Category: Health

  • MIL-OSI USA: Senate Judiciary Committee Advances HALT Fentanyl Act

    US Senate News:

    Source: United States Senator for Iowa Chuck Grassley

    WASHINGTON – The Senate Judiciary Committee today voted to advance the Halt All Lethal Trafficking of (HALT) Fentanyl Act. The bipartisan legislation, led by Judiciary Chairman Chuck Grassley (R-Iowa), Health, Education, Labor and Pensions Chairman Bill Cassidy, M.D. (R-La.) and Sen. Martin Heinrich (D-N.M.), would permanently classify fentanyl-related substances before their temporary Schedule I status expires on March 31, 2025.  

    The HALT Fentanyl Act was passed out of Committee by a bipartisan vote of 16-5. Attorney General Pam Bondi has endorsed the legislation. President Trump’s Office of Management and Budget has confirmed that, if Congress passes the bill in its current form, the president will sign it. 

    “The Senate Judiciary Committee’s broad, bipartisan passage of the HALT Fentanyl Act is an important step towards ending our nation’s deadly opioid epidemic,” Grassley said. “Congress has a dwindling shot clock to pass this bill before fentanyl-related substances’ Schedule I status runs out. I urge my congressional colleagues to continue moving this legislation forward, so we can make permanent scheduling of fentanyl analogs the law of the land.” 

    “Chinese fentanyl was pouring into the U.S. under President Biden’s open border. Law enforcement needs every tool possible to combat this,” Cassidy said. “I am grateful for Chairman Grassley’s quick work to move this through the Judiciary Committee. Let’s make it law.” 

    “I’m pleased that my HALT Fentanyl Act is one step closer to becoming law,” Heinrich said. “My legislation now heads to the Senate floor, and I urge my colleagues to pass it. The HALT Fentanyl Act is urgently needed to help our law enforcement crack down on illegal trafficking, get deadly fentanyl out of our communities, and save lives.” 

    The HALT Fentanyl Act is supported by over 40 major advocacy groups, including a coalition of over 200 impacted family groups. Learn more about the bill’s widespread support HERE. 

    Download bill text HERE and a fact sheet HERE. 

    -30-

    MIL OSI USA News

  • MIL-OSI Australia: Regional NSW supported to prevent domestic and family violence

    Source: Australian Ministers for Social Services

    The Albanese Labor Government is addressing rates of domestic and family violence, investing $2.86 million to set up two new Men’s Wellness Centres in regional New South Wales.

    Two local Aboriginal Community Controlled Organisations will design and deliver Men’s Wellness Centres for their local communities, providing culturally appropriate programs and activities for First Nations men to improve their wellbeing and to prevent violence.

    Walgett Aboriginal Medical Service Limited will receive $860,000 to establish a culturally sensitive and safe space for First Nations men in Walgett to address social isolation, promote mental health, preserve cultural knowledge, and foster community resilience. The centre will also have a dedicated space for health checks.

    Coonamble Aboriginal Health Service Limited will receive $2 million to support men through one-on-one and group sessions on alcohol and other drug support, parental support, counselling and therapy, health and legal education, suicide awareness training and education, domestic family violence support.

    This funding is part of a $41.4 million Government investment under the Aboriginal and Torres Strait Islander Action Plan 2023-2025 to develop 13 Men’s Wellness Centres for First Nations peoples around Australia.

    Minister for Social Services, Amanda Rishworth said the Government is driving change to combat gender-based violence – including working directly with men.

    “Through these new Men’s Wellness Centres, we are boosting the services available for First Nations men, so they have the tools and opportunities to create healthier behaviours and stronger, safer communities,” Minister Rishworth said.

    “Importantly, these new programs are led by the First Nations community, for the First Nations community, to provide culturally safe and connected support.”

    Senator for New South Wales Deborah O’Neill said the Men’s Wellness Centres will provide First Nations men with the culturally safe support they need to build healthier, stronger communities.

    “The Albanese Labor Government is taking real action to address domestic and family violence with this $2.86 million investment in Men’s Wellness Centres for regional NSW,” Senator O’Neill said.

    “This investment by the Albanese Labor Government demonstrates our commitment to community-led solutions and violence prevention – giving men the tools, support, and space to break cycles of violence, strengthen their mental health, and stay connected to culture and community.”

    The initiative will also help progress Target 13 under the National Agreement on Closing the Gap 2020-2030, which aims to reduce all forms of violence against Aboriginal and Torres Strait Islander women and children by at least 50 per cent by 2031.

    More information on the Aboriginal and Torres Strait Islander Action Plan 2023-2025 is available at the Department of Social Servies website.

    If you or someone you know is experiencing, or at risk of experiencing domestic, family and sexual violence, call 1800 737 732, text 0458 737 732 or visit www.1800respect.org.au for online chat and video call services.

    • Available 24/7: call, text, or online chat
    • Mon-Fri, 9am-midnight AEST (except national public holidays): video call (no appointment needed)

    If you are concerned about your behaviour or use of violence, you can contact the Men’s Referral Service on 1300 766 491 or visit www.ntv.org.au

    Feeling worried or no good? Connect with 13YARN Aboriginal & Torres Strait Islander Crisis Supporters on 13 92 76, available 24/7 from any mobile or pay phone, or visit www.13yarn.org.au No shame, no judgement, safe place to yarn.

    MIL OSI News

  • MIL-OSI: U.S. Health Systems See Margin Declines to Start the Year While Hospital Margins Grow, According to Two New Strata Reports

    Source: GlobeNewswire (MIL-OSI)

    CHICAGO, Feb. 27, 2025 (GLOBE NEWSWIRE) — Operating margins for the nation’s health systems narrowed in January after climbing to a five-month high to end 2024. The median year-to-date health system operating margin was 1.0% for the month, down from 2.1% in December. It is the lowest health system operating margins have been in more than a year, after holding at 1.5% or above throughout 2024 following years of volatility.

    At the same time, the nation’s hospitals saw margins and revenues strengthen entering the new year, continuing trends seen in 2024, according to two new reports from Strata Decision Technology. The Monthly Healthcare Industry Financial Benchmarks report features a snapshot of the latest hospital performance data from January, and the quarterly Strata Performance Trends report provides a retrospective look at hospital and health system performance last year.

    “Health systems across the country had a shaky start to 2025,” said Steve Wasson, Strata’s Chief Data & Intelligence Officer. “While health system operating margins largely stabilized in 2024 after the turbulence of the pandemic, they remained uncomfortably thin. We saw encouraging trends with gross revenue growth outpacing expense increases last year. These and other positive performance trends will need to continue in 2025 for health systems to build a stronger foundation for margin growth.”

    For the nation’s hospitals, analysis of operating margin changes over time showed some improvement in January. The median change in hospital operating margin increased 1.9 percentage points from January 2024 to January 2025. Hospital revenues showed promising performance, with January marking the 21st consecutive month of year-over-year (YOY) increases in gross operating, inpatient, and outpatient revenues. Outpatient revenue increases continued to outpace inpatient revenue growth. Outpatient revenue jumped 9.2% YOY, while inpatient revenue increased 6.7% and gross operating revenue was up 8.3% YOY.

    Median gross revenue growth outpaced expense growth throughout 2024 for both hospitals and health systems. From 2023 to 2024, gross operating revenue rose 9.0% for the U.S. health systems and 7.5% for U.S. hospitals. By comparison, health system total expense was up 6.4% and hospital total expense increased 5.4% over the same period. 

    Labor expenses continued to climb in 2024 and in the first month of 2025, despite lower contract labor costs, as organizations focused on initiatives to retain employed staff. Total health system labor expense increased 5.7% and total hospital labor expense increased 4.2% for all of 2024 versus 2023. For the month of January 2025 versus January 2024, total hospital labor expense was up 4.0%.

    Total hospital non-labor expenses showed the highest growth rates in January compared to other expense categories. For January 2025 versus January 2024, total non-labor expense rose 5.6%, supply expense jumped 6.8%, and drugs expense was up 6.2%. Looking back at 2024, non-labor expense growth outpaced labor expense increases for the year, with total non-labor expense up 5.8% from 2023 to 2024 versus the 4.2% increase in total labor expense previously mentioned.

    Contract labor expense was the only expense category to decline in 2024, and those decreases were significant. From 2023 to 2024, contract labor expense dropped 22.7% for health systems and 37.5% for hospitals. These trends illustrate that organizations have successfully scaled back use of contract labor, which spiked during the pandemic due to widespread labor shortages and increased patient demand.

    About the Data 
    The report uses data from Strata’s StrataSphere® and Comparative Analytics database. Comparative Analytics offers access to near real-time data drawn from more than 135,000 physicians from over 10,000 practices and 139 specialty categories, and from 500+ unique departments across more than 1,600 hospitals. Comparative Analytics also provides data and comparisons specific to a single organization for visibility into how their market is evolving. StrataSphere is a unique and comprehensive data-sharing platform that helps providers leverage the power of a network that represents approximately 25% of all provider spend in U.S. healthcare. This report incorporates data from more than 600 hospitals with StrataJazz® Decision Support.

    About Strata Decision Technology 
    Strata Decision Technology provides a cloud-based platform for software and service solutions to help organizations better analyze, plan, and perform in support of their missions. With the combination of Syntellis Performance Solutions’ Axiom solutions, more than 2,300 organizations rely on Strata to provide their financial analytics, planning, and performance solutions. Strata has been named the market leader for Business Decision Support for 18 consecutive years. By uniting these two industry leaders, Strata continues to deliver market-leading solutions and world-class service, with an increased focus on accelerating innovation. For more information, please go to www.stratadecision.com.

    Syntellis Social Networks 
    LinkedIn: Strata Decision Technology
    Media contact: 
    Sally Brown, Inkhouse 
    strata@inkhouse.com

    The MIL Network

  • MIL-OSI USA: Senators Reverend Warnock, Murray Introduce Legislation to Improve Children’s Health Care Access   

    US Senate News:

    Source: United States Senator Reverend Raphael Warnock – Georgia

    Senators Reverend Warnock, Murray Introduce Legislation to Improve Children’s Health Care Access   

    Senator Reverend Warnock introduced the Kids’ Access to Primary Care Act, which would incentivize more providers to participate in Medicaid and increase access to care for children and families by requiring Medicaid to pay at least the same rate as Medicare for primary care
    Senator Reverend Warnock recently addressed proposed Republican cuts to Medicaid at a press conference with Senate Democratic colleagues
    In Georgia, kids make up roughly 71 percent of all Medicaid enrollees
    Senator Reverend Warnock has long championed strengthening Medicaid
    Senator Reverend Warnock: “Right now, nearly half of our country’s children get health care through Medicaid, which is why it’s so troubling that Washington Republicans are fighting to make cuts to health care access”
    Washington, D.C. – Today, U.S. Senators Reverend Raphael Warnock (D-GA) and Patty Murray (D-WA), a senior member and former Chair of the Senate Health, Education, Labor and Pensions (HELP) Committee introduced the Kids’ Access to Primary Care Act. The bill would require Medicaid to pay at least the same rate as Medicare for primary care services, which would incentivize more providers to participate in Medicaid and increase access to care for children and families.
    “I’ve been in the Medicaid fight long before I got to the Senate, so I know the importance that affordable health care provides for so many Americans, including millions of children. In Georgia, kids make up over 70 percent of all Medicaid enrollees,” said Senator Reverend Warnock. “Right now, nearly half of our country’s children get health care through Medicaid, which is why it’s so troubling that Washington Republicans are fighting to make cuts to health care access. That is why the Kids’ Access to Primary Care Act is so important. This commonsense solution shouldn’t be a partisan issue, kids and parents deserve the peace of mind that comes with knowing you have health care access.”
    “Medicaid is a lifeline for tens of millions of American families, especially women and children—one in five women and nearly half of all children in America get their health care through Medicaid. Our legislation is a commonsense solution that would encourage more providers to see Medicaid patients and make it easier for families who rely on Medicaid to get timely care close to home,” said Senator Murray. “Right now, Republicans are doubling down on their plans to make deep cuts to Medicaid and rip away health care from millions of people who need it—it’s dangerous and flat-out-wrong. I’ll keep fighting back and working to strengthen Medicaid and bring down the cost of health care in America.”
    Right now, Medicaid pays a lower rate than Medicare for the same primary care procedures and services. This discrepancy severely reduces the number of providers who participate in Medicaid and limits access to health care for children and families. In Georgia alone, nearly 2 million individuals are insured through Medicaid, including over 1.4 million children who depend on the program for their health care needs. The Kids’ Access to Primary Care Act would improve Medicaid coverage by ensuring that providers are paid at least the same rate as they are for Medicare. Experts agree that higher Medicaid payment rates will broaden the provider network and increase access to care for Medicaid patients, including the more than half of children in the U.S who rely on Medicaid or the Children’s Health Insurance Program (CHIP).
    Senator Warnock has long championed efforts to expand affordable health care access, starting with his advocacy to close the health care coverage gap in Georgia. In addition to pushing for solutions to close the coverage gap, Senator Warnock led a delegation of Georgia lawmakers in urging the Centers for Medicare & Medicaid Services to provide tools to Medicaid non-expansion states like Georgia to help them protect health care access for Medicaid enrollees who lose eligibility after the end of the public health emergency declaration.
    In addition to Senators Murray and Warnock, the Kids’ Access to Primary Care Act is also cosponsored by Senators Cory Booker (D-NJ), Richard Blumenthal (D-CT), Ben Ray Luján (D-NM), Jeff Merkley (D-OR), and Peter Welch (D-VT). Congresswoman Kim Schrier, M.D. (D-WA-08) introduced the legislation in the House with Representatives Brian Fitzpatrick (R-PA-01) and Kathy Castor (D-FL-14).
    The legislation is supported by the American Academy of Pediatrics, American Academy of Family Physicians, Seattle Children’s Hospital, and the Washington State Medical Association.
    The full text of the legislation is HERE.

    MIL OSI USA News

  • MIL-OSI USA: Senators Rosen, Husted, & Ricketts Introduce Bipartisan Bill to Protect American Government Devices from PRC-Controlled AI Program

    US Senate News:

    Source: United States Senator Jacky Rosen (D-NV)

    WASHINGTON, DC – Today, U.S. Senators Jacky Rosen (D-NV), Jon Husted (R-OH), and Pete Ricketts (R-NE) introduced bipartisan legislation to prohibit the use of DeepSeek — a new artificial intelligence (AI) platform with direct ties to the Chinese Communist Party — on all government devices and networks. DeepSeek poses a potentially major national security threat, as data collected from the program is being shared directly with the People’s Republic of China (PRC) government and its intelligence agencies. Several U.S. states and allied nations have already moved to block DeepSeek from government devices due to critical security concerns.
    “As the artificial intelligence landscape continues to rapidly expand, the U.S. must take steps to ensure Americans’ data and government systems remain protected against platforms — like DeepSeek — that are linked to our adversaries,” said Senator Rosen. “This bipartisan legislation takes proactive steps to ban DeepSeek on all U.S. government devices, helping to further safeguard sensitive government data from the Chinese Communist Party.”
    “DeepSeek is a tool that perpetuates Communist China’s agenda—full stop,” said Senator Husted. “It exposes Americans’ data to our adversary’s government, lies to its users, and exploits American workers’ AI advances. We can’t afford for U.S. officials to play into Beijing’s hands by hosting this hostile bot on their devices. Our bill is an urgent first step toward protecting our citizens, government, and economy from China’s Communist Party.”
    “DeepSeek poses serious security risks to Americans who use the platform. It should not be on government devices,” said Senator Ricketts. “This bipartisan bill ensures that DeepSeek does not expose our government to potential national security risks—or give our data to Communist China.”
    As the first and only former computer programmer to serve in the Senate, Senator Rosen has led the fight to strengthen the nation’s cybersecurity. Last year, Rosen called on the Department of Health and Human Services and the Cybersecurity and Infrastructure Security Agency to create a plan to help health care systems respond to cyber attacks like the recent ransomware attack on Change Healthcare. Additionally, Rosen’s bipartisan Department of Defense Civilian Cybersecurity Reserve Act became law to recruit civilian cybersecurity personnel to serve in reserve capacities and respond to cyberattacks during times of need. Senator Rosen has introduced bipartisan bills to bolster the cybersecurity of medical devices and records from the Department of Veterans Affairs, both of which were signed into law.

    MIL OSI USA News

  • MIL-OSI USA: Secretary Dev Sangvai Visits Western North Carolina

    Source: US State of North Carolina

    Headline: Secretary Dev Sangvai Visits Western North Carolina

    Secretary Dev Sangvai Visits Western North Carolina
    jwerner

    North Carolina Health and Human Services Secretary Dev Sangvai traveled to western North Carolina this week to meet with health care and social services partners to learn more about the status of Hurricane Helene recovery efforts and discuss the impacts of staffing shortages and other challenges they face. Together, we are committed to recovery efforts and supporting staff as we continue to create a healthier North Carolina for all.

    Black Mountain Neuro-Medical Treatment Center

    Secretary Sangvai began the first day of his trip on Tuesday, Feb. 25, in Buncombe County for a site visit and informational meeting with staff at the Black Mountain Neuro-Medical Treatment Center (BMNTC), one of three state-operated facilities in North Carolina that serves adults with chronic and complex medical conditions that co-exist with neurodevelopmental and/or neurocognitive disorders and/or a diagnosis of severe and persistent mental illness. 

    Secretary Sangvai was led on a tour of the facility, including one of the residential units, to learn more about the quality care received by patients both during and after Hurricane Helene. He also visited the third floor of the Gravely Wing at BMNTC to assess the status of renovations that were planned prior to Helene  and are estimated to be completed by July 2025.

    Secretary Sangvai met with the BMNTC Executive Committee to discuss the successes and areas of concern among staff members. The facility has largely recovered from the devastation left by Hurricane Helene, returning to normal operations with all evacuated residents returning to BMNTC. Employees shared concerns regarding staffing shortages as well as recruitment and retention challenges, particularly in nursing positions. BMNTC has ramped up recruitment efforts this quarter as unemployment in the region has spiked due to business closures in the wake of Helene.

     NCDHHS Secretary Dev Sangvai and Chief Deputy Secretary for Operational Excellence Dr. ClarLynda Williams-Devane travel to western North Carolina to meet with health care and social services partners. 

    Julian F. Keith Alcohol and Drug Abuse Treatment Center

    Following the visit to BMNTC, Secretary Sangvai continued his travels through Black Mountain to the Julian F. Keith Alcohol and Drug Abuse Treatment Center (JFK). There, he met with staff to learn more about the facility and services offered as well as the status of recovery efforts. He also went on a tour to get a more comprehensive look at the various services JFK staff provide their patients.

    Secretary Sangvai heard from JFK staff about their continued work to recover from the effects of Hurricane Helene, all while battling staffing shortages, closures to the facility and increased mental health challenge among the community they serve.  JFK staff cared for and assisted in the evacuation of patients during Hurricane Helene, standing up a detox unit at Broughton Hospital to provide a place of respite for those unable to seek care at JFK. A huge win for JFK staff recently came in the form of the treatment center reopening their kitchen after a seven-month long closure .

    “I am so grateful for the work being done at our facilities as recovery continues from the devastation left behind by Hurricane Helene,” said Secretary Sangvai. “These teams have worked tirelessly to provide life-changing care. This commitment matches what I have seen across the department, as we work to improve access to care and ensure people receive the care they need no matter where they live or how much money they make.”

    Cherokee Indian Hospital Authority

    On Wednesday, Feb. 26, Secretary Sangvai traveled to Cherokee, NC, to meet with the Eastern Band of Cherokee Indians (EBCI) and the Cherokee Indian Hospital Authority (CIHA). EBCI has contracted with NCDHHS to participate in NC Medicaid, thereby providing access to Medicaid managed care services for federally recognized Tribal Members and other individuals eligible to receive Indian Health Services. Through this partnership with NCDHHS, EBCI is the first Tribal-led Medicaid managed care entity in the country, aligning Medicaid services with Tribal health priorities and providing care for enrolled EBCI members.

    During his visit, Secretary Sangvai learned about the status of NCDHHS and CIHA’s multiple partnerships, including the development of a Child Crisis Stabilization Unit on the Qualla Boundary, the location of CIHA’s main hospital. The new unit will provide emergency mental health stabilization services for youth experiencing an acute psychiatric crisis. A revolutionary care model for western North Carolina, the unit will serve both tribal and non-tribal youth, ensuring that all children in the region have access to these critical resources.  

    Secretary Sangvai saw first-hand during his trip that CIHA has also been battling recruitment difficulties, struggling to address rural health care workforce shortages and retention issues. Despite these challenges, CIHA is a pillar of health care excellence for the EBCI, working diligently to deliver high-quality, patient-centered care that honors and integrates the rich heritage of Cherokee culture.

    Broughton Hospital

    Later in the day, Secretary Sangvai visited Broughton Hospital, one of three psychiatric hospitals operated by the NCDHHS Division of State Operated Healthcare Facilities, to tour the facility and learn more about the hospital’s priorities as western North Carolina moves forward from Hurricane Helene. He spoke with staff as he toured the patient care center, gym, chapel and treatment mall.

    Broughton staff emphasized their struggles to recruit and retain staff with a high number of vacancies in full-time positions at the facility. These staffing shortages directly impact the hospital’s ability to serve more patients, limiting the number of beds that can be filled and increasing wait times prospective patients may face before receiving care. Hospitals are growing increasingly reliant on temporary employees, especially for nursing and medical staff, due in part to salaries that struggle to compete with others on the job market.

    “The staff at our state operated psychiatric hospitals work incredibly hard to provide critical support to their patients every day,” Secretary Sangvai said. “I will continue to advocate for the resilient staff that serve our state and support NCDHHS’ efforts to strengthen the health care workforce in order to improve capacity limitations, so more patients are able to quickly access needed care.”

