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High cost of naloxone prompts rural Arkansas pharmacists to keep life-saving medicine behind counter

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arkansasadvocate.com – Mary Hennigan, Special to the Advocate – 2025-04-22 05:00:00


by Mary Hennigan, Special to the Advocate, Arkansas Advocate
April 22, 2025

The life-saving medicine naloxone was approved for nonprescription sale more than two years ago, but many rural Arkansas pharmacies still keep the overdose-reversal kit behind the counter.

Of 15 pharmacies the Advocate contacted for this article, all but two kept naloxone behind the counter. Pharmacists and business owners said requests for the drug have been low or nonexistent among their clientele, and they haven’t thought of moving it to a different area. Others cited shoplifting and the drug’s expense as a concern; several said more insurance providers should cover the cost.

Goodman Drug in Corning, a town of about 3,000 people in Clay County, was one of two pharmacies that makes naloxone available over the counter. Though owner Cathy Goodman said she didn’t have many customers come in looking for the product, she said it was important to keep it in an accessible location.

“Some people have prescription drugs and children in the house,” Goodman said. “[Naloxone] may not necessarily be for them, but it should be readily available to anybody who has anything [with opioids] in their household,” she said.

More than 82,000 people in the United States died of a drug overdose in 2024, according to preliminary data from the Centers for Disease Control and Prevention. The same data shows Arkansas had 386 drug overdose deaths in 2024, though the figure could change as the data is finalized. The CDC reported a 28% decrease in Arkansas overdose deaths from 2023 to 2024.

Naloxone is packaged as many brands, and the Narcan nasal spray was a commonly known label when the U.S. Food and Drug Administration expanded its availability in March 2023. While the nasal spray is effective and designed for easy use, experts say 911 should still be called immediately in the event of an overdose.

Arkansas officials stress the importance of naloxone distribution as they gradually allocate the state’s $216 million share of the national $26 billion opioid settlement funds. The funds were divided between the state, counties and cities. The Arkansas Association of Counties and the Arkansas Municipal League pooled their allocations together and formed the Arkansas Opioid Recovery Partnership, which former state drug director Kirk Lane leads.

“I think there’s a stigma attached to anything that has to do with substance use disorder, and there always has been,” Lane said, acknowledging that naloxone carries a stigma. “It’s what’s always made it difficult for us to give resources to people who need it.”

Kirk Lane, director of the Arkansas Opioid Recovery Partnership, speaks at a press conference announcing a new youth drug-reduction program in Little Rock on Oct. 9, 2024. (Mary Hennigan/Arkansas Advocate)

Lane agreed that keeping naloxone behind the counter where a customer has to ask for it establishes a barrier. However, ARORP has distributed about 100,000 dosage units of naloxone statewide, and Lane said if someone has a will to access the medicine, they could get it very quickly from a local participating organization, law enforcement agency or emergency services group.

Lane said the recovery partnership has approved funding for a handful of pharmacies to provide naloxone kits free of charge to patients who can’t afford it.

Per Arkansas Act 651 of 2021, health care professionals are required to prescribe an opioid antagonist like naloxone under certain conditions, including when a patient has a history of opioid use disorder or if they receive an opioid dosage of at least 50 morphine milligram equivalents per day for at least five days.

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Patient hurdles

Spence Reed, an owner of the ReedHutchins Pharmacy in Heber Springs, said he could see how the behind-the-counter placement of naloxone in his Cleburne County store would create an additional hurdle for customers. But Reed said he’s also concerned that people might steal the $60 medicine. He compared the product to pregnancy tests or condoms, which he said are commonly taken to avoid embarrassment.

Several other pharmacy operators said they were worried naloxone would be taken unknowingly out of their business and have kept it behind the counter so they can keep an eye on it.

Chris Cooper, director of operations for Heartland Pharmacy’s 11 Arkansas locations, said the location of the drug depends on the storefront. While smaller businesses with less to oversee may stock it on their shelves, it’s mostly kept behind the counter as a preventative for shoplifting.

