News from the South - Arkansas News Feed

States on the hook for billions under U.S. House GOP bill making them help pay for SNAP

Published

3 months ago

May 14, 2025

arkansasadvocate.com – Jacob Fischler – 2025-05-14 21:01:00

by Jacob Fischler, Arkansas Advocate
May 14, 2025

The U.S. House Agriculture Committee approved, 29-25, Wednesday evening its portion of Republicans’ major legislative package that includes a provision that would shift to states some of the responsibility to pay for a major nutrition assistance program.

The bill would require states, for the first time, to cover part of the cost of Supplemental Nutrition Assistance Program, or SNAP, benefits that provide $100 billion per year to help 42 million Americans afford groceries. The measure would also shift more of the administrative cost to states and increase work requirements for recipients.

Republicans are planning to combine the measure with legislation from 10 other committees in a budget reconciliation package that allows the Senate to avoid its usual 60-vote threshold.

House Agriculture Chairman Glenn “GT” Thompson said the panel’s bill and its estimated $290 billion deficit savings over a 10-year budget window were necessary for the larger legislative package to extend tax cuts and increase border security and defense spending.

The package would “prevent the largest tax increase in American history on our families, farmers and small businesses, and (would) deliver critical funding necessary for the Trump administration to continue their work keeping Americans safe,” the Pennsylvania Republican said in an opening statement.

Federal Fallout

As federal funding and systems dwindle, states are left to decide how and whether to make up the difference. Read the latest.

“Our reconciliation instructions provide the opportunity to restore integrity to the Supplemental Nutrition Assistance Program, or SNAP, to make sure that this essential program works for the most vulnerable and functions as Congress has intended.”

Republicans on the panel said throughout a marathon committee meeting, which started Tuesday night and wrapped up more than 26 hours later following an overnight break, that the added work requirements and accountability measures for state governments were overdue reforms.

The panel’s GOP majority approved the bill over unified opposition from Democrats, who argued that the measure would unfairly cut benefits to needy families to pay for tax cuts for high earners, undermine the panel’s bipartisan tradition of fusing crop subsidies with nutrition assistance and overburden state governments that can’t afford to take on the additional cost.

Ranking Democrat Angie Craig of Minnesota called the measure “the largest rollback of an anti-hunger program in our nation’s history” which would be felt deeply across a broad swath of recipients.

“We will see children going to bed without dinner, more seniors skipping meals to afford their medicine, more parents sacrificing their own nutrition, so their kids can eat,” Craig said. “Every single one of us knows (the cuts) will take food away from families at a time when working folks are struggling with higher costs.”

State contributions

The bill would make states pay for up to 25% of SNAP benefits, which are currently entirely covered by the federal government, starting in 2028.

States would be required to pay at least 5%, with the rate rising with a state’s payment error rate. The highest state cost-share would be triggered by a state reaching a 10% or higher error rate.

Even at the lowest state cost-share, the provision would add $4.7 billion overall to annual state obligations, according to an analysis published Wednesday by the center-left think tank Center for Budget and Policy Priorities.

But only seven states would have qualified for the lowest cost-share in fiscal 2023, the most recent year for which data is available. The national error rate was 11.7% and more than two dozen states and territories had error rates higher than 10%.

That means in practice the costs to states would be much higher. The three most populous states — California, Texas and Florida — alone would have combined to owe more than $5.7 billion under their 2023 error rates and 2024 benefit amounts.

Republican members said the requirement would incentivize states to better manage their programs.

“Unlike every other state-administered entitlement program, SNAP benefit is 100% funded by the federal government, resulting in minimal incentives for states to control costs, enhance efficiencies and improve outcomes for recipients,” Thompson said.

Impact on state budgets

Democrats said states could ill afford to take on additional costs, meaning the bill would result in cuts to the program or other critical services.

“The massive unfunded mandate this bill forces on states just passes the buck onto state legislatures, forcing them to slash local programs and services, cut benefits, kick vulnerable people off SNAP or raise taxes,” Craig said. “We already know states can’t afford it.”

The change would force difficult decisions for states, several Democrats said.

In Ohio, the state would be on the hook for an additional $534 million annually, Democrat Shontel Brown said.

“That’s not to expand benefits or improve outcomes, that’s just to maintain the status quo.” she said. “To cover the costs, Ohio, along with every other state, is going to have to make brutal tradeoffs. It’s going to mean cutting K-12 education funding, scaling back opioid and mental health treatment programs, reducing Medicaid coverage or putting off critical infrastructure repairs.”

