Tens of thousands remain without power in Puerto Rico, a week after tropical storm swiped the island

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By DÁNICA COTO

SAN JUAN, Puerto Rico (AP) — Tens of thousands of customers remained without power across Puerto Rico on Tuesday, a week after Ernesto swiped the U.S. territory as a tropical storm. Authorities pledged to restore electricity to everyone by the weekend.

The National Weather Service issued yet another excessive heat advisory, warning of “dangerously hot and humid conditions.”

More than 40,000 out of nearly 1.5 million customers remained without power in the afternoon. All schools should have electricity by late Tuesday, officials said, and noted that some 80% of emergency medical clinics, which exclude hospitals, have power.

The northeast coastal town of Luquillo, popular with tourists, reported the highest number of outages, with 30% of clients without power. The towns and cities of Fajardo, Río Grande and Yabucoa were also affected.

Juan Saca, president of Luma Energy, a private consortium that oversees the transmission and distribution of power in Puerto Rico, said the company was “working 24 hours a day,” but that alongside the outages blamed on the storm, there’s a deficit in generation.

Up to 70,000 clients could be temporarily left in the dark late Tuesday, and another 90,000 were already hit Monday by a manual reduction in power to Puerto Rico’s grid.

“It’s very annoying, I don’t want to minimize that,” Saca told reporters, stressing that those outages are brief.

Luma has come under fire ever since it took over transmission and distribution in June 2021 as Puerto Rico’s Electric Power Authority struggles to restructure more than $9 billion in debt.

Recently, a growing number of officials, including those seeking votes during an election year, have called for the government to cancel Luma’s contract.

Gov. Pedro Pierluisi has backed Luma’s work and its swift response in the wake of Ernesto. “In the span of three days, already 96% of the population had electric service,” he said Monday.

During the storm, which spun past the island last Tuesday and Wednesday, a peak of 750,000 clients were without power. Officials blamed trees that fell on power lines and high winds.

However, anger has persisted across an island of 3.2 million people with a more than 40% poverty rate and where few can afford generators or solar panels.

“With all the damage caused by the storm, and LUMA Energy’s inefficiency in powering with precision and agility, Puerto Rico urgently needs other, more reliable energy sources,” said Jesús Hernández Arroyo, president of the island’s House energy commission.

Puerto Rico’s Energy Bureau questioned why the average outage duration per customer increased by 9% from fiscal year 2023 to 2024, for a total of 1,448 minutes.

Julio Aguilar, Luma’s director of reliability and distribution automation, said at Tuesday’s news conference that weather and other things can contribute to a rise and fall in outages within one year, and that it takes five years to establish a base and metrics.

“The improvements are happening,” he said “They will be seen.”

Puerto Rico’s power grid remains fragile after Hurricane Maria razed it in September 2017 as a powerful Category 4 storm, though the grid already was crumbling before that, due to a lack of maintenance and investment.

Most Black hospitals across the South closed long ago. Their impact endures

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By Lauren Sausser, Kaiser Health News

MOUND BAYOU, Miss. — In the center of this historically Black city, once deemed “the jewel of the Delta” by President Theodore Roosevelt, dreams to revitalize an abandoned hospital building have all but dried up.

An art deco sign still marks the main entrance, but the front doors are locked, and the parking lot is empty. These days, a convenience store across North Edwards Avenue is far busier than the old Taborian Hospital, which first shut down more than 40 years ago.

Myrna Smith-Thompson, who serves as executive director of the civic group that owns the property, lives 100 miles away in Memphis, Tennessee, and doesn’t know what’s to become of the deteriorating building.

“I am open to suggestions,” said Smith-Thompson, whose grandfather led a Black fraternal organization now called the Knights and Daughters of Tabor. In 1942, that group established Taborian Hospital, a place staffed by Black doctors and nurses that exclusively admitted Black patients, during a time when Jim Crow laws barred them from accessing the same health care facilities as white patients.

“This is a very painful conversation,” said Smith-Thompson, who was born at Taborian Hospital in 1949. “It’s a part of my being.”

A similar scenario has played out in hundreds of other rural communities across the United States, where hospitals have faced closure over the past 40 years. In that regard, the story of Mound Bayou’s hospital isn’t unique.