Chris Cooper, director of operations, Heartland Pharmacy (Source: heartland-rx.com)

“It’s not cheap, so contrary to what a lot of people think — they think that it is still very affordable, a cheap medication that they can just snag. Unfortunately, it’s not,” he said.

Cooper said the behind-the-counter placement is not meant to deter use of the drug in any way, and he expressed support for naloxone access as drug overdose continues to affect thousands nationwide each year.

Naloxone is typically packaged in a small box containing two nasal sprays. Most Arkansas pharmacies sold the product for about $65, though Eudora Drug Store’s pharmacist Clara Rice said the price was up to $250.

Eudora is a town of about 2,000 people in the Arkansas Delta, not far from the Mississippi River. Data shows the town’s median age is 52, and an average household income is about $27,000. Rice described the area as having high crime.

“We don’t want to take any chances with having [naloxone] out front,” Rice said. “Of course, if there were an emergency, it would be easy to get to if that was the case.”

Such is the notion that many rural pharmacies described: If a customer came in and asked for naloxone, they would still be able to buy it.

“It’s a financial thing for me,” said Tyler Staten, manager of Gannaway Drug in Warren, the seat of south Arkansas’ Bradley County. “If nobody’s demanding it — then just like stocking anything else, if you don’t have a demand for it there’s no need to stock it on the shelf. As soon as somebody wants it or needs it, I’m willing to do that. We will do that.”

While theft may play a small factor in Larry Thomerson’s decision to keep the medicine behind the counter at the Gurdon Pharmacy in Arkansas’ south central Clark County, he also wants to talk with his customers beforehand and ensure they know how to use it, he said.

Thomerson, a pharmacist of 50 years, said he doesn’t consider naloxone to carry a stigma, and there are no restrictions on buying naloxone in his shop. “I’ll be glad to sell it to anyone who wants one,” he said.

Cissy Clark, pharmacist and owner of Clarks Family Pharmacy in Earle, also pushed back on the idea that purchasing naloxone is complicated by stigma.

“I live in a really, super small town. I’ve known these people since 1995; raised them from diapers,” Clark said. “I think they’re comfortable enough with me to come in and ask for it.”

She also said that she recommends naloxone to customers who are headed off to college soon in case of any emergencies. 

Earle is located in Crittenden County on the Arkansas-Mississippi border. In 2020, the town had a population of about 1,800. The town takes up about 3.25 square miles, and staff said Clarks Family Pharmacy is the only local provider in town.

Still, Clark said she keeps naloxone behind the counter because of the area’s financial standing.

Financial burden

In Heber Springs, Reed said not many people have asked for naloxone over the counter, but it is included with frequent pain medicine prescriptions. He said that if a medicine could save a life and prescribers have to include it on their opioid scripts, insurances should cover it.

“We often try to tell them it could be somebody who doesn’t know what it is that gets a hold of [pain pills] in your house — could be another family member or grandchild — somebody that accidentally gets a hold of them and takes them,” Reed said. “That way, you would have [naloxone] on hand to hopefully rescue them or prevent an unwanted outcome.”

Mayflower Family Pharmacy owner Michael Thilo tells his Faulkner County customers something similar. Rather than highlight how a customer’s dependency on pain medicine is a physical addiction itself, Thilo said he puts a “soft spin” on naloxone to encourage people to keep the overdose-reversal medicine around.

Michael Thilo, owner, Mayflower Family Pharmacy (Source: mayflowerfamilypharmacy.com)

Thilo said he prompts his clientele to think about what would happen if a child accidentally consumed the pills, which shifts the focus away from the person using the pain medicine.

“I definitely think there’s a stigma,” Thilo said. “I think most people see it as, ‘I don’t need that because I don’t have that problem,’ whether they realize they do have the problem or not. I think most people that have been on opioids long term just need it for day-to-day, but they don’t realize they’re addicted to it.”

