The Brief

MOREHEAD, Ky. — The summer after ninth grade, Zoey Griffith found herself in an unfamiliar setting: a dorm on the Morehead State University campus.

There, she'd spend the months before her sophomore year taking classes in core subjects like math and biology, as well as electives like oil painting.

For Griffith, it was an opportunity, but a scary one. "It was a big deal for me to live on campus at the age of 14," she said. Morehead State is about an hour from her hometown of Maysville. "I was nervous, and I remember that I cried the first time that my dad left me on move-in day."

Her mother became a parent as a teenager and urged her daughter to avoid the same experience. Griffith's father works as a mechanic, and he frowns upon the idea of higher education, she said.

And so college back then seemed a distant and unlikely dream.

But Griffith's stepsister had introduced her to a federal program called Upward Bound. It places high school students in college dorms during the summer, where they can take classes and participate in workshops on preparing for the SAT and financial literacy. During the school year, students get tutoring and work on what are called "individual success plans."

It's part of a group of federal programs, known as TRIO, aimed at helping low-income and first-generation students earn a college degree, often becoming the first in their families to do so.

So thanks to that advice from her stepsister, Kirsty Beckett, who's now 27 and pursuing a doctorate in psychology, Griffith signed up and found herself in that summer program at Morehead State. Now, Griffith is enrolled at Maysville Community and Technical College, with plans to become an ultrasound technician.

TRIO, once a group of three programs — giving it a name that stuck — is now the umbrella over eight, some dating back to 1965. Together they serve roughly 870,000 students nationwide a year.

It has worked with millions of students and has bipartisan support in Congress. Now, some in this part of the Appalachian region of Kentucky and across the country worry about students who won't get the same assistance if President Trump ends federal spending on the program.

A White House budget proposal would eliminate spending on TRIO. The document says "access to college is not the obstacle it was for students of limited means," and it puts the onus on colleges to recruit and support students.

Advocates note that the programs, which cost roughly $1.2 billion each year, have a proven track record. Students in Upward Bound, for example, are more than twice as likely to earn a bachelor's degree by age 24 than other students from some of the United States' poorest households, according to the Council for Opportunity in Education. COE is a nonprofit that represents TRIO programs nationwide and advocates for expanded opportunities for first-generation, low-income students.

For the high school class of 2022, 74% of Upward Bound students enrolled immediately in college — compared with only 56% of high school graduates in the bottom income quartile.

Students Zoey Griffith (left) and Aniyah Caldwell say the Upward Bound program has been life-changing for them. Upward Bound is one of eight federal programs under the TRIO umbrella.

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Michael Vasquez

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The Hechinger Report

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Upward Bound is for high school students. Another TRIO program, Talent Search, helps middle and high school students, without the residential component. One program called Student Support Services (SSS) provides tutoring, advising and other assistance to at-risk college students. Another program prepares students for graduate school and doctoral degrees, and yet another trains TRIO staff.

A 2019 study found that after four years of college, students in SSS were 48% more likely to complete an associate's degree or certificate, or transfer to a four-year institution, than a comparable group of students with similar backgrounds and similar levels of high school achievement who were not in the program.

"TRIO has been around for 60 years," said Kimberly Jones, the president of COE. "We've produced millions of college graduates. We know it works."

Yet Education Secretary Linda McMahon and the White House refer to the programs as a "relic of the past."

Jones countered that census data shows that "students from the poorest families still earn college degrees at rates far below that of students from the highest-income families," demonstrating continued need for TRIO.

McMahon is challenging that and pushing for further study of those TRIO success rates. In 2020, the U.S. Government Accountability Office found that even though the Education Department collects data on TRIO participants, the agency "has gaps in its evidence on program effectiveness." The GAO criticized the Education Department for having "outdated" studies on some TRIO programs and no studies at all for others. Since then, the department has expanded its evaluations of TRIO.

During a Senate subcommittee hearing in June, McMahon acknowledged that "there is some effectiveness of the programs, in many circumstances."

Still, she said there is not enough research to justify TRIO's total cost. "That's a real drawback in these programs," McMahon said.

Now, she is asking lawmakers to eliminate TRIO spending after this year and has already canceled some previously approved TRIO grants.