Republicans countered that the provision would bring much needed accountability to state administrators, which would make the program fairer overall.

Alaska had an error rate of nearly 60% in fiscal 2023. Without mentioning that state, Derrick Van Orden, a Republican whose home state of Wisconsin was among the few states with error rates under 6%, said the costs associated with such numerous errors shouldn’t be covered by states with lower rates.

“Overpayments, waste, fraud and abuse have plagued programs like SNAP,” he said. “There is a state that has a 59.59% overpayment rate and my Wisconsinites are not going to pick up that slack.”

States’ error rates include fraud, but it makes up a small share of a category that also includes inadvertent underpayments and overpayments, Michigan Democrat Kristen McDonald Rivet said.

SNAP has a fraud rate of less than 1% and work requirements already exist, McDonald Rivet said. Republicans’ efforts to target fraud and add work requirements wouldn’t reach the cost savings they sought, she said.

“Are there error rates in the states? Sure,” she said. “Should we address it? Absolutely. But the idea that we are going to find $300 billion of cuts — $300 billion of cuts — on that small percentage of people who are not working that are already required to or error rates in the states is just a flat-out lie. What we are really doing is cutting food for people.”

Administrative costs

The bill would also increase states’ share of the cost of administering the food assistance program.

Under current law, states and the federal government evenly split the cost of administering the program. The bill would have states shoulder 75% of administrative costs.

Democrats, including the ranking member of the panel’s Nutrition, Foreign Agriculture, and Horticulture Subcommittee, complained that would compound the problems created by the new cost structure for SNAP benefits.

“States will be forced to budget more for SNAP benefits with less for administrators,” Rep. Jahana Hayes of Connecticut said. “With fewer administrative staff, it is inevitable that errors will increase.”

Work requirements

Another section of the bill would expand the number of participants subject to work requirements to receive SNAP benefits.

The proposal would raise from 54 to 64 the age at which a person no longer has to meet work requirements. It would also lower from 18 to 7 the age at which caring for a child exempts a person from work requirements.

Democrats raised and introduced several amendments meant to address the provision, but were outvoted each time.

Kansas Republican Tracey Mann said the changes were not only about improving SNAP efficiency, but would make the program’s rules fairer for those it was meant to serve.

“It is wrong to jeopardize the benefits of the single mom taking care of kids too young to be in school or the disabled or elderly in order to subsidize someone who is perfectly capable of making an honest income but isn’t willing to join the workforce,” Mann said.

“These changes will ensure that individuals are served by the program as it was intended — not as a couch that you can sit on as long as you want, but as a true safety net that gets you back on the ladder of opportunity and back into a job.”

Last updated 11:28 a.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 States on the hook for billions under U.S. House GOP bill making them help pay for SNAP 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-Right

This content primarily presents the Republican-led legislative efforts to restructure the Supplemental Nutrition Assistance Program (SNAP) with a focus on cost-sharing, work requirements, and accountability, reflecting a conservative policy perspective emphasizing fiscal responsibility and program integrity. While it includes Democratic responses highlighting concerns over potential harm to vulnerable populations, the overall framing, emphasis on Republican statements, and choice of supporting details align more with center-right viewpoints.

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News from the South - Arkansas News Feed

Idaho is losing OB-GYNs. Doctors who remain are trying to shoulder the extra burdens.

Published

2 days ago

August 13, 2025

Staff Editor

arkansasadvocate.com – Kelcie Moseley-Morris – 2025-08-13 17:09:00

by Kelcie Moseley-Morris, Arkansas Advocate
August 13, 2025

Before Dr. Harmony Schroeder left her OB-GYN practice in Idaho last year for Washington, she’d had many conversations with legislators and others about how to feel safe practicing in a state with a near-total abortion ban that includes criminal and civil liabilities for violating the law.

Schroeder wanted to stay. She’d practiced in Idaho for nearly 30 years, with a patient list of about 3,000 and a group of doctors she loved. She thought once elected officials understood that a ban would mean poorer medical care and more negative outcomes, things would improve.

Instead, they got even worse, as women were airlifted out of state during a period without protection for emergency abortion care under federal law.

Schroeder felt like she was either compromising care for women or compromising herself by risking jail time.

Providers convicted of breaking the law face up to five years in prison, revocation of their medical license and at least $20,000 in civil penalties.

