Trump poised to roll back transgender health protections


The Trump administration appears ready to roll back health care protections for transgender people, and advocates are gearing up for a fight.

A proposed rule from the Department of Health and Human Services (HHS) that’s expected in the coming days would make it easier for doctors, hospitals and insurance companies to deny care or coverage to transgender patients, as well as women who have had abortions.

Coming on the heels of the military transgender ban, there are fears the administration could go even further and use the proposal as an opportunity to narrow the definition of gender.

The administration hinted in a recent court filing that new health regulations could be published as soon as next week. The rule is expected to weaken or eliminate an anti-discrimination provision enshrined in ObamaCare.

The provision says patients cannot be turned away because they are transgender, nor can they be denied coverage if they need a service that’s related to their transgender status.

Religious providers say they expect the administration’s rule to reinforce their right not to provide treatment that is against their beliefs.

Advocates, meanwhile, say they are concerned that the proposal could jeopardize the gains made in making sure transgender individuals receive equal access to care.

The proposal is “likely to send an even stronger signal that the administration endorses discrimination in health care against transgender people,” said Harper Jean Tobin, director of policy at the National Center for Transgender Equality.

The rule “won’t mean that overnight transgender people can’t get health care, but it will be a steady drip of allowing more discrimination,” Tobin said.

Chase Strangio, an attorney at the American Civil Liberties Union (ACLU), said access to health care can be a life or death circumstance, and the rule could have “catastrophic effects” if it is finalized.

“To have the government take a stand in favor of discrimination is deeply upsetting, ” Strangio said.

Once the proposal is released, a public comment period will follow. After that, a final rule will be issued.

As for what comes next, Strangio said the ACLU has had two years to prepare for that.

“If the final rule looks like the proposal we are anticipating, we and our partners will file suit as soon as possible,” Strangio said. “We can expect many legal challenges to any final rule.”

President Trump repeatedly pledged support for the LGBTQ community on the campaign trail in 2016. But advocates say the president’s words increasingly ring hollow, and his administration has been steadily eroding protections for transgender individuals.

For example, the military’s transgender ban took effect earlier this month, despite objections from advocacy groups and medical experts. And the Supreme Court on Monday said it would hear arguments this year on three cases concerning whether federal law applies to transgender identity.

Additionally, the Justice Department has argued that the main federal civil rights law doesn’t protect employees from discrimination based on gender identity. Former Attorney General Jeff Sessions in 2017 wrote a memo saying the law “does not encompass discrimination based on gender identity per se.”

The existing health care rule was first issued in 2016, six years after the 2010 Affordable Care Act was signed into law. The rule prohibited providers and insurers who receive federal money from denying treatment or coverage to anyone based on sex, gender identity or termination of pregnancy.

It also required doctors and hospitals to provide “medically necessary” services to transgender individuals, as long as those services were the same ones provided to other patients.

That rule was challenged in court by a group of Christian providers called the Franciscan Alliance. They argued the rule forces insurers to pay for abortions and compels doctors to perform gender transition services, even if they disagree with those services on moral or medical grounds.

A federal judge in Texas agreed with that argument, issuing a nationwide injunction in late 2016 that is still in effect. The ruling said Congress had outlawed discrimination based on “the biological differences between males and females” but not transgender status.

The new proposed rule has been under review at the White House Office of Management and Budget for more than a year, something that experts say is highly unusual.

That delay is causing confusion in the health care industry: ObamaCare’s nondiscrimination statute is the law, even if a rule implementing it has been put on hold.

In a court filing earlier this month, the administration said it would be publishing the proposal soon, a move that would likely affect the lawsuit in Texas.

Luke Goodrich, senior counsel with the Becket Fund for Religious Liberty and a lead attorney for the plaintiffs, said providers would be better served by a ruling from the judge. He said they just want to make sure their religious protections are upheld.

Katie Keith, a health care consultant and professor at Georgetown Law, said, “It’s going to be really hard for people to understand their rights in health care” while the confusion continues.

Tobin, of the National Center for Transgender Equality, said the uncertainty is having a harmful effect.

“At a time when the administration is trying to overturn the entire Affordable Care Act, at a time when the transgender ban in military is taking effect, transgender people are scared for their ability to get the health care they need, and that their providers know they need,” Tobin said.

Goodrich argues that providers won’t turn away patients just because they are transgender, so long as the doctors aren’t giving transition-related care or “being pressured to perform abortions.”