But there’s more to this hospital closure than the loss of inpatient beds, historians say. It’s also a tale of how hundreds of Black hospitals across the U.S. fell casualty to social progress.

The Civil Rights Act of 1964 and the enactment of Medicare and Medicaid in 1965 benefited millions of people. The federal campaign to desegregate hospitals, culminating in a 1969 court case out of Charleston, South Carolina, guaranteed Black patients across the South access to the same health care facilities as white patients. No longer were Black doctors and nurses prohibited from training or practicing medicine in white hospitals. But the end of legal racial segregation precipitated the demise of many Black hospitals, which were a major source of employment and a center of pride for Black Americans.

“And not just for physicians,” said Vanessa Northington Gamble, a medical doctor and historian at George Washington University. “They were social institutions, financial institutions, and also medical institutions.”

In Charleston, staff members at a historically Black hospital on Cannon Street started publishing a monthly journal in 1899 called The Hospital Herald, which focused on hospital work and public hygiene, among other topics. When Kansas City, Missouri, opened a hospital for Black patients in 1918, people held a parade. Taborian Hospital in Mound Bayou included two operating rooms and state-of-the-art equipment. It’s also where famed civil rights activist Fannie Lou Hamer died in 1977.

“There were Swedish hospitals. There were Jewish hospitals. There were Catholic hospitals. That’s also part of the story,” said Gamble, author of “Making a Place for Ourselves: The Black Hospital Movement, 1920-1945.”

Nurses attend to patients in this historical photo of the children’s ward inside Wheatley-Provident Hospital, a Black hospital in Kansas City, Missouri. It opened in 1918, but, like most Black hospitals, it closed following the federal campaign to desegregate hospitals in the 1960s. (Missouri Valley Special Collections/Kansas City Public Library/KFF Health News/TNS)

“But racism in medicine was the main reason why there was an establishment of Black hospitals,” she said.

By the early 1990s, Gamble estimated, there were only eight left.

“It has ripple effects in a way that affect the fabric of the community,” said Bizu Gelaye, an epidemiologist and program director of Harvard University’s Mississippi Delta Partnership in Public Health.

Researchers have largely concluded that hospital desegregation improved the health of Black patients over the long term.

One 2009 study focusing on motor vehicle accidents in Mississippi in the ’60s and ’70s found that Black people were less likely to die after hospital desegregation. They could access hospitals closer to the scene of a crash, reducing the distance they would have otherwise traveled by approximately 50 miles.

An analysis of infant mortality, published in 2006 by economists at the Massachusetts Institute of Technology, found that hospital desegregation in the South substantially helped close the mortality gap between Black and white infants. That’s partly because Black infants suffering from illnesses such as diarrhea and pneumonia got better access to hospitals, the researchers found.

A new analysis, recently accepted for publication in the Review of Economics and Statistics, suggests that racism continued to harm the health of Black patients in the years after hospital integration. White hospitals were compelled to integrate starting in the mid-1960s if they wanted to receive Medicare funding. But they didn’t necessarily provide the same quality of care to Black and white patients, said Mark Anderson, an economics professor at Montana State University and co-author of the paper. His analysis found that hospital desegregation had “little, if any, effect on Black postneonatal mortality” in the South between 1959 and 1973.

Nearly 3,000 babies were born at Taborian Hospital before it closed its doors in 1983. The building remained vacant for decades until 10 years ago, when a $3 million federal grant helped renovate the facility into a short-lived urgent care center. It closed again only one year later amid a legal battle over its ownership, Smith-Thompson said, and has since deteriorated.

“We would need at least millions, probably,” she said, estimating the cost of reopening the building. “Now, we’re back where we were prior to the renovation.”

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In 2000, the hospital was listed as one of the most endangered historic places in Mississippi by the Mississippi Heritage Trust. That’s why some people would like to see it reopened in any capacity that ensures its survival as an important historical site.

Hermon Johnson Jr., director of the Mound Bayou Museum, who was born at Taborian Hospital in 1956, suggested the building could be used as a meeting space or museum. “It would be a huge boost to the community,” he said.

Meanwhile, most of the hospital’s former patients have died or left Mound Bayou. The city’s population has dropped by roughly half since 1980, U.S. Census Bureau records show. Bolivar County ranks among the poorest in the nation, and life expectancy is a decade shorter than the national average.