“People said, ‘Oh, we would never really put you in jail,’” she said. “Sometimes it felt like the legislature was giving us a pinky swear.”

Schroeder is one of 114 OB-GYNs who left Idaho or stopped practicing obstetrics between August 2022 and December 2024, according to data from a peer-reviewed study published in JAMA Open Network, a division of the Journal of the American Medical Association. That number represents 43% of the 268 physicians practicing obstetrics statewide, a higher figure than previous reports indicated.

The study showed 20 new OB-GYNs moved to Idaho during that same period, for a net loss of 94 physicians.

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It’s not the only state with a ban experiencing shifts in numbers of obstetrics providers, but it is one of the most acute. Physicians in Texas, Tennessee, Oklahoma and other ban states have spoken to the media and researchers to say they are leaving the state or retiring from the practice because of bans, and while the numbers may not always be statistically significant, the departures are often in states that already have maternal health care shortages.

The states with the highest percentage of maternity care deserts as of 2024 were North Dakota, South Dakota, Oklahoma, Missouri, Nebraska and Arkansas, according to March of Dimes. With the exceptions of North Dakota and Nebraska, every state in that list has a near-total abortion ban in place.

Out of the 55 OB-GYN physicians Idaho lost just in 2024, 23 moved out of the state, 12 retired, and 16 either shifted their practice to gynecology only or moved from a rural to urban practice site. The remaining moved elsewhere in state. All of those who moved away moved to a state that did not have abortion restrictions similar to Idaho’s.

As of 2018, four years before the U.S. Supreme Court’s Dobbs v. Jackson Women’s Health Organization decision that ended federally protected access to abortion, Idaho needed 20 more OB-GYNs to meet demand, according to a report from the U.S. Department of Health and Human Services.

Schroeder likes her new practice in Washington, but she is still sad about the realities that forced her to leave.

“I wish it didn’t have to be this way,” she said.

Study proves ‘what we feared was happening’

Susie Keller, CEO of the Idaho Medical Association, said the losses feel worse because Idaho already consistently ranked at the bottom of nationwide rankings for physician-to-patient ratios even while the population has exploded in recent years.

The Centers for Disease Control and Prevention ranked Idaho lowest in 2019 for overall patient-to-doctor ratios, and the conservative Cicero Institute ranked it 50th in 2024. According to a report from the Idaho Coalition for Safe Healthcare, the ratio of patients to obstetricians increased from 1 per 6,668 Idahoans to 1 for every 8,510 Idahoans between August 2022 and November 2023.

Keller said the medical association has tried hard to find solutions that would help retain physicians, including failed efforts over the past two years to add a health exception in the abortion law.

“Every time there’s been some sort of event that sustained this difficult environment or made it worse, we heard about folks leaving,” Keller said.

The study, which was led by Dr. J. Edward McEachern, is a clear demonstration of what Keller said the medical association already knew anecdotally. It’s also proof, she said, for the elected officials who have accused them of fabricating stories or data and exaggerating the situation. Idaho Attorney General Raúl Labrador said in June 2024 that Idaho doctors who left were doing so because they made “the vast majority of their money” from performing abortions, but he did not provide evidence for that claim. Republican Rep. Brent Crane, who is chairman of the committee where abortion-related legislation would be considered, said in April 2024 that hospital legal counsel was being disingenuous with providers about the vagueness of the law because they want to undermine and ultimately repeal it.

“This kind of dialed-in study really gives us a very clear picture of what we had feared was happening,” Keller said.

Among clinics, not everyone is in agreement about the problems. Scott Tucker, practice administrator for Women’s Health Associates in Boise, said the providers they have lost over the past three years were mostly due to other factors. Increases in clinic wait times are up across the valley because of population growth, he said, and there is a national shortage of OB-GYNs and primary care providers.

“(Idaho’s abortion ban) really hasn’t impacted us much, other than we get a lot of questions and a lot of requests for contraception counseling,” Tucker said.

He added that while it’s never easy to recruit new physicians, and the ban has created extra challenges, they’ve onboarded a new physician once every nine months for the past four years and have two candidates slated to start in 2026. Much of the interest comes from candidates in the Midwest and the East, he said, and “much of what they’re hearing is hyperbole.”

