Federal investigators demanded details on transgender patients from at least 1 hospital

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By GEOFF MULVIHILL, Associated Press

When the U.S. Justice Department sought information from doctors and clinics that provide gender-affirming care for young transgender patients, officials weren’t just asking for policies. They also demanded information about individual patients.

Attorney General Pam Bondi announced in a statement July 9 that the department had sent more than 20 subpoenas to doctors and clinics that provide the care. The request represented an elevation in President Donald Trump’s administration’s effort to halt the medical treatment for transgender youth, even in states where it’s legal.

Bondi said the requests were part of investigations into “healthcare fraud, false statements, and more.” No charges have been announced so far, but the probes have had a chilling impact on the availability of care.

Specifics of the requests were not made public until a court filing in a separate lawsuit this week.

Advocates say the requests are invasive and unnecessary.

“It turns doctor-patient confidentiality into government surveillance,” said Jennifer Levi, GLAD Law’s senior director of Transgender and Queer Rights.

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At least one of the requests seeks names and social security numbers of patients

The subpoena sent to Children’s Hospital of Philadelphia on June 11 was included in a legal filing Monday in challenges from the states of Minnesota, Oregon and Washington to the administration’s attempts to bar the treatment for patients under age 19.

The 18-page document demanded an expansive list of documents be provided.

Among them: Documents to identify “by name, date of birth, social security number, address and parent/guardian information” patients who were prescribed puberty blockers or hormone therapy.

The requests also covered personnel files for various categories of hospital employees, information about patient intake procedures and about which insurance billing codes the hospital used for gender-affirming care.

The due date listed was July 9.

It’s not clear whether subpoenas sent to other providers were identical.

Neither the hospital nor the Department of Justices responded to requests for comment on Thursday.

Gender-affirming care has emerged as part of a political and legal battle

Gender-affirming care includes a range of medical and mental health services to support a person’s gender identity, including when it’s different from the sex they were assigned at birth. It encompasses counseling, medications that block puberty and hormone therapy to produce physical changes as well as surgeries to transform chests and genitals, though those are rare for minors.

Most major medical groups say access to the treatment is important for those with gender dysphoria and see gender as existing along a spectrum.

While there’s wide, if not universal, medical consensus, the political situation is contentious.

Since 2021, at least 27 states have adopted laws restricting or banning the care for minors, and a U.S. Supreme Court ruling in June affirmed the states’ right to have such policies, at least under certain conditions.

Trump has signed one executive order defining sex as only male or female — and as unchangeable — and another that seeks to end federal funding of the care for patients under 19. He’s also sought to bar transgender military service members and keep transgender athletes out of certain sports competitions.

And the administration released a document that questions the standards of treatment for transgender youth and suggests relying solely on talk therapy rather than medical interventions.

The investigation is one reason some clinics have halted the care

At least eight major hospitals and hospital systems announced in July that they were stopping or restricting gender-affirming care, even though they’re in states where it is not banned.

Children’s Hospital of Philadelphia is not among those that have announced they’re curtailing care, though a place it has referred patients for surgeries — Penn Medicine — said in May that it would no longer perform them on patients under 19.

A group of Democratic state officials across the country are suing the Trump administration, claiming it is intimidating healthcare providers to stop the care.

GLAD Law’s Levi said the investigation is just one of many factors that have led providers to change their policies.

“It’s chilling,” she said.

Tesla is slow in reporting crashes and the feds have launched an investigation to find out why

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By BERNARD CONDON, Associated Press

NEW YORK (AP) — Federal auto safety regulators are investigating why Tesla has repeatedly broken rules requiring it to quickly tell them about crashes involving its self-driving technology, a potentially significant development given the company’s plans to put hundreds of thousands of driverless cars on U.S. roads over the next year.

The National Highway Traffic Safety Administration said in a filing on Thursday that Tesla’s reports on “numerous” incidents involving its driver assistance and self-driving features were submitted far too late — several months after the crashes instead of within five days as required.

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The probe comes two months after the electric vehicle maker run by Elon Musk started a self-driving taxi service in Austin, Texas, with hopes of soon offering it nationwide. The company also hopes to send over-the-air software updates to millions of Teslas already on the road that will allow them to drive themselves.