A community health center is still open in Mound Bayou, but the closest hospital is in Cleveland, Mississippi, a 15-minute drive.

Mound Bayou Mayor Leighton Aldridge, also a board member of the Knights and Daughters of Tabor, said he wants Taborian Hospital to remain a health care facility, suggesting it might be considered for a new children’s hospital or a rehabilitation center.

“We need to get something back in there as soon as possible,” he said.

Smith-Thompson agreed and feels the situation is urgent. “The health care services that are available to folks in the Mississippi Delta are deplorable,” she said. “People are really, really sick.”

©2024 Kaiser Health News. Visit khn.org. Distributed by Tribune Content Agency, LLC.

On track to be first trans member, Sarah McBride has hope for Congress

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By Jim Saksa, CQ-Roll Call

WILMINGTON, Del. — As she pulls up in front of a downtown coffee shop, Sarah McBride answers a reporter’s question matter-of-factly, all while parallel parking. “I’ve never had a job where I haven’t had death threats,” she says.

That’s the reality for a transgender woman in politics. But before McBride can expound on that, she needs another coffee.

McBride, 34, basically subsists on coffee; it’s the only thing she consumes before dinner most days. Knocking on doors on this sunny Saturday morning, she comes across as bubbly and warm, remembering names and faces. She’s had practice: She spoke at the Democratic National Convention at age 25, published a memoir at 27 and won a state Senate seat at 30.

Now she’s on track to become the first trans member of Congress. She has the endorsement of her state party in the Sept. 10 primary, and things are looking good in November, too. Democrats haven’t lost a congressional race in Delaware since 2008.

For McBride, making history is both crucially important and completely beside the point.

“There are a lot of people right now in this country who don’t see themselves reflected in government, and they deserve to see that,” she says of her gender identity. “But on a day-to-day basis, it’s not what I’m talking about or thinking about. It’s not what voters are talking to me about.”

Delaware voters may not be talking about it, but Republicans across the nation are. Social conservatives have redoubled their opposition to the LGBTQ rights movement in recent years. The GOP has turned gender identity into a wedge issue, campaigning on promises to ban trans women from female sports, to restrict gender-affirming health care and to dictate which public bathrooms they can use.

McBride’s would-be colleagues have introduced 75 anti-trans bills this Congress, according to the Trans Legislation Tracker, and at the state level, 638 anti-trans bills have been introduced, with 45 passing so far in 2024.

Simply living life as an out trans person can subject you to gawking, invasive questions, threats of violence and worse. Running for office as a trans person amplifies all that.

“I came to the conclusion that if I didn’t (run) because of that risk, then they win, right? They achieve their goal of intimidating people into not fully participating in our democracy,” McBride says. “I wasn’t going to let them have that power.”

So, in June 2023, she announced her candidacy for a House seat opened up by Rep. Lisa Blunt Rochester’s decision to run for Senate. A mudslide of hateful threats soon followed, McBride says.

In the state Senate that same month, a bill McBride was sponsoring came up for a vote after passing the Delaware House, 27-10. It was aimed at banning what’s known as the LGTBQ “panic” defense, or the idea that a defendant can be justified in attacking gay or trans people out of fear of their sexual or gender identity.

McBride rose warily on the floor to speak in its support. “I paused and I waited for my Republican colleagues to say, ‘this is a solution in search of a problem,’ at best, or worse, that ‘this is understandable, if not justifiable violence,’” she says.

But they didn’t. Instead, she says, “every single present senator on the Republican side stood up and not only declared they’d be voting for the bill, but — led by the most conservative member in that chamber — asked to be added as a co-sponsor.”

They “looked me in the eyes … and affirmed the dignity of LGBTQ lives,” she says.

The power of proximity

A political obsessive since childhood, when other kids were reading Harry Potter, McBride was reading about Harry Truman. For Christmas one year, she asked for a podium, so she could practice giving speeches in front of a mirror. She can pinpoint the exact time and place when she met her personal idol: at a local pizza shop, on Feb. 1, 2002, starstruck at age 11.

It was Joe Biden. She still has the autograph he gave her. Five years later, she was volunteering on his son’s campaign for state attorney general.

