our underwriting operations and allows us to evaluate our underwriting performance without regard to investment income. We use this metric as we believe it gives our management and other users of our financial information useful insight into our underlying business performance. Underwriting income should not be viewed as a substitute for pre-tax income calculated in accordance with GAAP, and other companies may define underwriting income differently.

    ($ in thousands)   Three months ended March 31,
    (unaudited)   2025   2024
    Income before income taxes   $ 51,435   $ 46,977
    Add:        
    Interest expense     1,834     2,727
    Amortization expense     337     388
    Other expenses     1,061     1,188
    Less:        
    Net investment income     19,331     18,297
    Net investment gains     6,841     8,303
    Other income     13    
    Underwriting income   $ 28,482   $ 24,680
             


    Tangible Stockholders’ Equity
    – We define tangible stockholders’ equity as stockholders’ equity less goodwill and intangible assets. Our definition of tangible stockholders’ equity may not be comparable to that of other companies and should not be viewed as a substitute for stockholders’ equity calculated in accordance with GAAP. We use tangible stockholders’ equity internally to evaluate the strength of our balance sheet and to compare returns relative to this measure.

    ($ in thousands)   March 31,   December 31,
    (unaudited)   2025   2024   2024
    Stockholders’ equity   $ 850,721   $ 692,272   $ 793,999
    Less: Goodwill and intangible assets     87,089     88,137     87,348
    Tangible stockholders’ equity   $ 763,632   $ 604,135   $ 706,651
                 
        Three months ended March 31,
    ($ in thousands)   2025   2024   % Change
    Accident & Health   $ 63,169   $ 40,901   54.4 %
    Agriculture and Credit (Re)insurance     87,847     43,321   102.8 %
    Captives     68,401     68,408   %
    Construction & Energy Solutions     75,571     74,222   1.8 %
    Global Property     46,686     57,312   (18.5) %
    Professional Lines     41,166     42,239   (2.5) %
    Specialty Programs     62,675     52,178   20.1 %
    Surety     37,798     33,842   11.7 %
    Transactional E&S     52,006     46,232   12.5 %
    Total gross written premiums(1)   $ 535,319   $ 458,655   16.7 %
    (1)Excludes exited business            

    The MIL Network

  • MIL-Evening Report: Schools today also teach social and emotional skills. Why is this important? And what’s involved?

    Source: The Conversation (Au and NZ) – By Kristin R. Laurens, Professor, School of Psychology and Counselling, Queensland University of Technology

    DGLImages/Shutterstock

    The school curriculum has changed a lot from when many parents and grandparents were at school.

    Alongside new approaches to learning maths and increasing attention on technology, there is a compulsory focus on social and emotional skills.

    Children start developing these skills by watching and observing others as babies. But they also need to be taught about them more actively – think about parents telling kids to say “thank you” or making sure they take turns when playing with friends.

    How do schools teach social and emotional skills? And why is it important? Our new research shows how these lessons can improve students’ wellbeing and lead to better academic results.

    What do schools teach about social and emotional skills?

    As the Productivity Commission noted in 2023, schools should support students’ social and emotional wellbeing to help them “cope with the various stresses of life”. It also found strong social and emotional skills support students’ ability to engage and learn at school.

    Since 2010, social and emotional skills have been a compulsory part of the Australian Curriculum. This involves four key strands for students from the first year of school to Year 10:

    1. self-awareness: understanding your strengths and limitations and having confidence you can achieve goals

    2. self-management: identifying and managing your emotions, thoughts and behaviours in different situations. This includes managing stress and controlling impulses

    3. social awareness: understanding other perspectives, empathising with others from different backgrounds and cultures and understanding social expectations for behaviour

    4. relationship skills: forming and maintaining healthy relationships, communicating and cooperating. This also includes responsible decision-making and understanding morals and consequences.

    How are these skills taught?

    Teaching these skills can be done in two ways.

    The first is by incorporating them into core academic subjects. For example, an English teacher might ask students to discuss the emotions, behaviours and relationships of characters in a novel. Teachers should also model the skills in their interactions with students.

    To do this effectively, teachers need specific knowledge of how to teach these skills. Busy schools may not prioritise this professional development for teachers because, unlike academic knowledge, these skills are not assessed.

    The second approach is to use a structured program designed to develop these skills. These programs can particularly help teachers with less training in social and emotional teaching.

    However, we know these programs are not always available or implemented adequately in schools. For example, in 2015 we surveyed 600 public, Catholic and independent NSW primary schools. Fewer than two-thirds (60%) taught social and emotional skills using formal programs. And of the programs used, one in three (34%) had either never been tested or showed no positive effects on students’ social-emotional skills.

    Why is this important?

    But research tells us formal programs can work. Our 2025 study looked at the social and emotional skills of 18,600 Year 6 students in NSW government and non-government primary schools. We also used data from their school leaders about the types of social and emotional skills programs they used – or did not use.

    We found students who received structured, evidence-based programs (on average, over three to four years) had better social and emotional skills on our self-report survey than those who did not.

    Students who received these programs had social and emotional skills that were 7-10 percentile points better than those who did not. That is, in a group of 100 students, they ranked 7-10 places higher.

    But it showed there was only a benefit if programs were evidence-based – this means they had been formally tested to check they could be taught effectively by teachers in the classroom.

    Social and emotional skills include being able to identify your emotions and cooperating with others.
    DGLImages/Shutterstock

    There are academic benefits as well

    In another 2025 study, we followed students as they went to high school. We wanted to see how their social and emotional skills in primary school related to their later academic achievement.

    We linked our survey data on NSW Year 6 students’ self-awareness and self-management skills with their NAPLAN reading and numeracy scores in Year 7. We could do this for almost 24,000 students who participated in our survey and in NAPLAN.

    We found increases in these skills were linked to increases in NAPLAN scores. Standard gains ranged between 8–20 percentile points.

    This fits with other research which shows students with strong self-awareness and self-management are more confident about achieving academic goals and more engaged and focused on their learning. This in turn helps them engage and persevere with challenges, so they achieve more academic learning.

    What now?

    Our research shows how programs teaching social and emotional skills can give young people fundamental skills to navigate learning and life beyond school. But implementation is patchy and not always based on evidence. School today involves more than reading, maths and facts. This means all schools need resources and access to effective programs to teach social and emotional skills.

    Kristin R. Laurens received funding for this research from the Australian Research Council and the National Health and Medical Research Council of Australia.

    Emma Carpendale received an Australian Government Research Training Program Stipend scholarship and a Queensland University of Technology Faculty of Health Excellence Top-Up scholarship.

    ref. Schools today also teach social and emotional skills. Why is this important? And what’s involved? – https://theconversation.com/schools-today-also-teach-social-and-emotional-skills-why-is-this-important-and-whats-involved-253342

    MIL OSI AnalysisEveningReport.nz

  • MIL-Evening Report: Logging devastated Victoria’s native forests – and new research shows 20% has failed to grow back

    Source: The Conversation (Au and NZ) – By Maldwyn John Evans, Senior Research Fellow, Fenner School of Environment and Society, Australian National University

    Old growth mountain ash forest in the Maroondah water supply catchment, Victoria. Chris Taylor

    Following the end of native logging in Victoria on January 1 2024, the state’s majestic forests might be expected to regenerate and recover naturally. But our new research shows that’s not always the case.

    We quantified the extent of regeneration following logging in the eucalypt forests of southeastern Australia between 1980 and 2019. This included nearly 42,000 hectares of logged mountain ash forest in Victoria’s Central Highlands.

    We analysed satellite data, logging records, on-ground surveys and drone photography, and discovered that nearly 20% of logged areas failed to regenerate. This represents more than 8,000 hectares of forest lost. All that remains in these areas are grassy clearings, dense shrublands or bare soils.

    We also found the rate of regeneration failure has increased over the past decade. While failure was rare in the 1980s, it became much more common over time – affecting more than 80% of logged sites by 2019.

    These regeneration failures weren’t random. They were found mostly in close proximity to each other, on areas with steep slopes, relatively low elevation, and where the area of clear-felled forest was long and narrow.

    Our research shows more needs to be done to restore Victoria’s forest after logging.

    Failed regeneration in the Upper Thomson water supply catchment.
    Chris Taylor/Lachie McBurnie

    Restoring majestic forests and their vital services

    Victoria is home to some of the most spectacular forests on the planet. They include extensive stands of mountain ash, the tallest flowering plant on Earth, which can grow to almost 100 metres in height. Alpine ash, another giant, can grow up to 60m tall.

    These forests have great cultural significance to Indigenous people and support many recreational and tourism activities.

    Healthy forest ecosystems also deliver clean water and carbon storage services. In fact, mountain ash forests contain more carbon per hectare than most other forests around the world.

    But Victoria’s forests have long been logged for timber and pulp. The main method of logging – clearfelling – scars the landscape, leaving large areas devoid of trees if natural tree regeneration fails.

    Mountain ash is especially vulnerable

    Our research revealed 19.2% of areas logged between 1980 and 2019 in our study area (8,030ha out of 41,819ha cut) failed to regenerate naturally.

    We also found strong evidence of a significant increase in the extent of failed regeneration over 40 years, increasing from less than two hectares per cutblock in 1980 (about 7.5%) to more than nine hectares per cutblock in 2019 (about 85%), on average.

    We found regeneration failure was more likely in mountain ash forests compared with other forest types.

    This adds to the case for listing the mountain ash forests of the Central Highlands of Victoria as a threatened ecological community.

    The presence of non-eucalypt categories of vegetation indicates large areas of regeneration failure in forest near Mt Matlock, in the Central Highlands of Victoria.
    Chris Taylor

    A responsibility to restore

    Under Victoria’s Code of Forest Practice for Timber Production, logged native forests must be properly regenerated within two to three years of harvest.

    That’s because it is nearly impossible for the native forest to regenerate after three years without human intervention. The young trees face too much competition from grass and shrubs.

    These degraded areas no longer hold the value they once did and they cannot provide the same level of ecosystem services such as carbon storage, water purification, or habitat for wildlife.

    With no current government restoration plan, these landscapes will remain degraded indefinitely. The Victorian government retains legal responsibility to restore these degraded forests, but currently lacks any large-scale restoration strategy, making action urgently required.

    Photographs of vegetation categories on logged sites: Eucalyptus regeneration near Toolangi (A), grass-dominated area near Mt Matlock (B), shrubby vegetation at Ballantynes Saddle (C), Daviesia vegetation near Mt Matlock (D), Acacia near Mt Baw Baw (E), and bare earth near Mt Matlock (F).
    Chris Taylor

    A way forward: using green bonds to fund regeneration

    Our research shows the regeneration of forests after logging is not guaranteed. Nature often needs a helping hand. But we need to find ways to fund these projects.

    Globally, governments have used “green bonds” to lower the cost of borrowing tied explicitly to measurable environmental results.

    Victoria already has green bonds “to finance new and existing projects that offer climate change and environmental benefits”. But funds are typically used to finance investments in transport, renewable energy, water and low carbon buildings.

    As part of a coalition of researchers, environmental organisations, and finance sector partners we proposed a A$224 million green bond for forest regeneration. This proposal was put to the Victorian government via the Treasury Corporation of Victoria.

    Green bond funding would help leverage co-investment from the Commonwealth government and philanthropic partners to improve monitoring and biodiversity outcomes in native forests.

    As part of the proposed green bond, areas of logged forest where natural regeneration has failed would be restored.

    Other investments under the green bond could include creating tourism ventures (and associated jobs), controlling feral animals such as deer, and biodiversity recovery – creating habitat for endangered species such as the southern greater glider and Leadbeater’s possum, for example.

    The $224 million required for the ten years of the green bond — or around $22.4 million per year — is less than the substantial losses Victoria incurred on its investment in VicForests over the past decade.

    Our research suggests leaving nature to its own devices would mean losing a fifth of the forests logged over the past 40 years. Bringing the trees back has multiple benefits and would be well worth the investment.

    Maldwyn John Evans receives funding from the Australian Government.

    David Lindenmayer receives funding from The Australian Government, the Australian Research Council and the Victorian Government. He is a Councillor with the Biodiversity Council and a Member of Birdlife Australia.

    Chris Taylor does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

    ref. Logging devastated Victoria’s native forests – and new research shows 20% has failed to grow back – https://theconversation.com/logging-devastated-victorias-native-forests-and-new-research-shows-20-has-failed-to-grow-back-254465

    MIL OSI AnalysisEveningReport.nz

  • MIL-Evening Report: What are the symptoms of measles? How long does the vaccine last? Experts answer 6 key questions

    Source: The Conversation (Au and NZ) – By Phoebe Williams, Paediatrician & Infectious Diseases Physician; Senior Lecturer & NHMRC Fellow, Faculty of Medicine, University of Sydney

    fotohay/Shutterstock

    So far in 2025 (as of May 1), 70 cases of measles have been notified in Australia, with all states and territories except Tasmania and the Australian Capital Territory having recorded at least one case. Most infections have occurred in New South Wales, Victoria and Western Australia.

    We’ve already surpassed the total number of cases recorded in all of 2023 (26 cases) and 2024 (57 cases).

    Measles outbreaks are currently occurring in every region of the world. Most Australian cases are diagnosed in travellers returning from overseas, including popular holiday destinations in Southeast Asia.

    But although Australia eliminated local transmission of measles in 2014, recently we’ve seen measles infections once again in Australians who haven’t been overseas. In other words, the virus has been transmitted in the community.

    So with measles health alerts and news reports popping up often, what do you need to know about measles? We’ve collated a list of commonly Googled questions about the virus and the vaccine.

    1. What is measles?

    Measles is one of the most contagious diseases known to affect humans. In fact, every person with measles can infect 12 to 18 others who are not immune. The measles virus can survive in the air for two hours, so people can inhale the virus even after an infected person has left the room.

    Measles predominantly affects children and those with weaker immune systems. Up to four in ten people with measles will need to go to hospital, and up to three in 1,000 people who get measles will die.

    In 2023, there were more than 100,000 deaths from measles around the world.




    Read more:
    Travelling overseas? You could be at risk of measles. Here’s how to ensure you’re protected


    2. What are the symptoms of measles?

    The signs and symptoms of measles usually start 7–14 days after exposure to the virus, and include rash, fever, a runny nose, cough and conjunctivitis. The rash usually starts on the face or neck, and spreads over three days to eventually reach the hands and feet. On darker skin, the rash may be harder to see.

    Complications from measles are common, and include ear infections, encephalitis (swelling of the brain), blindness and breathing problems or pneumonia. These complications are more likely in children.

    Pregnant women are also at greater risk of serious complications, and measles can also cause preterm labour and stillbirth.

    Even in people who recover from measles, a rare (and often fatal) brain condition can occur many years later, called subacute sclerosing panencephalitis.

    Children are most vulnerable to measles.
    Jacob Lund/Shutterstock

    3. What’s the difference between measles and chickenpox?

    Measles and chickenpox are caused by different viruses, although both commonly affect children, and vaccines can prevent both diseases. Chickenpox is caused by the varicella zoster virus, which is also transmitted through the air, and can cause fever, rash and rare (yet serious) complications.

    The chickenpox rash is different to the rash seen in measles. It often starts on the chest or back, appearing first as separate red bumps that evolve into fluid-filled blisters, called vesicles. Chickenpox can also appear later in life as shingles.

    4. Can you get measles twice?

    The simple answer is no. If you contract measles, you should have lifelong immunity afterwards.

    In Australia, people born before 1966 would have most likely been infected with measles, because the vaccine wasn’t available to them as children. They are therefore protected from future infection.

    Measles infection however can reduce the immune system’s ability to recognise infections it has previously encountered, leaving people vulnerable to many of the infections to which they previously had immunity. Vaccination can protect against this.