Investors enthusiastic about such plans have kept Tesla stock aloft despite plunging sales and profits due to boycotts over Musk’s support for U.S. President Donald Trump and far-right politicians in Europe.

The safety agency said the probe will focus on why Tesla took so long to report the crashes, whether the reports included all the necessary data and details and if there are crashes that the agency still doesn’t know about.

Tesla did not respond to a request for comment, but the agency noted that the company has told it the delays were “due to an issue with Tesla’s data collection,” which Tesla says has now been fixed.

The new investigation follows another probe that began in October into potential problems with Tesla’s self-driving technology in foggy weather and other low visibility conditions, which has led to several accidents including one death. That probe involves 2.5 million Tesla vehicles.

Tesla stock fell nearly 1% in midday trading Thursday to $321.

Former top aide to NYC mayor among 7 facing new charges in City Hall corruption probe

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By JAKE OFFENHARTZ, MICHAEL R. SISAK and ANTHONY IZAGUIRRE, Associated Press

NEW YORK (AP) — A former top aide to New York City Mayor Eric Adams was hit Thursday with a second wave of bribery charges in a swirling corruption investigation of City Hall, with prosecutors alleging she exchanged political favors for cash, home renovations and a speaking role on a TV show.

Ingrid Lewis-Martin, Adams’ former chief of staff and closest confidant, her son Glenn D. Martin, former state Sen. Jesse Hamilton and two of Adams’ political donors, siblings Tony and Gina Argento, are among those facing new charges.

Lewis-Martin and the other defendants were expected to appear in court on Thursday.

Adams himself has not been charged, but the case will thrust the corruption allegations that have dogged the Democrat back into focus as he seeks to regain voters’ trust ahead of a contested election in November. A spokesperson for Adams did not immediately return a request for comment.

On Thursday, Lewis-Martin was charged with four additional counts of conspiracy and bribe receiving in a series of indictments Manhattan District Attorney Alvin Bragg described as “classic bribery conspiracies that had a deep and wide-ranging impact on city government.”

“As alleged, Lewis-Martin consistently overrode the expertise of public servants so she could line her own pockets. While she allegedly received more than $75,000 in bribes and an appearance on a TV show, every other New Yorker lost out,” Bragg said in a statement.

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Lewis-Martin’s attorney, Arthur Aidala, vowed to fight the charges, saying, “This is not justice — it is a distortion of the truth and a troubling example of politically motivated ‘lawfare.’”

She resigned last December ahead of her indictment in a separate case in which she and her son are accused of taking bribes in exchange for speedy approval of construction projects. That case is still pending. She has continued to volunteer for the Adams campaign while awaiting trial.

The fresh round of indictments brought against Adams’ close allies could add to political headwinds already facing the mayor, whose own indictment on federal bribery charges was abandoned by President Donald Trump’s administration earlier this year.

The corruption scandals have opened the door to challengers in the upcoming election, including the Democratic primary winner, Zohran Mamdani, and former Gov. Andrew Cuomo.

Adams is running as an independent, claiming the case brought against him — in which he was accused of accepting bribes and travel perks from foreign interests — had prevented him from campaigning in the Democratic primary. Those charges were dismissed in April following an extraordinary intervention by U.S. Justice Department officials, who said the case was impeding Adams from assisting in Trump’s immigration crackdown.

In the months since, the status of other federal probes linked to Adams’ key allies, including his former police commissioner and several deputy mayors, has remained uncertain. The new charges were brought by Bragg, who prosecuted Trump last year and who is also running for reelection.

Both federal and state investigators seized Lewis-Martin’s phone at Kennedy Airport last September as she returned from a trip to Japan with several colleagues.

Hours later, Lewis-Martin appeared on her attorney’s radio show, denying that she had “done anything illegal to the magnitude or scale that requires the federal government and the DA’s office to investigate us.”

Both she and her son pleaded not guilty to charges of accepting improper gifts worth more than $100,000 in exchange for speeding construction approvals for two real estate investors.

Earlier this week, a spokesperson for Adams’ campaign, Todd Shapiro, said the mayor would stand with Lewis-Martin.

“Ingrid has dedicated her life to the people of New York City,” Shapiro said, “and she deserves the presumption of innocence and the support of those who know her best.”

Last week, federal prosecutors wrapped up their two remaining Adams-related cases.