Thilo said he hasn’t had anyone ask for naloxone over the counter, and affordability may be another barrier.

Of the most common insurance providers — including Medicare for whom Thilo considers the most vulnerable population — about half won’t cover the medicine, he said. He estimated that one customer out of every 10 who receive an opioid prescription at his pharmacy will pick up naloxone because of the copay expense.

“I think all insurances should be required to cover it for no cost,” Thilo said. “If we’re worried about it as a population, as a society, then I think we should take it seriously and remove the financial burden.”

Heath Branscrum, a pharmacist and part owner of Health-Wise Pharmacy in the small Sebastian County town of Lavaca, shared similar sentiments about his patients not jumping to pay the cost of the preventative medicine.

“One of the barriers to people gaining access to Narcan is the fact that their insurance is not covering, particularly Medicare-affiliated insurances, the over-the-counter version of Narcan,” Branscrum said. “…There’s a large number of people out there that are supposed to have Narcan available to them, but they don’t get it because it’s going to cost them $50.”

Other resources

Purchasing naloxone at a pharmacy isn’t the only way residents living in rural Arkansas can access resources to stop the opioid epidemic. 

River Valley Medical Wellness, a primary care provider with offices in Russellville and Hot Springs, in 2023 launched the Arkansas Mobile Opioid Recovery (ARMOR) nonprofit, which sends mobile health units with critical substance use care to rural pockets in the state.

Attorney General Tim Griffin funded the first mobile health unit with a $777,000 grant from the state’s opioid settlement funds. After seeing some success, the Arkansas Department of Human Services provided the same funding amount for a second mobile unit. Tucker Martin, chief operating officer at River Valley Medical Wellness and co-founder of ARMOR, said the goal is to have five mobile health units that provide services in each corner of the state and in the Little Rock metro area.

According to results from a twice yearly River Valley Medical Wellness social determinants of health survey, Martin said patients consistently list transportation to care at the top of the list.

Tucker Martin, COO, River Valley Medical Wellness (Source: rvmwellness.com)

“They’re making a decision about whether they’re going to buy food to put on the table for their family, or they’re going to put gas in their car, travel 38 miles or whatever it is, to go to the doctor,” Martin said. “That’s the kind of decision that these people are facing, so that birthed the idea of, ‘Let’s create an environment where we can take health care directly to communities.’”

April 14 marked the one-year anniversary of ARMOR’s mobile health unit launch, and Tucker said 1,785 patients in a handful of towns were treated during that time. Each of the meetings are “very meticulously scheduled” and coincide with a providing service already in the community, such as a local church, he said.

More than 1,200 free naloxone kits were distributed to the community in the last year, according to an impact report from ARMOR.

“My deep, deep desire is to give the same thing that was given to me, which is access to a little bit of hope,” said Martin, who celebrated nine years of continuous sobriety in October. 

At the state level, Griffin also has distributed a portion of opioid settlement funds to a variety of organizations focused on providing help to those with opioid addiction. Griffin recently launched a pilot program for the state’s specialty courts system and helped fund opioid research at Arkansas Children’s Hospital.

The Arkansas Opioid Recovery Partnership funds projects in all 75 counties that aim to abate the opioid epidemic. While Lane said ARORP doesn’t allow applications for naloxone kits from individuals, the organization works to provide funding for local entities that can distribute the resource in the community.

ARORP’s Naloxone Hero Project distributed more than 100,000 dosage units statewide, the majority of which went to local organizations. Recently, ARORP started distributing units to law enforcement agencies, first responders and fire departments.

The ReviveAR mobile app also teaches residents how to use naloxone, where they can access it locally and how to provide support for family and friends. The app provides step-by-step opioid reversal instructions in English, Spanish and Marshallese.

“I think in every ability where there’s any possibility of somebody overdosing … [naloxone] ought to be considered as a resource to reverse an overdose,” Lane said.

