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Sarah Somers

@sarahsomers

Legal Director at the National Health Law Program. In Chapel Hill, NC, but still a Michigander at heart. Opinions my own. She/her.

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Latest posts by Sarah Somers @sarahsomers

I also learned from interviewing @edwincpark.bsky.social that there's no guarantee that people who get Medicaid through SSI will be exempt from work requirements either. Like, these are people who have gone through a lot of paperwork for the government to see them as disabled enough.

04.03.2026 23:22 πŸ‘ 109 πŸ” 56 πŸ’¬ 2 πŸ“Œ 0
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Health Advocates Letter to Congress: Fund Health Care, Not Attacks on Immigrants and Communities At a time when health care costs are skyrocketing, Congress should be supporting communities by strengthening Medicaid, restoring and extending enhanced premium tax credits for Marketplace coverage, a...

In a letter organized by Planned Parenthood Action Fund and the National Health Law Program, 141 health advocacy and allied organizations urged Congress to prioritize health care access over funding weaponized immigration agencies wreaking havoc in our communities. healthlaw.org/resource/hea...

02.03.2026 20:14 πŸ‘ 3 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Idaho considers an 'apocalyptic' choice for disabled people and families Difficult budget decisions in a number of states are threatening vital programs for disabled people at home and caregivers in the workforce.

β€œI’d probably have to quit my job. I need to make sure she can spend time with friends and her boyfriend, but she would still be more socially isolated,” Walters said.

@slooterman.bsky.social reports for @19thnews.org.

02.03.2026 14:27 πŸ‘ 51 πŸ” 33 πŸ’¬ 5 πŸ“Œ 5
The image is a line graph from KFF titled "The Medicaid Payment Error Rate Measurement (PERM) Program Finds that Medicaid Pays Most Outlays Properly." It displays a comparison of Medicaid overall improper payment rate estimates, showing two lines: "Proper payments" in blue and "Improper payments" in green. The graph covers the years 2009 to 2025 on the x-axis, with a percentage scale from 0% to 100% on the y-axis. A note at the bottom clarifies that "improper payments" are not indicative of fraud.

The image is a line graph from KFF titled "The Medicaid Payment Error Rate Measurement (PERM) Program Finds that Medicaid Pays Most Outlays Properly." It displays a comparison of Medicaid overall improper payment rate estimates, showing two lines: "Proper payments" in blue and "Improper payments" in green. The graph covers the years 2009 to 2025 on the x-axis, with a percentage scale from 0% to 100% on the y-axis. A note at the bottom clarifies that "improper payments" are not indicative of fraud.

Federal audits show most Medicaid payments (94% in 2025) meet requirements and that most improper payments are due to insufficient documentation.

More on Medicaid payment errors as well as upcoming changes and impacts: https://on.kff.org/3MAirwJ

27.02.2026 19:39 πŸ‘ 48 πŸ” 28 πŸ’¬ 2 πŸ“Œ 4
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β€˜Something needs to change’: Report details isolation at NC juvenile detention centers

A review by Disability Rights NC found that teens in some state juvenile detention centers spend more than 22 hours a day in their cells, despite policies limiting isolation.

Full story here:
πŸ”— buff.ly/s2dQo3O

24.02.2026 11:16 πŸ‘ 6 πŸ” 6 πŸ’¬ 0 πŸ“Œ 1

Predicting that this week we’ll hear more conciliatory words from the Administration regarding Minnesota (since they’re starting to realize that ICE has become politically toxic) but everyone outside of Minnesota needs to know that nothing on the ground has changed.

02.02.2026 20:43 πŸ‘ 5949 πŸ” 2141 πŸ’¬ 94 πŸ“Œ 43
FILED
January 31, 2026
CLERK, U.S. DISTRICT COURT WESTERN DISTRICT OF TEXAS
Jaemie Herndon
DEPUTY
ADRIAN CONEJO ARIAS, and
L.C.R., a Minor Child by and through His Parent and Guardian Adrian Conejo Arias,
Petitioners,
VS.
KRISTI NOEM, in Her Official Capacity as Secretary of the United States Department of Homeland Security; PAMELA BONDI, in Her Official Capacity as Attorney General of the United States; TODD LYONS, in His Official Capacity as Acting Director, United States Immigration and Customs Enforcement;
DAREN MARGOLIN, in His Official Capacity as Acting Director of the Executive Office of Immigration Review; and JOHN DOE, in His Official Capacity as the Warden of the Dilley Immigration Processing Center in Dilley, Texas,
Respondents.
CIVIL CASE NO. SA-26-CV-415-FB
Β§
OPINION AND ORDER OF THE COURT

