Louisiana
Senate’s proposed changes to the One, Big Beautiful Bill alarm Louisiana hospitals
WASHINGTON – Representatives of Louisiana’s largest hospitals converged Tuesday on Capitol Hill after a Senate committee released its recommendations to squeeze more spending cuts out of Medicaid than the House did in the One Big Beautiful Bill Act.
Louisiana’s hospitals are still evaluating the suggested Medicaid cuts, but a first read of the 549-page bill released Monday night is not optimistic, said Paul A. Salles, president and chief executive officer of the Louisiana Hospital Association.
“Unlike the House bill, which takes a more balanced approach to controlling Medicaid spending, the new proposal from the Senate Finance Committee includes devastating reductions that could jeopardize rural access, medical education, and essential services such as maternity care, children’s services, behavioral health, and access to specialty care for patients across Louisiana,” Salles said Tuesday.
The legislation, which includes most of President Donald Trump’s domestic agenda, cleared the House by a single vote. It would cut spending over the next 10 years by $1.6 trillion, mostly from Medicaid reductions, but add $2.4 trillion to the national debt, mostly from tax breaks. An estimated 10 million people would no longer be able to enroll in the state-federal program that pays for healthcare services for low-income Americans, according to the Congressional Budget Office.
Senators promised significant changes to the House-passed bill.
Senate Finance Committee draft of House-passed budget bill seeks further reductions in Medicaid spending.
Their suggestions go much further on Medicaid than the House by cracking down on strategies states have used to raise more money for their share of Medicaid, which brings in more federal “match” dollars. That would have the effect of transferring the costs from taxpayers around the country to just those in a state.
Officials from Louisiana’s largest health systems gave U.S. Sen. Bill Cassidy an earful Tuesday morning, both Cassidy and hospital administrators in attendance acknowledged.
“I’m very much conscious of the impact that would have on our providers back home, but that’s the setting in which this is occurring,” Cassidy said after meeting with the Louisiana healthcare officials. The Baton Rouge Republican is a member of the Senate Finance Committee and chair of the Senate Health Education Labor and Pensions committee.
“States have gotten incredibly greedy about pulling down money from the federal taxpayer as governors and legislatures have decided to spend their own dollars on things besides Medicaid,” Cassidy said.
Cassidy said the the tax breaks in the bill will energize the U.S. economy and Louisiana workers.
Cassidy and the hospital executives note that the bill as released serves as a base for negotiations and is a long way from the shape it’ll be in when the legislation heads to the floor for Senate passage.
But the language now has worried hospitals in rural areas of the state, whose patients are mostly on Medicaid, said Jeff Reynolds, executive director for the Louisiana Rural Hospital Coalition.
“Right now, the way the bill reads,” Reynolds said, “all my member hospitals would have to see what programs they could reduce and what layoffs they’d have to order to stabilize” their finances.
In particular, wording was changed to require “state directed payments” for Medicaid programs to equal the rate paid for Medicare, which is the federal healthcare program for the elderly. The rules now allow the upper limit of those payments to be calculated from the average commercial rate for hospitals and nursing facilities.
For Louisiana, the rural hospitals are set to receive $245 million in the state’s budget for the fiscal year — the money coming primarily from the “state directed payments” the bill targets — to help offset providing healthcare services that cost more than the amount Medicaid covers.
If the Senate’s proposed legislation becomes law, equalizing those payments with the Medicare rate would immediately drop the amount the state receives to $211 million. Then the federal government would start withholding 10% annually until the calculated rate equals the Medicare rate.
Eventually, payments would drop to about $128 million annually, Reynolds said. State legislators would have to cover the difference — or they could cut Medicaid services.
“Senate Republicans are actively looking at ways to support rural hospitals,” Cassidy said. “As a doctor who worked in the charity hospital system, seeing referrals from rural parishes, I understand the importance of these hospitals and will work to maintain them in Louisiana and elsewhere.”
Additionally, the Senate Finance Committee basically reduced the amount a state can tax hospitals, clinics, and other healthcare providers from 6% to 3.5%. Louisiana and most other states use the taxes to offset the portion they owe for services rendered, which leads the federal government picking more of the costs.
Nobody knows for sure how much this provision would cost the state treasury, but lowering those percentages would shift the burden of raising the state’s match to the state’s taxpayers.
“Frankly, states have backed out their commitment to the Medicaid program and use provider taxes to replace the state commitment with federal taxpayer dollars. When we say federal taxpayer dollars, that’s you and me,” Cassidy said.
Less in the regulatory weeds is the proposed change likely to attract the most attention: Able-bodied adults with children over the age of 14 years are going to have to work or volunteer work at least 80 hours a month to qualify for the health insurance program.