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Arkansas Advocate is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Arkansas Advocate maintains editorial independence. Contact Editor Sonny Albarado for questions: info@arkansasadvocate.com.

The post High cost of naloxone prompts rural Arkansas pharmacists to keep life-saving medicine behind counter appeared first on arkansasadvocate.com



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Assessment: Centrist

The content appears balanced with no strong political leaning. It focuses on the practical aspects of naloxone accessibility in rural Arkansas, emphasizing both the challenges (e.g., cost, availability, stigma) and the efforts being made to combat the opioid crisis (e.g., mobile health units, funding through opioid settlements, and partnerships). The inclusion of perspectives from pharmacy owners, health officials, and state authorities presents a broad view of the issue without overtly supporting any political ideology. The focus is on the public health implications and logistical hurdles rather than a partisan stance.

News from the South - Arkansas News Feed

U.S. Supreme Court divided over Trump birthright citizenship ban, lower courts’ powers

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arkansasadvocate.com – Ariana Figueroa – 2025-05-15 13:49:00


On May 15, 2025, the U.S. Supreme Court heard arguments on the Trump administration’s executive order attempting to end birthright citizenship and challenge nationwide injunctions that block federal policies. The administration urged the Court to focus on limiting nationwide injunctions, arguing federal courts exceed their authority by imposing them. Opponents and several states defended birthright citizenship under the 14th Amendment, warning that ending it could create a patchwork of citizenship rules and stateless children. The justices debated the practicality of nationwide injunctions and enforcement logistics. A decision is expected before the Court’s July Fourth recess. Hundreds protested outside the Court.

by Ariana Figueroa, Arkansas Advocate
May 15, 2025

WASHINGTON — U.S. Supreme Court justices appeared split Thursday hearing a major case in which the Trump administration defended not only the president’s order to end the constitutional right to birthright citizenship but also its efforts to limit nationwide injunctions.

Though the dispute before the justices relates to the executive order on birthright citizenship that President Donald Trump signed on his Inauguration Day, the Trump administration is asking the high court to focus on the issue of preliminary injunctions granted by lower courts, rather than the constitutionality of the order.

It means that the Supreme Court could potentially limit the power of federal judges in district courts who curtail the president’s authority.

The Trump administration argues that a federal judge granting a nationwide injunction that blocks the federal government from carrying out its policy anywhere in the country is unconstitutional.

Rev. Patrick Mahoney, director of the Christian Defense Coalition, joined demonstrators outside the U.S. Supreme Court on Thursday, May 15, 2025, to protest the Trump administration’s effort to strip birthright citizenship from the Constitution. (Photo by Ashley Murray/States Newsroom)

The justices had before them three cases with injunctions levied by judges on Trump’s executive order to end birthright citizenship, from courts in Maryland, Massachusetts and Washington state. Under the 14th Amendment, all children born in the United States are considered citizens, regardless of their parents’ legal status.

Trump’s order, originally planned to go into effect Feb. 19, said that children born in the United States would not be automatically guaranteed citizenship if their parents were in the country without legal authorization or if they were on a temporary legal basis such as a work or student visa.

The justices questioned the practicality of a system in which judges can no longer issue nationwide injunctions and the logistics of instead having individuals file their own cases.

Liberal justice Elena Kagan said that would create a chaotic system, and conservative justice Neil Gorsuch said it would produce a “patchwork” of suits and noted how long it takes for a class — a group of affected people — to be put together for a court case.

Nationwide injunctions have stymied Trump’s agenda, but were also frequent during the Joe Biden administration. However, Trump has lashed out at judges who have blocked his actions, which in March prompted a rare response from conservative Chief Justice John Roberts on the importance of an independent judiciary.

‘Stateless’ children

If the Supreme Court, dominated 6-3 by conservatives, decides that nationwide injunctions are not allowed in the birthright citizenship cases, it would temporarily create a patchwork of citizenship rules varying from state to state while the cases are litigated. Liberal Justice Sonia Sotomayor said it would create a class of stateless people.

