Politics
Trump signs order that aims to reveal real health care costs
Published
7 years agoon
WASHINGTON (AP) — President Donald Trump signed an executive order Monday that calls for upfront disclosure by hospitals of actual prices for common tests and procedures to help keep costs down.
The idea is to give patients practical information that they can use to save money. For example, if a hospital charges your insurer $3,500 for a type of echocardiogram and the same test costs $550 in a doctor’s office, you might go for the lower-price procedure to save on copays.
But insurers said the idea could backfire, prompting hospitals that now give deeper discounts to try to raise their own negotiated prices to match what high earners are getting. Hospitals were skeptical of the move.
Trump’s order also requires that patients be told ahead of time what their out-of-pocket costs like deductibles and copays will be for many procedures.
Little will change right away. The executive order calls for a rule-making process by federal agencies, which typically takes months or even years. The details of what information will have to be disclosed and how it will be made available to patients must be worked out as part of writing the regulations. That will involve a complex give-and-take with hospitals, insurers and others affected.
Consumers will have to wait to see whether the results live up to the administration’s promises.
“For too long it’s been virtually impossible for Americans to know the real price and quality of health care services and the services they receive,” Trump said at the White House. “As a result, patients face significant obstacles shopping for the best care at the best price, driving up health care costs for everyone.”
Health and Human Services Secretary Alex Azar told reporters earlier that the order “will put patients in control by increasing choice and competition.”
Lack of information on health care prices is a widespread problem . It’s confusing for patients, and experts say it’s also one of the major factors that push up U.S. costs. The same test or procedure, in the same city, can cost widely different amounts depending on who is performing it and who is paying the bill. Hospital list prices, which are available, don’t reflect what they are paid by insurers and government programs.
The health insurance industry said disclosing negotiated prices will only encourage hospitals that are now providing deeper discounts to try to raise their rates to match the top-tier facilities. “Publicly disclosing competitively negotiated proprietary rates will reduce competition and push prices higher — not lower — for consumers, patients, and taxpayers,” Matt Eyles, head of the industry group America’s Health Insurance Plans, said in a statement.
The Federation of American Hospitals, representing for-profit facilities, warned that if the Trump administration regulations take the “wrong course,” they may “undercut the way insurers pay for hospital services, resulting in higher spending.”
While the prices Medicare pays are publicly available, private insurers’ negotiated rates generally are not. Industry officials say such contractual information is tantamount to trade secrets and should remain private.
Azar pushed back against that argument, saying insurers do ultimately disclose their payment rates when they send individual patients an “explanation of benefits.” That’s the technical term for the form that patients get after they’ve had a procedure or seen the doctor.
“Every time any one of us goes to a doctor or a hospital, within a couple of weeks in our mailbox arrives an explanation of benefits. (It) contains the list price … the negotiated rate … and what your out-of-pocket is,” Azar said. “This is not some great state secret out there.”
Patients should have that information ahead of time to help them make decisions, he added.
Trump’s executive order also calls for:
—expanded uses for health savings accounts, a tax-advantaged way to pay health care bills that has long been favored by Republicans. Coupled with a lower-premium, high-deductible insurance plan, the accounts can be used to pay out-of-pocket costs for routine medical exams and procedures.
—a plan to improve the government’s various health care quality rating systems for hospitals, nursing homes and Medicare Advantage plans.
— more access by researchers to health care information, such as claims for services covered by government programs like Medicare. The data would be stripped of details that could identify individual patients.
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Florida
Vilchez Santiago Wins Union Backing; Daisy Morales Says Voters — Not Political Endorsements — Decide Elections
Published
4 days agoon
July 10, 2026ORLANDO, Fla. (FNN NEWS) — The Democratic primary for Florida House District 43 intensified this week after candidate Samuel Vilchez Santiago announced endorsements from a coalition of labor organizations, prompting former State Rep. Daisy Morales to respond that while endorsements are important, elections are ultimately decided by voters.