    J. Iverson Riddle Developmental Center

    On Thursday morning, Feb. 26, Secretary Sangvai traveled to Burke County, making his first stop at J. Iverson Riddle Developmental Center (JIRDC), one of three State Developmental Centers which provides services and support to individuals with intellectual and developmental disabilities (I/DD), complex behavioral challenges and/or medical conditions whose clinical treatment needs exceed the supports currently available in the community. He toured JIRDC, making a visit to one of the homes at the facility to greet staff and residents.

    Facility leadership voiced concerns regarding recruitment, including filling key positions at JIRDC. Despite recent measures taken to increase Direct Support Professionals and Registered Nurses salaries, JIRDC still struggles from a 23% vacancy rate, impacting staff’s ability to serve more patients.

    In addition to staff’s efforts to recover from Hurricane Helene, JIRDC housed approximately one-third of BMNTC residents during local infrastructure repairs. As many employees face burnout amidst an unprecedented crisis, Secretary Sangvai pledged to continue to prioritize the well-being of the health care workforce in North Carolina and to ensure the sustainability and functionality of state operated healthcare facilities for patients and staff.

    Burke County DSS

    The Secretary then traveled to the Burke County Department of Social Services, where he toured facilities and met with local social services staff. Staff at Burke County DSS worked to quickly respond to issues as Hurricane Helene hit their community. Their team had to navigate a total loss of communications systems, staffing shortages, burnout and the increased stress of managing a large-scale recovery operation in the wake of the storm. Today, Burke County DSS has fortunately largely returned to “normal” operations. This is partially because as a county on the eastern edge of Helene’s path, Burke County saw fewer individuals permanently displaced than some other counties impacted by the storm.

    Secretary Sangvai spoke with Burke County DSS Director Korey Fisher-Wellman to form a better understanding of the issues facing their office and other county DSS offices across the state. The Secretary reinforced NCDHHS’ ongoing commitment to support recovery efforts as western North Carolina continues to recover and rebuild.

    Blue Ridge Regional Hospital

    Secretary Sangvai concluded his trip on Thursday at Blue Ridge Regional Hospital, which has served as a Critical Access Hospital for the people of western North Carolina since 1955. The Secretary was joined by CEO and Chief Nurse Tonia Hale, and the Vice President of Government Relations for HCA Healthcare Lori Kroll , for a tour of the hospital and a presentation on workforce development and Hurricane Helene recovery. The team highlighted the hospital’s efforts to bounce back from the hurricane, and Secretary Sangvai shared NCDHHS’ commitment to work with hospitals across the state to address the impacts of staffing shortages and support recruitment and retention efforts.

    Please see more photos from Secretary Sangvai’s visit.

    Feb 27, 2025

    MIL OSI USA News

  • MIL-OSI: NVIDIA Announces Upcoming Events for Financial Community

    Source: GlobeNewswire (MIL-OSI)

    SANTA CLARA, Calif., Feb. 27, 2025 (GLOBE NEWSWIRE) — NVIDIA will present at the following events for the financial community:

    TD Cowen 45thAnnual Health Care Conference
    Monday, March 3, 8:10 a.m. Pacific time

    Morgan Stanley Technology, Media and Telecom Conference 2025
    Wednesday, March 5, 12:20 p.m. Pacific time

    Interested parties can listen to the live audio webcast of NVIDIA financial presentations at investor.nvidia.com. Webcast replays are available for 90 days afterward.

    About NVIDIA
    NVIDIA (NASDAQ: NVDA) is the world leader in accelerated computing.

    © 2025 NVIDIA Corporation. All rights reserved. NVIDIA and the NVIDIA logo are trademarks and/or registered trademarks of NVIDIA Corporation in the U.S. and other countries.

    The MIL Network

  • MIL-OSI United Nations: 27 February 2025 Departmental update Protecting key populations from abrupt disruptions to essential HIV services

    Source: World Health Organisation

    Prevention, testing and treatment services for HIV, viral hepatitis and sexually transmitted infections (STI) have driven unprecedented progress in improving population health over the past two decades, with millions of new HIV infections and AIDS-related deaths averted.

    Foreign aid investments in the global HIV response, such as the United States President’s Emergency Plan for AIDS Relief (PEPFAR) and the Global Fund on AIDS, TB and Malaria, have been pivotal to this success, also contributing significantly to progress towards elimination of hepatitis B and C, and STI control. However, abrupt disruptions to foreign aid and service delivery threaten these gains, putting millions of people at risk – especially people living with HIV and key and vulnerable populations.

    Many essential evidence-based prevention interventions, including HIV pre-exposure prophylaxis (PrEP), harm reduction services for people who inject drugs, and community-led programmes have been permanently halted.

    Early reports shared with WHO indicate that prevention and treatment services for key populations are those most affected. Reports include the closure of health centres delivering prevention, testing and treatment interventions for key populations previously supported by U.S. funding. These disruptions are resulting in staffing shortages, supply chain interruptions, and increased barriers to access, leaving key populations – including gay men and other men who have sex with men, sex workers, people who inject drugs, people in prisons, and trans and gender diverse individuals – vulnerable to infection and death, as well as increased stigma and discrimination.

    These developments compromise the ability of service providers to deliver on foundational WHO recommendations that: 

    • all people living with HIV should receive same-day antiretroviral treatment (ART) both to improve their health and to prevent further transmission by achieving sustained viral load suppression; 
    • there should be uninterrupted access to ART for all populations, including key populations living with HIV, during service disruptions; and 
    • person-centred approaches should be implemented and non-judgemental, discrimination-free environments created to foster trust, encourage consistent engagement in care, and support re-engagement for those who may have dropped out of treatment.

    Essential prevention services must remain a priority

    Ensuring that key populations can access prevention services that are free of discrimination is central to HIV, hepatitis and STI responses. Community-based services have consistently proven effective in increasing access and acceptability of programmes, buffering the effects of stigma and discrimination. These programmes facilitate the delivery of interventions that have been proven effective through rigorous scientific research, and that are recommended by WHO to protect people from new infections and harm.

    Core WHO-recommended essential prevention services include condoms and lubricants; testing for HIV, hepatitis B and C, and other STIs; HIV post-exposure prophylaxis and pre-exposure prophylaxis; and harm reduction activities including distribution of needles and syringes, of naloxone to prevent deaths from overdose, and opioid agonist maintenance treatment programmes.

    Commitment to sustainable financing and integrated health systems

    As countries and ministries of health work to mitigate the impact of service disruptions, they must pursue long-term solutions, including sustainable domestic financing to protect these vital health services. This is essential for maintaining the downward trend in HIV incidence and mortality, and to progress toward hepatitis elimination and STI control. 

    WHO also emphasizes the value of an integrated approach to HIV, bringing together stigma and discrimination-free services for tuberculosis, viral hepatitis, sexual and reproductive health, and noncommunicable diseases under the umbrella of strong primary health care. Integrating HIV leads to resource optimization and improvements in overall population health. 

    WHO remains committed to supporting national governments, partners, and donors in adapting to shifting donor support to safeguard the health and well-being of those most vulnerable to HIV, viral hepatitis and STIs.

    MIL OSI United Nations News

  • MIL-OSI Australia: Australian Deputy PM: Federal funding backs 58 new road safety awareness projects

    Source: Minister of Infrastructure

    Fifty-eight projects will share over $29 million in grant funding to improve road safety thanks to the Albanese Government’s National Road Safety Action Grants Program. 

    Grants of between $20,000 and $1.5 million have been awarded to non-infrastructure road safety projects focused on expanding new road safety technology, research and education.

    Assistant Minister for Regional Development, Senator Anthony Chisholm will visit the team working on UNSW’s VRStreetLab project today, who are set to use their grant funding allocation of $233,965 to evaluate cyclist behaviour through a Virtual Reality (VR) Street Simulator.

    Promoting road safety in First Nations communities has also been prioritised through the Program, with nearly $1.3 million allocated to the Katherine West Health Board Aboriginal Corporation in the Northern Territory to reduce road trauma through awareness programs and educational technology. 

    The National Road Safety Action Grants Program has already provided funding toward 23 non-infrastructure road safety projects, through its previous round, by prioritising five key areas critical to reducing deaths and serious injuries on Australian roads: 

    • Vulnerable Road Users
    • Community Education and Awareness 
    • First Nations Road Safety
    • Technology and Innovation
    • Research and Data.

    More information on the National Road Safety Action Grants Program, including a full list of successful projects awarded under the First Nations Road Safety, Technology and Innovation, and Research and Data streams can be found here.

    Quotes attributable to Assistant Minister for Regional Development, Anthony Chisholm:

    “Keeping people safe on our roads is a critical priority of our government, which is why we’re rolling out this much-needed funding to support projects that will make a real difference in changing the way we think about road safety. 

    “This funding backs road safety education and research to develop new technologies, like airbag helmets and new collision avoidance technology, to keep Australians safe on our roads.

    “We’re also supporting new research to fill gaps in our understanding of how to drive safely, including how to prevent risky driver behaviour and how much sleep you need in order to drive safely. 

    “Everyone has a role to play when it comes to road safety, and by working together to deliver projects like these, we can support better road safety outcomes for Australia.”  

    Quotes attributable to the Director of the Research Centre for Integrated Transport Innovation (rCITI) at UNSW Sydney, Professor Taha Hossein Rashidi:

    “Improving road safety is crucial to reduce injuries and save lives. 

    “VRStreetLab is a novel VR transport simulator that tests smart cycling infrastructure and safety measures to make our streets safer.

    “Our technology allows us to better understand how cyclists interact with safety interventions like smart sensor traffic lights, collision warning systems and digital signage with real-time updates in a fully immersive simulated environment.

    “The benefit is a rapid, cost-effective platform to evaluate the impact of safety measures to inform transport policy before large-scale investment.

    “The funding will fully support our efforts to begin this innovative transport research and improve safety for everyone on the road with massive potential for further research initiatives upon completion of this project.”

    MIL OSI News

  • MIL-OSI Australia: Federal funding backs 58 new road safety awareness projects

    Source: Australian Ministers for Regional Development

    Fifty-eight projects will share over $29 million in grant funding to improve road safety thanks to the Albanese Government’s National Road Safety Action Grants Program. 

    Grants of between $20,000 and $1.5 million have been awarded to non-infrastructure road safety projects focused on expanding new road safety technology, research and education.

    Assistant Minister for Regional Development, Senator Anthony Chisholm will visit the team working on UNSW’s VRStreetLab project today, who are set to use their grant funding allocation of $233,965 to evaluate cyclist behaviour through a Virtual Reality (VR) Street Simulator.

    Promoting road safety in First Nations communities has also been prioritised through the Program, with nearly $1.3 million allocated to the Katherine West Health Board Aboriginal Corporation in the Northern Territory to reduce road trauma through awareness programs and educational technology. 

    The National Road Safety Action Grants Program has already provided funding toward 23 non-infrastructure road safety projects, through its previous round, by prioritising five key areas critical to reducing deaths and serious injuries on Australian roads: 

    • Vulnerable Road Users
    • Community Education and Awareness 
    • First Nations Road Safety
    • Technology and Innovation
    • Research and Data.

    More information on the National Road Safety Action Grants Program, including a full list of successful projects awarded under the First Nations Road Safety, Technology and Innovation, and Research and Data streams can be found here.

    Quotes attributable to Assistant Minister for Regional Development, Anthony Chisholm:

    “Keeping people safe on our roads is a critical priority of our government, which is why we’re rolling out this much-needed funding to support projects that will make a real difference in changing the way we think about road safety. 

    “This funding backs road safety education and research to develop new technologies, like airbag helmets and new collision avoidance technology, to keep Australians safe on our roads.

    “We’re also supporting new research to fill gaps in our understanding of how to drive safely, including how to prevent risky driver behaviour and how much sleep you need in order to drive safely. 

    “Everyone has a role to play when it comes to road safety, and by working together to deliver projects like these, we can support better road safety outcomes for Australia.”  

    Quotes attributable to the Director of the Research Centre for Integrated Transport Innovation (rCITI) at UNSW Sydney, Professor Taha Hossein Rashidi:

    “Improving road safety is crucial to reduce injuries and save lives. 

    “VRStreetLab is a novel VR transport simulator that tests smart cycling infrastructure and safety measures to make our streets safer.

    “Our technology allows us to better understand how cyclists interact with safety interventions like smart sensor traffic lights, collision warning systems and digital signage with real-time updates in a fully immersive simulated environment.

    “The benefit is a rapid, cost-effective platform to evaluate the impact of safety measures to inform transport policy before large-scale investment.

    “The funding will fully support our efforts to begin this innovative transport research and improve safety for everyone on the road with massive potential for further research initiatives upon completion of this project.”

    MIL OSI News

  • MIL-OSI USA: Senator Murray Raises Alarm Over Looming Republican Cuts to Medicaid, with Health Care Workers in Central and Eastern WA

    US Senate News:

    Source: United States Senator for Washington State Patty Murray

    In Washington state, over 1.8 million people rely on Medicaid; WA-04 and WA-05—represented by Republicans—have the highest proportion of people on Medicaid in WA

    ICYMI: Murray, Warnock, Rep. Schrier Introduce Bill to Improve Children’s Health Care Access By Strengthening Medicaid

    ***VIDEO FROM PRESS CALL HERE***

    Washington, D.C. — Today, U.S. Senator Patty Murray (D-WA), Vice Chair of the Senate Appropriations Committee and a senior member and former Chair of the Senate Health, Education, Labor and Pensions (HELP) Committee, held a virtual press conference with health care workers in Central and Eastern Washington to sound the alarm on the massive, steep cuts to Medicaid that House and Senate Republicans are right now working to pass via the budget reconciliation process, which requires only a simple majority to pass.

    Nearly 80 million Americans nationwide rely on Medicaid and the Children’s Health Insurance Program (CHIP) for their health coverage and access to care, including over 1.8 million people in Washington state who are enrolled in Apple Health, Washington state’s Medicaid program. In Washington state, 47 percent of children, one in six adults, three in five nursing home residents, and three in eight people with disabilities are covered by Apple Health. House Republicans’ budget proposal directs cuts of at least $880 billion to Medicaid and other health care programs, which would have devastating consequences for Washington state’s health care system—especially in Washington’s 4th and 5th Congressional Districts, which have the highest proportions of populations who rely on Medicaid in the state.

    Republicans have offered various proposals to drastically cut Medicaid, all of which would mean cutting services and kicking people off their health care coverage. For example, 782,000 Washingtonians, or 42 percent of adults on Medicaid in Washington state, would be at risk of losing coverage if Republicans institute so-called work requirements, which been proven not to increase employment—but rather strip health coverage from people with low incomes, most of whom are already working full or part-time, or not working due to circumstances like school or caregiving responsibilities. Reducing the federal match rate for states like Washington that expanded Medicaid under the Affordable Care Act, another idea that has been discussed, would force Washington state to spend $2,754,000,000 more to maintain its Medicaid expansion, and threaten coverage for 647,416 people in Washington. Removing or lowering the 50 percent floor on federal Medicaid match rates would shift costs to states dramatically, and would mean Washington state would have to pay an additional $1,197,000,000, or 18 percent every year.

    “Right now, in Washington D.C., House Republicans just voted for $880 billion dollars in cuts directed at Medicaid—for reference—that is more than all of federal Medicaid spending in 2023! Cutting that deep comes with its own cost—one paid for by Washington state families,” Senator Murray said on today’s press call. “Hospitals will close their doors as this funding drops. Moms and babies will lose health care coverage. They’ll wonder how to get postpartum care or pay for a checkup if their sick child desperately needs it. Seniors will be cut off from home care services and forced out of long-term care facilities. Families in our rural communities will have to travel further than ever for health care. Children and teens who need lifesaving mental health care will suffer. People with disabilities and caregivers will be cut off from support they need. Emergency response times will skyrocket… Republicans need to stop listening to Donald Trump and Elon Musk who want tax breaks for their billionaire buddies, and start listening to their constituents who just want to stay on their health care.”

    “As an ICU nurse in the Yakima area, I am deeply concerned about the impact this is going to have on our community and the patients we serve. It will be devastating to our most vulnerable populations who, without Medicaid, will lose access to care. Our already burdened emergency rooms will be overrun.  Millions of lives literally depend on this critical lifeline,” said Julia Barcott, a nurse in Yakima who participated in the press call.

    “Dismantling Medicaid would mean that patients no longer have access to regular preventive healthcare to manage chronic disease, to access crucial prescriptions, or to receive mental, behavioral, and oral health services.  Medicaid coverage ensures that our family members and neighbors receive the essential services they need to live healthy and fulfilling lives,” said Aaron Wilson, CEO of CHAS Health in Spokane. “If Medicaid is cut, there’s not a scenario where health systems don’t end up eliminating critical, lifesaving services and programs as a result of the financial repercussions it would cause. Medicaid cuts would be devastating to the more than 230,000 people living in both urban and rural communities of Eastern Washington who would no longer have access to health care services they need.”

    “I live in the Yakima community. I’m a home care provider, and I transport people to live saving treatments. I’m really upset about looming Medicaid cuts; my clients are worried that one day I won’t show up to work. The system is confusing enough, and they don’t understand what will happen. They don’t deserve this. I may be able to get a job somewhere else, but what about clients who depend on Medicaid funding to receive care, what’s going to happen to them? Where are they going to get the money for life saving care and treatments? Republican lawmakers don’t see who they’re impacting and what they’re doing,” said Nelly P. from Sunnyside, Washington, who participated in the press call today.

    “Republicans are laying the groundwork to slash trillions from Medicaid to give more tax breaks to billionaires, wealthy CEOs, and the biggest companies. The destruction from these cuts to Medicaid will not discriminate based on where you live or who you voted for. Every community has someone who counts on Medicaid, but rural communities in particular will suffer some of the greatest consequences. Millions stand to lose coverage and costs will go up.  Medicaid is a lifeline for rural hospitals and any cuts will further jeopardize the health and well-being of people across these communities. From rural communities to big cities, red states to blue states, Medicaid cuts will devastate millions of American families,” said Yvette Fontenot, Senior Advisor for Policy and Legislative Affairs at Protect Our Care.

    Nationwide, nearly half of children in America are enrolled in Medicaid and the Children’s Health Insurance Program (CHIP), and Medicaid pays for nearly half of births in the U.S. Medicaid also pays for services for 2 in 3 nursing home residents and pays for home-based services for close to 2 million seniors—allowing them to age safely at home—as well as close to 3 million people with disabilities and other health conditions. Cutting Medicaid will lead to accelerated hospital closures, particularly in rural areas. Medicaid also covers 1 in 4 people with a mental health or substance use disorder, and serves as the largest payer for mental health and substance use services for communities nationwide amid an ongoing overdose and opioid epidemic made worse by an influx of fentanyl. Recent polling from Hart Research found that 71 percent of voters who backed Trump said cutting Medicaid would be unacceptable and voters overall were even more opposed to it, with 82 percent saying so.

    Senator Murray’s full remarks, as delivered on today’s press call, are below and video is HERE:

    “Well, good morning to everyone, and thank you so much for joining this call today. This is really important. Right now, in Washington state—1.8 million people are covered on their health care through Medicaid. But right now, in Washington D.C.—House Republicans just voted for $880 billion dollars in cuts directed at Medicaid.

    “For reference—that is more than all of federal Medicaid spending in 2023! Cutting that deep comes with its own cost—one paid for by Washington state families.

    “Hospitals will close their doors as this funding drops.

    “Moms and babies will lose health care coverage. They’ll wonder how to get post-partum care or pay for a checkup if their sick child desperately needs it.

    “Seniors will be cut off from home care services and forced out of long-term care facilities.

    “Families in our rural communities will have to travel further than ever for health care.

    “Children and teens who need lifesaving mental health care will suffer.

    “People with disabilities and caregivers will be cut off from support they need.

    “Emergency response times will skyrocket—from closures which cost precious time as the nearest ER gets further away, and crowding, as patients put off preventive care they can no longer afford until it causes problems that they can no longer ignore.

    “Republicans need to stop listening to Donald Trump and Elon Musk who want tax breaks for their billionaire buddies—and start listening to their constituents who just want to stay on their health care.

    “Because if they did—maybe they would realize Medicaid is a lifeline for people in red and blue communities alike. In fact, 70 percent of people who voted for Trump said cuts to Medicaid would be unacceptable.

    “Right here in Washington state, the two districts with the most people covered through Medicaid and CHIP are both represented by Republicans.

    “And yet—House Republicans are charging ahead with cutting Medicaid by $880 billion in order to give tax breaks to billionaires. How are they ever going to explain that to folks back home?

    “Here’s another question to consider: How many billionaires are there in the 4th Congressional District?

    “How many billionaires are in the 5th District? Well, that’s a genuine question—and I want you to know I looked, and I looked—and the best I can tell, it’s pretty much next to none.

    “But you want to know how many people in the 4th District are on Medicaid? 250,000 people in the 4th District.

    “You know how many people in the 5th District are on Medicaid? 200,000 people.

    “One-in-five people in Washington state are covered by Medicaid—including three-in-eight people with disabilities, three-in-five seniors, and nearly half of all children!

    “Are Republicans really going to shut Washington state families out of the doctor’s office so they can roll out the red carpet for billionaires?

    “Well, the good news is, we still have a long road ahead before the final passage of these devastating cuts. And at every step of that road—I am going to be doing everything I can to protect health care for our families.

    “I will be lifting up the voices of families in Washington state. Every voice and every story will matter. Every phone call, every letter could make the difference.

    “So I am going to be making sure that, at the very least, our Republican House colleagues hear from the constituents they are hurting.

    “And I’m really proud today to be joined by constituents of mine from the 4th and 5th districts and to hear from them. So with that, I’m going to turn it over to Aaron who can speak about this—so Aaron, thank you for being with us today.”

