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Face the Facts: How cuts could impact health care in Connecticut

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Face the Facts: How cuts could impact health care in Connecticut


Lawmakers in Washington, D.C. are working through the weekend on a reconciliation bill that includes massive cuts to Medicaid. Rep. Joe Courtney (D-2nd District) discusses how those cuts could impact health care in Connecticut.

Mike Hydeck: As the federal budget process continues in Washington, DC, the Trump administration is looking for $1.5 trillion in cuts they say will help make the government more efficient. So far, between buyouts and cuts, 120,000 jobs have been eliminated in the federal workforce, according to The New York Times. Rooting out waste and fraud is part of the goal of the administration, as well. This week, Republican Speaker of the House, Mike Johnson, unveiled a draft of his budget, which includes things like cuts to Medicaid and changes to SNAP benefits, also known as food stamps. Congressman Joe Courtney spoke out about this on the House floor this week, he joins me now. Welcome back, Congressman. You said the speaker needs to go back to the drawing board. Why?

Joe Courtney: Because I think if he listened to the entire hospital sector of our country, from coast to coast, who have taken a look at this proposal and have unanimously denounced it in terms of the damage it’s going to do to the finances of our health care sector and again, we’re talking to Catholic hospitals, children’s hospitals, the larger umbrella group, the American Hospital Association. You know, they realize that if you take $800 billion out of the Medicaid system, which is what this measure proposes to do, it is going to again, put a lot of these facilities on even shakier ground than they are today, cripple their ability to hire more nurses and staff, which is really, you know, something they’re all desperately trying to achieve. Patient groups have also now risen up, whether it’s the American Cancer Society or Alzheimer’s Association, the disabilities community, you know for whom Medicaid really is a life blood sort of system in terms of making sure that people get essential care. Medicaid is again, different than Medicare, different than private health insurance. It’s not awash in cash. I mean, you talk to any doctor or physician out there, the rates that are paid through Medicaid are bare bones, but it does keep people connected to health care coverage. And the Congressional Budget Office weighed in and basically determined, if this measure was to come into law, that basically 8.6 million Americans would lose their health insurance. On top of that, the you know, exchange, you know, Obamacare premium subsidies, which are also hitting a cliff pretty soon, none of those subsidies were extended in the bill. That would add another 6 million people who would lose their their health coverage. So this is not the direction that I think anybody reasonable, reasonably wants to see this country to go.

Mike Hydeck: Among the other things in this plan, Republicans want to have work rep work requirements. Meaning, if you get SNAP benefits or Medicare and Medicaid, you should be required to work a certain number of hours. What’s your position on that? They’ve been talking about this for a while, by the way.

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Joe Courtney: Yeah. So I mean, if you look at the Medicaid program, if you take out people who are on social security and in nursing homes, which I think you know, that’s actually where the real money goes in the Medicaid program. The people who are covered by it are roughly, according to Sean Scanlon, it’s roughly about 75 to 80% are working in the system as it is. And that you know, again, means that really you’re, you’re dealing with people, probably with disabilities, who are not connected to the workforce. What we do know is this program, of, you know, so called work requirements, is going to create extra red tape in terms of administering the program. We know that because Georgia and Arkansas tried to do this, and it was a bust, you know, in terms of just, you know, really the amount of time that was consumed versus whatever return on investment. So, you know, people are going to, people are going to drop off the rolls. The issue of whether or not people on Medicaid are actually working, I think the numbers don’t lie. I mean, it’s not a program for people who are just sitting around playing video games like Speaker Johnson alleged the other day, which really was a, in my opinion, a disgraceful comment.

Mike Hydeck: So as we know, fraud in these programs has been an issue. There’s big cases in Florida. Throughout the country as well. In fact, this week, the Wall Street Journal reported that insurance company United Healthcare is being investigated by the Justice Department for overbilling. Can fraud be found in the system overall, in your opinion?