“Thousands of children who are going to be born without citizenship papers that could render them stateless in some places because some of their parents’ homes don’t recognize children of their nationals unless those children are born in their countries,” she said.

If birthright citizenship were to be eliminated, 255,000 children born each year would not be granted U.S. citizenship, according to a study by the think tank Migration Policy Institute.

40 injunctions since Jan. 20

Arguing on behalf of the Trump administration, U.S. Solicitor General D. John Sauer, in his opening remarks, noted that since Trump took office in January, there have been 40 nationwide injunctions.

“Universal injunctions exceed the judicial power granted in Article III, which exists only to address the injury to the complaining party,” he said, referring to the Constitution. “They transgress the traditional balance of equitable authority, and it creates a host of practical problems.”

Sauer touched on the merits of birthright citizenship, arguing that the 14th Amendment was only meant to grant citizenship to newly freed Black people, and not for immigrants in the country without legal authorization.

“The suggestion that our position on the merits is weak is profoundly mistaken,” Sauer said. “That kind of snap judgment on the merits that was presented in the lower courts is exactly the problem with the issue of racing to issue these nationwide injunctions.”

He said that the Trump administration would follow the high court’s ruling on birthright citizenship.

Demonstrators from the immigration advocacy organization CASA chant “Up up with liberation, down down with deportation” outside of the U.S. Supreme Court on Thursday, May 15, 2025, as justices heard oral arguments on the Trump administration’s legal challenge to birthright citizenship. (Photo by Ashley Murray/States Newsroom)

Sotomayor said that the Supreme Court has ruled four times to uphold birthright citizenship, starting in 1898, in United States v. Wong Kim Ark, in which the court ruled children born in the U.S. are citizens.

The justice that seemed most inclined to agree with Sauer’s argument was conservative Clarence Thomas, who noted the use of nationwide injunctions began in the 1960s and the U.S. has survived without them.

However, conservative Justice Samuel Alito criticized that district court judges “are vulnerable to an occupational disease, which is the disease of thinking that ‘I am right and I can do whatever I want.’”

Citizenship ‘turned on and off’

New Jersey Solicitor General Jeremy Feigenbaum, who represented the states that sought an injunction against the birthright citizenship order, laid out how the patchwork of citizenship means that citizenship would be “turned on” and off depending on state lines.

“Since the 14th Amendment, our country has never allowed American citizenship to vary based on the state in which someone resides, because the post-Civil War nation wrote into our Constitution that citizens of the United States and of the states would be one and the same without variation across state lines,” he said.

Immigrant rights’ groups and several pregnant women in Maryland who are not U.S. citizens filed the case in Maryland; four states — Washington, Arizona, Illinois, and Oregon — filed the case in Washington state; and 18 Democratic state attorneys general filed the challenge in Massachusetts.

Those 18 states are California, Colorado, Connecticut, Delaware, Hawaii, Maine, Maryland, Massachusetts, Michigan, Minnesota, Nevada, New Mexico, New Jersey, New York, North Carolina, Rhode Island, Vermont and Wisconsin. The District of Columbia and the county and city of San Francisco also joined.

Feigenbaum argued that the birthright citizenship case before the justices is the rare instance in which nationwide injunctions are needed because under a patchwork system, a burden would be created for states and local facilities such as hospitals where births occur.

“We genuinely don’t know how this could possibly work on the ground,” he said.

Protesters wave signs outside the U.S. Supreme Court on Thursday, May 15, 2025, in opposition to the Trump administration’s effort to strip birthright citizenship from the Constitution. (Photo by Ashley Murray/States Newsroom)

Kelsi Corkran, who argued on behalf of immigrant rights groups, said that the Trump order is “blatantly unlawful,” and that a nationwide injunction against the executive order was warranted.

“It is well settled that preliminary injunctions may benefit non-parties when necessary to provide complete relief to the plaintiffs or when warranted by extraordinary circumstances, both of which are true here,” she said.

