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Pete Hegseth to Face Democratic Questioning in Confirmation Hearing

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Pete Hegseth to Face Democratic Questioning in Confirmation Hearing

Pete Hegseth, President-elect Donald J. Trump’s pick to head the Pentagon, is scheduled to appear before the Senate Armed Services Committee on Tuesday to answer questions on a range of issues, including a sexual assault allegation, his lack of management experience and his comments against women serving in combat.

Mr. Hegseth, a former Fox News host, has a slew of commentary, opinions and allegations to explain, as Democratic lawmakers get their chance to question him about his qualifications to lead the Defense Department, an $849 billion enterprise with nearly three million employees.

Eyes will also be on Senator Joni Ernst, Republican of Iowa, who is an Army Reserve and National Guard veteran and a sexual assault survivor. Ms. Ernst received a barrage of criticism from Trump supporters last month after she said that Mr. Hegseth needed to address issues including the role of women in the military and sexual assault prevention. Her support is viewed as critical to Mr. Hegseth’s confirmation chances.

Whether Mr. Hegseth has the votes to be confirmed remains an open question. After the committee hearing, the full Senate must vote on the confirmation. If all Democrats oppose him, he can afford to lose the support of just three Republican senators.

A former Army major who served in Iraq and Afghanistan and a member of the National Guard until 2021, Mr. Hegseth will presumably need a congressional waiver that is required for any Pentagon chief who has been retired from active-duty military service less than seven years.

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The waivers became big issues during the confirmation hearings for the current defense secretary, Lloyd J. Austin III, and for Jim Mattis, who served as defense secretary during the first Trump administration.

But it has rarely been mentioned ahead of Mr. Hegseth’s hearing because there have been so many other issues to discuss.

The top members of the Senate Armed Services Committee were briefed late Friday on the findings from the F.B.I.’s background check of Mr. Hegseth. Other members of the committee expressed concern that they might not have relevant information for Mr. Hegseth’s confirmation hearing.

“I need to see his F.B.I. background check. We need to see his financial disclosures,” said Senator Tammy Duckworth, Democrat of Illinois. “And we need to know about any other potential lawsuits he might be facing, any other allegations he might be facing.”

Democrats and Mr. Hegseth’s backers have both complained that the other side has been unresponsive to attempts to arrange meetings with Mr. Hegseth.

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Senator Jack Reed, the ranking Democrat on the committee, is the one Democrat who as of last week had met with Mr. Hegseth. Mr. Reed said in a statement after the two talked on Wednesday that the meeting “raised more questions than answers.”

In addition to the sexual assault allegation against Mr. Hegseth, accusations have also emerged detailing episodes of public drunkenness, workplace sexual improprieties and mismanagement of the veterans nonprofits he ran. Mr. Hegseth has said the sexual assault allegation arose from a consensual encounter. He also told reporters last month that he was “a different man than I was years ago.”

The allegations against Mr. Hegseth have failed to sway most Republican senators, many of whom have argued that senators should discount such claims unless the accusers are willing to come forward publicly.

Mr. Hegseth, who has been married three times, has also acknowledged having extramarital affairs. The New York Times reported last month that his mother, Penelope Hegseth, wrote him an email in 2018 saying he had routinely mistreated women for years and displayed a lack of character.

Mrs. Hegseth later said that she had written the email “in anger, with emotion,” at a time when he and his wife were going through a difficult divorce, and that she apologized for what she had written.

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Extramarital affairs and public intoxication can leave officers and troops in the military subject to disciplinary action. Some senior military leaders have questioned privately whether Mr. Hegseth’s confirmation could send conflicting messages to troops about discipline.

Mr. Hegseth’s commentary and writings on a number of issues are also likely to provide fodder for the hearing. In his book “The War on Warriors: Behind the Betrayal of the Men Who Keep Us Free,” Mr. Hegseth complained about “woke” generals who he said had made the military “effeminate” by pushing diversity policies.

