Trump allies submit foia to Biden’s kidney transplant plan

First on the fox – Established by Trump’s unanimous legal group White House Assistant Stephen Miller introduced the Freedom of Information Act on Thursday, warning critics of competing organ transplant programs that may have suffered abuse.

The U.S. requirement is first provided to the Department of Health and Human Services, the Centers for Medicare and Medicaid Services, and the Health Resources and Services Administration. The problem is increasing the access model for organ transplants, a six-year mandatory program that was finally completed in December 2024 and is scheduled to take effect in July 2025. The program aims to expand access to kidney transplants, but has been criticized from Trump officials who warned that it may be vulnerable to external influences.

The model builds on earlier payment experiments to test whether financial rewards and fines can improve access to Medicare and Medicaid patients.

Trump officials and allies, including the United States, are first legal, and believe the system could be distorted by external interests – a charge that prompted the AFL’s FOIA requirement to be part of a broader investigation.

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They cite some of their findings in the latest findings in the HRSA-led survey released earlier this year. The survey suggests that third-party groups or for-profit organizations “may have over-influenced the IOTA model”, although their exact role or the extent to which they may have done is unclear.

HHS Secretary Robert Kennedy Jr. The department also cites concerns from the study, which the department said in a statement that it was “obvious negligence and disturbing practices” of large-scale organ procurement organizations in the United States, prompting him to launch a new reform plan.

In previewing FOIA’s request to Fox News Digital, AFL cites issues related to patient safety, ethical misconduct and discrimination in organ allocation.

These requests ask HHS, CMS and HRSA for a long list of information about the program and related letters, including emails, letters and memorandums between agency personnel and third party representatives regarding the development or implementation of the IOTA model. They also sought minutes, agendas and summary of discussions involving agency staff and external officials.

The payment model will affect more than 100 U.S. transplant hospitals over six years, which is mandatory financial incentives and fines related to final performance scores.

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President Donald Trump gestures at a White House state restaurant in Washington on Friday, August 8, 2025. (AP Photo/Mark Schiefelbein)

The IOTA is touted as helping increase access to organ donors and transplants in the United States and helping to address the long-term waiting list of patients waiting for transplants, which had about 90,000 people as of last fall.

According to the final rules of the CMS, the hospital was evaluated in three key areas, which were force in July, including the number of kidney transplants, matching efficiency, and patient post-transplant outcomes. However, the role-playing roles of external groups have attracted criticism, including in drafting the final rules, and calls for additional scrutiny of Trump allies, including the AFL.

The U.S. Department of Health and Human Services building was pictured in Washington on Monday, July 13, 2020. (Caroline Brehman/CQ-Roll Call, Inc./Getty Images)

“Selfish third parties should not play any role in shaping the U.S. organ transplant policy,” AFL attorney Laura Stell told Fox News Digital in a statement previewing the FOIA request and a broader investigation.

“Where playing a role in monetary incentives and punishments, it is necessary to maximize the determination of the CMS that has developed the plan without the influence of an entity with improper motivation.”

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The United States is first legal, founded by long-time Trump advisers, although not part of the formal Trump administration Stephen Miller After Trump’s first presidency.

Miller resigned from the AFL and then rejoined the White House in 2025 as Trump’s deputy chief of staff.