He said the plaintiffs have been treating transgender people for years and “won’t stop doing that, because they provide care for everyone. That’s not what the lawsuit is about in our view.”

Transgender advocates are concerned the administration will use the lawsuit as an excuse to redefine gender.

The New York Times last year reported that HHS proposed in a memo that government agencies adopt a narrower definition of gender in a way that would essentially end federal recognition of transgender individuals.

No rules have been issued, but advocates say administration officials have been telegraphing their views.

The HHS memo is a “blueprint” for discrimination, and the nondiscrimination proposal is a major part of it, Tobin said.

[The Hill]

Trump retweets hit list suggesting he’s going after Obama, Biden, Brennan, Clapper the Democratic Party and more

On Monday, President Donald Trump retweeted a ‘hit list’ from Tom Fitton, the president of Judicial Watch, a conservative self-styled watchdog group.

Fitton tweeted a list out with Democrats name who believed have abused President Donald Trump.

People on the list included Barack Obama, Joe Biden, and Hillary Clinton.

[Raw Story]

Trump: ‘Nobody disobeys my orders’

President Trump on Monday said “nobody disobeys” his orders after special counsel Robert Mueller wrote in his report that Trump attempted to influence the Russia investigation but was unsuccessful because his aides didn’t follow his demands.

“Nobody disobeys my orders,” Trump told reporters outside of the White House at Monday’s Easter Egg Roll.

A redacted version Mueller’s report, which was released Thursday, detailed several cases in which Trump potentially obstructed justice.

But Mueller wrote that Trump’s efforts “were mostly unsuccessful” in influencing the probe because those around him “declined to carry out orders or accede to his requests.”

“The President’s efforts to influence the investigation were mostly unsuccessful, but that is largely because the persons who surrounded the President declined to carry out orders or accede to his requests,” the report reads.

In one instance, Trump in 2017 ordered then-White House counsel Don McGahn to remove Mueller. McGahn refused, according to the report, which states that he decided “that he would resign rather than trigger what he regarded as a potential Saturday Night Massacre.” 

Trump, Trump Organization sue House Oversight’s Elijah Cummings to block subpoena

President Trump and the Trump Organization filed suit against House Oversight Committee chairman Elijah Cummings in federal court on Monday in an attempt to block Cummings’ subpoena of Trump’s longtime accountant, Mazars USA LLP.

The big picture: Cummings wrote last week that the subpoena — for all of Trump’s financial records — is a result of testimony from Trump’s former lawyer Michael Cohen, who claimed that the president “altered the estimated value of his assets and liabilities on financial statements.”

  • Trump’s suit claims that Cummings and House Oversight are “assuming the powers of the Department of Justice, investigating (dubious and partisan) allegations of illegal conduct by private individuals outside of government” solely to dig up dirt ahead of the 2020 presidential election.

Trump Tweets Wildly Inflated Death Toll for Sri Lanka Bombings

President Donald Trump botched his initial statement about the deadly bombings in Sri Lanka on Sunday morning, tweeting that the death toll was in the hundreds of millions.

“Heartfelt condolences from the people of the United States to the people of Sri Lanka on the horrible terrorist attacks on churches and hotels that have killed at least 138 million people and badly injured 600 more. We stand ready to help!” Trump wrote in a tweet that was left up for at least 20 minutes before he corrected the number to 138, according to CNN’s Brian Stelter.

Before noticing the error and taking the tweet down, Trump then tweeted to wish the country a “Happy Easter.”

Trump’s condolences come in the wake of a brutal series of bombings at luxury hotels and churches in Sri Lankan cities of Colombo, Negombo, and Batticaloa on Easter Sunday. The latest reported death count estimated that 207 people had been killed in the blasts.

Police have made a handful of arrests, according to CNN, but no group has yet claimed responsibility for the attack.

[Mother Jones]

Trump: ‘I could have fired everyone’ on Mueller team if I wanted to

President Trump on Thursday pushed back against questions about whether he may have obstructed the investigation into Russian interference in the 2016 election, asserting that he could have “fired everyone,” including special counsel Robert Mueller, if he had so chosen. 

Trump quoted Fox News host Jesse Watters, who said on “The Five” that Trump “was being framed” and “fought back.”

“I had the right to end the whole Witch Hunt if I wanted,” the president tweeted. “I could have fired everyone, including Mueller, if I wanted. I chose not to. I had the RIGHT to use Executive Privilege. I didn’t!”