    MIL OSI USA News

  • MIL-OSI United Nations: Gaza: Despite challenges, UNRWA says ‘unparalleled progress’ made during ceasefire

    Source: United Nations 2

    Peace and Security

    Since the ceasefire began in Gaza on 19 January, “unparalleled progress” has been made in providing desperately needed aid to families across the devastated enclave, said UN agency for Palestine refugees, UNRWA, on Thursday.

    Agency teams have worked around the clock to provide services to a people who are overwhelmed following 15 months of constant bombardment, forced displacement, and lack of critical supplies, the agency said in a press release.

    This reflects UNRWA’s commitment to supporting families in Gaza through this unprecedented humanitarian crisis,” said Sam Rose, UNRWA’s acting director of Gaza Affairs, speaking from an UNRWA health centre in southern Gaza.

    “Despite every political and logistical challenge to the Agency, UNRWA remains resolute in its mission to provide essential services to families who need them now more than ever.”

    Last October, Israel’s parliament, the Knesset, adopted two bills banning UNRWA from working in Israeli territory and enforcing a no-contact policy between national authorities and agency representatives. The laws took effect in January.

    Two million reached

    In a significant milestone, and in close coordination with other humanitarian partners, UNRWA has now provided food assistance to two million people, or over 90 per cent of the population, helping to bring some improvement to overall food security.

    The agency has also restored healthcare access to nearly 180,000 people in Khan Younis, Rafah and Gaza City through the re-opening of health centres.

    In addition, agency teams reached more than half a million with blankets, mattresses, floor mats, clothes, cooking equipment, and tarpaulins to protect from the rain.

    All agencies scale up support

    The recent polio campaign in Gaza concluded successfully, reaching over 600,000 children under the age of 10, UN Spokesperson Stéphane Dujarric told journalists at UN Headquarters in New York on Thursday.

    The World Health Organization (WHO) provided supplies to three hospitals and five health partners, benefiting 250,000 people across the Strip. Additionally, WHO supported the expansion of triage and emergency departments in Al-Shifa hospital with tents and 20 extra beds.

    Children’s agency UNICEF has delivered essential health kits, paediatric medicines, and newborn supplies for over 20,000 people at Al Awda Hospital in northern Gaza.

    UN partners have also scaled up food security, distributing 860,000 cooked meals daily – a 10 per cent increase from the previous week.

    Back to school, for some

    The World Food Programme (WFP) has made subsidised bread available at 24 retail shops in the South and re-established four food distribution points in the north.

    Efforts to improve water and sanitation continue, with two water points established and expanded in North Gaza governorate, and two sections of water networks repaired in Khan Younis.

    As of Wednesday, 100,000 children have enrolled in school, marking a return to in-person learning after 16 months. A total of 165 public schools have reopened across Gaza.

    West Bank emergency: 40,000 forcibly displaced

    In the West Bank, Israeli forces’ operations in Jenin, Tulkarm, and Tubas have led to further casualties and displacement, hindering access to essential services.

    The UN stresses the importance of respecting international law and protecting civilians.

    Listen below to audio from Ajith Sunghay who is the top UN human rights official for the Occupied Palestinian Territory. He told UN News on Thursday that with 40,000 now forcibly displaced from refugee camps in the West Bank, it seems “return is not an option” for at least a year as Israel forces dig in.

    Soundcloud

    MIL OSI United Nations News

  • MIL-OSI USA: The Boilermakers Vacation Trust: Take control of your vacation payouts

    Source: US International Brotherhood of Boilermakers

    Following are important updates from the Boilermakers Vacation Trust.

    Third-party administrator update
    Effective June 1, 2024, the Boilermakers Vacation Trust transitioned to a new third-party administrator, Health Services and Benefits Administrators (HS&BA). All future correspondence and mailings should be directed to HS&BA at the following address: 4160 Dublin Blvd, Suite 400, Dublin, CA 94568

    New member portal
    HS&BA is excited to introduce an enhanced, user-friendly member portal, designed to provide you with easy access to your Vacation Trust information. The portal allows you to conveniently view your vacation balance, payout history, and work history, with additional features coming soon. This service is faster, more efficient, and available at your convenience. Be sure to register today at bvtportal.hsba.com.

    If you have any questions, contact the administrative office at 1-800-833-2682 or via email at Bvtinfo@hsba.com. 

    ACH signup for faster payouts
    To expedite your 2025 payout and all future payouts, users should complete and return the ACH form to HS&BA or email it to bvtinfo@hsba.com. By submitting the ACH form, you can opt for direct deposit, ensuring your 2025 payout and all future payouts are remitted directly to your designated account—eliminating the need for a paper check. Please note: Your ACH form must be received no later than September 30, 2025, in order to receive your 2025 payout electronically. 

    For a copy of the ACH form, as well as additional resources, visit boilermakers.org/members/resources/vacation-trust or contact HS&BA using the contact information provided above.

    MIL OSI USA News

  • MIL-OSI: Royalty Pharma to Present at TD Cowen’s 45th Annual Health Care Conference

    Source: GlobeNewswire (MIL-OSI)

    NEW YORK, Feb. 27, 2025 (GLOBE NEWSWIRE) — Royalty Pharma plc (Nasdaq: RPRX) today announced that it will participate in a fireside chat at TD Cowen’s 45th Annual Health Care Conference on March 4, 2025 at 2:30 p.m. ET.

    The webcast will be accessible from Royalty Pharma’s “Events” page at https://www.royaltypharma.com/investors/events/. The webcast will also be archived for a minimum of thirty days.

    About Royalty Pharma

    Founded in 1996, Royalty Pharma is the largest buyer of biopharmaceutical royalties and a leading funder of innovation across the biopharmaceutical industry, collaborating with innovators from academic institutions, research hospitals and non-profits through small and mid-cap biotechnology companies to leading global pharmaceutical companies. Royalty Pharma has assembled a portfolio of royalties which entitles it to payments based directly on the top-line sales of many of the industry’s leading therapies. Royalty Pharma funds innovation in the biopharmaceutical industry both directly and indirectly – directly when it partners with companies to co-fund late-stage clinical trials and new product launches in exchange for future royalties, and indirectly when it acquires existing royalties from the original innovators. Royalty Pharma’s current portfolio includes royalties on more than 35 commercial products, including Vertex’s Trikafta, GSK’s Trelegy, Roche’s Evrysdi, Johnson & Johnson’s Tremfya, Biogen’s Tysabri and Spinraza, AbbVie and Johnson & Johnson’s Imbruvica, Astellas and Pfizer’s Xtandi, Novartis’ Promacta, Pfizer’s Nurtec ODT and Gilead’s Trodelvy, and 15 development-stage product candidates. For more information, visit www.royaltypharma.com.   

    Royalty Pharma Investor Relations and Communications

    +1 (212) 883-6637
    ir@royaltypharma.com

    The MIL Network

  • MIL-OSI USA: Ahead of Confirmation Vote for Sec. of Education Linda McMahon, Senator Markey Introduces Legislation to Protect Federal Funding for Public Schools

    US Senate News:

    Source: United States Senator for Massachusetts Ed Markey
    Bill Text (PDF)
    Washington (Feb 27, 2025) – Senator Edward J. Markey (D-Mass.), member of the Senate Health, Education, Labor, and Pensions (HELP) Committee, today introduced legislation to protect federal funding for public schools during the length of the Trump administration. The No Cuts to Public Schools Act would safeguard funds that allow public schools to serve low-income students, English learners, students with disabilities, homeless students, and students attending rural schools.
    “Make no mistake – President Trump and Linda McMahon are mounting a full-scale attack on the public school system. The Trump administration and congressional Republicans want to slash public school funding and leave communities to deal with the fallout,” said Senator Markey. “Public schools are the cornerstones of our communities, the equalizers of opportunity and sources of hope for students, and the bedrock of our democracy. Federal funding to public schools must be protected from Trump’s pro-privatization, anti-student agenda.”
    “Public schools are the latest battleground in the Trump administration’s war between the billionaires and regular working people. We need federal policy that puts kids first and creates opportunities and pathways to a better life. It will take decades for our families, our educators, our economy, our democracy and our nation’s standing to recover from this reckless and thoughtless destruction of public education in America,” said American Federation of Teachers Massachusetts President Jessica Tang. “Educators know dismantling the Department of Education and slashing federal funding or replacing them with block grants would be catastrophic, especially for the Commonwealth’s most vulnerable children – like the over 183,000 students with disabilities receiving support through IDEA, the over 41,000 infants and toddlers who receive Early Intervention, and the hundreds of schools with disproportionate levels of low-income students that rely on $206 million in Title I funding. Without intervention, we stand to lose generations of students who will be left behind.”
    “One of America’s greatest achievements is providing universal public education to every inhabitant in the country. Educating our populace is the source of this nation’s collective economic, cultural, and civic strength. And it takes a broad commitment across local, state and federal governments to provide universal public education,” said Max Page, President of the Massachusetts Teachers Association. “Public schools depend on federal funds, especially in guaranteeing quality education for those who need the support the most – low-income students, students with disabilities, English-language learners, and many more. We heard the nominee for Secretary of Education say that there is no intention by the Trump administration to cut funding for public schools. Thus, we expect – and urge – Congress to show strong bipartisan support for the No Cuts to Public Schools Act so that we can protect our beloved and essential public schools.”
    “Federal funding is critical for daily educational opportunities for our children. Currently, 10% of Massachusetts public school funding comes from federal programs. Across the Commonwealth, school committees and school administrations are grappling with historic inflationary pressures and increased costs,” said Jason Fraser, Title of the Massachusetts Association of School Committees. “School districts are struggling just to maintain level-service budgets. Any decrease in federal funding for public education would be devastating to public school students whose futures depend on it.”
    The No Cuts to Public Schools Act requires Congress to appropriate federal formula funding for education at Fiscal Year 2024 levels or higher through Fiscal Year 2027. In Fiscal Year 2024 in Massachusetts, the Department of Education provided more than $720 million to support 1,800 K-12 schools and more than 926,000 students, including:
    $366 million in annual funding for 182,000 students with disabilities – reflecting 20 percent of Massachusetts’s student population;
    $289 million in annual funding for schools enrolling 425,000 students from low-income backgrounds – reflecting 46 percent of Massachusetts’s student population;
    $20.5 million in annual funding for about 97,000 English learners – reflecting 10 percent of Massachusetts’s student population; 
    $1.5 million in annual funding for students enrolled in rural schools; and
    $812,000 in annual funding to support children living on military bases or Native American reservations.
    Linda McMahon, President Trump’s nominee to serve as Secretary of Education, was voted out of the HELP Committee on Thursday, February 20th, along party lines, 12-11. At her hearing before the HELP Committee, Senator Markey questioned McMahon on whether or not she would commit to cutting public education if Donald Trump directed her to do so. McMahon refused to answer. Her nomination is expected to come to a vote of the full Senate in coming days.
    On February 6, 2024, Senator Markey led members of the Massachusetts congressional delegation, the Massachusetts Teachers Association, American Federation of Teachers Massachusetts, Massachusetts Association of School Committees, and Massachusetts Association of School Superintendents in a joint statement after President Trump vowed to dismantle the Department of Education. 

    MIL OSI USA News

  • MIL-OSI United Nations: 27 February 2025 Departmental update Protecting millions of vulnerable people from essential hiv service disruptions

    Source: World Health Organisation

    Prevention, testing and treatment services for HIV, viral hepatitis and sexually transmitted infections (STI) have driven unprecedented progress in improving population health over the past two decades, with millions of new HIV infections and AIDS-related deaths averted.

    Foreign aid investments in the global HIV response, such as the United States President’s Emergency Plan for AIDS Relief (PEPFAR) and the Global Fund on AIDS, TB and Malaria, have been pivotal to this success, also contributing significantly to progress towards elimination of hepatitis B and C, and STI control. However, abrupt disruptions to foreign aid and service delivery threaten these gains, putting millions of people at risk – especially people living with HIV and key and vulnerable populations.

    Many essential evidence-based prevention interventions, including HIV pre-exposure prophylaxis (PrEP), harm reduction services for people who inject drugs, and community-led programmes have been permanently halted.

    Early reports shared with WHO indicate that prevention and treatment services for key populations are those most affected. Reports include the closure of health centres delivering prevention, testing and treatment interventions for key populations previously supported by U.S. funding. These disruptions are resulting in staffing shortages, supply chain interruptions, and increased barriers to access, leaving key populations – including gay men and other men who have sex with men, sex workers, people who inject drugs, people in prisons, and trans and gender diverse individuals – vulnerable to infection and death, as well as increased stigma and discrimination.

    These developments compromise the ability of service providers to deliver on foundational WHO recommendations that: 

    • all people living with HIV should receive same-day antiretroviral treatment (ART) both to improve their health and to prevent further transmission by achieving sustained viral load suppression; 
    • there should be uninterrupted access to ART for all populations, including key populations living with HIV, during service disruptions; and 
    • person-centred approaches should be implemented and non-judgemental, discrimination-free environments created to foster trust, encourage consistent engagement in care, and support re-engagement for those who may have dropped out of treatment.

    Essential prevention services must remain a priority

    Ensuring that key populations can access prevention services that are free of discrimination is central to HIV, hepatitis and STI responses. Community-based services have consistently proven effective in increasing access and acceptability of programmes, buffering the effects of stigma and discrimination. These programmes facilitate the delivery of interventions that have been proven effective through rigorous scientific research, and that are recommended by WHO to protect people from new infections and harm.

    Core WHO-recommended essential prevention services include condoms and lubricants; testing for HIV, hepatitis B and C, and other STIs; HIV post-exposure prophylaxis and pre-exposure prophylaxis; and harm reduction activities including distribution of needles and syringes, of naloxone to prevent deaths from overdose, and opioid agonist maintenance treatment programmes.

    Commitment to sustainable financing and integrated health systems

    As countries and ministries of health work to mitigate the impact of service disruptions, they must pursue long-term solutions, including sustainable domestic financing to protect these vital health services. This is essential for maintaining the downward trend in HIV incidence and mortality, and to progress toward hepatitis elimination and STI control. 

    WHO also emphasizes the value of an integrated approach to HIV, bringing together stigma and discrimination-free services for tuberculosis, viral hepatitis, sexual and reproductive health, and noncommunicable diseases under the umbrella of strong primary health care. Integrating HIV leads to resource optimization and improvements in overall population health. 

    WHO remains committed to supporting national governments, partners, and donors in adapting to shifting donor support to safeguard the health and well-being of those most vulnerable to HIV, viral hepatitis and STIs.

    MIL OSI United Nations News

  • MIL-OSI: SECU Foundation Initiates Phase Three Disaster Relief Package of $3.45 Million for Western North Carolina

    Source: GlobeNewswire (MIL-OSI)

    RALEIGH, N.C., Feb. 27, 2025 (GLOBE NEWSWIRE) — The SECU Foundation Board of Directors approved a third phase of Hurricane Helene disaster relief funding totaling $3.45 million for seven non-profit organizations assisting residents and communities in Western North Carolina (WNC). The funding will help address long-term housing needs, resources for at-risk groups, and organizational capacity to meet increased demand for services. Grantees include:

    • Baptists on Mission (Wake County) – $2 million to repair and rebuild up to 100 damaged homes across the western region, including drywall replacement, roof repair, HVAC replacement, and new flooring.
    • Asheville Buncombe Community Christian Ministry (Buncombe County) – $500,000 to increase facility capacity and expand staff resources to onboard and manage a corps of volunteers for delivering regional emergency and disaster relief services.
    • Note in the Pocket (Wake County) – $250,000 to support human resource expansion and deployment for training and volunteer coordination at WNC agencies and to secure temporary warehouse space to accelerate the timeline for processing donated clothing.
    • Mountain Projects (Haywood and Jackson Counties) – $200,000 to assist with organizational capacity to provide case management for the increased number of displaced individuals and families seeking emergency services.
    • Hospitality House of Northwest North Carolina (Watauga County) – $200,000 to assist with increased organizational capacity to provide financial crisis assistance, case management for responding to hurricane-related housing needs, and increased food services for displaced individuals and families in their seven-county service area.
    • Rutherford Housing Partnership (Rutherford County) – $200,000 to increase capacity to fund urgent home repairs, especially for those without insurance or who will not receive government assistance.
    • Crossnore Communities for Children (Avery County) – $100,000 to support trauma resiliency efforts for neighboring communities impacted by Hurricane Helene and restoration of the storm-damaged Crossnore campus to address trauma-related impact for the children and foster families it serves.

    SECU Foundation initially provided a relief package of $3.75 million, then in December added a second phase of giving at $1.75 million. This third phase brings the total to nearly $9 million for relief and recovery efforts.

    “We are so grateful to be able to provide additional funding to assist our Western North Carolina communities,” said SECU Foundation Board Chair Chris Ayers. “The grants made to these seven organizations will help address many crucial areas, including food, housing, and restoration of important services. We look forward to seeing the positive impacts of this funding on our neighbors who have been devastated by Hurricane Helene.”

    About SECU and SECU Foundation
    A not-for-profit financial cooperative owned by its members, and federally insured by the National Credit Union Administration (NCUA), SECU has been providing employees of the state of North Carolina and their families with consumer financial services for 87 years. SECU is the second largest credit union in the United States with $53 billion in assets. It serves more than 2.8 million members through 275 branch offices, 1,100 ATMs, Member Services Support via phone, www.ncsecu.org, and the SECU Mobile App. The SECU Foundation, a 501(c)(3) charitable organization funded by the contributions of SECU members, promotes local community development in North Carolina primarily through high-impact projects in the areas of housing, education, healthcare, and human services. Since 2004, SECU Foundation has made a collective financial commitment of over $300 million for initiatives to benefit North Carolinians statewide.

    Contact: Jama Campbell, Executive Director, secufoundation@ncsecu.org

    The MIL Network

  • MIL-OSI: SiriusPoint Announces Closing of CM Bermuda Transaction & Completion of Registered Secondary Offering of 4,106,631 Common Shares by Entities Associated with Daniel S. Loeb

    Source: GlobeNewswire (MIL-OSI)

    HAMILTON, Bermuda, Feb. 27, 2025 (GLOBE NEWSWIRE) — SiriusPoint Ltd. (“SiriusPoint”) (NYSE: SPNT), a global specialty insurer and reinsurer, announced today the closing of its previously announced transaction to repurchase all SiriusPoint common shares and warrants held by CM Bermuda Limited (“CM Bermuda”) for an aggregate purchase price of $733 million. The Company also announced today the completion of the previously announced registered secondary offering of 4,106,631 common shares by entities associated with Daniel S. Loeb (collectively, the “Loeb Entities”).

    Following today’s closing, CM Bermuda has no remaining ownership interest in SiriusPoint and ceases to have any representation on, or observer rights with respect to, SiriusPoint’s board of directors.

    The CM Bermuda transaction is immediately accretive to book value by 4% and is expected to be meaningfully accretive to SiriusPoint’s return on equity and earnings per share.

    As part of the registered secondary offering, SiriusPoint repurchased an aggregate of 500,000 of the common shares offered at the public offering price of $14 per share. Following the completion of the registered secondary offering and the cancellation of the CM Bermuda shares, the Loeb Entities own approximately 9.54% of SiriusPoint’s issued and outstanding common shares.

    SiriusPoint CEO, Scott Egan, said: “The completion of the transactions with CM Bermuda and the Loeb Entities follows a year of significant achievement for SiriusPoint during which we announced strong 2024 results. The completion of both transactions underlines the end of our major repositioning work, while the secondary offering reinforces the increasing investor interest in the business.

    The Company is well positioned to build on the continuing performance momentum of the past two years and drive further value creation for our shareholders in 2025 and beyond.”

    Contacts
    Investor Relations
    Liam Blackledge, SiriusPoint
    Liam.Blackledge@siriuspt.com
    + 44 203 772 3082

    Media
    Sarah Hills, Rein4ce
    Sarah.Hills@rein4ce.co.uk
    + 44 7718 882011 

    About SiriusPoint

    SiriusPoint is a global underwriter of insurance and reinsurance providing solutions to clients and brokers around the world. Bermuda-headquartered with offices in New York, London, Stockholm and other locations, we are listed on the New York Stock Exchange (SPNT). We have licenses to write Property & Casualty and Accident & Health insurance and reinsurance globally. Our offering and distribution capabilities are strengthened by a portfolio of strategic partnerships with Managing General Agents and Program Administrators within our Insurance & Services segment. With over $2.6 billion total capital, SiriusPoint’s operating companies have a financial strength rating of A- (Excellent) from AM Best, S&P and Fitch, and A3 from Moody’s.

    FORWARD-LOOKING STATEMENTS

    We make statements in this press release that are forward-looking statements within the meaning of the U.S. federal securities laws. We intend these forward-looking statements to be covered by the safe harbor provisions for forward-looking statements in the U.S. federal securities laws. These statements involve risks and uncertainties that could cause actual results to differ materially from those contained in the forward-looking statements. These risks and uncertainties include, but are not limited to, the impact of general economic conditions and conditions affecting the insurance and reinsurance industry; the adequacy of our reserves; fluctuation in the results of operations; pandemic or other catastrophic event; uncertainty of success in investing in early-stage companies, such as the risk of loss of an initial investment, highly variable returns on investments, delay in receiving return on investment and difficulty in liquidating the investment; our ability to assess underwriting risk, trends in rates for property and casualty insurance and reinsurance, competition, investment market and investment income fluctuations; trends in insured and paid losses; regulatory and legal uncertainties; and other risk factors described in SiriusPoint’s Annual Report on Form 10-K for the period ended December 31, 2024.