    5. What is the measles vaccine, and at what age do you get it?

    The measles vaccine contains a live but weakened version of the measles virus. In Australia, measles vaccinations are given as part of a combination vaccine that contains the measles virus alongside the mumps and rubella viruses (the MMR vaccine), and the chickenpox virus (MMRV).

    Under the national immunisation program, children in Australia receive measles vaccines at 12 months (MMR) and 18 months of age (MMRV). In other countries, the age of vaccination may vary – but at least two doses are always needed for optimal immunity.

    In Australia, children are vaccinated against measles at 12 and 18 months.
    Zhuravlev Andrey/Shutterstock

    Measles vaccines can be given earlier than 12 months, from as early as six months, to protect infants who may be at higher risk of exposure to the virus (such as those travelling overseas). Infants who receive an early dose of the measles vaccine still receive the usual two recommended doses at 12 and 18 months old.

    Australians born between 1966 and 1994 (those aged roughly 20–60) are considered to be at greater risk of measles, as the second dose was only recommended from November 1992. Australia is seeing breakthrough measles infections in this age group.

    An additional measles vaccine can be given to these adults at any time. It’s safe to get an extra dose even if you have been vaccinated before. If you are unsure if you need one, talk to your GP who may check your measles immunity (or immunisation record, if applicable) before vaccinating.

    However, as the measles vaccine is a live vaccine, it’s not safe to give to people with weakened immune systems (due to certain medical conditions) or pregnant women. It’s therefore important that healthy, eligible people receive the measles vaccine to protect themselves and our vulnerable population.

    6. How long does a measles vaccine last?

    The measles vaccine is one of the most effective vaccines we have. After two doses, about 99% of people will be protected against measles for life.

    And the measles vaccine not only protects you from disease. It also stops you from transmitting the virus to others.

    Phoebe Williams receives research funding focused on reducing antimicrobial resistance and neonatal sepsis from the National Health and Medical Research Council and the Gates Foundation.

    Archana Koirala is the chair of the Vaccination Special Interest Group and a committee member of the Australian and New Zealand paediatric infectious diseases network with Australasian Society of Infectious Diseases. Her vaccine and seroprevalence research has been funded by the Australian Government Department of Health and Aged Care and NSW Health.

    ref. What are the symptoms of measles? How long does the vaccine last? Experts answer 6 key questions – https://theconversation.com/what-are-the-symptoms-of-measles-how-long-does-the-vaccine-last-experts-answer-6-key-questions-255496

    MIL OSI AnalysisEveningReport.nz

  • MIL-OSI USA: SCHUMER REVEALS: ‘DOGE’ & TRUMP JUST SLASHED $26+ MILLION FOR AMERICORPS PUBLIC SERVICE COMMUNITY PROJECTS ACROSS NEW YORK, AXING 3,600 AMERICORPS NATIONAL SERVICE MEMBERS, WITH MORE DEVASTATING CUTS…

    US Senate News:

    Source: United States Senator for New York Charles E Schumer
    Thousands Of AmeriCorps Members Were Just Fired By ‘DOGE’ And NY Community Grants Ripped Away, Cancelling Funds To Help Build Houses, Provide Rural Health Care, Respond To Disasters, Tutor Students, And More
    Every Year Over 22,000 AmeriCorps National Service Participants Work On 1,700+ Projects In Every Corner Of NY, But Now Grants Are Being Cancelled Across The State With Even More Cuts Expected – Senator Breaks Down Impact Region By Region Thus Far And Demands Funding Be Restored
    Schumer: Calling Service-Led Community Projects ‘Government Waste’ Makes No Sense, AmeriCorps Is One Of The Best Bang For Your Buck Programs That Helps NY Communities In Need
    After Trump and ‘DOGE’ placed a majority of AmeriCorps employees on leave and terminated nearly $400 million in AmeriCorps grants nationally earlier this month, U.S. Senator Chuck Schumer today revealed this has impacted over 3,600 NY community service members slashing over $26 million in federal funding for local community projects in every corner of New York State, and with more potential cuts on the horizon the senator broke down the impacts region by region to show just how deep these cuts go. 
    Schumer said this is the first step towards dismantling AmeriCorps entirely would devastate New York, which has over 1,700 AmeriCorps projects, and is demanding that NY House Republicans stand up to protect this vital public service and join him in his push to immediately reverse these cuts. All of these AmeriCorps programs have long-standing bipartisan support having been previously authorized by Congress and funded by the annual appropriations bill passed by Congress and signed into law, making ‘DOGE’s’ cuts unlawful.
    “AmeriCorps is one of the world’s greatest service programs, and one of the best bang for your buck federal investments in addressing community needs and in the future of our country. But across New York hundreds of AmeriCorps community service participants were just egregiously fired and had their funding ripped away halting their critical work helping the communities they serve. This is funding that provides rural healthcare in the Southern Tier, helps children learn to read in Buffalo, expands job training opportunities in Albany, and so much more to fill in the gaps by linking national service participants with opportunities to gain experience serving their country. This critical work will now cease as these members are dismissed and funding is ripped away from our communities by Trump and ‘DOGE,’” said Senator Schumer. “I am all for cutting out inefficiency, but you use a scalpel, not a chainsaw. You don’t dismiss thousands of members who have dedicated their time to public service and giving back to underserved communities – it makes no sense. These are community projects that wouldn’t happen without AmeriCorps and we need these cuts reversed NOW and for NY Republicans to stand up in opposition to eliminating funding for AmeriCorps.”
    In recent days, Trump and ‘DOGE’ cut roughly 75% of full-time AmeriCorps employees and dismissed thousands of national service participants working on projects in every corner of the country, including over 3,600 community service participants across New York and cancelling over $26 million in grant funding, meaning in many instances these projects will not continue. You can find a full list of cut projects across Upstate NY according to AmeriCorps linked HERE. Some projects cut or facing threats by the Trump administration include:
    In Buffalo, AmeriCorps members were tutoring more than 2,500 students across 4 schools in the school district through City Year, helping students improve attendance and academic performance. In addition, more AmeriCorps members were building homes through Habitat for Humanity.
    In the Southern Tier, AmeriCorps members based in Binghamton were providing health care services to rural communities across the Southern Tier through the Rural Health Network of South Central New York.
    In Rochester, AmeriCorps members were improving academic engagement and college and career readiness throughout the Rochester City School District through Monroe Community College and providing public health apprenticeships through Flower City Public Health Corps.
    In the Capital Region, AmeriCorps members were providing free support for high schoolers applying for federal student aid through SUNY and training to be dispute resolution practitioners.
    In Central NY and the North Country, AmeriCorps members were working with local children providing mentoring, nutrition, and fitness education through Oswego AmeriCorps and working supporting outdoor-based education initiatives in the Adirondacks community through the Wild Center.
    In the Hudson Valley, AmeriCorps members were working with local children through We Prosper Family Organization.
    A breakdown of dismissed volunteers and cut federal funding by region for Upstate NY can be found below:

    Region

    Federal Funding

    Capital Region

    $6,439,224

    Rochester-Finger Lakes

    $2,556,668

    Western NY

    $2,285,041

    Southern Tier

    $647,910

    Central NY & North Country

    $636,020

    Hudson Valley

    $132,300

    TOTAL FOR UPSTATE NY-BASED PROJECTS

    $12,697,163

    Across New York State, there are over 22,000 national service members working on over 1,700 projects. AmeriCorps and its partners generated more than $20 million in outside resources from businesses, foundations, public agencies, and other sources in New York last year. Schumer said AmeriCorps members and communities that are impacted by these latest cuts are just the tip of the iceberg, with more cuts being announced every day that could soon hit other projects such as the Rockland Head Start program which provides child care, Interfaith Works in Syracuse which supports Central New York seniors, and Lifespan which provides services to seniors across Upstate NY such as training for part time jobs as senior companions in Central New York and health and wellness programs for seniors in the Rochester Finger-Lakes region.
    ‘There is no rhyme or reason to the project and grant terminations, other than DOGE was forcing AmeriCorps to get to a bottom-line dollar amount. The reason for eliminating over half the staff is very clear: This administration does not value the contributions of public servants who have been quietly administering an extremely efficient agency that engages Americans all across the country in service, which in addition to providing critical services, strengthens civic engagement and ties between people of all backgrounds,” said Kelly Daly, President, AFSCME Local 2027.
    “AmeriCorps gets things done by filling unmet local needs, while bolstering a sense of community,  advancing personal responsibility, and boosting the upward mobility of its participants.  We have used AmeriCorps members to build the capacity of anti-hunger organizations throughout the state. In many ways, AmeriCorps is a conservative program. You don’t get a penny unless you work, most program funding decisions are made by states rather than the federal government, and the vast majority of participants serve with nonprofit groups (not government agencies). AmeriCorps is one the most cost-effective ways to solve social problems because it harnesses the immense energy of citizen service. Thus, if conservatives were ideologically consistent, they would increase rather than gut AmeriCorps funding. We thank Leader Schumer for keeping the government running and keep many AmeriCorps projects alive as long as possible, and for taking on the fight to protect AmeriCorps,” said Joel Berg, CEO of Hunger Free America, a national nonpartisan nonprofit organization headquartered in New York.
    Executive Director of PEACE, Inc., Carolyn D. Brown said, “PEACE, Inc.’s AmeriCorps Seniors Foster Grandparent Program allows our community’s seniors to share their time and their expertise through mentoring. Statistics show how the program improves the lives of our Foster Grandparent volunteers and both the academic performance and the social emotional skills of youth in elementary schools, Head Starts, and children’s centers. If our program was eliminated, 68 Foster Grandparent volunteers would lose their positions, and 225 vulnerable youth would lose critical interventions. These numbers would prove devastating for a city like Syracuse where nearly 1 out of 2 children live in poverty.”
    “InterFaith Works’ Senior Companion Program connects older volunteers with older adults and caregivers, for in home companionship and friendly visits. For as little as $3000 per year, vulnerable older adults stay socially connected, get help with daily activities, and age well at home – and out of costly nursing homes. Working caregivers get free in home respite for up to 40 hours per week, so they can maintain their jobs and attend to their personal needs. Senior Companion volunteers are all low-income older adults who receive a small stipend, stay active, and keep themselves healthy, too. Funding cuts would eliminate these critical and cost-effective supports for over 300 vulnerable older adults and their caregivers throughout the Central New York community,” said Lori Klivak, Director of the Center for Healthy Aging at InterFaith Works of CNY.
    “In the past five years, City Year AmeriCorps members have served in Buffalo schools to help thousands of students engage more deeply with their learning, stay on track to graduate, and reach their full potential, and these corps members receive professional development and gain skills that prepare them to enter the workforce as our region’s most in-demand employees,” said City Year Buffalo Executive Director Jacqueline Ashby. “We’re grateful to Senator Schumer for his steadfast support in championing the national service program AmeriCorps that makes this important work possible, and that benefits our community, local economy, education system and workforce development here in Western New York.”
    Across the country, AmeriCorps deploys more than 200,000 Americans annually to carry out results-driven projects at over 35,000 locations. National service participants serve in hundreds of nonprofit organizations, public agencies, and community and faith-based organizations, in rural and urban communities throughout the country. They mentor youth, build affordable housing, help communities respond to disasters, and build the capacity of nonprofit groups to extend and improve their impact by leveraging community service participants. In exchange for their services, AmeriCorps members earn an education award to pay for college or to pay off qualified student loans. A non-partisan study showed that there are an estimated $17 in benefits returned for every taxpayer dollar spent. In addition, Schumer said AmeriCorps is a long-standing, bipartisan program and failing to use AmeriCorps funding for its intended purpose as appropriated by Congress would be a violation of the law.
    Schumer led dozens of his colleagues’ in a recent letter to the President on these devastating cuts, which can be found HERE.

    MIL OSI USA News

  • MIL-OSI United Nations: Experts of the Committee on the Elimination of Racial Discrimination Commend Gabon on Special Contingent Composed of Indigenous Persons, Ask Questions on Treatment of Hausa Gabonese Population and Human Trafficking

    Source: United Nations – Geneva

    The Committee on the Elimination of Racial Discrimination today concluded its consideration of the tenth periodic report of Gabon, with Committee Experts commending the State on the establishment of a special contingent in the National Guard made up of indigenous persons, while asking questions on the treatment of the Hausa Gabonese population and steps taken to combat human trafficking.

    Régine Esseneme, Committee Expert and Country Rapporteur, said the Committee was informed that the President of the Transition, the current Head of State, had set up a special contingent in the National Guard composed of members of the indigenous peoples’ communities, with a view to protecting the environment, which was a commendable action.

    Ms. Esseneme asked about the situation of the Hausa Gabonese since their naturalisation as Gabonese citizens in 2015, in terms of facilitating their national integration? What measures were being taken to ensure effective access to birth registration for members of ethnic minorities and indigenous peoples and to ensure the issuance of official identity documents and passports, especially in remote areas?

    Bakri Sidiki Diaby, Committee Expert and Country Co-Rapporteur, asked what was the proportion of Gabonese nationals who were victims of trafficking? What were the main forms of trafficking found in Gabon? What was the profile of the perpetrators of human trafficking, their gender and their nationality? What were the measures for reparation and rehabilitation of victims of trafficking? What was being done by the State to prevent and combat trafficking in persons, including for the purpose of labour exploitation, sexual exploitation and domestic servitude, including of non-citizens, especially children?

    The delegation said the Hausa Gabonese benefitted the same as any other citizen who held Gabonese nationality. A naturalisation decree had been implemented which granted Gabonese nationality to all Hausa people living in the country at the time; this was around 1,000 people. Some people had tried to fall through the cracks and benefit from this decree without actually meeting the requirements, which had a negative impact on the administrative situation. The Ministry of Justice was currently verifying the validity of these documents.

    The delegation said in 2023, Gabon completed the procedure required for the State to be in a position to proactively identify cases of human trafficking by identifying irregular movements. The country was also collecting data in this regard, to identify trends and receive up to date information on this phenomenon in Gabon. Underground networks operated the trafficking of women and children, and irregular migration was the driving force behind this phenomenon. Gabon was working with Benin to find a solution to this issue. The State was fully committed to rolling out the project to have practical solutions to these issues, including police investigations into these cases.

    Introducing the report, Paul-Marie Gondjout, Minister of Justice, Keeper of the Seals of Gabon and head of the delegation, apologised for the late submission of the report, which should have been submitted more than 20 years ago. Since the “ coup of liberation” of 30 August 2023, the country had been engaged in a democratic transition process under the aegis of the President of the Transition. Structured around profound institutional reforms, this inclusive process had laid the foundations for more transparent and democratic governance. A new Constitution was adopted in December 2024, which brought substantial innovations in governance; and the Electoral Code adopted in January 2025 introduced greater involvement of electoral observers, two seats of deputies for the Gabonese diaspora, and the guarantee of the right to vote for incarcerated citizens.

    In concluding remarks, Ms. Esseneme congratulated Gabon for the multi-sectoral approach taken to the dialogue, which had been productive and fruitful. Gabon was urged to do its utmost to implement the recommendations contained in the concluding observations, to ensure ongoing collaboration with the Committee.

    Mr. Gondjout, in his concluding remarks, thanked the Committee for the constructive and respectful exchange which had taken place. Gabon would continue engaging with the Committee and looked forward to the concluding observations and follow-up. It would respond within the timeframes indicated.

    The delegation of Gabon consisted of representatives of the Transitional National Assembly; Ministry of the Interior; Ministry of Health; Ministry of Energy and Water Resources; Ministry of Women and Child Protection; Ministry of National Education; Directorate of Human Rights Protection; Directorate of Criminal Affairs; Directorate of Equal Opportunities; Labour Inspectorate; Central Directorate of Financial Affairs; Directorate of Documentation and Immigration; Immigration Task Force; and the Permanent Mission of Gabon to the United Nations Office at Geneva.