‘I don’t know if it’s fair to the public for them to never feel like this is a problem’

Dr. Becky Uranga practiced with Schroeder for 14 years at OGA, a physician-owned OB-GYN clinic in the Boise area. She watched Schroeder leave, along with another doctor at OGA who went into a different medical field and one who retired.

In June, another longtime OB-GYN announced his departure. Dr. Scott Armstrong, who had practiced in the area for 26 years, sent a letter to patients saying his last day at OGA will be on Oct. 17, when he will move back to the Midwest “to help care for my aging parents and embark on a new chapter in my life.”

Uranga said the practice will have eight practicing OB-GYNs by October — down from 12 a few years ago. And the closure of other labor and delivery units in the area, which is the most populous in the state, has increased workloads for clinics like OGA as well. Uranga’s practice provides the full spectrum of obstetrics and gynecological care for women of all ages, including surgeries and labor and delivery.

“All those people (from the closed clinics) then came to us,” Uranga said.

What used to be two or four deliveries on average in a 24-hour shift is now five to six.

“That’s a lot, and it’s a really special moment that you want to be all in, present and available for whatever could happen … and it doesn’t feel like that anymore,” she said.

When a physician leaves, especially ones that have been practicing for a long time, Uranga said it leaves a hole. Schroeder had 3,000 patients, and many of them were receiving care for menopause, which she specialized in. Uranga sought out extra training to become board certified in menopause care to fill that gap.

While they juggled the transition with fewer physicians, OGA temporarily limited new patients for certain services, including some Medicaid patients. Uranga also isn’t traveling to a rural area of Idaho anymore to provide surgeries, something she and Schroeder used to do together.

When she’s not doing clinic visits, patient calls, surgeries or deliveries, she’s helping with organizing and fundraising efforts for the reproductive rights ballot initiative that would restore abortion access in Idaho. And in between all that, she’s scheduling recruiting calls with potential physicians.

She recently had to tell a recruitment coordinator that they need to be transparent up front about Idaho’s abortion laws, because she wasted too much time talking to candidates who responded with a hard no after learning about the medical environment.

“My nurse will tell you that I am fitting people in before, during, and after (hours) all the time, which isn’t fair to my family, it’s not fair to my nurse, and I don’t know if it’s fair to the public for them to never feel like this is a problem,” Uranga said.

This story has been updated.

The post Idaho is losing OB-GYNs. Doctors who remain are trying to shoulder the extra burdens. appeared first on arkansasadvocate.com

Political Bias Rating: Left-Leaning

This content highlights the negative consequences of strict abortion bans on healthcare providers and patient care in Idaho, emphasizing the challenges faced by OB-GYNs and the resulting healthcare shortages. It presents critical perspectives on the state’s abortion restrictions and includes voices advocating for reproductive rights, which aligns with a left-leaning viewpoint that supports abortion access and critiques restrictive policies.

News from the South - Arkansas News Feed

Look inside the newly-renovated Greer Lingle Middle School in Rogers

Published

2 days ago

August 13, 2025

Staff Editor

www.youtube.com – 40/29 News – 2025-08-13 03:40:36

SUMMARY: Greer Lingle Middle School in Rogers reopens after being closed for over a year due to tornado damage causing $12.7 million in repairs. Renovations include new floors, ceilings, lights, and updated hallways. Contractors are finishing final touches inside and outside the building as 680 students prepare to return. Principal Eric Sokol praised the community’s resilience and noted the academic challenges faced during the temporary relocation to Rogers New Tech. Despite delays, students had a solid year. The renovated school features a new science classroom and library, aiming to create a safe, welcoming environment. Some projects, like the performing arts center, remain underway.

Students in the Rogers School District return to class on Wednesday

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News from the South - Arkansas News Feed

U.S. Education Secretary visits Arkansas

Published

3 days ago

August 12, 2025

Staff Editor

www.youtube.com – THV11 – 2025-08-12 07:56:48

SUMMARY: U.S. Education Secretary Linda McMahon visited Arkansas as part of her nationwide tour promoting the return of education control to states. Meeting with Governor Sarah Huckabee Sanders at Dunn Roberts Elementary School in Little Rock, McMahon emphasized dismantling the Department of Education to reduce federal bureaucracy and increase local decision-making. The Trump administration argues this shift will expand family choices and empower communities, while critics warn it may reduce oversight and harm vulnerable students. McMahon highlighted Louisiana’s educational improvements as a model. After Little Rock, she toured the Saline County Career and Technical campus in Benton. Full coverage will follow in evening news.