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States will share $10 billion for rural health care next year in a program that aims to offset the Trump administration’s massive budget cuts to rural hospitals, federal officials announced Monday.

But while every state applied for money from the Rural Health Transformation Program, it won’t be distributed equally. And critics worry that the funding might be pulled back if a state’s policies don’t match up with the administration’s.

Officials said the average award for 2026 is $200 million, and the fund puts a total of $50 billion into rural health programs over five years. States propose how to spend their awards, and the Centers for Medicare and Medicaid Services assigns project officers to support each state, said agency administrator Dr. Mehmet Oz.

“This fund was crafted as part of the One Big Beautiful Bill, signed only six months ago now into law, in order to push states to be creative,” Oz said in a call with reporters Monday.

Under the program, half of the money is equally distributed to each state. The other half is allocated based on a formula developed by CMS that considered rural population size, the financial health of a state’s medical facilities and health outcomes for a state’s population.

The formula also ties $12 billion of the five-year funding to whether states are implementing health policies prioritized by the Trump administration’s “Make America Healthy Again” initiative. Examples include requiring nutrition education for health care providers, having schools participate in the Presidential Fitness Test or banning the use of SNAP benefits for so-called junk foods, Oz said.

Several Republican-led states — including Arkansas, Iowa, Louisiana, Nebraska, Oklahoma and Texas — have already adopted rules banning the purchase of foods like candy and soda with SNAP benefits.

The money that the states get will be recalculated annually, Oz said, allowing the administration to “claw back” funds if, for example, state leaders don’t pass promised policies. Oz said the clawbacks are not punishments, but leverage governors can use to push policies by pointing to the potential loss of millions.

“I’ve already heard governors express that sentiment that this is not a threat, that this is actually an empowering element of the One Big Beautiful Bill,” he said.

Carrie Cochran-McClain, chief policy officer with the National Rural Health Association, said she’s heard from a number of Democratic-led states that refused to include such restrictions on SNAP benefits even though it could hurt their chance to get more money from the fund.

“It’s not where their state leadership is,” she said. Oz and other federal officials have touted the program as a 50% increase in Medicaid investments in rural health care. Rep. Don Bacon, a Republican from Nebraska who has been critical of many of the administration’s policies but voted for the budget bill that slashed Medicaid, pointed to the fund when recently questioned about how the cuts would hurt rural hospitals.

“That’s why we added a $50 billion rural hospital fund, to help any hospital that’s struggling,” Bacon said. “This money is meant to keep hospitals afloat.”

But experts say it won’t nearly offset the losses that struggling rural hospitals will face from the federal spending law’s $1.2 trillion cut from the federal budget over the next decade, primarily from Medicaid. Millions of people are also expected to lose Medicaid benefits.

Estimates suggest rural hospitals could lose around $137 billion over the next decade because of the budget measure. As many as 300 rural hospitals were at risk for closure because of the GOP’s spending package, according to an analysis by The Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill.

“When you put that up against the $50 billion for the Rural Health Transformation Fund, you know — that math does not add up,” Cochran-McClain said.

She also said there’s no guarantee that the funding will go to rural hospitals in need. For example, she noted, one state’s application included a proposal for healthier, locally sourced school lunch options in rural areas.

And even though innovation is a goal of the program, Cochran-McClain said it’s tough for rural hospitals to innovate when they were struggling to break even before Congress’ Medicaid cuts.

“We talk to rural providers every day that say, ‘I would really love to do x, y, z, but I’m concerned about, you know, meeting payroll at the end of the month,’” she said. “So when you’re in that kind of crisis mode, it is, I would argue, almost impossible to do true innovation.”



Former Honduras President Juan Orlando Hernández, sentenced last year to 45 years in prison for his role in helping drug traffickers move hundreds of tons of cocaine to the United States, was released from prison following a pardon from President Donald Trump, his wife announced Tuesday.

The U.S. Bureau of Prisons inmate website showed that Hernández was released from U.S. Penitentiary, Hazelton in West Virginia on Monday and a spokesperson for the bureau on Tuesday confirmed his release.

His wife Ana García thanked Trump for pardoning Hernández via the social platform X early Tuesday.

“After almost four years of pain, of waiting and difficult challenges, my husband Juan Orlando Hernández RETURNED to being a free man, thanks to the presidential pardon granted by President Donald Trump,” García’s post said. She included a picture of the U.S. Bureau of Prisons listing for Hernández indicating his release.

On Sunday, Trump was asked about why he pardoned Hernandez by reporters traveling with him on Air Force One.

“I was asked by Honduras, many of the people of Honduras,” Trump said.

“The people of Honduras really thought he was set up, and it was a terrible thing,” he said.

“They basically said he was a drug dealer because he was the president of the country. And they said it was a Biden administration set-up. And I looked at the facts and I agreed with them.”

Hernández was arrested at the request of the United States in February 2022, weeks after handing over power to current President Xiomara Castro.

Two years later, he was sentenced to 45 years in prison in a New York federal courtroom for taking bribes from drug traffickers so they could safely move some 400 tons of cocaine north through Honduras to the United States.

Hernández maintained throughout that he was innocent and the victim of revenge by drug traffickers he had helped extradite to the United States.

During his sentencing in New York, federal Judge P. Kevin Castel said the punishment should serve as a warning to “well educated, well dressed” individuals who gain power and think their status insulates them from justice when they do wrong.

Hernández portrayed himself as a hero of the anti-drug trafficking movement who teamed up with American authorities under three U.S. presidential administrations to reduce drug imports.

But the judge said trial evidence proved the opposite and that Hernández employed “considerable acting skills” to make it seem that he was an anti-drug trafficking crusader while he deployed his nation’s police and military, when necessary, to protect the drug trade.

