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DHS shutdown live updates as Senate holds test vote on funding bill
Kim says GOP offer is “not where we want it to be”
Democratic Sen. Andy Kim of New Jersey said Democrats are continuing to evaluate the Republicans’ offer but said it does not go far enough.
“We’re talking through it right now but it’s not where we want it to be,” Kim said off the Senate floor. “We just continue to be stuck here.”
Kim said “we’re hunkered down” and “hopefully we can just continue to hash it out.” He did not give details about the latest offer, noting that conversations are “evolving in real time.”
“But for me, it’s not good enough for me,” he added.
Senate now voting on advancing DHS funding
The Senate is taking a procedural vote on funding for DHS. The vote marks the seventh attempt to advance the measure, which needs 60 votes.
Asked whether the vote would be considered a response to the latest GOP offer, Thune said, “Hopefully there will be, yeah, there will be some finality in this real soon.”
“We’re going to know real soon,” he added.
Photo ID amendment fails in party-line vote
The amendment that would have required voters to show photo identification to cast a ballot failed to advance. The vote was 53-47, falling short of the 60 votes needed to succeed.
The vote came during the second week of a marathon debate over a controversial elections bill known as the SAVE America Act, which would require proof of citizenship to register to vote and certain forms of photo ID to cast a ballot. The legislation does not have enough support to clear the 60-vote threshold in the upper chamber, but President Trump has dialed up the pressure on Senate Republicans to find a way to force it through.
Read more here.
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Britt says Republicans have had “very fruitful conversations” with Democrats
GOP Sen. Katie Britt of Alabama, who has been involved in talks to end the stalemate, told reporters that Republicans have had productive conversations with Democrats.
“We had very fruitful conversations last night with some of our Democrat colleagues and this morning. So, you know, I hope that we can find that pathway. I think that’s what’s best,” she said. “These missions don’t need to go unfunded, particularly at such a critical time in our nation’s history, and also the men and women that are working need to get paid.”
Senate begins vote on advancing amendment on photo ID for voting
The Senate has begun a vote on invoking cloture on an amendment that would require a photo ID to cast a ballot in federal elections. It needs 60 votes to succeed.
The vote on advancing DHS funding is expected next.
King says Democrats are reviewing GOP offer
Sen. Angus King, an independent who caucuses with Democrats and has been involved in the talks over DHS funding, said Democrats are going over the latest Republican proposal.
“We’re reviewing that offer now,” King told reporters.
Thune: “Hopefully we can find a pathway to drive this to the finish”
Leaving the floor, Thune didn’t share details about the latest GOP offer, noting that the text is now in front of Democrats. But he stressed that “it’s important that we try and close this down and get it done today.”
“Let’s let the Dems react to what’s out there, and hopefully we can find a pathway to drive this to the finish,” Thune said.
He said the White House has been involved in “the back-and-forth that has occurred overnight and all morning.” He also suggested that the offer is close to what Republicans offered early this week, which Democrats rejected because it didn’t include reforms to ICE.
Asked about the possibility of delaying the Senate’s recess, Thune said If DHS funding isn’t resolved, “I suspect we’ll probably be around here.”
Thune says Republicans sent Democrats “last and final” offer
Entering the Senate chamber, Thune told reporters that Republicans have made a final offer to Democrats.
“The Dems are now in possession of what I think is our last and final,” Thune said. “So let’s hope this gets it done.”
Senate moves up votes to 1 p.m.
The votes that were originally scheduled for 1:30 p.m. — on the voter ID amendment and advancing DHS funding — will now take place at 1 p.m., according to Majority Whip John Barrasso’s office.
House to vote for third time on DHS funding
The House will vote this afternoon on legislation to fund DHS as movement on the issue remains stalled in the Senate.
The lower chamber has twice passed legislation to fund the entire department through September, but it’s been effectively dead on arrival in the Senate as it’s been unable to overcome the 60-vote threshold to advance.