    The Committee will issue its concluding observations on the report of Gabon after the conclusion of its one hundred and fifteenth session on 9 May. The programme of work and other documents related to the session can be found here . Summaries of the public meetings of the Committee can be found here , while webcasts of the public meetings can be found here .

    The Committee will next meet in public on Thursday, 1 May at 3 p.m. to consider the combined eleventh and twelfth periodic reports of Kyrgyzstan (CERD/C/KGZ/11-12).

    Report

    The Committee has before it the tenth periodic report of Gabon (CERD/C/GAB/10).

    Presentation of Report

    PAUL-MARIE GONDJOUT, Minister of Justice, Keeper of the Seals of Gabon and head of the delegation , apologised for the late submission of the report, which should have been submitted more than 20 years ago. It covered the period from 1999 to 2021 and was drafted in an inclusive, participatory process. Since gaining sovereignty, Gabon had promoted equal dignity among all citizens by prohibiting any distinction of race, origin or religion. The country had made the fight against all forms of discrimination one of the priorities in its resolute commitment to building a State governed by the rule of law that respected and protected human rights and guaranteed access to rights for all.

    Since the “ coup of liberation” of 30 August 2023, the country had been engaged in a democratic transition process under the aegis of the President of the Transition. Structured around profound institutional reforms, this inclusive process had laid the foundations for more transparent and democratic governance. A new Constitution was adopted in December 2024, which brought substantial innovations in governance; and the Electoral Code adopted in January 2025 introduced greater involvement of electoral observers, two seats of deputies for the Gabonese diaspora, and the guarantee of the right to vote for incarcerated citizens. The presidential election was held on 12 April, which would be followed on 3 May by the inauguration of the President of the Republic, thus putting an end to the transition. Transitional authorities had taken determined action to periodically update the legislative arsenal to bring it into line with ratified international treaties.

    Statistical data was a major challenge for Gabon. To address this, the Directorate General of Statistics had set up a technical body to carry out the seventh national census, which would provide data on age, gender, ethnicity, nationality and language spoken for the total population, indigenous peoples, ethnic minorities and migrants, as well as information on employment, income level and social protection. The project for the harmonisation and improvement of statistics in West and Central Africa was providing financing of statistical activities between 2025 and 2029, ensuring the production of reliable and regularly updated statistics.

    The Convention was directly applicable in Gabon and took precedence over national laws. To raise awareness of the Convention, several initiatives were implemented during the reporting period, from capacity-building workshops to the dissemination of multilingual communications. In various training schools, the Convention was presented in the module on human rights.

    No Gabonese text defined racial discrimination in the same terms as those in article one of the Convention. However, the Constitutions of 1991 and 2024 had adopted and enshrined the main principles of article one, targeting discrimination based on race, colour, national or ethnic origin and covering several sectors of the population. The Constitution also enshrined the equality of citizens before the law and the courts and the presumption of innocence for accused persons. The Government envisaged developing a national plan of action to combat racial discrimination and related intolerance in the coming year. Training sessions on the issue had been organised and a committee had been set up to develop a draft.

    A law on the reorganisation of the National Human Rights Commission was promulgated in November 2024. The process of re-establishing the institution would be completed in the coming weeks after the selection of the commissioners by the Bureau of the National Assembly. Premises for the Commission were made available in 2014, and it had recruited staff since 2012. Its budget has increased from 12,000,000 CFA francs in 2016 to 592,000,000 in 2025.

    During the period under review, measures were taken to ensure that the Criminal Code and other legislation complied with the Convention. State laws prohibited and penalised acts of racial, religious and ethnic discrimination and regionalist propaganda; secular or religious associations that provoked hatred between ethnic groups; and the dissemination, including online, of racist hate speech, which constituted an aggravating circumstance.

    The High Authority for Communication had imposed sanctions on media outlets on several occasions, but no decision condemning hate speech had been handed down by courts to date. A digital campaign entitled “Gabon against hate” was launched in December 2023 to educate citizens on the dangers of hate speech and disinformation, and in December 2024, the Government organised a workshop on the Central African strategy and action plan for the prevention and response to hate speech and incitement to violence, which led to the drafting of a national action plan.

    The new Constitution recognised civil society organizations as a part of pluralist and participatory democracy. A bill was also submitted in September 2024 on the protection of human rights defenders. Civil society organizations, including the network of human rights defenders, were strongly involved in the transition process, both in the Government and in Parliament.

    To align legislation on migrants with international standards, Gabon prepared a draft law establishing rules governing the admission and residence of foreigners in the Republic. The Government planned to integrate the issue of migrants into the curricula of training schools, particularly at the National School of the Judiciary and the National Police Academy, which also had a module on trafficking in persons.

    Gabon had made commitments at international, regional and national levels to combat trafficking in persons through local initiatives and partnerships with international actors. In 2023, the State party created a commission that was mandated to strengthen the capacities of actors addressing trafficking and establish coordinated mechanisms for the identification, care and protection of victims in each province. In addition, a proposed strategy and action plan on trafficking for the period 2025-2029 would implement actions to prevent the phenomenon, protect victims and prosecute perpetrators.

    Questions by Committee Experts

    RÉGINE ESSENEME, Committee Expert and Country Rapporteur , extended warm congratulations to the elected President of the Republic, Brice Oligui Nguema. She said the Committee had considered Gabon’s last report in 1998 in the absence of a delegation. The State submitted its next report 26 years late in 2024. The report did not provide sufficient information on the implementation of the Committee’s previous concluding observations. However, Ms. Esseneme congratulated the State party on significant developments that had been made in the legal and institutional framework, particularly the prohibition of hate speech.

    Gabon’s new Constitution of 2024 did not contain all the grounds of discrimination provided for in article one of the Convention, including skin colour, national origin and ancestry. Was this Constitution currently in effect? By what mechanism could the Convention be invoked before national courts? Could the delegation give examples of court cases in which Convention provisions had been applied? Were there plans to adopt comprehensive anti-discrimination legislation in line with the Convention? Gabon’s Common Core Document dated from 1998 and did not contain precise information on equality and non-discrimination. Were there plans to update it?

    Was there any legislation in the State party explicitly prohibiting racial profiling by police? Gabonese police reportedly carried out racial profiling checks and extorted foreigners staying in Gabon, demanding sums of money from them that varied depending on whether they held a residence permit. What measures were envisaged to prevent, prohibit and expressly punish racial profiling?

    Was the Government drafting a new Criminal Code that incorporated all the provisions of article four of the Convention? Since the events of 30 August 2023, there had reportedly been a rise in racist hate speech against Gabonese of foreign origin, including the Hausa Gabonese group, and foreigners. What measures had the State party taken to counter this hate speech? Had the Prosecutor’s Office received cases of discriminatory acts against Hausa Gabonese?

    The situation seemed to have deteriorated since the presidential election. Some 500 vehicles belonging to non-nationals employed in a private scheme for disadvantaged people had been seized and impounded. Could the State party provide an update on this case, which appeared to amount to racially motivated violence?

    Did Gabon’s law hold persons from a dominant group to account when they destroyed the property of or committed violence against a member of a minority group? What measures were in place to improve the reporting and monitoring of racist hate crimes and hate speech? What progress had been made through the “Gabon against hate” campaign?

    BAKRI SIDIKI DIABY, Committee Expert and Country Co-Rapporteur, called for data on the demographic composition of the population based on self-identification, disaggregated by ethnic origin; data on migrants, refugees, asylum seekers and stateless people; and disaggregated economic and social indicators on the different groups living in the territory, in particular minority groups? The Committee was concerned about the State’s general lack of disaggregated data, including on ethnicity, needed to monitor progress on human rights and inform policymaking. How was the State addressing this? Did it plan to establish a comprehensive data collection and reporting system that would provide insight into racial discrimination, socio-economic inequalities and implementation of the Convention?

    Responses by the Delegation

    The delegation apologised for Gabon’s lateness in submitting the report. The State party was fully committed to working with the Committee. The transitional authorities sought to fulfil the country’s international obligations.

    The Constitution reflected the principles of the Convention, even though it did not reproduce its provisions word for word. There had been no complaints submitted to courts on racial discrimination. The President would take office in three days’ time, when the new Constitution would enter into force.

    The Convention had supremacy over all domestic laws, and when there were Convention provisions that were contrary to the Constitution, the Constitutional Court could recommend amendments to the Constitution. The Criminal Code was last revised in 2020 and Gabon was engaging in work to further revise the Code to formalise within it all elements of article one of the Convention.

    Police officers apprehended persons based on the acts that they conducted. They did not consider persons’ racial or ethnic identity; State law prohibited racial profiling. The Government worked to promote unity between different ethnic groups and ensure that hate speech did not gain ground.

    Data on ethnic origin was not collected in the previous census of 2013, though data on nationality was. The next census would collect data on age, gender, ethnic origin and languages spoken. The Government had undertaken a project to reform the national statistics system, which aimed to provide more resources to the national statistics institute and to establish officers on statistics in each ministerial department, who would collect data on the implementation of the Convention.

    Last year, a leader of a political party made a statement against an ethnic group; investigations into this incident were ongoing. The State party embraced the Hausa Gabonese and other populations of foreign origin, promoting their integration into society. It sought to resolve institutional friction to ensure such integration. It was not aware of reports of seizing of non-nationals’ vehicles.

    Follow-Up Questions by Committee Experts

    RÉGINE ESSENEME, Committee Expert and Country Rapporteur, asked whether the President would need to approve legislation to bring the new Constitution into force. What happened when constitutional or domestic legal provisions ran counter to international norms? Did victims need to lodge complaints related to hate speech for criminal investigations to start? Did the law on the protection of personal data include measures to prevent racial profiling?

    A Committee Expert said the Committee was very pleased to see the delegation of Gabon after nearly a quarter-century and looked forward to continued dialogue with the State. In 2011, a law was implemented that addressed ritualistic crimes against children. What measures had the State party taken to protect children from these crimes? How many children were affected by such crimes?

    Responses by the Delegation

    The delegation said the new Constitution was in force, but its content on ceasing the transitional process was not applicable immediately. The Constitutional Court assessed new laws to ensure that they were aligned with the Convention and the Constitution. It informed the Government when laws contained provisions that did not align with the Convention and called for their revision.

    The Higher Authority on Communication could suggest administrative sanctions against media agencies that disseminated hate speech.

    There were no legal provisions that specifically referred to “ritualistic crimes”, but there were provisions punishing related acts, such as murder and removal of vital organs, as aggravated crimes.

    Questions by Committee Experts

    RÉGINE ESSENEME, Committee Expert and Country Rapporteur, said Gabon had not adopted a plan of action to combat racial discrimination. What measures had the State party taken to develop such a plan and implement the Durban Programme of Action, and what results had it obtained?

    The National Human Rights Commission was reorganised in November 2024. Had the State party applied for accreditation from the Global Alliance of National Human Rights Institutions? The Commission received and examined complaints from individuals and victims. What was the procedure for this, and how many complaints had it examined, including related to racial discrimination? How was the Commission raising awareness about human rights protections? The Commission’s financial resources had been significantly increased; the Committee hoped that this would strengthen the Commission’s ability to combat racial discrimination.

    The registration procedure for non-governmental organizations was reportedly very expensive and inconsistent, which discouraged organizations from carrying out their activities. The Committee had not received any alternative report from civil society. How was the State party encouraging this? What progress had been made in establishing a consultation framework between the State and civil society, and in developing a law on human rights defenders? Human and environmental rights defenders in the country were highly vulnerable to abuses and reprisals, including women, farmers and indigenous peoples fighting against deforestation. What measures were being taken to ensure the protection of human rights defenders who fought against racial discrimination and defended indigenous peoples and migrants?

    The Committee welcomed that the State automatically appointed a lawyer to accused persons who could not afford one, and that such persons benefitted from the presumption of innocence. How many persons had benefitted from legal aid in the last two years, including persons from ethnic minorities?

    What continuous training or awareness raising activities were being carried out for the judiciary, law enforcement officials and the public on human rights, international human rights treaties, non-discrimination and minority rights? Did training on human rights for security and defence forces address the Convention? What measures had been implemented to support the filing of complaints and claims for redress in cases of racial discrimination, particularly for ethnic minorities, indigenous peoples and non-citizens? Victims often struggled to prove that they had been discriminated against when perpetrators held positions of authority. Did the State party intend to introduce a reversal of the burden of proof in favour of victims of discrimination? How would the State bring the administration of justice closer to rural areas inhabited by indigenous peoples, and remove obstacles related to linguistic diversity?

    What progress had been made on introducing human rights education into school curricula and higher education? Did curricula address the Convention, combatting racial discrimination, and the history, culture and traditions of the different ethnic groups and indigenous peoples? What difficulties did the State party encounter in promoting education on national languages? Were there any community radio stations in the State party where information was disseminated in local languages and indigenous languages such as Baka? What programmes were in place to promote ethnic cultures and traditions and social cohesion?

    BAKRI SIDIKI DIABY, Committee Expert and Country Co-Rapporteur, said the new Constitution stipulated that citizens’ gatherings, demonstrations or parades in public spaces needed to be authorised under the conditions provided for by law. This seemed to restrict freedom of assembly and contradict 2017 legislation calling only for a declaration of planned gatherings. Why had this regressive change been made? How would the State party bring its rules on freedom of assembly in line with international standards? Were remedies available for persons whose demonstrations had been banned?

    In February 2021, tear gas and grenades were used in Libreville and Port Gentil to disperse a crowd demonstrating in opposition to the restrictions imposed during the COVID-19 pandemic. What justified this use of public force? Had investigations been carried out to establish responsibility? Could legislation on assembly be used to restrict private meetings? What measures had the State party adopted to ensure that indigenous peoples, ethnic minorities and non-citizens could exercise their right to freedom of assembly without discrimination, including at demonstrations in opposition to infrastructure projects or calling for protection of the environment and natural resources?

    FAITH DIKELEDI PANSY TLAKULA, Committee Expert and Follow-Up Rapporteur , said she was encouraged by the State’s desire to strengthen its institutions. How were the members of the National Human Rights Commission appointed and to whom were they accountable? The State party had not ratified the African Charter on Democracy, Elections and Governance. Did it plan to do so?

    Responses by the Delegation

    The delegation said that the National Human Rights Commission would apply for accreditation with the Global Alliance of National Human Rights Institutions. Funding for the Commission had increased exponentially. Legislation on the re-establishment of the Commission was in line with the Paris Principles; it had been developed with the Office of the High Commissioner for Human Rights. There had not been any complaints of racial discrimination submitted to the Commission yet. The State party would work to raise awareness of the Commission’s complaints mechanism.

    The Commission and civil society were involved in drafting the State party’s reports to treaty bodies. Civil society had submitted alternative reports to the Human Rights Committee, and training had been provided to civil society on preparing such reports. Reports that the procedure for creating non-governmental organizations was onerous were false. There were no costs associated with creating such organizations in Gabon.

    Gabon sought to rebuild its institutions based on justice. It had set up a legal aid office, which provided legal aid to vulnerable persons, and sought to strengthen this system and make it accessible throughout the country. There was no discrimination in the provision of legal aid. All plaintiffs appearing before a criminal court needed to be represented by a lawyer. The State party would consider revising the Criminal Code to reverse the burden of proof for cases involving racial discrimination.

    The new Constitution enshrined the principles of freedom of expression and assembly for all citizens. Legislation set up a system of declaration for public demonstrations; there was no authorisation system. Individuals who had been banned from holding demonstrations could file administrative appeals and appeals with the courts. There were no barriers to the freedom of expression in Gabon.

