Hundreds of millions of dollars — and possibly billions — for Minnesota's Medicaid program are in limbo as part of the Trump administration's crackdown on fraud.
Unprecedented: Health care policy experts say the threats to Medicaid funding are unprecedented — going far beyond the typical steps to address fraud and at a scale that could disrupt services for patients.
MN could be a test case: While Minnesota has been under unique federal pressure, the Centers for Medicare and Medicaid Services has also sent letters to California, New York and Maine, raising concerns about potential fraud in each of the state's Medicaid programs. A Medicaid policy expert, who also served as a senior adviser to CMS during the Obama administration, said this step could be an early warning signal for deferring or withholding federal Medicaid funding in those states.
Read on... for how CMS has halted federal funds in Minnesota's program, and what it means for other states.
When Sarah Lindbo's 14-year-old daughter Greta is thriving, she is playful, engaged and not in pain.
Greta, who has cerebral palsy, requires a range of supports to get to that point. That includes doctors, medical equipment, prescriptions, a paraprofessional at school and a care assistant at home. Many of these services depend on Medicaid.
" Medicaid makes a huge impact in our day-to-day life," Lindbo said. "It is the foundation of what gives Greta her experience at school and in our community and our family."
But lately, Lindbo has been nervous. She and her family live in Minnesota where hundreds of millions of dollars — and possibly billions — for the state's Medicaid program are in limbo as part of the Trump administration's crackdown on fraud. It came after federal prosecutors last year alleged that billions may have been stolen from Minnesota's Medicaid program over the years and charged a number of people with Medicaid fraud.
Dr. Mehmet Oz, who oversees the Centers for Medicare and Medicaid Services, has argued that widespread fraud has persisted for too long, hurting both taxpayers and those who rely most on the program.
"This is not a problem with the people of Minnesota. It's a problem with the leadership of Minnesota and other states who do not take Medicaid preservation seriously," he said at a press conference on Feb. 25.
But health care policy experts say the threats to Medicaid funding are unprecedented — going far beyond the typical steps to address fraud and at a scale that could disrupt services for patients.
"If this becomes the framework for addressing fraud, it's really destabilizing," said Allie Gardner, a health policy researcher at the Center on Budget and Policy Priorities, a progressive think tank. " It risks the coverage and care for those that depend on the program."
CMS declined to comment, citing pending litigation. Earlier this month, Minnesota filed a federal lawsuit over a portion of the frozen Medicaid funds. In a press release announcing the suit, Minnesota Attorney General Keith Ellison asserted that the state has taken a concerted effort against fraud and the federal government's "cut first" approach risks care for Minnesotans.
"The Trump Administration's M.O. is to cut first, no matter what the law says or who gets hurt, and ask questions later, if at all," he said.
Breaking down what's happening to Minnesota's Medicaid funds
Administrator for the Centers for Medicare & Medicaid Services Dr. Mehmet Oz speaks during a news conference on efforts to combat fraud, at the White House on Feb. 25, 2026.
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The federal government partners with states to fund Medicaid. But after widespread fraud allegations surfaced in Minnesota, CMS announced it would halt federal funds for the state's program in two ways — retroactively and going forward.
The retroactive move is called deferral. In February, CMS said it would delay reimbursing about $259.5 million that the state spent on Medicaid last summer, citing concerns about potential fraud and coverage for patients without legal status, who are not eligible for Medicaid.
The federal agency asked the state to prove that funds were spent lawfully across 14 categories of providers which Minnesota had previously identified as "high risk" for fraud. (Last year, the state shut down one of the programs, Housing Stabilization Services, citing widespread fraud.)
Deferrals are a standard oversight tool for CMS but they are typically narrow in scope — like a review of a specific set of claims, according to Gardner. When deferrals are too broad or vague, it can be more difficult and time-consuming for the state to gather the proper evidence and respond to the issues, she said.
"The state kind of has to shoot in the dark in responding to CMS on what documentation they need to provide," Gardner said. "What is the scope of information needed? Do they need documentation to justify every single claim?"
The second move is known as withholding. Here, the federal government is saying it will hold off payments for future care.