Vilchez Santiago announced support from 12 labor organizations, including the Florida AFL-CIO, Central Florida AFL-CIO, SEIU Florida, the Florida Education Association, the Orange County Fire Fighters Association, United Food and Commercial Workers Local 1625, the Orange County Classroom Teachers Association, the United Auto Workers, the International Brotherhood of Electrical Workers Local 606, the Laborers’ International Union of North America Local 517, SMART Transportation Division PAC, and the Amalgamated Transit Union Local 1596.
“I am incredibly honored to earn the support of these outstanding labor organizations,” Vilchez Santiago said.
He said the endorsements were especially meaningful because he grew up in a union household.
“These endorsements are deeply personal to me. As someone who grew up in a union household, I understand firsthand that unions create pathways into the middle class and give working families the opportunity to build a better future.”
Vilchez Santiago said he would continue advocating for workers’ rights and policies that strengthen Florida’s middle class if elected.
Morales Congratulates Opponent, Recognizes Union Members
In response, Morales congratulated Vilchez Santiago on receiving the endorsements while recognizing the contributions of organized labor across Florida.
“I congratulate Mr. Vilchez Santiago on earning the support of these organizations and appreciate every group that participates in our democratic process,” Morales said.
Morales praised union members working as teachers, firefighters, law enforcement officers, healthcare professionals, skilled trades workers, transportation employees and others who contribute to Florida’s economy.
“Every worker deserves respect, opportunity, safe workplaces, fair wages, and the opportunity to achieve the American Dream.”
Morales Points to 2020 Democratic Primary
Morales said endorsements are valued but do not determine election outcomes.
She cited the 2020 Democratic Primary for Florida House District 48, when Vilchez Santiago received endorsements from elected officials, political organizations and advocacy groups before Morales defeated him and three other Democratic candidates to win the Democratic nomination.
Following that election, Florida Politics wrote that endorsements “didn’t matter” after Morales emerged victorious.
“That election demonstrated a principle that remains true today,” Morales said. “Political endorsements are valued expressions of support, but they never replace the judgment of the voters. The people—not political insiders or special interests—have the final say on Election Day.”
Morales later won the general election and represented House District 48 from 2020 to 2022.
Contrasting Campaign Messages
The exchange highlights the different messages each campaign is emphasizing as the Aug. 18 Democratic primary approaches.
Vilchez Santiago has focused on labor support, workers’ rights, affordability, housing, healthcare and reducing the influence of special interests.
Morales has centered her campaign on her legislative experience, bipartisan record and accomplishments during her term in the Florida House.
Morales said her official legislative record includes sponsoring and co-sponsoring more than 110 bills during the 2021 and 2022 legislative sessions and helping secure more than $12.5 million in state appropriations supporting higher education, healthcare, workforce development, nonprofit organizations, infrastructure improvements and community projects.
Among the legislative priorities Morales highlighted were educational opportunities for disabled veterans, property tax relief, consumer protection, public safety, workforce development, healthcare initiatives, infrastructure investments and services benefiting veterans, seniors and individuals with disabilities.
“Working families deserve representatives who deliver results—not just campaign promises,” Morales said.
Leadership and Experience
Morales said voters should evaluate candidates based on their accomplishments in public office.
“There is a clear difference in this race. My opponent is asking voters to consider who has endorsed his campaign. I am asking voters to examine my record of public service, legislative accomplishments, and proven results. Experience matters because results matter.”
She encouraged voters to review her official legislative record on the Florida House of Representatives website, which includes sponsored and co-sponsored legislation, committee assignments, voting history and appropriations.
Primary Election Approaches
The Democratic primary for Florida House District 43 will be held on Tuesday, Aug. 18, 2026, with early voting scheduled for Aug. 3–16. The winner will advance to the Nov. 3 general election.
House District 43 includes portions of east Orange County, including Azalea Park, Union Park, Alafaya, Orlando, Rio Pinar and surrounding communities.
Both campaigns are expected to continue emphasizing their respective strengths as voters begin casting ballots in one of Central Florida’s most closely watched Democratic legislative primaries.