    Except as required by applicable law or regulation, we disclaim any obligation to publicly update or revise any forward-looking statement to reflect changes in underlying assumptions or factors, or new information, data or methods, future events, or other circumstances after the date of this press release.

    The MIL Network

  • MIL-OSI: Definitive Healthcare Reports Financial Results for Fourth Quarter and Full Fiscal Year 2024

    Source: GlobeNewswire (MIL-OSI)

    FRAMINGHAM, Mass., Feb. 27, 2025 (GLOBE NEWSWIRE) — Definitive Healthcare Corp. (“Definitive Healthcare” or the “Company”) (Nasdaq: DH), an industry leader in healthcare commercial intelligence, today announced financial results for the quarter and full year ended December 31, 2024. 

    Fourth Quarter 2024 Financial Highlights:

    • Revenue was $62.3 million, a decrease of 6% from $65.9 million in Q4 2023. 
    • Net Loss, inclusive of goodwill impairment charges of $97.1 million, was $(84.7) million, or (136)% of revenue, compared to $(13.4) million or (20)% of revenue in Q4 2023.  
    • Adjusted Net Income was $12.6 million, compared to $10.6 million in Q4 2023.   
    • Adjusted EBITDA was $17.5 million, or 28% of revenue, compared to $19.8 million, or 30% of revenue in Q4 2023.  
    • Cash Flow from Operations was $8.1 million in the quarter.
    • Unlevered Free Cash Flow was $(1.6) million in the quarter.

    Full Year 2024 Financial Highlights:

    • Revenue was $252.2 million, compared to $251.4 million for the full year 2023. 
    • Net Loss, inclusive of goodwill impairment charges of $688.9 million, was $(591.4) million, or (235)% of revenue, compared to $(289.6) million, inclusive of goodwill impairment charges of $287.4 million, or (115)% of revenue for the full year 2023.  
    • Adjusted Net Income was $55.1 million, compared to $46.7 million for the full year 2023.   
    • Adjusted EBITDA was $79.1 million, or 31% of revenue, compared to $74.5 million, or 30% of revenue for the full year 2023.  
    • Cash Flow from Operations was $58.2 million for the full year 2024, up 41% from $41.2 million for the full year 2023.
    • Unlevered Free Cash Flow was $72.5 million for the full year 2024, up 6% from $68.6 million for the full year 2023.

    “Revenue and adjusted EBITDA were above the high end of our guided ranges despite challenging commercial conditions,” said Kevin Coop, CEO of Definitive Healthcare. “We executed on delivering new business growth, securing new logos and expanding relationships with existing customers through upsell and cross-sell opportunities. We are committed to building on this momentum as we move into 2025.

    “I’m also pleased to announce that after a thorough search process, Casey Heller, our Senior Vice President of Finance, will assume the role of Chief Financial Officer, effective on June 2, 2025. We expect a smooth transition as she is already responsible for a significant portion of the company’s financial functions, including all aspects of commercial and operational finance, FP&A, and investor relations. In addition, Rick Booth will continue to serve as CFO until early June to give us time to backfill Casey’s current position and enable her to hit the ground running as CFO with a full team.”

    Recent Business and Operating Highlights: 

    Customer Wins

    In the fourth quarter, Definitive Healthcare continued to win new logos across all end-markets, by providing the data, insights, and integrations that drive their critical business use cases. Customer wins for the quarter included:

    • A behavioral and mental health screening company is leveraging our reference, affiliation, and claims data to identify and build stronger relationships with the right doctors and practices. They’ve also created an AI-powered tool that leverages insights from our data to compare physician prescribing habits, helping health systems improve care and drive growth.
    • A leading U.S. supplier of industrial, medical, and specialty gases chose us to gain insights into complex IDN hierarchies, identify high-volume facilities, navigate the Healthcare RFP process, and expand into new markets like surgery centers and post-acute facilities. This partnership also helps them connect with key nursing, procurement, and purchasing executives at both the facility and group purchasing organization (GPO) levels.
    • A large pharmaceutical company is leveraging our data along with their own internal and third-party data inside a robust master data management (MDM) system they have built, to develop a sophisticated patient and provider segmentation machine learning model, along with a next-best action program, to support the launch of a new pain medication. Definitive not only provides critical data and services to enable this integration, but our expertise also increases the value the customer derives from their existing platform investments.

    Business Outlook 

    Based on information as of February 27, 2025, the Company is issuing the following financial guidance.  

    First Quarter 2025:  

    • Revenue is expected to be in the range of $55.5 – $57.0 million. 
    • Adjusted Operating Income is expected to be in the range of $7.5 – $8.5 million. 
    • Adjusted EBITDA is expected to be in the range of $10.5 – $11.5 million, and 19 – 20% adjusted EBITDA margin. 
    • Adjusted Net Income is expected to be $3.0 – $4.0 million. 
    • Adjusted Net Income Per Diluted Share is expected to be approximately $0.02 per share on approximately 153.3 million weighted-average shares outstanding. 

    Full Year 2025:  

    • Revenue is expected to be in the range of $230.0 – $240.0 million.
    • Adjusted Operating Income is expected to be in the range of $49.0 – $53.0 million. 
    • Adjusted EBITDA is expected to be in the range of $61.0 – $65.0 million, for a full-year adjusted EBITDA margin ranging from 26 – 28%. 
    • Adjusted Net Income is expected to be $30.0 – $34.0 million. 
    • Adjusted Net Income Per Diluted Share is expected to be $0.19 – $0.22 per share on approximately 153.9 million weighted-average shares outstanding. 

    We do not provide a quantitative reconciliation of the forward-looking non-GAAP financial measures included in this press release to the most directly comparable GAAP measures due to the high variability and difficulty in predicting certain items excluded from these non-GAAP financial measures; in particular, the effects of equity-based compensation expense, taxes and amounts under the tax receivable agreement, deferred tax assets and deferred tax liabilities, and transaction, integration, and restructuring expenses. We expect the variability of these excluded items may have a significant and potentially unpredictable impact on our future GAAP financial results. 

    Conference Call Information 

    Definitive Healthcare will host a conference call today February 27, 2025, at 5:00 p.m. (Eastern Time) to discuss the Company’s full financial results and current business outlook. Participants may access the call at 1-877-358-7298 or 1-848-488-9244. Shortly after the conclusion of the call, a replay of this conference call will be available through March 29, 2025, at 1-800-645-7964 or 1-757-849-6722. The replay passcode is 1765#. A live audio webcast of the event will be available on Definitive Healthcare’s Investor Relations website at https://ir.definitivehc.com/.

    About Definitive Healthcare 

    At Definitive Healthcare, our passion is to transform data, analytics and expertise into healthcare commercial intelligence. We help clients uncover the right markets, opportunities and people, so they can shape tomorrow’s healthcare industry. Learn more at definitivehc.com.

    Forward-Looking Statements 

    This press release includes forward-looking statements that reflect our current views with respect to future events and financial performance. Such statements are provided under the “safe harbor” protection of the Private Securities Litigation Reform Act of 1995. Forward-looking statements include all statements that do not relate solely to historical or current facts, and can generally be identified by words or phrases written in the future tense and/or preceded by words such as “likely,” “will,” “should,” “may,” “anticipates,” “intends,” “plans,” “seeks,” “believes,” “estimates,” “expects,” “continues,” “assumes,” “would,” “potentially” or similar words or variations thereof, or the negative thereof, references to future periods, or by the inclusion of forecasts or projections, but these terms are not the exclusive means of identifying such statements. Examples of forward-looking statements include, but are not limited to, statements we make regarding our outlook, financial guidance, the benefits of our healthcare commercial intelligence solutions, our overall future prospects, customer behaviors and use of our solutions, the market, industry and macroeconomic environment, our plans to improve our operational and financial performance and our business, our ability to execute on our plans, customer growth, including our upsell and cross-sell opportunities, and our ability to successfully transition executive leadership. Forward-looking statements in this press release are based on our current expectations and assumptions regarding our business, the economy and other future conditions. Because forward-looking statements relate to the future, by their nature, they are subject to inherent uncertainties, risks and changes in circumstances that are difficult to predict. As a result, our actual results may differ materially from those contemplated by the forward-looking statements. Important factors that could cause actual results to differ materially from those in the forward-looking statements include the following: global geopolitical tension and difficult macroeconomic conditions; actual or potential changes in international, national, regional and local economic, business and financial conditions, including trade tensions, recessions, inflation, high interest rates, volatility in the capital markets and related market uncertainty; our inability to acquire new customers and generate additional revenue from existing customers; our inability to generate sales of subscriptions to our platform or any decline in demand for our platform and the data we offer; the competitiveness of the market in which we operate and our ability to compete effectively; the failure to maintain and improve our platform, or develop new modules or insights for healthcare commercial intelligence; the inability to obtain and maintain accurate, comprehensive or reliable data, which could result in reduced demand for our platform; the loss of our access to our data providers; the failure to respond to advances in healthcare commercial intelligence; an inability to attract new customers and expand subscriptions of current customers; our ability to successfully transition executive leadership; the possibility that our security measures are breached or unauthorized access to data is otherwise obtained; and the risks of being required to collect sales or other related taxes for subscriptions to our platform in jurisdictions where we have not historically done so.  

    Additional factors or events that could cause our actual performance to differ from these forward-looking statements may emerge from time to time, and it is not possible for us to predict all of them. Should one or more of these risks or uncertainties materialize, or should any of our assumptions prove incorrect, our actual financial condition, results of operations, future performance and business may vary in material respects from the performance projected in these forward-looking statements. 

    For additional discussion of factors that could impact our operational and financial results, refer to our Annual Report on Form 10-K for the fiscal year ended December 31, 2024 that will be filed following this earnings release, as well as our Current Reports on Form 8-K and other subsequent SEC filings, which are or will be available on the Investor Relations page of our website at ir.definitivehc.com and on the SEC website at www.sec.gov. 

    All information in this press release speaks only as of the date on which it is made. We undertake no obligation to publicly update this information, whether as a result of new information, future developments or otherwise, except as may be required by law. 

    Website 

    Definitive Healthcare intends to use its website as a distribution channel of material company information. Financial and other important information regarding the Company is routinely posted on and accessible through the Company’s website at https://www.definitivehc.com/. Accordingly, you should monitor the investor relations portion of our website at https://ir.definitivehc.com/ in addition to following our press releases, SEC filings, and public conference calls and webcasts. In addition, you may automatically receive email alerts and other information about the Company when you enroll your email address by visiting the “Email Alerts” section of our investor relations page at https://ir.definitivehc.com/. 

    Non-GAAP Financial Measures   

    We have presented supplemental non-GAAP financial measures as part of this earnings release. We believe that these supplemental non-GAAP financial measures are useful to investors because they allow for an evaluation of the Company with a focus on the performance of its core operations, including providing meaningful comparisons of financial results to historical periods and to the financial results of peer and competitor companies. Our use of these non-GAAP terms may vary from the use of similar terms by other companies in our industry and accordingly may not be comparable to similarly titled measures used by other companies and are not measures of performance calculated in accordance with GAAP. Our presentation of these non-GAAP financial measures are intended as supplemental measures of our performance that are not required by, or presented in accordance with, GAAP. These non-GAAP financial measures should not be considered as alternatives to loss from operations, net loss, earnings per share, or any other performance measures derived in accordance with GAAP or as measures of operating cash flows or liquidity. A reconciliation of GAAP to non-GAAP results has been provided in the financial statement tables included at the end of this press release. In evaluating our non-GAAP financial measures, you should be aware that in the future, we may incur expenses similar to those eliminated in these presentations.

    We refer to Unlevered Free Cash Flow, Adjusted EBITDA, Adjusted EBITDA Margin, Adjusted Gross Profit, Adjusted Gross Margin, Adjusted Operating Income, Adjusted Net Income and Adjusted Net Income Per Diluted Share as non-GAAP financial measures. These non-GAAP financial measures are not required by or prepared in accordance with generally accepted accounting principles in the U.S. (“GAAP”). These are supplemental financial measures of our performance and should not be considered substitutes for cash provided by (used in) operating activities, loss from operations, net (loss) income, net (loss) income margin, gross profit, gross margin, or any other measure derived in accordance with GAAP. 

    We define Unlevered Free Cash Flow as net cash provided by operating activities less purchases of property, equipment and other assets, plus cash interest expense, and cash payments related to transaction, integration, and restructuring related expenses, earnouts, and other non-core items. Unlevered Free Cash Flow does not represent residual cash flow available for discretionary expenditures since, among other things, we have mandatory debt service requirements. 

    We define EBITDA as earnings before debt-related costs, including interest expense, net, income taxes and depreciation and amortization. Adjusted EBITDA is defined as EBITDA adjusted to exclude certain items of a significant or unusual nature, including other income, net, equity-based compensation, transaction, integration, and restructuring expenses, goodwill impairments and other non-core expenses. Adjusted EBITDA Margin is defined as Adjusted EBITDA as a percentage of revenue. Adjusted EBITDA and Adjusted EBITDA Margin are key metrics used by management and our board of directors to assess the profitability of our operations. We believe that Adjusted EBITDA and Adjusted EBITDA Margin provide useful information to help investors to assess our operating performance because these metrics eliminate non-core and unusual items and non-cash expenses, which we do not consider indicative of ongoing operational performance. We believe that these metrics are helpful to investors in measuring the profitability of our operations on a consolidated level.  

    We define Adjusted Gross Profit as gross profit excluding acquisition-related amortization and equity-based compensation costs and Adjusted Gross Margin is defined as Adjusted Gross Profit as a percentage of revenue. Adjusted Gross Profit and Adjusted Gross Margin are key metrics used by management and our board of directors to assess our operations. We exclude acquisition-related depreciation and amortization expenses as they have no direct correlation to the cost of operating our business on an ongoing basis. A small portion of equity-based compensation is included in cost of revenue in accordance with GAAP but is excluded from our Adjusted Gross Profit calculations due to its non-cash nature.  

    We define Adjusted Operating Income as loss from operations plus acquisition related amortization, equity-based compensation, transaction, integration, and restructuring expenses, goodwill impairments and other non-core expenses.  

    We define Adjusted Net Income as Adjusted Operating Income less interest (expense), income net, recurring income tax (provision) benefit, foreign currency gain (loss), and tax impacts of adjustments. We define Adjusted Net Income Per Diluted Share as Adjusted Net Income divided by diluted outstanding shares. 

    In evaluating our non-GAAP financial measures, you should be aware that in the future we may incur expenses similar to those eliminated in these presentations. 

    Investor Contact: 
    Brian Denyeau 
    ICR for Definitive Healthcare 
    brian.denyeau@icrinc.com
    646-277-1251 

    Media Contact: 
    Bethany Swackhamer
    bswackhamer@definitivehc.com

     
    Definitive Healthcare Corp.
    Consolidated Balance Sheets
    (amounts in thousands, except number of shares and par value; unaudited)
             
        December 31, 2024   December 31, 2023
    Assets        
    Current assets:        
    Cash and cash equivalents   $ 105,378     $ 130,976  
    Short-term investments     184,786       177,092  
    Accounts receivable, net     53,232       59,249  
    Prepaid expenses and other assets     13,040       13,120  
    Deferred contract costs     13,736       13,490  
    Total current assets     370,172       393,927  
    Property and equipment, net     3,791       4,471  
    Operating lease right-of-use assets, net     7,521       9,594  
    Other assets     2,300       2,388  
    Deferred contract costs     14,389       17,320  
    Intangible assets, net     297,933       323,121  
    Goodwill     393,283       1,075,080  
    Total assets   $ 1,089,389     $ 1,825,901  
    Liabilities and Equity        
    Current liabilities:        
    Accounts payable   $ 10,763     $ 5,787  
    Accrued expenses and other liabilities     40,896       51,529  
    Deferred revenue     93,344       97,377  
    Term loan     13,750       13,750  
    Operating lease liabilities     2,408       2,239  
    Total current liabilities     161,161       170,682  
    Long-term liabilities:        
    Deferred revenue     32       9  
    Term loan     229,368       242,567  
    Operating lease liabilities     7,586       9,372  
    Tax receivable agreements liability     49,511       127,000  
    Deferred tax liabilities     25,088       67,163  
    Other liabilities     9,449       9,934  
    Total liabilities     482,195       626,727  
             
    Equity:        
    Class A Common Stock, par value $0.001, 600,000,000 shares authorized, 113,953,554 and 116,562,252 shares issued and outstanding at December 31, 2024 and 2023, respectively     114       117  
    Class B Common Stock, par value $0.00001, 65,000,000 shares authorized, 39,439,198 and 39,375,806 shares issued and outstanding, respectively, at December 31, 2024, and 39,762,700 and 39,168,047 shares issued and outstanding, respectively, at December 31, 2023            
    Additional paid-in capital     1,085,445       1,086,581  
    Accumulated other comprehensive (deficit) income     (610 )     2,109  
    Accumulated deficit     (640,574 )     (227,450 )
    Noncontrolling interests     162,819       337,817  
    Total equity     607,194       1,199,174  
    Total liabilities and equity   $ 1,089,389     $ 1,825,901  
             
    Definitive Healthcare Corp.
    Consolidated Statements of Operations
    (amounts in thousands, except share amounts and per share data; unaudited)
                     
        Three Months Ended December 31,   Year Ended December 31,
          2024       2023       2024       2023  
    Revenue   $ 62,288     $ 65,932     $ 252,202     $ 251,415  
    Cost of revenue:                
    Cost of revenue exclusive of amortization (1)     10,967       9,447       40,684       34,740  
    Amortization     3,719       3,066       14,049       12,742  
    Gross profit     47,602       53,419       197,469       203,933  
    Operating expenses:                
    Sales and marketing (1)     20,372       23,605       83,807       94,534  
    Product development (1)     8,982       11,569       36,518       42,441  
    General and administrative (1)     8,503       16,567       49,267       58,861  
    Depreciation and amortization     9,413       9,935       37,618       39,008  
    Transaction, integration, and restructuring expenses     2,835       1,823       12,225       11,489  
    Goodwill impairment     97,060             688,854       287,400  
    Total operating expenses     147,165       63,499       908,289       533,733  
    Loss from operations     (99,563 )     (10,080 )     (710,820 )     (329,800 )
    Other (expense) income, net:                
    Interest expense, net     (303 )     (125 )     (245 )     (1,559 )
    Other income (expense), net     9,254       (1,982 )     77,320       23,179  
    Total other income (expense), net     8,951       (2,107 )     77,075       21,620  
    Loss before income taxes     (90,612 )     (12,187 )     (633,745 )     (308,180 )
    Benefit from (provision for) income taxes     5,895       (1,175 )     42,299       18,553  
    Net loss     (84,717 )     (13,362 )     (591,446 )     (289,627 )
    Less: Net loss attributable to noncontrolling interests     (25,642 )     (3,129 )     (178,322 )     (87,239 )
    Net loss attributable to Definitive Healthcare Corp.   $ (59,075 )   $ (10,233 )   $ (413,124 )   $ (202,388 )
    Net loss per share of Class A Common Stock:                
    Basic   $ (0.51 )   $ (0.09 )   $ (3.54 )   $ (1.79 )
    Diluted   $ (0.51 )   $ (0.09 )   $ (3.54 )   $ (1.79 )
    Weighted average Common Stock outstanding:                
    Basic     115,015,489       116,418,495       116,640,183       112,764,537  
    Diluted     115,015,489       116,418,495       116,640,183       112,764,537  
                     
    (1) Amounts include equity-based compensation expense as follows:      
                     
        Three Months Ended December 31,   Year Ended December 31,
          2024       2023       2024       2023  
    Cost of revenue   $ 171     $ 267     $ 839     $ 1,097  
    Sales and marketing     1,449       3,110       6,235       11,407  
    Product development     1,651       3,572       8,579       13,138  
    General and administrative     4,094       6,305       22,432       23,097  
    Total equity-based compensation expense   $ 7,365     $ 13,254     $ 38,085     $ 48,739  
                     
    Definitive Healthcare Corp.
    Consolidated Statements of Cash Flows
    (amounts in thousands; unaudited)
                   