He said that Gen. Charles Q. Brown, the chairman of the Joint Chiefs of Staff, a position that usually works closely with the defense secretary, should be fired for being too “woke.” General Brown is African American.

“America’s white sons and daughters are walking away” from the military, he wrote, “and who can blame them.”

Before he was nominated by Mr. Trump to be defense secretary, Mr. Hegseth said that he did not believe that women should be in combat. “I’m straight up just saying we should not have women in combat roles,” he said in a podcast hosted by Shawn Ryan on Nov. 7. Having women in combat, he said, “hasn’t made us more effective, hasn’t made us more lethal, has made fighting more complicated.”

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A month later, he offered some clarification. Asked about the issue on the podcast “The Megyn Kelly Show” in early December, Mr. Hegseth said that “if we have the right standard and women meet that standard, roger — let’s go.” But, he added: “If they can’t, and that’s a product of physical differences because the standard is high, then that’s just the reality.”

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Times Investigation: Ex-Trump DOJ lawyers say ‘fraudulent’ UC antisemitism probes led them to quit

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Times Investigation: Ex-Trump DOJ lawyers say ‘fraudulent’ UC antisemitism probes led them to quit

Nine former Department of Justice attorneys assigned to investigate alleged antisemitism at the University of California described chaotic and rushed directives from the Trump administration and told The Times they felt pressured to conclude that campuses had violated the civil rights of Jewish students and staff.

In interviews over several weeks, the career attorneys — who together served dozens of years — said they were given the instructions at the onset of the investigations. All nine attorneys resigned during the course of their UC assignments, some concerned that they were being asked to violate ethical standards.

“Initially we were told we only had 30 days to come up with a reason to be ready to sue UC,” said Ejaz Baluch, a former senior trial attorney who was assigned to investigate whether Jewish UCLA faculty and staff faced discrimination on campus that the university did not properly address. “It shows just how unserious this exercise was. It was not about trying to find out what really happened.”

In spring 2024, increasingly tumultuous protests over Israel’s war in Gaza racked UCLA. Jewish students and faculty reported “broad-based perceptions of antisemitic and anti-Israeli bias on campus,” a UCLA antisemitism task force found. A group later sued, charging that UCLA violated their civil rights, and won millions of dollars and concessions in a settlement.

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UCLA avoided trial, but the suit — along with articles from conservative websites such as the Washington Free Beacon — formed a basis for the UC investigations, the former DOJ lawyers said.

“UCLA came the closest to having possibly broken the law in how it responded or treated civil rights complaints from Jewish employees,” Baluch said. “We did have enough information from our investigation to warrant suing UCLA.” But Baluch said, “We believed that such a lawsuit had significant weaknesses.”

“To me, it’s even clearer now that it became a fraudulent and sham investigation,” another lawyer said.

A DOJ spokesperson did not respond to a request for comment. When it announced findings against UCLA in late July, Assistant Atty. Gen. Harmeet K. Dhillon — the DOJ civil rights chief — said the campus “failed to take timely and appropriate action in response to credible claims of harm and hostility on its campus.” Dhillon said there was a “clear violation of our federal civil rights laws.” Atty. Gen. Pam Bondi said UCLA would “pay a heavy price.”

The former DOJ attorneys’ description of their Trump administration work offers a rare view inside the government’s UC probe. For months, university officials have said little publicly about their ongoing talks with the DOJ. Their strategy has been to tread cautiously and negotiate an out-of-court end to the investigations and financial threats — without further jeopardizing the $17.5 billion in federal funds UC receives.

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Four attorneys said they were particularly troubled by two matters. First, they were asked to write up a “j-memo” — a justification memorandum — that explained why UC should face a lawsuit “before we even knew the facts,” one attorney said.

“Then there was the PR campaign,” the attorney said, referring to announcements beginning with a Feb. 28, 2025, press release saying investigators would be visiting UCLA, UC Berkeley, USC and seven other universities nationwide because the campuses “have experienced antisemitic incidents since October 2023.”