Joe Courtney: Absolutely. But if you really talk to people who are doing investigations for Medicaid fraud, there’s a whole unit in government in Connecticut that does this. It’s really, the most of the fraud, almost all of it, is in the provider side of the equation, where people, again, are gaming the billing system who are providers. You know, like is being alleged with United Healthcare. So you know, by all means, that effort should be sustained and expanded to make sure that nobody’s gaming the system. But in terms of beneficiaries, people who are recipients, the fraud numbers are tiny, and the value, or the the return on investment, is minuscule, as opposed to rip off artists who are basically running Medicaid mills, as they call them, that you know, that’s where the real fraud money is.

Mike Hydeck: Congressman Courtney, we have to leave it there. I have quite a few more questions. Hopefully we can have you back. We appreciate your time.

Joe Courtney: Happy to do so. Thanks, Mike.

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Connecticut

Lawmakers again push to restore Shore Line East service to 2019 levels

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Lawmakers again push to restore Shore Line East service to 2019 levels


Connecticut lawmakers are again looking to restore Shore Line East rail service to its pre‑pandemic levels, a proposal that could add about 90 more trains per week.

Lawmakers are also weighing a separate cost‑saving proposal to shift the line from electric rail cars back to diesel.

The plan comes as ridership remains well below 2019 numbers, though state data shows those numbers have begun to climb.

The Department of Transportation provided the General Assembly’s transportation committee with the following data:

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  • 132 trains per week today versus 222 trains per week in 2019, according to the CTDOT commissioner.
  • In 2019, most weekday SLE trains traveled between New Haven Union Station and Old Saybrook. This allowed SLE to operate with only five train sets in the morning and four train sets in the afternoon.
  • It should be noted that 2019 SLE service levels were very different due to constrained infrastructure; 2019 service levels had a reduced number of SLE trains serving New London (13 trains per day Monday through Friday, as opposed to 20 today), while other stations had increased service (36 trains per day Monday through Friday, as opposed to 20 today).

“2019 levels beyond Old Saybrook to New London would require more crews and more train sets than were used in 2019, requiring significantly more financial resources,” the department wrote in its written testimony.

The department said the governor’s FY2027 budget does not include funding for a full restoration. In other words, even if the legislature requires additional trains, the funds are not included in the current financial plan.

Governor Lamont said on Monday to remember that the state subsidizes the line more than any other rail right now.

“There’s not as much demand as there are for some of the other rail services in other parts of the state, so that’s the balance we’re trying to get right,” Lamont said.

At a public hearing on Monday, concerns about the line’s reliability and schedule were a central focus in the testimony.

“We’re making the line less attractive, some would say. The schedules are very, very difficult to manage,” said Sen. Christine Cohen of Guilford, the co-chair of the committee.

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The current schedule for eastbound morning commuters is difficult. The train either arrives in New London just after 7 a.m. or after 9 a.m.

“So obviously not really … conducive to a typical workday,” Cohen said.

Cohen, who represents communities along the line, said she continues to reintroduce the bill to expand service year after year, pushing the state to do more with the line.

She thanked the department for the work it was able to do with the recent funding to establish a through train to Stamford.

“What do we need to do, and what are the challenges that you face in terms of expansion at this time?” Cohen asked.

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Commissioner Garrett Eucalitto responded that the biggest hurdle is the cost of labor and access fees to Amtrak, which owns the territory.

“The cost to provide rail service is very expensive,” Eucalitto said.

He said CTDOT knows the current schedule is “not ideal,” but the economics of a work-from-home society are difficult.

“People expect 100% of the trains that they had in 2019, but they only want to take it two days a week,” Eucalitto said.

Asked about the eastbound schedule, the commissioner explained Shore Line East still operates on a model that sends trains toward New Haven in the morning rather than toward New London.

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Changing that would require more equipment, more crews, and a second morning operations base, as well as negotiations with Amtrak, which owns the tracks.

Amtrak is “protecting their slots to be able to run increased Northeast Regional service as well as increased Acela service,” Eucallito said. “They’re going to look at us and question, ‘Well, how does that impact our need for Amtrak services?’ They’ll never give you an answer upfront, it’s always: ‘show us a proposal and then they’ll respond to it.’”

Cohen, who chairs the Transportation Committee, touted how a successful Shoreline East benefits the environment, development along the line, and reduces I-95 congestion.

“We need to start talking about how much money this costs us and think about all of the ancillary benefits,” Cohen said during the hearing.