      Three Months Ended December 31,   Year Ended December 31,
        2024       2023       2024       2023  
    Cash flows provided by (used in) operating activities:              
    Net loss $ (84,717 )   $ (13,362 )   $ (591,446 )   $ (289,627 )
    Adjustments to reconcile net loss to net cash provided by operating activities:              
    Depreciation and amortization   526       562       2,245       1,953  
    Amortization of intangible assets   12,606       12,439       49,422       49,797  
    Amortization of deferred contract costs   3,978       3,488       15,441       12,963  
    Equity-based compensation   7,365       13,254       38,085       48,739  
    Amortization of debt issuance costs   175       175       702       702  
    Provision for bad debt expense         554       947       1,374  
    Non-cash restructuring charges   192             1,239       155  
    Goodwill impairment charges   97,060             688,854       287,400  
    Tax receivable agreement remeasurement   (8,758 )     1,507       (76,909 )     (23,470 )
    Changes in fair value of contingent consideration   1,460       302       (1,780 )     302  
    Deferred income taxes   (6,061 )     1,015       (42,670 )     (18,713 )
    Changes in operating assets and liabilities:              
    Accounts receivable   (17,455 )     (18,559 )     5,693       811  
    Prepaid expenses and other assets   (627 )     (1,348 )     (7,832 )     (7,156 )
    Deferred contract costs   (4,481 )     (5,770 )     (12,756 )     (18,790 )
    Contingent consideration               (602 )      
    Accounts payable, accrued expenses, and other liabilities   (285 )     2,919       (5,458 )     1,330  
    Deferred revenue   7,157       7,533       (4,979 )     (6,580 )
    Net cash provided by operating activities   8,135       4,709       58,196       41,190  
    Cash flows (used in) provided by investing activities:              
    Purchases of property, equipment, and other assets   (10,901 )     (594 )     (12,344 )     (2,977 )
    Purchases of short-term investments   (111,634 )     (45,595 )     (304,304 )     (259,208 )
    Maturities of short-term investments   96,265       100,596       303,769       275,426  
    Cash paid for acquisitions and investments, net of cash acquired               (13,530 )     (45,023 )
    Net cash (used in) provided by investing activities   (26,270 )     54,407       (26,409 )     (31,782 )
    Cash flows used in financing activities:              
    Repayments of term loans   (3,437 )     (3,438 )     (13,750 )     (8,594 )
    Taxes paid related to net share settlement of equity awards   (278 )     (1,035 )     (7,548 )     (4,432 )
    Repurchases of Class A Common Stock   (7,329 )           (22,366 )      
    Payments of contingent consideration               (1,000 )      
    Payments under tax receivable agreement               (6,950 )     (246 )
    Payments of equity offering issuance costs                     (30 )
    Member distributions   (2,324 )     (1,589 )     (5,135 )     (12,282 )
    Net cash used in financing activities   (13,368 )     (6,062 )     (56,749 )     (25,584 )
    Net (decrease) increase in cash and cash equivalents   (31,503 )     53,054       (24,962 )     (16,176 )
    Effect of exchange rate changes on cash and cash equivalents   (728 )     462       (636 )     218  
    Cash and cash equivalents, beginning of year   137,609       77,460       130,976       146,934  
    Cash and cash equivalents, end of year $ 105,378     $ 130,976     $ 105,378     $ 130,976  
    Supplemental cash flow disclosures:              
    Cash paid during the period for:              
    Interest $ 3,310     $ 3,684     $ 14,196     $ 14,456  
    Income taxes                     136  
    Acquisitions:              
    Net assets acquired, net of cash acquired $     $     $ 13,675     $ 52,678  
    Working capital adjustment receivable               (145 )     145  
    Contingent consideration                     (7,800 )
    Net cash paid for acquisitions $     $     $ 13,530     $ 45,023  
                   
    Supplemental disclosure of non-cash investing activities:              
    Capital expenditures included in accounts payable and accrued expenses and other liabilities $ 6,870     $ 47     $ 6,870     $ 47  
                   
    Definitive Healthcare Corp.
    Reconciliations of Non-GAAP Financial Measures to Closest GAAP Equivalent
                   
    Reconciliation of GAAP Operating Cash Flow to Unlevered Free Cash Flow
    (in thousands; unaudited)
                   
      Three Months Ended December 31,   Year Ended December 31,
        2024       2023       2024       2023  
    Net cash provided by operating activities $ 8,135     $ 4,709     $ 58,196     $ 41,190  
    Purchases of property, equipment, and other assets   (10,901 )     (594 )     (12,344 )     (2,977 )
    Interest paid in cash   3,310       3,684       14,196       14,456  
    Transaction, integration, and restructuring expenses paid in cash (a)   1,183       1,521       12,766       11,032  
    Earnout payment (b)               602        
    Other non-core items (c)   (3,311 )     1,803       (936 )     4,875  
    Unlevered Free Cash Flow $ (1,584 )   $ 11,123     $ 72,480     $ 68,576  
                   
    (a) Transaction and integration expenses paid in cash primarily represent legal, accounting, and consulting expenses related to our acquisitions. Restructuring expenses paid in cash relate to our restructuring plans announced in the first quarter of 2024 and the first and third quarters of 2023, along with exit costs related to office relocations.
    (b) Earnout payment represents final settlement of contingent consideration included in cash flow from operations.
    (c) Other non-core items represent expenses driven by events that are typically by nature one-time, non-operational, and/or unrelated to our core operations.
                   
    Reconciliation of GAAP Net Loss to Adjusted Net Income and
    GAAP Operating Loss to Adjusted Operating Income
    (in thousands, except per share amounts; unaudited)
                   
      Three Months Ended December 31,   Year Ended December 31,
        2024       2023       2024       2023  
    Net loss $ (84,717 )   $ (13,362 )   $ (591,446 )   $ (289,627 )
    Add: Income tax (benefit) provision   (5,895 )     1,175       (42,299 )     (18,553 )
    Add: Interest expense, net   303       125       245       1,559  
    Add: Other (income) expense, net   (9,254 )     1,982       (77,320 )     (23,179 )
    Loss from operations   (99,563 )     (10,080 )     (710,820 )     (329,800 )
    Add: Amortization of intangible assets acquired through business combinations   11,370       11,510       45,239       46,099  
    Add: Equity-based compensation   7,365       13,254       38,085       48,739  
    Add: Transaction, integration, and restructuring expenses   2,835       1,823       12,225       11,489  
    Add: Goodwill impairment   97,060             688,854       287,400  
    Add: Other non-core items   (3,311 )     1,803       (936 )     4,875  
    Adjusted Operating Income   15,756       18,310       72,647       68,802  
    Less: Interest expense, net   (303 )     (125 )     (245 )     (1,559 )
    Less: Recurring income tax benefit (provision) (a)   60       (1,175 )     669       1,374  
    Less: Foreign currency gain (loss)   496       (475 )     411       (291 )
    Less: Tax impacts of adjustments to net loss   (3,458 )     (5,886 )     (18,341 )     (21,633 )
    Adjusted Net Income $ 12,551     $ 10,649     $ 55,141     $ 46,693  
    Shares for Adjusted Net Income Per Diluted Share (b)   154,404,162       155,560,756       155,853,282       154,836,706  
    Adjusted Net Income Per Diluted Share $ 0.08     $ 0.07     $ 0.35     $ 0.30  
                   
    (a) Recurring income tax benefit (provision) excludes the income tax impact of goodwill impairment charges.
    (b) Diluted Adjusted Net Income Per Share is computed by giving effect to all potential weighted average Class A common stock and any securities that are convertible into Class A common stock, including Definitive OpCo units and restricted stock units. The dilutive effect of outstanding awards and convertible securities is reflected in diluted earnings per share by application of the treasury stock method assuming proceeds from unrecognized compensation as required by GAAP. Fully diluted shares are 162,498,543 and 163,153,442 as of December 31, 2024 and 2023, respectively.
                   
    Reconciliation of GAAP Gross Profit and Margin to Adjusted Gross Profit and Margin
    (in thousands; unaudited)
                                     
        Three Months Ended December 31,   Year Ended December 31,
          2024       2023       2024       2023  
    (in thousands)   Amount   % of Revenue   Amount   % of Revenue   Amount   % of Revenue   Amount   % of Revenue
    Reported gross profit and margin   $ 47,602   76 %   $ 53,419   81 %   $ 197,469   78 %   $ 203,933   81 %
    Amortization of intangible assets resulting from acquisition-related purchase accounting adjustments     2,483   4 %     2,137   3 %     9,866   4 %     9,044   4 %
    Equity-based compensation costs     171   0 %     267   0 %     839   0 %     1,097   0 %
    Adjusted gross profit and margin   $ 50,256   81 %   $ 55,823   85 %   $ 208,174   83 %   $ 214,074   85 %
                                     
    Reconciliation of GAAP Net Loss to Adjusted EBITDA
    (in thousands; unaudited)
                                   
      Three Months Ended December 31,   Year Ended December 31,
        2024       2023       2024       2023  
      Amount   % of Revenue   Amount   % of Revenue   Amount   % of Revenue   Amount   % of Revenue
    Net loss and margin $ (84,717 )     (136 )%   $ (13,362 )     (20 )%   $ (591,446 )   (235 )%   $ (289,627 )   (115 )%
    Interest expense, net   303       0 %     125       0 %     245     0 %     1,559     1 %
    Income tax (benefit) provision   (5,895 )     (9 )%     1,175       2 %     (42,299 )   (17 )%     (18,553 )   (7 )%
    Depreciation & amortization   13,132       21 %     13,001       20 %     51,667     20 %     51,750     21 %
    EBITDA and margin   (77,177 )     (124 )%     939       1 %     (581,833 )   (231 )%     (254,871 )   (101 )%
    Other (income) expense, net (a)   (9,254 )     (15 )%     1,982       3 %     (77,320 )   (31 )%     (23,179 )   (9 )%
    Equity-based compensation (b)   7,365       12 %     13,254       20 %     38,085     15 %     48,739     19 %
    Transaction, integration, and restructuring expenses (c)   2,835       5 %     1,823       3 %     12,225     5 %     11,489     5 %
    Goodwill impairment (d)   97,060       156 %           0 %     688,854     273 %     287,400     114 %
    Other non-core items (e)   (3,311 )     (5 )%     1,803       3 %     (936 )   (0 )%     4,875     2 %
    Adjusted EBITDA and margin $ 17,518       28 %   $ 19,801       30 %   $ 79,075     31 %   $ 74,453     30 %
                                   
    (a) Primarily represents TRA liability remeasurement and foreign exchange gains and losses.
    (b) Equity-based compensation represents non-cash compensation expense recognized in association with equity awards made to employees and directors.
    (c) Transaction and integration expenses primarily represent legal, accounting, and consulting expenses and fair value adjustments for contingent consideration related to our acquisitions and strategic partnerships. Restructuring expenses relate to the 2024 Restructuring Plan and those we committed to during the first and third quarters of 2023, as well as impairment and restructuring charges related to office closures, relocations, and consolidations.
                                   
     
    Three Months Ended December 31,
      Year Ended December 31,                
    (in thousands)   2024       2023       2024       2023                  
    Merger and acquisition due diligence and transaction costs $ 919     $ 1,309     $ 3,329     $ 5,419                  
    Integration costs   176       129       1,115       934                  
    Fair value adjustment for contingent consideration   1,460       302       (1,780 )     302                  
    Restructuring charges for severance and other separation costs   88       83       8,097       4,679                  
    Office closure and relocation restructuring charges and impairments   192             1,464       155                  
    Total transaction, integration and restructuring expense $ 2,835     $ 1,823     $ 12,225     $ 11,489                  
                                   
    (d) Goodwill impairment charges represent non-cash, pre-tax, goodwill impairment charges. We experienced declines in our market capitalization as a result of sustained decreases in our stock price, which represented triggering events requiring our management to perform quantitative goodwill impairment tests multiple times in 2024 and during the third quarter of 2023. As a result of the impairment tests conducted in each respective period, we determined that the fair value of our single reporting unit was lower than its carrying value and, accordingly, recorded these impairment charges.
    (e) Other non-core items represent expenses driven by events that are typically by nature one-time, non-operational, and/or unrelated to our core operations. These expenses are comprised of non-core legal and regulatory costs isolated to unique and extraordinary litigation, legal and regulatory matters that are not considered normal and recurring business activity, including sales tax accrual adjustments inclusive of penalties and interest for sales taxes that we may have been required to collect from customers in 2024 and in certain previous years, and other non-recurring legal and regulatory matters. Other non-core items also include consulting fees and severance costs associated with strategic transition initiatives, as well as professional fees related to financing, capital structure changes, and other non-core items.
                                   
     
    Three Months Ended December 31,
      Year Ended December 31,                
    (in thousands)   2024       2023       2024       2023                  
    Non-core legal and regulatory $ (3,438 )   $ (60 )   $ (3,439 )   $ 2,370                  
    Consulting and severance costs for strategic transition initiatives   1     $ 1,977       2,219     $ 1,977                  
    Other non-core expenses   126       (114 )     284       528                  
    Total other non-core items $ (3,311 )   $ 1,803     $ (936 )   $ 4,875                  
                                   

    The MIL Network

  • MIL-OSI USA: UConn’s Visiting Externships for Students Underrepresented in Medicine (VESUM) and its Students are Thriving

    Source: US State of Connecticut

    Dr. Edison Martinez Monegro, 28, hails from San Juan, Puerto Rico where he attended the University of Puerto Rico San Juan Bautista School of Medicine. He is thriving in Connecticut at UConn School of Medicine as he completes his third year of general surgery residency training.

    He credits his residency success thanks to the growing Visiting Externships for Students Underrepresented in Medicine (VESUM) program at UConn School of Medicine and its strong mentorship.

    UConn School of Medicine general surgery resident Dr. Edison Martinez Monegro (Courtesy of Edison).

    He was just the second medical student in the new and growing VESUM program to match in a UConn residency. So far over forty students have visited UConn for externships over the past 8 years and eight have successfully matched to UConn for residency.

    Surgical resident Dr. Edison Martinez Monegro at UConn John Dempsey Hospital (Tina Encarnacion/UConn Health Photo).

    The VESUM program was founded and is directed by UConn’s Dr. Linda Barry, a recent recipient of the nation’s highest honor for mentorship from the President of the United States. VESUM is increasing diversity in academic medicine by offering externships to fourth-year medical students from groups underrepresented in medicine. It gives medical students a four-week insider’s view to various medical specialty fields and UConn Health before they choose their residency match.

    “Edison hails from Puerto Rico and has worked diligently to come to UConn and succeed as a surgical resident,” says Barry, professor of Surgery and Public Health Sciences at UConn School of Medicine, associate dean of Office of Multicultural and Community Affairs and associate director of the UConn Health Disparities Institute. “He is the second VESUM student to match and the first student to match for surgery at UConn Health.  Edison truly reflects the community we serve. I know the patients he cares for appreciate his genuine dedication and commitment.”

    Martinez Monegro first learned about the VESUM program as a third-year medical student while at the University of Puerto Rico through an email his dean shared about the UConn summer scholarship rotation opportunity.

    Martinez Monegro in his native Puerto Rico (Photo Courtesy of Edison).

    “I applied to VESUM, and I received a letter from Dr. Barry telling me she wanted to meet with me, and I was accepted. I was super excited!” said Martinez Monegro who had his UConn VESUM externship as a rising fourth year medical student within the Division of Vascular and Endovascular Surgery at UConn Health working closely with its faculty such as Chief Dr. Kwame Amankwah and Dr. Mina Boutros. “It was a very good experience. I learned a lot I didn’t know. The UConn rotation allowed for me to have greater exposure to the field of surgery and learn more about UConn too. I also met the residency program director and even the dean of the medical school. Most importantly, I got to see other current UConn residents in action.”

    He adds, “The VESUM program really prepared me for my residency. And, UConn, it just felt right for me. UConn was at the top of my list for my residency. I was excited when I got the call that I matched to UConn for general surgery.”

    “I made the right choice of coming to UConn,” he says heartwarmingly.  “Surgery residency is hard. You want the people around you to help you and make you feel at home. UConn does that. Dr. Barry has been amazing.”

    Puerto Rico, its culture, and its people are very important to Martinez Monegro.

    “Every year there are less and less physicians in Puerto Rico,” stresses Martinez Monegro, who attended as an undergraduate the University of Puerto Rico and its medical school too. “My first goal was to become a doctor to help with that shortage.”

    He was inspired to go into the surgery field also by the shows he saw on TV.

    At his White Coat Ceremony Dr. Martinez Monegro with his parents (Photo Courtesy of Edison).

    “I was always captivated by the surgeries in TV shows. As a senior in high school I shadowed a surgeon for a full day in the OR. Spending the day, tucked into the corner of the OR, I was amazed by it all. I thought I could work here. The OR felt like home. Surgery I realized is what I have to do.”

    Also, he says the Hartford area really does have it all. The Puerto Rican people of Hartford are at the heart of Martinez Monegro’s love of Connecticut too.

    “What I like about my residency at UConn is that we rotate though a mix of academic and community hospitals,” he says about the five area hospitals of UConn John Dempsey Hospital, Hartford Hospital, Connecticut Children’s, St. Francis Hospital, and Hospital of Central Connecticut.  “Hartford’s population is 40 percent Puerto Rican. I want to be able to practice medicine in a place where I can serve my people and speak my language of Spanish while at work.”

    Martinez Monegro believes a VESUM externship rotation experience is a great way to visit and learn more about a medical or surgical field and also UConn Health just like he did.

    “I learned the OR is where I like to be. It’s a long day, but I love learning, the responsibility of caring for our patients, and working with the UConn medical team. I am motivated every day to keep helping patients,” he says.

    UConn resident Dr. Edison Martinez Monegro with his parents in Puerto Rico (Photo Courtesy of Edison).

    He also applauds UConn School of Medicine for its longstanding work of diversifying the future health care workforce.

    “UConn has done an excellent job of diversifying medicine. We have residents of all different backgrounds in our residency programs,” Martinez Monegro. “For example, I speak Spanish, so my colleagues ask me for help translating for their patients sometimes. When I need help, funny enough I first ask my fellow residents to translate for me in their languages ranging from Russian to Arabic.”

    Dr. Edison Martinez Monegro (Tina Encarnacion/UConn Health Photo).

    His message to those applying to residency or in the thick of residency: “Enjoy what you do! Try to find new learning opportunities in everything you do!”

    MIL OSI USA News

  • MIL-OSI USA: Senator Collins, Bipartisan Group Introduce Bill to Expand Health Care Services in Rural and Underserved Areas

    US Senate News:

    Source: United States Senator for Maine Susan Collins
    Washington, D.C. – U.S. Senators Susan Collins, Amy Klobuchar (D-MN), Jacky Rosen (D-NV), and Thom Tillis (R-NC) reintroduced their bipartisan legislation to increase the number of doctors working in rural and medically underserved areas. The Conrad State 30 and Physician Access Reauthorization Act would reauthorize the Conrad 30 programs, which allow international doctors who have completed their residency training in the U.S. to remain in the country under the condition that they practice in areas experiencing physician shortages.
    “The Conrad 30 program allows international physicians who were educated in the United States to remain in our country and practice where there is an unmet need for health care professionals,” said Senator Collins. “This bipartisan reauthorization would expand access to care in rural and underserved communities, thereby improving health outcomes for more Mainers.”
    Generally, doctors from other countries working in America on J-1 visas are required to return to their home country after their residency has ended for two years before they can apply for another visa or green card. The Conrad 30 program allows doctors to stay in the United States without having to return home if they agree to practice in an underserved area for three years. The “30” refers to the number of doctors per state that can participate in the program.
    This legislation extends the Conrad 30 program for three years, improves the process for obtaining a visa, and allows for the program to be expanded beyond 30 slots if certain thresholds are met, while protecting small states’ slots. The bill also allows the spouses of doctors to work and provides worker protections to prevent the doctors from being mistreated. The legislation also allows physicians who serve in a Veterans Affairs (VA) facility or health professional shortage area for 5 years to get expedited consideration for a green card.
    The legislation has been endorsed by more than 50 organizations, including the American Medical Association, the American Hospital Association, the Association of American Medical Colleges, the American Academy of Neurology, the Association for Advancing Physician and Provider Recruitment, and Physicians for American Healthcare Access.
    “With the physician workforce crisis showing no signs of abating, the Conrad 30 program remains an important tool to help ensure patients, particularly in rural and underserved communities, continue to have access to physicians. The Conrad 30 program has expanded the physician workforce across all communities, yet it would benefit greatly from the long-term reauthorization and targeted policy improvements outlined in this legislation. Once again, Sens. Klobuchar and Collins have stepped up for patients and physicians, and we applaud them for introducing the Conrad State 30 and Physician Access Reauthorization Act,” said Bruce A. Scott, M.D., President, American Medical Association.
    “The Conrad 30 program continues to be a vital lifeline for rural and underserved communities facing physician shortages. However, without reforms, recruiting and retaining international medical graduates (IMGs) will become increasingly difficult. This reauthorization strengthens incentives for IMGs and streamlines the waiver process for employers, making it easier to recruit physicians in areas with persistent shortages. These updates will strengthen the U.S. position in the global competition for top medical talent and uphold access to care in underserved areas. Physicians for American Healthcare Access applauds Senators Klobuchar, Collins, Rosen, and Tillis for their leadership on this bipartisan legislation,” said Physicians for American Healthcare Access President Ram Alur, M.D.
    The full text of the bill can be read here.

    MIL OSI USA News

  • MIL-OSI USA: ICYMI: At Hearing, Warren Warns Republican Cuts to Medicaid Would Harm Millions of Americans Struggling with Opioid Addiction

    US Senate News:

    Source: United States Senator for Massachusetts – Elizabeth Warren

    February 27, 2025

    One study found that the health care and criminal justice systems save up to $100,000 over the course of a person’s life when they are treated with medication for opioid addiction. 

    “If Republicans really wanted to save money, they’d be expanding treatment to folks they claim they want to represent here, rather than ripping it away so that we can bankroll tax cuts for billionaires.”

    Video of Exchange (YouTube)

    Washington, D.C. – At a hearing of the Senate Committee on Aging, U.S. Senator Elizabeth Warren (D-Mass.) slammed Republican proposals to cut Medicaid, which would harm the millions of Americans struggling with opioid addiction who rely on Medicaid to receive treatment. Medicaid is the single largest payer of substance use disorder services in the entire country. 

    Republicans’ plan would pay for more tax cuts for billionaires by slashing Medicaid funding by over $800 billion.

    Dr. Malik Burnett, Assistant Professor in Addiction Medicine at the University of Maryland Midtown Campus, testified that capping Medicaid funding would limit patients’ options for addiction treatment. It would also reduce access to in-network providers for Medicaid patients as more providers would disenroll from the Medicaid network, denying patients the ability to access treatment close to where they live. 

    Dr. Burnett also testified that receiving opioid addiction treatment allows people to return to work sooner and become productive members of society, ultimately reducing strain on the social safety net. As a result, cutting Medicaid funding would actually force states to spend more. 

    Senator Warren called on Republicans in Congress to deliver real solutions to the constituents they represent instead of pushing for tax cuts for billionaires and large corporations while ripping away people’s health care.

    Transcript: Hearing to Examine Combating the Opioid Epidemic
    U.S. Senate Committee On Aging
    February 26, 2025

    Senator Elizabeth Warren: Thank you, Mr. Chairman, and thank you and Ranking Member Gillibrand for holding this hearing today. It’s a really important topic, and I appreciate the care with which you treat this issue. 