“Never before in my time across multiple presidential administrations did we send out press releases essentially saying workplaces or colleges were guilty of discrimination before finding out if they really were,” said one attorney, who requested anonymity for fear of retaliation.

Jen Swedish, a former deputy chief on the employment discrimination team who worked on the UCLA case, said “virtually everything about the UC investigation was atypical.”

“The political appointees essentially determined the outcome almost before the investigation had even started,” said Swedish, referring to Trump administration officials who declared publicly that punishing colleges for antisemitism would be a priority. She resigned in May.

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The lawyers spoke out because their formal connections to the DOJ recently ended. Many said they believed the Trump administration had compromised the integrity of the department with what they viewed as aggressive, politically motivated actions against UC and other elite U.S. campuses.

“I think there were absolutely Jewish people on campuses that faced legitimate discrimination. But the way we were pushed so hard to investigate, it was clear to so many of us that this was a political hit job that actually would end up not helping anyone,” said one attorney who worked on UC Davis and UCLA and interviewed students.

In a statement, a UC spokesperson said, “While we cannot speak to the DOJ’s practices, UC will continue to act in good faith and in the best interests of our students, staff, faculty, and patients. Our focus is on solutions that keep UC strong for Californians and Americans.”

The government has not sued UC.

But in August, the DOJ demanded that the university pay a $1.2-billion fine and agree to sweeping, conservative-leaning campus policy changes to settle federal antisemitism accusations. In exchange, the Trump administration would restore $584 million in frozen grant funding. At the time, Gov. Gavin Newsom called the proposal “extortion.”

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Last month, after UC faculty independently sued, U.S. District Judge Rita F. Lin ruled that the “coercive and retaliatory” proposal violated the 1st Amendment. Lin blocked the fine and the demands for deep campus changes.

“Agency officials, as well as the president and vice president, have repeatedly and publicly announced a playbook of initiating civil rights investigations of preeminent universities to justify cutting off federal funding, with the goal of bringing universities to their knees and forcing them to change their ideological tune,” Lin said.

Her ruling does not preclude UC from negotiating with the administration or reaching other agreements with Trump.

Protests roiled campuses in spring 2024

The federal investigations largely focused on the tumultuous pro-Palestinian campus protests that erupted at UC campuses. On April 30, 2024, a pro-Israel vigilante group attacked a UCLA encampment, resulting in injuries to student and faculty activists. Police failed to bring the situation under control for hours — a melee former Chancellor Gene Block called a “dark chapter” in the university’s history.

During the 2023-24 UC protests, some Jewish students and faculty described hostile climates and formal antisemitism complaints to the schools increased. Some Jews said they faced harassment for being Zionists. Others said they encountered symbols and chants at protests and encampments, such as “From the river to the sea, Palestine will be free,” which they viewed as antisemitic. Jews were also among the leading encampment activists.

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In June 2024, Jewish UCLA students and faculty sued UC, saying the encampment blocked them from accessing Dickson Court and Royce Quad. The four blamed the university for anti-Jewish discrimination, saying it enabled pro-Palestinian activists to protest. On July 29, 2025, UC agreed to pay $6.45 million to settle the federal suit.

In response to the demonstrations and suit, UC overhauled its free speech policies, banning protests that aren’t preapproved from vast portions of campus. It said it would strictly enforce existing bans on overnight encampments and the use of masks to hide identity while breaking the law, and agreed to not prohibit campus access to Jews and other legally protected groups.

Inside the investigations

The nine former DOJ lawyers worked between January and June researching whether UC campuses mishandled complaints of antisemitism filed by Jewish students, faculty and staff tied to pro-Palestinian encampments. They were involved with two areas under the DOJ’s Civil Rights Division — employment litigation and educational opportunities — tasked with looking into potential discrimination faced by UC employees and students.

