Category: Health

  • MIL-OSI Russia: Tatyana Golikova took part in the board meeting of the FMBA of Russia

    Translation. Region: Russian Federal

    Source: Government of the Russian Federation – An important disclaimer is at the bottom of this article.

    Deputy Prime Minister Tatyana Golikova took part in an extended meeting of the board of the Federal Medical and Biological Agency.

    As Tatyana Golikova noted, the board meeting is being held on the eve of the 80th anniversary of the Victory in the Great Patriotic War. Soviet medicine made a special contribution to the victory. The medical service saved the wounded, provided their treatment, rehabilitation and return to duty. The key role in the fight for life at the front belonged to the blood transfusion service and donation. Over the past 15 years, the Federal Medical and Biological Agency has been responsible for organizing the activities of the blood service in our country.

    In just four years of war, over 7 million blood transfusions were performed. Every day, 300 to 3 thousand people donated blood, mostly women. The active army received over 1.7 million liters of blood. The total number of donors was 5.5 million people.

    “Today, the database, which has been maintained since 2008, contains data on more than 10 million blood donors and 30 million donations. The annual number of blood and blood component donors remains stable at almost 1.5 million people, with 99% of donations being gratuitous,” the Deputy Prime Minister emphasized.

    In 2024, a program to modernize blood services in new regions was launched; more than 200 units of equipment, including high-tech equipment, were purchased.

    “Since 2023, on the instructions of the President of the country, the Concept of increasing the procurement of blood plasma for the production of drugs has been implemented. In 2024, the FMBA successfully completed the first stage – 600 tons of plasma were prepared. In 2025, the volume should be at least 780 tons. The task is not easy, but strategically important for the country,” said Tatyana Golikova.

    The Deputy Prime Minister separately noted the development of bone marrow donation.

    “The number of donors in the Federal Bone Marrow Donor Registry increased by 120,000 last year, reaching 438,000 donors. By the end of 2025, the registry should include more than 500,000 donors. The appropriate funding has been allocated to replenish the registry and conduct bone marrow donor typing, the amount of which is 7 times higher than in 2023. I am confident that this will increase the number of studies. More than 67,000 typings should be performed this year. These figures represent saved lives,” she said.

    In the conditions of military actions on the territory of the DPR, LPR, Zaporizhia and Kherson regions, Kursk region, medical workers of the FMBA take direct part in providing medical care to wounded soldiers and civilians, ensure radiation, chemical and biological safety. In Mariupol, there is a multidisciplinary medical center of the FMBA. The second stage of construction is currently underway.

    “The implementation of the national project “Healthcare” was completed in 2024. FMBA allocated more than 9.3 billion rubles for the implementation of its activities. As a result, high-quality infrastructure changes took place in the agency’s system. As part of the modernization of the primary link, 77 facilities were commissioned, 931 units of equipment and 127 vehicles were delivered. As part of the fight against cancer, 12 medical organizations were equipped with 292 units of equipment, including 23 units of heavy equipment. Behind each figure is both the availability and quality of medical care, especially in those settlements where only FMBA institutions are present,” said Tatyana Golikova.

    Since 2025, new national projects have been launched: “Long and Active Life”, “Family”, “New Health Preservation Technologies”, in the implementation of which the FMBA of Russia also takes an active part.

    “By 2030, within the framework of the national project “Long and Active Life”, 148 more primary care facilities will be created and renovated in the FMBA system, more than 2.6 thousand pieces of equipment and 138 vehicles will be purchased. In addition, 16 modern admissions departments using modular designs will be created, oncology centers and federal research centers will be equipped with the necessary equipment. Within the framework of the federal project “Protection of Motherhood and Childhood” of the national project “Family”, 25 women’s consultations, perinatal centers, children’s hospitals will be created and equipped with new equipment. All these measures will improve the quality and accessibility of medical care for our citizens, which is especially important for closed territorial entities, where the agency’s institutions are the only ones,” noted Tatyana Golikova.

    Within the framework of the national project “New technologies for preserving health”, it is planned to increase the share of domestic production of drugs in terms of vital and essential drugs to 90% and in terms of medical products to 40%. Almost 1 billion rubles have been allocated by the FMBA for 6 years to implement the set task.

    “Another task of the agency is to preserve the life and health of people working in extreme conditions and in industries with harmful and hazardous health factors. Today, the FMBA system has a network of 38 comprehensive health centers and digital health centers created over 3 years, located directly at strategic production facilities. This made it possible to reduce the incidence rate by 17% and reduce cases of temporary disability by 23% in 2024,” the Deputy Prime Minister emphasized.

    In conclusion, Tatyana Golikova thanked all employees of the FMBA and its subordinate institutions for their dedicated work.

    Please note: This information is raw content directly from the source of the information. It is exactly what the source states and does not reflect the position of MIL-OSI or its clients.

    MIL OSI Russia News

  • MIL-OSI USA: Dingell, Jayapal, Sanders Introduce Medicare for All

    Source: United States House of Representatives – Congresswoman Debbie Dingell (12th District of Michigan)

    U.S. Representatives Debbie Dingell (MI-06) and Pramila Jayapal (WA-07), and U.S. Senator Bernie Sanders (I-VT) are today introducing the Medicare for All Act of 2025. 

    “Every American has the right to health care, period. If you’re sick, you should be able to go to the doctor without being worried about the cost of treatment or prescription medicine. Too many families must decide between putting food on the table and getting medical care that they desperately need,” said Dingell. “A health care system that ties coverage to employment will always leave patients vulnerable. It’s flat-out wrong and Medicare for All would put a stop to it. We’ve been fighting this fight since the 1940s, when my father-in-law helped author the first universal health care bill. It’s time to get this done.” 

    “It is a travesty when 85 million people are uninsured or underinsured and millions more are drowning in medical debt in the richest nation on Earth,” said Jayapal. “We don’t suffer from scarcity in America, we suffer from greed. That’s most clear in our broken healthcare system, which is why we need Medicare for All. People deserve and want comprehensive health care that covers mental health, long-term care, reproductive care, dental, vision and hearing, all without copays, private insurance premiums, sky high deductibles or other hidden fees. Health care is a human right, that is exactly why it’s time to pass Medicare for All.”

    “The American people understand, as I do, that health care is a human right, not a privilege and that we must end the international embarrassment of the United States being the only major country on earth that does not guarantee health care to all of its citizens,” said Sanders.“It is not acceptable to me, nor to the American people, that over 85 million people today are either uninsured or underinsured. Today, there are millions of people who would like to go to a doctor but cannot afford to do so. This is an outrage. In America, your health and your longevity should not be dependent on your wealth. Health care is a human right that all Americans, regardless of income, are entitled to and they deserve the best health care that our country can provide.”

    Dingell has long led the fight for universal health care coverage, introducing Medicare for All every Congress since she was elected. Her father-in-law, John Dingell Sr., drafted the first legislation that ultimately led to the creation of Medicare and her husband, John Dingell Jr., introduced a single-payer healthcare plan every session he served in Congress.

    The Medicare for All Act builds upon and expands Medicare to provide comprehensive benefits to every person in the United States. This includes primary care, vision, dental, prescription drugs, mental health, substance abuse, long-term services and supports, reproductive health care, and more. The Medicare for All Act of 2025 also includes universal coverage of long-term care with no cost-sharing for older Americans and individuals with disabilities, and prioritizes home and community-based care over institutional care. Additionally, patients have the freedom to choose the doctors, hospitals, and other providers they wish to see without worrying about whether a provider is in-network. Importantly, the legislation streamlines the health care system to negotiate drug prices and reduce exorbitant administrative waste.

    This legislation comes at a critical time when vital lifesaving health care programs, like Medicaid and Veterans Health Administration benefits, are at risk of being completely gutted by the Trump Administration. Currently, 85 million people in America are either uninsured or underinsured, and if the Trump Administration succeeds at completely privatizing our health care infrastructure, the number of uninsured and uninsured people will grow exponentially. The legislation has 104 original cosponsors in the House and 16 original cosponsors in the Senate.

    View a video of the introduction press conference here. 

    “Nurses see the failure of our country’s profit-driven health care system every time we clock in to work,” said Nancy Hagans, President of National Nurses United. “In the richest country on earth, nobody should be forced to choose between taking their medications and putting food on the table. Yet countless families are pushed to the breaking point while greedy corporations charge astronomical, ludicrous fees for care that our patients have every right to receive. Nurses are fighting for a future in which our patients’ health is put first always and that’s why we are proud to continue our support for Medicare for All. When we guarantee health care for all, corporations and billionaires will no longer be able to deny anyone the care that they need.”

    “We are long overdue for a universal health care system that guarantees care for all — free of copays, deductibles, and job-based coverage restrictions,” said Dr. Diljeet K. Singh, M.D., Dr.P.H., and President of Physicians for a National Health Plan. With the passage of the Medicare for All Act, physicians can focus on healing patients, not battling insurers over denials and delays. Patients will finally be able to seek care without the constant fear of crushing medical bills. Physicians for a National Health Program proudly stands with our legislators in the fight to make excellent health care a reality for everyone in America.”

    “Postal workers know the value of affordable, universal services, grounded in a commitment to putting people over profits. That’s the type of service we are committed to provide communities across the country, day in and day out,” said APWU President Mark Dimondstein. “For too long, greedy corporations and their Wall Street investors have been able to deny the people of the country the quality, affordable, universal healthcare working people deserve. “Medicare for All,” healthcare as a human right, will make us all healthier and financially better off. A healthcare system that works for working people, not the profits of the insurance companies, is long overdue.  It’s time for Medicare for All.”

    “Medicaid is a life and death issue for tens of millions of people,” said Jaron Benjamin, Deputy Chief of Campaigns at Popular Democracy in Action. “For years, our network has fought for programs like Medicaid and Medicare that keep families whole: elders aging with dignity, children getting the care they need, people with disabilities living full lives. Instead of protecting what works, Republicans in Congress are pushing cuts to Medicaid so they can hand more money to their billionaire backers. We won’t stand by while our communities are sacrificed for tax giveaways.”

    “As Donald Trump, Robert Kennedy and Congressional Republicans rush to strip health care from millions of Americans, we know this: We must not only block their cruel cuts but move America to a system that provides health care to everyone as a matter of right,” said Robert Weissman, co-president, Public Citizen. “America spends much more than other wealthy countries on health care only to have the worst health outcomes. The system works for health insurers, Big Pharma, hospital chains and private equity firms – but no one else.  Medicare for All would ensure everyone in America can get the care they need throughout their lives. It is the realistic, humane, just and efficient reform we need.”

    “If you want to renew the public’s faith in our political system, pass The Medicare for All Act of 2025,” said Alan Minsky, Executive Director, Progressive Democrats of America. “This one piece of legislation will instantly end the era, which has lasted far too long, when profits and wealth accumulation are more important than human life, including yours. MFA will return the general welfare, and the well-being of every individual, to the heart of our social contract. That will renew faith in America.”

    “Health care is a human right and a basic need. Yet instead of getting health care, Americans get delays, denials, and bills they cannot afford. Today, predatory insurance CEOs are poised to reap the windfall from the tax scam giveaways earmarked for billionaires and corporations. The oligarchs that put Donald Trump and Dr. Oz in power want everything we have. We get sicker, make impossible choices, and go broke. They boost the stock prices of corporations – like UnitedHealth – that profit off our pain, and buy more mansions and yachts. We can put an end to those warped priorities through Medicare for All,” said Sulma Arias, executive director of People’s Action Institute. “Working people have made this the wealthiest nation in the history of the world, and there is more than enough if we don’t let the corporate crooks and billionaires steal it. So it’s time to choose: Our health care or their greed?”

    “Health care should be a human right. But every time we negotiate with a boss for the right to see a doctor, they nickel and dime us until people have to choose between their health and putting food on the table. We’re sick of having to go on strike just to have decent health care,” said Shawn Fain, President of the UAW. “We’re sick of corporate America asking us to give up raises, retirement security, or work-life balance at the bargaining table so working-class people can avoid medical bankruptcy. Our current health care system is a con job that only works for the billionaire class. Medicare for All is common sense, and it’s what the working class needs. The UAW is proud to support this bill.”

    MIL OSI USA News

  • MIL-OSI USA: Court Enjoins Arizona Animal Drug Manufacturer from Distributing Unapproved Drugs

    Source: US State Government of Utah

    A federal court ordered an Arizona company to stop distributing unapproved animal drugs that violate the Federal Food, Drug, and Cosmetic Act (FDCA), the Department of Justice announced.

    In a civil complaint filed on August 29, 2023, in the U.S. District Court for the District of Arizona, the United States alleged that AniCell Biotech LLC and its founder and chief executive officer, Brandon T. Ames, violated the FDCA at the company’s facility in Gilbert, Arizona, by manufacturing and distributing unapproved animal drugs. According to the complaint, AniCell Biotech makes and distributes animal cell- and tissue-based products (ACTPs) derived from the amniotic tissue of horses for use in animals.

    According to the complaint, AniCell and Ames claimed on their website and in promotional pamphlets that their products were intended for use in animals to treat various diseases and to promote tissue regeneration and healing. The complaint further alleged that AniCell and Ames made and sold new animal drugs that were considered adulterated and unsafe because they had not been approved by the U.S. Food and Drug Administration (FDA). According to the complaint, FDA provided defendants with multiple warnings, including a written warning letter regarding its need to submit its new animal drugs to the FDA for approval.

    “Animal drug manufacturers have a duty to ensure that their products are safe and manufactured and sold in accordance with the law,” said Acting Assistant Attorney General Yaakov Roth of the Justice Department’s Civil Division. “The Department will continue to work closely with FDA to pursue appropriate actions against drug manufacturers that violate the law.”

    “Marketing unapproved new animal drugs that claim to cure, mitigate, treat or prevent diseases in animals can pose serious safety risks to consumers’ pets,” said Acting Director Dr. Timothy Schell of the FDA’s Center for Veterinary Medicine. “The FDA will continue to pursue actions against those who may put animal patients in harm’s way by manufacturing and distributing unapproved new animal drugs.”

    The defendants agreed to settle the suit and be bound by a consent decree permanently enjoining them from violating the FDCA. Under the court’s order, entered on April 17, the defendants must comply with specific requirements set forth in the injunction and the FDCA prior to manufacturing or distributing any new animal drugs.

    Trial Attorney Coleen Schoch of the Civil Division’s Consumer Protection Branch handled the case, with assistance from Associate Chief Counsel of Enforcement Jaclyn E. Martinez Resly of the FDA’s Office of the Chief Counsel.

    Additional information about the Consumer Protection Branch and its enforcement efforts may be found at http://www.justice.gov/civil/consumer-protection-branch.

    MIL OSI USA News

  • MIL-OSI USA: NEWS: Sanders, Jayapal, Dingell, Hundreds of Health Care Workers Introduce Medicare for All

    US Senate News:

    Source: United States Senator for Vermont – Bernie Sanders
    WASHINGTON, April 29 – Sen. Bernie Sanders (I-Vt.), Ranking Member of the Senate Committee on Health, Education, Labor, and Pensions (HELP), alongside Rep. Pramila Jayapal (D-Wash.) and Rep. Debbie Dingell (D-Mich.), today introduced the Medicare for All Act. Hundreds of nurses, health care providers and workers from around the nation joined the lawmakers for a press conference in front of the Capitol.
    In America today, despite spending twice as much per person on health care as other wealthy nations, more than 85 million Americans are uninsured or underinsured, one out of every four Americans cannot afford their prescription drugs, over half a million people go bankrupt due to medically-related debt, and more than 60,000 die because they cannot afford to go to a doctor.
    “The American people understand, as I do, that health care is a human right, not a privilege and that we must end the international embarrassment of the United States being the only major country on earth that does not guarantee health care to all of its citizens,” said Sanders. “It is not acceptable to me, nor to the American people, that over 85 million people today are either uninsured or underinsured. Today, there are millions of people who would like to go to a doctor but cannot afford to do so. This is an outrage. In America, your health and your longevity should not be dependent on your wealth. Health care is a human right that all Americans, regardless of income, are entitled to and they deserve the best health care that our country can provide.”
    “It is a travesty when 85 million people are uninsured or underinsured and millions more are drowning in medical debt in the richest nation on Earth,” said Jayapal. “We don’t suffer from scarcity in America, we suffer from greed. That’s most clear in our broken health care system, which is why we need Medicare for All. People deserve and want comprehensive health care that covers mental health, long-term care, reproductive care, dental, vision and hearing, all without copays, private insurance premiums, sky-high deductibles or other hidden fees. Health care is a human right, that is exactly why it’s time to pass Medicare for All.”
    “Every American has the right to health care, period. If you’re sick, you should be able to go to the doctor without being worried about the cost of treatment or prescription medicine. Too many families must decide between putting food on the table and getting medical care that they desperately need,” said Dingell. “A health care system that ties coverage to employment will always leave patients vulnerable. It’s flat-out wrong and Medicare for All would put a stop to it. We’ve been fighting this fight since the 1940s, when my father-in-law helped author the first universal health care bill. It’s time to get this done.”
    Under this legislation, Medicare would provide comprehensive health care to every American with no premiums, no co-payments and no deductibles. It would also expand Medicare to include dental, hearing, and vision care, and it would give every American the freedom to choose their doctors without endless paperwork or fighting their insurance company. The Congressional Budget Office has estimated that Medicare for All would save our health care system $650 billion a year. Further, researchers at Yale University have estimated that Medicare for All would save 68,000 lives a year.
    This legislation would also create a health care system that finally puts people over profits. In fact, since 2001, the top health care companies in America spent 95 percent of their profits, $2.6 trillion, not to make Americans healthy but to make their CEOs and stockholders obscenely rich. While nearly one out of four Americans cannot afford the life-saving medicine their doctors prescribe, ten top pharma companies made $102 billion in profits in 2024. Meanwhile, the CEOs of just 4 prescription drug companies – Pfizer, Johnson & Johnson, Eli Lilly, and Merck – together made over $100 million last year.
    The legislation has 104 cosponsors in the House and has 16 cosponsors in the Senate – an increase in the number of Senate cosponsors from last Congress – including Sens. Tammy Baldwin (D-Wis.), Richard Blumenthal (D-Conn.), Cory Booker (D-N.J.), Kirsten Gillibrand (D-N.Y.), Martin Heinrich (D-N.M.), Mazie Hirono (D-Hawaii), Ben Ray Luján (D-N.M.), Ed Markey (D-Mass.), Jeff Merkley (D-Ore.), Alex Padilla (D-Calif.), Brian Schatz (D-Hawaii), Adam Schiff (D-Calif.), Elizabeth Warren (D-Mass.), Peter Welch (D-Vt.) and Sheldon Whitehouse (D-R.I.).
    “Nurses see the failure of our country’s profit-driven health care system every time we clock in to work,” said Nancy Hagans, President of National Nurses United. “In the richest country on earth, nobody should be forced to choose between taking their medications and putting food on the table. Yet countless families are pushed to the breaking point while greedy corporations charge astronomical, ludicrous fees for care that our patients have every right to receive. Nurses are fighting for a future in which our patients’ health is put first always and that’s why we are proud to continue our support for Medicare for All. When we guarantee health care for all, corporations and billionaires will no longer be able to deny anyone the care that they need.”
    “We are long overdue for a universal health care system that guarantees care for all — free of copays, deductibles, and job-based coverage restrictions,” said Dr. Diljeet K. Singh, M.D., Dr.P.H., and President of Physicians for a National Health Program. “With the passage of the Medicare for All Act, physicians can focus on healing patients, not battling insurers over denials and delays. Patients will finally be able to seek care without the constant fear of crushing medical bills. Physicians for a National Health Program proudly stands with our legislators in the fight to make excellent health care a reality for everyone in America.”
    “As Donald Trump, Robert Kennedy and Congressional Republicans rush to strip health care from millions of Americans, we know this: We must not only block their cruel cuts but move America to a system that provides health care to everyone as a matter of right,” said Robert Weissman, co-president of Public Citizen. “America spends much more than other wealthy countries on health care only to have the worst health outcomes. The system works for health insurers, Big Pharma, hospital chains and private equity firms – but no one else. Medicare for All would ensure everyone in America can get the care they need throughout their lives. It is the realistic, humane, just and efficient reform we need.”
    “Postal workers know the value of affordable, universal services, grounded in a commitment to putting people over profits. That’s the type of service we are committed to provide communities across the country, day in and day out,” said Mark Dimondstein, President of American Postal Workers Union. “For too long, greedy corporations and their Wall Street investors have been able to deny the people of the country the quality, affordable, universal health care working people deserve. Medicare for All, health care as a human right, will make us all healthier and financially better off. A health care system that works for working people, not the profits of the insurance companies, is long overdue. It’s time for Medicare for All.”
    “Health care should be a human right. But every time we negotiate with a boss for the right to see a doctor, they nickel and dime us until people have to choose between their health and putting food on the table,” said Shawn Fain, President of the International Union, United Automobile, Aerospace and Agricultural Implement Workers of America (UAW). “We’re sick of having to go on strike just to have decent health care. We’re sick of corporate America asking us to give up raises, retirement security, or work-life balance at the bargaining table so working-class people can avoid medical bankruptcy. Our current health care system is a con job that only works for the billionaire class. Medicare for All is common sense, and it’s what the working class needs. The UAW is proud to support this bill.”
    “If you want to renew the public’s faith in our political system, pass the Medicare for All Act of 2025,” said Alan Minsky, Executive Director, Progressive Democrats of America. “This one piece of legislation will instantly end the era, which has lasted far too long, when profits and wealth accumulation are more important than human life, including yours. MFA will return the general welfare, and the well-being of every individual, to the heart of our social contract. That will renew faith in America.”
    “Health care is a right, not a privilege. The reintroduction of the Medicare for All Act is a crucial step toward ending a system that profits from people’s pain,” said Analilia Mejia and DaMareo Cooper, Co-Executive Directors of Popular Democracy. “Too many Americans are forced to choose between paying their rent and paying for life-saving medication, while corporations rake in billions. Medicare for All isn’t just a policy—it’s the lifeline working families desperately need. Our communities deserve a health care system that prioritizes people over profits. We will fight until we win the health care we deserve.”
    “Health care is a human right and a basic need. Yet instead of getting health care, Americans get delays, denials, and bills they cannot afford. Today, predatory insurance CEOs are poised to reap the windfall from the tax scam giveaways earmarked for billionaires and corporations. The oligarchs that put Donald Trump and Dr. Oz in power want everything we have. We get sicker, make impossible choices, and go broke. They boost the stock prices of corporations – like UnitedHealth – that profit off our pain, and buy more mansions and yachts. We can put an end to those warped priorities through Medicare for All,” said Sulma Arias, executive director of People’s Action Institute. “Working people have made this the wealthiest nation in the history of the world, and there is more than enough if we don’t let the corporate crooks and billionaires steal it. So it’s time to choose: Our health care or their greed?”
    Read the bill text here.

