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By Katheryn Houghton and Arielle Zionts, KFF Health News (TNS) Tescha Hawley learned that hospital bills from her son’s birth had been sent to debt collectors only when she checked her credit score while attending a home-buying class. The new mom’s plans to buy a house stalled. Hawley said she didn’t owe those thousands of dollars in debts. The federal government did. Hawley, a citizen of the Gros Ventre Tribe, lives on the Fort Belknap Indian Reservation in Montana. The Indian Health Service is a federal agency that provides free health care to Native Americans, but its services are limited by a chronic shortage of funding and staff. Hawley’s local Indian Health Service hospital wasn’t equipped to deliver babies. But she said staff there agreed that the agency would pay for her care at a privately owned hospital more than an hour away. That arrangement came through the Purchased/Referred Care program, which pays for services Native Americans can’t get through an agency-funded clinic or hospital. Federal law stresses that patients approved for the program aren’t responsible for any of the costs. But tribal leaders, health officials, and a new federal report say patients are routinely billed anyway as a result of backlogs or mistakes from the Indian Health Service, financial middlemen, hospitals, and clinics. The financial consequences for patients can last years. Those sent to collections can face damaged credit scores, which can prevent them from securing loans or require them to pay higher interest rates. The December report , by the federal Consumer Financial Protection Bureau, found these long-standing problems contribute to people in Native American-majority communities being nearly twice as likely to have medical debt in collections compared with the national average. And their amount of medical debt is significantly higher. The report found the program is often late to pay bills. In some cases, hospitals or collection agencies hound tribal citizens for more money after bills are paid. Hawley’s son was born in 2003. She had to wait another year to buy a home, as she struggled to pay off the debt. It took seven years for it to drop from her credit report. “I don’t think a person ever recovers from debt,” Hawley said. Hawley, a cancer survivor, still must navigate the referral program. In 2024 alone, she received two notices from clinics about overdue bills. Frank White Clay, chairman of the Crow Tribe in Montana, testified about the impact of wrongful billing during a U.S. House committee hearing in April. He shared stories of veterans rejected for home loans, elders whose Social Security benefits were reduced, and students denied college loans and federal aid. “Some of the most vulnerable people are being harassed daily by debt collectors,” White Clay said. No one is immune from the risk. A high-ranking Indian Health Service official learned during her job’s background check that her credit report contained referred-care debt, the federal report found. Native Americans face disproportionately high rates of poverty and disease , which researchers link to limited access to health care and the ongoing impact of racist federal policies . White Clay is among many who say problems with the referred-care program are an example of the U.S. government violating treaties that promised to provide for the health and welfare of tribes in return for their land. The chairman’s testimony came during a hearing on the Purchased and Referred Care Improvement Act, which would require the Indian Health Service to create a reimbursement process for patients who were wrongfully billed. Committee members approved the bill in November and sent it for consideration by the full House. A second federal bill, the Protecting Native Americans’ Credit Act , would prevent debt like Hawley’s from affecting patients’ credit scores. The bipartisan bill hadn’t had a hearing by mid-December. The exact number of people wrongfully billed isn’t clear, but the Indian Health Service has acknowledged it has work to do. The agency is developing a dashboard to help workers track referrals and to speed up bill processing, spokesperson Brendan White said. It’s also trying to hire more referred-care staff, to address vacancy rates of more than 30%. Officials say problems with the program also stem from outside health providers that don’t follow the rules. Melanie Egorin, an assistant secretary at the U.S. Department of Health and Human Services, said at the hearing that the proposed legislation doesn’t include consequences for “bad actors” — health facilities that repeatedly bill patients when they shouldn’t. “The lack of enforcement is definitely a challenge,” she said. But tribal leaders warned that penalties could backfire. Related Articles Health | How America lost control of the bird flu, setting the stage for another pandemic Health | How to kick back, relax and embrace a less-than-perfect holiday Health | New childhood leukemia protocol is ‘tremendous win’ Health | For some FSA dollars, it’s use it or lose it at year’s end Health | Norovirus is rampant. Blame oysters, cruise ships and holiday travel White Clay told lawmakers that some clinics already refuse to see patients if the Indian Health Service hasn’t paid for their previous appointments. He’s worried the threat of penalties would lead to more refusals. If that happens, White Clay said, Crow tribal members who already travel hours to access specialty treatment would have to go even farther. The Consumer Financial Protection Bureau report found clinics are already refusing to see any referred-care patients due to the program’s payment problems. The bureau and the Indian