That decision came after CMS asked Minnesota in December for a plan on how it will prevent future fraud. The state later submitted a proposal with a list of actions, including strengthening certain review processes and pausing provider enrollment in the "high risk" programs.But in January, Dr. Oz announced that the state's plan was "deeply insufficient," and therefore, CMS intended to withhold about $2 billion annually in future federal funding.
According to Gardner, this kind of move is rare, especially with an amount this large. Using both deferral and withholding simultaneously puts Minnesota at risk of a massive and sudden financial hit.
" CMS' use of both of these processes to go after the same services at the same time — that's really concerning," she said. "Especially given the significant financial consequences to the state and providers as well as, to the care and coverage of Medicaid enrollees."
Before CMS can start withholding future funds, the state has an opportunity for a hearing. If CMS decides not to release the funds in deferral, the state also has a chance to appeal. Minnesota's lawsuit pertains to a bulk of the money stuck in deferral.
Minnesota could be a test case for other states
Attorneys representing CMS have argued the $259.5 million in deferral involves services that were already paid for by the state, which only represent about 7% of quarterly federal funds owed to Minnesota.
But Andy Schneider, a Medicaid policy expert with the Georgetown Center for Children and Families, said the state likely planned its budget with the expectation of receiving those reimbursement funds.
" The federal government has just told the state, you have $259 million less to work with for the services that are happening now," he said. "That's a lot in a short period of time."
The potential loss of $2 billion in future funding would be even more challenging for the state to manage, according to Schneider. It could slow payments to providers and delay the enrollment of new patients. It could also force the state to cut reimbursement rates and limit the number of services it covers, he added.
While Minnesota has been under unique federal pressure, CMS has also sent letters to California, New York and Maine, raising concerns about potential fraud in each of the state's Medicaid programs.
Schneider, who also served as a senior adviser to CMS during the Obama administration, said this step could be an early warning signal for deferring or withholding federal Medicaid funding in those states.
Earlier this month, the House Committee on Energy and Commerce launched investigations over Medicaid fraud in 10 states: California, Colorado, Massachusetts, Maine, Nebraska, New York, Oregon, Pennsylvania, Vermont and Washington. All but Nebraska and Vermont are led by Democratic governors.
Schneider agrees that it's important to root out bad actors exploiting Medicaid, but he argues that federal-state collaboration is essential to tackling fraud concerns while not jeopardizing people's access to care.
" If they were really worried about it, they would continue to do what we did in the past, which is to work cooperatively with the state," he said.
When Lindbo first heard about the potential threats to Medicaid, she got emotional. Although her family has private health insurance, Lindbo said it does not cover many of her daughter's critical services, such as the school paraprofessional who helps Greta get ready for class and assists Greta if she has a seizure.
According to Lindbo, any disruption to Greta's care could undo the progress she has made.
" Regression is real," she said. "That would just be so heartbreaking because she's worked really hard. People who work with her work really hard and those systems need to stay in place so she can continue to grow."
Copyright 2026 NPR
Exterior of the SAG-AFTRA Labor union building on Wilshire boulevard in Los Angeles, CA.
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Topline:
SAG-AFTRA, the union representing Hollywood actors, reached a tentative agreement with major studios yesterday Saturday on a new contract covering films, scripted TV dramas, and streaming content.
Why it matters: The tentative agreement still needs to be approved by the SAG-AFTRA National Board, which the union says will meet in the coming days to review the terms. Details of the new contract won’t be released before then.
The backstory: The actors'union began negotiating with Alliance of Motion Picture and Television Producers (AMPTP) in February. In 2023, actors went on a four-month strike along with Hollywood writers after negotiations for their respective contracts fell through. In late April, the Writers Guild of America approved their new labor contract.
The Academy of Motion Picture Arts and Sciences has announced several significant rule changes for the 99th Oscars, including AI protections for actors and writers as well as expanded eligibility for international films.
Details: Among the most noteworthy changes, the Academy now explicitly states that only roles, "demonstrably performed by humans with their consent" are eligible for Acting awards. In other words, AI creations like the much-hyped Tilly Norwood cannot hope to win a Best Actress Oscar anytime soon.