The attorneys described an at times rushed process that concentrated legal staffing on probing antisemitism at UC campuses, to the detriment of other discrimination cases focused on racial minorities and people who are disabled.

At one point, attorneys said, more than half of the dozens of lawyers in the employment litigation section were assigned solely or nearly exclusively to UC campuses, with some told specifically to research the UCLA David Geffen School of Medicine and other campus divisions. As lawyers begin to quit, the attorneys said, additional staff was brought in from other DOJ teams — those focused on tax law and immigrant employment law.

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When five lawyers in the mid-spring reported minimal findings at Berkeley, Davis and San Francisco campuses, they were reassigned to UCLA.

“It was like UCLA was the crown jewel among public universities that the Trump administration wanted to ‘get,’ similar to Harvard for privates,” said another attorney, who requested anonymity because they feared retaliation for speaking out. “There were meetings where managers — who were career employees like us — would convey that political appointees and even the White House wanted us all on UCLA.”

Dena Robinson, a former senior trial attorney, investigated Berkeley, Davis and Los Angeles campuses.

“I was someone who volunteered on my own to join the investigation and I did so because of some of my lived experience. I’m a Black woman. I’m also Jewish,” she said. But she described concerns about fast and shifting deadlines. “And I am highly skeptical of whether this administration actually cares about Jewish people or antisemitism.”

Lawyers described similar views and patterns in the Educational Opportunities Section, where UC investigations were concurrently taking place.

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A 10th attorney, Amelia Huckins, said she resigned from that section to avoid being assigned to UC.

“I did not want to be part of a team where I’m asked to make arguments that don’t comport with the law and existing legal precedent,” she said.

Huckins had been away from the job for a little more than two months when she read findings the DOJ released July 29 saying that UCLA acted with “deliberate indifference” to Jewish students and employees and threatened to sue the university if it did not come to a settlement.

In those findings, the DOJ said, “Jewish and Israeli students at UCLA were subjected to severe, pervasive, and objectively offensive harassment that created a hostile environment by members of the encampment.” As evidence, it cited 11 complaints from Jewish or Israeli students regarding discrimination between April 25 and May 1, 2024.

It was “as if they only talked to particular students and used public documents like media reports,” Huckins said, adding that the evidence publicly presented seemed thin. In a “normal investigation,” attorneys research “different layers of document and data requests and interviews at every level of the university system.” Those investigations, she said, can take at least a year, if not longer.

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What investigators encountered

Attorneys described site visits at several UC campuses over the spring, including meetings with campus administrators, civil rights officers, police chiefs and UC lawyers who attended interviews — including at least one with UCLA Chancellor Julio Frenk.

The lawyers said UC leaders were cooperative and shared campus policies about how civil rights complaints are handled as well as information detailing the way specific cases were treated, such as those of faculty who said they faced harassment.

“There were thousands and thousands of pages of documents and many interviews,” said Baluch, referring to Berkeley and Davis. “There may have been harassment here and there, but there was not a lot that rose to the level of the university violating federal law, which is a pretty high bar.”

“We identified certain incidents at Berkeley and at Davis that were kind of flash points. There were a couple of protests that seemed to get out of hand. There were the encampments. There was graffiti. But we just did not see a really hostile work environment,” said another attorney who visited those campuses. “And if there was a hostile environment, it seemed to have been remediated by the end of 2024 or even May or June for that matter.”

However, at UCLA, Baluch said he and team members found “problems with the complaint system and that some of the professors were genuinely harassed and to such a severe level that it violates Title VII.” Eventually, he said “we successfully convinced the front office that we should only be going after UCLA.”

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Where UC and Trump administration stand today

When Harvard faced major grant freezes and civil rights violation findings, it sued the Trump administration. UC has so far opted against going to court — and is willing to engage in “dialogue” to settle ongoing investigations and threats.