A vote is also planned on a resolution “expressing the support of the House” for the department. The resolution would do little beyond offer gratitude for DHS employees.
Votes are expected to begin around 2 p.m.
House Democrats, meanwhile, are trying to force a vote on legislation to fund all of DHS except ICE and CBP. But their discharge petition, introduced last week, is short of the 218 signatures needed to move forward. So far, 205 of 214 Democrats have backed it. It would also need the support of four Republicans.
GOP senator says talks to end impasse have increased
Sen. John Hoeven, a North Dakota Republican involved in the DHS negotiations, told reporters at the Capitol that talks continue and have increased.
“We put options in front of the Democrats, and they just need to quit backing up on us and vote to get DHS funded and TSA agents paid,” Hoeven said.
He cited developments since the initial Democratic opposition to funding DHS, including the new leadership at the department and the deescalation in Minneapolis, along with some of the reforms within the initial DHS bill that remain on the table.
“I’m hoping that as we get to the end of this week — you know how it works around here with deadlines — that that’s going to get us to a point where we get it done,” he said. “But we’re still working.”
Hoeven said it’s a good thing that the Senate has begun voting, with a failed vote Wednesday on advancing the DHS bill and another vote set for later this afternoon. He said “I think that helps get some movement.”
“We’re just trying to find what it’s going to take to bring folks together and get it done,” Hoeven said.
Thune: “We’re trying to narrow it in and home in on a deal”
Thune, appearing on Fox News on Thursday morning, accused Democrats of moving the goalposts and “talking in circles” on DHS funding.
“Every single day they move the goalpost,” Thune said. “They said we don’t want to fund ICE. And now they’re saying we don’t want to fund ICE and we want reforms.”
The majority leader said “we’re trying to narrow it in and home in on a deal” that can be struck in the “very near future.” But he argued that for Democrats, it’s “all about politics.”
“I think they’re just playing politics with this, have been from the beginning,” Thune said. “They think it’s really good with their base.”
Thune said “this has got to stop,” adding that “I think they’re going to come to their senses — I hope they do.”
Asked whether the Senate will go on its scheduled recess, Thune reiterated that “it’s very hard to take off if we don’t have DHS funded.”
“Obviously we’re looking at optionality in terms of what it would take if we have to be here,” Thune said. “But one way or the other, we have to get this done.”
Trump warns of “very drastic measures” without end to shutdown
At the beginning of a Cabinet meeting at the White House, President Trump blasted Democrats for the ongoing impasse, saying they are “really punishing the American people.”
“They need to end the shutdown immediately, or we’ll have to take some very drastic measures,” the president said, without elaborating.
Senate to take up voter ID amendment, DHS funding beginning at 1:30 p.m.
The Senate is scheduled to convene at noon and will take two votes at 1:30 p.m, according to a notice from Majority Whip John Barrasso’s office.
The first vote will be on advancing an amendment to the SAVE America Act, which would require photo ID to cast a vote. The second vote will be on advancing the DHS funding measure. Additional votes are possible later in the day.
Sen. Ron Johnson renews call to end the filibuster
GOP Sen. Ron Johnson of Wisconsin wrote an op-ed Thursday advocating for changing the Senate rules to end the 60-vote threshold required to advance most legislation in the chamber, a position he has been reiterating in recent days.
“I’m not sure how things could get much worse by ending the filibuster,” Johnson wrote in the Daily Wire. “The status quo certainly isn’t working. I think it’s obvious things must change — we need a paradigm shift.”
Johnson described dysfunction in the Senate, pointing particularly to the funding process and the five shutdowns that have occurred since he came to Congress in 2011. He compared the Senate to “plaque clogging an artery leading to a heart attack.”
He acknowledged those in his party who wish to preserve the filibuster and argue that it fosters bipartisanship. But the Wisconsin Republican said that, if the filibuster ends, “we all might be surprised to find senators attempting to find common ground on more issues to help ensure bills pass with bipartisan support.”
