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Feds hold back additional $1.2 billion in California Medicaid funds

The Trump administration is deferring an additional $1.2 billion in Medicaid reimbursements to California, citing concerns about potential fraud in a state program that helps older adults and people with disabilities with everyday tasks.

Dr. Mehmet Oz, the administrator for the Centers for Medicare and Medicaid Services, said federal officials took action after they grew concerned about the rapid expansion of California’s personal care services program in recent years. State officials were notified of the decision Tuesday, he said.

“California has been growing that program 24% in the last three years. That is twice the rate of every other state average in the country,” Oz said. “Impossible for us to understand how that could be so we are taking major action in California.”

Oz did not provide any evidence of fraud but suggested the state was paying people too much taxpayer money to help with services that could be offered for free, like “paying somebody to carry groceries upstairs for your mom.”

“Many of you would carry groceries upstairs for your mom for free, but in California, they will pay you a lot of money for it,” he said.

The move is the latest in a series of efforts by the administration to withhold federal money from California. In May, the administration held back $1.3 billion in Medicaid reimbursements to the state over concerns about “fraudsters” in the state’s hospice and in-home care programs. The actions have been part of a broad effort by the administration to rein in fraud in federal healthcare benefits programs, particularly in Democrat-led states.

Gov. Gavin Newsom’s office did not immediately respond to a request for comment. But the office has been critical of the administration’s past efforts.

In May, Newsom’s office called the action to withhold funds for in-home care programs a “sick” and politically motivated attack on services that are meant to “keep seniors and people with disabilities OUT of nursing homes.”

Those services usually cover assistants who help people with daily tasks such as bathing, laundry or cooking. They also provide needed care such as injections under the direction of a medical professional. A 2020 report by the California state auditor found that nearly three-quarters of In-home Supportive Services caregivers assist a family member.

Newsom’s office, however, has argued that the program saves taxpayers money, saying IHSS care costs $30,000 a year, while nursing home care costs $137,000 a year.

California’s hospice industry has had problems in the past and authorities have tried to crack down on the issue. A Times investigation in 2020 found that providers were billing Medicare for hospice services and equipment for patients who were not actually dying while the industry boomed.

The Trump administration, led by Vice President JD Vance, has tried to focus attention on the issue of waste, fraud and abuse as a centerpiece policy platform to bring down healthcare costs.

On Tuesday, Trump and Vance announced a $25-million whistleblower program designed to pay out cash to people who tip off the federal government about fraudsters. The program will offer a 1% commission for tips that lead to a successful conviction. Trump said he would be the sole arbitrator of who gets to keep the money.

“I’ll determine whether or not the person is deserving, and I will be very generous believe me. We are not looking to save on that,” Trump said. “I promise you I will be fair.”

Trump said the money will be handed out “expeditiously and fairly.”

“I promise there is nothing in this for me,” he said.

The White House referred comment about the decision to the Centers for Medicare & Medicaid Services. The federal agency did not immediately respond to a request for comment.

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Can $1 billion power Republicans to victory in the midterms?

Republicans are entering the final month of the midterm campaign increasingly anxious that the $1 billion at their disposal may not be enough to fend off sweeping losses as the party reckons with President Trump’s unpopularity, persistent cost concerns and the fallout from the war in Iran.

The cash advantage, spread out across a half-dozen groups, is driven largely by the Trump-aligned MAGA Inc., which had nearly $416 million in cash on hand at the end of August and began stepping up its spending on critical races in September.

But that money may have come too late, forcing the president’s group to pay much higher rates because of the shrinking availability of air time. Four Republican Senate campaign officials said groups that reserved advertising time last spring paid much lower rates than MAGA Inc. and its affiliated groups.

Instead, by waiting until September, Trump-connected organizations are sometimes paying more than five times what they would have spent if they acted earlier.

A representative of MAGA Inc. familiar with the group’s strategy said its spending has allowed Republicans to keep races more competitive than they would have been otherwise. In some cases, the group has been the only one on the air criticizing Democratic candidates.

The MAGA Inc. representative and the Republican Senate campaign officials spoke on condition of anonymity to discuss internal strategy.