Corkran is the Supreme Court director at Georgetown’s Institute for Constitutional Advocacy and Protection.

Lots of injunctions

The justices seemed frustrated with the frequent use of preliminary injunctions from the lower courts not only in the Trump administration, but others that occurred during the Biden administration.

Kagan noted that during the first Trump administration, suits were filed in the more liberal courts of California, and that during the Biden administration suits were filed in the more conservative courts in Texas.

“There is a big problem that is created by that mechanism,” Kagan said.

She added that it’s led to frequent emergency requests to the high court.

Conservative Justice Brett Kavanaugh agreed, and called it a “bipartisan” issue that has occurred during Republican and Democratic presidencies.

While the justices seemed concerned about the frequent use of nationwide injunctions, they also seemed eager to address the merits of the constitutionality of the birthright citizenship executive order that could potentially impact newborns.

Kavanaugh returned to the question of the logistics of birthright citizenship and how it would even be enforced.    

He pressed Sauer on how hospitals and local governments would implement the policy and if they would be burdened.

“What would states do with a newborn?” Kavanaugh asked, adding that the executive order requires a quick implementation within 30 days.

Sauer said that hospitals wouldn’t have to do anything differently because the executive order directs the federal government to “not accept documents that have the wrong designation of citizenship from people who are subject to the (executive) order.”

Kavanaugh asked how the federal government would know who is subject to the order.

“The federal officials will have to figure that out,” Sauer said.

Any decision on the case will come before the Supreme Court’s July Fourth recess. 

Last updated 2:09 p.m., May. 15, 2025

Arkansas Advocate is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Arkansas Advocate maintains editorial independence. Contact Editor Sonny Albarado for questions: info@arkansasadvocate.com.

The post U.S. Supreme Court divided over Trump birthright citizenship ban, lower courts’ powers appeared first on arkansasadvocate.com



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Center-Left

The content presents a detailed report on the U.S. Supreme Court case involving the Trump administration’s executive order on birthright citizenship. The language used reflects concerns from immigrant rights groups, liberal justices, and Democratic state officials about the potential impact of the executive order, with a focus on the legal, ethical, and social implications, including the risk of creating stateless individuals. The tone and framing lean toward defending birthright citizenship, as indicated by references to protests and criticisms of the administration’s stance. However, the article also includes perspectives from conservative justices, offering a balanced view of the legal arguments. Overall, the piece maintains a focus on the human and legal consequences, which aligns more with a center-left perspective on immigration and civil rights.

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News from the South - Arkansas News Feed

Voters reject measures across Central Arkansas

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www.youtube.com – THV11 – 2025-05-14 06:39:03

SUMMARY: Voters in central Arkansas rejected several local measures in special and school elections. In Pope County, a proposed public safety tax aimed at upgrading the outdated jail and 911 center was voted down, despite support from the sheriff’s office. County leaders, including Pope County Judge Ben Cross, expressed disappointment but noted the issue may resurface in the future. In Bryant, voters also rejected the Bryant Arts and Music Venue (BAM) project, which would have funded a 3,000-seat indoor arena by reallocating existing sales tax funds. Voter turnout in Bryant was low, at just under 11.5%.

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On Tuesday, central Arkansas voters decided the fate of several local proposals in special and school elections, ultimately rejecting many of them.

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News from the South - Arkansas News Feed

20 state AGs sue feds for tying transportation and disaster funding to immigration enforcement

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arkansasadvocate.com – Nancy Lavin, Rhode Island Current – 2025-05-13 18:39:00


Twenty Democratic state attorneys general are challenging new federal directives that tie infrastructure funding to states’ cooperation with immigration policies. The AGs argue that requiring states to detain undocumented immigrants for federal grants violates constitutional protections and coerces state law enforcement. The lawsuit aims to protect billions in funding for emergency preparedness, disaster relief, and infrastructure projects, including the Washington Bridge rebuild in Rhode Island. The AGs warn that losing this funding would jeopardize public safety, transportation projects, and security measures. The lawsuits argue that the directives unlawfully impose conditions on funding and violate separation of powers and spending clauses.

by Nancy Lavin, Rhode Island Current, Arkansas Advocate
May 13, 2025

There’s no reason why money for road repairs and flood protections should hinge upon states’ cooperation with federal immigration policies, contend 20 Democratic states attorneys general.