Johnson opposed ending the filibuster until last fall’s 43-day shutdown, the longest in U.S. history. In 2022, Johnson said Democrats who wanted to abolish the practice were attempting a “naked power grab.”
Trump floats ending the filibuster to open DHS
President Trump floated ending the Senate’s 60-vote threshold to reopen DHS, asking, “When is ‘enough, enough’ for our Republican Senators.”
“There comes a time when you must do what should have been done a long time ago, and something which the Lunatic Democrats will do on day one, if they ever get the chance,” Mr. Trump said in a post on Truth Social. “TERMINATE THE FILIBUSTER, and get our airports, and everything else, moving again.”
The president urged the Senate to also add the SAVE America Act, an election bill he has repeatedly pushed Congress to pass. Earlier this week, he threw a wrench into DHS talks when he told Republicans not to make a deal with Democrats and to instead link the elections bill to DHS funding.
Thune has repeatedly said there isn’t support for ending the filibuster within the GOP conference.
The president claimed in another post that Senate Minority Leader Chuck Schumer “will make a deal now because he thinks that if he doesn’t, Republicans will TERMINATE THE FILIBUSTER, something which they should do whether he makes a deal or not!!!”
Senate schedule up in the air as recess looms
The Senate is scheduled to be on recess for two weeks starting next week. But Thune has kept the door open to keeping the chamber in town if the impasse persists.
The majority leader told reporters as the Senate convened Wednesday that no decisions had been made yet on whether senators would stay in town if they’re unable to reach a deal.
“I think it’s awfully hard not to have the government funded if we’re not here,” Thune said.
Later Wednesday, Thune suggested that the deadline could put pressure on senators, who often leave town on Thursday nights, to reach a deal.
“You know how it is around here. It’s not Thursday yet,” Thune said. “And sometimes you’ve got to let things run. We’ll see where the deal might land.”
Senate to vote again on advancing DHS funding
The Senate is set to vote Thursday afternoon on advancing a DHS funding measure. The motion fell short of the 60-vote threshold needed to succeed on Wednesday for the sixth time.
It was the first time the chamber took the vote with the promise of the GOP offer, which would amend the measure funding all of DHS by stripping out the funds for ICE’s Enforcement and Removal Operations division. Just one Democrat, Sen. John Fetterman of Pennsylvania, voted in favor of moving forward. But Republicans are hoping to peel off more support on Thursday.
Democrats pushing for reforms after GOP offers to forgo ICE deportation funding
Republicans quickly rejected Democrats’ counterproposal to fund the government and secure ICE reforms like boosting training standards and requiring immigration officers to wear identification on Wednesday. They criticized the offer as unserious, arguing that if Democrats refuse to fund ICE, they don’t have grounds to seek reforms to the agency.
Democrats see things differently.
Independent Sen. Angus King of Maine, who struck a deal with Republicans to end the last shutdown, outlined that ICE’s Homeland Security Investigations division and Customs and Border Protection would be funded under the GOP offer. He claimed that “right now, most of HSI is in ICE doing ERO work.”
“It’s an illusory solution, if they can man ICE with people from … CBP and HSI,” King said. “I don’t have any problem with HSI and CBP doing their jobs. But not if they’re doing ICE’s job.”
Despite the GOP pushback on Democrats’ effort to secure reforms, Thune suggested later in the day that there is some room for negotiation, saying if Democrats “get a more realistic set of proposals, or a more realistic offer on the table, then we’ll be back in business.”
The majority leader also didn’t rule out the possibility of a short-term measure to fund the government while conversations continue on a long-term solution.
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Reflections on America’s 250th birthday
The nation’s capital may be the focal point of the 250th Independence Day celebration, but people all across America have plans to mark the occasion, from boisterous public parades to quiet personal reflections on history.
Julia Demaree Nikhinson/AP
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Julia Demaree Nikhinson/AP
As the United States turns 250 years old, Americans across the country are spending the holiday thinking about what the big birthday means to them, with reflections and celebrations as diverse as the nation itself.