FILED January 31, 2026 CLERK, U.S. DISTRICT COURT WESTERN DISTRICT OF TEXAS Jaemie Herndon DEPUTY ADRIAN CONEJO ARIAS, and L.C.R., a Minor Child by and through His Parent and Guardian Adrian Conejo Arias, Petitioners, VS. KRISTI NOEM, in Her Official Capacity as Secretary of the United States Department of Homeland Security; PAMELA BONDI, in Her Official Capacity as Attorney General of the United States; TODD LYONS, in His Official Capacity as Acting Director, United States Immigration and Customs Enforcement; DAREN MARGOLIN, in His Official Capacity as Acting Director of the Executive Office of Immigration Review; and JOHN DOE, in His Official Capacity as the Warden of the Dilley Immigration Processing Center in Dilley, Texas, Respondents. CIVIL CASE NO. SA-26-CV-415-FB Β§ OPINION AND ORDER OF THE COURT

Civics lesson to the government: Administrative warrants issued by the executive branch to itself do not pass probable cause muster. That is called the fox guarding the henhouse. The
Constitution requires an independent judicial officer.
Accordingly, the Court finds that the Constitution of these United States trumps this
administration's detention of petitioner Adrian Conejo Arias and his minor son, L.C.R. The Great Writ
and release from detention are GRANTED pursuant to the attached Judgment.
Observing human behavior confirms that for some among us, the perfidious lust for unbridled
power and the imposition of cruelty in its quest know no bounds and are bereft of human decency. And
the rule of law be damned.

Civics lesson to the government: Administrative warrants issued by the executive branch to itself do not pass probable cause muster. That is called the fox guarding the henhouse. The Constitution requires an independent judicial officer. Accordingly, the Court finds that the Constitution of these United States trumps this administration's detention of petitioner Adrian Conejo Arias and his minor son, L.C.R. The Great Writ and release from detention are GRANTED pursuant to the attached Judgment. Observing human behavior confirms that for some among us, the perfidious lust for unbridled power and the imposition of cruelty in its quest know no bounds and are bereft of human decency. And the rule of law be damned.

Ultimately, Petitioners may, because of the arcane United States immigration system, return to
their home country, involuntarily or by self-deportation. But that result should occur through a more
orderly and humane policy than currently in place.
Philadelphia, September 17, 1787: "Well, Dr. Franklin, what do we have?" "A republic, if you
can keep it."
With a judicial finger in the constitutional dike,
It is so ORDERED.
SIGNED this 31st day of February [sic], 2026.
Fred Biery
FRED BIERY
UNITED STATES DISTRICT JUDGE
Credit: Bystander
Matthew 19:14
John 11:35

Ultimately, Petitioners may, because of the arcane United States immigration system, return to their home country, involuntarily or by self-deportation. But that result should occur through a more orderly and humane policy than currently in place. Philadelphia, September 17, 1787: "Well, Dr. Franklin, what do we have?" "A republic, if you can keep it." With a judicial finger in the constitutional dike, It is so ORDERED. SIGNED this 31st day of February [sic], 2026. Fred Biery FRED BIERY UNITED STATES DISTRICT JUDGE Credit: Bystander Matthew 19:14 John 11:35

BREAKING: Federal judge orders Adrian Conejo Arias and his minor son, L.C.R., released.

"The Great Writ and release from detention are GRANTED."

"Civics lesson to the government: Administrative warrants issued by the executive branch to itself do not pass probable cause muster."

31.01.2026 20:44 πŸ‘ 3576 πŸ” 1074 πŸ’¬ 41 πŸ“Œ 152
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Just visited with Liam and his father at Dilley detention center. I demanded his release and told him how much his family, his school, and our country loves him and is praying for him.

28.01.2026 20:45 πŸ‘ 20362 πŸ” 5102 πŸ’¬ 715 πŸ“Œ 442

Fantastic!

15.01.2026 22:52 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 1
TechTonic Justice’s Founder Kevin De Liban on Trump’s AI Deregulation: What It Means for Real People
TechTonic Justice’s Founder Kevin De Liban on Trump’s AI Deregulation: What It Means for Real People YouTube video by TechTonic Justice

Starting off 2026 right! Here’s the link to an MS NOW (MSNBC) interview with TTJ president @kevindeliban.bsky.social about the powerful people pushing AI and the hurt they’re inflicting on real people right now. This is the heart of our work. Let us know what you think!

youtu.be/dXvZYpHWb8c?...