Opening a door into a broader world

"What are we supposed to do, especially here in eastern Kentucky?" asks David Green, a former Upward Bound participant who is now marketing director for a pair of Kentucky hospitals.

East Main Street in Morehead, Ky., just outside Morehead State University's campus.

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Michael Vasquez

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The Hechinger Report

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Green lives in a region that has some of the nation's highest rates of unemployment, cancer and opioid addiction. "I mean, these people have big hearts — they want to grow," he adds. Cutting these programs amounts to "stifling us even more than we're already stifled."

Green described his experience with TRIO at Morehead State in the mid-1980s as "one of the best things that ever happened to me."

He grew up in a home without running water in Maysville, a city of about 8,000 people. It was on a TRIO trip to Washington, D.C., he recalled, that he stayed in a hotel for the first time. Green remembers bringing two suitcases so he could pack a pillow, sheets and a comforter — unaware the hotel room would have its own.

He met students from other towns and with different backgrounds. Some became lifelong friends. Green learned table manners, the kind of thing often required in business settings. After college, he was so grateful for TRIO that he became one of its tutors, working with the next generation of students.

Uncertain future in Congress

Jones, of the Council for Opportunity in Education, said she is cautiously optimistic that Congress will continue funding TRIO, despite the Trump administration's request. The programs serve students in all 50 states. According to the COE, about 34% are white, 32% are Black, 23% are Hispanic, 5% are Asian and 3% are Native American.

In May, Rep. Mike Simpson, an Idaho Republican, called TRIO "one of the most effective programs in the federal government," which, he said, is supported by "many, many members of Congress."

In June, Sen. Shelley Moore Capito, a Republican from West Virginia and a former TRIO employee, spoke about its importance to her state. TRIO helps "a student that really needs the extra push, the camaraderie, the community," she said. "I've gone to their graduations, and been their speaker, and it's really quite delightful to see how far they've come in a short period of time."

TRIO survived, with its funding intact, when the Senate Appropriations Committee approved its budget last month. The House is expected to take up its version of the annual appropriations bill for education in early September. Both chambers ultimately have to agree on federal spending, a process that could drag on until December, leaving TRIO's fate in Congress uncertain.

While lawmakers debate its future, the Trump administration could also delay or halt TRIO funding on its own. This year, the administration took the unprecedented step of unilaterally canceling about 20 previously approved new and continuing TRIO grants.

A big impact on young lives

At Morehead State, leaders there say the university and the region it serves need the boost received from TRIO: While roughly 38% of American adults have earned at least a bachelor's degree, in Kentucky that figure is only 16%. And locally, it's 7%, according to Summer Fawn Bryant, the director of TRIO's Talent Search programs at the university.

TRIO works to counter the stigma of attending college that still exists in parts of eastern Kentucky, Bryant said, where a student from a humble background who is considering college might be scolded with the phrase: Don't get above your raisin'.

"A parent may say it," Bryant said. "A teacher may say it."

She added that she's seen time and again how these programs can turn around the lives of young students from poor families.

Students like Beth Cockrell, an Upward Bound alum from Pineville, Ky., who said her mom struggled with parenting. "Upward Bound stepped in as that kind of co-parent and helped me decide what my major was going to be."

Cockrell went on to earn three degrees at Morehead State and has worked as a teacher for the past 19 years. She now works with students at her alma mater and teaches third grade at Conkwright Elementary School, about an hour away.

Long-term benefits 

Sherry Adkins, an eastern Kentucky native who attended TRIO more than 50 years ago and went on to become a registered nurse, said efforts to cut TRIO spending ignore the long-term benefits. "Do you want all of these people that are disadvantaged to continue like that? Where they're taking money from society? Or do you want to help prepare us to become successful people who pay lots of taxes?"

As Washington considers TRIO's future, program directors like Bryant, at Morehead State, press forward. She has saved a text message that a former student sent her two years ago to remind her of what's at stake.

After finishing college, the student was attending a conference on child abuse when a presenter showed a slide that included the quote: "Every child who winds up doing well has had at least one stable and committed relationship with a supportive adult."

"Forever thankful," the student texted Bryant, "that you were that supportive adult for me."

This story about TRIO was produced by The Hechinger Report, a nonprofit, independent news organization focused on inequality and innovation in education. 
Copyright 2025 Hechinger Report

One Battle After Another took home best picture at the 98th Oscars on Sunday night.