    MIL OSI USA News

  • MIL-OSI USA: Cortez Masto Joins Senators Pressing Administration on How Mass CFPB Firings Will Hurt Working Nevadans

    US Senate News:

    Source: United States Senator for Nevada Cortez Masto

    Washington, D.C. – Today, U.S. Senator Catherine Cortez Masto (D-Nev.) joined 40 Democratic Senators in a letter to Consumer Financial Protection Bureau (CFPB) Acting Director Russell Vought outlining more than 80 congressionally mandated functions of the CFPB and pressing for answers on how the agency would be able to protect hardworking Americans from scams and fraud after firing almost the entire staff.

    Senator Cortez Masto has been a longstanding champion for the CFPB and has consistently fought to protect Nevadans from fraud. Last year, she called out the Navy Federal Credit Union for its racial disparities in mortgage lending. Following a push from Cortez Masto, the CFPB created new consumer protections for homeowners who apply for Property Assessed Clean Energy loans to help them make energy-efficient upgrades to their homes. She has also introduced legislation to incentivize whistleblowers to report consumer fraud to the CFPB.

    “Last week, you tried to fire nearly all of the agency’s remaining 1,700 employees—the staff responsible for fulfilling the CFPB’s mission and statutory requirements to prevent Americans from getting scammed by big banks and giant corporations,” wrote the senators. “Your hasty and unjustified mass firings are an illegal shutdown of the CFPB that will leave it unable to conduct agency actions that are required by law.”

    “You directed the gutting of entire divisions—including departments created by Congress to protect servicemembers and older Americans—attempting to leave a shell of only 200 employees to supervise and examine large financial institutions across the country, respond to millions of consumer complaints, answer the phone for hundreds of thousands of people seeking help, monitor emergency financial risks, and run all of the agency’s other operations,” they continued.

    The Senators laid out in detail the impact the mass layoffs would have on specific functions of the CFPB––including firing all but one employee helping victims of scams in the offices focused on our nation’s two million servicemembers and tens of millions of older Americans.

    “We request that you provide—by April 30, 2025—a detailed accounting of each of the more than 80 statutory obligations of the CFPB, the number of employees assigned to each of those functions as of December 2024, the number of employees who would be assigned to each function if your rushed reduction in force were to go into effect, the immediate impact of such a reduction on the agency’s ability to perform each function consistent with federal law and federal court orders, and copies of any individualized or particularized analysis of those planned reductions on the agency’s work,” they concluded.

    The full text of the letter can be found here.

    Senator Cortez Masto has pushed multiple Departments under the Trump Administration for detailed, public information regarding the impacts of President Trump’s federal funding freeze, hiring freeze, and terminations on Nevada – including to the Department of the Interior, the U.S. Forest Service, the National Nuclear Security Administration, the Department of Veterans Affairs, Department of Agriculture, General Services Administration, and Department of Health and Human Services.

    MIL OSI USA News

  • MIL-OSI Russia: Dmytro Chernyshenko: New educational and sports infrastructure is being created in the Kherson region with the support of the Government

    Translation. Region: Russian Federal

    Source: Government of the Russian Federation – An important disclaimer is at the bottom of this article.

    “We pay special attention to new regions. President Vladimir Vladimirovich Putin emphasizes that a comprehensive program for their socio-economic development is one of our nationwide, most important priorities. This applies to all areas, including education and science. In the Kherson region, with the support of the Government, new educational and sports infrastructure is being restored and created. More than 17 thousand students study at regional universities. About 4.5 thousand budget places have been allocated for the upcoming academic year. Vladimir Vasilievich, a new admissions campaign will start soon, I ask you to personally monitor its progress,” said Dmitry Chernyshenko.

    Students of the region are actively involved in scientific and educational activities and implement various projects. Youth laboratories operate in the region. Colleges of the Kherson region participate in the championship movement “Abilympics” and the championship “Professionals”.

    During the meeting, the topic of youth policy in the region was also discussed.

    “A new youth center will be opened this year under the “Region for the Young” program. The volunteer movement is actively developing in the Kherson region, with more than 7,000 people involved. The guys are great, they work in the regional center of the 80th anniversary of Victory, actively helping the participants of the SVO and their families,” the vice-premier said.

    Special attention in the Kherson region is currently paid to the development of sports infrastructure. This year, five open physical culture and health complexes for practicing various sports will be created in the subject, a martial arts center and a modular hall for table tennis are also being built, and sports facilities are being equipped with equipment.

    Dmitry Chernyshenko said that the Government, together with the region, will continue to restore and create infrastructure, and noted the important role of Deputy Prime Minister Marat Khusnullin in this process.

    The Kherson region will also receive support within the framework of the national project “Tourism and Hospitality”. Funds have been allocated for this from the federal budget.

    “The support provided by the Government of the Russian Federation, personally by President Vladimir Vladimirovich Putin and Dmitry Nikolaevich Chernyshenko, is of great importance for the Kherson region. Thanks to our joint work, we are restoring educational institutions, creating new opportunities for young people, developing sports and tourism. This is a serious contribution to the future of the region and strengthening its socio-economic potential. I am confident that together we will achieve all the goals set,” said the governor of the Kherson region.

    In the village of Schastlivtsevo, Dmitry Chernyshenko and Vladimir Saldo assessed the progress of construction of the branch of the Tavrida art cluster, which should become a center of attraction for creative youth. The work is planned to be completed by the summer of 2025.

    “This facility will become a year-round educational center for the youth of Russia’s historical regions. More than 50 buildings will accommodate over 300 participants – future creators, leaders, and professionals,” Vladimir Saldo emphasized.

    The national project “Youth and Children” and the Rosmolodezh programs implemented in the Kherson region were discussed at the site of the branch of the art cluster “Tavrida”.

    In addition, the Deputy Prime Minister and the Governor took part in the opening of the renovated acrobatics hall of the children’s and youth sports center. The facility was renovated on the instructions of the head of state and with the support of the Government.

    Dmitry Chernyshenko assessed the renovated premises, presented the Center with a certificate for equipment, watched the performances of the students, and also talked with young athletes and coaches. The Deputy Prime Minister, among other things, spoke about the preparations for the 2014 Winter Olympics in Sochi and the sports facilities in Sirius and recalled the goal set by President Vladimir Putin – to increase the share of Russians systematically involved in physical education and sports to 70% by 2030.

    Please note: This information is raw content directly from the source of the information. It is exactly what the source states and does not reflect the position of MIL-OSI or its clients.

    MIL OSI Russia News

  • MIL-OSI USA News: 100 DAYS OF HOAXES: Cutting Through the Fake News

    Source: The White House

    Since President Donald J. Trump took office 100 days ago, it has been a nonstop deluge of hoaxes and lies from Democrats and their allies in the Fake News suffering from terminal cases of Trump Derangement Syndrome.

    In no particular order, here are some of the most egregious hoaxes peddled by the usual suspects so far in President Trump’s second term:

    • HOAX: Fake News CNN attempted to “fact check” President Trump’s claim that the Biden Administration spent millions on “making mice transgender.”
    • FACT: After their so-called “fact check” was thoroughly debunked, they were forced to update it in disgrace and admit the claim was, in fact, true.
    • HOAX: The Fake News claimed the Department of Defense removed Gen. Colin Powell’s name from a list of notable Americans buried at Arlington Cemetery.
    • FACT: No service members’ names were removed from that section — and Gen. Powell’s name remains among those listed.
    • HOAX: Rep. Eric Swalwell (D-CA) claimed “no president” presided over more plane crashes during their first month in office as President Trump.
    • FACT: “There were 55 aviation accidents in the U.S. between Biden’s inauguration on Jan. 21, 2021, and Feb. 17, 2021, compared to 35 during the same period for Trump,” Fox News reported.
    • HOAX: Gov. JB Pritzker (D-IL) and Chicago Public Schools officials claimed, without bothering to verify, that ICE agents had conducted a “raid” at an elementary school — a false claim echoed by media outlets, including the Chicago Tribune.
    • FACT: It was actually the U.S. Secret Service investigating a threat unrelated to immigration.
    • HOAX: Far-left influencers and other leftist hacks falsely claimed the Department of Government Efficiency (DOGE) and Elon Musk were out to “cut Social Security.”
    • FACT: They were referencing an interview in which Musk was clearly referring to the tremendous amount of waste, fraud, and abuse within entitlement programs.
    • HOAX: The media smeared DOGE as “young, inexperienced engineers” engineering a “government takeover.”
    • FACT: In reality, DOGE is led by seasoned industry professionals, including successful CEOs who paused their lives to aid in the effort of streamlining government and holding the bureaucracy accountable.
    • HOAX: NBC’s Peter Alexander peddled the lie that “constituents in some traditionally red districts” were unhappy with President Trump’s effort to cut waste, fraud, and abuse in government.
    • FACT: The same “protests” cited by the Fake News were funded and organized by far-left special interest groups.
    • HOAX: NPR claimed NASA astronauts Suni Williams and Butch Wilmore — who were stuck on the International Space Station for more than nine months following problems with their spacecraft — were “not stranded.”
    • FACT: NPR itself had described the astronauts as stranded in prior reporting, and only seemed to take issue with the description once President Trump and Elon Musk made it a priority to bring them home.
    • HOAX: A foreign Fake News outlet reported that President Trump “shut down” the British prime minister during a news conference.
    • FACT: In reality, President Trump was simply moving on from a reporter who was trying to goad the two leaders into division.
    • HOAX: NPR falsely claimed the White House was actively searching for a new secretary of defense.
    • FACT: This lie was immediately shut down by multiple Trump Administration officials, including President Trump himself.
    • HOAX: The Fake News attempted to paint illegal immigrant gang member Kilmar Abrego Garcia as an innocent “Maryland father” who was unjustly deported by the Trump Administration — and actively censored the truth about him.
    • FACT: Abrego Garcia is a citizen of El Salvador and was deported to his home country amid overwhelming evidence of his gang affiliation.
    • HOAX: Deranged “filmmaker” Michael Moore questioned whether deported illegal immigrants would go on to cure cancer or stop “that asteroid (sic) that’s gonna hit us.”
    • FACT: Moore’s statement was a strong early contender for the dumbest, most ridiculous statement of the year considering those deported illegal immigrants were violent criminals.
    • HOAX: The Fake News portrayed Mahmoud Khalil, a pro-Hamas radical who led violent protests at Columbia, as an innocent graduate student with an absolute right to remain in the U.S.
    • FACT: An immigration judge ruled Khalil — who is not a U.S. citizen — can be deported.
    • HOAX: The Financial Times reported that Senior White House Counselor Peter Navarro wanted to remove Canada from the “Five Eyes” intelligence sharing network.
    • FACT: Mr. Navarro immediately shut down this fake story.
    • HOAX: A foreign Fake News reporter claimed President Trump referred to European nations as “parasites.”
    • FACT: President Trump immediately pushed back on this ridiculous claim — as did the Italian prime minister.
    • HOAX: Fake News CNN’s Brianna Keilar implied the Trump Administration was somehow wrong for stopping illegal immigrants from stealing taxpayer dollars in the form of welfare benefits.
    • FACT: Deputy Chief of Staff Stephen Miller summarily embarrassed her with the facts: “The federal government will find EVERY illegal alien who is stealing American taxpayer dollars — and that’s what Americans expect to happen. I don’t even fathom the premise of your question.”
    • HOAX: A favorite refrain of the Fake News is that Secretary of Health and Human Services Robert F. Kennedy, Jr., is “anti-vaccine.
    • FACT: Kennedy debunked the lie in his confirmation hearings: “This has been repeatedly debunked … Bringing this up right now is dishonest.”
    • HOAX: WIRED falsely claimed the Social Security Administration is “shifting its public communication exclusively to X” under President Trump.
    • FACT: Not happening.
    • HOAX: Reuters falsely reported that the Trump Administration “stalled a United Nations program in Mexico aimed at stopping imported fentanyl chemicals from reaching the country’s drug cartels.”
    • FACT: The Department of State is actually trying to expand the initiative.
    • FACT: The Fake News frequently pushed the lie that as part of the Trump administration, Secretary Kennedy would implement a national abortion ban and “restrict or even ban medication abortion without a single act of Congress.”
    • FACT: Secretary Kennedy consistently pledged to implement President Trump’s policies — which include leaving abortion to the states, ending barbaric late-term abortions, protecting conscientious objections, and ending federal funding for abortions.
    • HOAX: Fake News savant Tara Palmeri falsely reported that President Trump’s proposal for Gaza was conceived by Jared Kushner.
    • FACT: This lie was immediately and summarily debunked by the Trump Administration: “The worst reporter in America makes up fake news for clout because she has no real sources. Sit down, dummy.”
    • HOAX: Sen. Chris Murphy, Rep. Jasmine Crockett, and media outlets claimed President Trump’s directive to pause radical, wasteful government spending meant an end to Medicaid, food assistance, and other individual assistance programs.
    • FACT: Individual assistance programs — Social Security, Medicare, Medicaid, SNAP, etc. — were explicitly excluded, as was made clear by Press Secretary Karoline Leavitt and the Office of Management and Budget. Only unnecessary spending — DEI, Green New Scam, NGOs that undermine the national interest — were included in the directive.
    • HOAX: A “physicians advocacy group” was widely cited as opposing President Trump’s nomination of Robert F. Kennedy, Jr., to lead the Department of Health and Human Services.
    • FACT: The “advocacy group” was really an astroturfed partisan organization funded by prominent left-wing donors — and accepted fake signatures.
    • HOAX: Sen. Tim Kaine (D-VA) and other Democrats pushed the lie that DOGE posted “classified information” on their website.
    • FACT: That alleged “classified information” was really just an employment headcount — which has been publicly available for years.
    • HOAX: Rep. Debbie Wasserman Schultz (D-FL) claimed Secretary of Homeland Security Kristi Noem called all Venezuelan immigrants “dirtbags.”
    • FACT: Secretary Noem actually called illegal immigrant members of the vicious Tren de Aragua gang “dirtbags,” which is true.
    • HOAX: The New York Times wrote that Secretary Robert F. Kennedy, Jr., wanted to “ban fluoride in drinking water” and “reverse … one of the most important public health practices in the country’s history.”
    • FACT: New York Times made no mention of their own reporting that fluoride may be “linked to lower IQ scores in children.”
    • HOAX: Sen. Chuck Schumer (D-NY) repeatedly lied about President Trump “going after” Social Security.
    • FACT: President Trump has repeatedly pledged to protect Social Security and make it more robust for American citizens.
    • HOAX: Sen. Mark Kelley (D-AZ) attempted to scare veterans by shamelessly claiming their care was in jeopardy due to “layoffs” at VA hospitals.
    • FACT: The lie was debunked by Secretary of Veterans Affairs Doug Collins: “What changes are you talking about? We’ve not had those layoffs… I put $360 million back into community care… It’s concerning to me that a veteran would actually tell stories to veterans that are not true.”
    • HOAX: Rep. Jasmine Crockett (D-TX) exploited the Ronald Reagan Washington National Airport plane crash tragedy by claiming President Trump “froze the hiring” of air traffic controllers.
    • FACT: Air traffic controllers were exempt from the federal hiring freeze.
    • HOAX: Rep. Jasmine Crockett (D-TX) implied that “cutting” members of an aviation advisory committee was somehow a cause of the Ronald Reagan Washington National Airport plane crash tragedy.
    • FACT: The advisory group hadn’t met since 2023 and was comprised of business and union leaders who gave “advice” to the TSA and had nothing to do with actual air travel.
    • HOAX: A far-left writer claimed Elon Musk and DOGE staffers “illegally installed a commercial server to control federal HR databases that contain sensitive personal information, including SSNs, home addresses, and medical histories.”
    • FACT: A top official confirmed “there’s nothing illegal and no server, just more made up tall tales from uninformed career bureaucrats.”
    • HOAX: The Washington Post alleged the Trump Administration was setting “quotas” for immigration authorities — and gave the administration just four minutes to comment before publishing.
    • FACT: As usual, this was a fake story.
    • HOAX: Online liberal activists claimed President Trump “took down” President Obama’s portrait in the White House.
    • FACT: Obama’s portrait was not taken down — it was simply moved only feet away from its previous location.
    • HOAX: Sen. Mazie Hirono (D-HI) claimed Attorney General Pam Bondi created a “weaponizing task force.”
    • FACT: It was a task force to END weaponization at the Department of Justice.
    • HOAX: CBS News reported that Secretary of Defense Pete Hegseth ordered a “makeup studio” be installed inside the Pentagon.
    • FACT: It was a “totally fake story,” and the alleged studio was really an existing green room with no frills.
    • HOAX: Politico reported the Trump Administration was debating lifting sanctions on Russian energy assets, including the Nord Stream pipeline.
    • FACT: This was debunked by both Secretary of State Marco Rubio and Special Envoy Steve Witkoff.
    • HOAX: An illegal immigrant in U.S. custody “simply disappeared,” The New York Times reported.
    • FACT: The illegal immigrant was a confirmed member of the vicious Tren de Aragua gang. An immigration judge ordered his removal, and he was deported along with other threats to national security.
    • HOAX: The Wall Street Journal alleged that Special Envoy Steve Witkoff was receiving sensitive information on a personal phone while in Moscow and that Russian Intelligence must’ve had access to the information.
    • FACT: This was a total fabrication. Special Envoy Witkoff did not even have a personal phone with him in Russia. He had only a government phone; a secure line of communication.
    • HOAX: The Wall Street Journal claimed the Trump Administration “sought to portray” deported criminal illegal immigrant gang member Kilmar Abrego Garcia as “violent.”
    • FACT: Abrego Garcia’s own wife filed an order of protection against him and testified that he brutally beat her.
    • HOAX: An AP reporter claimed that FAA staff who worked on “radar, landing and navigational aid maintenance, among others” were “harassed on Facebook” by DOGE.
    • FACT: That was a total lie. DOGE doesn’t have a Facebook page and no professionals who perform critical safety functions were fired.
    • HOAX: The Daily Beast claimed Vice President JD Vance “broke one of the most notorious Vatican rules during his Easter weekend visit” by being photographed in the Sistine Chapel.
    • FACT: Buried all the way down in the 14th paragraph, The Daily Beast admitted the vice president was given special permission by the Vatican to have photographs taken inside the Sistine Chapel.
    • HOAX: Left-wing social media accounts promoted fake, AI-generated audio of Vice President Vance “disparaging Elon Musk in private.”
    • FACT: The audio was debunked as fake.
    • HOAX: The New York Times reported that funding for the Women’s Health Initiative was being slashed by the Department of Health and Human Services.
    • FACT: Secretary Robert F. Kennedy, Jr., himself declared this Fake News and recognized the project is “mission critical.”
    • HOAX: Fox News’s Jennifer Griffin gave legitimacy to a hoax from delusional Reps. Debbie Wasserman Schultz (D-FL) and Rosa DeLauro (D-CT) that Secretary of Defense Pete Hegseth requested nearly $140,000 in “upgrades” to his government residence.
    • FACT: This lie was debunked by Secretary Hegseth — and it was so outrageous, even the AP was forced to admit it was completely fake.
    • HOAX: Rep. Don Beyer (D-VA) and many others claimed the Supreme Court ordered the return of illegal immigrant gang member Kilmar Abrego Garcia to the United States.
    • FACT: Even CNN admitted that’s not what happened: “They did not order the administration to return him to the United States … they could’ve said ‘we order him returned,’ but they didn’t do that.”
    • HOAX: Joe Biden accused the Trump Administration of “taking aim at Social Security.”
    • FACT: As usual, he was lying — President Trump has repeatedly pledged to protect Social Security.
    • HOAX: Rep. Ro Khanna (D-CA) claimed the arrest of a Milwaukee judge who helped an illegal immigrant evade arrest was “unprecedented.”
    • FACT: It wasn’t; it has happened before.
    • HOAX: Sen. Tammy Baldwin (D-WI) called the arrest of a Milwaukee judge who helped an illegal immigrant evade arrest a “gravely serious and drastic move.”
    • FACT: The judge violated the law by obstructing an ICE arrest of an illegal immigrant.
    • HOAX: Sen. Amy Klobuchar (D-MN) claimed the arrest of the Milwaukee judge who obstructed an apprehension of a criminal illegal immigrant “threatens the rule of law.”
    • FACT: It literally does the opposite because no one is above the law.
    • HOAX: Politico claimed the Trump Administration “wipe[d] out firefighter health and safety programs.”
    • FACT: The programs remain a top priority for the administration — and will remain intact.
    • HOAX: Sen. Elizabeth Warren claimed that President Trump’s policies make it so “no one wants to make investments in the United States.”
    • FACT: President Trump has secured more than $5 trillion in investments since taking office, which is expected to create more than 451,000 new jobs — and the list is only expected to grow.
    • HOAX: NBC’s Kristen Welker peddled a Fake News hoax that the Trump Administration was deporting children.
    • FACT: Secretary of State Marco Rubio shut down her desperate attempt at a hoax by highlighting how the mother, who was in the country illegally, made that choice all on her own.
    • HOAX: The New York Times implied President Trump was alone in wearing a blue suit to the funeral of Pope Francis.
    • FACT: Photos show dozens of world leaders and other attendees — many situated near President Trump — also wearing blue clothing.
    • HOAX: Teachers’ union boss Randi Weingarten accused President Trump of taking teachers’ salaries and giving them to “billionaires” by cutting the Department of Education.
    • FACT: President Trump has repeatedly called teachers “the most important people in this country” who should be paid more, not less. The federal government does not pay the salaries of teachers; state and local governments do.
    • HOAX: The Fake News and their predictable allies ran with a story that claimed an American citizen was detained by authorities after he informed them he was, in fact, a citizen.
    • FACT: That’s not what happened. The individual “approached Border Patrol in Tucson and stated he had entered the U.S. illegally through Nogales. He said he wanted to turn himself in and completed a sworn statement identifying as a Mexican citizen who had entered unlawfully … A few days later, his family presented documents showing U.S. citizenship. The charges were dismissed, and he was released to his family.”
    • HOAX: PBS News claimed “DOGE operatives attempted to gain access to secure spaces,” implying they attempted to access classified information without approval.
    • FACT: This wasn’t even remotely true.
    • HOAX: The AP falsely claimed Director of National Intelligence Tulsi Gabbard said President Trump is “very good friends” with Russian President Vladimir Putin.
    • FACT: The AP was humiliatingly forced to retract its story, admitting they were wrong. Stephanie Ruhle also had to issue a correction. DNI Gabbard was referencing President Trump’s relationship with Indian PM Narendra Modi.
    • HOAX: Student visa holders should have unfettered access to do whatever they want in the United States.
    • FACT: Wrong. As Secretary of State Marco Rubio said, “When you apply to enter the United States and you get a visa, you are a guest… If you tell us when you apply for a visa ‘I’m coming to the U.S. to participate in pro-Hamas events,’ that runs counter to the foreign policy interest of the United States… If you had told us you were going to do that, we never would have given you the visa.”

