ST. PAUL, Minn. — Two huge, nonpartisan health advocacy nonprofits are coming out in favor of making Minnesota's provider tax permanent to protect the state's popular Health Care Access Fund.

The American Heart Association and the American Cancer Society are joining the state's hospitals in lobbying lawmakers not to let the 2 percent provider tax expire at the end of the year. Justin Bell, vice president for health strategies with the Heart Association, said they didn't want to get into the issue. But he said unless lawmakers act, the Access Fund - a big reason Minnesota has a high level of health coverage - could be at risk.

“(It’s) A stable funding source for public programs like Medical Assistance and MinnesotaCare, which is how over a million people in Minnesota access health care,” Bell said. “The programs themselves are too important, and we haven't seen a viable alternative."

The state medical association argued providers should not carry the full burden of paying - and just as importantly, the headache of administering - the tax. It brings in between $600 million and $700 million a year, but will sunset at the end of December unless lawmakers act.

According to the American Cancer Society, the provider tax and the access fund mean more than health insurance for low- and moderate-income folks. Emily Myatt, government relations director for the Cancer Society, said they fund important prevention efforts - reducing obesity and tobacco use, and providing key early screenings for people who otherwise might not be connected to health care.

"We know that cancer patients who are uninsured when diagnosed with cancer are 60 percent more likely to die,” Myatt said. “If the provider tax sunsets, hundreds of thousands of Minnesotans are going to be at risk of losing their health-care coverage."

On Tuesday, the Heart Association will host a Twitter chat. The group encouraged the public to find out more by following the hashtag #DontLetTheSunSet at noon.

Information from the Minnesota Department of Human Services is available at mn.gov/dhs.


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Groups that fight for greater access to health care are criticizing the Republican budget blueprint currently before the
U.S. House of Representatives, claiming it could lead to huge cuts to Medicaid -- known as Medi-Cal in the Golden State. Republicans can only afford to lose a couple of votes in order to use reconciliation to pass the bill on a simple majority vote.

Kiran Savage-Sangwan, executive director of the California Pan-Ethnic Health Network, is asking voters to get in touch with their local members of Congress.

"Devastating health-care cuts can still be stopped," she said. "With the slimmest of a majority in the House of Representatives, it would take less than a handful of House Republicans to vote 'no' on this plan to save health care for 15 million Californians who count on Medi-Cal."

The House version of the budget blueprint calls for $880 billion in cuts to the part of the government that funds health care for low-income families, seniors and people with disabilities. House Speaker Mike Johnson has said the savings are necessary to fund President Donald Trump's other budget priorities.

Adriana Ramos-Yamamoto, a senior policy analyst with the California Budget & Policy Center, said the administration's priorities stand to hurt average Californians.

"Republicans want to cut funding for basic health care and nutrition programs that millions of people rely on, all in order to help pay for tax cuts that disproportionately benefit the wealthy and corporations," said Ramos-Yamamoto. "These cuts would be a major hit to California, where federal dollars make up about a third of the state budget."

Amanda McAllister-Wallner, interim executive director of the nonprofit Health Access, notes that Congress will soon adjourn for a two-week break, sending lawmakers back to their districts.

"When these members are home in their district, we want to make sure that they're hearing from constituents -- and that they are accountable when they go back to D.C. and they start talking about the details of this plan," she explained.

Details of the campaign to protect Medi-Cal are online at fightforourhealth.org

Plans to slash funding for the Institute of Museum and Library Services have drawn swift opposition from library and union leaders, as cuts threaten Michigan's nearly 400 libraries, as well as libraries across the nation, with rural areas expected to be hit hardest.

A lawsuit has been filed on behalf of the American Library Association and the American Federation of State, County and Municipal Employees by Democracy Forward and co-counsel Gair Gallo.

The suit asks the court to block the dismantling of the Institute, as directed by presidential executive order.

Cindy Hohl, president of the American Library Association, said the institutions are critical.

"Libraries are a trusted anchor institution, providing Americans with access to the internet and technology - and especially in small and rural areas where people may not be able to afford those services or access in their homes," she said.

Around 125,000 libraries across the nation may be affected. Supporters of the cuts maintain that reducing federal spending is essential for budget efficiency. They believe local governments should take on more responsibility and that cuts will push libraries to find alternative funding and improve efficiency.

In Michigan, libraries provide vital community programs, including job training, literacy initiatives, and senior support services. Cuts to library funding could disrupt these services, which mainly assist underserved populations, such as those in rural communities. Hohl highlighted the consequences these communities could face from cuts.

"When we're looking at our small and rural communities, if we see a decrease in federal funding to the point of where it's a third or even a half of their budget, those libraries will have to make difficult decisions and they may have to close," she added.

The American Library Association recently sent a letter urging the acting director of the Institute of Museum and Library Services not to cut federally mandated library programs.


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A lawsuit to reinstate 16,000 fired federal probationary workers could get new life today at a federal district court hearing in San Francisco.

On Tuesday, the U.S. Supreme Court cleared the way for the firings to proceed, dismissing a preliminary injunction from the same California judge who ordered reinstatement.

Erik Molvar, executive director of the Western Watersheds Project, said the high court objected to nonprofits having the standing to serve as plaintiffs. Advocates want the judge to issue a new injunction to block the firings on behalf of the workers' unions.

"We're continuing to fight to try and make sure that these probationary federal workers are able to retain their jobs," Molvar emphasized. "And to hold the Trump administration accountable for breaking federal law."

The Trump administration said the reduction in force only affected nonessential positions and is necessary to save money. Advocates for the workers said the mass firings were illegal because they came from the Office of Personnel Management, not the agency heads and because the dismissals cited the workers' alleged poor performance, without evidence to back it up.

Janessa Goldbeck, senior adviser to the nonprofit VoteVets, said 30% of federal workers are veterans, making the firings deeply unjust.

"We certainly owe people who have served in uniform, at the very least, due process when it comes to hiring and firing decisions," Goldbeck pointed out. "But more than that, we owe the American people the very best federal government and the services that many Americans rely on."

The lawsuit claimed the firings were haphazard and put essential functions at risk. For example, the only wildlife biologist for the Los Padres National Forest was targeted, as were all of the employees of a Bureau of Land Management office in Northeastern California responsible for overseeing grazing on nearby federal public lands.


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