The president’s tweet came as he traveled aboard Air Force One to Palm Beach, Fla., where he will spend the weekend at his Mar-a-Lago resort.

A redacted version of Mueller’s full report was released Thursday morning. In it, the special counsel detailed 10 areas where investigators looked at whether Trump may have obstructed justice.

Mueller looked into, among other topics, Trump’s efforts to remove the special counsel, his conduct surrounding the firing of former FBI Director James Comey and his encouragement of former Attorney General Jeff Sessions to take control of the investigation.

The special counsel ultimately did not exonerate or implicate Trump on obstruction charges.

“[I]f we had confidence after a thorough investigation of the facts that the President clearly did not commit obstruction of justice, we would so state. Based on the facts and the applicable legal standards, we are unable to reach that judgment,” the report states.

Attorney General William Barr said he and Deputy Attorney General Rod Rosenstein did not find sufficient evidence to prove obstruction of justice on the part of the president. 

Mueller’s report further established there was “no collusion” between the Trump campaign and Russian government, Barr said.

Trump’s tweet marked one of his few public comments in the wake of the report’s release.

The president briefly addressed the report’s findings at an event for wounded military service members, saying that he was “having a good day” and reiterating his stance the report found “no collusion. No obstruction.”

He also tweeted a photo inspired by the hit HBO series “Game of Thrones” showing him staring into a fog behind the statement: “No collusion. No obstruction. For the haters and the radical left Democrats—Game Over.”

Trump did not address reporters as he departed the White House for Florida.

[The Hill]

Trump slams ‘dirty cops’ at FBI over Steele dossier

President Trump on Wednesday took aim at top officials at the FBI as well as Hillary Clinton and the Democratic National Committee (DNC), accusing them of conspiring to undermine his 2016 campaign and eventual presidency.

Trump tweeted that the dossier authored by former British intelligence agent Christopher Steele on behalf of Fusion GPS, a political intelligence firm, and provided to the FBI by Steele had been a “total fraud on your President and the American people!”

“Wow! FBI made 11 payments to Fake Dossier’s discredited author, Trump hater Christopher Steele. @OANN @JudicialWatch The Witch Hunt has been a total fraud on your President and the American people!” he wrote.

“It was brought to you by Dirty Cops, Crooked Hillary and the DNC,” Trump continued.

Trump and his allies have argued for years that the dossier authored by Steele on the president’s ties to Russia, which has not been fully verified, was the impetus for the FBI’s initial investigation of the Trump campaign begun under the Obama administration, which Trump has claimed led to illegal spying on his campaign.

The president’s reelection campaign echoed those claims over the weekend, falsely telling supporters in a fundraising email that Attorney General William Barr had revealed “unlawful” surveillance on the Trump campaign.

“Attorney General William Barr said what the president has thought all along: He believes “unlawful spying did occur” against Donald J. Trump’s presidential campaign,” read the fundraising email.

Barr told a Senate Appropriations subcommittee hearing last week that he believes “spying” did occur on the Trump campaign, but made no determination as to whether or not it was conducted legally.

“I think spying did occur,” the attorney general said. “But the question is whether it was adequately predicated and I’m not suggesting it wasn’t adequately predicated, but I need to explore that.”

“I am not saying that improper surveillance occurred. I’m saying that I am concerned about it and looking into it. That’s all,” he added.

[MSN]

Trump vetoes Yemen War Powers Resolution, his 2nd veto since taking office

President Donald Trump issued the second veto of his presidency Tuesday, stopping a congressional resolution that would have sought to end US involvement in the Saudi-led war in Yemen.”

This resolution is an unnecessary, dangerous attempt to weaken my constitutional authorities, endangering the lives of American citizens and brave service members, both today and in the future,” Trump wrote to the Senate Thursday.Trump added that the resolution is “unnecessary” in part because there are no United States military personnel in Yemen “commanding, participating in, or accompanying military forces of the Saudi-led coalition against the Houthis in hostilities in or affecting Yemen.” Trump was expected to issue the veto as the resolution was seen as a rebuke of Trump’s Middle East policies.

Supporters of the War Powers Resolution argued the US shouldn’t be involved in the war without explicit permission from Congress. Opponents argued the US does not have “boots on the ground” and is offering noncombat technical assistance to Saudi Arabia, an ally.

Several supporters made clear their votes were also aimed at expressing their frustrations with Trump’s continued support for Saudi Arabia’s Crown Prince Mohammed bin Salman, who has been implicated in the murder of Saudi journalist Jamal Khashoggi.