    MIL OSI USA News

  • MIL-OSI USA: NIH to prioritize human-based research technologies

    Source: US Department of Health and Human Services – 2

    News Release
    Tuesday, April 29, 2025

    New initiative aims to reduce use of animals in NIH-funded research.

    The National Institutes of Health (NIH) is adopting a new initiative to expand innovative, human-based science while reducing animal use in research. Developing and using cutting-edge alternative nonanimal research models aligns with the U.S. Food and Drug Administration’s (FDA) recent initiative to reduce testing in animals. While traditional animal models continue to be vital to advancing scientific knowledge, using new and emerging technologies can offer unique strengths that, when utilized correctly or in combination, can expand the toolbox for researchers to answer previously difficult or unanswerable biomedical research questions.
    “For decades, our biomedical research system has relied heavily on animal models. With this initiative, NIH is ushering in a new era of innovation,” said NIH Director Dr. Jay Bhattacharya. “By integrating advances in data science and technology with our growing understanding of human biology, we can fundamentally reimagine the way research is conducted—from clinical development to real-world application. This human-based approach will accelerate innovation, improve healthcare outcomes, and deliver life-changing treatments. It marks a critical leap forward for science, public trust, and patient care.”
    Some bodies of research have been inconclusive on the efficacy of translating the results of animal models to human diseases, such as Alzheimer’s disease and cancer. These translational challenges to humans may be due to differences in anatomy, physiology, lifespan, and disease characteristics. While humans and animals may share genes, some studies have shown there could be functional differences between organ and body systems that may result in some translational limitations.
    New and emerging technologies have begun to allow researchers to study health and disease using human information, making them an alternative avenue to yield replicable, translatable, and efficient results either alone or in combination with animal models. These technologies include:

    Organoids, tissue chips, and other in vitro systems that allow scientists to model human disease and capture human variability and patient-specific characteristics.
    Computational models which simulate complex biological human systems, disease pathways, and drug interactions.
    Real-world data that allow scientists to study health outcomes in humans at community and population levels.

    To integrate innovative human-based science, the NIH intends to establish the Office of Research Innovation, Validation, and Application (ORIVA) within NIH’s Office of the Director. The new office will coordinate NIH-wide efforts to develop, validate, and scale the use of non-animal approaches across the agency’s biomedical research portfolio and serve as a hub for interagency coordination and regulatory translation for public health protection.
    ORIVA will expand funding and training in non-animal approaches and awareness of their value in translational success. New funding opportunities will include evaluation criteria that assess methods based on their suitability for the research question, context of use, translatability, and human relevance. Infrastructure for non-animal approaches will also be expanded to make these methods more accessible to researchers.
    In addition, grant review staff will participate in mitigation training to address any possible bias towards animal studies and integrate experts on alternative methods into study sections. NIH will also publicly report on research spending annually to measure progress toward reduction of funding for animal studies and an increase in funding for human-based approaches.
    About the National Institutes of Health (NIH): NIH, the nation’s medical research agency, includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. NIH is the primary federal agency conducting and supporting basic, clinical, and translational medical research, and is investigating the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit www.nih.gov.
    NIH…Turning Discovery Into Health®
    ###

    MIL OSI USA News

  • MIL-Evening Report: Trump says diversity initiatives undermine merit. Decades of research show this is flawed

    Source: The Conversation (Au and NZ) – By Paula McDonald, Professor of Work and Organisation, Queensland University of Technology

    Pixel-Shot/Shutterstock

    US President Donald Trump declared earlier this year he would forge a “colour blind and merit-based society”.

    His executive order was part of a broader policy directing the US military, federal agencies and other public institutions to abandon diversity, equity and inclusion (DEI) initiatives.

    Framing this as restoring fairness, neutrality and strength to American institutions, Trump argued DEI programs “discourage merit and leadership” and amounted to “race-based and sex-based discrimination”.

    In Australia too, debates over gender quotas and “the war on woke” have repeatedly invoked meritocracy as a rallying cry against affirmative action.

    The narrative of rewards going to the most qualified people is compelling. Yet decades of research show this is flawed. Far from being the great equaliser, an uncritical reliance on “merit” can perpetuate bias and inequality.

    The myths of meritocracy

    The merit rhetoric invokes the ideal of a neutral, objective system rewarding talent and effort, regardless of identity.

    In theory, merit-based evaluations such as exams, performance reviews, employee recruitment processes and competitive bids, should be impartial.

    In practice however, there are several myths associated with the notion of merit.

    1. Merit is purely objective or unbiased. In the employment context for example, studies show that even so-called objective and standardised cognitive or aptitude tests can systematically favour men due to the type of questions asked.

    Decision-makers may unknowingly redefine merit to fit whoever already belongs to a favoured group. A study of elite law firms, for example, found male applicants were rated as more qualified than identical resumes from women.

    This is known as “plasticity of merit”, meaning the criteria of excellence can bend to preference, all while appearing objective.

    Supposedly merit-based judgments can reflect unconscious bias, or comfort with candidates who fit a traditional mould. Over time, preference may be given to a particular type of candidate irrespective of their actual contribution. Privilege and prejudice can be baked into merit-based evaluations.

    2. Merit can be separated from social and historical context. Meritocracy or the so-called meritocratic promise assumes a level playing field, where everyone competes under the same conditions.

    In reality however, past inequalities shape present opportunities. What counts as merit is dynamic and socially shaped, not an eternal universal standard.

    For example, during the second world war there was a shortage of male workers. Qualities women brought to jobs previously held by men such as capacity for teamwork were suddenly deemed meritorious. But these same qualities were downgraded when the men returned.

    Merit is often defined in masculine terms. For example, physicality or hyper-competitive traits have long been seen as prerequisites for military service and policing.

    Merit is often defined in masculine terms commonly associated with military, policing and firefighting services.
    Charnsitr/Shutterstock

    This alignment of masculine norms with standards of merit has been termed “benchmark man”.

    Science careers too were built in an era when women were largely excluded. They were predicated on long-hours work and total availability – requirements that clash with caregiving responsibilities. The result is women in STEM careers leave or are pushed out.

    3. Outcomes are the result of personal choice or deficiencies, not structural barriers. Meritocracy carries a moral narrative: those at the top earned their place while those left behind didn’t measure up or chose not to compete.

    Research shows, for example, that when women don’t advance, it’s explained as lifestyle choices, or they lack ambition, or have opted out to prioritise caregiving.

    This narrative wilfully overlooks the structural constraints impacting choices. When a woman “chooses” a lower-paying, flexible job, it may be less about preference than inadequate social supports.

    By accepting unequal outcomes as the natural result of individual choices, institutions can conveniently obscure disadvantage and discrimination and erase responsibility to correct inequities.

    How the merit mandate undermines equality

    Trump’s vision is to remove equity initiatives and programs that monitor or encourage fair hiring and promotion, cease training that alerts employees to hidden biases, and fire or reassign DEI staff.

    This is conceptually flawed and will actually entrench the very biases and barriers that have kept institutions unequal.

    In the military, for example – an area highlighted by Trump – leaders have recognised they need to foster more inclusive cultures.

    For years, defence forces have grappled with sexual harassment, recruitment shortfalls and retention of skilled personnel. In Australia, the Australian Defence Force undertook major reviews to identify violent and sexist subcultures, understanding a more inclusive force is a more effective force.

    Yet Trump’s order bars the Pentagon from even acknowledging historical sexism in the ranks.

    Favouring the in-group

    Removing equity measures under a banner of neutrality means hiring and promotion will increasingly rely on informal networks and subjective judgements. These can tilt in favour of the in-group – usually white, male and affluent.

    DEI initiatives can increase representation of women, or people from diverse racial or cultural backgrounds, in an organisation or occupational group.

    However, without challenging the norms of merit, or without broadening the definitions of talent and leadership, people in those groups may continue to feel like outsiders.

    Australian experts and business leaders increasingly acknowledge objective merit is mythical.

    Redefining merit

    Fair rewards for effort can improve performance. However, we need to stop pitting merit against diversity. True fairness requires acknowledgement structural inequality exists and bias affects evaluations.

    Organisations need to re-imagine merit in ways that work with inclusion, rather than against it. This includes refining hiring and promotion criteria to focus on competencies that are measurable and relevant.

    Paula McDonald currently receives funding from the Australian Research Council.

    ref. Trump says diversity initiatives undermine merit. Decades of research show this is flawed – https://theconversation.com/trump-says-diversity-initiatives-undermine-merit-decades-of-research-show-this-is-flawed-255100

    MIL OSI AnalysisEveningReport.nz

  • MIL-Evening Report: ‘No compassion… just blame’: how weight stigma in maternity care harms larger-bodied women and their babies

    Source: The Conversation (Au and NZ) – By Briony Hill, Deputy Head, Health and Social Care Unit and Senior Research Fellow, Monash University

    Kate Cashin Photography

    According to a study from the United States, women experience weight stigma in maternity care at almost every visit. We expect this experience to be similar in Australia, where more than 50% of women of reproductive age live in larger bodies.

    Weight stigma can present as stereotyping, negative attitudes and discriminatory actions towards larger-bodied people.

    It occurs in other areas of health care and in society at large. But our research is focused on weight stigma in maternity care, which can cause significant harm for larger-bodied women and their babies.

    What does weight stigma look like in maternity care?

    Sometimes weight stigma is explicit, or on purpose. Explicit weight stigma includes health-care professionals having negative attitudes towards caring for larger-bodied pregnant women. This might present, for instance, when health professionals make negative comments about weight or accuse women of dishonesty when they discuss their dietary intake.

    Sometimes weight stigma is implicit, or unintentional. Implicit weight stigma includes maternity care providers avoiding physical touch or eye contact during consultations with larger-bodied women.

    Policies, guidelines and environments also contribute to weight stigma. Women in larger bodies frequently report feeling stigmatised and unable to access the type of maternity care they would prefer. Lack of availability of adequately fitting hospital clothing or delivery beds are other notable examples.

    In a review published last year, we looked at weight stigma from preconception to after birth. Our results showed larger-bodied women are sometimes automatically treated as high-risk and undergo extra monitoring of their pregnancy even when they have no other risk factors that require monitoring.

    This approach is problematic because it focuses on body size rather than health, placing responsibility on the woman and disregarding other complex determinants of health.

    Weight stigma is common in maternity care.

    How does this make women feel?

    Qualitative evidence shows women who experience weight stigma during their maternity care feel judged, devalued, shamed and less worthy. They may feel guilty about getting pregnant and experience self-doubt.

    As one research participant explained:

    One doctor told me I was terrible for getting pregnant at my weight, that I was setting up my baby to fail […] I was in tears, and he told me I was being too sensitive.

    A 2023 Australian paper written by women who had experienced weight stigma in maternity care recounted their care as hyper-focused on weight and dehumanising, robbing them of the joy of pregnancy.

    According to one woman, “there was no compassion or conversation, just blame”.

    Beyond making women feel humiliated and disrespected, weight stigma in maternity care can affect mental health. For example, weight stigma is linked to increased risk of depressive symptoms and stress, disordered eating behaviours and emotional eating.

    One of the key reasons why weight stigma is so damaging to pregnant women’s health is because it’s closely linked to body image concerns.

    Society unfairly holds larger-bodied women up to unrealistic ideals around their body shape and size, their suitability to be a mother, and the control they have over their weight gain.

    Self stigma occurs when women apply society’s stigmatising narrative – from people in the community, the media, peers, family members and health-care providers – to themselves.

    Larger-bodied pregnant women can face stigma from health-care professionals and society at large.
    antoniodiaz/Shutterstock

    Impacts on mum and baby

    Several adverse pregnancy and birth outcomes have been linked to weight stigma in maternity care. These include gestational diabetes, caesarean birth and lower uptake of breastfeeding.

    While we know these things can also be linked to higher body weight, emerging evidence shows weight stigma may have a stronger link with some outcomes than body mass index.

    There are a variety of possible reasons for these links. For example, weight stigma may result in delayed access to and engagement with health-care services, and, as shown above, poorer mental health and reduced confidence. This may mean a woman is less likely to initiate and seek help with breastfeeding, for example.

    Experiencing weight stigma also leads to a stress response in the body, which could affect a woman’s health during pregnancy.

    In turn, the adverse effects of weight stigma can also affect the baby’s health. For example, gestational diabetes has a range of potential negative outcomes including a higher likelihood of premature birth, difficulties during birth, and an increased risk of the child developing type 2 diabetes.

    But the burden and blame should not fall on women. Pregnant and postpartum women should not have to accept experiences of weight stigma in health care.

    Weight stigma in maternity care has been linked to a higher likelihood of caesarean birth.
    photosoria/Shutterstock

    What can we do about it?

    While it’s essential to address weight stigma as a societal issue, health services can play a key role in undoing the narrative of blame and shame and making maternity care more equitable for larger-bodied women.

    Addressing weight stigma in maternity care can start with teaching midwives and obstetricians about weight stigma – what it is, where it happens, and how it can be minimised in practice.

    We worked with women who had experienced weight stigma in maternity care and midwives to co-design resources to meet this need. Both women and midwives wanted resources that could be easily integrated into practice, acted as consistent reminders to be size-friendly, and met midwives’ knowledge gaps.

    The resources included a short podcast about weight stigma in maternity care and images of healthy, larger-bodied pregnant women to demonstrate the most likely outcome is a healthy pregnancy. Midwives evaluated the resources positively and they are ready to be implemented into practice.

