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From climate change to the economy to healthcare, NH voters seek solutions with their ballots
Scott Thompson, a retired mechanic from Epsom, usually doesn’t vote in midterm elections, but after a GOP candidate for state representative showed up at his door he decided to make plans to vote on Tuesday.
Trump-Backed Auto Executive Wins House Primary in New Hampshire
Anthony DiLorenzo, an automotive executive who ran with the president’s endorsement, will be the Republican nominee in the First Congressional District.
John E. Sununu Wins Republican Senate Primary in New Hampshire
The general election race to replace Jeanne Shaheen, a Democrat, could help determine control of the U.S. Senate.
Incumbent GOP governor rolls to primary victory after keeping Trump at a distance
Kelly Ayotte cruised past Republican primary challengers, setting up a high-stakes New Hampshire governor's race against Democrat Cinde Warmington.
Opposing court orders upend Missouri midterms just weeks before Election Day
(CNN) — Back-to-back court orders on Tuesday injected chaos into Missouri’s plans for this year’s midterms, with state officials and a group opposed to a GOP-friendly congressional map racing into
Supreme Court rejects Missouri’s request to use congressional map with extra GOP seat
The Supreme Court on Tuesday denied Missouri’s request to use a congressional map for the November midterm election that would have given Republicans a chance to flip a seat, a rare setback for the GOP’s effort to keep control of the House next year by eking out an advantage from its political boundaries.
NYC voters give Mamdani high marks, say mayor is doing better than expected
A new Suffolk University poll also finds New York voters disagree with GOP calls for Mayor Zohran Mamdani to stay away from 9/11 memorial.
Judge Rules Green Party Candidate Accused of Being GOP Plant Can Be Kicked Off Ballot in PA-07
A Commonwealth Court judge ruled Friday afternoon that Andrew Tupone, a hopeful Green Party candidate in the 7th Congressional District, can be removed from the ballot despite collecting sufficient signatures to appear on it. Tupone, however, said he plans to appeal. “The establishment parties are fighting to keep me off…
Republicans descend on Dallas for midterm convention
Dallas is hosting the GOP midterm convention this week.
Mackenzie, Bresnahan, McCormick To Speak at "Trumpapalooza" in Dallas
Pennsylvania will be well represented at the podium as the Republican Party holds a midterm national convention in Dallas on Wednesday and Thursday. A pair of GOP congressmen - Reps. Ryan Mackenzie (R-07) and Rob Bresnahan (R-08) - and Sen. Dave McCormick will be among the 109 officials, candidates and…
What to know about this week's Republican midterm convention
The two-night convention will kick off in Dallas on Wednesday
A ‘Trumpapalooza’ in 2026. Reagan in 1984. Two GOP conventions in Dallas, but times have changed
Dallas hosted the 1984 Republican National Convention and a GOP midterm convention is about to start. The city — and the politics — have changed a lot.
National GOP to feature Cunningham vs. Vasquez race at midterm convention
Overview: Vasquez criticizes Cunningham for appearing at event after Trump posted of renaming New Mexico "New America" President Donald Trump is headlining a first-ever “Midterm Convention” for the Republican Party this week in Dallas and at least one New Mexico candidate is on the announced agenda. This story was originally published at New Mexico Political […]
GOP’s Trump-led midterm convention comes to Dallas this week
The two-day gathering, informally dubbed “Trumpapalooza,” will put Texas at the center of the political world as it hits the homestretch of its most competitive election cycle in years.
Washington: Despite fueling AI’s wrong answers, data centers are uniting Dems and the GOP
Politicians from both sides of the aisle are raising strikingly similar concerns about water, energy and costs. The question is how long the unity will last.
New Hampshire primaries test Trump and the left
Trump has backed former GOP Sen. John Sununu in the Senate primary, in which Democratic Rep. Chris Pappas is facing off against a democratic socialist.
The GOP was confident about keeping its Senate majority. Now the fight for control is wide open
WASHINGTON (AP) — Republicans appeared to have a firm grip on the Senate heading into the final two years of President Donald Trump’s term. But with less than t
The GOP was confident about keeping its Senate majority. Now the fight for control is wide open
Control of the U.S. Senate is up for grabs with less than two months until Election Day. Republicans appeared to have a firm grip on the majority at the start
The GOP was confident about keeping its Senate majority. Now the fight for control is wide open
Control of the U.S. Senate is up for grabs with less than two months until Election Day. Republicans appeared to have a firm grip on the majority at the start of the 2026 election cycle. But Democrats...