“Our priorities are clear: protect UC’s ability to educate students, conduct research for the benefit of California and the nation, and provide high-quality health care,” said UC spokesperson Rachel Zaentz. “We will engage in good-faith dialogue, but we will not accept any outcome that cripples UC’s core mission or undermines taxpayer investments.”

The calculation, according to UC sources, is simple. They want to avoid a head-on conflict with Trump because UC has too much federal money on the line. They point to Harvard — which suffered major grant losses and federal restrictions on its patents and ability to enroll international students after publicly challenging the president.

“Our strategy before was to lay low and avoid Trump any way we could,” said a UC official, who was not authorized to speak on the record. “After the UCLA grants were pulled and the settlement offer came in, the tactic shifted to ‘playing nice’” without agreeing to its terms.

In public remarks to the board of regents last month at UCLA, UC President James B. Milliken said “the stakes are enormous” and presented data on funding challenges: Under Trump, more than 1,600 federal grants have been cut. About 400 grants worth $230 million remained suspended after faculty court wins.

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UC “is still facing a potential loss of more than a billion dollars in federal research funding,” Milliken said.

“The coming months may require even tougher choices across the university,” he said.

No information about a possible UC-Trump settlement has been released. But some former DOJ lawyers said they believe a settlement is inevitable.

“It’s devastating that these institutions are feeling pressured and bullied into these agreements,” said Huckins, speaking of deals with Columbia, Brown, Cornell and other campuses. “I would love it if more schools would stand up to the administration … I recognize that they’re in a hard spot.”

To Baluch, who worked on the UCLA case, it appeared that the DOJ had the upper hand.

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“Cutting grants is a huge hit to a university. And the billion-dollars fine is a lot. I see why these universities feel backed into a corner to settle,” he said. “The threats, they are working.”

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Inside Minnesota’s $1B fraud: fake offices, phony firms and a scandal hiding in plain sight

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Inside Minnesota’s B fraud: fake offices, phony firms and a scandal hiding in plain sight

NEWYou can now listen to Fox News articles!

As a massive fraud scheme costing state and federal taxpayers at least $1 billion dollars continues to unfold in Minnesota, Fox News Digital visited several locations that received funding through programs like Feeding Our Future and found several inconsistencies exposing the depth of the scandal. 

The now-infamous Griggs-Midway Building housed an “unusual concentration” of fraudulent entities involved in the HSS scheme, according to Acting U.S. Attorney Joseph H. Thompson.

Twenty-two “businesses” connected to the HSS program were registered to this single location. Thompson described these entities as “purely fictitious companies solely created to defraud the system.”

These 22 fraudulent businesses collectively billed Medicaid for a staggering $8 million between January 2024 and May 2025.

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OMAR ACCUSED BY GOP OPPONENT OF OPENING UP THE DOOR TO MASSIVE MINNEAPOLIS FRAUD: ‘DEEP, DEEP TIES’

An in-person investigation by Fox News Digital of the building, located in St. Paul, Minnesota, showed huge swaths of the southern side of the building completely abandoned. A black and white banner advertising open spaces in the building was adorned atop the “Griggs-Midway Building” sign.

Several men sat together and engaged in conversation at the building entrance. When approached, the men told Fox News Digital that they did not speak English.

However, the western side of the building housed a number of seemingly legitimate businesses on the first floor, including a hair salon, a financial support and loan service for African immigrants and a property management office.

The Griggs-Midway building has become a focal point of the Minnesota HSS fraud scandal. (Nikolas Lanum/Fox News Digital)

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Following extensive FBI searches of the building, the Minnesota Department of Human Services conducted approximately 40 investigations into providers associated with the larger Griggs-Midway building.

Brilliant Minds Services allegedly submitted over $2.3 million of the $8 million in fraudulent claims from the Griggs-Midway location, ranking as one of the state’s highest-billing HSS providers last year.