The challenge is acute in places like Texas, where Trump will travel on Wednesday for the second time in a week to stump for Republican Ken Paxton’s Senate campaign. The state hasn’t elected a Democratic senator since 1988, yet MAGA Inc. has spent more than $22 million in the past month, according to the ad tracking firm AdImpact.

Another group, Texas PAC, which is aligned with Senate Majority Leader John Thune, has spent more than $83 million on advertising in the past month, an extraordinary amount to protect what’s normally a safe Republican seat.

One of those advertisements, which featured Paxton’s estranged wife saying she’s supporting the full Republican ticket, aired across the United States last weekend during a football game between the Dallas Cowboys and the Houston Texans.

Candidates are charged a lower advertising rate than outside groups, so the late infusion of super PAC cash has come at a steep price.

MAGA Inc., which is running ads primarily on streaming services, has been charged roughly $894 per airing, according to AdImpact, while Texas PAC has been charged roughly $809 for a mix of broadcast and streaming. That compares with about $290 for Democratic nominee James Talarico’s campaign, also on broadcast and streaming.

Those averages mask some of the more glaring disparities. For example, during a football game last month, Texas PAC was charged $450,000 to air a single spot in the Austin market. Talarico’s campaign paid $50,000 for a spot during the same game in the same market, according to AdImpact.

Elections are a referendum on the power of money

The 2026 campaign is shaping up as a referendum on the power of money in American politics. Democrats freely acknowledge their disadvantage, relying instead on anti-Trump sentiment among voters and targeted messaging on issues like corruption. Some Republicans, meanwhile, are open about the challenge of trying to spend their way out of a tough campaign at this late stage.

Neil Newhouse, a longtime Republican pollster, echoed concerns that his party was deploying its cash too late.

“After the votes are counted, I think we’re going to find the most effective advertising in terms of communicating message and moving voters and poll numbers, the most effective time was advertising that happened well before Labor Day, not after it,” he said. “A million dollars of advertising in October is a drop in the bucket.”

Thune’s group began pulling back in North Carolina last week, a sign of the party’s challenge in the Senate race there. The state’s outgoing Sen. Thom Tillis has been increasingly vocal about his party’s vulnerabilities and recently said that, even with a strong cash advantage, “in the last month, you pretty much have to place your bets.”

“If we have endless resources, then we should spend endlessly in every state,” he said. “Absent endless resources, you’ve got to make data-driven decisions about where you can win.”

The midterms mark the first national election since the Supreme Court in June erased limits on how much political parties can spend in coordination with candidates for Congress and president, injecting even more money into a political system already awash in cash.

Money alone doesn’t translate into victory

There’s plenty of evidence that money alone doesn’t translate into victory.

Democrat Kamala Harris entered the final stretch of the 2024 campaign with significantly more money than Trump but went on to lose every critical swing state and the White House. Elon Musk’s $25 million didn’t lift his preferred candidate to a Wisconsin Supreme Court seat last year. And Tom Steyer didn’t advance to the general election in the California governor’s race despite pumping $216 million of his own money into the campaign.

The $1 billion that Republicans have amassed compares with roughly $579 million held by a comparable collection of major Democratic groups.

Senate Democratic leader Chuck Schumer said his party is facing an “obscene” amount of spending that could swamp them in the midterms.

“We’re never going to have as much money as them,” he said in an interview. “I sum up the election in this sentence: Can a massive Republican advantage in money beat a massive Democratic advantage in better candidates and political climate? I bet it can’t.”

In addition to Texas, Democrats have mounted competitive Senate campaigns in states like Ohio, Maine, Iowa and Michigan. A similar dynamic has emerged in governors’ races from Florida and Georgia to Wisconsin, Ohio and Nevada.

Former President Barack Obama is stepping up his involvement in the midterms and will headline a fundraiser for Senate candidates on Wednesday.

In the House, Democrats are growing so confident they can retake the majority that they’re expanding their targets deeper into traditionally Republican districts in Arkansas and Tennessee. But a lack of money could limit their gains.

“We absolutely need to spend enough to get our message out,” said Rep. Suzan DelBene of Washington, who chairs the Democratic Congressional Campaign Committee. “And district by district, we are.”

