New Yorkers could see relief from medical debt if several national proposals move forward.
The Consumer Financial Protection Bureau proposed a new rule to eliminate medical debt from credit reports. Studies show medical debt does not predict whether a person can pay down a debt.
An Urban Institute report finds more than 740,000 New Yorkers have medical debt.
Ursula Rozum, health care campaign lead for the group Citizen Action of New York, said the change can remove the punitive aspects of medical debt.
"What we're talking about is relief for the 15 million Americans that have medical debt," Rozum pointed out. "As well as people who we know are skipping care or delaying care 'cause they're scared of the debt and what impact it would have on their lives."
Vice President Kamala Harris is supporting the bureau's proposal while considering other ways to cancel medical debt. Congressional Republicans such as Rep. Mike Lawler, R-N.Y., oppose the proposed change. Several House GOP members signed a letter to the bureau saying its proposed rule can negatively affect credit access and affordability for all consumers.
New York passed legislation prohibiting medical debt from being reported to credit agencies but it has not stopped medical debt disparities.
Christine Chen Zinner, senior policy counsel for the advocacy group Americans for Financial Reform, said communities of color often have the highest medical debt rates for many reasons.
"Black and Latine families are more likely to have jobs without access to health insurance, and so that would drive up medical debt," Zinner explained. "There's also been disparate health treatments for these communities."
Other causes for medical debt include growing facility fees. While New York passed legislation to reform the fees, studies show they are a bulk of what patients pay for. Between 2004 and 2021, facility fees grew 531%, surpassing professional fees for certain emergency department services.
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Over 70 Michigan townships and counties are taking a stand in court, saying the state is overstepping its authority on renewable energy permits.
These municipalities have appealed to the state Court of Appeals on Michigan's new clean energy law. They argue it takes away local control over zoning and permits for renewable projects.
They say the authority goes to the Michigan Public Service Commission under the new law.
Attorney Michael Homier said the commission initially promised input from local communities, but changed the process through an order.
"My clients, you know, frankly find it insulting," said Homier. "This is about local control and the constant erosion of local control, when the state and some bureaucratic agency thinks they know better, and they don't."
The new law went into effect on November 29. A spokesperson for the MPSC said the agency will implement the legislation as the court reviews the case.
The municipalities claim the order from the MPSC also improperly redefines key terms, creates unlawful processes, and contradicts clear legislative intent - violating the Administrative Procedures Act.
Homier said this is a big issue.
"You can't just change those definitions because you want it some other way," said Homier. "That's not how it works. Only the legislature can amend it."
Michigan aims for 100% clean energy by 2040, with 2023 legislation requiring 80% from clean sources and 60% from renewables by 2035 - something Homier stressed that he's not against.
"Nobody wants to stop clean energy, at least I don't," said Homier. "None of my clients do. But, they do have a say in where it should be located and what adverse impacts might be caused by it."
Since filing the appeal on November 8, and an amended version on November 12 - adding more municipalities, Homier said about a dozen others have contacted him wanting to join the fight.
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A Wisconsin Circuit Court's ruling involving public sector bargaining rights has intensified the stakes for the state's Supreme Court election in 2025.
The judge ruled Act 10 is unconstitutional because it treats different groups of public employees unequally. The controversial 13-year-old law strictly limits public sector bargaining rights in Wisconsin.
Michael Childers is a professor of labor education at the University of Wisconsin-Madison.
He said the law also took the state back more than fifty years, as Wisconsin was a pioneer in the fight for workers' legal rights.
"It was the first state in the nation that formerly allowed for public sector bargaining," said Childers, "and then became the first to basically greatly curtail bargaining rights for all but police and fire in the state."
Act 10 would be struck down pending a final decision by the Wisconsin Supreme Court, which currently has a liberal majority.
The Republican-controlled legislature that appealed the recent decision is hoping to drag out the case, but the public workers who challenged the law hope the court rules before a new justice is seated next year.
Wisconsin's public sector laws of 1959 and 1962 are regarded as turning points in American politics and the legal rights of workers.
Childers said Wisconsin's union participation was always higher than the national average until the passage of Act 10 in 2011, which fundamentally changed the ability of public sector workers in Wisconsin to have influence over their workplace.
"They had rights similar to what most workers in the private sector in the United States enjoyed, which is the ability to bargain over hours, wages, and all other conditions of work," said Childers, "so this would be reinstated pending this decision."
Childers said Wisconsin experienced the largest decline of union membership in the U.S. over the past decade.
If Act 10 is struck down, it could open the door for a resurgence of union engagement across the state.
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The latest round of Workforce Ready Grants means $42 million is being divided among 62 projects aiming to foster Oregon's diverse workforce in the fields of health care, manufacturing and technology.
The grants are part of Future Ready Oregon, a $200 million initiative launched by the Oregon Legislature in 2022 to enhance workforce training. Funds can be used to address barriers to education and employment, support curriculum development and purchase equipment.
Jennifer Purcell, director of the program, said partnerships with employers, industry leaders and labor organizations are key to its success.
"It's relying on those partnerships, and the expertise and lived experience of those community-based organizations, that allows for this funding to be used to meet the needs of individuals in really responsive ways," Purcell explained.
Grantees for the latest round include Adelante Mujeres, Klamath Union High School, Project Youth and Eastern Oregon University.
Purcell pointed out grant money does not only fund training and education programs. It also helps people stay focused on school and work by helping them cover essential needs like child care, housing or transportation.
"In some parts of the state, that looks like providing bus passes," Purcell outlined. "We have an organization that even purchased refurbished bicycles."
Future Ready Oregon has focused the funding on 10 priority underserved populations, including veterans, people of color and rural communities. Purcell added the Afghan Support Network, for example, received a grant to prepare Afghan refugees to earn certifications so they can fill high-demand jobs in Oregon's tech sector.
"This training will also provide culturally responsive supports and career coaching, as well as vocational English classes," Purcell noted.
This was the third and final round of the Workforce Ready Grants. Purcell acknowledged Future Ready Oregon has learned a lot from the process that will help inform state funding strategies in the future.
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