Four defendants, Moktar Hassan Aden, 30; Mustafa Dayib Ali, 29; Khalid Ahmed Dayib, 26; Abdifitah Mohamud Mohamed, 27, were charged in the fraud case. Mohamed was the owner of one of the other fraudulent businesses implicated, Foundation First Services LLC.

‘HE HAD YEARS TO STOP THIS’: GOP LAWMAKERS BLAST WALZ OVER MASSIVE MINNESOTA FRAUD SCHEME

Another false claim location took Fox News Digital to a second-story walkup above a sushi shop just blocks away from the Mississippi River.

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The entryway was locked, and it was unclear whether the fraudster simply utilized the address to keep distance, or if the fraudster was actually located at the unit number listed on the claim.

The second floor showed little sign of life. Though one window displayed a “No Kings, No Fascists” sign facing out onto the snowy city street.

A large uniform reddish-brown brick building known as “Winsor Plaza” was the next destination of Fox News Digital’s trek through a brewing Minnesota snowstorm.

The simple, box-like form of the building was centered by a red canopy protruding from the structure’s primary entrance. A white-water tower with “Roseville” painted in red letters rose in the distance through the fog. Inside, a directory showed dozens of legitimate businesses, including doctors’ offices and wealth management services.

A search through the quiet halls of 1935 W County Road gave way to confusion. Unit 150, the office space listed on the false claim, was nowhere to be found. It appeared that in the building’s current configuration the suite simply did not exist. Not only was the claim fraudulent, so was the address.

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A similar situation occurred at 9120 Baltimore St N. The claims report noted that the fraudulent entity was operating out of suite 100. Upon arrival, 9120 was seen affixed to a stone pillar in the center of a business parking lot.

However, there was no conglomerate of office spaces or apartment units, no numbers affixed to different storefronts. Only a singular, operational dental office. Another apparent fraudulent address.

NorthPark Dental in Blaine, Minnesota, appears to be a legitimate, operational business. There is no Unit 100 at this location, suggesting that the alleged fraud entity gave a fake address.  (Nikolas Lanum/Fox News Digital)

The trend was broken at the next two locations.

2756 Douglas Dr N is a commercial address in Crystal, Minnesota, housing businesses like Rock Bridge Counseling & Mental Health and All Kind Painting & Cleaning, offering services for teens in crisis and home improvement, respectively.

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These two businesses comprise suites A and B of the building but were not the fraudulent entities listed on location claims. A real building, with real businesses, but a fake company that appeared to never exist in that space.

MINNESOTA LAWMAKERS VOW NEW CRACKDOWN AFTER $1B FRAUD MELTDOWN THEY SAY WALZ LET SPIRAL

Another stop, 1541 Como Ave, was found inside a narrow St. Paul, Minnesota alleyway. The address housed a small, rusted garage affixed to the back of a church. The garage appeared vacant, with no mailbox or garbage cans.

A picnic bench just outside the garage door was covered in leaves, snow and other debris.

Several gentlemen inside a nearby local business told Fox News Digital that a man named “John” had used the location for a small pop-up gym and fitness center. He was often seen driving around in a fancy car. There was no indication as to whether this location was the legitimate operation center of the fraudulent claim.

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4601 E 54th St, another location tied to the scandal, was visited by Fox News Digital only to find an empty parking lot. The address listed was in the 400s on the street. However, there are no 400s on that street, only 500s.

Another location, 2720 E Lake St, was completely boarded up and covered in graffiti with a homeless individual sleeping out front. The building appeared to have been inoperable for a long period of time.

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“Most of that $500 million hasn’t served a single meal and some of the simple things are if they would have just gone to the facilities, you know, you hear of the thousands of people being served out of an apartment twice a day, all they would have to do is show up and look at it,” Minnesota Republican state Sen. Mark Koran told Fox News Digital about the fraud that was hiding in plain sight in Minneapolis.

“There was an legislative auditor report that showed that 30 property owners where these businesses claim to operate out of, contacted the Department of Education who manage it, who managed that program, and they told them one, the businesses don’t exist in their facilities, so they don’t exist, period, and one of them I think was a city park,” Koran said. 