Why now: In a statement to NPR, the Academy on Saturday said the changes are in response to listening to the global filmmaking community and addressing barriers to entry in its eligibility process.
The Academy of Motion Picture Arts and Sciences has announced several significant rule changes for the 99th Oscars, including AI protections for actors and writers as well as expanded eligibility for international films.
In a statement to NPR, the Academy on Saturday said the changes are in response to listening to the global filmmaking community and addressing barriers to entry in its eligibility process.
The Academy added that its rules and eligibility standards have always evolved alongside technologies such as sound, color, and CGI, and that AI is no different. Awards rules and guidelines are reviewed and refined each year.
A blow for Tilly Norwood
Among the most noteworthy changes, the Academy now explicitly states that only roles, "demonstrably performed by humans with their consent" are eligible for Acting awards. In other words, AI creations like the much-hyped Tilly Norwood cannot hope to win a Best Actress Oscar anytime soon.
Particle6, the production company behind Norwood, did not immediately respond to NPR's request for comment on Saturday about its creations' ban from consideration. In March, Norwood commented, "Can't wait to go to the Oscars!" in an Instagram post announcing its newly released music video.
The Academy also requires screenplays to be "human-authored" and said it reserved the right to investigate the use of generative AI in any submission.
Meanwhile, qualifying flesh-and-blood human actors can now be nominated for multiple performances in the same category if those performances get enough votes to land in the top five. So, someone like Anne Hathaway, who has five major movies scheduled for release in 2026, could now theoretically sweep the nominations – though that outcome seems extremely unlikely.
"If an actor has an extremely prolific year, might we even see someone swallow up three of the five nominations?," wrote Deadline's awards columnist and chief film critic Pete Hammond about the changes. "Probably won't happen, but it's now possible."
Under previous rules, an actor could only receive one nomination per category. If they had two high-ranking performances in Best Actor, for example, only the one with the most votes would move forward.
International films prioritizes filmmakers over countries
While international films can still be the official selection of their countries, now they can qualify by winning the top prize at a major international festival such as the Palme d'Or at Cannes, the Golden Lion at Venice, or the World Cinema Grand Jury Prize at Sundance.
Historically, countries "owned" the nomination, and only one film per country was allowed. The new rules allow multiple films from the same country to compete if they are critically acclaimed, and it shifts the honor from a geopolitical entity to the filmmakers themselves.
Largely positive response
The changes have prompted a largely positive reaction from the film community on social media, such as on the popular The Shade Room entertainment and celebrity-focused Instagram feed, where commenters widely praised the "human-only" move to protect creative jobs.
The Academy's Awards Committee oversees the rules in tandem with branch executive committees, the International Feature Film Executive Committee and the Scientific and Technical Awards Executive Committee.
The rules are scheduled to go into effect next year, covering films released in 2026.
Copyright 2026 NPR
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Robert Garrova
explores the weird and secret bits of SoCal that would excite even the most jaded Angelenos. He also covers mental health.
Published May 3, 2026 5:00 AM
The main structure of the Verdugo Lodge.
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Kadletz Family Archives
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Topline:
Even in rapidly changing and often paved over L.A., there are still places where you can find ruins that tell a tale. Take the Verdugo Lodge: a long-forgotten speakeasy for old Hollywood near La Crescenta.
The background: According to Mike Lawler of the Historical Society of the Crescenta Valley, the timeline isn’t perfectly clear, but some of the compound was built in the 1920s. It was set up kind of like a timeshare where people bought 10 x 10 foot "tent lots" that gave them access to on-site amenities. There was a golf course, stables, trout stream, a swimming pool... and a lodge with gambling and alcohol.
From speakeasy to 'Mountain Oaks': Sometime around the early 1930s, the tawdry Verdugo Lodge and the surrounding land were purchased and then renamed Mountain Oaks by the Kadletzes — an entrepreneurial family who had run everything from a Turkish bath to a mini golf course. Over the next few decades, the family would rent the place out to local groups for recreational retreats.