Health Service also recently published a letter urging health care providers and debt collectors not to hold patients accountable for program-approved care. White, the Indian Health Service spokesperson, said the agency recently updated the referred-care forms sent to outside hospitals and clinics to include billing instructions and to stress that patients aren’t liable for any out-of-pocket costs. And he said the staff can help patients get reimbursed if they have already paid for services that were supposed to be covered. Joe Bryant, an Indian Health Service official who oversees efforts to improve the referral program, said patients can ask credit bureaus to remove debt from their reports if the agency should have covered their bills. Leaders with the Confederated Tribes of the Colville Reservation in Washington state helped shape the proposed legislation after their citizens were repeatedly harmed by wrongful billing. Tribal Chairman Jarred-Michael Erickson said problems began in 2017, when a regional Indian Health Service office took over the referred-care program from local staff. It “created a domino effect of negative outcomes,” Erickson wrote in a letter to Congress. He said some tribal members whose finances were damaged stopped using the Indian Health Service. Others avoided health care altogether. Responsibility for the Colville Reservation program transferred back to local staff in 2022. Staffers found the billing process hadn’t been completed for thousands of cases, worth an estimated $24 million in medical care, Erickson told lawmakers . Workers are making progress on the backlog and they have explained the rules to outside hospitals and clinics, Erickson said. But he said there are still cases of wrongful billing, such as a tribal member who was sent to collections after receiving a $17,000 bill for chemotherapy that the agency was supposed to pay for. Erickson said the tribe is in the process of taking over its health care facilities instead of having the Indian Health Service run them. He and others who work in Native American health said tribally managed units — which are still funded by the federal agency — tend to have fewer problems with their referred-care programs. For example, they have more oversight over staff and flexibility to create their own payment tracking systems. But some Native Americans oppose tribal management because they feel it releases the federal government from its obligations. Beyond wrongful billing, access to the referred-care program is limited because of underfunding from Congress. The $1 billion budget this year is $9 billion short of the need, according to a committee report by tribal health and government leaders. Donald Warne, a physician and member of the Oglala Sioux Tribe in South Dakota, called the proposed legislation a “band-aid.” He said the ultimate solution is for Congress to fully fund the Indian Health Service, which would reduce the need for the referred-care program. Back in Montana, Hawley said she braces for a fight each time she gets a bill that the referral program was supposed to cover. “I’ve learned not to trust the process,” Hawley said. ©2024 KFF Health News. Distributed by Tribune Content Agency, LLC.Autodesk director Lorrie Norrington sells $543,925 in stock

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INDIANAPOLIS (AP) — Jared Goff and the Detroit Lions spent three months scoring at a historic rate. Now with the weather changing outside, they’re winning with old school football, too. Jahmyr Gibbs rushed for two scores , David Montgomery added a third TD run and Detroit's increasingly stingy defense kept the Indianapolis Colts out of the end zone on Sunday, leading the Lions to their ninth straight win, 24-6. “This is, whatever it is, 10 quarters without allowing a touchdown and the three last games in the second half we're not allowing it,” coach Dan Campbell said. “We talk about it all the time — limiting points, play physical style, shut down the run — we were able to do that.” They've been doing it all season in their greatest run in decades, but have been more effective lately and it has shown. The Lions improved to 10-1 for the first time since 1934, their inaugural season in the Motor City. They own the league's longest active winning streak and are 6-0 on the road this season. While the Lions have scored points by the dozens all season, Campbell's preference for physical football means they're equally capable of grinding out wins with the combination of a ball-control offense and an ascending defense that propelled them to this win. Gibbs finished with 21 carries for 90 yards on a day Goff went 26 of 36 with 269 yards and no touchdowns. And for the third straight week, all against AFC South foes, the Lions had a second-half shutout. “If you can win on the road, you're normally a pretty damn good team,” Campbell said. “And we can win on the road.” The Colts (5-7) found out the hard way by losing their second straight home game and for the fourth time in their past five games. Anthony Richardson had another up-and-down game , going 11 of 28 with 172 yards while rushing 10 times for 61 yards. But it was Indy's inability to finish drives with touchdowns that again cost the team. That flaw was evident right from the start when Richardson took the Colts inside the Lions 5-yard line on the game's first series and settled for a short field goal when they couldn't punch it in. “We've got to take advantage of our opportunities,” Colts coach Shane Steichen said. “This league comes down to inches, it comes down to yards and you've got to take advantage of those opportunities. We've had issues down in the red zone and you have to look at the tape and clean it