That’s why the AGs, including Rhode Island’s Peter Neronha, are asking a federal judge to stop federal agencies from a “grant funding hostage scheme” that requires detaining undocumented immigrants who don’t commit crimes in order to receive key federal grants and aid.

Two new federal lawsuits filed in U.S. District Court in Rhode Island Tuesday against the U.S. Department of Homeland Security (DHS) and U.S. Department of Transportation (DOT) aim to protect and preserve billions of federal dollars already awarded to states for emergency preparedness, disaster relief and infrastructure projects.

Directives issued in April by DHS and DOT secretaries informed states that their federal funding required compliance with federal immigration policies. The AGs — representing Colorado, Connecticut, Delaware, Hawaii, Maine, Massachusetts, Michigan, Minnesota, Nevada, New Mexico, New York, Oregon, Washington, Wisconsin, and Vermont — allege this violated constitutional protections for separation of powers.

“By hanging a halt in this critical funding over States like a sword of Damocles, Defendants impose immense harm on States, forcing them to choose between readiness for disasters and emergencies, on the one hand, and their judgment about how best to investigate and prosecute crimes, on the other,” the lawsuit against DHS, the Federal Emergency Management Agency (FEMA) and the U.S. Coast Guard, and their leaders, states.

“Defendants’ grant funding hostage scheme violates two key principles that underlie the American system of checks and balances: agencies in the Executive Branch cannot act contrary to the authority conferred on them by Congress, and the federal government cannot use the spending power to coerce States into adopting its preferred policies. Defendants have ignored both principles, claiming undelegated power to place their own conditions on dozens of grant programs that Congress created and bulldozing through the Constitution’s boundary between state and federal authority.”

The AGs say state and local public safety officials have more important work to do than cater to the whims of a new administration, which stand in contradiction to state-level directives like, for example, authorizing licenses for undocumented immigrants. Rhode Island lawmakers granted driving privileges for undocumented residents in 2022, with a July, 1 2023 effective date, joining 19 other states and D.C.

Federal protocols followed by U.S. Immigrations and Customs Enforcement (ICE) and other agencies could force state and local police to use state license laws as a way to find and detain undocumented immigrants.

“As a former U.S. Attorney and former federal prosecutor, I know how many ICE agents are in Rhode Island and it’s under 10,” Neronha said during a virtual press conference Tuesday. “What they need in order to carry out their agenda is for us to do the work for them, pulling us away from important law enforcement work in Rhode Island.”

Clockwise from upper left: Democratic Attorneys General Matthew Platkin of New Jersey; Rob Bonta of California; Peter Neronha of Rhode Island; and Kwame Raoul of Illinois take questions from reporters during a virtual press conference Tuesday, May 13, 2025. (Screenshot)

More uncertainty for Washington Bridge

No state has seen federal funding cut off since directives were issued by U.S. Homeland Security Secretary Kristi Noem and U.S. Transportation Secretary Sean Duffy. Not yet.

States’ abilities to respond to natural disasters and security threats, and complete key infrastructure projects, including the much-anticipated rebuild of the westbound Washington Bridge in Rhode Island, hinge upon a continued flow of congressionally authorized federal grants and aid.

The $221 million Biden-era infrastructure grant awarded to Rhode Island for the Washington Bridge project only became accessible in late March, after weeks of uncertainty in the wake of the administration change. Gov. Dan McKee’s office and the Rhode Island Department of Transportation did not immediately respond to inquiries for comment Tuesday regarding continued access to the funds in the wake of Duffy’s April 24 directive tying federal infrastructure grants to compliance with federal diversity and immigration policies.