    There is a long road to ending weight stigma in maternity care, but working towards this goal will benefit countless mothers and their babies.

    Briony Hill receives funding from the Australian Research Council. Some research reported in this article was funded by the Australian Prevention Partnership Centre. The Australian Prevention Partnership Centre was supported through the NHMRC partnership centre grant scheme with the Australian Government Department of Health, ACT Health, Cancer Council Australia, NSW Ministry of Health, Wellbeing SA, Tasmanian Department of Health, and VicHealth. It is administered by the Sax Institute.

    Haimanot Hailu 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. ‘No compassion… just blame’: how weight stigma in maternity care harms larger-bodied women and their babies – https://theconversation.com/no-compassion-just-blame-how-weight-stigma-in-maternity-care-harms-larger-bodied-women-and-their-babies-252725

    MIL OSI AnalysisEveningReport.nz

  • MIL-OSI: EXL Reports 2025 First Quarter Results

    Source: GlobeNewswire (MIL-OSI)

    2025 First Quarter Revenue of $501.0 Million, up 14.8% year-over-year
    Q1 Diluted EPS (GAAP) (1)of $0.40, up 38.3% from $0.29 in Q1 of 2024
    Q1 Adjusted Diluted EPS (Non-GAAP) (1)of $0.48, up 26.9% from $0.38 in Q1 of 2024

    NEW YORK, April 29, 2025 (GLOBE NEWSWIRE) — ExlService Holdings, Inc. (NASDAQ: EXLS), a global data and AI company, today announced its financial results for the quarter ended March 31, 2025.

    Chairman and Chief Executive Officer Rohit Kapoor said, “We are pleased with our first quarter results and strong start to the year, as we delivered revenue and adjusted diluted EPS growth of 15% and 27% respectively. Our strong business momentum underscores the successful execution of our differentiated data and AI-led strategy and demonstrates the enduring resilience and adaptability of EXL’s business model.”

    Chief Financial Officer Maurizio Nicolelli said, “While we remain prudent in our outlook given the increasing level of macro-economic uncertainty, we are increasing our revenue guidance for the year, based on our business momentum and more favorable currency exchange rates. We now expect revenue to be in the range of $2.035 billion to $2.065 billion, up from our prior guidance of $2.025 billion to $2.060 billion. This represents 11% to 12% year-over-year growth on a reported basis, or 11% to 13% on a constant currency basis. We continue to expect our adjusted diluted earnings per share for 2025 to be in the range of $1.83 to $1.89, representing an 11% to 14% increase over 2024, as we continue to accelerate our data and AI investments to generate future growth.”

    ______________________________________________________________

    1. Reconciliations of adjusted (non-GAAP) financial measures to the most directly comparable GAAP measures, where applicable, are included at the end of this release under “Reconciliation of Adjusted Financial Measures to GAAP Measures.” These non-GAAP measures, including adjusted diluted EPS and constant currency measures, are not measures of financial performance prepared in accordance with GAAP.

    Financial Highlights: First Quarter 2025

    • Revenue for the quarter ended March 31, 2025, increased to $501.0 million compared to $436.5 million for the first quarter of 2024, an increase of 14.8% on a reported basis and 15.1% on a constant currency basis. Revenue increased by 4.1% sequentially on a reported basis and 4.3% on a constant currency basis, from the fourth quarter of 2024.
        Revenue   Gross Margin
        Three months ended   Three months ended
    Reportable Segments (1)   March 31, 2025   March 31, 2024   March 31, 2025   March 31, 2024
        (dollars in millions)        
    Insurance   $ 172.0   $ 158.3   36.6 %   33.8 %
    Healthcare and Life Sciences     125.6     100.7   43.9 %   45.3 %
    Banking, Capital Markets and Diversified Industries     117.7     103.2   37.3 %   36.1 %
    International Growth Markets     85.7     74.3   36.6 %   35.9 %
    Total Revenue, net   $ 501.0   $ 436.5   38.6 %   37.4 %
     

    (1) In the first quarter of 2025, the Company implemented operational and structural changes to accelerate the execution of its data and AI-led strategy. Under the new structure, the Company reports its financial performance based on new segments presented in the table above, and as described in more detail in its Quarterly Report on Form 10-Q for the three months ended March 31, 2025, that is being filed with the SEC. In conjunction with the new reporting structure, the Company has recast prior period amounts, wherever applicable, to conform to the way the Company internally manages and monitors segment performance.

    • Operating income margin for the quarter ended March 31, 2025 was 15.7%, compared to 14.1% for the first quarter of 2024 and 14.8% for the fourth quarter of 2024. Adjusted operating income margin for the quarter ended March 31, 2025 was 20.1%, compared to 18.9% for the first quarter of 2024 and 18.8% for the fourth quarter of 2024.
    • Diluted earnings per share for the quarter ended March 31, 2025 was $0.40, compared to $0.29 for the first quarter of 2024 and $0.31 for the fourth quarter of 2024. Adjusted diluted earnings per share for the quarter ended March 31, 2025 was $0.48, compared to $0.38 for the first quarter of 2024 and $0.44 for the fourth quarter of 2024.

    Business Highlights: First Quarter 2025

    • Won 10 new clients in the first quarter of 2025.
      • Named a Leader in four categories in the ISG Provider Lens™ Insurance Services 2024 report. Earning top honors in the North American Life & Retirement, Property & Casualty, Life & Retirement TPA Insurance Services, and Insurance IT Services.
      • Named a Leader and a Star Performer in Everest Group’s Life and Annuities Insurance Business Process Services and Third-Party Administrator (TPA) PEAK Matrix® Assessment 2025.
      • Recognized as part of Newsweek’s America’s Most Responsible Companies 2025, Forbes’ Most Trusted Companies in America 2025, USA Today’s America’s Climate Leaders 2025, and The Financial Times’ Best Employers Asia-Pacific 2025.

    2025 Guidance
    Based on current visibility, and a U.S. dollar to Indian rupee exchange rate of 85.5, U.K. pound sterling to U.S. dollar exchange rate of 1.30, U.S. dollar to the Philippine peso exchange rate of 57.0 and all other currencies at current exchange rates, we are providing the following guidance for the full year 2025:

    • Revenue of $2.035 billion to $2.065 billion, representing an increase of 11% to 12% on a reported basis, and 11% to 13% on a constant currency basis from 2024; and
    • Adjusted diluted earnings per share of $1.83 to $1.89, representing an increase of 11% to 14% from 2024.

    Conference Call

    ExlService Holdings, Inc. will host a conference call on Wednesday, April 30, 2025 at 10:00 A.M. ET to discuss the Company’s quarterly operating and financial results. The conference call will be available live via the internet by accessing the investor relations section of EXL’s website at ir.exlservice.com, where an accompanying investor-friendly spreadsheet of historical operating and financial data can also be accessed. Please access the website at least fifteen minutes prior to the call to register, download and install any necessary audio software.

    Please note that there is a new system to access the live call-in order to ask questions. To join the live call, please register here. A dial-in and unique PIN will be provided to join the call. For those who cannot access the live broadcast, a replay will be available on the EXL website ir.exlservice.com for a period of twelve months.

    About ExlService Holdings, Inc.
    EXL (NASDAQ: EXLS) is a global data and artificial intelligence (“AI”) company that offers services and solutions to reinvent client business models, drive better outcomes and unlock growth with speed. EXL harnesses the power of data, AI, and deep industry knowledge to transform businesses, including the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 60,000 employees spanning six continents. For more information, visit www.exlservice.com.

    Cautionary Statement Regarding Forward-Looking Statements This press release contains forward-looking statements within the meaning of the United States Private Securities Litigation Reform Act of 1995. You should not place undue reliance on those statements because they are subject to numerous uncertainties and factors relating to EXL’s operations and business environment, all of which are difficult to predict and many of which are beyond EXL’s control. Forward-looking statements include information concerning EXL’s possible or assumed future results of operations, including descriptions of its business strategy. These statements may include words such as “may,” “will,” “should,” “believe,” “expect,” “anticipate,” “intend,” “plan,” “estimate” or similar expressions. These statements are based on assumptions that we have made in light of management’s experience in the industry as well as its perceptions of historical trends, current conditions, expected future developments and other factors it believes are appropriate under the circumstances. You should understand that these statements are not guarantees of performance or results. They involve known and unknown risks, uncertainties and assumptions. Although EXL believes that these forward-looking statements are based on reasonable assumptions, you should be aware that many factors could affect EXL’s actual financial results or results of operations and could cause actual results to differ materially from those in the forward-looking statements. These factors, which include our ability to maintain and grow client demand, our ability to hire and retain sufficiently trained employees, and our ability to accurately estimate and/or manage costs, rising interest rates, rising inflation and recessionary economic trends, are discussed in more detail in EXL’s filings with the Securities and Exchange Commission, including EXL’s Annual Report on Form 10-K. You should keep in mind that any forward-looking statement made herein, or elsewhere, speaks only as of the date on which it is made. New risks and uncertainties come up from time to time, and it is impossible to predict these events or how they may affect EXL. EXL has no obligation to update any forward-looking statements after the date hereof, except as required by applicable law.

    EXLSERVICE HOLDINGS, INC.
    CONSOLIDATED STATEMENTS OF INCOME (UNAUDITED)
    (In thousands, except per share amount and share count)
     
      Three months ended March 31,
        2025       2024  
    Revenues, net $ 501,019     $ 436,507  
    Cost of revenues (1)   307,705       273,424  
    Gross profit (1)   193,314       163,083  
    Operating expenses:      
    General and administrative expenses   59,417       53,243  
    Selling and marketing expenses   41,925       35,970  
    Depreciation and amortization expense   13,557       12,346  
    Total operating expenses   114,899       101,559  
    Income from operations   78,415       61,524  
    Foreign exchange gain, net   1,192       359  
    Interest expense   (4,144 )     (3,291 )
    Other income, net   4,703       3,952  
    Income before income tax expense and earnings from equity affiliates   80,166       62,544  
    Income tax expense   13,496       13,753  
    Income before earnings from equity affiliates   66,670       48,791  
    Loss from equity-method investment   (109 )     (28 )
    Net income $ 66,561     $ 48,763  
    Earnings per share:      
    Basic $ 0.41     $ 0.30  
    Diluted $ 0.40     $ 0.29  
    Weighted-average number of shares used in computing earnings per share:      
    Basic   162,490,179       165,082,387  
    Diluted   164,557,333       166,726,853  

    (1) Exclusive of depreciation and amortization expense.

    EXLSERVICE HOLDINGS, INC.
    CONSOLIDATED BALANCE SHEETS (UNAUDITED)
    (In thousands, except per share amount and share count)
     
        As of
        March 31, 2025   December 31, 2024
             
    Assets        
    Current assets:        
    Cash and cash equivalents   $ 140,442     $ 153,355  
    Short-term investments     190,978       187,223  
    Restricted cash     9,826       9,972  
    Accounts receivable, net     339,856       304,322  
    Other current assets     150,203       140,317  
    Total current assets     831,305       795,189  
    Property and equipment, net     107,148       101,837  
    Operating lease right-of-use assets     71,150       68,784  
    Restricted cash     8,210       8,071  
    Deferred tax assets, net     109,953       104,747  
    Goodwill     420,494       420,387  
    Other intangible assets, net     46,092       49,331  
    Long-term investments     20,134       13,972  
    Other assets     61,925       56,085  
    Total assets   $ 1,676,411     $ 1,618,403  
    Liabilities and stockholders’ equity        
    Current liabilities:        
    Accounts payable   $ 5,648     $ 5,884  
    Current portion of long-term borrowings     4,886       4,886  
    Deferred revenue     20,138       19,264  
    Accrued employee costs     63,575       129,994  
    Accrued expenses and other current liabilities     131,980       113,597  
    Current portion of operating lease liabilities     17,426       16,491  
    Total current liabilities     243,653       290,116  
    Long-term borrowings, less current portion     302,377       283,598  
    Operating lease liabilities, less current portion     61,408       59,851  
    Deferred tax liabilities, net     1,625       1,403  
    Other non-current liabilities     55,471       53,573  
    Total liabilities     664,534       688,541  
    Commitments and contingencies        
    Stockholders’ equity:        
    Preferred stock, $0.001 par value; 15,000,000 shares authorized, none issued            
    Common stock, $0.001 par value; 400,000,000 shares authorized, 207,758,497 shares issued and 162,683,343 shares outstanding as of March 31, 2025 and 206,510,587 shares issued and 161,801,212 shares outstanding as of December 31, 2024     207       206  
    Additional paid-in capital     609,592       588,583  
    Retained earnings     1,348,521       1,281,960  
    Accumulated other comprehensive loss     (142,787 )     (154,722 )
    Total including shares held in treasury     1,815,533       1,716,027  
    Less: 45,075,154 shares as of March 31, 2025 and 44,709,375 shares as of December 31, 2024, held in treasury, at cost     (803,656 )     (786,165 )
    Total Stockholders’ equity     1,011,877       929,862  
    Total liabilities and stockholders’ equity   $ 1,676,411     $ 1,618,403  
     

    EXLSERVICE HOLDINGS, INC.

    Reconciliation of Adjusted Financial Measures to GAAP Measures

    In addition to its reported operating results in accordance with U.S. generally accepted accounting principles (GAAP), EXL has included in this release certain financial measures that are considered non-GAAP financial measures, including the following:

    (i) Adjusted operating income and adjusted operating income margin;
    (ii) Adjusted EBITDA and adjusted EBITDA margin;
    (iii) Adjusted net income and adjusted diluted earnings per share; and
    (iv) Revenue growth on constant currency basis.

    These non-GAAP financial measures are not based on any comprehensive set of accounting rules or principles, should not be considered a substitute for, or superior to, financial measures calculated in accordance with GAAP, and may be different from non-GAAP financial measures used by other companies. Accordingly, the financial results calculated in accordance with GAAP and reconciliations from those financial statements should be carefully evaluated. EXL believes that providing these non-GAAP financial measures may help investors better understand EXL’s underlying financial performance. Management also believes that these non-GAAP financial measures, when read in conjunction with EXL’s reported results, can provide useful supplemental information for investors analyzing period-to-period comparisons of the Company’s results and comparisons of the Company’s results with the results of other companies. Additionally, management considers some of these non-GAAP financial measures to determine variable compensation of its employees. The Company believes that it is unreasonably difficult to provide its earnings per share financial guidance in accordance with GAAP, or a qualitative reconciliation thereof, for a number of reasons, including, without limitation, the Company’s inability to predict its future stock-based compensation expense under ASC Topic 718, the amortization of intangibles associated with future acquisitions and the currency fluctuations and associated tax effects. As such, the Company presents guidance with respect to adjusted diluted earnings per share. The Company also incurs significant non-cash charges for depreciation that may not be indicative of the Company’s ability to generate cash flow.

    EXL non-GAAP financial measures exclude, where applicable, stock-based compensation expense, amortization of acquisition-related intangible assets, provision for litigation matters, effects of termination of leases, certain defined social security contributions, allowance for certain material expected credit losses, other acquisition-related expenses or benefits and effect of any non-recurring tax adjustments. Acquisition-related expenses or benefits include, changes in the fair value of contingent consideration, external deal costs, integration expenses, direct and incremental travel costs and non-recurring benefits or losses. Our adjusted net income and adjusted diluted EPS also excludes the effects of income tax on the above pre-tax items, as applicable. The effects of income tax of each item is calculated by applying the statutory rate of the local tax regulations in the jurisdiction in which the item was incurred.

    A limitation of using non-GAAP financial measures versus financial measures calculated in accordance with GAAP is that non-GAAP financial measures do not reflect all of the amounts associated with our operating results as determined in accordance with GAAP and exclude costs that are recurring, namely stock-based compensation and amortization of acquisition-related intangible assets. EXL compensates for these limitations by providing specific information regarding the GAAP amounts excluded from non-GAAP financial measures to allow investors to evaluate such non-GAAP financial measures.

    EXL’s primary exchange rate exposure is with the Indian rupee, the Philippine peso, the U.K. pound sterling and the South African rand. The average exchange rate of the U.S. dollar against the Indian rupee increased from 83.12 during the quarter ended March 31, 2024 to 86.52 during the quarter ended March 31, 2025, representing a depreciation of 4.1% against the U.S. dollar. The average exchange rate of the U.S. dollar against the Philippine peso increased from 56.24 during the quarter ended March 31, 2024 to 57.86 during the quarter ended March 31, 2025, representing a depreciation of 2.9% against the U.S. dollar. The average exchange rate of the U.K. pound sterling against the U.S. dollar decreased from 1.27 during the quarter ended March 31, 2024 to 1.26 during the quarter ended March 31, 2025, representing a depreciation of 0.1% against the U.S. dollar. The average exchange rate of the U.S. dollar against the South African rand decreased from 18.96 during the quarter ended March 31, 2024 to 18.49 during the quarter ended March 31, 2025, representing an appreciation of 2.5% against the U.S. dollar.

    The following table shows the reconciliation of these non-GAAP financial measures for the three months ended March 31, 2025 and March 31, 2024, and the three months ended December 31, 2024:

    Reconciliation of Adjusted Operating Income and Adjusted EBITDA
    (Amounts in thousands)
     
        Three months ended
        March 31,   December 31,
          2025       2024       2024  
    Net Income (GAAP)   $ 66,561     $ 48,763     $ 50,672  
    add: Income tax expense     13,496       13,753       19,850  
    add/(subtract): Foreign exchange gain, net, interest expense, gain/(loss) from equity-method investment and other income/(loss), net     (1,642 )     (992 )     720  
    Income from operations (GAAP)   $ 78,415     $ 61,524     $ 71,242  
    add: Stock-based compensation expense     19,187       17,852       15,479  
    add: Amortization of acquisition-related intangibles     3,246       3,080       4,024  
    Adjusted operating income (Non-GAAP)   $ 100,848     $ 82,456     $ 90,745  
    Adjusted operating income margin as a % of Revenue (Non-GAAP)     20.1 %     18.9 %     18.8 %
    add: Depreciation on long-lived assets     10,311       9,266       12,140  
    Adjusted EBITDA (Non-GAAP)   $ 111,159     $ 91,722     $ 102,885  
    Adjusted EBITDA margin as a % of revenue (Non-GAAP)     22.2 %     21.0 %     21.4 %
     
    Reconciliation of Adjusted Net Income and Adjusted Diluted Earnings Per Share
    (Amounts in thousands, except per share data)
     
        Three months ended
        March 31,   December 31,
          2025       2024       2024  
    Net income (GAAP)   $ 66,561     $ 48,763     $ 50,672  
    add: Stock-based compensation expense     19,187       17,852       15,479  
    add: Amortization of acquisition-related intangibles     3,246       3,080       4,024  
    add/(subtract): Changes in fair value of contingent consideration           (589 )      
    add/(subtract): Other tax expense/(benefits) (a)           151       3,860  
    subtract: Tax impact on stock-based compensation expense (b)     (9,105 )     (5,358 )     (1,769 )
    subtract: Tax impact on amortization of acquisition-related intangibles     (799 )     (766 )     (921 )
    Adjusted net income (Non-GAAP)   $ 79,090     $ 63,133     $ 71,345  
    Adjusted diluted earnings per share (Non-GAAP)   $ 0.48     $ 0.38     $ 0.44  
     

    (a) To exclude other tax expenses/(benefits), primarily related to certain deferred tax assets and liabilities.

    (b) Tax impact includes $14,526 and $7,523 during the three months ended March 31, 2025 and 2024 respectively, and $500 during the three months ended December 31, 2024, related to discrete benefit recognized in income tax expense in accordance with ASU No. 2016-09, Compensation – Stock Compensation.