It was a big night for director Paul Thomas Anderson, who also won best director and best adapted screenplay for the film. Cassandra Kulukundis, casting director of One Battle After Another, won the Academy's first-ever award for achievement in casting.

But the wins were spread out: Sinners writer and director Ryan Coogler won his first Oscar for best original screenplay, and actor Michael B. Jordan won his first, best actor, for playing twins — Smoke and Stack — in the vampire movie. Jessie Buckley won best actress for her role as Agnes Shakespeare in Hamnet.

The ceremony even featured a tie between two live action short films: The Singers and Two People Exchanging Saliva. The last Oscar tie was in 2013, when Zero Dark Thirty and Skyfall tied in the sound editing category.

Occasionally those on stage gestured toward the world beyond Hollywood: "No to war and free Palestine," Javier Bardem said on stage, presenting the award for best international feature film.

David Borenstein, co-director of winning feature documentary Mr. Nobody Against Putin, said in his acceptance speech, "Mr. Nobody Against Putin is about how you lose your country. And what we saw when working with this footage … it's that you lose it through countless small, little acts of complicity. When we act complicit, when a government murders people on the streets of our major cities, when we don't say anything, when oligarchs take over the media and control how we can produce it and consume it, we all face a moral choice."

Co-director Pavel "Pasha" Talankin, who shot footage for the documentary while working at a Russian school, said onstage, "In the name of our future, in the name of all of our children, stop all of these wars now."

All of the winners are below, in bold.

Best picture

WINNER: One Battle After Another
Bugonia
F1
Frankenstein
Hamnet
Marty Supreme
The Secret Agent
Sentimental Value
Sinners
Train Dreams

Performance by an actress in a leading role

WINNER: Jessie Buckley, Hamnet
Rose Byrne, If I Had Legs I'd Kick You
Kate Hudson, Song Sung Blue
Renate Reinsve, Sentimental Value
Emma Stone, Bugonia
Performance by an actor in a leading role

WINNER: Michael B. Jordan, Sinners
Timothée Chalamet, Marty Supreme
Leonardo DiCaprio, One Battle After Another
Ethan Hawke, Blue Moon
Wagner Moura, The Secret Agent

Achievement in directing

WINNER: Paul Thomas Anderson, One Battle After Another
Chloé Zhao, Hamnet
Josh Safdie, Marty Supreme
Joachim Trier, Sentimental Value
Ryan Coogler, Sinners

Performance by an actress in a supporting role

WINNER: Amy Madigan, Weapons
Elle Fanning, Sentimental Value
Inga Ibsdotter Lilleaas, Sentimental Value
Wunmi Mosaku, Sinners
Teyana Taylor, One Battle After Another

Performance by an actor in a supporting role

WINNER: Sean Penn, One Battle After Another
Benicio del Toro, One Battle After Another
Jacob Elordi, Frankenstein
Delroy Lindo, Sinners
Stellan Skarsgård, Sentimental Value

Best animated feature film

WINNER: KPop Demon Hunters
Arco
Elio
Little Amélie or the Character of Rain
Zootopia 2

Best international feature film

WINNER: Sentimental Value, Norway
The Secret Agent, Brazil
It Was Just an Accident, France
Sirāt, Spain
The Voice of Hind Rajab, Tunisia

Achievement in cinematography

WINNER: Sinners
Frankenstein
Marty Supreme
One Battle After Another
Train Dreams

Achievement in film editing

WINNER: One Battle After Another
F1
Marty Supreme
Sentimental Value
Sinners

Achievement in sound

WINNER: F1
Frankenstein
One Battle After Another
Sinners
Sirāt

Original score

WINNER: Sinners, Ludwig Goransson
Bugonia, Jerskin Fendrix
Frankenstein, Alexandre Desplat
Hamnet, Max Richter
One Battle after Another, Jonny Greenwood

Best documentary feature film

WINNER: Mr. Nobody Against Putin
The Alabama Solution
Come See Me in the Good Light
Cutting Through Rocks
The Perfect Neighbor

Best documentary short film

WINNER: All the Empty Rooms
Armed Only With a Camera: The Life and Death of Brent Renaud
Children No More: Were and Are Gone
The Devil Is Busy
Perfectly a Strangeness

