South
Hegseth declares ‘new era' under Trump in visit to southern border in Texas
Defense Secretary Pete Hegseth on Monday visited the southern border, declaring a “new era of determination” as the Trump administration doubles down on its efforts to secure the border and stop illegal immigration.
“Because of President Donald Trump, this is a new era at the southern border, a new era of determination, a new era of cooperation. And at the Defense Department, we are proud to be a part of it,” Hegseth told reporters at a press conference in El Paso, Texas after Hegseth had toured the border.
Hegseth emphasized that, rather than focusing on foreign territory, the administration wanted to focus first on U.S. sovereignty.
HOMAN, LAWMAKERS SIGNAL COOPERATION ON ‘OVERLOOKED’ NORTHERN BORDER AMID MIGRANT SPIKE: ‘SAME VISION’
Secretary of Defense Pete Hegseth visits Texas border to inspect the efforts against irregular migrants with Tom Homan, who is in charge of border security in Texas, United States on February 03, 2025. ((Photo by Secretary of Defense Pete Hegseth/Anadolu via Getty Images))
“Guys and gals of my generation have spent decades in foreign countries guarding other people’s borders. It’s about time we secure our own border,” he said.
Trump deployed the U.S. military to the border on his first day in office, with over 1,500 troops joining forces already there. It’s part of a blitz that has correlated with a sharp drop in encounters at the southern border.
Hegseth said the men and women dispatched to the border are excited to be there.
“They’re motivated to be here because they’re defending their friends, their family, their communities, their church, their schools, their loved ones from an invasion of people whose intentions we don’t know,” he said. “We are going to get control of this border.”
NEW SECRETARY OF STATE MARCO RUBIO PAUSES REFUGEE OPERATIONS, RAMPS UP VISA VETTING
A group of people cross the US-Mexico border from Ciudad Juarez, Chihuahua state, Mexico, into Sunland Park, New Mexico, US, on Friday, Jan. 24, 2025. (Justin Hamel/Bloomberg via Getty Images)
Hegseth’s visit to the southern border is the latest migration-focused trip by a Trump Cabinet official.
His trip comes after DHS Secretary Kristi Noem was at the southern border in Del Rio, Texas on Saturday. She said she was there to see “firsthand what’s happening and how we can best support our Border Patrol agents.”
“Under President [Trump] the days of open borders are over,” she said.
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Meanwhile, Secretary of State Marco Rubio, who had a migration-packed first week in office, left Saturday for his first overseas trip to Latin America.
His visit includes trips to Panama, El Salvador, Costa Rica, Guatemala and the Dominican Republic. He is expected to return Thursday, and issues including migration, drug trafficking and gang violence are expected to be at the top of his agenda.
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Hegseth spoke alongside border czar Tom Homan, who said what was occurring with the use of the military and other government agencies to facilitate security and deportations is a “game changer.”
“We will finally succeed and have an operational control of our southern border with this president in charge,” he said.
Alabama
Top-30 overall recruit Jaxon Richardson commits to Alabama
Jaxon Richardson, the No. 27 overall recruit in the 2026 class per the Rivals Industry Ranking, has committed to Alabama.
The 6-foot-6 four-star small forward out of Southeastern Prep (FL) ultimately chose the Crimson Tide over USC, Creighton, and Ole Miss. He also received offers from Miami, Cincinnati, Michigan, Florida, Villanova, and others.
Richardson, a McDonald’s All-American, becomes the Crimson Tide’s third commitment of the 2026 cycle. He joins four-star shooting guard Qayden Samuels (No. 28 NATL) and four-star small forward Tarris Bouie (No. 54 NATL).
He’s the son of NBA veteran and two-time NBA Dunk Contest champion Jason Richardson. His older brother, Jase, played for Michigan State last season before being selected 25th overall in the 2025 NBA Draft by the Orlando Magic.