    Contacts:
    Investor Relations
    John Kristoff
    Vice President, Investor Relations
    +1 212 209 4613
    ir@exlservice.com

    Media – US
    Keith Little
    Assistant Vice President, Media Relations
    +1 703 598 0980
    media.relations@exlservice.com

    This press release was published by a CLEAR® Verified individual.

    The MIL Network

  • MIL-OSI Africa: World Health Organization (WHO) Representative discussed national health priorities with His Excellency, the President of the Republic of Mauritius

    Source: Africa Press Organisation – English (2) – Report:

    Download logo

    It was a real honor and pleasure for the WHO Representative to meet the new President of the Republic of Mauritius.

    The WHO Representative, Dr A. Ancia and His Excellency Mr D. Gokhool covered the three main areas of WHO’s work: to promote, provide and protect health and well-being for everyone, everywhere.

    Our common understanding of Health as a socio-economic construct said  enabled us to discuss the imperative to engage all sectors in addressing the risk factors of, and controlling the most prevalent diseases in Mauritius including:

    • Promoting healthy diet and physical activity, while reducing the high consumption of tobacco, alcohol and other drugs and “junk food” in a multidisciplinary manner and ensuring that we particularly empower the Mauritian youth to embark on healthier behaviors for disease prevention;
    • Providing opportunities for systematic screening and early diagnostic to ensure early and more effective treatment, for the chronic diseases such as diabetes, cardiovascular diseases and cancer, to ensure better health outcomes and avoid overwhelming of the health facilities and health professionals; and
    • Enhancing and institutionalizing the whole country capacities to prepare, early detect and warn, and to respond effectively and swiftly to public health emergencies in the same way as when dealing with torrential rain and cyclones.    

    “We feel this first encounter with His Excellency Mr D. Gokhool is the starting point  of a strong partnership with the Office of the President in our mission to promote health, keep the world safe, and serve the vulnerable”,said Dr A. Ancia.

    Distributed by APO Group on behalf of World Health Organization (WHO) – Mauritius.

    MIL OSI Africa

  • MIL-OSI USA: Rep. Pettersen Introduces Bipartisan Resolution Marking National Fentanyl Awareness Day

    Source: United States House of Representatives – Representative Brittany Pettersen (Colorado 7th District)

    WASHINGTON – Today, U.S. Representatives Brittany Pettersen (CO-07), Lisa McClain (MI-10), Lori Trahan (MA-03), Brian Fitzpatrick (PA-01), Joe Neguse (CO-02), and Addison McDowell (NC-06) introduced a bipartisan resolution recognizing April 29, 2025, as National Fentanyl Awareness Day in order to increase awareness about the growing threat of counterfeit fentanyl pills and their devastating impact on families and young people across the United States. 

    The resolution seeks to unite the public and policymakers in the fight against this deadly epidemic as fentanyl-related deaths continue to rise. In 2024 alone, law enforcement seized 60 million counterfeit pills, equating to over 377 million lethal doses.

    “Like far too many Americans, my family was impacted by the opioid crisis. My mom’s addiction that started with prescription opioids led to a decades long struggle including heroin and fentanyl. In one year alone, my mom overdosed over 20 times because of fentanyl,” said Pettersen. “I know firsthand that we need to be at the forefront of this epidemic as it continues to take the lives of young people at an alarming rate. National Fentanyl Awareness Day is an opportunity to increase awareness about the dangers to prevent further tragedies and protect the next generation.”

    “Countless Michigan families have suffered unimaginable loss due to this deadly drug,” said McClain. “We must secure our borders and crack down on the cartels that are fueling this epidemic. The safety of our communities and our children’s future depend on it.”

    “The fentanyl-fueled overdose crisis is devastating families and communities in every corner of our country,” said Trahan. “By establishing National Fentanyl Awareness Day, we not only honor the lives lost, but also shine a light on the urgent need for action. This bill is about raising awareness, saving lives, and reaffirming our commitment to ending this crisis.”

    “Counterfeit fentanyl is now the leading killer of young Americans, devastating families in every corner of our nation,” said Fitzpatrick. “I’ve seen the human cost of this crisis firsthand. As Co-Chair and a founding member of the Bipartisan Mental Health and Substance Use Disorder Task Force, I’m working to turn awareness into action—stopping the flow of deadly counterfeit pills, strengthening prevention and enforcement, and saving lives. Recognizing National Fentanyl Awareness Day is a critical part of that mission and of building the national response this crisis demands.” 

    “Fentanyl-related overdoses and drug poisonings have had a devastating impact on communities across my home state of Colorado,” said Neguse.“In championing an effort to designate April 29th as National Fentanyl Awareness Day, we are not just bringing attention to this crisis but also sharing information and best practices for preventing the spread and sale of synthetic opioids—and, ultimately, fighting to save lives.”

    “Today is Fentanyl Awareness Day, and I’m proud to co-lead this bipartisan resolution,” said McDowell. “I lost my younger brother Luke to this poison at just 20 years old. Too many families have gotten the same tragic news we did. Enough is enough.” 

    Text of the resolution can be found HERE. 

    Rep. Pettersen has been a leading voice in Congress on addressing the opioid crisis and expanding access to mental health and substance use disorder treatment. Inspired by her own mother’s struggle, Pettersen has fought for legislation to prevent the import of illicit drugs, crack down on drug traffickers and their financing operations, and prevent overdose deaths by ensuring airplanes, law enforcement, and hospitals are able to distribute naloxone when necessary.

    MIL OSI USA News

  • MIL-OSI USA: Senator Murray Blasts Trump’s Attacks on Head Start as Lawsuit is Filed to Stop Trump Admin from Dismantling Program

    US Senate News:

    Source: United States Senator for Washington State Patty Murray
    Senator Murray: “Let’s face it, billionaires like Elon Musk and Trump already had a “head start” in life, so of course they don’t care if anyone else needs a little help. But this is make or break for everyone else—and I mean everyone, not just for families, not just for parents, but for businesses as well, and for our economy which is powered by our working families.”
    ICYMI: Head Start funding lags by nearly $1 billion this year, causing some preschool closures
    Washington, D.C. — Today, U.S. Senator Patty Murray (D-WA), Vice Chair of the Senate Appropriations Committee and a senior member and former Chairof the Senate Health, Education, Labor, and Pensions (HELP) Committee, joined a press conference hosted by the American Civil Liberties Union (ACLU) on their announcement of a lawsuit against the Trump administration for seeking to dismantle the Head Start program. Senator Murray spoke about how critical Head Start is in helping kids and families across the country thrive.
    Head Start currently serves over 750,000 kids nationwide, and the program has served nearly 40 million children and their families nationwide since its inception in 1965. There are over 17,000 Head Start centers nationwide and these centers are particularly important in serving rural communities with fewer options for care.
    Since taking office, President Trump has gutted the offices that keep Head Start centers and child care programs across the country running. In late February, the Trump administration fired scores of staff at the Department of Health and Human Services’ (HHS) Office of Head Start and Office of Child Care. Earlier this month, Trump continued to hollow out HHS, including by shuttering half of the regional offices at the Office of Head Start, which are responsible for ensuring high-quality Head Start services are available to families nationwide. The Trump administration has failed to articulate how it will ensure that uninterrupted services are available to families and that appropriate oversight will be carried out despite gutting the very offices charged with these responsibilities.
    As data compiled by Senator Murray’s office shows, the Trump administration has failed to get out nearly $1 billion in funding for Head Start programs this year, part of a larger, sweeping funding freeze Trump has ordered since taking office.
    Senator Murray’s full remarks, as delivered, are below:
    “Well thank you all for being on this call, I really, really do appreciate it. And I just want to say that when I first got into politics to fight for child care and early education programs, I met with a few politicians who really did not get it—and a lot of parents who absolutely did. Well, we made our voices heard, we made a difference in that fight, and now, we have to keep it up!
    “I still, constantly, hear from parents about child care and pre-K, and I take their stories back with me here to the Capitol to fight for change. We have made a lot of progress over the years making the case for child care, making historic investments in our families, and changing the conversation.
    “But then, a couple of billionaires with no idea about what they are doing came along and decided to take an axe to Head Start. I mean talk about clueless. Talk about careless! Instead of giving our kids a Head Start Trump and Musk want to give billionaires another tax break and give families the cold shoulder.
    “We already got a hint of how bad this could get for Washington state—when funding delays forced a Head Start program to the point of closure. 450 kids temporarily lost access to early education programs and support they counted on. And more than 70 employees were out of a job. To say nothing of the hundreds of parents who were about to be forced out of work because they lost pre-K.
    “That chaos was from just one provider facing funding delays, if Trump and Musk get their way, if they zero out Head Start completely—the damage would be magnitudes greater.
    “Let’s face it, billionaires like Elon Musk and Trump already had a “head start” in life, so of course they don’t care if anyone else needs a little help.
    “But this is make or break for everyone else—and I mean everyone, not just for families, not just for parents, but for businesses as well, and for our economy which is powered by our working families.
    “Trump and Musk may want to axe Head Start and they have already made clear they will do everything they can to break the program and cause chaos, but they are going to have to go through me—and they are going to have to go through all of you.
    “I am going to keep doing what I have done since the very start, getting loud about why programs like Head Start matter for families, talking to other parents, lifting up their voices, and fighting, with all the power I have, for our kids.
    “And I’m so glad to be fighting along such amazing advocates and organizations like the ACLU, and the Washington State Association of Head Start and E-CEAP—you don’t just serve our families, you are standing up for them, and we are all really thankful for that.
    “So it’s great to be with you on this call—and let’s keep fighting, we’ve got to, thank you.”

    MIL OSI USA News

  • MIL-OSI Asia-Pac: National Ayush Mission Conclave 2025: States and UTs Collaborate to Strengthen Traditional Healthcare Delivery Across India

    Source: Government of India

    National Ayush Mission Conclave 2025: States and UTs Collaborate to Strengthen Traditional Healthcare Delivery Across India

    Lonavala to Host the Second Edition of the National Ayush Mission Conclave: A Roadmap to Holistic, Accessible, and Inclusive Healthcare

    We aim to take forward the vision of our Prime Minister Shri Narendra Modi ji of holistic health for all through a robust and integrative Ayush framework: Shri Prataprao Jadhav, Union Minister of State for Ayush

    Posted On: 29 APR 2025 6:02PM by PIB Delhi

    The Ministry of Ayush, Government of India, is set to organize the National Ayush Mission (NAM) Conclave 2025 on 1-2 May 2025 at Kaivalyadham, Lonavala, Maharashtra. This transformative 2-day event will serve as a national forum for shaping the future of Ayush-based healthcare in India. Bringing together Ayush experts, policymakers, health professionals, researchers, and innovators, the conclave aims to strengthen integration of traditional Indian medicine systems into mainstream healthcare—making wellness more accessible, affordable, and evidence-driven for the common citizen.

    The conclave is scheduled to be inaugurated by Shri Prataprao Jadhav, Union Minister of State (Independent Charge), Ministry of Ayush whereas the Deputy Chief Minister, Government of Rajasthan and Health Minister of nine States/UTs of India are also expected to attend the conclave. Vaidya Rajesh Kotecha, Secretary, Ministry of Ayush, and other dignitaries will also be present during the event. Officials from State/UT Ayush departments including Mission Directors, senior government officials, and renowned academicians are also set to participate in the conclave. The event is planned to include plenary sessions, policy roundtables, technical deep-dives, besides showcasing best practices, state success stories, and tech-led innovations in the Ayush sector.

    Speaking about the upcoming event, the Ayush Minister mentioned, “The National Ayush Mission Conclave is a significant step towards fostering a collaborative ecosystem to strengthen the wellness and healthcare infrastructure across the country. We aim to take forward the vision of our Prime Minister Shri Narendra Modi ji of holistic health for all through a robust and integrative Ayush framework.”

    The National Ayush Mission conclave is set to serve as a vibrant platform to discuss the latest developments, research innovations, and sectoral collaborations across Ayurveda, Yoga & Naturopathy, Unani, Siddha, Sowa-Rigpa, and Homeopathy in various states and UTs of India. It will also focus on strengthening the implementation of flagship initiatives, promoting evidence-based practices, and enhancing international outreach. The Conclave aims for Minister level discussions to chalk out future expansion of the NAM Scheme.

    Vaidya Rajesh Kotecha, Secretary, Ministry of Ayush, stated, “The Ministry of Ayush is organising the NAM Conclave-2025 to reflect on the achievements of the National Ayush Mission, address emerging challenges, and chart a path toward a self-reliant and robust Ayush healthcare system.”

    While talking about the themes of the Conclave, Ms. Kavita Garg, Joint Secretary, Ministry of Ayush, informed, “the conclave will cover diverse themes, including financial management, monitoring and evaluation, HR strengthening, integration with modern medicine, and quality assurance. It will also showcase the best practices, IT innovations, regulatory mechanisms and investment and export opportunities with rich experience sharing from States and UTs.”

    Key Highlights of the Conclave:

    Document Release: Launch of Blueprint for Ayush Policy 2025 and Standard Treatment Guidelines (STG) on Metabolic Disorders in Ayush System of Medicines.

    Ministerial Round Table: Featuring Union Minister of State (IC), Ministry for Ayush, Shri Prataprao Jadhav, along with Health and Ayush Ministers from various States/UTs, deliberating on strengthening the National Ayush Mission.

    Expert Sessions: Presentations by DGHS, NABH, Invest India, Ayush Export Promotion Council and leading institutions on quality standards, accreditation, and investment facilitation.

    Successful Case Studies: Best practices from the majority of States/UTs.

    Yoga Session: Guided Yoga and Meditation Session are also planned for delegates participating in the event.

    About National Ayush Mission:

    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: 2125229) Visitor Counter : 29

    MIL OSI Asia Pacific News

  • MIL-OSI Asia-Pac: Primary Healthcare Commission announces suspected intrusion into outsourced network system of operator of Kwai Tsing District Health Centre

    Source: Hong Kong Government special administrative region

         The Primary Healthcare Commission (PHC Commission) under the Health Bureau announced yesterday (April 29) that the PHC Commission received notification from the Kwai Tsing Safe Community and Healthy City Association (KTSCHCA), the operator of the Kwai Tsing District Health Centre (Kwai Tsing DHC), on April 28 on suspected hacking of its outsourced service provider’s network system, resulting in possible leakage of members’ data. The PHC Commission is highly concerned about the incident, and has instructed the KTSCHCA to seriously follow up and to submit a report within three working days. 
     
         According to the notification from the KTSCHCA, the system involved is managed independently by its outsourced service provider, and is mainly used to assist with administrative work such as service booking or members sign-in at the Kwai Tsing DHC. The outsourced network system was hacked last Sunday (April 27), resulting in possible leakage of members’ data, including names, membership numbers, dates of birth, residential districts (not full addresses) and the first four digits of the Hong Kong Identity Card of some members who have enrolled in a vaccination programme. The KTSCHCA is currently assessing the possible number of members of the Kwai Tsing DHC affected and the data involved.
     
         The PHC Commission noted that the KTSCHCA has reported the incident to the Police and the Office of the Privacy Commissioner for Personal Data, and has also informed the Digital Policy Office of the incident. As required by the PHC Commission, the KTSCHCA has immediately suspended the operation of the Kwai Tsing DHC’s network system and all external connections to its computer servers to prevent further intrusion attempts by hackers. The KTSCHCA has also commissioned an independent cybersecurity expert to conduct an investigation and review. In view of the system suspension of the DHC, the appointments on blood taking and seasonal influenza vaccination of relevant DHC members will be rescheduled starting from yesterday. The operator of the Kwai Tsing DHC has started to notify the relevant members via phone calls and text messages, and will also inform all its members of the hacking incident. Members of the public may contact the DHC at 1878 222 for enquiries.
     
         The system involved does not have any direct connection with the systems of DHCs/DHC Expresses in other 17 districts in Hong Kong. The operators of other DHCs/DHC Expresses have not outsourced or used the system involved. The PHC Commission has urged the operators of other DHCs/DHC Expresses to review their network systems, including the systems of their outsourced service providers, the computer security risk, and whether any suspicious activities have occurred. The PHC Commission has not received any report of similar incidents. 
     
         Besides, the Kwai Tsing DHC is a registered healthcare provider on eHealth. Currently, it connects to eHealth through the designated clinical management system (CMS) specified by the PHC Commission to assist members in registering with eHealth, managing members’ participation in government-subsidised healthcare programmes and facilitating service referrals, etc. The system involved is independent of both the designated CMS and eHealth, with no direct system interfaces. Investigations also revealed that there was no intrusion into eHealth by hackers or any leakage of personal data from eHealth. However, for prudence’s sake, upon receiving notification of the incident, the Commissioner for the Electronic Health Record (eHRC) has suspended the eHealth registration of the operator concerned, in order to protect data privacy and system security of eHealth. During the suspension period, the Kwai Tsing DHC is unable to access to any electronic health record in eHealth. The eHRC will only resume the connection of Kwai Tsing DHC with eHealth, after conducting a careful assessment of the detailed report submitted by the Kwai Tsing DHC and confirming that the security risks of the system are fully eliminated.
     
         The Government emphasised that it has always attached great importance to cybersecurity. The PHC Commission is conducting a comprehensive review of the incident, including whether the cybersecurity measures of the KTSCHCA are in compliance with the requirements stipulated in the DHC operation contract, and will further strengthen the protection measures to prevent the recurrence of similar incidents.

    MIL OSI Asia Pacific News

  • MIL-OSI Asia-Pac: CHP investigates case of Group A Streptococcal infection with necrotising fasciitis

    Source: Hong Kong Government special administrative region

    The Centre for Health Protection (CHP) of the Department of Health today (April 29) is investigating a case of Group A Streptococcal infection with necrotising fasciitis (NF).

    The case involves a 47-year-old male with underlying illnesses. He developed a fever and left thigh pain on April 11 and sought medical treatment from a private hospital on Hong Kong Island on the same day. Due to the clinical diagnosis of NF complicated by septic shock, he was transferred to Queen Mary Hospital for treatment on the following day. He underwent amputation of his left lower limb on April 13. The patient is still hospitalised and is in stable condition. His clinical specimens tested positive for Group A Streptococcus.• Perform hand hygiene frequently. Wash hands with liquid soap and water, and rub for at least 20 seconds; then rinse with water and dry with a disposable paper towel or hand dryer. If hand washing facilities are not available, or when hands are not visibly soiled, they may be cleaned with 70 to 80 per cent alcohol-based handrub;
    • Clean wounds immediately and cover properly with waterproof adhesive dressings until healed;
    • Treat wounds immediately even for minor or non-infected wounds;
    • Perform hand hygiene before and after touching wounds;
    • Avoid going to swimming pools, other water facilities or natural bodies of water, e.g. rivers, lakes and oceans if you have an open wound; and 
    • Consult a doctor promptly if symptoms of infection develop, such as increasing redness, swelling and pain on the skin.

    MIL OSI Asia Pacific News

  • MIL-OSI Asia-Pac: Health Bureau and Hospital Authority jointly organise first District Council briefing on fees and charges reform for public healthcare (with photos)

    Source: Hong Kong Government special administrative region

         The Health Bureau (HHB), together with the Hospital Authority (HA), organised the first District Council (DC) briefing on fees and charges reform for public healthcare today (April 29) to explain the details of the fees and charges reform for public healthcare, particularly the measures for enhancing patient protection, to over 200 DC members and local community members.
     
         The Secretary for Health, Professor Lo Chung-mau, said, “The fees and charges reform for public healthcare aims to enhance healthcare protection for ‘poor, acute, serious, critical’ patients, rationalise the subsidy levels of public hospital services, and reduce wastage and abuse, while enhancing the sustainability of the public healthcare system. Through this briefing, we hope to elaborate details of the reform to DC members, and leverage the role of DC as a bridge to help members of the public better understand that the reform is pursued for their benefits.”
     