    Since 2017, the opioid epidemic has taken the lives of nearly half a million Americans. Their families—and so many more—need Congress to come up with real solutions. For example, I know Chairman Scott and I agree on the need to close a trade loophole that lets China ship fentanyl precursors into the country uninspected, and it’s time to put a stop to that.

    But, as we sit here today, President Trump and Congressional Republicans are working hard to advance budget legislation that would make the opioid epidemic worse, not better. They have proposals to cut over $800 billion from Medicaid, which is the largest single payer of substance use disorder services in the entire country. Why? So they can fund tax cuts for billionaires.

    Let’s be clear about this: slashing Medicaid funding either through per capita caps or back door cuts like work requirements in an area that already has work requirements would mean ripping away health care from millions of vulnerable Americans, including about a million people right now, who are getting treatment for their opioid addiction. 

    Dr. Burnett, you’ve worked on the front lines of the opioid crisis. You have helped countless people overcome addiction. I want to thank you for your work and express my admiration for that, but tell me, in this budget space, what percentage of your patients rely on Medicaid for their treatment?

    Dr. Malik Burnett, Assistant Professor in Addiction Medicine at the University of Maryland Midtown Campus: I would say, currently, about 80% of our patients rely on Medicaid for treatment. 

    Senator Warren: Wow. So, in other words, Medicaid, as I understand it, is not just one option for how people get treatment. It is the backbone of the entire system for treating opioid addiction. Is that fair? 

    Dr. Burnett: That’s a fair comment.

    Senator Warren: All right, and yet, Republicans are talking about gutting that system to the tune of nearly a trillion dollars. So, I’d like to look at just a little deeper level about what those cuts would actually mean for our country’s battle against the opioid crisis. Two of the policies proposed by House Republicans are capping Medicaid payments to states and imposing red tape like additional work requirements. 

    Dr. Burnett, can you just talk for a minute about how those changes would affect access to treatment if they were put into law? 

    Dr. Burnett: Absolutely. I think one, there was a recent Kaiser Family Foundation study that talks about the work requirements issue, and that actually almost 92% of people on Medicaid already are either working or involved in some sort of part-time or full-time work. So, the work requirements situation would just really add a lot of administrative burdens, ultimately resulting in people getting kicked off of Medicaid. 

    Senator Warren: So I just want to make sure we say that again: what proportion of people are now already subject to work requirements?

    Dr. Burnett: 92% 

    Senator Warren: 92%. All right, so adding more work requirements on top of this has what impact?

    Dr. Burnett: It would certainly increase the administrative burdens of keeping people on Medicaid. 

    Senator Warren: That’s right. And what’s the consequence of increasing those administrative burdens? 

    Dr. Burnett: They would lose access to their addiction.

    Senator Warren: That’s right. So, people just can’t get the paperwork filled out. More people fall by the wayside. I think that was the Arkansas experiment, as I recall. 

    Dr. Burnett: That’s correct. 

    Senator Warren: Yeah. But there’s another part to this as well. What about capping the funding?

    Dr. Burnett: Yeah, capping the funding would create two problems. One, it would definitely curtail the amount of choice that patients have relative to the types of addiction treatment that they would have, and then capping the funding would also create a network adequacy problem because more providers would disenroll from accepting patients on Medicaid, so patients would not have the ability to access treatment close to where they live.

    Senator Warren: Yeah, in fact, we don’t have to speculate on what the consequences would be. In states expanding Medicaid treatment for opioid addiction, it increased over four times faster than in states that refused the expansion. Meanwhile, Republican states that imposed so-called work requirements did not actually increase employment, because that was never the point. Instead, opioid overdoses went up and access to treatment actually went down. So look, there is no denying the critical role that Medicaid plays in fighting the opioid epidemic. Cutting that program is not just cruel, it’s totally backwards in what we’re trying to accomplish. 

    Might I ask one more question, Mr. Chairman? Thank you.

    Dr. Burnett, I want to ask about something you’ve done some scholarly work on and you’ve published. You’ve written extensively about the positive effects of investing in treatment and how that ultimately lowers costs down the line, so that if you cut the investments for treatment like cutting Medicaid, the question is, is that really going to save any money? 

    Dr. Burnett: No, I think, as I said in my testimony, people who experience treatment are much faster to return to work, be productive members of society, and ultimately not be a burden on the social safety net. So it would actually be more detrimental to cut Medicaid funding in terms of the amount of expenditure that states and public dollars would be needing to use.

    Senator Warren: So, this treatment gets people back to work, fewer trips to the emergency room?

    Dr. Burnett: Totally.

    Senator Warren: The long-term cost is that we save money by making these investments. One study found that for every patient treated with medication for opioid addiction, the government saves up to $100,000 over the course of that person’s lifetime. Let’s be clear: the budget cuts the Republicans are proposing are not about saving money. If Republicans really wanted to save money, they’d be expanding treatment to folks they claim they want to represent here, rather than ripping it away so that we can bankroll tax cuts for billionaires. 

    Families and communities across this country are counting on us to deliver real solutions to the opioid epidemic, not play politics, and I won’t stop fighting for that. Thank you very much. Thank you all for being here. Thank you, Mr. Chairman.

    MIL OSI USA News

  • MIL-OSI USA: Warner and Boozman Introduce Legislation to Expand Veteran Suicide Prevention Efforts

    US Senate News:

    Source: United States Senator for Commonwealth of Virginia Mark R Warner

    WASHINGTON – Today, U.S. Sens. Mark R. Warner (D-VA) and John Boozman (R-AR) introduced legislation to renew and expand the Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program, a Department of Veterans Affairs (VA)-administered program that provides essential funding for mental health outreach in veteran communities. The Fox Grant Program was created through a Warner- and Boozman-led bill, passed as part of the broader Commander John Scott Hannon Veterans Mental Health Care Improvement Act, and it has distributed millions in grants to community and veteran service organizations (VSOs), as well as mental health providers across the country. Without further intervention, the program is scheduled to sunset later this year.

    “Veterans put an enormous amount on the line to serve our nation, and we owe them the best benefits available when they come home – including robust mental health resources,” said Sen. Warner. “For the past several years, the Staff Sergeant Fox Grant Program has played an invaluable role getting organizations already doing life-saving mental health outreach more support, including many incredible organizations in Virginia. We cannot back down on our commitment to preventing suicide in veteran communities – it’s time for us to extend and expand this essential grant program.”

    “Veterans who struggle with mental health have responded well to support provided by those they know and trust,” said Sen. Boozman. “When our former servicemembers have access to assistance within their own communities, from organizations with demonstrated ability to build strong relationships and foster hope, they are less likely to take their own lives. Reauthorizing funding for this life-saving initiative is part of the commitment we made to fulfilling what was promised to our veterans struggling to carry the invisible weight of their mental and physical sacrifice.”

    Suicide is the 12th-leading cause of death for veterans, and the 2nd-leading cause for veterans under 45. Over 131,000 veterans have died by suicide since 2001, withveterans being 72% more likely than the civilian population to die by suicide. Since its original passage, the Fox Grant Program has worked to end this crisis by distributing hundreds of millions in funding to organizations that provide critical, frontline mental health services to veterans. In 2024 alone, Virginia organizations received $4.5 million from these grants. The program honors Veteran Parker Gordon Fox, a veteran and former sniper instructor at the U.S. Army Infantry School at Ft. Benning, GA. SSG Fox died by suicide on July 21, 2020 at the age of 25.

    Specifically, this reauthorization of the Fox Grant Program would:

    • Reauthorize the Fox Grant Program until Sept. 30, 2028.
    • Increase the total authorized funding for the grant program from $174 million to $285 million.
    • Expand the maximum potential award from $750,000 to $1.25 million.
    • Direct the VA to collect additional measures and metrics on performance to better serve veterans.
    • Require annual briefings for VA medical personnel to improve awareness of the program, and coordination with providers.

    The legislation has strong support from Veterans of Foreign Wars and Blue Star Families.

    “The Veterans of Foreign Wars (VFW) strongly supports the bipartisan legislation introduced by Senators Warner and Boozman to reauthorize and expand the Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program,” said Joy Craig, Associate Director of Service Member Affairs with the VFW’s National Legislative Service. “Veteran suicide remains a national crisis, and increasing the maximum grant amount while improving oversight and coordination will help ensure life-saving resources reach those in need. The VFW has long advocated for community-based solutions, and this legislation strengthens critical partnerships between the VA and local organizations working to prevent suicide. We urge Congress to swiftly pass this bill and reaffirm its commitment to those who have sacrificed for our nation.” 

    “The SSG Fox Suicide Prevention Grant Program is a lifeline for Veterans and military families facing the invisible wounds of service,” said Kathy Roth-Douquet, CEO, Blue Star Families. “Blue Star Families has seen firsthand the impact of these critical resources—support that saves lives and strengthens communities. This program ensures that Veterans and their loved ones get the help they need before a crisis turns tragic. We are proud to support its reauthorization and urge Congress to continue investing in solutions that honor the service and sacrifice of those who’ve given so much for our country.”   

    Full text of the legislation can be found here.

    MIL OSI USA News

  • MIL-OSI USA: Commodity Classic Hyperwall Schedule

    Source: NASA

    NASA Science at AMS Hyperwall Schedule, January 13-16, 2025
    Join NASA in the Exhibit Hall (Booth #401) for Hyperwall Storytelling by NASA experts. Full Hyperwall Agenda below.

    MONDAY, JANUARY 13

    6:10 – 6:25 PM
    The Golden Age of Ocean Science: How NASA’s Newest Missions Advance the Study of Oceans in our Earth System
    Dr. Karen St. Germain

    6:25 – 6:40 PM
    Integration of Vantage Points and Approaches for Earth System Science
    Dr. Jack Kaye

    6:45 – 7:00 PM
    Helio Big Year Wind-Down and a Look Ahead
    Dr. Joseph Westlake

    7:00 – 7:15 PM
    Chasing Snowstorms with Airplanes: An Overview of the IMPACTS Field Campaign
    John YorksLynn McMurdie

    7:15 – 7:30 PM
    NASA Earth Action Empowering Health and Air Quality Communities
    Dr. John Haynes

    TUESDAY, JANUARY 14

    10:00 – 10:15 AM
    Earthdata Applications
    Hannah Townley

    10:15 – 10:30 AM
    Climate Adaptation Science Investigators (CASI): Enhancing Climate Resilience at NASA
    Cynthia Rosenzweig

    10:30 – 10:45 AM
    From Orbit to Earth: Exploring the LEO Science Digest
    Jeremy Goldstein

    12:00 – 12:15 PM
    Visualizaiton of the May 10-11 ‘Gannon’ Geospace Storm
    Michael Wiltberger

    12:15 – 12:30 PM
    Explore Space Weather Through the Community Coordinated Modeling Center and OpenSpace
    Elana Resnick

    12:30 – 12:45 PM
    Satellite Needs Working Group (SNWG): US Government Agencies’ Source of NASA ESD-wide Earth Observations solutions
    Natasha Sadoff

    12:45 – 1:00 PM
    Connecting Satellite Data to the One Health Approach
    Helena Chapman

    1:00 – 1:15 PM
    A Bird’s-Eye View of Pollution in Asian Megacities
    Laura Judd

    1:15 – 1:30 PM
    Space Weather at Mars
    Gina DiBraccioJamie Favors

    3:00 – 3:15 PM
    Open Science: Creating a Culture of Innovation and Collaboration
    Lauren Perkins

    3:15 – 3:30 PM
    NASA’s Early Career Reseach Program Paving the Way
    Cynthia HallYaítza Luna-Cruz

    3:30 – 3:45 PM
    SciX: Accelerating Discovery of NASA’s Science through Open Science and Domain Integration
    Anna Kelbert

    6:15 – 6:30 PM
    Using NASA IMERG to Detect Extreme Rainfall Within Data Deserts
    Owen KelleyGeorge Huffman

    6:30 – 6:45 PM
    Satellite Remote Sensing of Aerosols Around the World
    Rob Levy

    6:45 – 7:00 PM
    The Sun, Space Weather, and You
    Jim SpannErin Lynch

    7:00 – 7:15 PM
    Eyes on the Stars: The Building of a 21st-century Solar Observatory
    Ame FoxDr. Elsayed Talaat

    7:15 – 7:30 PM
    NASA ESTO: Launchpad for Novel Earth Science Technologies
    Michael Seablom

    WEDNESDAY, JANUARY 15

    10:00 – 10:15 AM
    Parker Solar Probe Outreach and the Power of Indigenous Thought Leaders
    Troy Cline

    10:15 – 10:30 AM
    Forecasting Extreme Weather Events at Local Scales with NASA High-Resolution Models
    Gary Partyka

    10:30 – 10:45 AM
    North American Land Data Assimilation System: Informing Water and Agricultural Management Applications with NASA Modeling and Remote Sensing
    Sujay Kumar

    12:00 – 12:15 PM
    Life After Launch: A Snapshot of the First 9 Months of NASA’s PACE Mission
    Carina Poulin

    12:15 – 12:30 PM
    Space Weather and the May 2024 Geomagnetic Storm
    Antti Pulkkinen

    12:30 – 12:45 PM
    Geospace Dynamics Constellation: The Space Weather Rosetta Stone
    Dr. Katherine Garcia Gage

    12:45 – 1:00 PM
    Monitoring Sea Level Change using ICESat-2 and other NASA EO Missions
    Aimee Neeley

    1:00 – 1:15 PM
    Space Weather Center of Excellence CLEAR: All-CLEAR SEP Forecast
    Lulu Zhao

    1:15 – 1:30 PM
    Harnessing the Power of NASA Earth Observations for a Resilient Water Future
    Stephanie Granger

    3:00 – 3:15 PM
    From EARTHDATA to Action: Enabling Earth Science Data to Serve Society
    Jim O’SullivanYaitza Luna-Cruz

    3:15 – 3:30 PM
    GMAO and GEOS Related Talk TBD
    Christine Bloecker

    3:30 – 3:45 PM
    Live Heliophysics Kahoot! Quiz Bowl
    Jimmy Acevedo

    3:45 – 4:00 PM
    Parker Solar Probe
    Nour Rawaf

    THURSDAY, JANUARY 16

    10:00 – 10:15 AM
    Sounds of Space: Sonification with CDAWeb
    Alex Young

    10:30 – 10:45 AM
    Developing the Future of Microwave Sounding Data: Benefits and Opportunities
    Ed Kim

    MIL OSI USA News

  • MIL-OSI USA: Senator Baldwin Calls on Secretary Kennedy to Undo Drastic Cuts to Affordable Care Act Program

    US Senate News:

    Source: United States Senator for Wisconsin Tammy Baldwin
    WASHINGTON, D.C. – U.S. Senator Tammy Baldwin (D-WI) is calling on U.S. Department of Health and Human Services (HHS) Secretary Robert F. Kennedy, Jr. to reverse drastic funding cuts to an Affordable Care Act program that helps Americans access quality, affordable health insurance coverage, including for Medicaid and the Children’s Health Insurance Program. The Navigator program helps people enroll in the ACA and the Trump Administration slashed nearly 90 percent funding, threatening to leave millions of Americans without critical assistance to access the insurance they need and leading to a reduction in health care enrollment.  
    “This decision threatens to leave millions of Americans without critical assistance in choosing a health care plan, undermining longstanding efforts to enroll every American in quality, affordable health insurance coverage,” wrote Baldwin and the lawmakers.
    “In 2017 and 2018, the Department of Health and Human Services (HHS) slashed funding for the Navigator program by 84 percent. […] Unsurprisingly, ACA enrollment shrank by more than 2.5 million over the course of the Trump administration. Once Navigator funding was restored in 2021, enrollment rose and reached historic levels for the 2025 plan year,” the lawmakers continued.
    “We strongly urge the administration to reconsider this harmful decision and restore full funding to the Navigator program. Cutting these vital resources will only create more barriers for individuals and families seeking coverage, ultimately increasing the number of uninsured Americans,” the lawmakers concluded.
    Full text of the letter can be found here and below.
    Dear Secretary Kennedy:
    We write today to express deep concern over the Trump administration’s recent decision to dramatically cut funding for the Affordable Care Act (ACA) Navigator program by nearly 90 percent. This decision threatens to leave millions of Americans without critical assistance in choosing a health care plan, undermining longstanding efforts to enroll every American in quality, affordable health insurance coverage. 
    Congress created the Navigator grant program to provide consumers with “fair and impartial information and services” related to not just ACA Marketplace coverage, but assistance enrolling in Medicaid and Children’s Health Insurance Program (CHIP) as well. Since its inception, Navigators have become a critical resource for individuals and families, especially those living in rural and underserved areas, by helping them purchase health coverage that meets their needs. Over the past decade, more than 49 million Americans have obtained health coverage through the Marketplace, and an additional 20 million enrolled in Medicaid expansion coverage last year alone. Navigators have played a significant role in those gains, working tirelessly to enroll Americans with the highest barriers to care that may otherwise go uninsured. 
    Every year, millions of Americans turn to professionals – including Navigators – for help purchasing health insurance. They assist enrollees with understanding their coverage options, application requirements and even basic health insurance terminology. For the 2025 plan year, 44 Navigator grantees across 28 states offered free assistance to people exploring health coverage options through the Marketplace, Medicaid and CHIP. They provide support in reviewing available plans, assisting with enrollment forms, educating enrollees on premium tax credit eligibility and even utilizing post-enrollment services such as using their coverage to get care. Increasingly, Navigators have also spearheaded state and local outreach initiatives, ensuring communities are aware of their coverage options not just during open enrollment but year-round. These campaigns both maximize enrollment and education for hard-to-reach individuals while decreasing the need for federal, nationwide outreach.
    Since the first Trump administration, Navigators have needlessly faced attacks for the services they provide. In 2017 and 2018, the Department of Health and Human Services (HHS) slashed funding for the Navigator program by 84 percent. Surveys following the decision to cut Navigator funding documented that consumers seeking coverage through the Marketplace under the Trump administration had a significant unmet need for enrollment help. Most commonly, people cited difficulty understanding coverage options or lack of knowledge about enrollment processes as why they chose to seek professional assistance. Unsurprisingly, ACA enrollment shrank by more than 2.5 million over the course of the Trump administration. Once Navigator funding was restored in 2021, enrollment rose and reached historic levels for the 2025 plan year. This administration’s decision to leave consumers without free, impartial assistance will likely lead to many more Americans without quality, affordable insurance.
    Navigators ensure that all people—regardless of income, geography, or background—can access quality, affordable health care. We strongly urge the administration to reconsider this harmful decision and restore full funding to the Navigator program. Cutting these vital resources will only create more barriers for individuals and families seeking coverage, ultimately increasing the number of uninsured Americans.
    Sincerely,

    MIL OSI USA News

  • MIL-OSI USA: Capito, Klobuchar Introduce Legislation to Increase Cardiovascular and Pulmonary Care Access

    US Senate News:

    Source: United States Senator for West Virginia Shelley Moore Capito

    WASHINGTON, D.C. – Today, U.S. Senators Shelley Moore Capito (R-W.Va.) and Amy Klobuchar (D-Minn.) introduced the Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025. The bipartisan legislation would expand and expedite access to cardiac and pulmonary rehabilitation services by authorizing physician assistants, nurse practitioners, and clinical nurse specialists to order cardiac rehabilitation.

    “Our bill can reduce barriers to accessing cardiac rehabilitation and pulmonary rehabilitation, thereby improving the health of those living with heart disease and chronic obstructive pulmonary disease. This is particularly important in places like West Virginia, where these diseases impact the lives of far too many residents that often face shortages of health care professionals. I’m proud to re-introduce this legislation that offers solutions to increase the level of health services available to West Virginians and all Americans who need them most,” Senator Capito said.

    “Timely access to cardiac and pulmonary rehabilitation care is critical to improving the lives of Americans with cardiac conditions or recovering from cardiac events, especially in rural areas,” Senator Klobuchar said. “Our bipartisan legislation will save lives by expanding which clinicians can refer patients to cardiovascular care so that all seniors can get the care they need in a timely manner.”

    BACKGROUND:

    Cardiac rehabilitation and pulmonary rehabilitation are medically directed and supervised programs designed to improve a patient’s physical, psychological, and social functioning. Currently, only physicians are authorized to order cardiac or pulmonary rehabilitation for Medicare patients. This restriction can create unnecessary obstacles, delays, and paperwork before patients can receive the rehabilitation services that are needed on a timely basis and make it challenging for programs to operate in areas where physicians are scarce. 

    The Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025 builds upon the innovative Improving Access to Cardiac and Pulmonary Rehabilitation Act – legislation that was passed as part of the Bipartisan Budget Act of 2018 – which authorized physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac and pulmonary rehabilitation beginning in 2024. Senators Capito and Klobuchar previously introduced this legislation in 2023.

    The Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025 is supported by several organizations, including: American Heart Association; American Lung Association; American Nurses Association; National Rural Health Association; American Academy of Physician Associates; American Association of Nurse Practitioners; American Association for Respiratory Care; American College of Cardiology; American Thoracic Society; Preventive Cardiovascular Nurses Association; and WomenHeart.