Central Florida News
Orlando Begins Fiscal Year 2026-27 Budget Review, Addresses Property Tax Reform and Future Spending
Published
4 days agoon
July 10, 2026ORLANDO, Fla. (FNN NEWS) — The City of Orlando will officially begin its Fiscal Year 2026-27 budget process on Monday, July 13, with a public budget workshop outlining Mayor Buddy Dyer’s proposed spending plan for the coming fiscal year.
City officials said the proposed budget is balanced, does not increase the city’s millage rate, and continues to prioritize the core municipal services residents rely on every day.
Budget Workshop Scheduled for July 13
The budget process begins with a workshop at 10 a.m. in the City Council Chambers on the second floor of Orlando City Hall.
During the workshop, Mayor Buddy Dyer and members of the Orlando City Council will receive an overview of the proposed Fiscal Year 2026-27 budget from Chief Financial Officer Jose Fernandez and Assistant Chief Financial Officer Jason Wojkiewicz.
In addition to presenting the proposed spending plan, city financial officials will discuss proposed property tax reform and its potential impact on future city budgets and long-term financial planning.
Public Hearings Scheduled for September
Following the budget workshop, Orlando residents will have opportunities to provide public input during two public hearings in September.
Budget Hearing No. 1
Monday, Sept. 14, 2026
5:01 p.m.
City Council Chambers, Orlando City Hall
During the first hearing, the City Council is expected to adopt a proposed millage rate and establish a tentative Fiscal Year 2026-27 budget and Capital Improvement Program.
Budget Hearing No. 2
Monday, Sept. 28, 2026
5:01 p.m.
City Council Chambers, Orlando City Hall
The second and final public hearing will include the City Council’s vote to adopt the final millage rate, Fiscal Year 2026-27 budget and Capital Improvement Program.
Budget Takes Effect Oct. 1
If approved, Orlando’s Fiscal Year 2026-27 budget will take effect on Thursday, Oct. 1, 2026, marking the beginning of the city’s new fiscal year.
FY 2026-27 Budget Timeline
- Monday, July 13 — Budget Workshop (10 a.m.)
- Monday, Sept. 14 — First Public Budget Hearing (5:01 p.m.)
- Monday, Sept. 28 — Final Public Budget Hearing and Adoption Vote (5:01 p.m.)
- Thursday, Oct. 1 — Fiscal Year 2026-27 Budget Implementation
The annual budget process establishes funding priorities for city operations, public safety, transportation, parks, infrastructure, capital improvements and other municipal services while determining the city’s property tax rate for the upcoming fiscal year.
Politics
State Rep. Angie Nixon Condemns Deadly ICE Shooting, Calls for Independent Investigation
Published
4 days agoon
July 10, 2026JACKSONVILLE, Fla. (FNN NEWS) — Following the fatal shooting of 52-year-old father and construction worker Lorenzo Salgado Araujo by an Immigration and Customs Enforcement (ICE) agent in Houston, Democratic U.S. Senate candidate and Florida State Representative Angie Nixon released the following statement:
Statement from Rep. Angie Nixon
“Lorenzo Salgado Araujo was a father who spent decades building homes and providing for his family. He was fatally shot in the street by an ICE agent operating from an unmarked vehicle. My heart breaks for his wife and three sons.
“Our nation faces a moral choice. We must stop investing billions of taxpayer dollars in an agency that, in my view, terrorizes communities, operates with too little accountability, and often conducts enforcement actions without body cameras or clear identification. Those resources should instead be invested in strengthening our communities and helping families meet their basic needs. I believe ICE should be abolished.
“I stand in full solidarity with Lorenzo’s family in calling for a fully independent and transparent investigation into his death. I also call for the immediate release of his brother and the other individuals who were detained during this incident if they are being held without legal justification.”
Key Points
- Rep. Angie Nixon expressed condolences to the family of Lorenzo Salgado Araujo.
- She called for a fully independent and transparent investigation into the fatal shooting.
- Nixon criticized ICE’s enforcement practices and renewed her call to abolish the agency.
- She urged the release of Lorenzo’s brother and others detained during the incident if their continued detention is not legally justified.
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