    Human rights education was part of the Gabonese civic education programme from primary level onwards. There had been an initiative to bolster this programme and to provide human rights education in vocational training institutions. Teaching on national languages was provided in religious establishments, and there were plans to include national language education in the general primary and secondary curricula.

    The new members of the National Human Rights Commission would be appointed by an ad-hoc committee within the National Assembly through a transparent process that ensured appropriate geographic balance. These members would be standing, independent members. Members’ reports would be sent to relevant institutions for follow-up.

    Initial training for members of the magistracy included a module on human rights, and ongoing training was provided on certain issues, for example concerning migrants and trafficking.

    Questions by a Committee Expert

    RÉGINE ESSENEME, Committee Expert and Country Rapporteur, asked which groups in Gabon self-determined as national minorities, even though the State declared it did not grant them legal status? What was the situation of the Hausa Gabonese since their naturalisation as Gabonese citizens in 2015, in terms of facilitating their national integration? According to information received by the Committee, the State was struggling to issue birth certificates and national identity cards to ethnic and indigenous minorities. What measures were being taken to ensure effective access to birth registration for members of ethnic minorities and indigenous peoples and to ensure the issuance of official identity documents and passports, especially in remote areas?

    It was reported that in 2022, people returning from holidays, whose surnames sounded foreign, had had their passports taken away by border police officers, and they had to go and collect them and justify their Gabonese nationality. What was at the origin of this search for the original “Gabonness” that seemed to be coming back in force since the events of August 2023? What was the State party doing to ensure social cohesion in these circumstances?

    How many members of the indigenous peoples’ communities held positions of responsibility in the central and local State administration? What measures were being taken to strengthen the political and administrative capacities of the members of these communities for better representation? What was the proportion of women, and particularly women from indigenous peoples and the Hausa Gabonese minority, in elective and decision-making positions in the civil service? Did it mean the State would prefer to appoint a less qualified man to a senior job in the State rather than a highly qualified woman, if the 30 per cent quota for women was reached? What measures had the State party taken to prevent and combat racial discrimination in the workplace, as well as abusive practices and labour exploitation, in particular against indigenous peoples and other minorities?

    From the report, it appeared the State party was made up of the Baka, Babongo, Bakoya, Baghame, Barimba, Akoula and Akwoa ethnic groups that were settled in different regions of Gabonese territory. What were the legal and institutional frameworks, as well as policies and programmes established for the promotion and protection of the specific rights of these indigenous peoples? What measures had been taken to enable indigenous peoples to enjoy genuine equality of opportunity and treatment with other members of the population? How many indigenous peoples were there in Gabon?

    What mechanism had been implemented to conduct prior consultations to obtain the free and informed consent of the indigenous peoples concerned by projects, including the deployment of fibre optics, and to involve them in their implementation? Was there a permanent framework for cooperation with community leaders or associations that represented these populations? Who were the ethnic groups of the indigenous inhabitants of the 26 villages concerned by the development project, being conducted with the United Nations Children’s Fund?

    The Committee was informed that the President of the Transition, the current Head of State, had set up a special contingent in the National Guard composed of members of the indigenous peoples’ communities, with a view to protecting the environment, which was a commendable action. It was hoped this would not be an isolated act.

    According to available information, entire villages populated by indigenous communities had been displaced without prior consent for mining projects in Bakoumba, and had been relocated to undesirable and polluted areas, with no action taken by the authorities to follow up on the complaints of those affected by the pollution. Could information on this situation be provided? What measures were being taken to ensure the right of indigenous peoples to own, develop, control and use the lands, resources and community territories that they traditionally occupied or used? What tools did the Government use to promote equal opportunities in education and training? How were the specific needs of indigenous peoples taken into account? Did pre-primary and primary education include the teaching of mother tongue languages?

    The Gabonese Government had adopted a commendable housing policy with the home savings plan put in place since March 2019. However, a World Bank report from 2020 revealed that more than one in two households did not have access to decent housing. What was the real situation in terms of housing? Could information be provided on the poverty rate among indigenous peoples and other minorities and their access to basic services?

    The education system had specialised facilities for children with hearing impairments, including those belonging to indigenous peoples and other minorities. What was the situation of the education of other children with special needs, such as autistic children, considered in some societies to be evil or sorcerous children? Given that some 50 national languages were spoken in Gabon, what languages were used within the media and what methodology was used to choose these languages? Were there programmes in the Baka and Koya languages that were spoken by indigenous peoples? What measures had been taken to promote the dissemination of and respect for the traditions and culture of the different ethnic groups in Gabon, and to protect indigenous languages, such as Baka and Koya?

    Responses by the Delegation

    Regarding the Hausa whose passports were removed if their names sounded foreign, the delegation said there were people who had not been careful to keep up with the administrative situation in the country in which they lived. They may not see the importance of having birth and identity documents. This meant today, when the State was focused on restoring its institutions, these matters came to the surface. There had been some confusing situations which arose because many people had held fake documents for a long time before. The Government was looking into this issue as a matter of national security.

    Members of the Hausa population benefitted the same as any other citizen who held Gabonese nationality. A naturalisation decree had been implemented which granted Gabonese nationality to all Hausa people living in the country at the time; this was around 1,000 people. Some people had tried to fall through the cracks and benefit from this decree without actually meeting the requirements, which had a negative impact on the administrative situation. The Ministry of Justice was currently verifying the validity of these documents.

    It was true that there were more women than men in Gabon. However, when it came to elections, not many women wanted to participate in political life, and the State wanted to change this. This was why legislation had been developed which established quotas; this aimed to be positive discrimination for women. The quotas intended to encourage more women to become involved in political life at the local and national level. The 30 per cent minimum quota was in place for all political parties, with the requirement that 30 per cent of all candidates should be women. The State also aimed to encourage more young people and persons with disabilities to become involved in political life.

    Indigenous peoples were included in Gabon’s social protection coverage. They were covered by the social protection system and received unemployment and health benefits. The 26 villages covered by the support programme were villages with people from Baka, Bango and other groups. Work was done with pregnant women to ensure neonatal services were provided, especially in remote parts of the country where many indigenous groups lived. The State had set up a centre for autistic children and aimed to roll this out to other parts of the country.

    In 2016, a programme was launched to combat all forms of discrimination in employment, healthcare and education, and other areas of public life. The State sought to support all levels of society in Gabon through this programme, which covered indigenous peoples, women and other vulnerable groups. All programmes were intended to promote equality of opportunity for all. Indigenous peoples, regardless of where they were located in the country, could benefit from State programmes.

    In Gabon, there was an observatory which focused on the issue of equality and undertook various studies, including a recent one on the equality of opportunity for indigenous peoples in Gabon. On the basis of this study, an action plan had been developed, with policies to be rolled out to address the situation of indigenous peoples in the country. The most recent census had enabled the State to identify 15,000 persons with disabilities who needed additional support, and actions relating to education and health were carried out in this regard. Gabon was on the right track in terms of indigenous peoples, as the State was pursuing inclusive policies, taking into account all persons on the territory of the country.

    Questions by Committee Experts

    RÉGINE ESSENEME, Committee Expert and Country Rapporteur, said several questions had not been answered, namely on the languages used in the media; the use of land by indigenous peoples; and the medicinal practices of indigenous peoples. There had been a case where indigenous peoples were forcibly removed from their village and transported to polluted areas; could this be addressed? Was it correct that the 30 per cent quota was a minimum? If there was a list of candidates which did not reach the minimum threshold, was it then rejected? Was the State considering an individualised approach to the Hausa Gabonese?

    A Committee Expert asked if the State looked at issues which might be particularly harmful to indigenous peoples, and then adopted policies and programmes to address these issues?

    Another Committee Expert asked what members of the delegation meant when they said they did not recognise minorities as a legal concept? Did this mean these minorities did not qualify for legal protection?

    An Expert asked if the State had investigated what held women back from applying for election posts?

    A Committee Expert said Gabon had last reviewed the Constitution in 2011. How had Gabon addressed the issues of discrimination in education?

    Responses by the Delegation

    The delegation clarified that Gabon had a brand-new Constitution. The law on data protection stated that it was prohibited to collect or process any data which revealed the racial or ethnic background of an individual, their political or religious views, and data related to their sex life or health, among other points. The profiling of children was strictly prohibited, except when strictly necessary. Personal data could be accessed on the grounds of State security defence. When the police were carrying out controls or checks, they treated all passengers in stopped vehicles the same; everyone was asked to show their identity documents.

    When the 30 per cent quotas were not achieved, steps were taken to encourage favourable treatment for women, by ensuring a male and female alternance for candidates in electoral lists, to achieve the 30 per cent representation. This was a “carrot rather than stick” approach. Women were being encouraged to overcome cultural blocks and stand for leadership roles. A workshop had been held last week which sought to address the grassroot social issues, including that women were typically viewed as homemakers and housewives. The quota law aimed to break these traditional mindsets.

    Gabon had enacted specific measures, including the law on persons with disabilities, which mandated that education was compulsory for all children with disabilities. Education was compulsory by law for all children between ages three and 16 in Gabon. A forum was organised in 2019 on the implementation of inclusive education. New schools being built were required to meet accessibility standards, to ensure free and easy access for children with motor disabilities.

    The relocation of individuals in certain areas had been required, but the fact that they were relocated to polluted areas was refuted. Some people had to accustom themselves to living in a new location, but it was the sovereign right of the State to ensure they could tap their resources for the overall benefit of the country. More information about the claims would be appreciated. There were community radio stations which broadcast programmes in local indigenous languages.

    Questions by Committee Experts

    RÉGINE ESSENEME, Committee Expert and Country Rapporteur, said there had been no shadow report received from Gabonese civil society. The information regarding the relocation of indigenous peoples had been received by the Committee members which was why they asked the question. State sovereignty should not be used against the population, but rather for their wellbeing.

    What measures had been adopted, including special measures or affirmative action measures, with a view to combatting inequalities and multiple forms of discrimination, including racial discrimination, with regard to ethnic minorities and indigenous peoples, such as the Baka, Babongo, Bakoya, Baghame, Barimba, Akoula and Akwoa? To what extent did the 2018 national strategy to combat gender-based violence and the law on the elimination of violence against women take into account the specific needs of indigenous girls and women? What other measures had been adopted to address the multiple and intersecting forms of discrimination faced by women belonging to ethnic minorities, indigenous peoples, and other vulnerable groups?

    BAKRI SIDIKI DIABY, Committee Expert and Country Co-Rapporteur, said law no. 5/86, establishing the regime for the admission and residence of foreigners in the Gabonese Republic, provided for severe fines and imprisonment for foreigners in an irregular situation, which considerably reduced the scope of protection for persons who arrived in Gabon irregularly or those already in Gabon in need of international protection. What measures had been taken by the State party to harmonise its national legislation, including this law, with international obligations, in particular to decriminalise irregular migration? What measures had been adopted to prevent and combat racial discrimination and xenophobia against migrants, asylum seekers, refugees and stateless persons, and to facilitate the integration of non-citizens?

    What measures had been adopted by the State party to ensure that the practical application of the policy of “Gabonisation” of employment did not lead to cases of discrimination in hiring and dismissal on the basis of race, colour, descent or national or ethnic origin? According to a provision within the refugee act, the majority of refugees in Gabon lived with families. What was the profile of these families? How was the legal integration of refugees carried out? What were the socio-demographic, spatial and legal-administrative characteristics of the descendants of refugees in Libreville? Clear procedures were needed to ensure the prompt identification of persons seeking international protection at land borders and arrivals by sea; what measures were being taken in this regard? What had been done to strengthen the National Commission for Refugees?

    The Committee had been told that asylum seekers remained excluded from the national medical insurance scheme and did not have access to medical services pending a decision on their refugee status. What steps had been taken to extend primary health care to asylum seekers who were awaiting a final decision on their refugee status? What efforts had the Gabonese Government made to develop and implement a statelessness determination procedure? The Committee had been informed that many foreigners were forced by the administrative services to add so-called “Gabonese” surnames to their surnames, which discouraged some parents of children born in Gabon from finalising the procedures for obtaining Gabonese nationality or identity documents; what measures had been taken to address these situations?

    What was the proportion of Gabonese nationals who were victims of trafficking? What were the main forms of trafficking found in Gabon? Did forced labour include domestic servitude, commercial exploitation and sexual exploitation? What was the profile of the perpetrators of human trafficking, their gender, and their nationality? How many cases had been prosecuted and convicted? What were the measures for reparation and rehabilitation of victims of trafficking? What was being done by the State to prevent and combat trafficking in persons, including for the purpose of labour exploitation, sexual exploitation and domestic servitude, including of non-citizens, especially children? Had appropriate resources been allocated to the National Commission for the Prevention and Combatting of Trafficking in Persons to enable it to carry out its mandate?

    Responses by the Delegation

    The delegation said a guide had been produced to inform people on how to tackle different forms of violence, including sexual violence, and how to support victims. A specific programme had been developed for indigenous children with nomadic lifestyles. Gabon provided support to refugees and asylum seekers as required. The right to health was recognised as a universal human right. Those in an irregular situation received healthcare regardless of their status.

    There was a small number of cases of irregular migration in Gabon today. In recent years, it was ensured that migrants in an irregular situation had been provided with documents and put into a regular situation.

    In 2023, Gabon completed the procedure required for the State to be in a position to proactively identify cases of human trafficking by identifying irregular movements. The country was also collecting data in this regard, to identify trends and receive up to date information on this phenomenon in Gabon. Transnational networks existed, operating by both land and sea. Underground networks operated trafficking of women and children, and irregular migration was the driving force behind this phenomenon. Gabon was working with Benin to find a solution to this issue. The State was fully committed to rolling out the project to have practical solutions to these issues, including police investigations into these cases. Trafficking was a transnational problem, and it was important to go back to the country of origin.

    Everyone in Gabon enjoyed the right to freedom of assembly. Indigenous peoples were dealt with on an equal footing, the same way as other citizens in Gabon. They were appropriately supported if they wished to establish associations. If the laws on equal treatment were not respected, appropriate penalties would be handed down.

    Legislation established the National Commission for the Prevention of Human Trafficking in Gabon. The Commission spearheaded a national strategy to counter trafficking. Gabon was a party to the 1951 Geneva Convention on Refugees. An appeals mechanism existed for those who were not satisfied with their asylum decision. There were no refugee camps in Gabon; refugees and asylum seekers shared the same schools and hospitals as Gabonese citizens. A refugee held the same rights as a Gabonese citizen. A refugee card was issued and gave access to many of the same rights as an identity card.

    BAKRI SIDIKI DIABY, Committee Expert and Country Co-Rapporteur, congratulated Gabon on the mechanism adopted to tackle human trafficking. Could statistics on the number of stateless people be provided? 

    A Committee Expert asked what steps had been taken by the Gabonese Government to push back against hate speech and xenophobia? Would Gabon ratify the Convention on the Rights of Migrants and Members of their Families?

    Another Expert asked if history education was compulsory in the State party at all levels of the education system? Given the colonial legacy of the State party, to what extent did the educational curricula cover this issue? Was Gabon supportive of the concept of reparations for colonial wrongs?

    A Committee Expert asked if any measures had been taken to eradicate malaria, particularly among migrants and asylum seekers?

    Another Expert asked how refugees were cared for in Gabon, including accommodation needs, in light of the fact that there were no camps?

    An Expert said Gabon had made good progress in regard to the education of children with disabilities. Had Gabon ratified the Convention on the Protection of Persons with Disabilities, and instruments on displaced persons.

    One Expert paid tribute to the father of the Gabonese nation.

    Responses by the Delegation

    The delegation said in history classes in public schools, there was no political link with colonialism. The curriculum was based on the programme drafted by a national pedological institution.