Mohamed Bahi, who served as the mayor’s chief liaison to the Muslim community, pleaded guilty to soliciting straw donations to Adams’ campaign, and Brooklyn construction magnate Erden Arkan was sentenced to a year of probation for his involvement in a straw donor scheme.

Aging U.S. railroad bridges are self-inspected and their findings are kept secret

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By LEX DOIG, JAEHEE KIM and ADRIAN MANCERA COTA, Howard Center for Investigative Journalism

CORVALLIS, Ore. (AP) — The fire burned for about nine hours, billowing smoke and scorching the wooden trestles of a nearly 75-year-old railroad bridge that spans the Marys River in Corvallis, home to Oregon State University. Long after the flames died out, Michelle Emmons, a local environmental advocate, could still smell the noxious stench of charred creosote — a chemical preservative used to treat outdoor wooden structures.

The bridge is owned by Portland & Western Railroad, which says it made repairs after the 2022 fire. Emmons wanted more.

“It was most alarming to us to see that there were still rail cars that were going over the bridge,” said Emmons, who co-leads the Willamette Riverkeeper, a local environmental nonprofit. “It was only going to be a matter of time before there could possibly be an accident.”

That time came nearly three years later on Jan. 4, 2025, when the Corvallis bridge collapsed beneath a freight train.

One rail car fell into the river while another car dangled from the bridge and was partially submerged in water. Nearly 150,000 pounds of fertilizer spilled from the train into the river — a waterway already the focus of local environmental concerns.

Officials from Portland & Western Railroad declined to be interviewed but emailed a statement about the company’s actions after the fire. “Some rail, crossties and bridge caps needed to be replaced,” wrote company spokesperson Tom Ciuba. “It’s important to note that cosmetic appearance and the smell of creosote do not necessarily signify structural damage to rail bridges.”

An investigation by the Howard Center for Investigative Journalism at Arizona State University found railroad bridge safety across the U.S. is hamstrung by minimal government oversight and limited transparency. This leaves rail companies largely in control of inspecting and maintaining their own bridges — allowing them to keep most details about problems out of sight from the public.

This system differs starkly from the approximately 623,000 bridges carrying cars and trucks in the U.S., which must be regularly inspected, with results made public.

Among the Howard Center’s investigative findings:

Only six inspectors from the Federal Railroad Administration are responsible for oversight of safety for 70,000 railroad bridges.
Roughly 10% of U.S. railroads have not had their bridge management programs audited by the FRA, 15 years after the rule on Bridge Safety Standards went into effect.
Some larger railroads, owned by companies with billions of dollars in annual revenue, have neglected installation of critical but sometimes costly safety features.
Even government officials have difficulty getting information about railroad bridge inspections.

Portland & Western Railroad declined to allow Howard Center reporters to view bridge management plans or inspection records for the Corvallis bridge.

“Bridge inspection reports are not something we typically release to the public, as they are very technical in nature and should only be analyzed by bridge engineers,” wrote Ciuba.

Railroad bridge accidents across the U.S.

FRA data show 112 bridge-related railroad accidents dating back to 1976, or on average more than two incidents per year.

Mike Rush, safety director for the Association of American Railroads, said in every bridge-related derailment investigated by the National Transportation Safety Board (NTSB), the cause of the bridge collapse was something other than bridge structure.

But a 2016 report from the Office of Inspector General of the U.S. Department of Transportation found about three railroad bridge collapses per year over a seven-year period could be attributed directly to failing bridge structures. The inspector general cited FRA data that showed “structural failures of railroad bridges caused 21 train accidents between 2007 and 2014.”

The FRA data includes many railroad bridge incidents the NTSB never investigated. The safety board only investigates the most serious accidents – it did not investigate the collapse in Corvallis, Oregon. Of seven accidents involving railroad bridges the NTSB did respond to since 2010 include multiple examples where companies deferred important maintenance before derailments.

In September 2015, a BNSF train derailed while carrying ethanol, a highly flammable liquid, at a bridge near Lesterville, South Dakota. NTSB investigators found almost 50,000 gallons of ethanol leaked and caught fire, causing more than $1 million in damage. The safety board said “BNSF was able to defer maintenance on the track” which, along with “poor track structural support, increased the likelihood of rail failure.”