Hernández is not guaranteed a quick return to Honduras.

Immediately after Trump announced his intention to pardon Hernández, Honduras Attorney General Johel Zelaya said via X that his office was obligated to seek justice and put an end to impunity.

He did not specify what charges Hernández could face in Honduras. There were various corruption-related investigations of his administration across two terms in office that did not lead to charges against him. President Xiomara Castro, who had Hernández arrested and extradited him to the U.S., will remain in office until January.

The pardon promised by Trump days before Honduras’ presidential election injected a new element into the contest that some said helped the candidate from his National Party Nasry Asfura, one of the leaders as the vote count proceeded Tuesday.



Wander Franco’s attorneys pushed to have the suspended Tampa Bay Rays shortstop’s sexual-abuse conviction and sentencing overturned Tuesday.

Franco in June was convicted of sexually abusing a minor, and he then received a two-year suspended sentence. Meanwhile, prosecutors are seeking a five-year sentence.

The court of appeals in Puerto Plata, where the case was heard, said it would issue a ruling on Dec. 9 after hearing arguments from prosecutors and Franco’s lawyers.

Franco was arrested last year after being accused of having a four-month relationship with a girl who was 14 at the time, and of transferring thousands of dollars to her mother to consent to the illegal relationship.

Franco was once Tampa Bay’s star shortstop, signing an 11-year, $182 million contract in November 2021.

Authorities in the Dominican Republic announced in August 2023 they were investigating him for an alleged relationship with a minor.

In January 2024, Franco was arrested in his home country. Six months later, Tampa Bay placed him on the restricted list.




Voters and leading contenders cast their ballots across the Netherlands on Wednesday in a close-run snap election called after anti-Islam lawmaker Geert Wilders brought down the last four-party coalition in a dispute over a crackdown on immigration.

The campaign echoed issues that resonate across Europe, focusing on how to rein in migration and tackle chronic shortages of affordable housing.

But in a country where coalition governments are the norm, it’s unclear if parties will work with Wilders again, even if his Party for Freedom repeats its stunning victory from two years ago.

Mainstream parties have already ruled that out, arguing that his decision to torpedo the outgoing four-party coalition in June in a dispute over migration underscored that he is an untrustworthy partner.

“It’s up to the voters today,” Wilders said after voting in the cavernous atrium of The Hague City Hall, surrounded by security guards. “It’s a close call … four or five different parties. I’m confident.”

Voters and leading contenders cast their ballots across the Netherlands on Wednesday in a close-run snap election called after anti-Islam lawmaker Geert Wilders brought down the last four-party coalition in a dispute over a crackdown on immigration.

The campaign echoed issues that resonate across Europe, focusing on how to rein in migration and tackle chronic shortages of affordable housing.

But in a country where coalition governments are the norm, it’s unclear if parties will work with Wilders again, even if his Party for Freedom repeats its stunning victory from two years ago.

Mainstream parties have already ruled that out, arguing that his decision to torpedo the outgoing four-party coalition in June in a dispute over migration underscored that he is an untrustworthy partner.

“It’s up to the voters today,” Wilders said after voting in the cavernous atrium of The Hague City Hall, surrounded by security guards. “It’s a close call … four or five different parties. I’m confident.”

Migration has divided the Netherlands

The vote comes against a backdrop of deep polarization in this nation of 18 million, violence at a recent anti-immigration rally in The Hague and protests against new asylum-seeker centers.

Voting was taking place at venues from city halls to schools, but also historic windmills, churches, a zoo, a former prison in Arnhem and the iconic Anne Frank House museum in Amsterdam.

Olga van der Brandt, 32, said she thinks voters may turn their backs on parties that made up the last right-wing government led by Wilders.

Her hope is that “this time there will be a more progressive party who can take the lead.”

Christian Democrats leader Henri Bontenbal agreed that a fundamental shift in Dutch politics was at stake.

“What we have seen in the last two years is a political landscape with right-wing populism, and the question is, is it possible to beat populism by decent politics,” he said.

In-fighting between parties in the last coalition led to criticism that the Netherlands, long a prominent voice within the European Union, was sometimes seen as not fully engaging with the continent as it had done under longtime leader Mark Rutte, who is now NATO’s secretary-general.

The chief economist at the Center for European Reform think tank, Sander Tordoir, said that “Europe cannot afford another Dutch government that drifts and is absent in the European debate.”

Tordoir noted that the Netherlands is one of the biggest and better performing eurozone economies and that if it “remains missing in action, Europe’s single market, defense effort and economic security will suffer.”

Wilders’ party poised for a win

Polls suggest that Wilders’ party, which is calling for a total halt to asylum-seekers entering the Netherlands, remains on track to win the largest number of seats in the 150-seat House of Representatives. But other more moderate parties are closing the gap and pollsters caution that many people wait until the very last minute to decide who to vote for.

Among those first in line at the ornate former City Hall in the central city of Delft, wearing bathrobes and carrying mugs of coffee, was a group of students who live together and study at the local university.

“It’s a house tradition” to vote together, Lucas van Krimpen told The Associated Press.

Polls close at 9 p.m. followed by an initial exit poll.

The Dutch system of proportional representation all but guarantees that no single party can win a majority. Negotiations will likely begin Thursday into the makeup of the next governing coalition.

Rob Jetten, leader of the center-left D66 party that has risen in polls as the campaign wore on, said in a final televised debate that his party wants to rein in migration but also accommodate asylum-seekers fleeing war and violence.

And he told Wilders that voters can “choose again tomorrow to listen to your grumpy hatred for another 20 years, or choose, with positive energy, to simply get to work and tackle this problem and solve it.”

Wilders rejects arguments that he had failed to deliver on his 2023 campaign pledges despite being the largest party in parliament, blaming other parties for stymying his plans.



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