    Closing Remarks

    FAITH DIKELEDI PANSY TLAKULA, Committee Expert and Follow-up Rapporteur , said it would be the first time that Gabon would receive recommendations with a follow-up. Several recommendations would be highlighted for follow-up within one year.

    RÉGINE ESSENEME, Committee Expert and Country Rapporteur, congratulated Gabon for the multi-sectoral approach taken to the dialogue, which had been productive and fruitful. Ms. Esseneme thanked all those who had made the dialogue possible, especially in the hybrid format. Gabon was urged to do its utmost to implement the recommendations contained in the concluding observations, to ensure ongoing collaboration with the Committee.

    PAUL-MARIE GONDJOUT, Minister of Justice, Keeper of the Seals of Gabon and head of the delegation , thanked the Committee for the constructive and respectful exchange which had taken place. The Committee’s questions had provided an opportunity to share more information about the situation in Gabon. Gabon would continue engaging with the Committee and looked forward to the concluding observations and follow-up. Gabon would respond within the timeframes indicated. Gabon would take steps to ensure the optimal implementation of the provisions enshrined within the Convention, working with all stakeholders involved in human rights.

    _______________

    CERD25.007E

    Produced by the United Nations Information Service in Geneva for use of the media; 
    not an official record. English and French versions of our releases are different as they are the product of two separate coverage teams that work independently.

    MIL OSI United Nations News

  • MIL-OSI USA: News Release – DOH Encourages Community Awareness and Support for Mental Health

    Source: US State of Hawaii

    News Release – DOH Encourages Community Awareness and Support for Mental Health

    Posted on May 1, 2025 in Latest Department News, Newsroom

     

     

    STATE OF HAWAIʻI

    KA MOKU ʻĀINA O HAWAIʻI

     

    DEPARTMENT OF HEALTH

    KA ʻOIHANA OLAKINO

    JOSH GREEN, M.D.
    GOVERNOR

    KE KIA‘ĀINA

    KENNETH S. FINK, M.D., MGA, MPH
    DIRECTOR

    KA LUNA HO‘OKELE

    DOH ENCOURAGES COMMUNITY AWARENESS AND SUPPORT FOR MENTAL HEALTH

    FOR IMMEDIATE RELEASE

    May 1, 2025                                                                                                    25-045

    HONOLULU — The Hawaiʻi Department of Health (DOH), Child and Adolescent Mental Health Division (CAMHD), Adult Mental Health Division (AMHD), the Children’s Mental Health Acceptance (CMHA) Planning Hui and community partners are joining together in May to celebrate Mental Health Month.

    “We are committed to removing barriers for those seeking help and supporting people with the resources they need to care for themselves and their families,” said Tia L. R. Hartsock, director of the Office of Wellness and Resilience, housed in the Office of the Governor. “Together with partners like CAMHD and AMHD, we’re working to create resilient communities where no one feels shame about their struggles, and we reach out when having a hard time — whether it’s talking story with a friend or professional help.”

    Mental Health Month reminds us that it is essential for us to build supportive communities that empower those in need to seek the support and treatment they deserve. Mental health is a significant public health issue for all ages:
    • One in seven youth has a mental or behavioral health disorder, and
    • One in five adults live with a mental illness.

    Mental Health in Hawaiʻi

     

    • Fewer than one out of four public middle school students (about 23%) and about one out of five high school students (about 20%) got the kind of help they needed most of the time or always (among students who reported having felt sad, empty, hopeless, angry, or anxious).
    • Of public middle school students, about 34% have felt sad or hopeless almost every day for two or more weeks in a row, so they stopped doing some usual activities; about 26% have seriously thought about killing themselves.
    • Of public high school students, in the past 12 months, about 35% felt sad or hopeless almost every day for two or more weeks in a row, so they stopped doing some usual activities; about 16% have seriously considered attempting suicide.

    “Too many of our keiki feel like they don’t know how to get the help they need,” said Keli Acquaro, administrator for CAMHD. “Every child deserves to feel seen, heard and supported when it comes to their mental health. Show the young people in your life that their mental health matters – listen without judgment, offer support and remind them they are not alone.”

    • More than one in three adults (37.1%) reported at least one day in the past 30 days when their mental health was not good.
    • More than one in eight adults (13.9%) have been diagnosed with a depressive disorder by a health professional.

    “Mental health challenges touch many lives in Hawaiʻi, and prioritizing mental well-being is essential for the health of our entire community,” said Dr. Gavin Takenaka, administrator for AMHD.

    Mental Health Month Events Statewide

    Help spread the word and join in sign waving on May 8. Stand alongside mental health providers, community organizations and advocates statewide and sign wave to bring awareness to the importance of mental health. For information about this and other statewide events, please visit keikimentalhealthmatters.com.

    Green is the national color of mental health acceptance, representing hope, strength, support and encouragement for people with mental health concerns. The following buildings will display green lights in support of mental health:

    Oʻahu:

    • May 1-31: Hawai‘i State Capitol, Board of Water Supply, Hawaiʻi Medical Service Association (HMSA), Pali Momi Medical Center, Nalu Lani Plaza (Kakaʻako), Hawaiʻi Self Storage (Kaimukī and Kapolei), Hawaiki Tower and Windward Mall
    • April 28-May 2: IBM Building
    • May 5-9: Adventist Health Castle
    • May 26-30: Honolulu Hale and Blaisdell Center Arena

    Kauaʻi:

    • May 1-31: YWCA of Kauaʻi and Wilcox Medical Center
    • May 1-15 and 22-31: Kaua‘i Veterans Center & Museum
    If you or someone you know is experiencing a crisis or is in need of mental health support or resources call or text 988 or visit Hawai‘i CARES 988 to connect with a locally trained counselor 24/7 who can help with linkage to behavioral health crisis services. Call Aloha United Way 211 or text, chat or email for over 4,000 local resources.

    # # #

    Media Contacts:

    Kristen Wong

    Information Specialist

    Hawaiʻi State Department of Health

    Mobile: 808-953-9616

    Jennifer Irvine

    Public Information Specialist

    Child & Adolescent Mental Health Division

    Hawaiʻi State Department of Health

    Office: 808-733-9346

    MIL OSI USA News

  • MIL-OSI USA: Highlighting Investments in Mental Health

    Source: US State of New York

    overnor Kathy Hochul today recognized May as Mental Health Awareness Month throughout New York, issuing a proclamation and highlighting the unprecedented investments made into strengthening the state’s system of care since she launched her landmark $1 billion mental health initiative in 2023. This funding has resulted in the largest expansion of capacity at state-operated psychiatric centers in years, the availability of more beds at community-based hospitals, and a dramatic expansion of outpatient and prevention services.

    “Our historic investments into mental health have dramatically improved our system of care, allowing more New Yorkers to access treatment and positioning our state as a national leader.” Governor Hochul said. “As we recognize the start of Mental Health Awareness Month today, we stand proudly committed to providing services and supports responsive to the needs of all individuals and families throughout our state.”

    Governor Hochul’s investments into mental health have resulted in more than $105 million in operating funding and $831 million in capital awards. These investments extend to all facets of the mental health system and include the largest expansion of inpatient capacity in decades, stronger regulations to connect New Yorkers with treatment when they leave inpatient and emergency settings, more outpatient supports to help individuals live safely in their community, thousands of new units of specialized housing dedicated to individuals living with mental illness and sweeping insurance reforms to improve access to care.

    Office of Mental Health Commissioner Dr. Ann Sullivan said, “Governor Hochul’s unprecedented investments into mental health over the past three years has created a more effective and accessible system of care statewide, helping more people get the treatment when and where they need it most. Mental Health Awareness Month is an opportunity for us to engage in conversations about mental illness, champion stories of recovery, and help every New Yorker understand that help is available.”

    As part of Mental Health Awareness Month, OMH is posting a video to social media each week in May to highlight individual stories of recovery from mental illness. The agency also posted a short message to New Yorkers from Commissioner Sullivan, compiled a list of public events taking place statewide to raise mental health awareness and is encouraging all New Yorkers to be mindful of their own mental wellbeing, offering tips for self-care at Be Well, a state-funded website dedicated to improving mental wellness.

    Since Governor Hochul took office, New York State has added 875 psychiatric beds, including 550 that were brought back online at community-based hospitals, and 325 — 125 since December — at state-operated psychiatric centers, marking the largest expansion at these facilities in years. In addition, the state has funded 109 new beds now under development at community based hospitals and is preparing to build a new 75-bed Transition to Home unit at the Creedmoor Psychiatric Center in Queens.

    Under Governor Hochul’s direction, the State Office of Mental Health and Department of Health recently adopted new regulations now in effect to ensure individuals needing inpatient and emergency psychiatric care are provided with connections to outpatient care once they are discharged from inpatient and emergency psychiatric care. These regulations standardize admission and discharge criteria, require facilities to schedule follow-up appointments, screen for suicide risk, and coordinate discharge details with care managers.

    State Health Commissioner Dr. James McDonald said, “Mental health awareness month is an important time to remember that good mental health is a vital component to good physical health. These investments under the leadership of Governor Hochul will give more New Yorkers access to treatment and expanded services at all levels across New York’s health system while reducing stigma surrounding mental health conditions.”

    As part of this effort, the state has established 13 new Certified Community Behavioral Health Clinics statewide, with another 13 expected to be licensed this summer, bringing the total to 39. These clinics provide mental health and substance use disorder services to anyone who walks in the door, regardless of whether they have insurance, and now serve more than 38,000 Medicaid-enrolled New Yorkers.

    OMH is also establishing 50 Critical Time Intervention teams in all areas of the state to provide care management services and support to help individuals during transitions in care, such as leaving inpatient settings. With the first 31 now funded, these teams will have the capacity to serve 3,480 New Yorkers.

    Governor Hochul’s mental health initiative has also established four new Intensive and Sustained Engagement or INSET teams, which are peer-led and provide support services for individuals with complex mental health needs and who have difficulty connecting with traditional forms of care. Teams are now operating in New York City, the Rochester area, Westchester, and on Long Island, collectively serving more than 300 individuals.

    This investment also funded 43 new Assertive Community Treatment (ACT) teams, with the capacity to provide services to 1,836 individuals living with mental illness within their community rather than a more restrictive hospital setting.

    The mental health initiative greatly expanded the Safe Options Support program, which has now helped permanently house more than 1,000 individuals, including 147 in OMH-licensed housing. With the first teams launched in Spring 2022, the SOS program now has 28 teams, including ones canvassing all five boroughs of New York City, both counties on Long Island, and 19 additional counties across the state.

    This funding has also helped open 1,296 units of specialized housing, with an additional 2,204 housing units that are under development. The units under development include community residence-single room occupancy units, supportive housing-single room occupancy units and short term transitional residential units.

    Under Governor Hochul’s direction, the state has also adopted new regulations to establish network adequacy standards for behavioral health services for insurers. Set to go in effect on July 1, these regulations give commercial and Medicaid managed care plans 10 days to connect New Yorkers with in-network mental health or substance use disorder services, or else allow the individual to access an out-of-network provider at no additional cost.

    The mental health initiative has also greatly expanded services for children and youth, establishing more than 1,200 school-based mental health clinic satellites to provide mental health services at school districts statewide. Additionally, the state now funds 30 Youth Assertive Community Treatment teams in 38 counties, providing support for young New Yorkers with serious emotional disturbances who are either at risk of entering or are returning home from an inpatient or residential setting.

    As part of Mental Health Awareness Month, Governor Hochul directed that 15 state buildings and landmarks be illuminated in green – the color that has come to symbolize mental health awareness — at dusk tonight, Thursday, May 1. This includes:

    • 1WTC
    • Governor Mario M. Cuomo Bridge
    • Kosciuszko Bridge
    • The H. Carl McCall SUNY Building
    • State Education Building
    • Alfred E. Smith State Office Building
    • Empire State Plaza
    • State Fairgrounds – Main Gate & Expo Center
    • Niagara Falls
    • The “Franklin D. Roosevelt” Mid-Hudson Bridge
    • Albany International Airport Gateway
    • Lake Placid Olympic Center
    • MTA LIRR – East End Gateway at Penn Station
    • Fairport Lift Bridge over the Erie Canal
    • Moynihan Train Hall

    MIL OSI USA News

  • MIL-OSI Video: Introduction to the Office of Women’s Health

    Source: United States of America – Federal Government Departments (video statements)

    The Office of Women’s Health (OWH) at VA is dedicated to ensuring women Veterans receive the health care they deserve. With over 900,000 women enrolled in VA health care services, the OWH provides a full spectrum of care, including preventive health care, reproductive health services, and specialized programs tailored to women’s unique needs.

    Through divisions like Comprehensive Health and Reproductive Health Services, VA offers care for chronic conditions, maternity care coordination, breast health, menopause care, and more. Every VA facility has a Women Veterans Program Manager who advocates for patients, connects them to resources, and ensures a respectful, welcoming environment.

    At the heart of this commitment are Women’s Health Primary Care Providers, specially trained to offer personalized care to women Veterans. Innovation is key, with telehealth and innovation initiatives improving access, including tele-oncology and rural health programs. VA also leads in mammography screening rates, exceeding the private sector in early detection and preventive care.

    Through education, training, and workforce expansion efforts like the Women’s Health Innovation and Staffing Enhancement Initiative (WHISE), VA continues to enhance care quality. The Office of Women’s Health is a trusted partner, ensuring that women Veterans receive high-quality, compassionate, and comprehensive care.

    Visit https://www.womenshealth.va.gov to learn
    more.

    To find the Women Veterans Program Manager near you, visit
    https://www.womenshealth.va.gov/wvpm-locator.asp

    #WomenVeterans #WomensHealth #VeteransHealth

    https://www.youtube.com/watch?v=VuLO0WVynUM

    MIL OSI Video

  • MIL-OSI United Kingdom: Highland Council’s Playpark Strategy highlighted in Scottish Government publication

    Source: Scotland – Highland Council

    Highland youth have been credited for their contribution to Highland Council’s nationally recognised Playpark Strategy after it was referenced in the evidence base and supporting research of the Scottish Government’s Play Vision Statement and Action Plan 2025-2030.

    The Play Vision Statement and Action Plan is designed to reflect the vision of play for Scotland for the next five years and the steps the Scottish Government will take within that time to achieve its vision and aim.

    Cllr Graham MacKenzie, Chair of the Council’s Communities and Place Committee said: “We are delighted that our Playpark Strategy has been acknowledged in the evidence base and supporting research of a nationally recognised publication. By prioritising the voices of young people and recognising the value of listening to what they wanted in their local playparks, we have created a child-led strategy and action plan that has played a part in influencing best practice. We are extremely proud to be the only local authority referenced alongside prominent organisations including Harvard University, Public Health Scotland and the University of Cambridge.”

    Agreed in November 2023, Highland Council’s Playpark Strategy and Action Plan for 2023-2033 was underpinned by consultations and surveys with children alongside the development of a literature review which evidenced the health and social benefits of playing in playparks and how skills learnt from play can positively shape children in the future.

    Key themes identified by young people in relation to playparks included:

    • Access to a variety of play options for children of all ages and abilities
    • Local playparks within easy reach of home
    • Functional and well-maintained play equipment
    • Open spaces for running and active play
    • Opportunities for collaborative play through equipment designed for group interaction

    Cllr MacKenzie continued: “Combined with our own literature review highlighting the health benefits of outdoor play, the insights and preferences of children in the Highlands were central to shaping the Playpark Strategy and we would like to thank all the children and young people who supported the development of the strategy.

    “We recognise the importance of play and playparks for children, in terms of the benefits they provide to their physical, social and mental health, and our strategy has guided us in providing children and communities with opportunities to design their own sustainable and inclusive park parks for increased health and wellbeing and a brighter future for our younger generations.”