The Duffy directive fails to provide any statutory or legal explanation for why transportation funding relates to immigration enforcement. The new requirements  jeopardize more than $628 million in federal funding in Rhode Island, and billions of dollars more across the country, the AGs argue in their lawsuit against Duffy and DOT.

“If Plaintiff States reject Defendants’ unlawful Immigration Enforcement Condition, they will collectively lose billions in federal funding that is essential to sustain critical public safety and transportation programs, including highway development, airport safety projects, protections against train collisions, and programs to prevent injuries and deaths from traffic accidents. The loss of this funding will cause state and local providers to scale back or even terminate many of these programs and projects,” the complaint states. “More cars, planes, and trains will crash, and more people will die as a result, if Defendants cut off federal funding to Plaintiff States.”

More cars, planes, and trains will crash, and more people will die as a result, if Defendants cut off federal funding to Plaintiff States.

– 20 state Democratic AGs in lawsuit against U.S. Department of Transportation and Secretary Sean Duffy

Similarly dire predictions accompany the loss of security and disaster funds, which includes $3 billion in FEMA money to states each year, according to the lawsuit against DHS. Rhode Island received more than $45 million in FEMA grants in 2024 alone, according to the lawsuit.

The new complaints reprise language of the 20 state AG lawsuits against the Trump administration that preceded them, calling the executive agencies’ actions “arbitrary and capricious” and in clear violation of constitutional separation of powers and spending clauses.

Neronha during the press conference pointed to the success that AGs have had in other lawsuits, temporarily preserving funding and policy protections for education, immigration, research funding, public health, and grants and aid to state governments, among others.

Not that he expects the frenzy of legal activity will abate anytime soon.

“As we stack wins against the Trump administration for violation of the Constitution and other federal laws, what we are seeing is a creeping authoritarianism in this country,” Neronha said. “The president is trying to take power for himself. He’s trying to sideline Congress, and now, he’s attempting to undermine the judiciary.”

Neronha likened the latest federal directives attempting to force states to redirect their own law enforcement to serve federal civil immigration policies to “holding a gun to states’ heads.”

Rhode Island, home to four of the 20 federal lawsuits against the Trump administration already, was again picked as the setting for the latest complaints due to the “strong team” within Neronha’s office, he said.

Neronha and other AGs bringing the two cases against the administration also stressed the sum of their collaborative parts.

“We’ve built the best and biggest law firm in the country, and we’re fighting for all Americans,” Neronha said.

The U.S. Department of Justice did not immediately respond to requests for comment on Tuesday.

The lawsuit against DOT was assigned to U.S. District Chief Judge John Jr. McConnell Jr., while the case against DHS was assigned to Senior District Judge William E. Smith, according to the public court docket.

Rhode Island Current is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Rhode Island Current maintains editorial independence. Contact Editor Janine L. Weisman for questions: info@rhodeislandcurrent.com.

Arkansas Advocate is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Arkansas Advocate maintains editorial independence. Contact Editor Sonny Albarado for questions: info@arkansasadvocate.com.

The post 20 state AGs sue feds for tying transportation and disaster funding to immigration enforcement appeared first on arkansasadvocate.com



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Center-Left

This content reflects a center-left political bias, primarily because it highlights opposition from Democratic state attorneys general against federal directives perceived as coercive and harmful, particularly regarding immigration enforcement tied to infrastructure funding. The article emphasizes constitutional concerns, state sovereignty, and protections for undocumented immigrants—positions typically aligned with center-left viewpoints. While it is critical of the federal administration’s policies, the tone remains focused on legal and constitutional arguments rather than partisan rhetoric, showing a measured approach consistent with center-left advocacy. The presence of Democratic officials and their legal challenges to federal immigration-linked funding conditions further underscores this leaning.

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