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“And so the Department of Education gave that complaint to the nonprofit Feeding Our Future to address those issues and the Department of Education continued to pay millions to those thirty with a blatant, simple process of ‘we’ve been notified they don’t exist’ and they rejected and ignored it.”

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What the Trump administration’s hepatitis B vaccine rollback means for California

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What the Trump administration’s hepatitis B vaccine rollback means for California

For most American infants, the hepatitis B shot comes just before their first bath, in the blur of pokes, prods and pictures that attend a 21st century hospital delivery.

But as of this week, thousands of newborns across the U.S. will no longer receive the initial inoculation for hepatitis B — the first in a litany of childhood vaccinations and the top defense against one of the world’s deadliest cancers.

On Dec. 5, the Centers for Disease Control and Prevention’s powerful vaccine advisory panel voted to nix the decades-old birth-dose recommendation.

The change was pushed by Health and Human Services Secretary Robert F. Kennedy Jr. and his “Make America Healthy Again” movement, which has long sought to rewrite the CDC’s childhood vaccine schedule and unwind state immunization requirements for kindergarten.

California officials have vowed to keep the state’s current guidelines in place, but the federal changes could threaten vaccine coverage by some insurers and public benefits programs, along with broader reverberations.

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“It’s a gateway,” said Jessica Malaty Rivera, an infectious disease epidemiologist in Los Angeles. “It’s not just hepatitis B — it’s chipping away at the entire schedule.”

Democratic-led states and blue-chip insurance companies have scrambled to shore up access. California joined Hawaii, Oregon and Washington in forming the West Coast Health Alliance to maintain uniform public policy on vaccines in the face of official “mis- and dis-information.”

“Universal hepatitis B vaccinations at birth save lives, and walking away from this science is reckless,” California Gov. Gavin Newsom said in a statement. “The Trump administration’s ideological politics continue to drive increasingly high costs — for parents, for newborns, and for our entire public-health system.”

The issue is also already tied up in court.

On Tuesday, the Supreme Court sent a lawsuit over New York’s vaccine rules back to the 2nd U.S. Circuit Court of Appeals for review, signaling skepticism about the stringent shots-for-school requirements pioneered in California. On Friday, public health officials in Florida appeared poised to ax their schools’ hepatitis B immunization requirement, along with shots for chickenpox, a dozen strains of bacterial pneumonia and the longtime leading cause of deadly meningitis.

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Boosters of the hep B change said it replaces impersonal prescriptions with “shared clinical decision-making” about whether and how to vaccinate, while preserving the more stringent recommendation for children of infected mothers and those whose status is unknown.

Critics say families were always free to decline the vaccine, as about 20% did nationwide in 2020, according to data published by the CDC. It’s the only shot on the schedule that children on Medicaid receive at the same rate as those with private insurance.

Rather than improve informed consent, critics say the CDC committee’s decision and the splashy public fight leading up to it have depressed vaccination rates, even among children of infected mothers.

“Hepatitis B is the most vulnerable vaccine in the schedule,” said Dr. Chari Cohen, president of the Hepatitis B Foundation. “The message we’re hearing from pediatricians and gynecologists is parents are making it clear that they don’t want their baby to get the birth dose, they don’t want their baby to get the vaccine.”

Much of that vulnerability has to do with timing: The first dose is given within hours of birth, while symptoms of the disease might not show up for decades.

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“The whole Day One thing really messes with people,” Rivera said. “They think, ‘This is my perfect fresh baby and I don’t want to put anything inside of them.’ ”

U.S. surgeon general nominee Casey Means called the universal birth dose recommendation “absolute insanity,” saying in a post on X last year that it should “make every American pause and question the healthcare system’s mandates.”