Los Angeles changes fast, and oftentimes that means some of the architectural relics of our shared past get swept up and paved over in all the "progress." (RIP Garden of Allah.)
But there are still places where you can find ruins that tell a tale, like a long-forgotten speakeasy reputedly for old Hollywood near La Crescenta.
The ruins are still there
On a recent afternoon, author and local historian Mike Lawler led me just beyond the boundary of Crescenta Valley Park. Joggers like me might have seen an old, towering stone arch shrouded by bushes there — and wondered what lies beyond.
Turns out there was once a place called the Verdugo Lodge back there and Lawler has spent years excavating its history.
A car speeds away from the lodge onto New York Avenue. The stone archway that still stands can be seen in the background.
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“It was a very high-end speakeasy for a time,” Lawler, who also helps run the Historical Society of the Crescenta Valley, said. “An amazing thing. And all the ruins are still here, just like this arch.”
Lawler said we don’t know exactly when the lodge was built, but we do have some of the picture starting in the late 1920s. The place was set up kind of like a timeshare where people bought 10 x 10 foot ‘tent lots’ that gave them access to on-site amenities. There was a golf course, stables, trout stream, a swimming pool — and a lodge with gambling and alcohol.
“The Crescenta Valley in the teens and '20s was a hotbed of moonshine, prostitution, all that stuff," Lawler said. "It was a quiet little community. But in all these canyons up here, stuff was going on. Illegal stuff!”
We don’t have a full guest list, but Lawler said it’s likely at least a few Hollywood types had gone up to the lodge to circumvent Prohibition era laws.
In some ways, it was kind of like the original glamping. Lawler said patrons probably weren’t doing much sleeping, though.
“They might have been unconscious!” he said with a chuckle.
Lawler led me to a road that swooped around a meadow. We passed by a massive swimming pool nestled into the hillside.
Once known as the “Crystal Pool,” it’s now empty and fenced off, with pitch black locker rooms below.
The exterior of the locker rooms for the old Crystal Pool.
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We continued our journey up the hill and eventually arrived at a cascading stone stairway.
And at the top, the big show: overgrown with orange monkey flowers and goliath agaves lies the foundation of the old Verdugo Lodge, with lofty stone fireplaces the only guardians keeping the surrounding oak trees at bay.
Lawler takes out a floorplan that one of the former owners drew up for him.
“This is what it was laid out like on the inside. So a dancehall, and band stand on that side... And then upstairs was the gambling,” Lawler said.
Lawler had in hand a copy of a Los Angeles Times article from 1933 he found. The headline reads: “Revelers Flee in Lodge Raid.”
“The police that raided it were here at 3 o'clock in the morning. And there were still 500 people here. And they said it was the classiest joint they had ever raided... Anyway, people were diving out of windows and everything,” Lawler explained.
In a ruin like this, covered with moss and overgrowth, the imagination can run wild, too.
The archway that still stands outside of what's now known as Mountain Oaks.
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Lawler pointed out a questionable door jam below the old dancefloor that’s been cemented over.
“That is a door. So what is behind there? So there’s a room in there that got walled in for some reason,” he said.
What we do know is that, sometime after the raid, the tawdry Verdugo Lodge and the surrounding land were purchased and then renamed Mountain Oaks by the Kadletzes — an entrepreneurial family who had run everything from a Turkish bath to a mini golf course. Over the next few decades, the family would rent the place out to local groups for recreational retreats.
The future of Mountain Oaks
After they sold it in the ‘60s, Lawler said Mountain Oaks faced a “nightmare” of development threats. Over the years, some of the subdivided "tent lots" had been combined and sold off, Lawler said. A dozen private homes now stand on these pieces of land, next to the ruins of the Verdugo Lodge.
A map showing the Mountain Oaks public property acquired by The Mountains Recreation and Conservation Authority (MRCA).
Paul Edelman, MRCA's director of natural resources and planning, said his group will continue to manage the land, doing things like brush clearance, trash pickup and sign maintenance. And he said there are no current plans to remove the ruins or make any major changes to the property.
“If somebody comes up with a grand idea where they can find some funding for us to do something to enhance it, we’re always open to it,” Edelman said.