    To find out more about the support available to local communities for child-led playpark upgrades, please contact Highland Council’s Playpark Coordinator lynn.macgillivray@highland.gov.uk

    1 May 2025

    MIL OSI United Kingdom

  • MIL-OSI Asia-Pac: Day One of NAM Conclave Witnesses Dynamic Participation from State & UT Ayush/Health Ministers, Paving Way for Strengthened Ayush Collaboration

    Source: Government of India

    Day One of NAM Conclave Witnesses Dynamic Participation from State & UT Ayush/Health Ministers, Paving Way for Strengthened Ayush Collaboration

    Our Goal is Illness to Wellness leading to Happiness: Hon’ble Union Minister of State (IC), Ministry of Ayush Prataprao Jadhav

    11.56 crore benefit from Ayushman Arogya Mandir (Ayush) in 2024: Union Minister of State (IC), Ministry of Ayush Prataprao Jadhav

    Posted On: 01 MAY 2025 8:16PM by PIB Mumbai

    Reaffirming its commitment and highlighting the strides taken by various States and Union Territories in the Ayush sector, the National Ayush Mission (NAM) Conclave 2025 commenced today at Kaivalyadhama, Lonavala (Maharashtra). The event sets the stage for a future roadmap to consolidate and expand the outreach of Ayush services across the nation.

    Shri Prataprao Jadhav, Union Minister of State (Independent Charge) for Ayush and Union Minister of State, Ministry of Health & Family Welfare inaugurated the two-day conclave, along with Ayush/Health Ministers and senior officials from various State and UT governments including Dr. Prem Chand Bairwa, Deputy Chief Minister and Minister-in-charge of Ayush, Government of Rajasthan; Shri Y. Satya Kumar Yadav, Minister of Health, Family Welfare, and Medical Education, Government of Andhra Pradesh; Dr. Dayashankar Mishra ‘Dayalu’, Minister of State (Independent Charge) for Ayush, Food Safety, and Drug Administration, Government of Uttar Pradesh; Shri Shyam Bihari Jaiswal, Minister of Health and Family Welfare and Medical Education, Government of Chhattisgarh; Shri Yadvinder Goma, Minister of Ayush, Youth Services & Sports, and Law, Government of Himachal Pradesh;  Shri G.T. Dhungel, Minister of Health & Family Welfare and Culture, Government of Sikkim; and Smt. Pi Lalrinpuii, Minister of Health & Family Welfare, Government of Mizoram.

    Organised by the Ministry of Ayush, Government of India, the conclave has brought together Ayush experts, policymakers, health professionals, researchers, and innovators. It aims to strengthen the integration of traditional Indian systems of medicine into mainstream healthcare—making wellness more accessible, affordable, and evidence-based for the common citizen.

    Setting the tone of the conclave, the Union Ayush Minister said, “It is noteworthy that the Ministry had organised a NAM Conclave in 2023, where Hon’ble Ministers and senior officials from various States and UTs shared valuable insights for the effective implementation of the NAM scheme. That dialogue resulted in the formulation of an action plan to improve the execution and outcomes of the National Ayush Mission. The initiative of establishment of 12,500 Ayushman Arogya Mandir (Ayush) has significantly enhanced healthcare availability, with the number of beneficiaries rising from 1.5 crore in 2021 to more than 11.5 crore in 2025. As a result, there has been a remarkable improvement in the accessibility of Ayush healthcare services, driven by improved infrastructure, availability of medicines, trained manpower, and strengthened educational institutions.”

    Encouraged by the previous success, the Union Minister added, “I am confident that this second edition of the National Ayush Mission Conclave will serve as a robust platform for both States/UTs and the Central Government to jointly review the Mission’s progress, strengthen governance systems, promote innovation, streamline financial processes, and ensure rapid and effective implementation of programmes at the grassroots level. On this occasion, I extend my heartfelt best wishes for the success of the Conclave to the teams working tirelessly at both the State/UT and Central levels. I also express my sincere gratitude to the dedicated and committed team of Kaivalyadhama for their tireless efforts.”

    Delivering the welcome address, Vaidya Rajesh Kotecha, Secretary, Union Ministry of Ayush, emphasized the growing significance of the Ayush sector through NAM, and stated, “Since its inception in 2014 with an initial budget of ₹78 crore, the National Ayush Mission has witnessed a remarkable increase in allocation, reaching ₹1275 crore in 2025–26—reflecting the immense success of the scheme and the unwavering commitment of the Government of India towards strengthening Ayush healthcare across the country. Ayush systems are gaining prominence due to their holistic approach, personalized care, and increasing global interest, backed by strong government support. According to NSSO (2022–23), nearly 95% of rural and 96% of urban Indians are aware of Ayush, with millions regularly practicing Yoga—signifying growing trust and nationwide acceptance”, the Secretary further added.

    Dr. Dayashankar Mishra, Minister of Ayush, Uttar Pradesh, lauded the efforts of the Union Government to boost the integrative healthcare infrastructure of the state through progressive schemes such as the National Ayush Mission. The Minister also mentioned, “Uttar Pradesh, the most populous state in the world, has made remarkable progress in the Ayush sector. Currently, the state has 3,959 operational Ayush hospitals, offering facilities with capacities of 4 beds, 15 beds, 25 beds, and 30 beds.”

    Shri Shyam Bihari Jaiswal, Minister of Health & Family Welfare, Chhattisgarh mentioned, “Integrated Medicine offers a meaningful solution by combining Ayush and modern medical systems, providing dual benefits to patients.”

    Shri Prem Chand Bairwa, Deputy Chief Minister, Rajasthan, mentioned, “Through the joint efforts of Hon’ble Union Ayush Minister Shri Prataprao Jadhav, Ayush Secretary, Vaidya Rajesh Kotecha, and the State Government, Ayurveda is being brought to the grassroots level. The two-day Conclave is expected to be a milestone in the development of Ayurveda. The State Government is preparing a comprehensive Ayush policy aimed at the integrated growth of all Ayush systems.

    Shri Yadvinder Goma, Minister of Ayush, Himachal Pradesh highlighted how with the support through National Ayush Mission the healthcare infrastructure continues to grow. He also stated, “Himachal Pradesh has developed an integrated model in the Ayush sector, combining traditional knowledge with modern technology, ensuring outreach to rural areas, focusing on women’s health, and enhancing transparency through digital solutions. This progress is a meaningful step towards realising Prime Minister Shri Narendra Modi’s vision of ‘Ayushman Bharat’.

    Smt. Pi Lalrinpuii, Minister of Health & Family Welfare, Government of Mizoram, stated  “I am pleased to note that since the establishment of our Ayush Wellness Centers, various Ayush systems have gained considerable popularity in just a few years. This progress is largely due to the unwavering support we receive from the Ministry and the relentless efforts of our dedicated teams at state and central level.”

    Shri G.T. Dhungel, Minister of Health & Family Welfare, Sikkim, appreciated the assistance of the Union Government through the National Ayush Mission and said, “The Government of Sikkim has been constantly working to ensure delivery of healthcare in all areas of the state and the NAM scheme has helped developing the integrative healthcare infrastructure in the state to greatly complement these efforts.”

    Speaking on the themes of the Conclave, Ms. Kavita Garg, Joint Secretary, Ministry of Ayush, shared key milestones: “Additionally, 5.6 crore beneficiaries have availed services at Ayush tertiary care institutions. NABH entry-level certification for 1,372 Ayush Health and Wellness Centres, and the establishment of 189 Integrated Ayush Hospitals reflect our commitment to quality and accessibility. ”

    A key highlight of the inaugural session was the release of the Standard Treatment Guidelines (STGs) on Metabolic Disorders in Ayush Systems of Medicine by the Hon’ble Union Minister and other dignitaries. Developed by the Ayush Vertical in collaboration with various Research Councils, these guidelines cover five major metabolic disorders—Diabetes Mellitus, Obesity, Gout, Non-Alcoholic Fatty Liver Disease (NAFLD), and Dyslipidemia. Vetted by Allopathic experts, the STGs integrate Yoga, disease-specific dietary protocols, and standardized clinical procedures to serve as a comprehensive reference for practitioners, educators, and primary healthcare providers across the country.

    The inaugural session was followed by a roundtable discussion among the participating Ayush/Health ministers from various states/UTs focused on the way forward for strengthening Ayush services in the country through NAM activities in their respective states. The session was chaired by Shri Prataprao Jadhav, Hon’ble Union Minister of State (Independent Charge), Ministry of Ayush wherein the ministers and concerned officials from states and UTs exchanged their experiential wisdom while pointing out respective future strategies to address the challenges and negotiate the opportunities.

    During the program a special Y-Break session was also organised with enthusiastic participation from all led by Honourable Ministers and senior officials.

     

    About the National Ayush Mission (NAM):

    The flagship program National Ayush Mission launched in 2014 and it has played a crucial role in preserving and promoting India’s traditional systems of medicine and their integration into the mainstream healthcare system. It aims to enhance the availability, accessibility, and quality of Ayush healthcare services across the country through Ayushman Arogya Mandir (Ayush) as part of Government of India’s Ayushman Bharat scheme.

    In the last edition of NAM Conclave held in 2023, several key resolutions were adopted, including expansion of Ayush Health and Wellness Centres (now AAM-Ayush), integration of Ayush services with National Health Programs, and capacity building of Ayush practitioners. The 2025 edition aims to build upon these achievements, with renewed focus on innovation, standardisation, and international outreach.

     

    ****

    MV/AKS/CY

    (Release ID: 2125920) Visitor Counter : 61

    MIL OSI Asia Pacific News

  • MIL-OSI Asia-Pac: Day One of National Ayush Mission Conclave Witnesses Dynamic Participation from State & UT Ayush/Health Ministers, Paving Way for Strengthened Ayush Collaboration

    Source: Government of India

    Day One of National Ayush Mission Conclave Witnesses Dynamic Participation from State & UT Ayush/Health Ministers, Paving Way for Strengthened Ayush Collaboration

    Our Goal is ‘Illness to Wellness’ leading to Happiness: Union Minister of State (IC), Ministry of Ayush Prataprao Jadhav

    11.56 crore benefit from Ayushman Arogya Mandir (Ayush) in 2024: Union Ayush Minister

    Posted On: 01 MAY 2025 8:24PM by PIB Delhi

    Reaffirming its commitment and highlighting the strides taken by various States and Union Territories in the Ayush sector, the National Ayush Mission (NAM) Conclave 2025 commenced today at Kaivalyadhama, Lonavala (Maharashtra). The event sets the stage for a future roadmap to consolidate and expand the outreach of Ayush services across the nation.

    Shri Prataprao Jadhav, Union Minister of State (Independent Charge) for Ayush and Union Minister of State, Ministry of Health & Family Welfare inaugurated the two-day conclave, along with Ayush/Health Ministers and senior officials from various State and UT governments including Dr. Prem Chand Bairwa, Deputy Chief Minister and Minister-in-charge of Ayush, Government of Rajasthan; Shri Y. Satya Kumar Yadav, Minister of Health, Family Welfare, and Medical Education, Government of Andhra Pradesh; Dr. Dayashankar Mishra ‘Dayalu’, Minister of State (Independent Charge) for Ayush, Food Safety, and Drug Administration, Government of Uttar Pradesh; Shri Shyam Bihari Jaiswal, Minister of Health and Family Welfare and Medical Education, Government of Chhattisgarh; Shri Yadvinder Goma, Minister of Ayush, Youth Services & Sports, and Law, Government of Himachal Pradesh;  Shri G.T. Dhungel, Minister of Health & Family Welfare and Culture, Government of Sikkim; and Smt. Pi Lalrinpuii, Minister of Health & Family Welfare, Government of Mizoram.

    Organised by the Ministry of Ayush, Government of India, the conclave has brought together Ayush experts, policymakers, health professionals, researchers, and innovators. It aims to strengthen the integration of traditional Indian systems of medicine into mainstream healthcare—making wellness more accessible, affordable, and evidence-based for the common citizen.

    Setting the tone of the conclave, the Union Ayush Minister said, “It is noteworthy that the Ministry had organised a NAM Conclave in 2023, where the Ministers and senior officials from various States and UTs shared valuable insights for the effective implementation of the NAM scheme. That dialogue resulted in the formulation of an action plan to improve the execution and outcomes of the National Ayush Mission. The initiative of establishment of 12,500 Ayushman Arogya Mandir (Ayush) has significantly enhanced healthcare availability, with the number of beneficiaries rising from 1.5 crore in 2021 to more than 11.5 crore in 2025. As a result, there has been a remarkable improvement in the accessibility of Ayush healthcare services, driven by improved infrastructure, availability of medicines, trained manpower, and strengthened educational institutions.”

    Encouraged by the previous success, the Union Minister added, “I am confident that this second edition of the National Ayush Mission Conclave will serve as a robust platform for both States/UTs and the Central Government to jointly review the Mission’s progress, strengthen governance systems, promote innovation, streamline financial processes, and ensure rapid and effective implementation of programmes at the grassroots level. On this occasion, I extend my heartfelt best wishes for the success of the Conclave to the teams working tirelessly at both the State/UT and Central levels. I also express my sincere gratitude to the dedicated and committed team of Kaivalyadhama for their tireless efforts.”

    Delivering the welcome address, Vaidya Rajesh Kotecha, Secretary, Union Ministry of Ayush, emphasized the growing significance of the Ayush sector through NAM, and stated, “Since its inception in 2014 with an initial budget of ₹78 crore, the National Ayush Mission has witnessed a remarkable increase in allocation, reaching ₹1275 crore in 2025–26—reflecting the immense success of the scheme and the unwavering commitment of the Government of India towards strengthening Ayush healthcare across the country. Ayush systems are gaining prominence due to their holistic approach, personalized care, and increasing global interest, backed by strong government support. According to NSSO (2022–23), nearly 95% of rural and 96% of urban Indians are aware of Ayush, with millions regularly practicing Yoga—signifying growing trust and nationwide acceptance”, the Secretary further added.

    Dr. Dayashankar Mishra, Minister of Ayush, Uttar Pradesh, lauded the efforts of the Union Government to boost the integrative healthcare infrastructure of the state through progressive schemes such as the National Ayush Mission. The Minister also mentioned, “Uttar Pradesh, the most populous state in the world, has made remarkable progress in the Ayush sector. Currently, the state has 3,959 operational Ayush hospitals, offering facilities with capacities of 4 beds, 15 beds, 25 beds, and 30 beds.”

    Shri Shyam Bihari Jaiswal, Minister of Health & Family Welfare, Chhattisgarh mentioned, “Integrated Medicine offers a meaningful solution by combining Ayush and modern medical systems, providing dual benefits to patients.”

    Shri Prem Chand Bairwa, Deputy Chief Minister, Rajasthan, mentioned, “Through the joint efforts of Hon’ble Union Ayush Minister Shri Prataprao Jadhav, Ayush Secretary, Vaidya Rajesh Kotecha, and the State Government, Ayurveda is being brought to the grassroots level. The two-day Conclave is expected to be a milestone in the development of Ayurveda. The State Government is preparing a comprehensive Ayush policy aimed at the integrated growth of all Ayush systems.

    Shri Yadvinder Goma, Minister of Ayush, Himachal Pradesh highlighted how with the support through National Ayush Mission the healthcare infrastructure continues to grow. He also stated, “Himachal Pradesh has developed an integrated model in the Ayush sector, combining traditional knowledge with modern technology, ensuring outreach to rural areas, focusing on women’s health, and enhancing transparency through digital solutions. This progress is a meaningful step towards realising Prime Minister Shri Narendra Modi’s vision of ‘Ayushman Bharat’.

    Smt. Pi Lalrinpuii, Minister of Health & Family Welfare, Government of Mizoram, stated  “I am pleased to note that since the establishment of our Ayush Wellness Centers, various Ayush systems have gained considerable popularity in just a few years. This progress is largely due to the unwavering support we receive from the Ministry and the relentless efforts of our dedicated teams at state and central level.”