         The Deputising Chief Executive of the HA, Dr Simon Tang, highlighted the three key measures for strengthening healthcare protection, namely, enhancing the medical fee waiver mechanism, introducing an annual cap of $10,000 for public healthcare fees and charges, and optimising the application and subsidisation of innovative drugs and medical devices. He said, “The HA will streamline the application procedures for the medical fee waiver and safety net to ensure the smooth implementation of the reform.”
     
         Since the announcement of the fees and charges reform for public healthcare, the HHB and the HA have been explaining the reform to the Legislative Council, members of the public, and stakeholders of various sectors, and have produced various information packs, short videos and promotional materials to help the public understand the new healthcare protection measures. In particular, the HA website and the HA mobile app “HA Go” have launched a means test calculator, where users only need to input their information, such as household income and assets, for a preliminary assessment of their eligibility for the enhanced medical fee waiver and the Samaritan Fund.
     
         The new fees and charges for public healthcare will take effect on January 1 next year. The HHB and the HA will organise another DC briefing next week and will continue to actively explain the details to members of the public.

    MIL OSI Asia Pacific News

  • MIL-OSI Asia-Pac: Clusters of Carbapenemase-producing Enterobacterales cases in Ruttonjee and Tang Shiu Kin Hospitals

    Source: Hong Kong Government special administrative region

    Clusters of Carbapenemase-producing Enterobacterales cases in Ruttonjee and Tang Shiu Kin Hospitals
    ???Two male and three female patients (aged 50 to 90) of an Orthopaedics & Traumatology ward in RTSKH have been confirmed as carriers of Carbapenemase-producing Enterobacteriaceae upon testing since April 17. One patient passed away due to her own underlying disease. The remaining four patients are being treated in isolation and in stable condition.
     
    The hospital will continue the contact tracing investigation of close contacts of the patients in accordance with the prevailing guidelines. A series of enhanced infection control measures have already been adopted:
     The hospital will continue to closely monitor the situation of the patients. The cases have been reported to the Hospital Authority Head Office and the Centre for Health Protection for necessary follow-up.
    Issued at HKT 17:35

    NNNN

    MIL OSI Asia Pacific News

  • MIL-OSI USA: Congressman Sorensen Helps Reintroduce Equality Act

    Source: United States House of Representatives – Congressman Eric Sorensen (IL-17)

    Today, Congressman Eric Sorensen (IL-17) helped reintroduce the Equality Act, which would codify protections for members of the LGBTQ+ against discrimination in employment, housing, credit, education, public spaces and services, federal funded programs, and jury service. 

    “It has been the honor of a lifetime to be the first openly LGBTQ+ member of Congress elected from Illinois and to have the opportunity to use my voice to fight against violence and discrimination,” said Congressman Eric Sorensen. “Attacks against LGBTQ+ people have been on the rise and we need to come together to do more than just speak out. I’m proud to join my colleagues in supporting the Equality Act, which would codify safeguards to protect the LGBTQ+ community from discrimination in all aspects of life.” 

    Congressman Sorensen has helped support members of the LGBTQ+ community in the midst of a concerning rise in attacks and discrimination against people expressing their identity. Last Congress, he helped introduce the Pride in Mental Health Act to improve mental health supports for at-risk LGBTQ+ youth. 

    MIL OSI USA News

  • MIL-OSI USA: April 29th, 2025 Heinrich Statement Slamming Trump’s First 100 Days

    US Senate News:

    Source: United States Senator for New Mexico Martin Heinrich
    Heinrich: “Donald Trump and Elon Musk are tanking our economy, pushing us into a recession, and throwing working families under the bus”
    WASHINGTON — U.S. Senator Martin Heinrich (D-N.M.) released the following statement slamming Donald Trump’s first 100 days in office:
    “In his first 100 days, Donald Trump has raised the cost of YOUR health care, groceries, and utilities; slapped a $4,000 tax on YOUR family with his chaotic tariffs; attacked Social Security, Medicaid, and Medicare; delayed veteran benefits; undermined our children’s public education; schemed to sell off YOUR public lands; fired wildland firefighters who protect our communities from dangerous wildfires; and unlawfully blocked hundreds of millions of dollars I helped pass into law for working families. Trump is doing all of this to bankroll massive tax handouts for himself, Elon Musk, and billionaire donors.
    “Instead of putting New Mexico families first, Donald Trump and Elon Musk are tanking our economy, pushing us into a recession, and throwing working families under the bus. As New Mexico’s senior senator, I will fight like hell to hold Trump accountable and uplift the voices of New Mexicans harmed by Trump’s chaos. I’ll always put New Mexico families first — that’s who I’m fighting for.”
    Heinrich has amplified New Mexicans concerned about President Trump’s harmful actions and unqualified nominees.
    In January, Heinrich delivered the longest speech of his career, where he slammed President Trump’s unlawful unilateral blockade of all federal grant funding. In his remarks, Heinrich uplifted stories from New Mexicans on how Trump’s federal funding freeze endangered New Mexicans and threatened communities across the state. Find the video of Heinrich sharing letters from New Mexicans on the Senate floor here.
    In February, Heinrich delivered remarks on the Senate floor amplifying the voices of New Mexicans opposing the nomination of Russell Vought to lead the Office of Management and Budget (OMB). Mr. Vought is the lead architect of Project 2025, the policy blueprint for Donald Trump’s harmful agenda to throw the government into chaos and harm working families.
    Heinrich also uplifted the voices of New Mexicans opposing the nomination of Robert F. Kennedy, Jr. to be the U.S. Secretary for Health and Human Services (HHS). In his remarks, Heinrich condemned Mr. Kennedy’s long track record of spreading fear, peddling misinformation, and promoting conspiracy theories. Heinrich recounted how Mr. Kennedy’s 2019 trip to the Pacific island of Samoaintensified vaccine skepticism and contributed to a deadly measles outbreak that killed 83 people, mostly children under five.
    Additionally, Heinrich raised New Mexicans’ concerns over Tulsi Gabbard’s nomination for the Director of National Intelligence. In his remarks on the Senate floor, Heinrich emphasized the risk Gabbard’s nomination poses to our national security and discussed Ms. Gabbard’s lack of qualifications and judgment, particularly relating to her 2017 trip to Bashar al-Assad’s Syria. Heinrich zeroed in on Ms. Gabbard’s false denial during her confirmation hearing before the Senate Intelligence Committee about meeting with Ahmad Badreddin Hassoun, Syria’s most senior Sunni Muslim cleric during the Assad regime who made threats to conduct suicide bomb attacks in the United States.
    Heinrich has led Senate Democrats in sounding the alarm on Elon Musk and Donald Trump’s destructive actions, which are weakening our economy and threatening the livelihoods of New Mexicans.
    In an interview with Jim Sciutto on CNN’s The Situation Room, Heinrich vocalized the concerns of his constituents, who continue to write-in and call his office opposing Trump’s harmful actions, which are impacting New Mexico families and their financial security.Watch the full video of that interview here.
    Since Trump took office in 2025, Heinrich:
    Introduced a resolution condemning Trump’s pardons of people found guilty of assaulting police officers on January 6.
    Led Senate Democrats in sounding the alarm on Elon Musk and Donald Trump’s destructive actions that are wreaking havoc on Americans, weakening our economy, and threatening the livelihoods of New Mexicans.

    MIL OSI USA News

  • MIL-OSI USA: Durbin, Duckworth, Colleagues Blast Trump Administration’s Attacks On Head Start, Demand RFK Jr. Immediately Release Funding And Reverse Firings

    US Senate News:

    Source: United States Senator for Illinois Dick Durbin
    April 29, 2025
    42 lawmakers write to RFK Jr. demanding answers on Trump admin’s actions undermining Head Start as Trump reportedly plans to eliminate the program
    WASHINGTON – U.S. Senate Democratic Whip Dick Durbin (D-IL), a member of the Senate Appropriations Committee, and U.S. Senator Tammy Duckworth (D-IL) joined U.S. Senators Patty Murray (D-WA), Bernie Sanders (I-VT), and Tammy Baldwin (D-WI) in sending a letter to Secretary Robert F. Kennedy Jr. calling out the Trump administration’s direct attacks on Head Start, reminding him of his legal obligation to administer the program, and demanding the Department of Health and Human Services (HHS) immediately release Head Start funding and reverse the mass firing of Head Start staff and gutting of the offices that help ensure high-quality services are available for thousands of children and families across the country.
    “We write to express our strong opposition to the actions you have taken to directly attack and undermine the federal Head Start program. Since day one, this Administration has taken unacceptable actions to withhold and delay funding, fire Head Start staff, and gut high-quality services for children. Already this year, this Administration has withheld almost $1 billion in federal grant funding from Head Start programs, a 37 percent decrease compared to the amount of funding awarded during the same period last year,” write the lawmakers. “It is abundantly clear that these actions are part of a broader effort to ultimately eliminate the program altogether, as the Administration reportedly plans to do in its fiscal year 2026 budget proposal.”
    The lawmakers detail how the program plays an instrumental role in supporting kids and families across the country, writing: “Head Start provides early childhood education and comprehensive health and social services to nearly 800,000 young children every year in communities across this country, and employs about 250,000 dedicated staff. Head Start is a critical source of child care forworking families, particularly in rural and Tribal communities, where Head Start programs are often the only option for high-quality child care services. Head Start programs ensure children receive appropriate health and dental care, nutrition support, and referrals to other critical services for parents, such as job training, adult education, nutrition services, and housing support.”
    “You even acknowledged the value of Head Start following a recent visit to a Virginia Head Start center,” the lawmakers write, contrasting that statement of support with the Trump Administration’s actions. “However, as a result of your actions to withhold and delay funding and undermine the administration of this vital program, Head Start centers are in serious jeopardy and have already had their day to day operations impacted. Programs are increasingly worried that they will not be able to make payroll, pay rent, and remain open to serve the hundreds of thousands of children and families who depend on their services in communities across the nation.”
    “Since the very start of this Administration, Head Start programs have been under attack,” the lawmakers write, detailing office closures and funds that were frozen for Head Start grants across the country. “At one point, the National Head Start Association reported 37 programs serving nearly 15,000 children across the country could not access their federal funding. Head Start programs operate with thin margins and on short-term budgets from HHS, and without any communication from the Administration about the status of funding, programs were forced to temporarily close or to lay off staff.”
    The lawmakers underscore how the gutting of Head Start offices and the firing of staff who keep the federal program running puts the entire program in jeopardy: “On April 1st, you abruptly closed five of the ten regional offices that help local grantees administer Head Start programs in 22 states. This left hundreds of programs without dedicated points of contact to address mission critical issues like approving grant renewals and modifications, investigating child health and safety incidents, and providing training and technical assistance to ensure high-quality services for children. While some grantees were assigned a new program specialist, we understand many have not been receiving responses to their inquiries. This is on top of the estimated 97 Office of Head Start central office staff that were terminated due to their probationary status and the recent reduction in force. You promised ‘radical transparency’ as Secretary, yet it is unclear how these actions will improve Head Start programs, and you and your staff refuse to respond to basic inquiries and requests for information.”
    Importantly, the lawmakers note that without funding that has so far not gone out the door, many more programs could be forced to close.
    “Head Start grantees are still waiting on payments and grant renewals from the Office of Head Start, including programs whose grants end on April 30th, 2025. These notices should have gone out by now, yet we are concerned to hear programs report they have received little to no correspondence regarding their grant renewals,” the lawmakers continue to detail how local Head Start programs are receiving no notice for the path forward for grant funding. “Additionally, because we started fiscal year 2025 under a short-term continuing resolution, as is usual, some grantees have only received partial funding for the first few months of the year. But with a full year funding bill in place, these grantees should have received full funding by now, yet some are reporting that they have not received the full amount of their grants and will run out of funds this month or next. On Wednesday, April 16th, the delays in Head Start funding led to the closure of Head Start centers serving more than 400 children in Sunnyside, Washington.”
    “The Administration has a legal and moral obligation to disburse Head Start funds to programs and to uphold the program’s promise to provide high-quality early education services to low income children and families across this country,” the lawmakers write. “There is no justifiable reason for the delay in funding we have seen over the last two months, and you have refused to offer any kind of explanation.”
    The lawmakers conclude by warning that eliminating the program would be devastating, demanding answers on the administration’s actions, and demanding the reversal of them: “[W]e urge you to immediately reinstate fired staff across all Offices of Head Start, and cease all actions to delay the awarding and disbursement of funding to Head Start programs across this country.”
    This letter follows up Durbin and Duckworth’s letter to Secretary Kennedy demanding answers about the closure of five regional Head Start offices across the country, including the Region 5 office in Chicago.  Despite a deadline to respond by April 22, HHS has yet to reply to the Senators’ questions.
    In addition to Durbin, Duckworth, Murray, Sanders, and Baldwin, the letter was signed by 37 colleagues, including U.S. Senators Jack Reed (D-RI), Mazie K. Hirono (D-HI), Andy Kim (D-NJ), Ben Ray Lujan (D-NM), Charles E. Schumer (D-NY), Lisa Blunt Rochester (D-DE), Peter Welch (D-VT), Gary Peters (D-MI), Michael F. Bennet (D-CO), Richard Blumenthal (D-CT), Jeanne Shaheen (D-NH), Ruben Gallego (D-AZ), Elizabeth Warren (D-MA), Jacky Rosen (D-NV), Tina Smith (D-MN), John Fetterman (D-PA), Christopher A. Coons (D-DE), Christopher S. Murphy (D-CT), Jeffrey A. Merkley (D-OR), Mark Kelly (D-AZ), Kirsten Gillibrand (D-NY), Sheldon Whitehouse (D-RI), Catherine Cortez Masto (D-NV), Tim Kaine (D-MN), Alex Padilla (D-CA), Chris Van Hollen (D-MD), Elissa Slotkin (D-MI), Ron Wyden (D-OR), Raphael Warnock (D-GA), Cory Booker (D-NJ), Amy Klobuchar (D-MN), Edward Markey (D-MA), Angus King (I-ME), Brian Schatz (D-HI), Martin Heinrich (D-NM), Angela Alsobrooks (D-MD), and Mark R. Warner (D-VA).
    Full text of the letter is available HERE and below:
    April 24, 2025
    Dear Secretary Kennedy:
    We write to express our strong opposition to the actions you have taken to directly attack and undermine the federal Head Start program. Since day one, this Administration has taken unacceptable actions to withhold and delay funding, fire Head Start staff, and gut high-quality services for children. Already this year, this Administration has withheld almost $1 billion in federal grant funding from Head Start programs, a 37 percent decrease compared to the amount of funding awarded during the same period last year. It is abundantly clear that these actions are part of a broader effort to ultimately eliminate the program altogether, as the Administration reportedly plans to do in its fiscal year 2026 budget proposal.
    Head Start provides early childhood education and comprehensive health and social services to nearly 800,000 young children every year in communities across this country, and employs about 250,000 dedicated staff. Head Start is a critical source of child care for working families, particularly in rural and Tribal communities, where Head Start programs are often the only option for high-quality child care services. Head Start programs ensure children receive appropriate health and dental care, nutrition support, and referrals to other critical services for parents, such as job training, adult education, nutrition services, and housing support.
    You even acknowledged the value of Head Start following a recent visit to a Virginia Head Start center, where you said, “I had a very inspiring tour. I saw a devoted staff and a lot of happy children. They are getting the kind of education and socialization they need, and they are also getting a couple of meals a day.”
    However, as a result of your actions to withhold and delay funding and undermine the administration of this vital program, Head Start centers are in serious jeopardy and have already had their day to day operations impacted. Programs are increasingly worried that they will not be able to make payroll, pay rent, and remain open to serve the hundreds of thousands of children and families who depend on their services in communities across the nation.
    Since the very start of this Administration, Head Start programs have been under attack. On January 27th, 2025, the Office of Management and Budget issued a memo (M-25-13) that suddenly froze the disbursement of grant funding for federal programs and services government-wide, including Head Start. Despite the Administration’s clarification that Head Start programs would not be the target of the funding freeze, many Head Start programs across the country were unable to draw down their grant funds through the Payment Management System (PMS) for weeks. At one point, the National Head Start Association reported 37 programs serving nearly 15,000 children across the country could not access their federal funding. Head Start programs operate with thin margins and on short-term budgets from HHS, and without any communication from the Administration about the status of funding, programs were forced to temporarily close or to lay off staff. In Wisconsin, the National Centers for Learning Excellence, which serves more than 200 children and their families, shut down for a week and laid off staff due to the funding freeze.
    On April 1st, you abruptly closed five of the ten regional offices that help local grantees administer Head Start programs in 22 states. This left hundreds of programs without dedicated points of contact to address mission critical issues like approving grant renewals and modifications, investigating child health and safety incidents, and providing training and technical assistance to ensure high-quality services for children. While some grantees were assigned a new program specialist, we understand many have not been receiving responses to their inquiries. This is on top of the estimated 97 Office of Head Start central office staff that were terminated due to their probationary status and the recent reduction in force. You promised “radical transparency” as Secretary, yet it is unclear how these actions will improve Head Start programs, and you and your staff refuse to respond to basic inquiries and requests for information.
    On March 14th, 2025, the Office of Head Start (OHS) notified all Head Start programs that “the use of federal funding for any training and technical assistance or other program expenditures that promote or take part in diversity, equity, and inclusion (DEI) initiatives” will not be approved and that any questions should be directed to regional offices. Programs have not received any guidance for what would be considered “DEI” but this policy is potentially in direct conflict with statutory and regulatory program requirements, such as providing culturally and linguistically appropriate instructional services forEnglish learners. Many programs cannot direct questions to regional staff, as half of regional offices were abruptly closed, and as unprecedented actions are being taken to delay and withhold funding, Head Start programs have been intentionally left with little to no guidance.
    Head Start programs are now arbitrarily required to provide justifications for each draw down of funds that is necessary to operate their programs, despite already receiving a federal grant award for these purposes. As of April 14th, Head Start programs have reportedly received correspondence from an email address “defendthespend@hhs.gov” requiring programs to submit a “specific description of why the funds are necessary and why they are aligned to the award” before programs can have funding disbursed. It has been reported that political appointees must sign off on every draw down of funds. This creates an illusion of improving oversight but only serves to add unnecessary red tape by requiring the manual sign off on hundreds of thousands of individual actions annually across the Department based on two to three sentence justifications. Already some grantees have reported delays in receiving funds, and have reported that furloughs or closures are imminent if funds are not released. For an administration that purports to value local autonomy and efficiency in federally funded programs, your actions have achieved the exact opposite.
    Finally, Head Start grantees are still waiting on payments and grant renewals from the Office of Head Start, including programs whose grants end on April 30th, 2025. These notices should have gone out by now, yet we are concerned to hear programs report they have received little to no correspondence regarding their grant renewals. Additionally, because we started fiscal year 2025 under a short-term continuing resolution, as is usual, some grantees have only received partial funding for the first few months of the year. But with a full year funding bill in place, these grantees should have received full funding by now, yet some are reporting that they have not received the full amount of their grants and will run out of funds this month or next. On Wednesday, April 16th, the delays in Head Start funding led to the closure of Head Start centers serving more than 400 children in Sunnyside, Washington.
    The Administration has a legal and moral obligation to disburse Head Start funds to programs and to uphold the program’s promise to provide high-quality early education services to low income children and families across this country. The fiscal year 2025 appropriations act provided $12.3 billion for Head Start, the same as the fiscal year 2024 level. The Head Start Act includes an explicit formula for how appropriated funds should be allocated. There is no justifiable reason for the delay in funding we have seen over the last two months, and you have refused to offer any kind of explanation. However, this week leaked fiscal year 2026 budget documents indicated the Office of Management and Budget was directing the Department, consistent with the Administration’s proposal to eliminate Head Start in fiscal year 2026, to “ensure to the extent allowable FY2025 funds are available to close out the program.” If this explains any of the delay in awarding fiscal year 2025 funding, we want to be clear, no funds were provided in fiscal year 2025 to “close out the program,” and it would be wholly unacceptable and likely illegal if the Department tries to carry out this directive.
    Finally, the leaked budget documents provided a justification, albeit brief, for eliminating Head Start in fiscal year 2026 that makes this Administration’s priorities clear and puts the Department’s actions over the last several months in context. The Administration argues that eliminating Head Start, “is consistent with the Administration’s goals of returning education to the States and increasing parental choice.” It is shocking to see an argument that eliminating a program that provides comprehensive early childhood care and education to 800,000 children and their families would increase parental choice. It is particularly concerning to see that argument in the context of the significant delay in awarding fiscal year 2025 appropriated funds and what that indicates about the intent behind the Department’s actions. We believe it is obvious that eliminating Head Start would be detrimental to hundreds of thousands of children and families. Similarly, we believe it is obvious that delaying funding like we have seen over the last two months, forcing Head Start programs to close, and leaving families to scramble to find quality, affordable alternatives puts the education and well-being of some of the most vulnerable young children in America at risk. In our view, that is unacceptable.
    Therefore, we urge you to immediately reinstate fired staff across all Offices of Head Start, and cease all actions to delay the awarding and disbursement of funding to Head Start programs across this country.
    Please provide us with a written response to the questions below no later than 10 days from receipt:
    1. Will you reinstate the staff who administer Head Start programs and reopen the closed regional offices responsible for overseeing Head Start programs in 22 states?
    a) When is HHS going to share information on the reorganization plan for the consolidation of the regional offices?
    b) Please provide the contact information for each program specialist designated to the 22 states who lost their regional office.
    c) Who is responsible for ensuring there are no delays or lapses in funding, nor any disruptions to Head Start program operations now that these states do not have a regional office?
    2. How many employees at the Offices of Head Start have been terminated, including the five regional offices and the central office?
    a) Which officials at HHS were involved in the staffing reduction decisions for OHS and what planning, if any, was undertaken prior to these reductions? Please describe the events that unfolded and name each office that was involved in the decision. Further, please name the official(s) who approved the staffing reductions.
    3. Can you confirm that the Administration will distribute all Head Start funds appropriated by Congress to Head Start programs in FY 25, as required by the Head Start Act?
    4. Please provide a list of all grantees with 5-year Head Start grant renewals that start between now and the end of the fiscal year: May 1st, June 1st, July 1st, August 1st, and September 1st.
    a) Will any funding be delayed for grantees that are due to receive their annual funding on May 1st or beyond?
    5. Why are funding awards delayed for grantees that received partial awards during the first continuing resolution for FY25?
    a) When can HHS guarantee that all funds will be awarded for partially funded Head Start programs?
    6. What is the “Tier 2” department for review that is delaying drawn down for Head Start programs in the Payment Management System?
    a) When should programs expect to receive their funds?
    b) Please provide all communication that went to Head Start grantees on the new review process.
    7. What guidance and clarifications have been provided to Head Start grantees on DEI expenditures?
    a) How is HHS evaluating Head Start programs’ expenditures and grant awards for DEI?
    b) What justifications are being used to prohibit DEI?
    Sincerely,
    -30-