up.” Detroit made Indy pay dearly for its offensive miscues. Gibbs' 1-yard TD run on the Lions' second series made it 7-3 early in the second quarter and after Indy settled for another short field goal, Montgomery spun his way across the goal line for a 6-yard TD and a 14-6 lead. Detroit's defense made sure that was all the scoring punch it needed. “Those players, we've been around each other long enough, they've been around each other to know exactly what we're looking for,” Campbell said. “We have an identity about us. We know the critical factors as they pertain to winning, and those guys take that stuff serious.” Gibbs' 5-yard TD run late in the third quarter gave Detroit a 21-6 lead and they closed it out with a 56-yard field goal midway through the fourth. Amon-Ra St. Brown caught six passes for 62 yards for Detroit while Michael Pittman Jr. had six catches for 96 yards for Indy despite leaving briefly in the first half with an injured shoulder. Gibbs' first score extended Detroit's league record to 25 consecutive games with a TD run, including the playoffs. He's also the third Lions player with 1,000 scrimmage yards and 10 TDs in each of his first two pro seasons with Detroit, joining Billy Sims and Barry Sanders. Gibbs and Montgomery have each scored at least one TD in the same game nine times. Lions: Things got ugly during a third-quarter flurry. Receiver-punt returner Kalif Raymond (foot), left tackle Taylor Decker (right leg) and Montgomery (shoulder) all left in quick succession. Raymond and Montgomery did not return. Decker did. CB Carlton Davis II left early in the fourth with what appeared to be a left knee injury. Colts: Indy deactivated left tackle Bernhard Raimann (knee), forcing the Colts to again use three rookie linemen. Receivers Ashton Dulin (ankle) and Josh Downs (shoulder) both left in the second half. Downs returned, Dulin did not. Lions: Host Chicago in its traditional Thanksgiving Day game. Colts: Visit New England next Sunday. AP NFL: https://apnews.com/hub/NFLSyrian rebels overthrew President Bashar Assad on Dec. 8, ending his family’s more than 50 years of rule in the country. Assad reportedly fled to Russia, where he was granted political asylum. One image shared across social media appears to show Assad and his wife arriving in Russia after fleeing Syria. A video shared thousands of times appears to show the aftermath of his plane after it crashed. A graphic image of a man being tortured has been shared with claims it shows a real scene from inside one of the notorious prisons in Syria. Does this image show Assad and his wife arriving in Russia? No, this image doesn’t show Assad and his wife arriving in Russia. It’s from February 2023 and was taken in Syria. Kremlin spokesperson Dmitry Peskov confirmed to TASS, a Russian news agency, that Assad and his family were granted political asylum in Russia, but VERIFY has been unable to find any photographic evidence of their arrival in the country. The image being shared is nearly two years old. Using RevEye, VERIFY conducted a reverse image search and found the image was lifted from this video posted to YouTube on Feb. 10, 2023 by Syria Stream , a channel that posts Syrian news footage. The video shows Assad visiting a hospital in Aleppo, Syria, on Feb. 10, 2023, after a 7.8 magnitude earthquake hit the region. When comparing the viral image and the 2023 video, Assad and his wife are wearing the same outfits, standing with the same people and walking through the same hallway. Does this video posted on social media show the aftermath of Assad’s plane crash? No, this video doesn’t show the aftermath of Assad’s plane crash. The video predates Assad’s ousting from the Syrian government. This video doesn’t show the aftermath of Assad’s plane crashing. It shows a different plane crash and is unrelated to the recent events in Syria. Using InVid , a video forensics tool, VERIFY analyzed the video and conducted a reverse image search of each frame. The same video was posted to X on Sept. 3, 2024 , appearing to show an Indian Air Force plane crash near the Indian border with Pakistan. The original post says, “A MiG-29UPG of the #India 's Air Force crashed last night near the border with #Pakistan , tallying at the 6th crash of the IAF in 2024 till date.” The Indian Air Force confirmed the crash , saying the IAF MiG-29 crashed after a malfunction and the pilot was able to eject safely. TASS, a Russian news agency, reported that Assad and his family members arrived in Moscow, and did not die in a plane crash. Does this image show a real scene of torture under Assad’s reign in Syria? No, the image doesn’t show a real scene of torture under Assad’s reign. It is actually a wax museum exhibit in Iran. Human rights organizations have long accused Assad and the Syrian government of torture, but this image does not show that. It’s actually an image of an exhibit at the Ebrat Museum in Tehran, Iran. The museum, a former prison, uses wax mannequins to portray human rights abuses carried out by the SAVAK, Iran’s pre-revolution intelligence agency. Nearly identical images from the exhibit, featured in Persian news articles about the museum, match the scene falsely claimed to depict Syria. The museum has posted images of similar wax figures on Instagram.Zuora Reports Third Quarter Fiscal 2025 Results

