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Trump signs order that aims to reveal real health care costs

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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

DeSantis’ New Florida Congressional Map Could Spark Lawsuits, Legislative Showdown, and Statewide Protests

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TALLAHASSEE, Fla. (FNN) — Governor Ron DeSantis unveiled a proposed congressional redistricting map that could significantly reshape Florida’s representation in the U.S. House ahead of the 2026 midterm elections.

The proposal, released Monday, outlines districts that could favor Republicans in 24 seats, compared to four Democratic-leaning districts. Currently, Florida’s congressional delegation includes 20 Republicans and seven Democrats, with one vacant seat.

REDISTRICTING PROPOSAL & POLITICAL IMPACT
The governor said the new map reflects Florida’s population changes and fulfills his commitment to mid-decade redistricting. Lawmakers have been called into a special legislative session to consider the proposal.

The map appears to eliminate four Democratic-held seats, including a Tampa-area district represented by U.S. Rep. Kathy Castor, an Osceola County district held by U.S. Rep. Darren Soto—the first Puerto Rican elected to Congress from Florida—and a Palm Beach-Broward district that could displace U.S. Rep. Jared Moskowitz.

The proposal also affects a majority-Black voting district spanning Palm Beach and Broward counties, previously represented by former U.S. Rep. Sheila Cherfilus-McCormick, raising concerns about the future of minority representation.

Supporters, including Evan Power, say the map could better align districts with voter distribution. Critics, including Nikki Fried, have called the proposal unconstitutional gerrymandering. Florida law prohibits partisan gerrymandering, setting up potential legal challenges.

Rep. Tray McCurdy, D-Orlando and Rep. Angie Nixon, D-Jacksonville sit on the Florida Seal in protest as debate stops on Senate Bill 2-C: Establishing the Congressional Districts of the State in the House of Representatives Thursday, April 21, 2022 at the Capitol in Tallahassee, Fla. Rep. Daisy Morales, D-Orlando, joins the protest, holding a sign. The session was halted on the protest. (AP Photo/Phil Sears)


LOOKING BACK: 2022 PROTESTS OVER REDISTRICTING

The current debate mirrors tensions from 2022, when Democratic lawmakers staged a sit-in protest on the Florida House floor in opposition to a previous congressional map backed by DeSantis.

Lawmakers including Yvonne Hinson, Angie Nixon, Travaris McCurdy, Felicia Robinson, and Daisy Morales participated in the protest, temporarily halting legislative proceedings.

Morales, a member of the Congressional Redistricting Subcommittee and the only Hispanic lawmaker involved in the sit-in, strongly criticized the map at the time.

“Our democracy is being attacked. The governor eliminating two Black congressional seats is a power grab and it’s wrong,” Morales said in a written statement. “Stripping seats from Black representation is the same as saying the Black voice—the Black vote—doesn’t matter.”

She also warned about potential impacts on Hispanic representation:

“With this map passing, I’m deeply concerned it could target the only Puerto Rican representing Florida in Congress, Darren Soto, to benefit partisan interests. We don’t want to disenfranchise the 1.2 million Puerto Ricans in Florida.”

WHAT COMES NEXT IN 2026
As lawmakers prepare to debate the new proposal, Democrats are expected to push back through legal challenges, legislative opposition, and public advocacy.

The outcome of Florida’s redistricting battle could play a pivotal role in shaping control of the U.S. House and influence the national political landscape heading into the 2026 midterm elections.

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Politics

Gov. Ron DeSantis Orders Flags at Half-Staff for Slain Coral Springs Vice Mayor Nancy M. Metayer Bowen

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Coral Springs Vice Mayor Nancy M. Metayer Bowen

TALLAHASSEE, Fla. (FNN) — Gov. Ron DeSantis has ordered flags to be flown at half-staff in honor of Coral Springs Vice Mayor Nancy M. Metayer Bowen, who was killed April 1 in what authorities describe as a domestic violence incident.