“The disease is transmitted through needles and sex exclusively,” she said. “There is no benefit to the baby or the wider population for a child to get this vaccine who is not at risk for sexual or IV transmission. There is only risk.”

In fact, at least half of transmission occurs from mother to child, typically at birth. A smaller percentage of babies get the disease by sharing food, nail clippers or other common household items with their fathers, grandparents or day-care teachers. Because infections are often asymptomatic, most don’t know they have the virus, and at least 15% of pregnant women in the U.S. aren’t tested for the disease, experts said.

Infants who contract hepatitis B are overwhelmingly likely to develop chronic hepatitis, leading to liver cancer or cirrhosis in midlife. The vaccine, by contrast, is far less likely than those for flu or chickenpox to cause even minor reactions, such as fever.

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“We’ve given 50 billion doses of the hepatitis B vaccine and we’ve not seen signals that make us concerned,” said Dr. Su Wang, medical director of Viral Hepatitis Programs and the Center for Asian Health at the Cooperman Barnabas Medical Center in New Jersey, who lives with the disease.

Still, “sex and drugs” remains a popular talking point, not only with Kennedy allies in Washington and Atlanta, but among many prominent Los Angeles pediatricians.

“It sets up on Day One this mentality of, ‘I don’t necessarily agree with this, so what else do I not agree with?’” said Dr. Joel Warsh, a Studio City pediatrician and MAHA luminary, whose recent book “Between a Shot and a Hard Place” is aimed at vaccine-hesitant families.

Hepatitis B also disproportionately affects immigrant communities, further stigmatizing an illness that first entered the mainstream consciousness as an early proxy for HIV infection in the 1980s, before it was fully understood.

At the committee meeting last week, member Dr. Evelyn Griffin called illegal immigration the “elephant in the room” in the birth dose debate.

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The move comes as post-pandemic wellness culture has supercharged vaccine hesitancy, expanding objections from a long-debunked link between the measles-mumps-rubella vaccine and autism to a more generalized, equally false belief that “healthy” children who eat whole foods and play outside are unlikely to get sick from vaccine-preventable diseases and, if they do, can be treated with “natural” remedies such as beef tallow and cod liver oil.

“It’s about your quality of life, it’s about what you put in your body, it’s about your wellness journey — we have debunked this before,” Rivera said. “This is eugenics.”

Across Southern California, pediatricians, preschool teachers and public health experts say they’ve seen a surge in families seeking to prune certain shots from the schedule and many delay others based on “individualized risk.” The trend has spawned a cottage industry of e-books, Zoom workshops by “vaccine friendly” doctors offering alternative schedules, bespoke inoculations and post-vaccine detox regimens.

CDC data show state exemptions for kindergarten vaccines have surged since the height of the COVID-19 pandemic, with about 5% of schoolchildren in Georgia, Florida and Ohio, more than 6% in Pennsylvania and nearly 7% in Michigan waved out of the requirement last year.

In Alaska and Arizona, those numbers topped 9%. In Idaho, 1 in 6 kindergartners are exempt.

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California is one of four states — alongside New York, Connecticut and Maine — with no religious or personal-belief exemptions for school vaccines.

It is also among at least 20 states that have committed to keep the hepatitis B birth dose for babies on public insurance, which covers about half of American children. It is not clear whether the revised recommendation will affect government coverage of the vaccine in other states.

Experts warn that the success of the birth-dose reversal over near-universal objection from the medical establishment puts the entire pediatric vaccination schedule up for grabs, and threatens the school-based rules that enforce it.

Ongoing measles outbreaks in Texas and elsewhere that have killed three and sickened close to 2,000 show the risks of rolling back requirements, experts said.

Hepatitis is not nearly as contagious as measles, which can linger in the air for about two hours. But it’s still fairly easy to pick up, and devastating to those who contract it, experts said.

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“These decisions happening today are going to have terrible residual effects later,” said Rivera, the L.A. epidemiologist. “I can’t imagine being a new mom having to navigate this.”

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