NPR’s member station reporters fanned out to collect snapshots of the occasion from sea to shining sea.
In one ‘City of Presidents,’ Main Street is decorated for a party
At least two cities in the U.S.call themselves the “City of Presidents” and Cuba City, in Wisconsin, is one of them, largely due to its patriotic Main Street decorations. Every year from Memorial Day through Veteran’s Day, red, white, and blue shields, one for each U.S. president, are prominently displayed high up on the light poles lining Main Street.
It’s a tradition that began in 1976 to commemorate the country’s bicentennial, says Donna Rogers, who is president of the ongoing project but admitted that when it first started, she wasn’t particularly tuned-in to the display.
“I was raising three little boys and working at John Deere, so I didn’t really pay too much attention to community service at that time,” she said.
Donna Rogers shows off one of Cuba City’s presidential lampposts.
Susan Bence/WUWM
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Susan Bence/WUWM
A few years later, she was tapped to help keep the initiative alive.
When she thinks of the country’s history, she says the signing of the Declaration of Independence and abolition of slavery top her list, plus a current event–
“Of course, now, our nation’s 250th birthday. I think those three would be the three most important things in history to me,” she said, quickly adding “[the] right for women to vote, don’t forget that, right?”
Rogers and Cuba City are pulling out all the stops for the 250th, with a parade and a mac-and-cheese festival, because “that was some of our founding fathers favorite foods, along with turkey and cranberries and other items.”
She laughed and admitted she googled that. True or not, Rogers says they’ll go all-out to celebrate the 250th in her “City of Presidents”.
WUWM’s Susan Bence reported from Cuba City, Wisconsin.
In Georgia, a civics competition inspires hope for future generations
At the Georgia state finals of the National Civics Bee, middle school students were peppered with questions about the U.S. government.
Like this one: why is a single energetic executive desirable?
The answer: it promotes accountability and decisive leadership.
9th grader Ella Hummel got it right.
“I’ve always kind of had the idea of serving in politics,” she said after the competition. “And I really think that civics has opened my mind.”
Ella will advance to the civics bee finals later this fall, with her grandmother, Peggy Farmer, cheering her on. Farmer remembers the excitement around the bicentennial in 1976, but said she feels a different energy around this year’s anniversary.
“It’s a togetherness type of thing that’s really not around all the time now,” she mused. “I think it’s just the world’s changed a lot.”
But there is something Farmer will celebrate about America on this Independence Day: her grandkid, the Georgia Civics Bee Champion.
“Maybe she and the kids that was sitting up there, they can change [the country] a little bit. I mean, they seem to be having a ball with each other up there today, so that’s a good thing.”
GPB’s Sofi Gratas reported from Atlanta.
In Texas, appreciating the process of patriotism
Rodney Ellis, who has served 43 years in public office, is guardedly optimistic that America will stay on a path towards progress.
John Burnett
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John Burnett
Rodney Ellis will celebrate at picnics around his precinct in Houston with barbecue pork ribs and ice tea, and a heaping helping of worry about the nation’s future. The tall, garrulous 72-year-old county commissioner is guardedly patriotic.
“We should be celebrating that America is a process,” he said. “Patriotism is telling the truth, and doin’ the work to repair the harms that have come about over these 250 years.”
The son of a maid and a landscaper, Ellis has served 43 years in public office, first as a Houston city councilman, then state senator, and now as a Harris County commissioner.
Fifty years ago, during the bicentennial, Ellis was a public affairs graduate student at the University of Texas in Austin. In 1976, there were 18 Black representatives in Congress; today there are 67.
“We’ve made tremendous progress since then, tremendous gains,” he said. “And so when I compare what was happening then to what’s happening now, I look at how quickly a lot of those fundamental rights, those gains that we’ve taken for granted have rolled back so quickly.”
He ticked off areas where he believes America has lost ground: clean air and clean water, people of color in key positions in government, owning up to uncomfortable U.S. history, and selfless public service.