    MIL OSI USA News

  • MIL-OSI Europe: REPORT on the European Semester for economic policy coordination: employment and social priorities for 2025 – A10-0023/2025

    Source: European Parliament

    MOTION FOR A EUROPEAN PARLIAMENT RESOLUTION

    on the European Semester for economic policy coordination: employment and social priorities for 2025

    (2024/2084(INI))

    The European Parliament,

     having regard to Article 3 of the Treaty on European Union (TEU),

      having regard to Articles 9, 121, 148 and 149 of the Treaty on the Functioning of the European Union (TFEU),

     having regard to the European Pillar of Social Rights (EPSR) proclaimed and signed by the Council, Parliament and the Commission on 17 November 2017,

     having regard to the Commission communication of 4 March 2021 entitled ‘The European Pillar of Social Rights Action Plan’ (COM(2021)0102) and its proposed 2030 headline targets on employment, skills and poverty reduction,

     having regard to the Commission communication of 17 December 2024 entitled ‘2025 European Semester – Autumn package’ (COM(2024)0700),

     having regard to the Commission communication of 26 November 2024 entitled ‘2025 European Semester: bringing the new economic governance framework to life’ (COM(2024)0705),

      having regard to the Commission proposal of 17 December 2024 for a joint employment report from the Commission and the Council (COM(2024)0701),

     having regard to the Commission recommendation of 17 December 2024 for a Council recommendation on the economic policy of the euro area (COM(2024)0704),

      having regard to the Commission report of 17 December 2024 entitled ‘Alert Mechanism Report 2025’ (COM(2024)0702),

      having regard to the Commission staff working document of 26 November 2024 entitled ‘Fiscal statistical tables providing relevant background data for the assessment of the 2025 draft budgetary plans’ (SWD(2024)0950),

     having regard to the Commission staff working document of 17 December 2024 on the changes in the scoreboard the Macroeconomic Imbalance Procedure Scoreboard in the context of the regular review process (SWD(2024)0702),

     having regard to its resolution of 22 October 2024 on the Council position on Draft amending budget No 4/2024 of the European Union for the financial year 2024 – update of revenue (own resources) and adjustments to some decentralised agencies[1],

     having regard to Mario Draghi’s report of 9 September 2024 entitled ‘The future of European competitiveness’,

     having regard to Enrico Letta’s report of April 2024 on the future of the single market[2],

     having regard to the La Hulpe Declaration on the Future of the European Pillar of Social Rights signed by Parliament, the Commission, the European Economic and Social Committee and the Council on 16 April 2024,

     having regard to the Regulation (EU) 2023/955 of the European Parliament and of the Council of 10 May 2023 establishing a Social Climate Fund and amending Regulation (EU) 2021/1060[3],

     having regard to the Regulation (EU) 2024/1263 of the European Parliament and of the Council of 29 April 2024 on the effective coordination of economic policies and on multilateral budgetary surveillance and repealing Council Regulation (EC) No 1466/97[4], and in particular to Articles 3, 4, 13 and 27 thereof,

     having regard to the Commission communication of 17 January 2023 entitled ‘Harnessing talent in Europe’s regions’ (COM(2023)0032),

     having regard to the Commission communication of 20 March 2023 entitled ‘Labour and skills shortages in the EU: an action plan’ (COM(2024)0131),

     having regard to the 2020 European Skills Agenda,

     having regard to the Commission communication of 7 September 2022 on the European care strategy (COM(2022)0440),

     having regard to the Council Recommendation on access to affordable, high-quality long-term care[5],

     having regard to the EU Social Scoreboard and its headline and secondary indicators,

     having regard to the Commission communication of 3 March 2021 entitled ‘Union of Equality: Strategy for the Rights of Persons with Disabilities 2021-2030’ (COM(2021)0101),

     having regard to the Commission report of 19 September 2024 entitled ‘Employment and Social Developments in Europe (ESDE): upward social convergence in the EU and the role of social investment’,

     having regard to the Council Decision on Employment Guidelines, adopted by the Employment, Social Policy, Health and Consumer Affairs Council on 2 December 2024, which establishes employment and social priorities aligned with the principles of the EPSR,

     having regard to the Tripartite Declaration for a thriving European Social Dialogue and to the forthcoming pact on social dialogue,

     having regard to Directive (EU) 2022/2041 of the European Parliament and of the Council of 19 October 2022 on adequate minimum wages in the European Union[6] (Minimum Wage Directive),

     having regard to the European Social Charter, referred to in the preamble of the EPSR,

     having regard to the EU Roma strategic framework for equality, inclusion and participation for 2020-2030,

     having regard to the United Nations Sustainable Development Goals (SDGs),

     having regard to the Gender Equality Strategy 2020-2025,

     having regard to the EU Anti-Racism Action Plan 2020-2025,

     having regard to the LGBTIQ Equality Strategy 2020-2025,

     having regard to Rule 55 of its Rules of Procedure,

     having regard to the report of the Committee on Employment and Social Affairs (A10-0023/2025),

    A. whereas progress has been made towards achieving the EU’s employment targets, namely that at least 78 % of people aged 20 to 64 should be in employment by 2030, despite the uncertainty created by Russia’s war of aggression against Ukraine and the impact of high inflation; whereas, according to the Commission’s 2025 autumn economic forecast, EU employment has reached a rate of 75.3 %; whereas growth in employment in the EU remained robust in 2023; whereas in two thirds of the Member States, employment growth in 2023 was on track to reach the national 2030 target; whereas significant challenges nevertheless persist, such as high unemployment rates in some Member States, particularly among young people and persons with disabilities, as do significant inequalities between sectors and regions, which can negatively affect social cohesion and the well-being of European citizens in the long term;

    B. whereas the European Semester combines various different instruments in an integrated framework for multilateral coordination and surveillance of economic, employment and social policies within the EU and it must become a key tool for fostering upward social convergence; whereas the Social Convergence Framework is a key tool for assessing social challenges and upward convergence within the European Semester and for monitoring social disparities across Member States, while addressing the challenges identified in the Joint Employment Report (JER);

    C. whereas the Union has adopted the 2030 target of reducing the number of people at risk of poverty and social exclusion by at least 15 million compared to 2019, including at least 5 million children; whereas in nearly half of the Member States the trend is heading in the opposite direction; whereas one child in four in the European Union is still at risk of poverty and social exclusion; and whereas the current trend will not make it possible to meet the 2030 target; whereas public spending on children and youth should not be seen only as social expenditure but as an investment in the future; whereas the promotion of strong, sustainable and inclusive economic growth can succeed only if the next generation can develop their full educational potential in order to be prepared for the changing labour market, whereas to meet the 2030 Barcelona targets for early childhood education and care, the EU should invest an additional EUR 11 billion per year[7];

    D. whereas despite a minimal reduction in the number of people at risk of poverty or social exclusion in the EU in 2023, approximately one in five still faces this challenge, with notable disparities for children, young and older people, persons with disabilities, LGTBI, non-EU born individuals, and Roma communities;

    E. whereas significant disparities are observed among children from ethnic or migrant backgrounds and children with disabilities; whereas 83 % of Roma children live in households at risk of poverty; whereas the EU and national resources currently deployed are in no way sufficient for addressing the challenge of child poverty in the EU and, therefore, a dedicated funding instrument for the European Child Guarantee as well as synergies with other European and national funds are of the utmost importance in both the current multiannual financial framework (MFF) and the next one;

    F. whereas the EPSR must be the compass guiding EU social and economic policies, whereas the Commission should monitor progress on the implementation of the EPSR using the Social Scoreboard and the Social Convergence Framework;

    G. whereas poor quality jobs among the self-employed are disproportionately widespread while the rate of self-employment is declining, including among young people;

    H. whereas there are still 1.4 million people residing in institutions in the EU; whereas residents of institutions are isolated from the broader community and do not have sufficient control over their lives and the decisions that affect them; whereas despite the fact that the European Union has long been committed to the process of deinstitutionalisation, efforts are still needed at both European and national level to enable vulnerable groups to live independently in a community environment;

    I. whereas demographic challenges, including an ageing population, low birth rates and rural depopulation, with young people in particular moving to urban areas, profoundly affect the economic vitality and attractiveness of EU regions, the labour markets, and consequently, the sustainability of welfare systems, and further aggravate the regional disparities in the EU, and hence represent a structural challenge for the EU economy; and whereas, as underlined in the Draghi report, sustainable growth and competitiveness in Europe depend to a large extent on adapting education and training systems to evolving skills needs, prioritising adult learning and vocational education and training, and the inclusion of the active population in the labour market and on a robust welfare system;

    J. whereas, as highlighted in the Draghi report, migrant workers have been an important factor in reducing labour shortages and are more likely to work in occupations with persistent shortages than workers born in the EU;

    K. whereas 70 % of workers in Europe are in good-quality jobs, 30 % are in high-strain jobs where demands are more numerous than resources available to balance them leading to overall poor job quality; whereas in many occupations suffering from persistent labour shortages the share of low-quality jobs is higher than 30 %;

    L. whereas the Letta report states that there is a decline in the birth rate, noting the importance of creating a framework to support all families as part of a strategy of inclusive growth in line with the EPSR; whereas the report notes that the free movement of people remains the least developed of the four freedoms and argues for reducing barriers to intra-EU occupational mobility while addressing the social, economic and political challenges facing the sending Member States and their most disadvantaged regions, as well as safeguarding the right to stay; whereas there is a need to promote family-friendly and work-life balance policies, ensuring accessible and professional care systems as well as public quality education, family-related leave and flexible working arrangements in line with the European Care Strategy;

    M. whereas inflation has increased the economic burden on households, having a particularly negative impact on groups in vulnerable situations, such as single parents, large families, older people or persons with disabilities, whereas housing costs and energy poverty remain major problems; whereas housing is becoming unaffordable for those who live in households where housing costs account for 40 % of total disposable income; whereas investment in social services, housing supply – including social housing – and policies that facilitate the accessibility and affordability of housing play a key role in reducing poverty among vulnerable households;

    N. whereas the EU’s micro, small and medium-sized enterprises face particular challenges such as staying competitive against third-country players, maintaining production levels despite rising energy costs and finding the necessary skills for the green and digital transitions; whereas they need financial and technical support to comply with regulatory requirements and take advantage of the opportunities offered by the twin transitions;

    O. whereas labour and skills shortages remain a problem at all levels, and are reported by companies of all sizes and sectors; whereas these shortages are exacerbated by a lack of candidates to fill critical positions in key sectors such as education, healthcare, transport, science, technology, engineering and construction, especially in areas affected by depopulation; whereas these shortages can result from a number of factors, such as difficult working conditions, unattractive salaries, demand for new skill sets and a shortage of relevant training, the lack of public services, barriers of access to medium and higher education and lack of recognition of skills and education;

    P. whereas the Union has adopted the target that at least 60 % of adults should participate in training every year by 2030; whereas the Member States have committed themselves to national targets in order to achieve this headline goal and whereas the majority of Member States lost ground in the pursuit of these national targets; whereas further efforts are needed to ensure the provision of, and access to, quality training policies that promote lifelong learning; whereas upskilling, reskilling and training programmes must be available for all workers, including those with disabilities, and should also be adapted to workers’ needs and capabilities;

    Q. whereas in 2022, the average Programme for International Student Assessment (PISA) score across the OECD on the measures of basic skills (reading, mathematics and science) of 15-year-olds dropped by 10 points compared to the last wave in 2018; whereas underachievement is prevalent among disadvantaged learners, demonstrating a widening of educational inequalities; whereas this worrying deterioration calls for reforms and investments in education and training;

    R. whereas the EU’s capacity to deal with future shocks, crises and ‘polycrises’ while navigating the demographic, digital and green transitions, will depend greatly on the conditions under which critical workers will be able to perform their work; whereas addressing the shortages and retaining all types of talent requires decent working conditions, access to social protection systems, and opportunities for skills development tailored to the needs; and whereas addressing skills shortages is crucial to achieving the digital and green transitions, ensuring inclusive and sustainable growth and boosting the EU’s competitiveness;

    S. whereas it is essential to promote mobility within the EU and consider attracting skilled workers from third countries, while ensuring respect for and enforcement of labour and social rights and channelling third-country nationals entering the EU through legal migration pathways towards occupations experiencing shortages, supported by an effective integration policy, in full complementarity with harnessing talents from within the Union;

    T. whereas gender pay gaps remain considerable in most EU Member States and whereas care responsibilities are an important factor that continue to constrain women into part-time employment or lead to their exclusion from the labour market, resulting in a wider gender employment gap;

    U. whereas the JER highlights the right to disconnect, in particular in the context of telework, acknowledging the critical role of this right in ensuring a work-life balance in a context of increasing digitalisation and remote working;

    V. whereas challenges to several sectors, such as automotive manufacturing and energy intensive industries, became evident in 2024 and a number of companies announced large-scale restructuring;

    W. whereas there are disparities in the coverage of social services, including long-term care, child protection, domestic violence support, and homelessness aid, that need to be addressed through the European Semester;

    X. whereas there is currently no regular EU-wide collection of data on social services investment and coverage; whereas collecting such data is key for an evidence-based analysis of national social policies in the European Semester analysis; whereas this should be addressed through jointly agreed criteria and data collection standards for social services investment and coverage in the Member States; whereas the European Social Network’s Social Services Index is an example of how such data collection can contribute to the European Semester analysis;

    Y. whereas the crisis in generational renewal, demographic changes, and lack of sufficient investment in public services have led to an increased risk of poverty and social exclusion, particularly affecting children and older people, single-parent households and large families, the working poor, persons with disabilities, and people from marginalised backgrounds; whereas an ambitious EU anti-poverty strategy will be essential to reverse this trend and provide responses to the multidimensional phenomenon of poverty;

    Z. whereas Eurofound research shows that suicide rates have been creeping up since 2021, after decreasing for decades; whereas more needs to be done to address causes of mental health problems in working and living conditions (importantly social inclusion), and access to support for people with poor mental health remains a problem;

    AA. whereas there were still over 3 300 fatal accidents and almost 3 million nonfatal accidents in the EU-27 in 2021; whereas over 200 000 workers die each year from work-related illnesses; whereas these data do not include all accidents caused by undeclared work, making it plausible to assume that the true numbers greatly exceed the official statistics; whereas in 2017, according to Eurofound, 20 % of jobs in Europe were of ‘poor quality’ and put workers at increased risk regarding their physical or mental health; whereas 14 % of workers have been exposed to a high level of psychosocial risks; whereas 23 % of European workers believe that their safety or their health is at risk because of their work;

    AB. whereas the results of the April 2024 Eurobarometer survey on social Europe highlight that 88 % of European citizens consider social Europe to be important to them personally; whereas this was confirmed by the EU Post-Electoral Survey 2024, where European citizens cited rising prices and the cost of living (42 %) and the economic situation (41 %) as the main topics that motivated them to vote in the 2024 European elections;

    AC. whereas according to Article 3 TEU, social progress in the EU is one of the aims of a highly competitive social market economy, together with full employment, a high level of protection and improvement of the quality of the environment; whereas Article 3 TEU also states that the EU ‘shall combat social exclusion and discrimination, and shall promote social justice and protection, equality between women and men, solidarity between generations and protection of the rights of the child’;

    AD. whereas the new EU economic governance framework entered into force in April 2024 and aims to promote sustainable and inclusive growth and to give more space for social investment and achievement of the objectives of the EPSR; whereas, for the first time, the revision includes a social convergence framework as an integrated part of the European Semester;

    AE. whereas under the new EU economic governance framework, all Member States have to include reforms and investments in their medium-term plans addressing common EU priorities and challenges identified in country-specific recommendations in the context of the European Semester; whereas the common EU priorities include social and economic resilience, including the EPSR;

    AF. whereas European social partners, during Macroeconomic Dialogue, have denounced the lack of involvement of social partners in the drafting of the medium-term fiscal structural plans and ETUC, SMEUnited and SGIEurope have signed a joint statement for a material and factual involvement of social partners in the economic governance and the European Semester;

    AG. whereas public investment is expected to increase in 2025 in almost all Member States, with a significant contribution from NextGenerationEU’s Recovery and Resilience Facility (RRF) and EU funds and will contribute to social spending, amounting to around 25 % of the total estimated expenditure under the RRF, securing growth and economic resilience[8]; whereas social investments and reforms in key areas can boost employment, social inclusion, competitiveness and economic growth[9]; whereas social partners are essential for designing and implementing policies that promote sustainable and inclusive growth, decent and quality work, and fair transitions and must be involved at all levels of governance in accordance with the TFEU;

    AH. whereas the Member States should implement the Minimum Wage Directive without delay and prepare action plans that increase collective bargaining coverage in line with the directive, where applicable;

    AI. whereas according to the Organization for Economic Co-operation and Development (OECD), on average across OECD countries, occupations at highest risk of automation account for about 28 % of employment[10]; whereas social dialogue and collective bargaining are crucial in this context to ensure a participatory approach to managing change driven by technological developments, addressing potential concerns, while fostering workers’ adaptation (including via skills provision); whereas digitalisation, robotisation, automation and artificial intelligence (AI) must benefit workers and society by improving working conditions and quality of life, ensuring a good work-life balance, creating better employment opportunities, and contributing to socio-economic convergence; whereas workers and their trade unions will play a critical role in anticipating and tackling risks emerging from those challenges;

     

    AJ. whereas social dialogue and collective bargaining are essential for the EU’s competitiveness, labour productivity and social cohesion;

    1. Considers that the Commission and the Council should strengthen their efforts to implement the EPSR, in line with the action plan of March 2021 and the La Hulpe Declaration, to achieve the 2030 headline targets; calls on the Commission to ensure that the JER 2026 analyses the implementation of all the principles of the EPSR in line with Regulation (EU) 2024/1263 and includes an analysis of the social dimension of the national medium-term fiscal structural plans related to social resilience, including the EPSR; welcomes, in this regard, the announcement of a new Action Plan on the implementation of the EPSR[11] for 2025 to give a new impetus to social progress; welcomes the fact that almost all Member States are expected to increase public investment in 2025, which is necessary to ensure access to quality public services and achieve the aims of the EPSR; recalls that the Member States can mobilise the RRF within the scope defined by the Regulation (EU) 2021/241[12] until 31 December 2026 on policies for sustainable and inclusive growth and the young;

    2. Stresses the importance of using the Social Scoreboard and the Social Convergence Framework to identify risks to, and to track progress in, reducing inequalities, strengthening social protection systems and promoting decent working conditions and supportive measures for workers to manage the transitions; stresses that in this regard, it is necessary to ensure a sustainable, fair and inclusive Europe where social rights are fully protected and safeguarded at the same level as economic freedoms; recalls that EU citizens identify social Europe as one of their priorities;

    3. Regrets the lack of data on and analysis of wealth inequality and wealth concentration in the EU as this is one of the main determinants of poverty; points out that according to Distributional Wealth Accounts, a dataset developed by the European System of Central Banks, the share of wealth held by the top 10 % stood at 56 % in the fourth quarter of 2023, while the bottom half held just 5 %;

    4. Welcomes the inclusion of analysis on the positive contribution of the SDGs and the European equality strategies in the JER 2025 and calls on the Commission to ensure that the JER 2026 includes both a section analysing the progress towards the SDGs related to employment and social policy, and another on progress towards eliminating social and labour discrimination in line with the Gender Equality Strategy 2020-2025, the EU Anti-Racism Action Plan 2020-2025, the EU Roma strategic framework for equality, inclusion and participation 2020-2030, the LGBTIQ Equality Strategy 2020-2025, and the Strategy for the rights of persons with disabilities 2021-2030;

    5. Calls on the Member States to implement the updated employment guidelines, with an emphasis on education and training for all, new technologies such as AI, and recent policy initiatives on platform work, affordable and decent housing and tackling labour and skills shortages, with a view to strengthening democratic decision-making;

    6. Reiterates the importance of investing in workforce skills development and occupational training and of ensuring quality employment, with an emphasis on the individual right to training and lifelong learning; urges the Member States to develop upskilling and reskilling measures in collaboration with local stakeholders, including educational and training bodies and the social partners, in order to reinforce the link between the education and training systems and the labour market and to anticipate labour market needs; welcomes the fact that employment outcomes for recent graduates from vocational education and training (VET) continue to improve across the EU; is concerned about young people’s declining educational performance, particularly in basic skills; welcomes, in this regard, the announcement of an Action Plan on Basic Skills and a STEM Education Strategic Plan; calls on the Member States to invest in programmes to equip learners with the basic, digital and transversal skills needed for the world of work and its digitisation as well as to help them to contribute meaningfully to society; recalls the important role that the European Globalisation Adjustment Fund for displaced workers can play in supporting and reskilling workers who were made redundant as a result of major restructuring events;

    7. Welcomes the announcement of a quality jobs roadmap to ensure a just transition for all; calls on the Commission to include in this roadmap considerations for measures linked to the use of AI and algorithmic management in the world of work so that new technologies are harnessed to improve working conditions and productivity while respecting workers’ rights and work-life balance as recognised in the JER[13]; calls on the Commission to propose a directive on the use of AI in the workplace that ensures that workers’ rights are protected and respected;

    8. Stresses that the response to labour shortages in the European Union also involves improving and facilitating labour mobility within the Union; calls on the Member States to strengthen and facilitate the recognition of skills and qualifications in the Union, including those of third-country nationals; calls on the Commission to analyse the effectiveness of the European Employment Services (EURES) platform with a view to a potential revision of its operation;

    9. Notes that the number of early leavers from education and training, people with lower levels of education, young people not in education, employment or training (NEETs) and among them vulnerable groups, including Roma, women, older people, low- and medium-qualified people, persons with disabilities and people with a migrant or minority background, depending on the country-specific context, remains high in several Member States, despite a downward trend in the European Union; calls on the Member States to reinforce the Youth Guarantee as stated in Principle 4 of the EPSR; in order to support young people in need throughout their personal and professional development; reiterates the pivotal role that VET plays in providing the knowledge, skills and competencies necessary for young people entering the labour market; emphasises the need to invest in the quality and attractiveness of VET through the European Social Fund Plus (ESF+); recalls, therefore, the need to address this situation and develop solutions to keep young people in education, training or employment and the importance of ensuring their access to traineeships and apprenticeships, enabling them to gain their first work experience and facilitating their transition from education to employment as well as to create working conditions that enable an ageing workforce to remain in the labour market;