Cohen said there is multi-state support for extending the line into Rhode Island.

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“We will need some federal dollars. But as you say, there are other businesses up the line in New London,” Cohen said. “We’ve got Electric Boat. We’ve got Pfizer up that way. If we can get those employees on the transit line, we’re all the better for it.”

Rider advocates said the issue is familiar.

“I’d rather see solutions, and not things that are holding it back,” said Susan Feaster, founder of the Shore Line East Riders’ Advocacy Group.

She said she worries the line is facing a transit death spiral, with reduced service leading to lower ridership and falling fare revenue.

“They have to give us the money,” Feaster said. “It shouldn’t have to be profitable.”

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Like other train lines across the country, Shore Line East relies on subsidies.

“We’re not asking for everything to be done overnight, but just incrementally,” Feaster said.

The line received $5 million two years ago, which increased service levels.

The proposal comes as the state reviews whether to return to diesel rail cars that are more than 30 years old.

The state says the switch would save about $9 million, but riders have said it would worsen the passenger experience.

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NBC Connecticut asked Cohen whether she’ll ask DOT to reverse that proposal.

“I really want to,” Cohen said. “I appreciate what CTDOT was trying to do in terms of not cutting service as a result of trying to find savings elsewhere. This isn’t the way to do it.”



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Iranian Yale scholar in Connecticut celebrates fall of regime, calls for free elections

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Iranian Yale scholar in Connecticut celebrates fall of regime, calls for free elections


HARTFORD, Conn. (WFSB) – Thousands of Connecticut families with ties to Iran are watching and waiting as their home country undergoes a historic change.

Among them is Ramin Ahmadi, a Yale doctor, human rights activist and founder of the Iran Human Rights Documentation Center. He has spent decades advocating for freedom in Iran from his home in Connecticut.

Ahmadi moved to the United States when he was 18. On Saturday morning, he learned of military strikes in Iran and the death of the country’s supreme leader.

Ahmadi said protests for democracy and human rights in Iran intensified in December, drawing millions of participants — including his own family and friends.

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“The situation in Iran was a humanitarian emergency and it needed an intervention,” Ahmadi said.

He said he celebrated when he heard the news Saturday morning.

“I was celebrating along with all other Iranians inside and outside the country,” Ahmadi said. “I do regret that we cannot bring him to a trial for crimes that he has committed against humanity.”

Ahmadi said he spoke with his sister in Iran after she celebrated in the streets. She was later told to return home for her safety.

He shared a message she relayed from those around her.

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“They said do not let our death be exploited because worse than that is having to live with the criminals who have done this to us for the rest of our lives,” Ahmadi said. “We do not want to do that.”

For those questioning whether the conflict was America’s to engage in, Ahmadi offered a direct response.

“We will all be affected,” he said. “And to those that tell you that the U.S. and Israel are beating the drums of war in Iran, one has to remind them that it was not like before this Iranian people were listening to Beethoven’s Symphony No. 9 in D minor. We had a war already declared on us by this regime. We were being slaughtered on a daily basis.”

Ahmadi said he believes the path forward begins with young military officers forcing out what remains of the regime, followed by free elections.

“Everyone’s life will be safer in the future and not just Iranians,” Ahmadi said.

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Connecticut lawmakers are also responding to the U.S. strikes on Iran.



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Two people shot in New Haven restaurant Saturday evening

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Two people shot in New Haven restaurant Saturday evening


New Haven police say two people were shot at a restaurant on Grand Avenue Saturday evening.

One of the victims was a 22-year-old male from East Haven who was shot in the leg and was transported to Yale New Haven Hospital for treatment.

According to police, the second victim was a 17-year-old male and arrived shortly after.

While on scene, police confirmed one of the possible shooters was still inside the restaurant.

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According to police, the victims were both inside the restaurant when the teen was approached by Naguea Bratton and another suspect.

They say a fight occurred which resulted in both victims being shot.

Police detained Bratton who was charged with carrying a pistol without a permit, two counts of illegal possession of a high-capacity magazine and larceny of a motor vehicle.

Bratton is being held on a $200,000 bond.

Both victims have non-life-threatening injuries police say.

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They say additional arrests are expected to be completed by warrant.



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