The House’s work requirement was only for childless adults. In the House version, the Congressional Budget Office estimated about five million beneficiaries would lose their Medicaid – mostly from being unable to keep up with the paperwork and confusion over the qualifications. Those estimates likely would grow as the numbers required to work increases dramatically in the Senate version.
House Speaker Mike Johnson, R-Benton, has repeatedly asked senators to take a light hand in the changes they make, pointing out that House leadership crafted the bill’s provisions to win over GOP reps who had opposed the legislation. The measure passed the House in May by a single vote.
Johnson’s staff on Tuesday said the speaker wasn’t ready to comment on the Senate’s ideas for changes.
Senate leadership hopes to get a vote on the bill next week and begin negotiations with the House on final language and deliver to Trump by July 4th.
Louisiana
Officials probing how Louisiana gunman who killed 8 children got the weapon
SHREVEPORT, La. — Investigators are looking into how a former National Guardsman identified as the gunman who killed eight children in Louisiana on Sunday got a gun — despite an illegal firearms conviction on his record.
Shreveport Police Chief Wayne Smith said the federal Bureau of Alcohol, Tobacco, Firearms and Explosives is probing how the man obtained the assault-style pistol used in the shooting, which he described as a domestic violence incident.
Shamar Elkins was arrested in 2019 and convicted of illegal use of a firearm. Shreveport Police spokesman Christopher Bordelon said Elkins was likely prohibited from legally owning firearms because of that conviction.
In an interview, Bordelon said Elkins shot most of the children in the head and “probably still in their sleep.” Elkins was the father of seven of the eight children who were killed, Bordelon said; one of the children was a cousin, according to the coroner’s office.
“It is a disgusting and evil scene,” Bordelon told NBC News.
Elkins also shot and seriously injured his wife and another woman believed to be his girlfriend, police said.
He fled the scene and died in front of a home nearby, authorities said. It was not known whether he was fatally shot by law enforcement officers or died by suicide, Smith told reporters at a news conference Monday.
The mass shooting, one of the worst in the U.S. in recent years, sent waves of shock and grief through Shreveport. Shreveport Mayor Tom Arceneaux described it as “maybe the worst tragic situation we’ve ever had” in the city.
In an emotional news conference Monday, city and state officials condemned the bloodshed and called on community members to advocate for victims of domestic violence.
“We cannot afford to treat domestic violence as an afterthought. We must ensure that every victim, every mother, every father, every child has access to safety,” Caddo Parish Sheriff Henry L. Whitehorn Sr. said.
The Caddo Parish Coroner’s Office, citing information provided by the children’s mothers, identified the victims as Jayla Elkins, 3, Shayla Elkins, 5, Kayla Pugh, 6, Layla Pugh, 7, Markaydon Pugh, 10, Sariahh Snow, 11, Khedarrion Snow, 6, and Braylon Snow, 5.
Elkins served in the Louisiana Army National Guard as a signal support system specialist and a fire support specialist from August 2013 to August 2020, the Army said. He never deployed and left the National Guard as a private.
Shreveport police officers responded to the 300 block of West 79th street just after 6 a.m. local time after reports of a domestic disturbance, authorities told reporters.
Elkins first shot a woman on nearby Harrison Street before he went to the West 79th Street home, where he killed the children, authorities said. He then fled and carjacked a person at gunpoint near the intersection of Linwood Avenue and West 79th Street.
Police officers exchanged gunfire with Elkins in neighboring Bossier Parish after a pursuit, Smith told reporters Monday.
Police initially said that officers fatally shot Elkins at that scene, but Smith said Monday that Elkins’ cause of death was still under investigation.
In September 2017, a judge granted Elkins and Sariahh’s mother joint custody following a petition to determine paternity and establish child support, according to court records reviewed by NBC News.
The photo at the top of Elkin’s Facebook profile, which has been verified by NBC News, shows him posing with eight children, including a baby seated on his lap.
On April 9, Elkins reposted a poem addressed to God. “Today I ask You to help me guard my mind and my emotions,” it reads in part. “When negativity arises, remind me to say, ‘It does not belong to me, in the name of Jesus.’”
Ryan Chandler reported from Shreveport, and Daniel Arkin from New York.
If you or someone you know is facing domestic violence, call the National Domestic Violence hotline for help at (800) 799-SAFE (7233), or go to www.thehotline.org for more. States often have domestic violence hotlines as well.