The purchase was good news for local preservationist Joanna Linkchorst.
“I grew up directly up the hill. But I always saw the sign that said ‘private property’ and didn’t really think about it until several years ago when I finally asked Mike. And he said, ‘Oh yeah, we got a resort speakeasy down the street,’” Linkchorst said standing among the oaks and overgrowth.
“There’s almost like these little ghosts in your head as you imagine what it was like when there was a beautiful wood floor and there was a second floor that people came jumping out of,” Linkchorst said.
Robert Garrova
explores the weird and secret bits of SoCal that would excite even the most jaded Angelenos. He also covers mental health.
Published May 3, 2026 5:00 AM
A screen capture of one of Chieh's 3D rendering of the Colorado Room inside the fictional Overlook Hotel
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YouTube screenshot
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Topline:
A local architect who hails from South Pasadena has meticulously crafted a 3D model of the iconic and fictional Overlook Hotel made famous in the Stanley Kubrick film, The Shining.
The background: At his day job, architect Anthony Chieh mainly works on residential and boutique commercial spaces. But over the course of five months, he spent his nights recreating a virtual replica of the Overlook Hotel.
What’s next? Chieh says he’s thinking about giving the spaceship from “2001: A Space Odyssey" the virtual treatment next. Or maybe turning to a local non-fictional space, like the Stahl House.
Now, let’s check in to the Overlook Hotel.
That’s the fictional place Stanley Kubrick brought to life in his 1980 film The Shining, loosely based on Stephen King’s novel of the same name.
A local architect who hails from South Pasadena meticulously crafted a 3D model of the iconic space so Shining fans everywhere never have to check out.
‘I just couldn’t stop’
At his day job, architect Anthony Chieh mainly works on residential and boutique commercial spaces. But over the course of five months, he spent his nights meticulously recreating a virtual replica of the Overlook Hotel from the film that first scared him when he was 12.
Of course he started with the deeply haunted Room 237. That’s where Jack Torrance, played by Jack Nicholson, has a terrifying encounter with a ghostly woman.
Chieh's 3D rendering of Room 237
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Anthony Chieh
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“But once I started, I just couldn’t stop,” Chieh told LAist.
“I ended up modeling the Colorado Lounge, and then after that I was thinking maybe I should make the lobby and then arriving to the Gold Room, and then Grady’s bathroom.”
“It’s like a rabbit hole,” he said.
Experience the virtual Overlook Hotel You can download Chieh's digital model of the Overlook Hotel by clicking the link in the comments section of his YouTube essay on the subject.
Users who download Chieh’s free 3D model can fly through all of those spaces, immersed in atmospheric sounds and music from the film.
“It’s interesting to dive into these kind of fictional environments and try to make sense of it,” Chieh said. “And the hope is people will get a different perspective once they’re in there.”
Kubrick’s take on the Overlook was famously inspired by real hotels like the Timberline Lodge in Oregon and the Ahwahnee in Yosemite. But the interiors you see in the film were created on sound stages in England.
“Real architecture, physical buildings, are built for people to live. And for movies, these are more meant to express the emotional aspect of things. It’s a psychological construct,” Chieh said.
In a recently published video essay on YouTube, Chieh dives deep into those psychological constructs and how, as he puts it, “Kubrick designed the Overlook Hotel not as a backdrop, but as the film's true villain.”
How spaces scare
Chieh said during the monthslong process he was reminded of the power of architecture and design in the real world too – whether it’s an uncomfortably repetitive carpet design or a claustrophobic hallway.
“A physical construct can affect your emotion,” Chieh said.
“You can use it in a way to make people feel comfortable and you can also use it in a way to create fear.”
Chieh's 3D rendering of the Torrance's apartment in 'The Shining'
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Anthony Chieh
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What’s next for this architect moonlighting as a 3D modeler?
Chieh says he’s thinking about giving the spaceship from “2001: A Space Odyssey" the virtual treatment next. Or maybe turning to a local non-fictional space, like the Stahl House.
That is, of course, if he can ever escape the Overlook.