Best animated short film

WINNER: The Girl Who Cried Pearls
Butterfly
Forevergreen
Retirement Plan
The Three Sisters

Best live action short film

WINNER: The Singers
WINNER: Two People Exchanging Saliva
Butcher's Stain
A Friend of Dorothy
Jane Austen's Period Drama

Achievement in casting

WINNER: One Battle after Another, Cassandra Kulukundis
Hamnet, Nina Gold
Marty Supreme, Jennifer Venditti
The Secret Agent, Gabriel Domingues
Sinners, Francine Maisler

Achievement in visual effects

WINNER: Avatar: Fire and Ash
F1
Jurassic World Rebirth
The Lost Bus
Sinners

Achievement in production design

WINNER: Frankenstein
Hamnet
Marty Supreme
One Battle After Another
Sinners

Writing (original screenplay)

WINNER: Sinners, written by Ryan Coogler
Blue Moon, written by Robert Kaplow
It Was Just an Accident, written by Jafar Panahi; script collaborators: Nader Saïvar, Shadmehr Rastin, Mehdi Mahmoudian
Marty Supreme, written by Ronald Bronstein and Josh Safdie
Sentimental Value, written by Eskil Vogt, Joachim Trier

Writing (adapted screenplay)

WINNER: One Battle after Another, written by Paul Thomas Anderson
Bugonia, screenplay by Will Tracy
Frankenstein, written for the screen by Guillermo del Toro
Hamnet, screenplay by Chloé Zhao and Maggie O'Farrell
Train Dreams, screenplay by Clint Bentley & Greg Kwedar

Achievement in makeup and hairstyling

WINNER: Frankenstein, Mike Hill, Jordan Samuel and Cliona Furey
Kokuho, Kyoko Toyokawa, Naomi Hibino and Tadashi Nishimatsu
Sinners, Ken Diaz, Mike Fontaine and Shunika Terry
The Smashing Machine, Kazu Hiro, Glen Griffin and Bjoern Rehbein
The Ugly Stepsister, Thomas Foldberg and Anne Cathrine Sauerberg

Achievement in costume design

WINNER: Frankenstein
Avatar: Fire and Ash
Hamnet
Marty Supreme
Sinners

Original song

WINNER: "Golden" from KPop Demon Hunters; music and lyric by EJAE, Mark Sonnenblick, Joong Gyu Kwak, Yu Han Lee, Hee Dong Nam, Jeong Hoon Seon and Teddy Park
"Dear Me" from Diane Warren: Relentless; music and lyric by Diane Warren
"I Lied to You" from Sinners; music and lyric by Raphael Saadiq and Ludwig Goransson
"Sweet Dreams of Joy" from Viva Verdi!; music and lyric by Nicholas Pike
"Train Dreams" from Train Dreams; music by Nick Cave and Bryce Dessner; lyric by Nick Cave

Sunday is the 98th Academy Awards, where many of Hollywood's top talents will walk the red carpet before settling in for a night of triumphs, heartbreaks and abruptly cut-off acceptance speeches.

Most of us just refer to the ceremony as "the Oscars," the longstanding nickname of the gold-plated statuettes that winners in each category take home.

Cedric Gibbons, the art director of Metro-Goldwyn-Mayer, is credited with designing the iconic statue ahead of the first annual awards banquet of the Academy of Motion Picture Arts and Sciences (aka "the Academy") in 1929.

He dreamed up the knight (possibly modeled on a Mexican actor of the era) standing on a reel of film, holding a crusader's sword to defend the industry from outside criticism. And Los Angeles-based sculptor George Stanley made the statuette a reality, one that stands 13 1/2 inches tall and weighs 8 1/2 pounds.

Its full legal name is the "Academy Award of Merit." The Academy officially adopted its nickname, Oscar, in 1939.

But where did it come from?

Bruce Davis got that question all the time — in letters and emails from the curious public — during his two-decade tenure as the Academy's executive director, which ended in 2011.

"And what astonished me was that when I would ask around the building, everybody would say, 'Well, we don't exactly know,'" he told NPR. "And so I didn't do anything about it myself until I was retiring."

Davis decided to use his newfound free time to compile a history of the institution, ultimately publishing The Academy and the Award in 2022. One of the questions it explores is the origin of the Oscar nickname.