But, said the commissioner with a broad grin, that’s how it’s always been in America.
“Progress is made but along the way sometimes you take two steps forward and 10 steps back, but you don’t give up.”
John Burnett reported from Houston, TX.
In Milwaukee, Fourth of July tacos with a big helping of pride
Gissell Vera is proud to be both American and Mexican. She plans to celebrate both of her cultures with a Fourth of July carne asada cookout.
Maayan Silver/WUWM
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Maayan Silver/WUWM
Gissell Vera ordered carne asada tacos on her favorite patio in Milwaukee, a vibrant spot punctuated with strings of international flags and a steady cumbia drumbeat.
“The music, the colors, the language, all of it is part of me and I am a proud American,” she said.
Vera is a U.S. citizen from a mixed status family; her parents emigrated from Veracruz, Mexico.
“My family has particularly always been grateful for this country and the opportunities that it’s provided us,” said the 25 year-old. “Although there is always the fear and uncertainty of what immigration reform could, how it could impact us, we choose to live every day without fear.”
Vera said there’s a phrase she’s heard many immigrants use to describe their relationship to the United States, “ni de aquí ni de allá,”, meaning ‘neither from here or there.’
“It’s almost like a limbo in which we existed,” she explained. “And I think that now I’m very proud to say that I am ‘de aquí’ and ‘de allá’. So I am proud to be from here and from there.”
She said she’ll join her family for a cookout to celebrate America’s 250th birthday, but instead of hot dogs, they’ll be grilling carne asada.
WUWM’s Maayan Silver reported from Milwaukee.
In the Mountain West, a closer look at a national myth
As America turned 250 this year, historian Megan Kate Nelson used the occasion to take a closer look at a foundational myth of the country’s history and ask, “what stories do we carry forward?”
Her new book ‘The Westerners’ profiled pioneers who, according to Nelson, don’t fit “the narrative of white Easterners moving westward in covered wagons with a nuclear family in tow, engaging with a series of challenges.”
A statue of Sacagawea along the banks of the Missouri River in Great Falls, Mont. Sacajawea was a Lemhi Shoshone woman, who accompanied Lewis and Clark as an interpreter and guide. Her role in the expedition is reexamined in Megan Kate Nelson’s book.
Matt Volz/AP
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Matt Volz/AP
That includes historical figures like Polly Bemis, who was trafficked from China to the Idaho frontier, and María Gertrudis Barceló, a Santa Fe saloon owner and professional gambler.
Even the well-known figure, Sacagawea, gets another look.
“I read through the Lewis and Clark journals. They mention her more than 150 times, and she is always doing something or saying something,” said Nelson. “My favorite part: when they arrive on the western coast, they set up camp a couple miles away from the ocean, and she yells at William Clark. ‘You are going to take me to go see the ocean! I did not travel all this way not to see the ocean!’”
Nelson said it’s more important than ever to elevate a fuller picture of westward expansion, and to challenge the frontier myth that “there’s only one white pioneer; there’s only one kind of story of American greatness.”
Ryan Warner reported from Crested Butte, Colorado.
In Rhode Island, the parade is nearly as old as the nation itself
Every Independence Day, the yellow stripes dividing Hope Street get a patriotic makeover.
David Wright/Ocean State Media
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David Wright/Ocean State Media
The town of Bristol, Rhode Island, lays claim to the nation’s oldest Independence Day celebration. This year, they will celebrate America’s 250th with their 241st birthday bash for the country, an effort that brought together over 100 volunteers as part of the Fourth of July committee.
Plans include a parade with at least 34 floats, a golf tournament, a “Miss Fourth of July” beauty pageant, and a gala ball.
Even the double yellow line down Hope Street got its annual red, white and blue makeover for the parade.
For the past decade, Heidi Vermilyea has been in charge of the parade souvenirs, selling hats, t-shirts, and Christmas tree ornaments out of a blue trailer.
“I think I’ve missed the parade once when I was in Europe for the Fourth of July,” Vermilyea admits. “But otherwise, I have been either watching the parade or working the parade my whole life.”