    Shri G.T. Dhungel, Minister of Health & Family Welfare, Sikkim, appreciated the assistance of the Union Government through the National Ayush Mission and said, “The Government of Sikkim has been constantly working to ensure delivery of healthcare in all areas of the state and the NAM scheme has helped developing the integrative healthcare infrastructure in the state to greatly complement these efforts.”

    Speaking on the themes of the Conclave, Ms. Kavita Garg, Joint Secretary, Ministry of Ayush, shared key milestones: “Additionally, 5.6 crore beneficiaries have availed services at Ayush tertiary care institutions. NABH entry-level certification for 1,372 Ayush Health and Wellness Centres, and the establishment of 189 Integrated Ayush Hospitals reflect our commitment to quality and accessibility. ”

    A key highlight of the inaugural session was the release of the Standard Treatment Guidelines (STGs) on Metabolic Disorders in Ayush Systems of Medicine by the Hon’ble Union Minister and other dignitaries. Developed by the Ayush Vertical in collaboration with various Research Councils, these guidelines cover five major metabolic disorders—Diabetes Mellitus, Obesity, Gout, Non-Alcoholic Fatty Liver Disease (NAFLD), and Dyslipidemia. Vetted by Allopathic experts, the STGs integrate Yoga, disease-specific dietary protocols, and standardized clinical procedures to serve as a comprehensive reference for practitioners, educators, and primary healthcare providers across the country.

    The inaugural session was followed by a roundtable discussion among the participating Ayush/Health ministers from various states/UTs focused on the way forward for strengthening Ayush services in the country through NAM activities in their respective states. The session was chaired by Shri Prataprao Jadhav, Hon’ble Union Minister of State (Independent Charge), Ministry of Ayush wherein the ministers and concerned officials from states and UTs exchanged their experiential wisdom while pointing out respective future strategies to address the challenges and negotiate the opportunities.

    During the program a special Y-Break session was also organised with enthusiastic participation from all led by Honourable Ministers and senior officials.

     

    About the National Ayush Mission (NAM):

    The flagship program National Ayush Mission launched in 2014 and it has played a crucial role in preserving and promoting India’s traditional systems of medicine and their integration into the mainstream healthcare system. It aims to enhance the availability, accessibility, and quality of Ayush healthcare services across the country through Ayushman Arogya Mandir (Ayush) as part of Government of India’s Ayushman Bharat scheme.

    In the last edition of NAM Conclave held in 2023, several key resolutions were adopted, including expansion of Ayush Health and Wellness Centres (now AAM-Ayush), integration of Ayush services with National Health Programs, and capacity building of Ayush practitioners. The 2025 edition aims to build upon these achievements, with renewed focus on innovation, standardisation, and international outreach.

    ****

    MV/AKS

    (Release ID: 2125921) Visitor Counter : 49

    MIL OSI Asia Pacific News

  • MIL-OSI Asia-Pac: India Post Payments Bank Reiterates its Commitment to the Labour Force of India, this Labour Day

    Source: Government of India

    Posted On: 01 MAY 2025 8:22PM by PIB Delhi

    • IPPB introduced Antyodaya Shramik Suraksha Yojana in 2023, an affordable insurance scheme aimed at providing comprehensive coverage and protection to the unorganized sector workers.

    On the occasion of Labour Day, India Post Payments Bank reiterates its commitment to the welfare of Shramiks or labourers. IPPB launched the Antyodaya Shramik Suraksha Yojana (ASSY) for unorganised sector workers, a visionary and affordable insurance scheme aimed at providing comprehensive coverage and protection to the unorganized sector workers. The scheme was launched by the Hon’ble Chief Minister of Gujarat on 8th July 2023 at Kheda, Gujarat.

    Since the inception of ASSY, a total of 6,97,531 policies have been issued to labourers or Shramiks. A total of 355 claims have been settled and claim amount of Rs. 5,41,17,754 has been disbursed. The scheme is being offered through IPPB & issued by its six insurance partners including New India Assurance, Bajaj Allianz general Insurance, TATA AIG General Insurance, Niva Bupa Health Insurance, Aditya Birla Health Insurance and Start Health.

    Sharing his thoughts on Labour Day, Mr. R. Viswesvaran, MD & CEO, India Post Payments Bank said “We are committed to the welfare and upliftment of labourers. For this reason, we had implemented the Antyodaya Shramik Suranksha Yojana for the labourers which has helped lakhs of Shramiks improve their quality of life and well-being”.

    With such initiatives IPPB strives to bring life changing experience and access to digital banking at the doorstep of every household of India. IPPB has been set up with the vision to build the most accessible, affordable and trusted bank for the common man in India. The fundamental mandate of India Post Payments Bank is to remove barriers for the unbanked & underbanked and reach the last mile leveraging the Postal network comprising ~1,65,000 Post Offices (~140,000 in rural areas) and ~3,00,000 Postal employees.

    About India Post Payments Bank

    India Post Payments Bank (IPPB) has been established under the Department of Posts, Ministry of Communication with 100% equity owned by Government of India. IPPB was launched on September 1, 2018. The bank has been set up with the vision to build the most accessible, affordable and trusted bank for the common man in India. The fundamental mandate of India Post Payments Bank is to remove barriers for the unbanked & underbanked and reach the last mile leveraging the Postal network comprising ~1,65,000 Post Offices (~140,000 in rural areas) and ~3,00,000 Postal employees.

    IPPB’s reach and its operating model is built on the key pillars of India Stack – enabling Paperless, Cashless and Presence-less banking in a simple and secure manner at the customers’ doorstep, through a CBS-integrated smartphone and biometric device. Leveraging frugal innovation and with a high focus on ease of banking for the masses, IPPB delivers simple and affordable banking solutions through intuitive interfaces available in 13 languages to 11 Crore customers across 5.57 lakh villages & towns in India.

    IPPB is committed to provide a fillip to a less cash economy and contribute to the vision of Digital India. India will prosper when every citizen will have equal opportunity to become financially secure and empowered. Our motto stands true – Every customer is important, every transaction is significant and every deposit is valuable.

     Reach us at:  www.ippbonline.com  marketing@ippbonline.in

    Social Media Handles:

    Twitter – https://twitter.com/IPPBOnline

    Instagram – https://www.instagram.com/ippbonline

    LinkedIn – https://www.linkedin.com/company/indiapostpaymentsbank

    Facebook – https://www.facebook.com/ippbonline

    YouTube- https://www.youtube.com/@IndiaPostPaymentsBank

    ***

    Samrat/Allen

    (Release ID: 2125918) Visitor Counter : 79

    MIL OSI Asia Pacific News

  • MIL-OSI Asia-Pac: CCI approves proposed combination involving acquisition in HealthCare Global Enterprises Limited by KKR through Hector Asia Holdings and KIA EBT II Scheme

    Source: Government of India

    Posted On: 01 MAY 2025 6:25PM by PIB Delhi

    The Competition Commission of India has approved the proposed combination involving acquisition in HealthCare Global Enterprises Limited by KKR through Hector Asia Holdings and KIA EBT II Scheme.

    Hector Asia Holdings II Pte. Ltd. (Hector) is private company incorporated in Singapore. It is an indirectly wholly-owned by investment funds, vehicles and / or accounts advised and managed by various subsidiaries of KKR and Co. Inc (“KKR & Co.” and together with its subsidiaries, “KKR”).

    KIA EBT II Scheme 1, an employee benefit scheme of KIA EBT Trust II (EBT) is an employee benefit scheme of KIA EBT Trust II, a trust settled under the Indian Trusts Act, 1882. Its beneficiaries are employees of KKR.

    KKR is a global investment firm that offers alternative asset management as well as capital markets and insurance solutions. KKR sponsors investment funds that invest in private equity, credit and real assets and has strategic partners that manage hedge funds.

    HealthCare Global Enterprises Limited (Target) is a publicly listed company. It is active in the business of (a) operating multi-specialty hospitals at Bhavnagar, Ahmedabad, Rajkot and Hubli and comprehensive cancer care centres; (b) providing cancer care services, diagnosis and treatment; (c) operating day care clinics, fertility centres, radiology and PET-CT facilities; (d) providing reproductive medicine services; and (e) conducting life sciences, academic research and clinical testing, and diagnostics providing precision medicine solutions.

    Hector along with EBT propose to acquire up to 54% of the diluted voting share capital of the Target from Aceso Company Pte. Ltd. in two tranches. Pursuant to the SEBI (Substantial Acquisition of Shares and Takeovers) Regulations, 2011, a mandatory tender offer in India will be triggered, requiring Hector to make an open offer to the public shareholders of the Target for acquisition of up to 26% of the expanded voting share capital of the Target. Depending on tendering of shares in the open offer, the Acquirers are expected to hold an eventual stake of between 54% of the expanded voting share capital to 77% of the expanded voting share capital of the Target (Proposed Combination)

    Detailed order of the Commission will follow.

    *****

    NB/AD

    (Release ID: 2125856) Visitor Counter : 28

    MIL OSI Asia Pacific News

  • MIL-OSI USA: Gov. Kemp Signs Bills Improving Healthcare and Supporting Coastal Communities

    Source: US State of Georgia

    ATLANTA – Governor Brian P. Kemp, joined by First Lady Marty Kemp, Speaker Jon Burns, constitutional officers, members of the Georgia General Assembly, and local leaders, signed legislation helping promote access to quality, affordable healthcare for hardworking Georgians and supporting the continued growth of coastal communities.

    “Today we mark another milestone,” said Governor Brian Kemp. “I’m proud to sign legislation that will support the health and wellbeing of all Georgians at all stages of life. We’re also constantly evolving and innovating to address the needs of our citizens in this area, and thanks to the work of our partners in the General Assembly, the bills I sign today represent the latest steps towards achieving that goal.”

    Governor Kemp signed ten pieces of healthcare-related legislation:

    HB 428, sponsored by Representative Lehman Franklin, cosponsored by Speaker Pro Tempore Jan Jones and Representatives Deborah Silcox, Scott Hilton, Soo Hong, and Sandy Donatucci, carried in the Senate by Senator Ben Watson, and championed by Speaker Jon Burns, defines and codifies an individual’s right to in vitro fertilization.

    HB 94, sponsored by Representative Eddie Lumsden, cosponsored by Representatives Darlene Taylor, Lee Hawkins, Sharon Cooper, Deborah Silcox, and Kim Schofield, and carried in the Senate by Senator Chuck Hufstetler, requires all health benefit policies (excluding those executed by the state and ERISA plans) provide coverage for standard fertility preservation services when a medically necessary treatment may cause infertility.

    HB 89, sponsored by Representative Sharon Cooper, cosponsored by Representatives Will Wade, Matthew Gambill, and Soo Hong, and carried in the Senate by Senator Bo Hatchett, allows the Maternal Mortality Review Committee to review psychiatric records, creates a Regional Perinatal Center (RPC) advisory committee, and removes the requirement for maternal death inquiries to be done through an RPC.

    HB 584, sponsored by Representative Jesse Petrea, cosponsored by Representatives Katie Dempsey, Darlene Taylor, Ron Stephens, John LaHood, and Brian Prince, carried in the Senate by Senator Bo Hatchett, and championed by the Department of Community Health (DCH), transfers oversight of drug abuse treatment and education programs, narcotic treatment programs, community living arrangements, and adult residential mental health programs from DCH to the Department of Behavioral Health and Developmental Disabilities.

    HB 473, sponsored by Representative Ron Stevens, cosponsored by Representatives Lee Hawkins and Mark Newton, and carried in the Senate by Senator Ben Watson, adds a list of drugs to the dangerous drug code section, adds certain drugs to the schedule I controlled substance code section, and safeguards access to new drugs approved by the Food and Drug Administration.

    SB 55, sponsored by Senator Billy Hickman, cosponsored by Senators Sonya Halpern, Jason Esteves, Shawn Still, Drew Echols, Elena Parent, and Clint Dixon, and carried in the House by Representative Sharon Cooper, aids those with disabilities in the workforce and brings our state into compliance with federal minimum wage laws for these Georgians.

    In addition to the above bills, the governor also signed the following nineteen pieces of legislation: HB 303HB 762HB 730HB 797HB 714SB 347, SB 78SB 340HB 793HB 732HB 799HB 760HB 233HB 722HB 763HB 724HB 78

    Governor Kemp extends his appreciation to all of those whose diligent work and efforts led to him being able to sign these bills today. 

    MIL OSI USA News

  • MIL-OSI USA: Statement from Congressman Jonathan L. Jackson on the Trump Administration’s Elimination of $1 Billion in School Mental Health Grants

    Source: United States House of Representatives – Representative Jonathan Jackson – Illinois (1st District)

    Statement from Congressman Jonathan L. Jackson on the Trump Administration’s Elimination of $1 Billion in School Mental Health Grants

    The Trump administration’s decision to terminate $1 billion in school mental health funding is a profound disservice to our nation’s children, particularly those from historically marginalized communities. This action not only undermines the bipartisan efforts established under the Bipartisan Safer Communities Act but also signals a troubling shift away from addressing the pressing mental health needs of our students.

    Data from the National Center for Education Statistics reveals that only 48% of public schools report being able to effectively provide mental health services to all students in need—a decline from previous years. The primary barriers cited include insufficient staffing and inadequate funding. Moreover, 58% of schools have reported an increase in students seeking mental health services, highlighting the growing demand for support.

    The administration’s rationale—that these grants were misused to promote diversity, equity, and inclusion (DEI) initiatives—is a misrepresentation of the essential role DEI plays in creating supportive educational environments. Efforts to recruit a diverse mental health workforce are not about imposing quotas; they are about ensuring that students see themselves reflected in the professionals who support them, which is critical for effective mental health care.

    This move is part of a broader pattern of actions aimed at dismantling DEI initiatives and civil rights protections. In the first 100 days of this term, the administration has targeted diversity policies and civil rights protections, including revoking a 1965 executive order supporting equal employment opportunities and dismantling programs aiding marginalized communities. 

    By eliminating these grants, the administration is not only ignoring the mental health crisis in our schools but also actively working against the progress made in creating equitable educational environments. This decision will disproportionately affect students of color, who often face systemic barriers to accessing mental health services.

    I stand in strong opposition to this decision and urge my colleagues in Congress to take immediate action to restore this critical funding. Our students deserve access to comprehensive mental health services, and we must continue to fight for policies that promote equity, inclusion, and the well-being of all children.

    Congressman Jonathan L. Jackson

    MIL OSI USA News

  • MIL-OSI USA: Attorney General Bonta Co-Leads Multistate Coalition in Urging Trump Administration to Restore Title X Funding

    Source: US State of California Department of Justice

    Today marks one month since HHS suddenly decided to withhold vast amounts of Title X funding

    OAKLAND — California Attorney General Rob Bonta today announced that he is leading, alongside Hawai‘i Attorney General Anne E. Lopez, a coalition of 21 attorneys general in sending a letter to the Trump Administration to express serious concern with the U.S. Department of Health and Human Services’ (HHS) decision to withhold tens of millions of dollars in Title X funding. Signed into law by President Richard Nixon, Title X is the nation’s only federal program dedicated to family planning for low-income and uninsured individuals. On March 31, HHS issued letters to a wide range of grant recipients that fund nearly 25% of all Title X clinics, indicating that these grantees’ Title X grants were being withheld. In today’s letter, the attorneys general write that the withholding of funds will lead to more unintended pregnancies, more sexually transmitted infections (STIs), increased rates of undiagnosed HIV, increased rates of cervical cancer, and a higher burden on over-stretched state budgets. The attorneys general urge HHS Secretary Robert F. Kennedy, Jr. to immediately reverse this decision and fully fund these critical programs.   