"As it turned out, that was not an easy thing to find out," Davis said. "It took a lot of running around and doing some actual research, and I did finally come up with something that I'm reasonably confident is the right answer."

There are three enduring — and competing — myths about where the name came from. Davis debunked them all and proposed a fourth.

The debunked claims 

"Oscar" made its first mainstream newspaper appearance as shorthand for an Academy Award in March 1934, when entertainment journalist Sidney Skolsky used it in his Hollywood gossip column.

Davis recounts the apocryphal legend this way: Skolsky was running up against deadline on his awards-night rough draft when he was stopped by the word "statuette."

"He thought it sounded awfully snobby and he didn't know how to spell it," he said. "And he asked a couple of people around in the hall, and I guess no one was helping him spell statuette."

Skolsky later said he thought back to a vaudeville routine where the master of ceremonies would tease an orchestra member by asking, "Oscar, will you have a cigar?" And he claimed he decided to poke fun at the ceremony's pretentiousness by referring to the statuettes as Oscars instead.

Davis sees a few holes in this story, namely that the term appeared in at least one industry publication months before Skolsky's column. But it's not a total loss for Skolsky, who is separately credited with coining or at least popularizing the term "beefcake."

The most famous version of events involves none other than legendary actress Bette Davis. She had long claimed, including in her 1962 biography, that she coined the Oscar's nickname while accepting her first Academy Award some three decades earlier.

"Her story was that she was holding [it] in her hands and just kind of waiting for the ceremonies to move along, and she started looking at the hindquarters of the statuette and she said … the hindquarters of the statuette were the very image of her husband," Davis explained.

But Davis' husband at the time, musician Harmon Oscar Nelson Jr., was primarily known by another nickname, "Ham." And mentions of "Oscar" appeared in print years before Davis won her first one, in 1936. Davis eventually retracted the claim in her 1974 book, telling her biographer: "A sillier controversy never existed."

"I don't feel my fame and fortune came from naming Oscar 'Oscar,'" she said, according to USA Today. "I relinquish once and for all any claim."

The more-likely suspects

Perhaps a more likely source is Margaret Herrick, the Academy's mid-20th century librarian-turned-executive director.

She apparently referred to the statue as such in the 1930s "because it looked like her Uncle Oscar," said Monica Sandler, a film and media historian at Ball State University.

Sandler says Herrick is the most logical choice, given her proximity to the Academy.

Herrick joined her then-husband, executive director Donald Gledhill, at the Academy in the early 1930s as an unpaid volunteer, and became its official librarian in 1936. Herrick took over as interim executive director when he left for the Army in 1943.

She was formally appointed to the role two years later and led the Academy until her retirement in 1971.

"There are very few women with the type of power and control she had over an institution at that time in the industry," Sandler said.

Herrick is credited with building up the Academy's library into one of the world's primary film research centers, as well as negotiating the award show's first television contract — and a major step toward financial independence — in 1953.

Davis says she often took credit, in conversations and media interviews, for jokingly naming the Oscar after her uncle. But he's skeptical of Herrick's claim.

"We're not sure that she was really the first person to use that because she had difficulties over the ensuing years in identifying this Uncle Oscar," he explained.

Davis does, however, think that the most likely originator was someone else on the early staff of the Academy: Eleanore Lilleberg, a secretary and office assistant who apparently oversaw the pre-ceremony handling of the statuettes.

He said her name surfaced every now and then, but he didn't have "much hard proof" until after his retirement, when he got wind of the Einar Lilleberg Museum. It's a small community center in California's Green Valley honoring Eleanore's brother, Einar Lilleberg, an artist and craftsman. He booked a visit and immediately happened upon a box of Einar's writings.

"And I thought: 'This is it. Now, this is going to tell the story about the Oscar,'" Davis says. "And he almost did."

He said Einar's correspondence was light on detail, but unmistakably credited the naming to his sister, describing it as: "Yes, she got in the habit of doing that, and the rest of the staff thought it was amusing not to call them the 'Academy Award of Merit,' but just 'Oscar' … and it really did catch on."

So which Oscar did Lilleberg have in mind? Her brother's explanation, which Davis endorses, is that she was thinking back to a Norwegian veteran they had known as children in Chicago, who "was kind of a character in town and famous for standing straight and tall."