15.01.2026 22:51 πŸ‘ 5 πŸ” 2 πŸ’¬ 1 πŸ“Œ 1
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Controversial US study on hepatitis B vaccines in Africa is cancelled $1.6m project drew outrage over ethical questions about withholding vaccines proven to prevent disease

BREAKING: The controversial hepatitis B vaccine trial in Guinea-Bissau has been *cancelled,* I can now report. A senior official with Africa CDC confirmed the cancellation and said GB officials are working to make sure any research is conducted ethically:
www.theguardian.com/us-news/2026...

15.01.2026 15:28 πŸ‘ 730 πŸ” 285 πŸ’¬ 9 πŸ“Œ 85
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Scoop: The leaked protocol of the CDC-funded Hepatitis B vaccine trial in Guinea-Bissau. β€œThis is another Tuskegee.” The protocol reveals that the trial will withhold the Hepatitis B birth dose from thousandsβ€”without placebos, without universal maternal screening, and with endpoints critics call indefensible.

Read the details here. RFK’s Hep B vax β€œtrial” in Guinea-Bissau is not just a Tuskegee-level ethical travesty. It’s also skewed to make the vax (which has been proven to save lives) look unsafe and ineffective. And it funnels money to RFK cronies.

open.substack.com/pub/insideme...

15.01.2026 11:32 πŸ‘ 131 πŸ” 80 πŸ’¬ 3 πŸ“Œ 8
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Alexis' Story: Anyone Can Be an Advocate Little Lobbyists mom Alexis Stadler shares what it's like to advocate with lawmakers, talk to media, and represent Little Lobbyists in the community.

I never set out to be an advocate or an activist. It just happened with the circumstances that my family was dealt.

My big advice for parents who are nervous about advocacy: you may not be a policy or legal expert, but you’re an expert on the care your child receives.

14.01.2026 19:59 πŸ‘ 52 πŸ” 24 πŸ’¬ 0 πŸ“Œ 1
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Tribal leaders say ICE is detaining American Indians during immigration sweeps The Oglala Sioux Tribe is trying to locate four members detained by ICE agents in Minneapolis.

The Oglala Sioux Tribe is still trying to locate four members kidnapped by ICE agents in Minneapolis last week, and many Native people in the Twin Cities have felt scared to leave the house to go to work or get groceries.
www.startribune.com/ice-detainin...

13.01.2026 01:00 πŸ‘ 279 πŸ” 238 πŸ’¬ 3 πŸ“Œ 13
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MAJOR MEDICAID VICTORY IN FLORIDA Jacksonville, Florida β€” A federal judge found that Florida’s Medicaid notices β€œborder on the incomprehensible,” and has ordered Florida’s Medicaid agency to immediately pause the termination of Medica...

🚨BREAKING NEWS - MAJOR MEDICAID VICTORY IN FLORIDA: Federal Court Orders Florida Medicaid to Halt Terminations and Reform β€œIncomprehensible” Notices After Finding Constitutional Violations. Learn more about the case and our advocacy with @flhealthjustice.bsky.social!

07.01.2026 18:39 πŸ‘ 4 πŸ” 2 πŸ’¬ 0 πŸ“Œ 1
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β€œEmerson does not have a mother today because one of you murdered a woman in cold blood yesterday.”

08.01.2026 16:16 πŸ‘ 20100 πŸ” 7144 πŸ’¬ 921 πŸ“Œ 539
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Two U.S. citizens allege they were detained and removed from their vehicle by ICE agents after arriving at a work site in Salisbury, NC.

β€œThey kept saying, β€˜You’re not a citizen, you’re not a citizen,’ to me, even when I told them I was,”

www.qcnews.com/news/u-s/nor...

07.01.2026 23:46 πŸ‘ 826 πŸ” 361 πŸ’¬ 15 πŸ“Œ 22
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NHeLP Condemns Escalating Attacks on Gender-Affirming Health Care Access for Young People - National Health Law Program Washington, D.C. – This week, the Trump administration issued several proposed rules that, if implemented, would significantly restrict access to gender-affirming health care for transgender youth nat...

healthlaw.org/news/nhelp-c...

18.12.2025 20:28 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Melissa Hortman Died in a Shocking Act of Political Violence. This Is the Story of Her Life Melissa Hortman died in a shocking act of political violence. This is her story

Not a day goes by that I don’t miss my dear friend Melissa. An incredible piece.