Even when she’s not working the events, she’s decked out in stars-and-stripes, all the way down to her patriotic pedicure.
Heidi Vermilyea runs the souvenir truck for Bristol’s parade every July 4th. But her American flag outfits are year-round display of her patriotism.
David Wright/Ocean State Media
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David Wright/Ocean State Media
“Politics you can be left, right, moderate, whatever,” Vermilyea explains. “Patriotism is just loving your community. Helping out to make your community, your country a better place.”
The way she sees it, she’s flying the flag for Bristol, her family and friends.
This story was reported by Ocean State Media’s David Wright.
In Oregon, grappling with a complicated history
Some of Mitchell S. Jackson’s fondest childhood memories are of the Fourth of July.
“My mother would always buy me an outfit that had a red, white, and blue color scheme,” Jackson, who is now 50 years old, remembered. “And it was joyous, you know, to don those colors.”
But as the Pulitzer Prize-winning writer grew up, he learned more about America’s history of slavery and racism. Jackson said that made his relationship to his country more complicated, especially after he was convicted on drug and weapons charges as a 21-year-old and imprisoned for over a year.
“I lost my right to vote before I ever voted, before it ever dawned on me that my suffrage was important,” remembers Jackson. “And I would say that that is an American project, that a young Black boy loses his right to vote.”
Jackson said these inequalities, both historical and modern, call into question the very anniversary we’re celebrating.
“When I hear 250, I know that that’s a false number, right?”
Mitchell S. Jackson at the 60th anniversary of the March on Washington. For Jackson, the 250th is not a true celebration of American freedom, since so many people were enslaved at the time.
Erwin JT Trollinger
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Erwin JT Trollinger
Jackson said that to him, true freedom in America only goes back 160 years, to when the 14th amendment granted everyone equal protection under the law. Or even just 62 years to the Civil Rights Act, which outlawed segregation.
“If you love something, you’re also critical of it,” he pointed out. “You don’t just love it blindly, or I hope you don’t just love it blindly. So if you truly love America, then you gotta tell the truth about America.”
Jackson says there are ways for Black Americans to make the Fourth of July, and America itself, their own. But it’s a group project to understand who we are, and who we’ve been, and who we can become.
Deena Prichep reported from Portland, Oregon.
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Family-owned company prepares to put on the largest fireworks display in history: “It is the biggest show that we’ve ever done”
Washington — There are fireworks, and then there’s what’s in store for Saturday in Washington, D.C.
When the sun goes down on Independence Day, the skies of Washington are expected to fill with a record-setting 850,000 individual fireworks for a 40-minute spectacle like no one has seen before.
A company called Pyrotecnico will attempt the biggest fireworks show in history, using five generations of family know-how and a background in Super Bowls and large musical acts to help America celebrate its 250th birthday with a bang.
“I mean, it is the biggest show that we’ve done,” Rocco Vitale, president of Pyrotecnico, told CBS News. “…My earliest memories of fireworks displays and doing the Fourth of July was here.”
Pyrotecnico has been planning this year’s show since January, using computers to simulate the display. But now it’s time for the real thing.
Vitale gave CBS News an exclusive look at his not-so-secret weapons: eight barges out on the Potomac River, each one ready to light up the night sky.
“Each firing location has a communication device, and its all set on GPS. And once the time of the show is put into the system, it goes at that time,” Vitale explained.
According to Freedom 250, the organizer of the “Salute to America 250 Celebration & Fireworks” on the National Mall, President Trump will deliver remarks at 9:45 p.m. Eastern Time, and the fireworks display will get underway at 10:45 p.m. The event is expected to draw hundreds of thousands of people.
Join CBS for “The Great American Block Party 250,” a primetime special on Saturday, July 4, hosted by CBS Evening News anchor Tony Dokoupil and Entertainment Tonight’s Nischelle Turner, featuring live musical performances, celebrations around the country, and the largest fireworks show in history in the skies over the nation’s capital. Tune in July 4 at 8 p.m. ET on CBS and stream it on Paramount+ and CBS News 24/7.