The directive calls for U.S. and Florida state flags to be lowered from sunrise to sunset Friday, April 17, 2026, at the State Capitol in Tallahassee and at all local and state buildings, installations and grounds throughout Coral Springs.

According to Coral Springs Police, officers conducted a wellness check at Metayer Bowen’s home after city staff raised concerns when she missed scheduled meetings and could not be reached. Responding officers found her deceased inside the residence.

Investigators said the killing appears to be a domestic violence incident. Her husband, Stephen Bowen, was later taken into custody and faces charges of premeditated murder and tampering with evidence. The case remains under active investigation.

State and local leaders say the half-staff order honors Metayer Bowen’s service and legacy in the Coral Springs community, where she was recognized for her leadership and commitment to public service.

What We Know About Her Death
Police say Metayer Bowen was killed April 1 at her Coral Springs home. Officers discovered her body during a wellness check prompted by her unexplained absence from official duties and lack of communication.

Husband Arrested, Faces Charges
Authorities arrested her husband, Stephen Bowen, who now faces premeditated murder and evidence-tampering charges. Investigators have identified the case as an apparent domestic violence incident.

State Honors Her Legacy
Gov. DeSantis ordered flags lowered across key government buildings in Tallahassee and Coral Springs, recognizing Metayer Bowen’s public service and the impact of her loss on the community.

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Crimes and Courts

Florida Creates Public Assistance Fraud Task Force, Appoints Special Prosecutor to Crack Down on Fraud

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Courtesy of the Office of the Attorney General

TALLAHASSEE, Fla. (FNN)James Uthmeier announced the launch of the Public Assistance Fraud Task Force, a multi-agency initiative aimed at strengthening investigations and prosecutions of fraud involving taxpayer-funded benefit programs.

As part of the effort, Assistant Statewide Prosecutor Scott Strauss has been appointed as special prosecutor to oversee complex, multi-circuit fraud cases and coordinate legal strategies across agencies.

TASK FORCE TO TARGET FRAUD

The task force is designed to provide legal counsel and streamline criminal prosecutions for state agencies and law enforcement, enhancing Florida’s ability to build strong cases against individuals accused of fraud.

“We are launching this task force to bring accountability and prosecute those who are stealing from Floridians,” Uthmeier said. “Florida is not Minnesota or California, and we will safeguard the taxpayers’ investment in the services meant for the vulnerable.”

MULTI-AGENCY COLLABORATION

State leaders emphasized the importance of coordination across agencies to combat increasingly sophisticated fraud schemes.

“Under the leadership of Governor Ron DeSantis and Attorney General Uthmeier, Florida has continued to identify, address, and prevent fraud,” said Shevaun L. Harris, secretary of the Agency for Health Care Administration. “This multi-agency initiative creates an opportunity to collectively reaffirm that commitment.”

Brad McVay added that protecting taxpayer-funded programs is essential to maintaining public trust.

“Floridians deserve a government that safeguards their taxpayer dollars from fraudsters,” McVay said.

Florida Department of Law Enforcement Commissioner Mark Glass also stressed enforcement.

“If you commit fraud against public assistance programs, you will be held accountable,” Glass said.

ROLE OF SPECIAL PROSECUTOR

The special prosecutor will evaluate and oversee ongoing multi-circuit investigations, assist in developing cases for prosecution, and support law enforcement with legal tools such as warrants and affidavits.

Kathleen Von Hoene said the initiative will strengthen protections for vulnerable populations.

“Our goal is to protect the public, preserve the integrity of the Medicaid program, and safeguard the populations it serves,” she said.

PROGRAMS AND ENFORCEMENT

Florida’s public assistance programs include Medicaid, SNAP, WIC, housing assistance and reemployment services. Fraud involving these programs can result in criminal charges ranging from misdemeanors to felonies, with penalties including fines, restitution and incarceration.

Law enforcement agencies interested in participating in the task force can contact the Office of Statewide Prosecution for more information.

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