18.12.2025 20:23 πŸ‘ 540 πŸ” 132 πŸ’¬ 11 πŸ“Œ 6

I just visited this museum and it’s stunning.

17.12.2025 00:04 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Rob Reiner: β€œSilence in the face of authoritarianism is complicity. Speaking out is a patriotic act. Democracy doesn’t defend itself. It requires participation, vigilance, and courage from ordinary people."

15.12.2025 13:41 πŸ‘ 17125 πŸ” 5189 πŸ’¬ 76 πŸ“Œ 175
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VA plans to abruptly eliminate tens of thousands of health care jobs Strains on the Veterans Affairs system could grow with the elimination of as many as 35,000 mostly unfilled health care positions, including doctors and nurses.

The last thing our veterans need is FEWER people making sure they get the health care they need.

This is a grossly short-sighted decision by Secretary Collins. We need answers and accountability.

15.12.2025 18:29 πŸ‘ 764 πŸ” 270 πŸ’¬ 44 πŸ“Œ 15
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Border Patrol left Charlotte. The damage stayed behind The Border Patrol's enforcement surge in Charlotte, N.C. lasted just about a week. Residents picking up the pieces in its aftermath say doing so is going to take a lot longer than that.

The Border Patrol's enforcement surge in Charlotte, N.C. lasted just about a week. Residents picking up the pieces in its aftermath say doing so is going to take a lot longer than that.

10.12.2025 19:05 πŸ‘ 198 πŸ” 64 πŸ’¬ 5 πŸ“Œ 4
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[2025-12-08] Download: Health Care Freedom for Patients Act | The United States Senate Committee on Finance | The United States Senate Committee on Finance [2025-12-08] Download: Health Care Freedom for Patients Act | The United States Senate Committee on Finance

Senators Crapo & Cassidy have now released bill language for their health "plan". Besides nothing on expiring Marketplace credits and HSAs, it adds 3 harmful #Medicaid cuts from House version of H.R. 1 that were dropped in final law due to Senate rules (1/x): www.finance.senate.gov/download/hea...

09.12.2025 00:29 πŸ‘ 49 πŸ” 39 πŸ’¬ 3 πŸ“Œ 2
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My constituent, Wilmer, was mauled by an ICE attack dog despite the fact that, as he has consistently explained, he was not resisting arrest or trying to fleeβ€”his wife and young children, all U.S. citizens, were forced to watch helplessly as Wilmer was violently attacked and dragged away.

06.12.2025 02:41 πŸ‘ 18177 πŸ” 8548 πŸ’¬ 1134 πŸ“Œ 740
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CDC panel recommends delaying birth dose of hepatitis B vaccine The CDC's ACIP panel voted to recommend delaying the birth dose of the hepatitis B vaccine, ending a policy that has reined in the virus.

This regressive move will literally kill people. It's making kids' liver cancer great again. And it's a sign of more harm to come.

CDC panel recommends delaying birth dose of hepatitis B vaccine www.statnews.com/2025/12/05/c... via @statnews.com

05.12.2025 15:46 πŸ‘ 591 πŸ” 240 πŸ’¬ 31 πŸ“Œ 57
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Checking All the Boxes: A Survey of Medical Frailty Definitions in Alternative Benefit Plans and Section 1115 Work Requirements Demonstrations Individuals who are considered medically frail have traditionally been subject to different eligibility and coverage rules in the Medicaid program. Most recently, H.R. 1 exempted medically frail individuals from new work requirement imposed on Medicaid expansion populations. This survey provides information on the use of medical frailty in the past by summarizing medically frail designations in the context of Alternative Benefit Plans (ABPs) and state-level efforts to incorporate work requirements into their Medicaid programs outside of the context of H.R. 1 – specifically, through Section...

New from NHeLP: A survey of how states define β€œmedically frail” in Medicaid ABPs & past 1115 work requirement demos. πŸ”— https://healthlaw.org/resource/checking-all-the-boxes-a-survey-of-medical-frailty-definitions-in-alternative-benefit-plans-and-section-1115-work-requirements-demonstrations/

03.12.2025 20:48 πŸ‘ 5 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

Alt text, as always, is 15/10

03.12.2025 03:20 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Last week, ICE arrested and separated a father and son after a routine check-in. Six-year-old Yuanxin had just enrolled in the first grade at an elementary school in Astoria. Now he's in custody, alone. ICE won't say where. This cruelty serves no one. It must end.

02.12.2025 21:16 πŸ‘ 36618 πŸ” 11327 πŸ’¬ 849 πŸ“Œ 472