Trump turns to his bond with supporters

From his earliest days as an unlikely political figure, Trump has consistently overcome expectations. Facing daunting prospects heading into the final weeks of his last midterm, he’s betting he can again outwit political gravity, relying in large part on the deep bond he’s built with supporters.

He has stepped up his campaign rallies in recent weeks, traveling to deep red territory to galvanize the party faithful. At events like the one this past weekend in Vandalia, Ohio, the crowd was enthusiastic and cheered at the lines that have become Trump staples over the years, particularly when he dips into profanity. The high school gymnasium that held the event was packed, though crowds began emptying out about halfway through the 90-minute rally.

In the closing minutes of a speech Monday in Grand Island, Nebraska, the president revived his plea that supporters who have stood so fervently by him pretend as if he is on the ballot one more time.

“In a true way, I am running,” he said. “We have to keep it going.”

Sloan and Beaumont write for the Associated Press. Beaumont reported from Des Moines, Iowa. AP writers Seung Min Kim in Vandalia, Ohio, and Mary Clare Jalonick in Washington contributed to this report.

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TikTok added $12 billion to California businesses last year, report says

When Brandon Hurst first decided to sell his plants on TikTok Live in 2023, the 32-year-old Sylmar resident didn’t know what to expect. He said he thought he could sell at least 30 plants, but instead sold 250.

Now, three years later, the internet creator, who goes by Brandon the Plant Guy, sells up to 5,000 plants a week, works out of a 3,000-square-foot greenhouse in Sylmar and has a staff of 13. He credits much of this success to the exposure he’s received on TikTok.

“I’d be out of business if it wasn’t for TikTok,” said Hurst. “I would have ended the business and gone back to working the desk job that I was working prior. I was already on that path, that was where we were headed. And then TikTok really did turn that around.”

Hurst is one of the 920,000 California-based businesses using the social media platform to reach new customers and grow their brands, according to new data from consulting firm PF Global.

In 2025, TikTok helped generate $12 billion in advertising and merchandise sales for those businesses and supported 52,000 jobs in the state, said the PF Global report, which was commissioned by TikTok.

Nationwide, economic activity on TikTok last year helped contribute $81 billion to some 8.5 million U.S. businesses, the report said.

The surge in activity reflects a growing trend toward online commerce, as more small businesses and consumers turn to social media platforms like TikTok to buy and sell goods.

“We enable American culture, American creators, American businesses, to reach an audience around the world,” said Nicole Mason, TikTok’s head of U.S. public policy, said during a presentation on Wednesday morning.

The new report comes as TikTok is increasingly eager to tout its economic impact as a newly formed U.S. joint venture. In January, the company was taken over by three managing investors: Silver Lake, Oracle and Emirati investment firm MGX, each holding 15%, with ByteDance retaining 19.9% of investments. This transition came after TikTok’s Chinese parent company, ByteDance, was under pressure to divest its ownership in the app’s U.S. operations or face a nationwide ban, due to security concerns.

Last month, TikTok also settled a $400-million lawsuit from the U.S. Department of Justice, ending a 2024 lawsuit alleging the company violated federal children’s privacy laws.

TikTok, which operates its U.S. headquarters in Culver City, where it employs several hundred workers, is mostly known for its viral, short-form vertical videos. But, over the years, the platform has become a hub of curated viral content and a central part of many businesses’ marketing strategies.

The app also has features like TikTok Live, where businesses can host live shopping events, and TikTok Shop, which serves as a direct-to-consumer online marketplace.

For its study, PF Global surveyed more than 11,000 adults in the U.S. and 5,000 businesses. The firm also conducted five case studies with U.S. small businesses and TikTok creators and interviewed over 600 people around the country. The data set combined that survey data with government statistics, industry research and TikTok’s own internal data.

PF Global recently published a similar economic report for the U.K. and is working on reports for 10 other European countries with TikTok.

Neil Ross, a partner at PF Global, said a common global theme is that TikTok users are more likely to see something on the platform and go out and do it.

“People around the world are using it as a kind of digital front door to work out where to go, what to shop, what experiences to have,” Ross said.

The U.S. report states that 27 million Americans “visited an independent shop, cafe or restaurant for the first time after seeing it on the platform.”

The app’s roots date to 2014, when an app called Musical.ly was launched in Shanghai. In 2016, Chinese tech company ByteDance launched a similar platform in China called Douyin.