    “Exactly one month ago, the Trump Administration decided to withhold tens of millions of dollars in Title X funding. Today, my fellow attorneys general and I are urging the Trump Administration to do the right thing. HHS Secretary Kennedy claims to want to ‘Make America Healthy Again’ — restoring Title X funding would do just that,” said Attorney General Bonta. “Our letter underscores the many important services that Title X funding helps to make possible for low-income households across the United States. We are committed to protecting those services and will continue to monitor the Trump Administration’s future actions.” 

    In certain States — including California, Hawai‘i, and Maine — all Title X funds were withheld, meaning that Title X funding has now completely ceased in those States. If funding is not restored, in California, nearly half of Title X providers report that there will be immediate or likely layoffs and more than 60% report that they will have immediate reductions in family planning services. One service site anticipates closing. Everywhere, States must scramble to fill the gaps as healthcare providers who have long been a cornerstone of the Title X program have been suddenly shut out. If State and local governments are not able to make up for the federal shortfall, patients will see a reduction in services as clinics close and providers are terminated. This will fall particularly hard on poor and rural communities that are the primary beneficiaries of the Title X program. In many areas, a Title X clinic is the only source of pre-natal services and screening for STIs.  

    In the letter, the attorneys general write that:

    • Recent history demonstrates that cutting Title X grantees will worsen care. In 2019, the Trump Administration changed the rules governing Title X, leading to a mass loss of healthcare providers. As a result, the number of patients receiving Title X services fell drastically. Nationwide, the number of Title X patients fell more than 60%, from 3.9 million to 1.5 million. This recent history demonstrates what happens — and how quickly — when the federal government slashes access to Title X. Unfortunately, there is every reason to think that the Trump Administration’s recent withholding will have at least as bad an impact on patient care. In total, the Guttmacher Institute estimates that as a direct result of HHS’s action in withholding funds, at least 834,000 patients, representing 30% of the total population served, will lose care in the first year alone.
    • The States will be harmed by HHS’s decision. While the 2019 rule was in effect, many States were forced to make emergency appropriations to cover for the loss of providers. The States made these expenditures because Title X programs are a critical component of vital public health infrastructure. An important example is the role of Title X programs in detecting and preventing STIs. Between 2006 and 2010, 18% of all women who were tested, treated, or received counseling for an STI did so at a Title X clinic, as did 14% of women tested for HIV. Now, the States are once again faced with an impossible choice: dip once again into depleted public coffers to make up the difference, or deal with a surge in new STIs and unintended pregnancies.  
    • There is no justification for the terminations. Although HHS suggested Title X grantees violated federal civil rights laws, HHS has provided absolutely no evidence supporting this suggestion.  

    Joining Attorneys General Bonta and Lopez in sending today’s letter are the attorneys general of Arizona, Colorado, Connecticut, Delaware, Illinois, Maine, Maryland, Massachusetts, Michigan, Minnesota, Nevada, New Jersey, New Mexico, New York, North Carolina, Oregon, Rhode Island, Vermont, and Washington.  

    A copy of the letter can be found here.

    MIL OSI USA News

  • MIL-OSI USA: Following Urging of Senator Collins, HHS Releases $400 Million for LIHEAP Program

    US Senate News:

    Source: United States Senator for Maine Susan Collins

    Washington, D.C. – Today, U.S. Senator Susan Collins released the following statement in response to the Department of Health and Human Services’ (HHS) Administration for Children and Families’ decision to release more than $400 million in funding for the Low-Income Home Energy Assistance Program (LIHEAP). This action comes following a letter sent by Senators Collins, Jack Reed (D-RI), and Lisa Murkowski (R-AK), and signed by 10 of their Senate colleagues, to HHS Secretary Robert F. Kennedy, Jr., highlighting the importance of swift distribution of LIHEAP funds and urging the Department to avoid any cuts to regular programmatic funding.

    “LIHEAP funding provides vital relief to thousands of Mainers, helping them avoid the constant worry of having to choose between heating or cooling their homes and covering other basic necessities,” said Senator Collins. “I am glad that following our outreach, the Department has released the full amount of funding for this critical program. As Chair of the Senate Appropriations Committee, I will continue to support this program and work to ensure that households in Maine and throughout the country can afford to heat their homes.”

    The federally funded LIHEAP is a crucial lifeline that helps 6.2 million low-income households and seniors on fixed incomes afford their energy bills, including those who use natural gas, propane, electricity, and home heating oil. Without this assistance, many Americans may not be able to afford their utility bills and could end up falling victim to extreme weather.

    LIHEAP is administered by states and accessed through local Community Action Agencies. Eligibility for LIHEAP is based on income, family size, and the availability of resources. Senior citizens and those receiving Social Security Disability or SSI benefits are encouraged to apply as early as possible, but applications will be open to everyone until the funding is exhausted.

    MIL OSI USA News

  • MIL-OSI USA: The United States Files False Claims Act Complaint Against Three National Health Insurance Companies and Three Brokers Alleging Unlawful Kickbacks and Discrimination Against Disabled Americans

    Source: US State of North Dakota

    The United States filed a complaint today under the False Claims Act (FCA) against three of the nation’s largest health insurance companies — Aetna Inc. and affiliates, Elevance Health Inc. (formerly known as Anthem), and Humana Inc. — and three large insurance broker organizations — eHealth, Inc. and an affiliate, GoHealth, Inc., and SelectQuote Inc. The United States alleges that from 2016 through at least 2021, the defendant insurers paid hundreds of millions of dollars in illegal kickbacks to the defendant brokers in exchange for enrollments into the insurers’ Medicare Advantage plans.

    Under the Medicare Advantage (MA) Program, also known as Medicare Part C, Medicare beneficiaries may choose to enroll in health care plans (MA plans) offered by private insurance companies, such as defendants Aetna, Anthem, and Humana. Many Medicare beneficiaries rely on insurance brokers to help them choose an MA plan that best meets their individual needs. Rather than acting as unbiased stewards, the defendant brokers allegedly directed Medicare beneficiaries to the plans offered by insurers that paid brokers the most in kickbacks, regardless of the suitability of the MA plans for the beneficiaries. According to the complaint, the broker organizations incentivized their employees and agents to sell plans based on the insurers’ kickbacks, set up teams of insurance agents who could sell only those plans, and at times refused to sell MA plans of insurers who did not pay sufficient kickbacks.

    The United States further alleges that Aetna and Humana each conspired with the broker defendants to discriminate against Medicare beneficiaries with disabilities whom they perceived to be less profitable. Aetna and Humana allegedly did so by threatening to withhold kickbacks to pressure brokers to enroll fewer disabled Medicare beneficiaries in their plans. The United States alleges that, in response to these financial incentives from Aetna and Humana, the defendant brokers or their agents rejected referrals of disabled beneficiaries and strategically directed disabled beneficiaries away from Aetna and Humana plans.

    “Health care companies that attempt to profit from kickbacks will be held accountable,” said Deputy Assistant Attorney General Michael Granston of the Justice Department’s Civil Division. “We are committed to rooting out illegal practices by Medicare Advantage insurers and insurance brokers that undermine the interests of federal health care programs and the patients they serve.”

    “It is concerning, to say the least, that Medicare beneficiaries were allegedly steered towards plans that were not necessarily in their best interest – but rather in the best interest of the health insurance companies,” said U.S. Attorney Leah B. Foley for the District of Massachusetts. “The alleged efforts to drive beneficiaries away specifically because their disabilities might make them less profitable to health insurance companies are even more unconscionable. Profit and greed over beneficiary interest is something we will continue to investigate and prosecute aggressively. This office will continue to take decisive action to protect the rights of Medicare beneficiaries and vulnerable Americans.”

    The lawsuit was originally filed under the qui tam or whistleblower provisions of the FCA. Under the FCA, private parties can file an action on behalf of the United States and receive a portion of the recovery. The FCA permits the United States to intervene in and take over the action, as it has done here. If a defendant is found liable for violating the FCA, the United States may recover three times the amount of its losses plus applicable penalties.

    The Justice Department’s Civil Division, Commercial Litigation Branch, Fraud Section and the U.S. Attorney’s Office for the District of Massachusetts are handling the matter, with valuable assistance from the Department of Health and Human Services (HHS) Office of Inspector General and the FBI.  The case is captioned United States ex rel. Shea v. eHealth, et al., No. 21-cv-11777.

    Trial Attorneys David G. Miller, Anna H. Jugo, Diana E. Curtis, and Sara B. Hanson of the Justice Department’s Civil Division and Assistant U.S. Attorneys Charles Weinograd and Julien Mundele for the District of Massachusetts are handling the matter.

    The investigation and prosecution of this matter illustrates the government’s emphasis on combating healthcare fraud.  One of the most powerful tools in this effort is the FCA.  Tips and complaints from all sources about potential fraud, waste, abuse, and mismanagement, can be reported to HHS at 800-HHS-TIPS (800-447-8477).

    The claims asserted in the complaint are allegations only. There has been no determination of liability. 

    Note: Read the complaint here

    MIL OSI USA News

  • MIL-OSI Security: The United States Files False Claims Act Complaint Against Three National Health Insurance Companies and Three Brokers Alleging Unlawful Kickbacks and Discrimination Against Disabled Americans

    Source: United States Attorneys General 12

    The United States filed a complaint today under the False Claims Act (FCA) against three of the nation’s largest health insurance companies — Aetna Inc. and affiliates, Elevance Health Inc. (formerly known as Anthem), and Humana Inc. — and three large insurance broker organizations — eHealth, Inc. and an affiliate, GoHealth, Inc., and SelectQuote Inc. The United States alleges that from 2016 through at least 2021, the defendant insurers paid hundreds of millions of dollars in illegal kickbacks to the defendant brokers in exchange for enrollments into the insurers’ Medicare Advantage plans.

    Under the Medicare Advantage (MA) Program, also known as Medicare Part C, Medicare beneficiaries may choose to enroll in health care plans (MA plans) offered by private insurance companies, such as defendants Aetna, Anthem, and Humana. Many Medicare beneficiaries rely on insurance brokers to help them choose an MA plan that best meets their individual needs. Rather than acting as unbiased stewards, the defendant brokers allegedly directed Medicare beneficiaries to the plans offered by insurers that paid brokers the most in kickbacks, regardless of the suitability of the MA plans for the beneficiaries. According to the complaint, the broker organizations incentivized their employees and agents to sell plans based on the insurers’ kickbacks, set up teams of insurance agents who could sell only those plans, and at times refused to sell MA plans of insurers who did not pay sufficient kickbacks.

    The United States further alleges that Aetna and Humana each conspired with the broker defendants to discriminate against Medicare beneficiaries with disabilities whom they perceived to be less profitable. Aetna and Humana allegedly did so by threatening to withhold kickbacks to pressure brokers to enroll fewer disabled Medicare beneficiaries in their plans. The United States alleges that, in response to these financial incentives from Aetna and Humana, the defendant brokers or their agents rejected referrals of disabled beneficiaries and strategically directed disabled beneficiaries away from Aetna and Humana plans.

    “Health care companies that attempt to profit from kickbacks will be held accountable,” said Deputy Assistant Attorney General Michael Granston of the Justice Department’s Civil Division. “We are committed to rooting out illegal practices by Medicare Advantage insurers and insurance brokers that undermine the interests of federal health care programs and the patients they serve.”

    “It is concerning, to say the least, that Medicare beneficiaries were allegedly steered towards plans that were not necessarily in their best interest – but rather in the best interest of the health insurance companies,” said U.S. Attorney Leah B. Foley for the District of Massachusetts. “The alleged efforts to drive beneficiaries away specifically because their disabilities might make them less profitable to health insurance companies are even more unconscionable. Profit and greed over beneficiary interest is something we will continue to investigate and prosecute aggressively. This office will continue to take decisive action to protect the rights of Medicare beneficiaries and vulnerable Americans.”

    The lawsuit was originally filed under the qui tam or whistleblower provisions of the FCA. Under the FCA, private parties can file an action on behalf of the United States and receive a portion of the recovery. The FCA permits the United States to intervene in and take over the action, as it has done here. If a defendant is found liable for violating the FCA, the United States may recover three times the amount of its losses plus applicable penalties.

    The Justice Department’s Civil Division, Commercial Litigation Branch, Fraud Section and the U.S. Attorney’s Office for the District of Massachusetts are handling the matter, with valuable assistance from the Department of Health and Human Services (HHS) Office of Inspector General and the FBI.  The case is captioned United States ex rel. Shea v. eHealth, et al., No. 21-cv-11777.

    Trial Attorneys David G. Miller, Anna H. Jugo, Diana E. Curtis, and Sara B. Hanson of the Justice Department’s Civil Division and Assistant U.S. Attorneys Charles Weinograd and Julien Mundele for the District of Massachusetts are handling the matter.

    The investigation and prosecution of this matter illustrates the government’s emphasis on combating healthcare fraud.  One of the most powerful tools in this effort is the FCA.  Tips and complaints from all sources about potential fraud, waste, abuse, and mismanagement, can be reported to HHS at 800-HHS-TIPS (800-447-8477).

    The claims asserted in the complaint are allegations only. There has been no determination of liability. 

    Note: Read the complaint here

    MIL Security OSI

  • MIL-OSI USA: Rep. Norcross Discharged from Cooper Hospital Following Recent Medical Incident

    Source: United States House of Representatives – Congressman Donald Norcross (1st District of New Jersey)

    CHERRY HILL, NJ — Today, the office of Congressman Donald Norcross issued an update on the Congressman’s recent medical incident.

    “Congressman Donald Norcross has been discharged from Cooper Hospital following his recent serious medical incident and has begun his rehabilitation. The Congressman is making remarkable and steady progress and is well on his way to making a full recovery. The Congressman thanks the entire Cooper team for the excellent care he received, especially the doctors and nurses who saved his life.  

    “Congressman Norcross is in constant contact with his staff and actively monitoring events in Washington and South Jersey as he continues to fight for senior’s health care and access to affordable prescription drugs. He and his family continue to be overwhelmed by the support and well wishes they have received.”

    ###

    MIL OSI USA News

  • MIL-OSI USA: Rosen, Cassidy Introduce Bipartisan Bill to Lower Costs for Caregivers

    US Senate News:

    Source: United States Senator Jacky Rosen (D-NV)
    WASHINGTON, DC – Today, U.S. Senators Jacky Rosen (D-NV) and Bill Cassidy (R-LA) introduced the Lowering Costs For Caregivers Act to lower costs for caregivers and help families afford medical expenses. This bipartisan legislation allows people to use their tax-free health savings accounts and flexible spending accounts on medical expenses for their parents. Currently, adult children may not take advantage of these tax-free accounts to cover expenses they incur on behalf of their aging parents, unless their parents are classified as dependents for tax purposes.
    “As parents age, their children often step up as caregivers and take on extra costs and responsibilities. Nevada families continue to be squeezed by rising prices, and we must do everything we can to make it easier to take care of loved ones,” said Senator Rosen. “I’m proud to introduce this bipartisan bill to lower costs for caregivers by allowing them to use tax-free accounts to cover the medical expenses of their aging parents.”
    “Over 11 million Americans are unpaid caregivers for their loved ones,” said Dr. Cassidy. “Let’s give back by making life a little more affordable for them.”
    This legislation is supported by the AARP.
    Senator Rosen is working to lower costs for hardworking Nevada families. Earlier this year, her bipartisan bill to help lower child care costs by increasing the availability of affordable, high-quality child care for Nevada families advanced out of committee. Rosen has also introduced the Physicians for Underserved Areas Act and the Train More Nurses Act to address the shortages of medical professionals in Nevada that are reducing access to care and driving up costs.

    MIL OSI USA News