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Oregon ER doctors win a ‘David and Goliath’ battle against a national company
A national physician staffing firm tried to take over the contract held by Eugene Emergency Physicians to work in local hospitals. The local physicians used a new state law to oppose the move.
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In between shifts in the emergency room, Dr. Dan McGee was in an Oregon courtroom. He was fighting for his practice — Eugene Emergency Physicians (EEP). The group of more than 40 doctors and physician assistants work at multiple emergency departments; it was being replaced by a national company.
“This was big time, David and Goliath stuff,” McGee said. “You see 14 of their lawyers sitting there and you see three of ours.”
Those lawyers argued that ApolloMD, the national company, violated Oregon’s corporate practice of medicine law. The 2025 law bans corporations from taking control of a medical practice’s operations and finances.
The case garnered national interest because Oregon’s new law targets the loopholes large staffing firms have been employing to circumvent state corporate medicine laws.

Money for control
Most states have laws requiring that doctors own medical practices, not corporations. These rules aim to put patient interests ahead of profit motives. Over the last several years, companies have used a model where a doctor technically owns the local practice, but as Erin Fuse Brown, a professor at Brown University, explains, those physician owners are often not involved in care and cede hiring, firing and other operational functions to the corporation.
Fuse Brown said these arrangements are attractive to hospitals because these companies often promise more revenue and take over the responsibilities that come with running an ER.
“There’s worry that these investors or these corporate management companies should not be totally controlling the operations and the clinical decisions of those who are trained to deliver patient care,” Fuse Brown said.
The connection to patient care concerned Dr. Jonas Pologe, who works for Eugene Emergency Physicians, in the Eugene, Ore., area. ApolloMD offered local doctors jobs, but Pologe worried that if he pushed back on decisions ApolloMD made, he could lose work hours.
“There’s certainly a chance that if you make enough of a stink, you think that something needs to change, they can just stop giving you shifts,” said Pologe.

ApolloMD’s CEO, Dr. Yogin Patel, said the group doesn’t infringe on the way its doctors practice. He says the company is being unfairly lumped in with broader concerns over physicians’ feelings of disempowerment at the hands of corporate medical takeovers.
A closely watched experiment
Fuse Brown, policy experts and independent physicians theorized that updating state corporate medicine laws could be a fix to limit the control management companies can exert over medical doctors.
Oregon’s the first state to try this, and the case brought by the Eugene doctors group is the first test of that law. McGee, who leads the Eugene physicians group, says colleagues at other hospitals around the state were literally tuning in to their case.
“You could hear it almost like background music on an elevator,” McGee says he was told. “At key moments, all of a sudden the nurses would break out in a cheer.”
Before any ruling, the hospital system dropped its plan to work with ApolloMD and struck a deal to stick with McGee’s local group of doctors.
“This is a big victory for independent physician groups over corporate medicine,” McGee said. “This is a game changer.”
The American Academy of Emergency Medicine (AAEM) supported the Eugene doctors as part of the organization’s strategy to protect independent practices. The AAEM president, Dr. Vicki Norton, said Oregon has the strongest law in the country.
“This signals that that law works and we need it replicated in other states to really strengthen their corporate practice laws,” said Norton.
California and Vermont have passed similar legislation to Oregon, and lawmakers in other states, including Rhode Island and New Mexico, are considering related bills.
In Virginia, an independent group of ER doctors who were replaced by a large staffing firm is meeting with state legislators to try to change their laws.
Impact on Oregon physicians
Back in Oregon, the open question is about how the law may impact the physician practice market.
A few of the largest companies, Envision Healthcare, TeamHealth and USACS, declined to answer NPR’s questions about whether this case or the new law changed their outlook on investing in Oregon practices.
Opponents of the legislation warned lawmakers that many physician groups depend on outside investment to survive.
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