As the apps grew in popularity, ByteDance picked up on their potential. It purchased Musical.ly in 2017 and combined all these platforms into one, named TikTok. Over the next few years, the app began its rapid ascent, hooking in users with a curated algorithm and viral trends. Today, 200 million Americans use TikTok every month, according to PF Global.

“On a daily basis, TikTok powers real economic impact across the United States, helping entrepreneurs grow their businesses, reach new customers, and create jobs across the country,” said Adam Presser, TikTok’s chief executive in a statement.

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Trump claws back nearly $1 billion in funding approved by Congress

Kevin Freking and Jonathan J. Cooper

President Trump is canceling nearly $1 billion in spending approved by Congress, the White House announced Friday, using a rare and contested power to axe funding for immigrant services and diversity-focused initiatives.

Trump’s Office of Management and Budget described the funding cut as focused on “the most harmful government spending.”

Most of the cuts are focused on Health and Human Services programs that serve refugees and unaccompanied minors accused of being in the country illegally. The administration says the funds are no longer necessary because illegal border crossings have diminished considerably.

Also targeted for cuts were a Department of Education program for migrant students, a Department of Justice office focused on reducing racial tensions, a business development initiative for minority entrepreneurs, housing counseling services from the Housing and Urban Development Department and a series of grants from the Health and Human Services Department that the administration called “outright harmful and blatantly ideological.”

A White House news release announcing the funding rescission notes that some of the organizations are led by people who worked in the Obama administration.

Trump’s move was condemned by Sen. Susan Collins of Maine, a Republican in a tough reelection campaign and chair of the Senate Appropriations Committee.

Collins said in a statement that the action came without warning or consultation. She also said she would work to address with colleagues “these illegal actions.”

“Not only is the delay itself an impoundment that was not reported to Congress, but also it is a usurpation of Congress’s appropriations powers,” Collins said. “OMB is an agency of the executive branch. It does not get to decide which programs are worth funding.”

Under federal law, Congress has 45 days to review the president’s proposed spending cuts before they take effect. But Trump made that all but impossible by announcing them with just five days left in the federal fiscal year and the House out of session through the November election. The Government Accountability Office, which is an arm of Congress, says the maneuver known as a “pocket rescission” is illegal.

Collins called it the latest attempt by OMB to “undermine Congress’s Constitutional power of the purse.”

A year ago, Trump issued a pocket rescission for the first time in nearly 50 years by blocking $4.9 billion in congressionally approved foreign aid. The U.S. Supreme Court declined to block that rescission, saying that Trump’s authority over foreign affairs weighed heavily in its decision. This year, Trump is targeting domestic spending.

The use of a pocket rescission fits into a broader pattern by the Trump administration to exert greater control over the U.S. government, eroding Congress’ power.

What was essentially the last pocket rescission occurred in 1977 when President Carter rescinded it, and the Trump administration argues it’s a legally permissible tool, despite some murkiness, since Carter had initially proposed the claw-back well ahead of the 45-day deadline.

The administration has also fired federal workers, imposed a historic increase in tariffs, and started the war in Iran without going through Congress, putting the burden on the judicial branch to determine the limits of presidential power.

Sen. Patty Murray of Washington, the lead Democrat on the Senate Appropriations Committee, described the White House action as “theft from the American people, plain and simple.”

“These are funds Congress has delivered on a bipartisan basis and should be helping people — not cut off by a president more focused on building a ballroom than investing in families,” Murray said.

Murray said that in recent spending negotiations, Democrats fought to include language to prevent the administration from usurping Congress’ power on spending decisions, but Republicans have declined to go along.

“While Trump spends tax dollars on ads promoting himself” — a reference to a taxpayer-paid TV spot that has drawn bipartisan rebuke — “Congress needs to reassert its powers to help people, and it’s past time Republicans join us in that fight,” she said.

In addition to immigrant services, the White House said it was rescinding $70 million for what it called “woke” international education programs, $28 million in grant funding for Health and Human Services research programs, and $9 million in debt relief for foreign countries that fund climate change policies. An additional $10 million was being withheld from a minority business development program.

Freking and Cooper write for the Associated Press.

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