Louisiana
Louisiana shooter Shamar Elkins made chilling remarks about ‘demons’ weeks before killing his 7 kids and their cousin
The deranged Army vet dad who gunned down his seven children and their cousin confessed he was drowning in “dark thoughts” and told his stepdad that some people “don’t come back from their demons” just weeks before the heinous killings, according to a report.
Shamar Elkins, 31, killed eight children — five girls and three boys ages 3 to 11 — and seriously wounded two women believed to be his wife and girlfriend when he went on a shooting rampage through Shreveport following an argument with his spouse around 6 a.m. Sunday.
Just weeks ago, on Easter Sunday, Elkins called his mother, Mahelia Elkins, and his stepfather, Marcus Jackson, and chillingly told them he was drowning in “dark thoughts,” wanted to end his life, and that his wife, Shaneiqua Pugh, wanted a divorce, the New York Times reported.
“I told him, ‘You can beat stuff, man. I don’t care what you’re going through, you can beat it,’” Jackson told the publication. “Then I remember him telling me: ‘Some people don’t come back from their demons.’”
Mahelia Elkins said she was unclear what problems her son and his wife, who were married in 2024 and had four kids together, were dealing with, the Times reported.
But a relative of one of the wounded women said the couple was in the middle of separation proceedings and was due in court on Monday.
They had been arguing about their relationship coming to an end when Elkins — who was later killed by cops — opened fire, Crystal Brown told the Associated Press.
The killer father worked at UPS and served with the Louisiana Army National Guard from August 2013 to August 2020 as a signal support system specialist and fire support specialist, according to the Times.
A UPS coworker described Elkins as a devoted dad, but said he often seemed stressed and would pull his hair out, creating a lasting bald spot, the publication reported.
Elkins’ mother noted that she had reconnected with her son more than a decade ago after leaving him to be raised by a family friend, Betty Walker. She had Elkins when she was a teenager and struggling with a crack cocaine addiction.
Walker said that she did not witness the shootings on Sunday morning but knew that Elkins shot his wife several times in the head and stomach, the paper reported.
She last saw the deranged father when his family came over for dinner just last weekend — but noted he did not appear off at the time.
“I was getting up this morning to make myself some coffee, and I got the call,” Walker recalled. “My babies — my babies are gone.”
Elkins also had two previous convictions, including for driving while intoxicated in 2016 and for the illegal use of weapons in 2019, the outlet said.
In March 2019, a police report detailed that the National Guard vet had pulled a 9 millimeter handgun from his waistband and shot at a vehicle five times after a driver pulled a handgun on him — with one of the bullets being discovered near a school where children were playing.
The victims killed by Elkins have been identified as Jayla Elkins, 3; Shayla Elkins, 5; Kayla Pugh, 6; Layla Pugh, 7; Markaydon Pugh, 10; Sariahh Snow, 11; Khedarrion Snow, 6; and Braylon Snow, 5. Seven of the eight were his own children, and the eighth was their cousin. They were all found dead inside their home in Shreveport.
Most of the victims were shot in the head while they slept, Shreveport Police Department spokesman Christopher Bordelon told NBC News.
One child was killed on the roof while trying to escape, police said.
Elkins, who was later killed by police during an attempted carjacking, also shot and wounded two women — the mothers of his children — during his murderous rage.
He shot his wife in the face at the home with the eight kids, Bordelon told the outlet. The other injured victim is believed to be Elkins’ girlfriend, who was shot in a separate house nearby, the police spokesperson added.
Elkins shared four of the slain children with his wife and three with the other injured woman, according to Brown.
If you or someone you know is affected by any of the issues raised in this story, call the National Domestic Violence Hotline at 1.800.799.SAFE (7233) or text START to 88788.
Louisiana
At least 8 children killed in shooting in Louisiana, US
Yasin Gungor
19 April 2026•Update: 19 April 2026
At least eight children were killed and two others were wounded in a shooting in the US state of Louisiana, local police said Sunday.
Shreveport Police Department spokesperson Christopher Bordelon said officers responded to the shooting just after 6 am (1100GMT), following a domestic disturbance call.
The age of the deceased ranged from one to 14 years, he said, adding that the incident involved at least 10 individuals across four separate locations.
The suspect attempted to flee by carjacking a vehicle and driving to neighboring Bossier City, where police located and shot him dead.
Bordelon said Shreveport police officers pursued the suspect’s vehicle into Bossier, where three officers discharged their firearms, killing him. He said investigators believe the suspect was the only person who opened fire at the locations.
Shreveport Mayor Tom Arceneaux described the attack as “maybe the worst tragic situation we’ve ever had,” adding: “It’s a terrible morning.”
No immediate information was available about the condition of the injured.
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