Gorilla Technology Group Inc . GRRR shares are on the rise Monday after the company announced some strategic advancements in the AI infrastructure space. What To Know: Gorilla Technology has partnered with Edgecore Networks to launch self-branded AI GPUs, using Intel's Gaudi architecture and Edgecore's 800G Ethernet switches. “With the launch of our self-branded AI GPUs, Gorilla is not merely participating in the AI compute market; we believe we are redefining it by boldly addressing underserved regions and shaping the future of intelligent urban infrastructure,” said Jay Chandan , Chairman and CEO of Gorilla. Gorilla Technology stated its intention to target deployments of its AI GPUs across over 50 planned or proposed AI data centers by 2032, with further expansion anticipated in underserved markets by 2035. By offering integrated solutions under its own brand, Gorilla aims to simplify procurement and improve compatibility for city planners and officials. What Else: Northland Capital Markets maintained an Outperform rating on the stock and raised its price target from $9 to $13. GRRR Price Action: Gorilla Technology Group shares were up 18.9% at $7.82 at the time of writing, according to Benzinga Pro. Read Next: Six Flags-Cedar Fair Merger Unlocks $200 Million In Synergies, Analyst Sees Big Growth Potential © 2024 Benzinga.com. Benzinga does not provide investment advice. All rights reserved.US-listed shares of Toyota surged 9% Thursday to trade at an intraday high of $197.44. The rise came after Nikkei reported the company aims to double its ROE target to 20%, citing an unnamed executive. The stock has cratered since reaching an all-time high in March amid slowing demand growth and tariff risks. Toyota 's stock is skyrocketing as investors look to cash in on the company's reported efforts to increase profitability. US-listed shares surged 9% as of Thursday afternoon to trade at an intraday high of $197.44. The company's Tokyo-listed shares, meanwhile, rose 6% for an 11% gain over two days, its biggest two-day advance since August. The stock's rise comes after the Nikkei newspaper reported the company aims to double its return on equity target to 20%, up from market forecasts of 11% for the year ending in March. The report cites a company executive who asked not to be named. Toyota's surge brings the company's gains to just over 8% this year, underperforming the S&P 500 's 26% year-to-date rally. The stock's latest rise helps pare recent losses after it had skyrocketed as much as 40% on a year-to-date basis in March. It's largely cratered since amid little demand growth compared to other auto giants like Honda , Nissan, and Mazda , despite being the world's biggest automaker after Germany's Volkswagen AG. The Japanese carmaker's global sales plateaued in November amid slowing demand and a pause in production at two of its facilities. The automaker's production process has also faced high exposure to tariff risks, with 19% exposure to Canada and 8% to Mexico, Citi analysts said in a note last month. President-elect Donald Trump has floated tariffs as high as 25% on both countries, though it remains uncertain if he will fully follow through on the policies or if his proposals are merely negotiation tactics . Other carmakers have similarly surged in recent weeks, with reports of a merger sending Honda and Nissan's stocks skyrocketing. If finalized, the merger would make for the world's third largest automaker by volume, helping the companies better compete with Toyota. Honda and Nissan would have a combined light vehicle volume of 7.4 million units, compared with Toyota's 10.3 million, according to a recent Morgan Stanley note. The merger would also mark the largest in the Japanese auto industry's history and could be the start of a trend as automakers face an increasingly competitive landscape, the analysts said. "Given the industry dynamic, there could be more consolidation to come, in our view. Legacy auto companies that don't find new partners must face the prospect of being smaller companies with higher capex/R&D spend per unit," they wrote.

Competitively priced 2025 Chevrolet Blazer EV has plenty to recommend itHornets’ Grant Williams out for season with torn ACLGermany to tighten criminal law as people-smuggling ‘action plan’ agreed with UKNEW DELHI: The Supreme Court on Friday said protection of citizen's safety and their right to live in safe social environments is as important as incorporating mechanisms in provisions of new penal laws to protect the rights of a person accused in organised crimes, reports Dhananjay Mahapatra. The observationcame from a bench of Justices Surya Kant and Ujjal Bhuyan as it deferred hearing on a PIL questioning the validity of three provisions of Bhartiya Nyaya Sanhita (BNS) and Bhartiya Nagarik Suraksha Sanhita (BNSS) relating to organised crime, terrorist activities and sedition for allegedly not incorporating measures to safeguard rights of the accused. Senior advocate Menaka Guruswamy said the validity of two laws Maharashtra Control of Organised Crimes Act and Unlawful Activities (Prevention) Act have been upheld because of the safeguards incorporated in these legislations that curbed potential misuse and framing up of persons in organised crimes or terrorist activities. "These provisions in BNS and BNSS are cut and paste from the earlier legislations," she said. Justice Kant dissuaded her from using 'cut and paste' phrase for legislation enacted by Parliament and said there is an overwhelming presumption of the validity of such laws. "If the law is toothless, then it is not good for society. Maybe by inserting stringent provisions, a message is being sent to the offenders... Should the new penal laws be not given some time before their validity is tested."

Zuora Reports Third Quarter Fiscal 2025 ResultsA big housing development that would be the centerpiece of a mixed-use neighborhood in San Ramon is beginning to come into view.AI, manufacturing poised to transform India: Tata Sons chairman N Chandrasekaran

Court challenge over vote to extend post-Brexit trading arrangements dismissed