The bill passed the House 247-175. Sixteen Republicans voted yes with Democrats and one voted present. In the Senate the vote was 54 to 46, with seven Republicans voting with Democrats.

House Speaker Nancy Pelosi has not responded to questions on whether she intends to seek a vote to override the President’s veto.

In a statement Tuesday night, Pelosi called on Trump to “put peace before politics.”

“The conflict in Yemen is a horrific humanitarian crisis that challenges the conscience of the entire world. Yet the President has cynically chosen to contravene a bipartisan, bicameral vote of the Congress and perpetuate America’s shameful involvement in this heartbreaking crisis,” Pelosi said.

“This conflict must end, now. The House of Representatives calls on the President to put peace before politics, and work with us to advance an enduring solution to end this crisis and save lives.”

The only other veto Trump has issued was his veto of a resolution of disapproval for his emergency declaration to build barriers along the US border with Mexico. Trump vetoed that resolution last month.

[CNN]

Trump attacks ‘very fake’ New York Times for tax law piece

President Trump on Monday attacked The New York Times as “very fake” for publishing an article pointing out most Americans will likely receive a tax cut under his 2017 law, even though a majority say they will not.

Speaking at a Tax Day event in Minnesota, Trump held up a printed copy of the Times article and voiced his displeasure with the headline “Face It: You (Probably) Got a Tax Cut.”

“In other words, they’re really pretty upset. You can tell where they’re coming from, come on,” the president said.

Noting the article pointed out a large majority of Americans are expected to receive cuts, something that is positive for him, Trump said “they must have made a mistake. I’m sure these writers will be fired very shortly.”

Trump continued to tout the effects of his tax law but later added that “nothing good comes from The New York Times,” drawing applause from an audience of supporters inside a trucking and equipment facility outside Minneapolis.

The White House staged Monday’s event in order to promote the tax law, which is Trump’s biggest legislative accomplishment and something he plans to tout during his 2020 reelection race.  

Multiple polls show that most Americans believe they are not benefiting from the law, which could limit its effect as a political asset next year. The Times article pointed out the disparity between popular opinion about the law and its actual effects.

“To a large degree, the gap between perception and reality on the tax cuts appears to flow from a sustained – and misleading – effort by liberal opponents of the law to brand it as a broad middle-class tax increase,” it says.

The president has routinely attacked his hometown paper, even though he has sat for multiple interviews with its reporters during his time in office.

His latest remarks came the same afternoon it was announced that the Times had won a Pulitzer Prize for its long-form article investigating Trump’s finances, which said the Trump family has been dodging taxes for years.

[The Hill]

Trump hotels exempted from ban on foreign payments under new stance

The Department of Justice has adopted a narrow interpretation of a law meant to bar foreign interests from corrupting federal officials, giving Saudi Arabia, China and other countries leeway to curry favor with Donald Trump via deals with his hotels, condos, trademarks and golf courses, legal and national security experts say.

The so-called foreign emoluments clause was intended to curb presidents and other government officials from accepting gifts and benefits from foreign governments unless Congress consents.

But in a forthcoming article in the Indiana Law Journal, the Washington University Law professor Kathleen Clark reveals justice department filings have recently changed tack. The new interpretation, Clark says, is contained in justice filings responding to recent lawsuits lodged by attorneys generals and members of Congress.

Clark’s article notes that in more than 50 legal opinions over some 150 years justice department lawyers have interpreted the clause in a way that barred any foreign payments or gifts except for ones Congress approved. But filings by the department since June 2017 reveal a new interpretation that “… would permit the president – and all federal officials – to accept unlimited amounts of money from foreign governments, as long as the money comes through commercial transactions with an entity owned by the federal official,” the professor writes.

The justice department stance now closely parallels arguments made in a January 2017 position paper by Trump Organization lawyer Sheri Dillon and several of her law partners. On 11 January 2017, just days before he was sworn in, Dillon said Trump isn’t accepting any payments in his “official capacity” as president, as the income is only related to his private business. “Paying for a hotel room is not a gift or a present, and it has nothing to do with an office,” Dillon said.

That goes against what many experts believe.

“For over a hundred years, the justice department has strictly interpreted the constitution’s anti-corruption emoluments clause to prohibit federal officials from accepting anything of value from foreign governments, absent congressional consent,” Clark told the Guardian.

