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The Trump administration has reviewed the government's funds on a large scale, reviewing the program to comply with the recently signed presidential order and causes a wide range of turmoil and worries in the healthcare industry.
According to experts, this movement may have the power of a wallet, not the president, not the president.
This suspension does not apply to med care, social security benefits, or subsidies and loans directly provided to individuals, according to management and budgeted offices.
But in addition to them Curved outExperts said the frozen wording of financing is ambiguous. Therefore, it is difficult to confirm that specific medical expenses are affected.
“This memo has been widely drafted,” said Julian Polaris, a partner, focusing on laws and consulting companies' health policies. Manut。 “We are waiting for the staff of which program agency to identify which of the staff will be paused.”
Federal aid frozen
On Monday, Trump's proxy budget director sent a memo to the director who instructed to suspend all financial support, including subsidies and loans. The agency must manage detailed information about all expenditures to the budget bureau by February 10.
The program can be resumed after proof that OMB is in line with Trump's order. This is to enhance the expulsion of illegal immigrants and to prevent the dollar from being spent on raising abortion care.
HHS stated that it was related to the latter order.
The large healthcare department will re -evaluate all programs, regulations, and guidance to make sure that they do not pay or promote selective abortions. On January 20, he took office in a greater pause of a general message from his administration.
Fink said that the HS Civil Rights Bureau has also implemented the nationwide conscience and religious motion law and reviews regulations and guidance in their fields as “strengthening execution.”
Such a law is used by pharmacists to justify the refusal of LGBTQ's personal services and to reject drug dispensing used for miscarriage.
HHS did not respond to detailed information requests, such as those that paused the Financial Support for Pending OMB.
It has a big impact on health care
Considering that a considerable part of the federal government's subsidies is related to healthcare, hundreds of billions of medical centers, hospitals, universities, and research groups nationwide due to the suspension of funding. A wide range of programs that freeze dollar payments can occur.
According to government data, HHS currently has almost 38,000 active subsidies. In all awards and contracts (including subsidies), the category has approved $ 714.5 billion of the 2025 fiscal year.
HHS assists the funding program from the Disease Control Prevention Center to support research opportunities from the management of poor communities and the management of poor communities in the National Institute of Health, National Health Research Institute, and to improve the happiness of poor communities. Masu.
They also go to Medicade, a safety net insurance program, currently about 80 million Americans.
The Federal Government supports the state providing money to Medicade through free -answering subsidies that can be affected by freezing due to the expression of notes. If the suspension has been extended for a long time -Washington has the funds of the state Medicade every quarter -the federal government covers the state Medicade cost, which can be confusing in state expenditures. I have sex.
In 2023, the federal government and the state government spent $ 871.7 billion in Medicade, and the federal government covered $ 591.4 billion.
John Alcar, an executive director at the University of Georger Town University, said that the suspension of medicade funding was “miserable for the state.”
However, Medicade may be exempted from the order, because Medicade, a law professor at the University of Michigan, is inconsistent with the law that matches the paid by Sam Bagenstos, a law professor from 2021 to 2022. I have sex. With blue skiing.
“In our reading, institutions should not pause legally obligatory activities,” Polaris said, as in the state's payment to the state. “It's basically an exception to pause.”
According to Polaris, given the quarterly nature of Medicade's payment, even if there is a pause for several weeks, it should not have a major impact on the state. The state can also have money to move to protect normal operation.
However, if the suspension is long, the state may need to consider delaying payments to medical providers or insurance companies. USC Brook Initiative for Schaeffer initiative.
Nevertheless, it is uncertain whether freezing is applied to funds for the state Medicade program.
“We are still evaluating and understanding the meaning of OMB memo on Medicade and other public health insurance programs,” said New York's Medicade Director Amir Basili. “There are differences in opinions on the interpretation of memos, but this is still legally analyzed.”
Aside from Medicade, many providers' financial health is affected by the suspension of financial support from Washington.
According to the National Community Health Center Association, the federal government's subsidies are the main source of funding for the health center, providing primary care in areas where thousands of outpatient clinics nationwide do not provide services. Similarly, many reproductive medical providers rely on the title X subsidy to provide low -income earners with family planning and preventive medical services.
In addition, US hospitals will reinforce and train labor, and receive many subsidies to expand their services in rural areas in preparation for disasters and emergencies.
But “this is a program for each program and an analysis for each grant,” Polaris said that the Trump administration has not accurately clarified that it will continue to continue.
Unconstitutional order
This memo claims that Trump has a unilateral power that the president has stopped by Congress. This is a direct conflict with the 1974 water storage management method.
Currently, federal government agencies are allowed to suspend financial support only under specific conditions, according to a brief overview of the law firm AKIN. Taxpayer dollars still have to spend money in accordance with parliamentary instructions. The executive department cannot decide to completely refuse how funds are used without the approval of Congress.
The order issued an alarm among the Democratic members.
“Congress has approved these investments, but they are not optional,” said Chuck Schumer, the leader of the Senate's minority, via X on Monday.
According to the feedler, Trump may want to stop the federal dollar's flow, but instead uses freezing as an excuse to claim an active interpretation of execution.
“The memo is unknown,” Feeder said. “Unless it contradicts other laws, the funds will be paused. The problem is what is inconsistent with federal law, what kind of federal law we are, and what actually it is. Is it applied? “
“I haven't seen how this works yet,” he added.