Davis wasn't able to track down that particular Oscar. But he says no one has challenged his theory in the years since his book was published, "so I'm sticking with it."

The lingering mystery 

While Davis takes some personal satisfaction in the outcome of his quest, he accepts that the mystery of the Oscar nickname may never be solved conclusively.

"If I had come up empty, I wouldn't be arguing that we need to change the name," he said. "But it's interesting that it became such a tradition. There were no film awards that had a personal name before Oscar gained his, and then … within the next couple of years … everybody started looking for a personal name."

Sandler, the media historian, says that because the Academy Awards were "really the first major pop culture award," many others used it as a template.

The prizes in other countries' most-prestigious award ceremonies have similarly personified names: France's César Awards, Mexico's Ariel Awards, Italy's David's. Plus, there are the Emmy and Tony awards, both products of the mid-20th century.

Davis says he's just satisfied that people are still interested in the Oscars, regardless of who they're named after.

"You feel closer to an award if you're on a first-name basis with it, I guess," he added.

After years of faded storefronts, Inglewood’s Market Street is getting a facelift.

The Inglewood City Council voted 4-0 on Tuesday to move forward with plans to split $8.5 million in state grant money among Market Street businesses for renovation projects. 

Market Street’s shopping area, which runs south from Florence Avenue, has visibly lagged behind other corners of Inglewood during the city’s decade-long building blitz. 

“It’s a ghost town for the most part,” said Jeffrey Psalms, owner of the Cuban Leaf Cigar Lounge. 

The revitalization of Market Street “has always been a priority,” said Bernard McCrumby, the city’s development services director. He said city officials want the street to become a cultural hub that represents the best parts of Inglewood.

City leaders are timing their beautification efforts to coincide with a hopeful boost in foot traffic from the planned Inglewood Transit Connector. The city is currently moving to take over the shopping mall on Market Street and Florence Avenue for the transit station.

A large part of the city’s planning are the business renovation grants — up to $250,000 cash grants that McCrumby said business owners can use for internal or external improvements. McCrumby said the grants are conditional on building owners keeping rents stable for five years. 

The city has been working on the project since early 2025. McCrumby said the first group of awardees were notified this week, with another group coming soon. PCR Business Finance, a development advisory firm, is being paid by the city to run the program. 

Not every business on Market Street will get a grant. The city had more than 80 applicants ask for more than $17 million in grants last summer — well over what the city has available — and won’t be opening up for new applications, McCrumby said. 

Owen Smith, one of the co-owners of The Miracle Theater, said the theater won a $250,000 grant that it will use to repair the theater’s marquee and refresh the outside paint. Smith said the theater is hoping the grants and permits will come through before the FIFA World Cup. 

“It’s a boost,” he said. “We’ll see what it turns into.” 

Psalms, the cigar lounge owner, said he wasn’t able to apply for a grant because he couldn’t track down the owner of his building to sign off on an application. To him, he said, the program was a bust.

Inglewood is aiming to have all of its Market Street beautification efforts done in advance of the Olympics, McCrumby said.

Market Street is going in a different direction from its heyday, official says

Psalms recalled a different level of energy on the street when he was a child visiting the former Fox Theatre, the Big 5 and the Inglewood Marketplace swap meet. He believes there’s still a lot of potential.

“The intention to be better is there. I don’t think we’ve been forgotten about,” Psalms said. 

Where development in other parts of the city has spiked in recent years, Market Street has lagged. Sip & Sonder, a Black-owned coffee shop that held down a flagship spot on Market Street for seven years, closed in December. 

Psalms estimated half of the storefronts around his lounge are vacant. His own business remains stable, he said, thanks to a stream of out-of-town visitors. 

McCrumby said the street is starting to “go in a different direction” from its heyday. More bars and restaurants line the street than before, he said, and city residents should expect more service businesses as residential development continues in Inglewood’s downtown core. 

The city is also in the middle of planning for streetscape improvements that could include new lighting and landscaping. Last week, the city hosted meetings with business owners and community members to get feedback on designs.

For decades, people applying for Medicaid were told their personal information — including their names, addresses and immigration status — would not be used for immigration enforcement.

But a December court ruling changed that. And that change has sent ripples of fear through families and communities.

"My daughter's life depends on Medicaid," says P., who asked that NPR identify her by her first initial only.