“In 2017, the department reversed course, adopting arguments nearly identical to those put forward by Trump’s private sector lawyers. Instead of defending the republic against foreign influence, the department is defending Trump’s ability to receive money from foreign governments,” Clark added.

A justice department spokesperson declined to comment, but pointed to its filings in the emoluments lawsuits which Clark has noted contain five arguments similar to those used by Trump’s business lawyers. Among the key justice arguments is that the foreign emoluments clause only was intended to prohibit the president accepting gifts and employment compensation from a foreign government, but allows him to benefit from what it calls “commercial transactions”.

Other legal scholars also voice strong qualms about the justice department’s current position on emoluments and criticize the administration’s lax attitude about conflicts involving Trump and his business empire.

“The heart of the matter is that these are clauses meant to guard against undue foreign influence and conflicts of interest,” John Mikhail, a professor at Georgetown Law Center, said.

Two attorneys general from the District of Columbia and Maryland have filed lawsuits arguing the Trump International Hotel in Washington, where numerous foreign and state delegations have stayed or hosted events, has violated the anti corruption clauses. Some 200 members of Congress have also filed a lawsuit alleging that Trump has conflicts of interest in at least 25 countries.

The inspector general at the General Services Administration, which oversees the government-owned Old Post Office building leased by the Trump International Hotel, has faulted the agency for “improperly ignoring (the) emoluments clauses” and for conflicts of interest involving the hotel while Trump is in office.

Former intelligence officials also expressed concerns. “There’s a perception among lobbyists for foreign governments that the White House is for sale,” said Robert Baer, a 21 year CIA veteran with a Middle East background. “It’s a counter intelligence nightmare.”

The Trump Organization did pledge that while Trump was president it would donate any profits from foreign entities to the treasury. To that end it has written checks for $342,000 to the government covering the years 2017 and 2018. But some ethics watchdogs have questioned the methodology for calculating these payments, arguing it doesn’t account for foreign revenues to Trump businesses which overall have had yearly losses.

Further critics note that while Trump opted to let his two sons run his real estate businesses, and pledged he would not be involved with it as long as he was president, he has not been shy about publicly touting his properties including his Scottish golf course. Advertisement

A chief focus of critics and the emolument lawsuits has been the Trump International Hotel which has become a mini mecca for numerous foreign delegations – including ones from Saudi Arabia, Malaysia, Turkey and the Philippines – who have used it for overnight stays and various meetings.

The hotel is leased from the GSA for 60 years and located on Pennsylvania Avenue just a few blocks from the White House. The IG’s report this January said the lease should have been reviewed again with Trump’s election to determine if it was in violation of the emoluments clause.

Critics of Trump’s ongoing ties to the Trump International and his business empire also note that some countries with major political and business problems in Washington have frequented his properties. “It appears that President Trump may be benefiting from foreign use of his properties designed to influence his decisions,” said the former Republican congressman Mickey Edwards.

For instance, a 60-person Malaysian government delegation stayed at Trump International in the fall of 2017 at a time when the justice department was conducting a major corruption investigation of Malaysian officials including the then prime minister, Najib Razak, who had a White House meeting with Trump during their stay, as first reported by radio station WAMU and Reveal.

Meanwhile, lobbyists for Saudi Arabia, which has aggressively courted Trump’s son-in-law, Jared Kushner, spent at least $270,000 at his DC hotel after Trump won the election, booking 500 rooms over an estimated three-month period, according to a Washington Post report.

Last March, a Saudi delegation traveling with the country’s Crown Prince Mohammed bin Salman seemed to enjoy a lavish stay at Trump’s New York hotel, which helped to reverse a two-year revenue decline at the property, according to the Washington Post.

These foreign dealings with Trump hotels are exhibit A for many critics of the weak kneed enforcement of the emoluments clause in the Trump era.

“This administration gives off every appearance of turning the White House into a giant cash register,” said Mikhail. “ Rather than drawing bright lines between the Trump Organization and the Trump administration they seem intent on blurring those lines.”

The lawsuits have to wend their way through the courts – which could see tough battles given mixed court rulings thus far. But critics in Congress and outside are raising more questions about emoluments and Trump’s business conflicts as new issues keep arising.

“Congress now must conduct independent oversight so the American people can determine for themselves whether the President is acting in our nation’s best interests or his own,” said congressman Elijah Cummings, the chairman of the House committee on oversight and reform.

Mike Carpenter, who served on the National Security Council in the Obama years, added: “When foreign powers patronize the president’s businesses it creates an enormous national security risk.”

[The Guardian]

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