Her desire to serve, she says, stems in part from her time as a closeted kid scared that her life would be ruined and her family ashamed if she lived as her authentic self.

“As a young person, struggling with who I am and how I fit into this world, struggling with the fear that the heart of this country was not big enough to love someone like me, I went searching for hope,” she says.

Now she wants to take some of the hope and affirmation she felt last June — and every other time her proposals have gotten bipartisan support in Dover — and bring it to Washington.

“Through the power of our proximity, we can open some of the most closed-off hearts and minds, break through some of the perverse, base incentives in our politics,” she says. “But that only happens if you’re willing to work with people who disagree with you.”

McBride is no Pollyanna; she knows Washington’s most extreme Republicans, like Georgia Rep. Marjorie Taylor Greene, aren’t going to warm to her.

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“Look, the reality in politics is you’re never going to convince everyone of everything,” McBride says. “She’ll be particularly weird when it comes to me, but let her inhumanity contrast with my literal humanity and let her unhinged behavior contrast with my approach to the job, which is to roll up my sleeves, dive into the details, bring people together and work on actual policy.”

McBride has already found ways to turn personal attacks on their head. After Greene called her campaign in June a “complete evil” that would “curse” the nation, McBride partnered with Leaders We Deserve, a progressive “Emily’s List for young people,” to put out a fundraising appeal.

And in July, her campaign announced that she raised $750,000 in the second quarter of 2024, “the best financial quarter of fundraising for any U.S. House candidate in Delaware history, incumbent or not.”

A lot of that money comes from out of state — 63% this cycle, according to OpenSecrets. McBride acknowledges that national reach even while repeatedly steering the conversation back to voters in Delaware.

“Are there folks … in Delaware who are excited about shattering a national lavender glass ceiling? Sure,” she says. But “fighting for paid family and medical leave and affordable child care and gun safety and reproductive freedom, that’s where the excitement is.”

‘Every single door’

McBride’s instincts for retail politics are nothing new. As an undergraduate at American University, she “became the first candidate for student body president to knock on every single door in every single residence hall on the main campus,” she wrote in her memoir.

She won that early race handily, prompting a congratulatory call from then-Delaware Gov. Jack Markell, one of her political mentors. And after McBride came out as trans to her parents over winter break, it was a phone call from Markell that helped calm their fears that she’d be shunned by their old friends and neighbors.

As her term ended, McBride came out publicly in an essay in her school newspaper. The post went viral, and national outlets picked up the story. A few months later, she became the first openly trans White House intern.

Back home, she worked with Equality Delaware to push for the state’s first law banning discrimination against transgender people. “She’s probably the most natural and articulate orator I have heard in my lifetime,” says Mark Purpura, who co-led the group at the time.

During all this, McBride was dating a trans man she’d met at an LGBTQ pride event at the White House in 2012, Andrew Cray. The pair moved in together, met each other’s families and worked together at the Center for American Progress. Life seemed perfect before his cancer diagnosis.

McBride took weeks off work to care for Cray during his treatments. The pair wed on their apartment rooftop, Cray barely strong enough to say his vows. He died four days later. McBride still wears her wedding ring.

That experience would later inspire her leading legislative achievement, Delaware’s new statewide paid family and medical leave program.

After her husband’s death, she took a job at the Human Rights Campaign, becoming its national spokesperson. Jay Brown, now the advocacy group’s chief of staff, says he always expected McBride would go places.

“When you work in Washington, you meet so many people who you think might have the ambition to run for office — you don’t always want them to be the ones running for office,” he says. “Sarah is the one you want running for office.”

On the trail in Delaware

Walking door to door, McBride chats with voters like they’re old friends catching up over coffee. Granted, this is an upscale neighborhood in her state Senate district full of not just likely voters, but potential donors. Still, she seems to know everyone.

She remembers names and faces from brief interactions years ago — recalling, for instance, exactly where she first met a jogger who stopped to talk. (It was a drizzly, unseasonably warm winter day back in early 2020 over on Riddle Avenue.) McBride’s campaign manager swears it’s not an act for an out-of-state reporter.

“It’s a state of neighbors,” McBride says, before dropping an adage about the First State: “Everyone’s dated, mated or related.”