    MIL OSI USA News

  • MIL-OSI USA: Chairman Aguilar: America is less safe and more expensive than it was 100 days ago

    Source: US House of Representatives – Democratic Caucus

    The following text contains opinion that is not, or not necessarily, that of MIL-OSI – April 29, 2025

    WASHINGTON, D.C. — Today, House Democratic Caucus Chair Pete Aguilar and Vice Chair Ted Lieu were joined by Representatives John Mannion and April McClain Delaney for a press conference on the disastrous first 100 days of the Trump Administration that has made America less safe and more expensive. 

    CHAIRMAN AGUILAR: Good morning. So thankful to be joined by two members in addition to our Vice Chair. Appreciate John Mannion and April McClain Delaney joining us.

    America is less safe and more expensive than it was 100 days ago. Trump’s reckless tariffs are going to make the high price of groceries, gas, housing, utilities, clothing, electronics and other essential goods even worse. Companies are laying off hard-working Americans, and we are staring down an impending supply chain crisis in a few weeks. Our national security is threatened by amateur individuals sharing classified war plans in group chats. Our communities are threatened because Trump released hundreds of criminals back onto the street. Our freedoms are threatened because the Trump Administration abandons the rule of law and due process by deporting an innocent man and even American children.

    By every metric, Donald Trump has failed. But instead of trying to put out the fire that he’s caused, he’s pouring gasoline on by cutting $880 billion from Medicaid, that will make healthcare more expensive and less affordable. He wants to take food off of the tables of American families, children and veterans. And he’s doing this all for one simple purpose: to put into place massive tax breaks for his billionaire donor friends. The Speaker went to the White House yesterday to get his marching orders, but if House Republicans want to avoid tying themselves to this sinking ship, they need to vote against the Republican Budget Bill. You’ll see House Democrats fighting back every step of the way this week and next week as Republicans try to pass through a dangerous and extreme budget.

    It’s my privilege to introduce Vice Chair of the Democratic Caucus, Ted Lieu. 

    VICE CHAIR LIEU: Thank you, Chairman Aguilar, and honored to be here with Representatives Mannion and Delaney. Donald Trump’s first 100 days and one of the worst first 100 days of any U.S. President in history. That’s because his policies are harming America, and the American people have noticed. Multiple polls show Trump’s approval ratings plummeting. An Associated Press poll showed him at only 39% approval, 59% disapproval. And a recent Washington Post poll also shows him at only 39% approval, the lowest of any U.S. President in 80 years. One reason is because of tariffs. His indiscriminate tariffs have increased prices. I urge all of you to look at a statement from the International Longshore and Warehouse Union. They put out a statement saying that the tariffs are crushing the working class with higher prices. And what’s even worse is we don’t even understand the rationale for these tariffs, because the White House has put out two completely different rationales. One of them is, we’re imposing these indiscriminate tariffs to try to strike deals, to go to a zero-tariff situation with other countries and have more free trade, reduce trade barriers. And then you have Donald Trump saying over the weekend, I’m doing these tariffs to create an external revenue service, to use this as a permanent revenue source to take the money that consumers are paying and inject that into the federal government. Those are completely opposite rationales and the White House can’t even figure out why it’s doing these tariffs.

    And then let me just conclude now about Secretary of Defense Pete Hegseth. I note that he has recently spent taxpayer funds for a makeup studio. I hope it’s going well and makes him look better on TV. But in terms of his policies, they are completely awful. Especially his operational ability to handle sensitive information. You may have seen recent reporting showing that his phone number has now been all over the internet, and if hackers have your phone number, there are a number of ways to surveil your phone. I asked reporters to look into whether he used his personal phone overseas. There is a hack called the SS7 Attack, stands for Signaling System No. 7. I was part of an investigation a few years ago. It doesn’t matter how great your phone is, it’s because of the telecommunications providers you use, there’s a flaw in there that they can surveil your phone, and they can do that in the U.S., it’s even worse overseas. So, you all should check out whether Secretary Hegseth compromised his phone if you use it overseas. With that, it is my honor now to invite Representative Mannion to come speak to you. Before being in Congress, he was a public school teacher and a State Senator from the great state of New York.

    REP. MANNION: Thank you, Vice Chair. Good morning, everybody. I’m John Manion from Syracuse, New York. I’m a member of the Agriculture and Education and Workforce committees, and I represent NY-22, central New York, in the Mohawk Valley. We’re at 100 days into this second Trump Administration, and what we’ve seen is chaos, confusion, confrontation and fear. We’re witnessing an extraordinary assault on our Constitution, on our norms and our values, on our democracy, unlike what we’ve ever seen before, as we’re watching in real time, the dismantling of governmental guardrails.

    One place where the damage is particularly clear is as it relates to our trade policy. Tariffs should be used with precision and purpose, but not as blunt political instruments. I believe now is the time for Congress to reassert the constitutional authority it continues to cede to the executive branch, and tariff policy is a good place for that to start. NY-22 has a long history of manufacturing, of innovation. We have a vibrant agricultural sector and world-class research institutions. We’re home to the largest private investment in the history of this country, with Micron’s historic $100 billion project to onshore semiconductor chip manufacturing in my district in Clay, New York. It’s a transformative project that will create thousands of jobs and solidify our region’s role in the global economy and the global tech economy. 

    But just as importantly, it is about making sure that our national security and the resources that we use to preserve our national security is happening right here in our country. My district is a down-the-middle district. We have representatives at the state legislature and the counties that are both Republicans and Democrats. CHIPS and Science was a piece of legislation that required all levels of government, from both parties, and stakeholders and experts in the field, to negotiate it, get it right, so that we can make sure that we put our national security at a premium and the emerging threats as it relates to supply chains, we had to address that. We did address it. It was done in the last Congress, and as a result, that project is moving forward. 

    When it comes to tariffs, you know, I looked at maps with arrows that show the negative impact, and no arrow is bigger than the state of New York. I live less than 100 miles from the Canadian border. My mother grew up in a town called Chateaugay, New York, which is five miles from the Canadian border. But you don’t have to be five miles from the border to see the impact that already exists. Tariffs are necessary tools that can be used for national security, for protecting hardworking Americans and their jobs and to grow that, but the current Administration’s approach lacks strategy and nuance, fails to recognize beneficial relationships between our friends, our allies and our business partners, like Canada.

    In Central New York and the Mohawk Valley, we rely heavily on trade with Canada for both imports and exports. Sometimes a product’s production crosses the border multiple times, sometimes within the same company, and still, tariffs would be imposed on those pre-manufactured products. Materials come from Canada, and our products go to Canada. We have multiple industries that are being impacted in agriculture, lumber, metal production, as I mentioned, our building materials for an important plant that is coming into my district. There are double and triple tariffs that are hurting the bottom line. They’re hurting jobs. Contracts are being canceled. Contracts are not moving forward in the negotiation process. Costs are being driven up. It makes absolutely zero sense. So, we have to get this right. The relationship between my district and Canada is so intricate, and it goes beyond just commerce. Canadians are our friends. They are often our family members. As I said, they’re our business partners. And what newly elected Canadian Prime Minister Carney made remarks last night, and he called this “the American betrayal”. To hear stories of Canadians taking American products and turning them over so as to easily identify that product as American-made is unbelievable. Something that I would not imagine in our lifetime, and it is an unnecessary act because of the unnecessary acts that have come out of this Administration. The Prime Minister pledged to find new relationships and new agreements with reliable trade partners outside of the United States of America. And I do agree that describing this situation as a tragedy is accurate. 

    My conversations with New York farmers, including dairy producers, owners of apple orchards, maple syrup producers and other industries like lumber, the interconnectedness between New York State’s economy and Canada is vital to our collective success. Items like fertilizer, potash, these come from Canada. 90% of our potassium, not just in Central New York, but all across this country, comes from Canada. So, we must use precision when it comes to our trade policy. Tariffs are basically a tax on American consumers and businesses, continues to drive up costs for essential items like groceries, fuel, agricultural supplies. Where I’m from, in Central New York, we want policies that reflect the realities of our interconnected economy with our friend and ally, Canada. 

    America, the people of NY-22, our farmers—we all need policies that make sense, not a whipsaw on again, off again, tariff game that this current Administration is playing. It’s reckless. The impact will be massive. There will be waves of negative impact on multiple sectors of our economy, and that means it’s going to hurt hardworking Americans. It’s going to hurt small businesses. We must restore our standing as a reliable trade partner, not just with Canada, but with our other allies and trade partners around the world. 

    Simply, we are hurting consumers. We’re hurting Americans. We’re hurting businesses because of a lack of a cohesive strategy. We need to be more thoughtful. We need to be more targeted. We need to strengthen our economy without placing undue burdens on hardworking Americans. So, I ask that we have sanity to our trade policy, and that we restore our country’s standing around the world, not just as a reliable trade partner, but as the beacon of democracy around the world. Thank you. I appreciate the opportunity to speak, and with that, I will pass along the microphone to my colleague, Representative April McClain Delaney.

    REP. MCCLAIN DELANEY: Good morning. I represent the Sixth District of Maryland, and when elected, I made a commitment to my constituents to seek common-sense, common-ground solutions. Sadly, the past 100 days, I’ve desperately been trying to find either common sense or common ground, and in fact, the chaos that has ensued has hurt everyone within my district. My district is as economically diverse as any district in the country. It starts not far from here in Montgomery County, where NIH researchers are curing cancer and NIST employees are establishing parameters for AI innovation. And it goes all the way to beautiful Mountain and Western Maryland, where family farms are providing their bounty to our community, and it borders West Virginia and Pennsylvania. 

    In my district, no one has escaped the harmful impact of Trump tariffs and isolation policy or his indiscriminate cuts to federal workers. I represent over 35,000 federal workers at agencies such as NIH, the National Institute of Cancer, NIST, our Fire Academy and Fort Detrick. Farmers are very concerned about selling their crops because of tariff impacts, but also because of markets drying up, markets they normally sold into, like through USAID or through SNAP programs. And cancer and innovation researchers and the surrounding biotech and tech private markets have been dealt a devastating blow from government cuts to both agencies and research and innovation engines. Small businesses and consultants are cratering because of lack of business, and this, in turn, is hurting every day, smaller businesses, markets, salons, sole proprietorships, who depend on spending in their community. And this includes tourism and business linked to our seven national parks in this district. We are home to the C&O Canal, which gets as many visitors per year as Yellowstone. 

    With respect to specific examples, last week, I toured the Volvo factory in Hagerstown, Maryland, where they make Mack Trucks. I was privileged to even get to drive one. They produce the engines and the axles for these vehicles and are pioneering some EV technology. But in the short term, they told me they have 1,700 workers. But instead of reshoring and bringing innovation and investment into the United States, Volvo is projected to cut 50 to 100 workers due to tariffs and economic insecurity. They do not know how the market will react, and more cuts might come later. Moreover, I have met with each of my five County Farm Bureaus, Montgomery County, Frederick, Allegheny, Washington County, Garrett, and they’re all concerned about crop market prices, SNAP and reimbursement for investments they made into their farms which have not been reimbursed by government programs for which they were promised. It is a tsunami hitting them from every angle and toppled with that, are threatened cuts to Medicaid, Medicare and Social Security. And, of course, rural health clinics are really at risk in my district because of their dependence on Medicaid.

    These self-inflicted, nonsensical, penny-foolish and pound-foolish policies are impacting our economic security, our U.S. competitiveness and our national security. Much more to say innovation and our trust internationally in the U.S. and the U.S. economy and our U.S. dollar. Having said the above, I stand ready to work on common-sense, common-ground solutions and across the aisle to make a reality the things we all care about, including focusing on inflation, innovation, affordability and fortifying our U.S. resilience, our U.S. competitiveness and our national security. 

    Video of the full press conference and Q&A can be viewed here.

    ###

    MIL OSI USA News

  • MIL-OSI USA: Trader Joe’s Sesame Miso Salad with Salmon Voluntarily Recalled Due to Undeclared Milk Allergen

    Source: US Department of Health and Human Services – 3

    Summary

    Company Announcement Date:
    April 28, 2025
    FDA Publish Date:
    April 29, 2025
    Product Type:
    Food & BeveragesAllergens
    Reason for Announcement:

    Recall Reason Description
    Potential or Undeclared Allergen – Milk

    Company Name:
    Taylor Fresh Foods
    Brand Name:

    Brand Name(s)
    Trader Joe’s

    Product Description:

    Product Description
    Sesame Miso Salad with Salmon

    Company Announcement
    FOR IMMEDIATE RELEASE – April 28, 2025 – A limited quantity of Trader Joe’s Sesame Miso Salad with Salmon is voluntarily being recalled because the topping packet may potentially contain an undeclared milk allergen. The product may contain milk that is not declared on the label. 500 units of the salad were mistakenly packaged with a sealed packet of parmesan cheese crumbles (instead of a packet of crispy onions).
    People who have sensitivity or allergy to milk may be at risk of an adverse reaction if they consume this product. To date, there have been no reported adverse reactions to this product.
    The product subject to the recall was distributed to the following stores:

    STORE 

    ITEM DESCRIPTIOM 

    USE BY DATE 

    UPC 

    DISTRIBUTION 

    Trader Joe’s

    Trader Joe’s Sesame Miso Salad with Salmon 10.25oz

    April 28, 2025April 29, 2025

    00773164

    AL, IA, IL, IN, KS, KY, MI, MN, MO, NC, NE, NJ, NY, OH, PA, SC, TN, WI

    The voluntary recalled product, which was produced by Taylor Fresh Foods Illinois, has the Use By date of April 28, 2025 and April 29, 2025 and was distributed to Trader Joe’s stores in AL, IA, IL, IN, KS, KY, MI, MN, MO, NC, NE, NJ, NY, OH, PA, SC, TN, WI. This voluntary recall does not apply to any other products or brands produced or distributed anywhere in the United States.
    Consumers who purchased Trader Joe’s Sesame Miso Salad with Salmon with the Use By dates of April 28, 2025 and April 29, 2025 in any of the states listed above are urged to discard the product if they or the person eating the product may have milk allergies.
    Consumers with questions may contact customer service at (855) 455-0098 Monday through Friday between 8am and 5pm PST.

    Company Contact Information

    Consumers:
    Customer Service
    (855) 455-0098

    Product Photos

    Content current as of:
    04/29/2025

    Regulated Product(s)

    Topic(s)

    Follow FDA

    MIL OSI USA News

  • MIL-OSI USA: Attorney General Bonta Sounds the Alarm, Releases Fourth Immigration Detention Facilities Report

    Source: US State of California

    SAN DIEGO — California Attorney General Rob Bonta today released the California Department of Justice’s (DOJ) fourth report on immigration detention facilities operating in California where noncitizens are detained by Immigration and Customs Enforcement (ICE). In an effort to increase transparency in these facilities, DOJ staff and a team of experts reviewed each of the six locked immigration detention facilities in operation in the state.   

    “California has a responsibility to understand the conditions in which all our residents live, including people who are detained at immigration detention facilities. My office’s review of facilities in California shows that issues previously identified have persisted, while new findings make clear that these facilities need significant improvements to fall in compliance with ICE’s own detention standards,” said Attorney General Bonta. “California’s facility reviews remain especially critical in light of efforts by the Trump Administration to both eliminate oversight of conditions at immigration detention facilities and increase its inhumane campaign of mass immigration enforcement, potentially exacerbating critical issues already present in these facilities by packing them with more people.”

    BACKGROUND

    The report is intended to provide members of the public and policymakers with critical information about the conditions that people in civil immigration detention in California are subjected to. In response to growing concerns for the health and safety of people in civil immigration detention, the California Legislature enacted Assembly Bill 103 in 2017 to require DOJ to review and report on conditions of confinement at immigration detention facilities through July 1, 2027. These concerns remain with respect to the immigration detention facilities still in operation in the state. During the review process for this report, DOJ staff — with support from a team of correctional and health care experts — reviewed each of the six locked immigration detention facilities in operation in the state, all of which are privately operated. As part of the review of each facility, the DOJ team toured each facility, reviewed and analyzed logs, policies, detainee records, and other documentation, and interviewed detention staff and 154 detained individuals across the six detention facilities. 

    THE 2025 REPORT

    The 2025 report provides a comprehensive review of immigration detention facilities in California and closely examines applicable standards in areas including conditions of confinement, security classification and housing, use of force, discipline, restrictive housing, Prison Rape Elimination Act (PREA) compliance, access to health care, and due process, with a particular focus on mental health. 