    10. Considers that, although there has been an improvement, persons with disabilities, especially women with disabilities, still face significant obstacles in the labour market, and that there is therefore a need for vocational and digital training, while promoting the inclusion of persons with disabilities, targeting the inactive labour force and groups with low participation in the labour market, including women, young people, older workers and persons with chronic diseases; calls on the Commission to update the EU Disability Strategy with new flagship initiatives and actions from 2025 onwards, such as a European Disability Employment and Skills Guarantee and the sharing of best practices such as the disability card, in particular to address social inclusion and independent living for people with disabilities, also ensuring their access to quality education, training and employment through guidance on retaining disability allowances;

    11. Expresses concern that Roma continue to face significant barriers to employment, with persistent biases limiting their prospects; notes that the EU Roma strategic framework for equality, inclusion, and participation highlights a lack of progress in employment access and a growing share of Roma youth not in employment, education, or training; emphasises the framework’s goal of halving the employment gap between Roma and the general population and ensuring that at least 60 % of Roma are in paid work by 2030; urges the Member States to adopt an integrated, equality-focused approach and to ensure that public policies and services effectively reach all Roma, including those in remote rural areas;

    12. Stresses the need to pay attention to the social and environmental aspects of competitiveness, emphasising the need for investments in education and training for all to ensure universal access to high-quality public education and professional training programmes, as well as sustainable practices to foster inclusive growth; underlines that social partners should play a key role in identifying and addressing skills needs across the EU;

    13. Calls on the Commission and the Member States to include specific recommendations on housing affordability in the European Semester and to promote housing investment; urges the Member States to ensure that housing investments support long-term quality housing solutions that are actually affordable for low-income and middle-income households, highlighting that investments in social and affordable housing are crucial in order to ensure and improve the quality of life for all; stresses the need for a better use of EU funding, such as through European Investment Bank financial instruments, in particular to support investments to increase the energy efficiency of buildings; calls on the Commission and the Member States to take decisive action to provide an EU regulatory framework for the housing sector, together with an assessment of Union policies, funds and bottlenecks that should facilitate the construction, conversion and renovation of accessible, affordable and energy-efficient housing, including social housing, that meets the needs of young people, people with reduced mobility, low- and middle-income groups, families at risk and people in more vulnerable situations, while protecting homeowners and those seeking access to home ownership from a further reduction in supply;

    14. Welcomes the announced European Affordable Housing Plan to support Member States in addressing the housing crisis and soaring rents; calls on the Commission to assess and publish which potential barriers on State aid rules affect housing accessibility; recalls that the Social Climate Fund aims to provide financial aid to Member States from 2026 to support vulnerable households, in particular with measures and investments intended to increase the energy efficiency of buildings, decarbonisation of heating and cooling of buildings and the integration in buildings of renewable energy generation and storage;

    15. Considers that homelessness is a dramatic social problem in the EU; calls for a single definition of homelessness in the EU, which would enable the systematic comparison and assessment of the extent of homelessness across different EU Member States; calls on the Commission to develop a strategy and work towards ending homelessness in the EU by 2030 by promoting access to affordable and decent housing as well as access to quality social services; urges the Member States to better use the available EU instruments, including the ESF+, in this matter[14];

    16. Calls on the Member States to design national homelessness strategies centred around housing-based solutions; welcomes the intention to deliver a Council recommendation on homelessness[15]; urges the Commission to further increase the ambition of the European Platform on Combating Homelessness, in particular by providing it with a dedicated budget;

    17. Considers that EU action is urgently needed to address the persistently high levels of poverty and social exclusion in the EU, particularly among children, young and older people, persons with disabilities, non-EU born individuals, LGTBI and Roma communities; highlights that access to quality social services should be prioritised, with binding targets to reduce homelessness and ensure energy security for vulnerable households; calls on the Commission to adopt the first-ever EU Anti-Poverty Strategy;

    18. Recalls the Union objective of transitioning from institutional to community or family-based care; calls on the Commission to put forward an action plan on deinstitutionalisation; stresses that this action plan should cover all groups still living in institutions, including children, persons with disabilities, people with mental health issues, people affected by homelessness and older people; calls on the Member States to make full use of the ESF+ funds as well as other relevant European and national funds in order to finalise the deinstitutionalisation process so as to ensure that every EU citizen can live in a family or community environment;

    19. Calls on the Commission to deliver a European action plan for mental health, in line with its recent recommendations[16], and to complement it with a directive on psychosocial risks in the workplace; calls on the Member States to strengthen access to mental health services and emotional support programmes for all, particularly children, young people and older people; requests a better use of the Social Scoreboard indicators to address the impact of precarious living conditions and uncertainty on mental health;

    20. Calls on the Commission to address loneliness by promoting a holistic EU strategy on loneliness and access to professional care; calls also for this EU strategy to address the socio-economic impact of loneliness on productivity and well-being by tackling issues such as rural isolation; urges the Member States to continue implementing the Council recommendation on access to affordable, quality long-term care with a view to ensuring access to quality care while ensuring decent working conditions for workers in the care sector, as well as for informal carers;

    21. Recognises that 44 million Europeans are frequent informal long-term caregivers, the majority of whom are women[17];

    22. Recognises the unique role of carers in society, and while the definition of care workers is not harmonised across the EU, the long-term care sector employs 6.4 million people across the EU;

    23. Is concerned that, in 2023, 94.6 million people in the EU were still at risk of poverty or social exclusion; stresses that without a paradigm shift in the approach to combating poverty, the European Union and its Member States will not achieve their poverty reduction objectives; believes that the announcement of the first-ever EU Anti-Poverty Strategy is a step in the right direction towards reversing the trend, but must provide a comprehensive approach to tackling the multidimensional aspects of poverty and social exclusion with concrete actions, strong implementation and monitoring; calls for this Strategy to encompass everybody experiencing poverty and social exclusion, first and foremost the most disadvantaged, but also specific measures for different groups such as persons experiencing in-work poverty, homeless people, people with disabilities, single-parent families and, above all, children in order to sustainably break the cycle of poverty; stresses that the transposition of the Minimum Wage Directive will be key to preventing and fighting poverty risks among workers, while reinforcing incentives to work, and welcomes the fact that several Member States have amended or plan to amend their minimum wage frameworks; is concerned about the rise of non-standard forms of employment where workers are more likely to face in-work poverty and find themselves without adequate legal protections; stresses that an EU framework directive on adequate minimum income and active inclusion, in compliance with the subsidiarity principle, would contribute to the goals of reducing poverty and fostering the integration of people absent from the labour market;

    24. Reiterates its call on the Commission to carefully monitor implementation of the Child Guarantee in all Member States as part of the European Semester and country-specific recommendations; reiterates its call for an increase in the funding of the European Child Guarantee with a dedicated budget of at least EUR 20 billion and for all Member States to allocate at least 5 % of their allocated ESF+ funds to fighting child poverty and promoting children’s well-being; considers that the country-specific recommendations should reflect Member States’ budgetary compliance with the minimum required allocation for tackling child poverty set out in the ESF+ Regulation[18]; calls on the Commission to provide an ambitious budget for the Child Guarantee in the next MFF in order to respond to the growing challenge of child poverty and social exclusion;

    25. Is concerned about national policies that create gaps in health coverage, increasing inequalities both within and between Member States, such as privatisation of public healthcare systems, co-payments and lack of coverage; highlights that these deepen poverty, erode health and well-being, and increase social inequalities within and across EU countries; warns that this also undermines the implementation of principle 16 of the EPSR and of SDG 3.8 on universal health coverage, as well as the EPSR’s overall objective of promoting upward social convergence in the EU, leaving no one behind; believes that the indicators used in the Social Scoreboard do not provide a comprehensive understanding of healthcare affordability;

    26. Underlines that employers need to foster intergenerational links within companies and intergenerational learning between younger and older workers, and vice versa; underlines that an ageing workforce can help a business develop new products and services to adapt to the needs of an ageing society in a more creative and productive way; calls, furthermore, for the creation of incentives to encourage volunteering and mentoring to induce the transfer of knowledge between generations;

    27. Warns that, according to European Central Bank reports, real wages are still below their pre-pandemic level, while productivity was roughly the same; agrees that this creates some room for a non-inflationary recovery in real wages and warns that if real wages do not recover, this would increase the risk of protracted economic weakness, which could cause scarring effects and would further dent productivity in the euro area relative to other parts of the world; believes that better enforcement of minimum wages and strengthening collective bargaining coverage can have a beneficial effect on levels of wage inequality, especially by helping more vulnerable workers at the bottom of the wage distribution who are increasingly left out;

    28. Calls for the Member States to ensure decent working conditions, comprising among other things decent wages, access to social protection, lifelong learning opportunities, occupational health and safety, a good work-life balance and the right to disconnect, reasonable working time, workers’ representation, democracy at work and collective agreements; urges the Member States to foster democracy at work, social dialogue and collective bargaining and to protect workers’ rights, particularly in the context of the green and digital transitions, and to ensure equal pay for equal work by men and women, enhance pay transparency and address gender-based inequality to close the gender pay gap in the EU;

    29. Recalls the importance of improving access to social protection for the self-employed and calls on the Commission to monitor the Member States’ national plans for the implementation of the Council Recommendation of 8 November 2019 on access to social protection for workers and the self-employed[19] as part of the country-specific recommendations; recalls, in this regard, as the rate of self-employed professionals in the cultural and creative sectors is more than double that in the general population, the 13 initiatives laid down in the Commission’s 21 February 2024 response to the European Parliament resolution of 21 November 2023 on an EU framework for the social and professional situation of artists and workers in the cultural and creative sectors[20] and calls on the Commission to start implementing them in cooperation with the Member States;

    30. Stresses that the role of social dialogue and social partners should be systematically integrated into the design and implementation of employment and social policies, ensuring the involvement of social partners at all levels;

    31. Calls for the implementation of policies that promote work-life balance and the right to disconnect, with the aim of improving the quality of life for all families and workers, for ensuring the implementation of the Work-Life Balance Directive[21] and of the European Care Strategy; calls on the Commission to put forward a legislative proposal to address teleworking and the right to disconnect; as well as a proposal for the creation of a European card for all types of large families and a European action plan for single parents, offering educational and social advantages; calls, ultimately, for initiatives to combat workforce exclusion as a consequence of longer periods of sick leave, to adapt the workplace and to promote flexible working conditions and to develop strategies to support workers’ return after longer periods of absence;

    32. Calls for demographic challenges to be prioritised in the EU’s cohesion policy and for concrete action at EU and national levels; calls on the Commission to prioritise the development of the Commission communication on harnessing talent in Europe’s regions and the ‘Talent Booster Mechanism’ in order to promote social cohesion and to step up funding for rural and outermost areas and regions with a high rate of depopulation, supporting quality job creation, public services, local development projects and basic infrastructure that favour the population’s ‘right to stay’, especially in the case of young people; highlights the importance of introducing specific measures to address regional inequalities in education and training, ensuring equal access to high-quality and affordable education for all;

    33. Is concerned that, despite improvements, several population groups are still significantly under-represented in the EU labour market, including women, older people, low- and medium-qualified people, persons with disabilities and people with a migrant or minority background; warns that  educational inequalities have deepened, further exacerbating the vulnerabilities of students from disadvantaged and migrant backgrounds; points out that, according to the JER, people with migrant or minority backgrounds can significantly benefit from targeted measures in order to address skills mismatches, improve language proficiency, combat discrimination and receive tailored and integrated support services; stresses the importance of strengthening efforts in the implementation of the 2021-27 Action Plan on Integration and Inclusion, which provides a common policy framework to support the Member States in developing national migrant integration policies;

    34. Calls on the Commission and the Council to prioritise reducing administrative burdens with the aim of simplification while respecting labour and social standards; believes that better support for SMEs and actual and potential entrepreneurs will improve the EU’s competitiveness and long-term sustainability, boost innovation and create quality jobs; notes that SMEs and self-employed professionals in all sectors are essential for the EU’s economic growth and thus the financing of social policies; urges the implementation of specific recommendations to improve the single market; takes note of the Commission’s publication of the ‘Competitiveness Compass’ on 29 January 2025[22];

    35. Calls on the Commission to conduct competitiveness checks on every new legislative proposal, taking into account the overall impact of EU legislation on companies, as well as on other EU policies and programmes;

    36. Considers that the social economy is an essential component of the EU’s social market economy and a driver for the implementation of the EPSR and its targets, often providing employment to vulnerable and excluded groups; calls on the Commission and the Member States to strengthen their support for all social economy enterprises but especially non-profit ones, as highlighted in the Social Economy Action Plan 2021 and the Liège Roadmap for the Social Economy, in order to promote quality, decent, inclusive work and the circular economy, to encourage the Member States to facilitate access to funding and to enhance the visibility of social economy actors; calls for the Commission to explore innovative funding mechanisms to support the development of the social economy in Europe[23] and to foster a dynamic and inclusive business environment;

    37. Believes that, in this year of transition, with the implementation of the revised economic governance rules, the Member States should align fiscal responsibility with sustainable and inclusive growth and employment, notes that the involvement of social partners, including in the development of medium-term fiscal structural plans, should be enhanced to contribute to the goals of the new economic governance framework;

    38. Welcomes the fact that the national medium-term fiscal structural plans, under the new economic governance framework, have to include the reforms and investments responding to the main challenges identified in the context of the European Semester and also to ensure debt sustainability while investing strategically in the principles of the EPSR with the aim of fostering upward social convergence;

    39. Is concerned that compliance with the country-specific recommendations (CSRs) remains low; reiterates its call, therefore, for an effective implementation of CSRs by the Member States so as to promote healthcare and sustainable pension systems, in line with principles 15 and 16 of the EPSR, and long-term prosperity for all citizens, taking into account the vulnerability of those workers whose careers are segmented, intermittent and subject to labour transitions; insists that the Commission should reinforce its dialogues with the Member States on the implementation of existing recommendations and of the Employment Guidelines as well as on current or future policy action to address identified challenges;

    40. Welcomes the establishment of a framework to identify risks to social convergence within the European Semester, for which Parliament called strongly; recalls that under this framework, the Commission assesses risks to upward social convergence in Member States and monitors progress on the implementation of the EPSR on the basis of the Social Scoreboard and of the principles of the Social Convergence Framework; welcomes the fact that the 2025 JER delivers country-specific analysis based on the principles of the Social Convergence Framework; calls on the Commission to further develop innovative quantitative and qualitative analysis tools under this new Framework in order to make optimal use of it in the future cycles of the European Semester;

    41. Welcomes the fact that the first analysis based on the principles of the Social Convergence Framework points to upward convergence in the labour market in 2023[24]; notes with concern that employment outcomes of under-represented groups still need to improve and that risks to upward convergence persist at European level in relation to skills development, ranging from early education to lifelong learning, and the social outcomes of at-risk-of-poverty and social exclusion rates; calls on the Commission to further analyse these risks to upward social convergence in the second stage of the analysis and to discuss with the Member States concerned the measures undertaken or envisaged to address these risks;

    42. Recognises the cost of living crisis, which has increased the burden on households, and the rising cost of housing, which, in conjunction with high energy costs, is contributing to high levels of energy poverty across the EU; calls, therefore, on the Commission and Member States to comprehensively address the root causes of this crisis by prioritising policies that promote economic resilience, social cohesion, and sustainable development;

    43. Warns of the social risks stemming from the crisis in the automotive sector, which is facing unprecedented pressure from both external and internal factors; calls on the Commission to pay attention to this sector and enhance social dialogue and the participation of workers in transition processes; stresses the urgent need for a coordinated EU response via an emergency task force of trade unions and employers to respond to the current crisis;

    44. Calls on the Commission to monitor data on restructuring and its impact on employment, such as by using the European Restructuring Monitor, to facilitate measures in support of restructuring and labour market transitions, and to consider highlighting national measures supporting a socially responsible way of restructuring in the European Semester;

    45. Calls on the Commission to monitor the development of minimum wages in the Member States following the transposition of the Minimum Wage Directive to determine whether the goal of ‘adequacy’ of minimum wages is being achieved;

    46. Is concerned about the Commission’s revision of the Macroeconomic Imbalance Procedure (MIP) Scoreboard, particularly the reduction in employment and social indicators, which are crucial for assessing the social and labour market situation in the Member States; regrets the fact that youth unemployment is no longer considered as a headline indicator, despite its relevance in identifying and addressing specific labour market challenges and in adopting adequate public policies; stresses that social standards indicators should be given greater consideration in the decision-making process; regrets the fact that the Commission did not duly consult Parliament and reminds the Commission of its obligation to closely cooperate with Parliament, the Council and social partners before drawing up the MIP scoreboard and the set of macroeconomic and macro-financial indicators for Member States; stresses that the implementation of the principles of the EPSR must be part of the MIP scoreboard;

    47. Considers that territorial and social cohesion are essential components of the competitiveness agenda, and legislation such as the European Instrument for Temporary Support to Mitigate Unemployment Risks in an Emergency (SURE) remain a positive example to inspire future EU initiatives;

    48. Considers that the Commission and the Member States should ensure that fiscal policies under the European Semester support investments aligned with the EPSR, particularly in areas such as decent and affordable housing, quality healthcare, education, and social protection systems, as these are critical for social cohesion and long-term economic sustainability and to address the challenges identified through social indicators;

    49. Stresses the need to address key challenges identified in the Social Scoreboard as ‘critical’ and ‘to watch’, including children at risk of poverty or social exclusion, the gender employment gap, housing cost overburden, childcare, and long-term care the disability employment gap, the impact of social transfers on reducing poverty, and basic digital skills[25];

    50. Stresses the negative impacts that the cost of living crisis has had on persons with disabilities;

    51. Urges the Member States to consider robust policies that ensure fair wages and improve working conditions, particularly for low-income and precarious workers;

    52. Calls on the Member States to strengthen social safety nets to provide adequate support to those whose income from employment is insufficient to meet basic living costs;

    53. Stresses the need for timely and harmonised data on social policies to improve evidence-based policymaking and targeted social investments; calls for improvements to be made to the Social Scoreboard in order to cover the 20 EPSR principles with the introduction of relevant indicators reflecting trends and causes of inequality, such as quality employment, wealth distribution, access to public services, adequate pensions, the homelessness rate, mental health and unemployment; recalls that the at-risk-of-poverty-or-social-exclusion (AROPE) indicator fails to reveal the causes of complex inequality; calls on the Commission and the Member States to develop a European data collection framework on social services to monitor the investment in and coverage of social services;

    54. Instructs its President to forward this resolution to the Council and the Commission.

    MIL OSI Europe News

  • MIL-OSI Europe: Written question – The impact of climate change on deaths from heat and cold in European cities – E-000645/2025

    Source: European Parliament

    Question for written answer  E-000645/2025
    to the Commission
    Rule 144
    César Luena (S&D)

    A new article published in Nature Medicine magazine[1], based on an in-depth study of 854 European cities, provides clear evidence that net mortality in Europe will increase even in the most benign climate change scenario. The assessments show that the net burden on health will increase substantially in scenarios involving extreme warming, and that this trend can only be reversed by bringing in adaptation measures on a massive scale in urban communities.

    Bearing in mind that the study emphasises the importance of adaptation to heat:

    • 1.How is the Commission intending to incorporate more robust adaptation measures into the EU’s strategy on adaptation to climate change, in particular with regard to urban communities and the most vulnerable age groups?
    • 2.Will the Commission be addressing this increasing risk to public health specifically in EU climate legislation?
    • 3.Given the regional disparities where the projected impact of climate change is concerned, with the most serious net effects in southern Europe, is the Commission planning to address this inequality as regards vulnerability to climate change in its next proposal for a multiannual financial framework?

    Submitted: 12.2.2025

    • [1] https://www.nature.com/articles/s41591-024-03452-2.
    Last updated: 27 February 2025

    MIL OSI Europe News

  • MIL-OSI Europe: Written question – Establishing high-quality radiotherapy departments and modern oncology centres at public hospitals – E-000713/2025

    Source: European Parliament

    Question for written answer  E-000713/2025
    to the Commission
    Rule 144
    Giorgos Georgiou (The Left)

    Europe’s Beating Cancer Plan (COM(2021) 44) and the European Parliament resolution of 16 February 2022 on strengthening Europe in the fight against cancer (paragraph 105) stress the importance of establishing high-quality radiotherapy departments and modern oncology centres at public hospitals, based on European guidelines and in line with the latest scientific evidence.

    However, many patients in the EU sadly continue to face numerous difficulties as many oncology departments at public hospitals suffer from staff shortages and a lack of capacity. Cyprus is the only EU Member State without an integrated public oncology centre with a radiotherapy department, meaning that cancer patients have no other choice but to turn to the private sector.

    In view of the above:

    • 1.Will the Commission assess and provide published updates on the progress that each Member State makes in achieving the targets of the European strategy for quality public healthcare services?
    • 2.What steps will it take to support Member States in achieving the targets they have not yet met, thereby ensuring a common European public health standard for cancer prevention and treatment in all EU Member States?

    Submitted: 17.2.2025

    Last updated: 27 February 2025

    MIL OSI Europe News

  • MIL-OSI Europe: Written question – Fighting cancer – E-000709/2025

    Source: European Parliament

    Question for written answer  E-000709/2025
    to the Commission
    Rule 144
    Nadine Morano (PPE)

    World Cancer Day took place on 4 February. Cancer is the second leading cause of death in Europe, killing 1.2 million people in the EU every year.

    There are several worrying trends. Firstly, while only 10 % of the world’s population lives in Europe, the continent accounts for 25 % of cancer cases. Secondly, new cancer cases in under-50s increased by 79 % between 1990 and 2019.

    In light of this:

    What steps is the Commission taking now and planning to take in the future to advance cancer prevention and treatment?

    Submitted: 17.2.2025

    Last updated: 27 February 2025

    MIL OSI Europe News