That line echoes throughout the day. One voter laughs with McBride about the “incestuous” nature of Delaware politics, and at a fish fry later that afternoon, retiring Sen. Tom Carper takes a break from working the crowd — you’d think he was still running — to share his opinion about McBride, who went to preschool with one of his kids.

“We’ve been friends with her family forever. Their home church, Westminster Presbyterian in Wilmington, is our home church as well. And so we’re close, we’re almost related,” Carper says, before adding, with a mischievous grin: “Other than that, we don’t like her.”

Her presumed Republican opponent, Donyale Hall, declined to take any personal digs at McBride in a phone interview, saying, “there’s nothing that I would say against any other candidate.” With neither facing serious competition in their respective primaries next month, the pair will likely square off in November.

Instead, Hall focused on issues like inflation and her own qualifications as a mother of 10 children, small-business owner and Air Force veteran. “Businesses are feeling the pinch of some of the things that Sen. McBride has championed,” she says. “The (family and medical leave) bill has put some very difficult burdens on businesses.”

As of the end of June, McBride had outraised Hall, $2.6 million to $21,000.

McBride doesn’t need to work this hard to win in November. But eking out a victory says one thing about the public’s willingness to support a trans politician; crushing the vote says something else, like she did in her state Senate race. She won that seat in 2020 with 73% of the vote, up from the prior Democrat’s 56%.

He may not live in Delaware, but Brown of HRC, a transgender man, says McBride’s success would feel personal. “She’ll give me a sense of hope and what’s possible,” he says. “She will prove to folks that we are more than just that one part of ourselves. … She’ll certainly make history, but she will also do a whole lot of good for a whole lot of reasons, well beyond who she is as a trans person.”

And a House seat might be just the first step, says Purpura. “I don’t think there is a ceiling for her. She could be governor, she could be senator, she could even be president one day.”

But, he adds, McBride has her doubts voters will ever be that accepting.

“She likes to joke and say there’s no way there’ll be another Delawarean president.”

Nina Heller contributed to this report.

©2024 CQ-Roll Call, Inc., All Rights Reserved. Visit cqrollcall.com. Distributed by Tribune Content Agency, LLC.

State lawmakers eye promise, pitfalls of AI ahead of November elections

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By Kevin Hardy, Stateline.org

LOUISVILLE, Ky. — Inside a white-walled conference room, a speaker surveyed hundreds of state lawmakers and policy influencers, asking whether artificial intelligence poses a threat to the elections in their states.

The results were unambiguous: 80% of those who answered a live poll said yes. In a follow-up question, nearly 90% said their state laws weren’t adequate to deter those threats.

It was among the many exchanges on artificial intelligence that dominated sessions at this month’s meeting of the National Conference of State Legislatures, the largest annual gathering of lawmakers, in Louisville.

“It’s the topic du jour,” Kentucky state Sen. Whitney Westerfield, a Republican, told lawmakers as he kicked off one of many panels centering on AI. “There are a lot of discussions happening in all of our state legislatures across the country.”

While some experts and lawmakers celebrated the promise of AI to advance services in health care and education, others lamented its potential to disrupt the democratic process with just months to go before November’s elections. And lawmakers compared the many types of legislation they’re proposing to tackle the issue.

This presidential election cycle is the first since generative AI — a form of artificial intelligence that can create new images, audio and video — became widely available. That’s raised alarms over deepfakes, remarkably convincing but fake videos or images that can portray anyone, including candidates, in situations that didn’t occur or saying things they didn’t.

“We need to do something to make sure the voters understand what they’re doing,” said Kentucky state Sen. Amanda Mays Bledsoe.

The Republican lawmaker, who chairs a special legislative task force on AI, co-sponsored a bipartisan bill this year aimed at limiting the use of deepfakes to influence elections. The bill would have allowed candidates whose appearance, action or speech was altered through “synthetic media” in an election communication to take its sponsor to court. The state Senate unanimously approved the proposal but it stalled in the House.

While Bledsoe expects to bring the bill up again next session, she acknowledged how complex the issue is: Lawmakers are trying to balance the risks of the evolving technology against their desire to promote innovation and protect free speech.

“You don’t want to go too fast,” she said in an interview, “but you also don’t want to be too behind.”

Rhode Island state Sen. Dawn Euer, a Democrat, told Stateline she’s concerned about AI’s potential to amplify disinformation, particularly across social media.