    The 2019 and 2021 reports offered a comprehensive review of conditions of confinement, the standard of care, and due process protections at facilities operating in California, some of which have since closed, and the 2022 report provided a focused review of how the seven immigration detention facilities operating in California at that time responded to the pandemic in the latter half of 2021, with focus on conditions of confinement and the facilities’ level of compliance with public health and safety measures.

    DOJ’s prior reports identified inadequate mental health care services at detention facilities in California. This finding is consistent with research and other reviews of facilities nationwide and concerning given the negative impacts of detention on mental health. Detained people experience high rates of depression, anxiety, and post-traumatic stress disorder (PTSD), and increased likelihood of self-harm behavior. All these conditions can worsen with increased lengths of time spent in detention facilities. As such, the 2025 report includes a particular focus on the mental health needs of detained individuals, including the availability and quality of mental health services, the prevalence of mental health conditions in the detained population, and the ways conditions of confinement in these facilities impact both mental health conditions and the due process rights of detained individuals.

    Immigration enforcement and detention appears likely to continue to increase across the country under the Trump Administration, as evidenced by the significant increase of individuals held in ICE custody in California: as of April 2025, 3,104 people were held in detention. Future increases in population levels at detention facilities will have implications for the facilities’ ability to provide for health care and other detainee needs. At present, California has an approximate 7,000 detention bed capacity across all facilities which is poised to grow. This year, private detention center owners moved to expand new detention space to two facilities in Kern County.

    Some of the latest report’s key observations include: 

    Pat Downs: DOJ was particularly concerned with Mesa Verde’s pat down search policy, in which detained persons were subjected to pat down searches anytime they left their housing unit. Detained individuals described the searches as invasive and inappropriate and reported a chilling effect on detained people’s decisions about whether to obtain medical and mental health services and meals. The policy resulted in allegations of sexual assault and numerous complaints from detained people against facility staff. 

    Medical Health Records: Recordkeeping, maintenance, and review of health care files at all six facilities were deficient. Without appropriate and comprehensive records, providers were often unable to create and implement adequate treatment plans. 

    Suicide Prevention and Intervention: DOJ identified a deficiency in suicide prevention and intervention strategies in every facility. This finding is particularly concerning because of the high suicide risk in detained populations.  

    Use of Force Practices: At different facilities, staff appeared to be overutilizing discipline and use of force and did not consider mental health conditions prior to engaging in calculated use of force incidents — as is required by ICE’s standards of care. DOJ identified disproportionate use of force against individuals with mental health diagnoses.

    Discipline: At Golden State, detainees were over-disciplined, including for making complaints.

    Solitary Confinement: Solitary confinement is associated with negative mental health outcomes and exacerbation of existing mental health conditions. Facilities generally not did not conduct mental health reviews required by ICE’s detention standards before placing detained people in segregation (also commonly known as solitary confinement) to avoid worsening existing mental health conditions. Some detained people spent periods of several months to over a year in conditions of isolation, which is harmful for any detained person but presents particular risk to those with underlying mental health conditions.

    Medical Care: Across most facilities, detained persons faced delays in securing adequate medical care. At Mesa Verde, detainees face prolonged wait times for critical offsite care.  At Desert View, there were some lapses with respect to the management of infectious diseases which are of particular concern in a facility seeing a high volume and high turnover of detainees who need appropriate treatment. At Otay Mesa, the DOJ team identified some lapses in the quality and timeliness of diagnostic care.  

    Due Process: Detention facilities did not consistently satisfy their obligations to support detained people to ensure that mental health conditions did not negatively impact their immigration outcomes. For example, DOJ received reports that detained people appeared for court without having received prescribed medication or other needed treatment, which meant they could not meaningfully participate in their hearings.  

    DOJ’s Office of Community Awareness, Response, and Engagement will host a Community Briefing on Thursday, May 22 at 10am to share the findings of this report. People interested can register here: https://doj-ca.zoomgov.com/webinar/register/WN_8P7Xa1_3QoSdCJts3EnfbA

    A copy of the report is available in English here and in Spanish here.  

    MIL OSI USA News

  • MIL-OSI Security: Former Monmouth County Resident Sentenced to 16 Years in Prison for Role in Fraudulently Obtaining Over $3.7 Million in Cares Act Loans

    Source: Office of United States Attorneys

    NEWARK, N.J. – A former resident of Monmouth County was sentenced to prison for his role in a scheme to fraudulently obtain Payroll Protection Program (PPP) and Economic Injury Disaster Loan (EIDL) funds, U.S. Attorney Alina Habba announced.

    Kevin Aguilar, age 54, previously of Farmingdale, New Jersey, was sentenced by U.S. District Judge Michael A. Shipp in Trenton federal court following Aguilar’s guilty plea to one count of conspiracy to commit bank fraud; seven counts of bank fraud; one count of conspiracy to commit wire fraud; three counts of wire fraud; one count of conspiracy to commit money laundering; one count of money laundering; and one count of aggravated identity theft. Aguilar was sentenced to 192 months in prison.

    According to documents filed in this case and statements made in court:

    From April 2020 to April 2021, Aguilar conspired with others to submit seven fraudulent PPP loan applications and three fraudulent EIDL applications on behalf of four businesses. Based on the fraudulent applications, Aguilar received a total of approximately $3.3 million in PPP loan funds and approximately $450,000 in EIDL funds. After receiving the PPP and EIDL funds, Aguilar caused those funds to be transferred to other businesses that he created to give the false appearance that the PPP and EIDL funds were being used for legitimate purposes. Aguilar then used the PPP and EIDL funds to purchase residential properties in Sherman, Texas, a new truck for approximately $100,000, and to pay for other personal expenses.

    In addition to the 192-month prison term, Judge Shipp sentenced Aguilar to 5 years of supervised release and ordered him to pay $3,772,567 in restitution, as well as a forfeiture money judgment of $3,772,567.  Judge Shipp also ordered the forfeiture of approximately $1,511,221.62 that law enforcement seized from twelve bank accounts, as well as the three real properties in Sherman, Texas. 

    U.S. Attorney Habba credited special agents of the Federal Deposit Insurance Corporation – Office of Inspector General, under the direction of Special Agent in Charge Patricia Tarasca in New York; IRS – Criminal Investigation, under the direction of Special Agent in Charge Jenifer Piovesan; special agents of the Social Security Administration, Office of the Inspector General, under the direction of Acting Special Agent in Charge Amy Connelly; postal inspectors of the U.S. Postal Inspection Service, under the direction of Inspector in Charge Christopher A. Nielsen; special agents of the Federal Housing Finance Agency, Office of Inspector General, under the direction of Special Agent in Charge Robert Manchak; and special agents of the U.S. Attorney’s Office for the District of New Jersey, under the direction of Special Agent in Charge Thomas Mahoney.

    The government is represented by Assistant U.S. Attorney David V. Simunovich of the U.S. Attorney’s Office’s Health Care Fraud Unit, Assistant U.S. Attorney Jennifer S. Kozar, of the U.S. Attorney’s Office’s Economic Crimes United in Newark, and Assistant U.S. Attorney Peter Laserna of the U.S. Attorney’s Office’s Bank Integrity, Money Laundering, and Recovery Unit.

    The District of New Jersey COVID-19 Fraud Enforcement Strike Force is one of the five strike forces established throughout the United States by the U.S. Department of Justice to investigate and prosecute COVID-19 fraud. The strike forces focus on large-scale, multi-state pandemic relief fraud perpetrated by criminal organizations and transnational actors. The strike forces are interagency law enforcement efforts, using prosecutor-led and data analyst-driven teams designed to identify and bring to justice those who stole pandemic relief funds.

    Anyone with information about allegations of attempted fraud involving COVID-19 can report it by calling the Department of Justice’s National Center for Disaster Fraud Hotline at 866-720-5721 or via the NCDF Web Complaint Form at: https://www.justice.gov/disaster-fraud/ncdf-disaster-complaint-form.

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    Defense counsel:         Alyssa Cimino, Esq., Fairfield, New Jersey; Robert Brady, Esq., Newton, New Jersey

    MIL Security OSI

  • MIL-OSI USA: Governor Stein Proclaims April as World Autism Month

    Source: US State of North Carolina

    Headline: Governor Stein Proclaims April as World Autism Month

    Governor Stein Proclaims April as World Autism Month
    lsaito

    Raleigh, NC

    Governor Josh Stein has proclaimed April as World Autism Month in North Carolina to raise awareness and recognize individuals with autism spectrum disorder (ASD), their families, and organizations working to support them.

    “I am proud to recognize North Carolinians with autism, their families, and organizations across the state that educate us about the unique challenges people with autism face from early childhood,” said Governor Josh Stein. “To help people with autism thrive, schools, families, and organizations need resources to ensure that the students reach their full potential.”

    Autism spectrum disorder is a neurological and developmental disorder that begins early in childhood and consists of a broad range of conditions characterized by challenges with social skills, repetitive behaviors, speech and nonverbal communication. The Center for Disease Control and Prevention (CDC) estimates that ASD affects approximately 1 in 36 children.  

    North Carolina is at the forefront of innovative workforce programs for individuals with autism. In 2018, the North Carolina Business Committee for Education (NCBCE), a work-based learning and education focused nonprofit housed in the Office of the Governor, helped to launch the LiNC-IT Collaborative. LiNC-IT was created to facilitate paid employment experiences for students and professionals with autism, as well as to provide employers with a pipeline of excellent talent often missed during conventional recruitment processes. You can hear from LiNC-IT employers and participants in this video. The successful LiNC-IT model will be expanded on through NC Career Launch.  

    March 2025 marked the sixth anniversary of Executive Order 92: Employment First for North Carolinians with Disabilities. The executive order charged state agencies with facilitating welcoming environments across state government where individuals with disabilities could successfully participate in competitive, integrated employment. State employees have credited the designation of North Carolina as an Employment First state with creating a more supportive environment for state employees with disabilities.  

    Governor Stein’s proposed budget recommends investments to help with autism thrive, including increased funding for vocational rehabilitation, recruiting and retaining direct support professionals, education for children with disabilities, and additional slots for the Medicaid Innovations Waiver.

    To learn more about Autism Spectrum Disorder, visit the UNC TEACCH Autism Center, the Autism Society of North Carolina and the Duke Center for Autism and Brain Development. For more information on LiNC-IT or to get involved, visit the LiNC-IT website or email NCBCEadmin@nc.gov.

    Read Governor Stein’s full proclamation. 

    Apr 29, 2025

    MIL OSI USA News

  • MIL-OSI USA: Energy and Commerce Committee Republicans Oppose McClellan Measures to Prevent Further Mass Firings at U.S. Health Agencies

    Source: United States House of Representatives – Congresswoman Jennifer McClellan (Virginia 4th District)

    Washington, D.C. – Today, Congresswoman Jennifer McClellan (VA-04) called on her Republican colleagues on the House Energy and Commerce Committee to support measures to prohibit further mass firings at U.S. health agencies after the Trump Administration and Elon Musk’s widespread health personnel layoffs last month.

    During a Committee markup of bills, including H.R. 2483, the SUPPORT for Patients and Communities Reauthorization Act of 2025, McClellan offered two amendments to prohibit further reductions in force (RIFs) at the Centers for Disease Control and Prevention and Substance Abuse and Mental Health Services Administration.

    Both were unanimously opposed by Committee Republicans.

    “This Administration haphazardly purged thousands of personnel from U.S. health agencies responsible for supporting lifesaving cancer research, managing measles outbreaks, ensuring medication safety and efficacy, and combating opioid addiction,” said Congresswoman McClellan. “These cuts will delay critical treatments and place even greater pressure on already strained state and local health agencies, many of which are also facing federal funding reductions. The Trump Administration’s actions force these agencies into an untenable position where they will be unable to carry out their responsibilities and keep communities healthy and safe.”

    Earlier this month, McClellan introduced a bill to prevent the Department of Health and Human Services (HHS) from implementing additional mass workforce cuts, following reports that the Virginia Department of Health had billions of dollars in federal funding cut by the Trump Administration that resulted in layoffs statewide for community health workers, nurses and epidemiologists.

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    MIL OSI USA News

  • MIL-OSI USA: Shaheen, Britt Introduce Bipartisan Bill to Make Breast Cancer Diagnostic Tests More Affordable and Accessible

    US Senate News:

    Source: United States Senator for New Hampshire Jeanne Shaheen
    (Washington, DC) – U.S. Senators Jeanne Shaheen (D-NH) and Katie Britt (R-AL) are introducing the bipartisan Access to Breast Cancer Diagnosis (ABCD) Act to make breast cancer diagnostic tests more affordable and accessible by eliminating copays and other out-of-pocket expenses for these tests, which are often necessary to receive a formal diagnosis. The bipartisan ABCD Act is also backed by U.S. Senator Shelley Moore Capito (R-WV). 
    “Receiving a breast cancer diagnosis is difficult enough – families across the country shouldn’t have to also worry about whether they can even afford the tests necessary to reach such a diagnosis, which can sometimes be the difference between life and death,” said Senator Shaheen. “Breast cancer—and the countless challenges that come with it—knows no geographic borders nor political affiliation. Let’s put politics aside and pass our bipartisan bill that could help save so many lives.” 
    “The ABCD Act would provide greater access to mammography so women can be diagnosed as soon as possible, giving them the widest variety of treatment options and the best chance to defeat this disease,” said Senator Britt. “Mammograms are a crucial, potentially lifesaving tool to detect breast cancer, and this commonsense, bipartisan legislation would ensure that a warranted follow-up diagnostic examination is also covered by health insurers at no out-of-pocket cost to the patient. I’m proud to reintroduce this legislation along with Senator Shaheen.” 
    “For far too many, needed breast imaging and access to a timely diagnosis are still out of reach due to high out-of-pocket expenses, leaving patients forced to decide between their health and their finances,” said Molly Guthrie, Vice President of Policy and Advocacy at Susan G. Komen. “The Access to Breast Cancer Diagnosis Act will remove the financial barrier to diagnostic and supplemental breast imaging so that individuals can get the care they need without having to endure undue financial burden. We grateful to Senators Jeanne Shaheen and Katie Britt and Representatives Debbie Dingell and Brian Fitzpatrick for their leadership on this vital legislation.” 
    Current law requires insurance companies to provide no-copay coverage for breast cancer screenings, but that does not extend to the diagnostic testing including mammograms, MRIs, and ultrasounds, that are necessary in many cases as an estimated ten percent of screening mammograms require follow-up diagnostic testing. 
    The costs of those tests discourage many women from getting them, risking cancer progression that increases both the severity of the disease and the financial toll for treatment. A staggering 40.6 percent of women said the possibility of paying a deductible could lead them to skip additional, often necessary imaging.   
    The standard out-of-pocket cost of a diagnostic mammogram is estimated to be $234, while breast MRIs run patients an average of $1,021. Medical debt is associated with the majority of personal bankruptcies in the United States and even higher for cancer patients.  
    Shaheen and Britt’s bipartisan bill would eliminate financial barriers to ensure women who are recommended for additional imaging can do so without fear of going into debt. The bill is endorsed by the Susan G. Komen Foundation. 

    MIL OSI USA News

  • MIL-OSI USA: School of Nursing Represents UConn at a Nursing Research Conference, With One Student Taking Home First Place

    Source: US State of Connecticut

    Still celebrating her win for her poster titled “Racial Disparities in Breast Cancer Treatment Burden”, Anita Oppong MSN, RN, a second year PhD student, said the Eastern Nursing Research Society (ENRS) conference was more than just a competition, but also a place to expand her research.

    ENRS is comprised of nurses and other individuals interested in nursing research. Established in 1988, the society has continued to advance and promote health through “innovative nursing science,” according to the ENRS website.

    This was their 37th annual conference held in Philadelphia, PA from April 3-4. The theme of this year’s session was “Freedom to Advance Health and Well-Being Through Revolutionary Nursing Research Partnerships.”

    The conference features research symposiums, poster sessions, exhibitors, a member luncheon, and an award ceremony, giving attendees an action-packed experience.

    Anita Oppong MSN, RN with her first-place poster “Racial Disparities in Breast Cancer Treatment Burden.” (Contributed photo)

    At the conference “we learn every day,” Oppong said. “It helps to build your thinking capacity in terms of research.”

    By attending presentations and seeing the work of her peers, she said it helped develop her own program of research.

    “It gives me questions to ask myself. Questions to search for,” Oppong said.

    Louise Reagan, PhD, APRN, ANP-BC, FAANP, FAAN, is an associate professor and director for the PhD program at UConn as well as an ENRS board member.

    She said this year’s conference had the largest number of attendees with about 780 people.

    “The ENRS conference really brings people together and shows what good work we’re doing and the research that can be life changing for our patients and improve healthcare,” Reagan said.

    Deborah Chyun, PhD, RN, FAHA, FAAN, said ENRS is “a gathering place for all of us in the eastern corridor.” She shared similar remarks as Reagan, saying it’s a great opportunity to show off the work UConn School of Nursing students and faculty have done.

    Chyun said it’s a good forum to catch up with people throughout the region and it serves as an important recruitment opportunity for both faculty and students, whether it’s a masters, DNP, PhD, or post-doctoral student.

    “The thing about ENRS is it’s very broad, it covers all,” Chyun says. “So, you have a lot of different topics, but that’s good because it allows you to see what else is going on outside the tunnel of your own specialty area.”

    With the conference encompassing a wide range of nursing research and professionals, Oppong’s win was an important moment for UConn.

    Being handed the certificate was a joyful experience for her and one that she will never forget. “It was an honor,” she said.

    Connecting and Networking

    ENRS provides attendees with a space to connect with like-minded individuals creating an environment for networking. This was a major highlight for third year PhD student Hannah Scheibner, MSN, RN who said it was a great opportunity to meet people with similar interests.

    Like Oppong, Scheibner specifically recounted the poster sessions and how much insight she gained within her own work and others.

    Hannah Scheibner, MSN, RN with her poster “Remote Sensing and Applications for Studying Environmental Health Inequities in Nursing Science.” (Contributed photo)

    “The poster sessions are great to just see the wide scope and breadth of work that’s being done all across the Northeast,” she said. “It’s great getting feedback and engaging in discussions with people, especially when I have my poster presentation.”

    Scheibner’s poster – “Remote Sensing and Applications for Studying Environmental Health Inequities in Nursing Science” – showed how nurses can use sensors to measure health related environmental characteristics without coming in direct contact with said environment.

    “You can measure so many various factors that are related to environmental health that impact the patients that we care for,” said Scheibner. “It’s very accessible for nurses to harness in their research. They don’t need to go out in the field and learn how to use all this equipment.”

    Scheibner said the poster session was really encouraging with enthusiasm and support coming from other attendees.

    Christina Ross, PhD, RN, an assistant professor in the School of Nursing also emphasized the networking opportunities she received from the conference. She was able to connect with others who had similar research as hers, ultimately expanding her own work.

    “I really enjoyed the conference because there were a lot of nurse scientists who presented work on adolescents’ sexual and reproductive health on both a local and global scale,” she said. “I was able to connect and discuss my research which was similar to theirs but in the US context.”

    Tyler Driscoll, another third year PhD student at UConn said “The ENRS Conference is a great place to learn, contribute, gain experience, and network with the top nursing scientists in the region.”

    Driscoll’s poster was on psychological pathogen avoidance mechanisms and how they work in modern ecologies.

    “Whether you are presenting a poster and getting feedback and insights from a more senior researcher or participating as a peer audience member during a scientific presentation, the opportunity to learn something new about anything—from genetics, to school nursing, to post-partum depression, to breast cancer—or even about yourself and your own journey—is always there,” he said.

    MIL OSI USA News