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A federal judge paused Louisiana's lawsuit in April and ordered the agency to act with all deliberate speed. The Supreme Court has kept telehealth and mail access in place.

The rule would have let the education secretary disqualify nonprofit and government employers from Public Service Loan Forgiveness. A federal court vacated it on June 30.

Pregnancy Justice found that most cases involved child neglect or endangerment charges and that substance use was alleged in 871 of them.

The July 20 memo replaced 2020 and 2024 guidance. Senators asked the agency in August to reinstate the earlier versions.

The Trump administration has tied billions in rural health funding for states partly to the policy commitments they make, including ending their certificate of need, or CON, laws governing the construction of new hospitals.