P. and her family have legal immigration status, but she fears that the health insurance keeping her medically fragile daughter alive could also put her family at risk of being detained or deported by immigration authorities.

For decades Medicaid promised eligible immigrants they wouldn't share information with immigration authorities. It was even explicitly written on government websites. Those commitments are no longer on the Medicaid website.

The promise was meant to assure eligible immigrants "to feel comfortable that they can access their care without fear of putting their immigration status into jeopardy," says Cindy Mann, who oversaw Medicaid during the Obama administration and now works at the legal and consulting firm Manatt Health.

Mann calls the change, which the Trump administration began quietly last year, a "180-degree reversal of longstanding policy."

'Anxiety every day'

P.'s 11-year-old daughter has Rett Syndrome, a rare neurological condition that makes it hard for her to eat, breathe, walk and talk.

"She receives in-home support," P. says, along with frequent visits to cardiologists, pulmonologists and other specialists. "She also receives [physical therapy], [occupational therapy], speech, aquatic therapy on a weekly basis."

All this care would cost tens of thousands of dollars without Medicaid — the joint state and federal health insurance program for more than 70 million people with low-incomes or disabilities.

P. says she and her husband are allowed to work in the U.S. legally and have private health insurance through their jobs. They have two children who qualify for Medicaid coverage because of disabilities.

"It brings us an amount of anxiety every day," P. says. She's had friends detained by immigration authorities and she worries about her family's safety. This is the case even though everyone in P.'s family has legal status, including two of their children who are citizens.

Unusual requests 

Twenty-two states have sued to stop federal health agencies from sharing Medicaid data with the Department of Homeland Security, including Arizona, Michigan and New Jersey. At the moment, following the December ruling in federal court in San Francisco, Medicaid can share names, addresses and other identifying information for people who are in the country unlawfully with immigration officials. In the remaining 28 states including Texas, Kentucky and Utah, there are no limits on what Medicaid data can be shared with Immigration and Customs Enforcement and other entities.

Some other recent federal actions are raising new alarms.

One former state Medicaid director told NPR they received what they described as a highly unusual request from the federal government in summer 2025 — a list of mostly Latino-looking last names, with instructions to check only immigration status.

The director, who spoke on condition of anonymity because they were not authorized to discuss federal communications, said that's not how these reviews typically work. Usually, states are asked to review all criteria — income, disability and immigration status — to determine eligibility for the program, not single out one factor.

The director says they were floored. After reviewing the cases, they found everyone on the list remained eligible to continue with Medicaid.

Last August, the federal agency that oversees Medicaid, the Centers for Medicare & Medicaid Services (CMS), started a new initiative to review immigration status of Medicaid enrollees. The agency said in a press release it would start sending monthly enrollment reports with names of people it needed states to verify.

The Department of Homeland Security did not respond to NPR's questions about whether the data has been used for immigration enforcement. In the Federal Register and in a memo issued in October 2025, ICE says that it is rescinding a 2013 policy that said CMS and HHS data would not be used for immigration enforcement. The Associated Press first reported on the Trump administration's change in July 2025.

Choosing between care and fear

At Venice Family Clinic in Los Angeles, staff say patients are increasingly asking whether it's safe to remain on Medicaid.

Pattie Lopez manages the clinic's health insurance department. She says one patient became so worried about the policy change that she dropped her coverage — only to return after struggling without it.

"She found it incredibly hard to go without health coverage," Lopez says. "Now she's here taking a risk because she needs her medication."

Venice Family Clinic is qualified to receive special federal funding to take care of vulnerable communities, and 80% of its 45,000 patients rely on Medicaid. If people drop coverage but still need care, the clinic could face financial strain. It has already frozen hiring and is looking for other ways to cut costs.

Andrew Cohen, an attorney with Health Law Advocates in Massachusetts, said that for people already enrolled in Medicaid or other programs, the federal government likely has their information already.

"So remaining on coverage may be no additional risk," he said. "But there are instances where it may not be safe for everybody."

Some immigrants may be weighing whether to sign up or continue coverage. For P., though, walking away from Medicaid isn't possible.

"We don't have any other option," she says about dropping coverage for her severely disabled daughter. "We will have to risk that."

Without the coverage, she says, it's her daughter's life that would be at risk.