In October 2023, a BNSF train derailed in Colorado, striking a nearby bridge that partially collapsed and killed a truck driver on the interstate below. NTSB investigators found a broken rail near the bridge approach caused the accident, related to an incorrect weld on the rail.

After this incident, BNSF increased oversight of welding and began mandatory audits of every failed weld. In an email, BNSF said it meets all federal inspection requirements and the FRA has audited its bridge management plan “many times.”

In addition to allowing self-inspections of bridges, federal regulations require railroads to also oversee inspections of railroad track they own. But these track inspections do not have to be made public.

In March 2017, a Union Pacific freight train derailed near a bridge in Graettinger, Iowa. Fourteen tank cars released approximately 322,000 gallons of ethanol, sparking a fire and causing the evacuation of three homes. The NTSB faulted “Union Pacific Railroad’s inadequate track maintenance and inspection program and the FRA’s inadequate oversight of the application of federal track safety standards.”

In July 2020, a Union Pacific derailment near the Tempe Town Lake in Arizona prompted train cars to strike the bridge and cause a portion of it to collapse. A fire started and more than 2,000 gallons of flammable chemicals leaked.

The NTSB determined that the absence of an inner guard rail, a second set of rails which could have prevented the derailed train from crashing into the bridge, contributed to the severity of the derailment.

Union Pacific acknowledged, when questioned by the NTSB, it knew many bridges still needed the safety feature.

“The total number of bridges that require the inner guard rail is 635, and 218 do not have (the) inner guard rail installed,” Tomasz Gawronski, Director of Bridge Inspections for Union Pacific, said in his 2020 NTSB testimony.

Gawronski said money may have been a factor. “It’s a rather costly effort, you know, to install the inner guardrails.”

In 2020, Union Pacific reported operating revenues of $19.5 billion, with profits of $5.3 billion.

Company spokesperson Robynn Tysver wrote in an email that Union Pacific has approximately 16,900 bridges that are inspected twice a year. Tysver did not answer follow-up questions, including when asked if the 218 bridges that still needed inner guard rails in 2020 had since had them installed.

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Too few staff and resources

FRA rules require railroads to develop internal bridge management programs and conduct their own inspections. The FRA can audit these plans. But the audits are not occurring for all railroads.

FRA spokesperson Warren Flatau said the agency audited bridge management plans for 677 out of approximately 755 railroad companies under a 2010 rule. That leaves one in 10 railroads without audits under current regulations.

Flatau said the outstanding audits are all for Class III railroads, mostly smaller railroads with less revenue. He said smaller railroads change hands often, making oversight more difficult.

The FRA’s Bridge and Structures team now has just three bridge specialists and three structural engineers who oversee the railroads’ self-inspections of 69,509 railroad bridges the FRA is aware of.

“It’s shocking and just scary,” said Jared Cassity, a union leader with SMART TD, the largest railroad workers union in North America. “When you think about six people and the number of bridges that exist in the United States of America, you cannot adequately perform… the oversight.”

A new push for change

In 2015, Congress passed the Fixing America’s Surface Transportation Act (FAST Act), which requires railroads to release a small amount of general information about any bridge to government or elected officials who formally request the information. The required information does not include the year the bridge was built or information about the condition of key parts of the bridge like its deck or supports.

U.S. Rep. Summer Lee, a Pennsylvania Democrat, said officials who made requests found records “were extremely redacted — so much so that it was almost a joke.”

She plans to introduce legislation this year to force transparency.

“We want to create a public database where residents are able to just readily obtain the information regarding the safety of the bridges in their communities,” Lee said.

Lee’s initial attempt at rail bridge safety reforms in 2024 stalled, which she attributes to influence from railroad companies and their powerful lobbyists.

“It is not an issue that impacts one type of district — blue districts or red districts. This is an issue of national safety, of public safety, all across the country,” she said.

Reporters Matthew Bird, Mackenzie Miller and Justin Patton contributed to this story. It was produced by the Howard Center for Investigative Journalism at Arizona State University’s Walter Cronkite School of Journalism and Mass Communication, an initiative of the Scripps Howard Foundation in honor of the late news industry executive and pioneer Roy W. Howard. For more, see https://cnsmaryland.org/off-the-rails/. Contact us at howardcenter@asu.edu or on X @HowardCenterASU.