More on Richardson
Rivals’ National Recruiting Analyst Jamie Shaw says Richardson is one of the most explosive players in the 2026 class:
Jaxon Richardson is able to combine fluid athleticism with explosive burst in a way no other player in this class can. He uses his athleticism to his advantage on the floor. He fills the outside channels with a purpose in transition, he is aggressive in the passing lanes, and he plays as a vertical floor spacer in the dunker spots and lob plays. Last summer, playing with the Florida Rebels on Nike’s EYBL Circuit, the 6-foot-6 wing averaged 12.8 points on 54.0 percent shooting and 10.5 attempts per game. Last high school season, he averaged 12.9 points on 61.0 percent shooting on 8.9 attempts per game. He is a highly efficient player, as 84.4 percent of his makes last high school season were at the rim.
Arkansas
Report Assesses Access to Primary Care in Arkansas – ACHI
Arkansas has made significant investments to strengthen its primary care physician workforce over the past decade. New medical schools have opened in the state, residency program slots have increased, and loan forgiveness programs have been established to incentivize residency graduates to remain in the state to practice. Despite these efforts, access to a usual source of care (i.e., a place where one goes for routine healthcare needs) remains a challenge for many Arkansans, according to a new report.
Published February 12 by the Milbank Memorial Fund, the report, “Investing in Primary Care: The Missing Strategy in Americaâs Fight Against Chronic Disease,” evaluates statesâ primary care performance. Among its findings is that 18% of Arkansas adults report not having a usual source of care, which is comparable to the national estimate of 17%. That means that nearly 1 in 5 Arkansans do not have a consistent way of interacting with the stateâs healthcare system.
Access to a Usual Source of Care
Nationwide, the report finds that among adults with chronic disease, having a usual source of care is associated with lower odds of hospitalization and lower total spending on health care. These findings are particularly relevant for Arkansas, where chronic disease prevalence remains high. The most recent Americaâs Health Rankings report from the United Health Foundation ranked Arkansas 44th among all 50 states and the District Columbia for its percentage (15%) of adults with three or more chronic conditions â such as arthritis, diabetes, or cancer â in 2023, with the top-ranked state having the lowest percentage.
The Arkansas Primary Care Payment Improvement Working Group, established under Act 483 of 2025, is currently examining primary care investment in the state. The group, which includes a representative from ACHI, is tasked with measuring current primary care spending, evaluating the adequacy of the primary care delivery system, and recommending spending targets for Medicaid and commercial insurers. These efforts align with national recommendations to track and increase primary care investment, an issue we highlighted in a previous post.
Arkansasâs Primary Care Workforce
The countryâs primary care workforce supply is another focus of the Milbank report. The report estimates that Arkansas had 58 primary care physicians per 100,000 residents in 2023, below the national average of 68 per 100,000 residents. The Milbank report also finds that 29% of Arkansas physicians were working in primary care in 2023, compared to 27% nationally.
The stateâs higher-than-average share of physicians choosing primary care is encouraging, but long-term retention and geographic distribution remain challenges. ACHI developed the Arkansas Primary Care Physician Workforce Dashboard, an interactive tool that allows users to view data on primary care physicians practicing in Arkansas. The dashboard â which uses a broader definition of âprimary care physicianâ than the Milbank reportâs â shows that per capita rates of primary care physicians vary widely between urban and rural counties, and that two counties, Montgomery and Newton, had no active full-time primary care physician in 2022. The dashboard also shows that 26% of fill-time primary care physicians in the state were 60 or older in 2022, raising concerns about future supply as many approach retirement.
The Milbank report finds that in communities with higher levels of social deprivation â measured by the social deprivation index, a composite indicator of socioeconomic hardship â primary care physician availability in Arkansas is lower on average than in similarly deprived communities nationwide. Given the high burden of chronic disease among Arkansans, this is a concerning finding.
Recommendations
States that invest in primary care, as highlighted in the Milbank report, experience downstream improvements in population health and lower healthcare costs. Arkansas has established the infrastructure to evaluate and potentially increase those investments. ACHI will continue to track physician supply, distribution, and access to help inform primary care policy discussions.
Find more information about Arkansasâs healthcare workforce on our topic page.