“Election propaganda and disinformation has been part of the zeitgeist for the existence of humanity,” said Euer, who chairs the Senate Judiciary Committee. “Now, we have high-tech tools to do it.”

Connecticut state Sen. James Maroney, a Democrat, agreed that concerns about AI’s effects on elections are legitimate. But he emphasized that most deepfakes target women with digitally generated nonconsensual intimate images or revenge porn. Research firm Sensity AI has tracked online deepfake videos for years, finding 90% of them are nonconsensual porn, mostly targeting women.

Maroney sponsored legislation this year that would have regulated artificial intelligence and criminalized deepfake porn and false political messaging. That bill passed the state Senate, but not the House. Democratic Gov. Ned Lamont opposed the measure, saying it was premature and potentially harmful to the state’s technology industry.

While Maroney has concerns about AI, he said the upsides far outweigh the risks. For example, AI can help lawmakers communicate with constituents through chatbots or translate messaging into other languages.

Top election officials on AI

During one session in Louisville, New Hampshire Republican Secretary of State David Scanlan said AI could improve election administration by making it easier to organize election statistics or get official messaging out to the public.

Still, New Hampshire experienced firsthand some of the downside of the new technology earlier this year when voters received robocalls that used artificial intelligence to imitate President Joe Biden’s voice to discourage participation in a January primary.

Prosecutors charged the political operative who allegedly organized the fake calls with more than a dozen crimes, including voter suppression, and the Federal Communications Commission proposed a $6 million fine against him.

While the technology may be new, Scanlan said election officials have always had to keep a close eye on misinformation about elections and extreme tactics by candidates or their supporters and opponents.

“You might call them dirty tricks, but it has always been in candidates’ arsenals, and this really was a form of that as well,” he said. “It’s just more complex.”

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The way state officials responded, by quickly identifying the calls as fake and investigating their origins, serves as a playbook for other states ahead of November’s elections, said Cait Conley, a senior adviser at the federal Cybersecurity and Infrastructure Security Agency focused on election security.

“What we saw New Hampshire do is best practice,” she said during the presentation. “They came out quickly and clearly and provided guidance, and they really just checked the disinformation that was out there.”

Kentucky Republican Secretary of State Michael Adams told Stateline that AI could prove challenging for swing states in the presidential election. But he said it may still be too new of a technology to cause widespread problems for most states.

“Of the 99 things that we chew our nails over, it’s not in the top 10 or 20,” he said in an interview. “I don’t know that it’s at a maturity level that it’ll be utilized everywhere.”

Adams this year received the John F. Kennedy Profile in Courage Award for championing the integrity of elections despite pushback from fellow Republicans. He said AI is yet another obstacle facing election officials who already must combat challenges including disinformation and foreign influence.

More bills coming

With an absence of congressional action, states have increasingly sought to regulate the quickly evolving world of AI on their own.

NCSL this year tracked AI bills in at least 40 states, Puerto Rico, the Virgin Islands and Washington, D.C.

As states examine the issue, many are looking at Colorado, which this year became the first state to create a sweeping regulatory framework for artificial intelligence. Technology companies opposed the measure, worried it will stifle innovation in a new industry.

Colorado Senate Majority Leader Robert Rodriguez, a Democrat who sponsored the bill, said lawmakers modeled much of their language on European Union regulations to avoid creating mismatched rules for companies using AI. Still, the law will be examined by a legislative task force before going into effect in 2026.

“It’s a first-in-the nation bill, and I’m under no illusion that it’s perfect and ready to go,” he said. “We’ve got two years.”

When Texas lawmakers reconvene next January, state Rep. Giovanni Capriglione expects to see many AI bills flying.

A Republican and co-chair of a state artificial intelligence advisory council, Capriglione said he’s worried about how generative AI may influence how people vote — or even if they vote — in both local and national elections.

“Without a doubt, artificial intelligence is being used to sow disinformation and misinformation,” he said, “and I think as we get closer to the election, we’ll see a lot more cases of it being used.”

Stateline is part of States Newsroom, a national nonprofit news organization focused on state policy.

©2024 States Newsroom. Visit at stateline.org. Distributed by Tribune Content Agency, LLC.