Delaware
Delaware Officials Highlight DTRN360, Innovative Behavioral Health Care Coordination Platform – State of Delaware News
DOVER – Leaders from the Delaware Department of Health and Social Services (DHSS), behavioral health providers, and health care partners gathered Thursday at Dover Behavioral Health System to highlight DTRN360, an innovative care coordination platform designed to strengthen collaboration across Delaware’s behavioral health system and improve care for individuals living with mental health conditions and substance use disorder.
Developed by DHSS’ Division of Substance Abuse and Mental Health (DSAMH), DTRN360 connects behavioral health providers across the state and gives them access to real-time information to better coordinate care as individuals move between crisis services, hospitals, outpatient treatment, and community-based supports.
The system is the first of its kind nationally and currently supports more than 14,000 client care journeys with nearly 600 registered staff users across Delaware’s behavioral health system. Participating organizations include DSAMH programs such as Mobile Crisis and PROMISE teams, as well as contracted providers including Dover Behavioral Health System, Rockford Center, Sun Behavioral Health, Recovery Innovation crisis stabilization centers, Northeast Treatment Centers, Conexio Care, Horizon House, and Resources for Human Development.
By bringing critical information together in one place, DTRN360 helps providers close long-standing gaps in behavioral health coordination, improving communication across organizations, strengthening care transitions, and ensuring individuals receive the right support at the right time.
“Delawareans living with mental health conditions, substance use disorder, and complex social needs depend on a system that is coordinated, responsive, and prepared to meet them where they are,” said DHSS Cabinet Secretary Christen Linke Young. “DTRN360 represents the kind of innovation that strengthens connections across our behavioral health system and equips providers with better tools and information to build a more responsive, connected system of care.”
DTRN360 was built by DSAMH with strategic design and implementation support from HEALTHe Insights. The platform incorporates technology from Bamboo Health and FindHelp to unify treatment referrals and connect individuals to community-based services that address social determinants of health.
The platform was developed through more than 200 stakeholder interviews with frontline clinicians, crisis responders, emergency department staff, justice partners, and community organizations across Delaware.
Today, DTRN360 integrates multiple data sources into a single workflow, including hospital admission and discharge alerts, crisis response information, prescription monitoring data, treatment referrals, and social services connections. Through integration with the Delaware Health Information Network (DHIN), providers can view a more comprehensive picture of an individual’s care history and coordinate next steps in real time.
Michelle Singletary-Twyman, RN, Director of Operations for DSAMH, said the platform represents a major step forward in addressing fragmentation that has historically existed across the behavioral health system.
“Fragmentation in behavioral health is more than inconvenient, it can be dangerous,” Singletary-Twyman said. “DTRN360 was designed to close those gaps by bringing critical information together in one place so providers can see the full picture of a person’s care journey and intervene earlier when support is needed.”
For providers delivering care on the front lines, access to better information helps improve coordination and discharge planning from the very beginning of treatment.
“One of the challenges in inpatient behavioral health is understanding the care someone may already be receiving when they arrive during a crisis,” said Lindsey Huttie, Dover Behavioral Health Director of Business Development. “DTRN360 gives us clearer insight into a person’s care across the system and helps us coordinate more effectively with community partners to support safer transitions and better outcomes.”
To help address behavioral health needs of Delawareans, DHSS has several ways for individuals or their family members to connect:
- Call the 24/7 Delaware Hope Line at 1-833-9-HOPEDE or 1-833-946-7333 – a single point of contact where callers can connect to a variety of resources and information, including support from clinicians and peer specialists plus crisis assistance.
- Stop by one of DHSS’ Bridge Clinics for an in-person assessment.
- Visit com to find out which treatment providers are located near you.
- Visit com, DHSS’ one-stop website where Delawareans can search for treatment services and resources in Delaware or nearby states.
- Call 988 if the individual is in crisis and needs immediate support.
- Call 911 if someone has overdosed and needs emergency medical attention.
- Learn where to find Narcan training, get the medication through the mail, and download the OpiRescueDE App
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