The GOP was confident about keeping its Senate majority. Now the fight for control is wide open
Control of the U.S. Senate is up for grabs with less than two months until Election Day.
Trump calls for a Bombardier plane ban, drawing pushback from a GOP senator
The president ripped the Canadian aerospace company Monday amid a trade war with the country, but Sen. Jerry Moran, R-Kan., came to Bombardier’s defense.
Acton attack suspect not registered with political party, voted in 2016 GOP primary
Amy Acton was eating a sandwich, taking pictures and talking with people at the Canfield Fair when Tra Eley says she stopped at his food truck Sunday.For roughl
Warning signs abound for Trump’s Republicans as midterm campaign begins final sprint
With the midterm elections just two months away, Trump’s unpopularity is imperiling the GOP’s chances of maintaining its majorities in Congress.
House Ag Chair Seeks Extension, Beef Import Plan Seen as Political Sho
House Ag Committee Chair Glenn Thompson is seeking a waiver to serve another term, having reached the six-year term limit for GOP chairs.President Donald Trump announced a plan to pa
GOP spends Labor Day touting August jobs, Dems lift up union workers
For politicians, Labor Day is still a midterm messaging moment, as Democrats celebrate union workers and Republicans tout August's job report numbers.
GOP Midterm convention comes to Dallas this week
The American Airline Centers may be home to 20,000 people this week during the first ever Republican National Committee Midterm Convention ahead of the November election. Lone Star Politics speaks with the organizing committee co-chair, Dallas restauranter and developer Ray Washburne, about the event and what donors are saying about the Republican candidate heading into the November election.
Lone Star Politics: Sept. 6, 2026
Lone Star Politics gives an in-depth look at the first midterm GOP convention in Dallas. Plus, a closer look at the race for Texas Agriculture Commissioner. And a look at spending for the midterm elections.
How Dallas County went from Republican stronghold to Democratic strong
Dallas, the city that welcomed Ronald Reagan’s GOP in 1984, has undergone a dramatic political transformation, with Democrats now controlling every major elected office in Dallas County.
NC father at center of US Senate ad says he was ‘swindled’ by GOP political operatives
Despite his intentions, the ad has landed a North Carolina man squarely in the middle of one of the nation’s most watched races.
Even Dem court couldn’t abide theft of GOP seats
Thanks to the Colorado Supreme Court, Colorado voters will be able to reaffirm their support for the Independent Congressional Redistricting Commission after the court struck down the Democratic scheme to steal three Republican congressional seats. Billionaire-funded national Democratic groups from New York and Washington, D.C. created the hilariously named “Coloradans for a Level Playing Field,” […]
As Midterms Approach, Republicans Find There Is No Escape From Trump
Two months before the midterm elections, Trump and the Republicans who have long tied their political fortunes to him appear to be at cross-purposes as the party struggles to keep the House and Senate in GOP hands.
3 N.C. politicians to speak at GOP midterm convention in Dallas
U.S. Rep. Richard Hudson and candidates in key U.S. House and Senate races are set to address this coming week’s gathering.
3 N.C. politicians to speak at GOP midterm convention in Dallas
U.S. Rep. Richard Hudson and candidates in key U.S. House and Senate races are set to address this coming week’s gathering.
GOP pollster: Texas Senate race ‘is a race that Republicans cannot afford to lose’
Letitia James’ Times Square shooting probe draws GOP criticism over New York’s mental health crisis
Saritha Komatireddy proposes a new Office of Civil Commitment after the Times Square fatal stabbing, saying New York fails mentally ill people.
Poll: Cracks emerge in GOP support for Trump and his handling of the Iran war
The share of Republicans who strongly approve of Trump and how he’s managed the war has dropped significantly in recent months, according to the new NBC News Decision Desk Poll.
Opinion | We Can’t Know Our A.I. Future if We Don’t Study It
Just as A.I. is poised to change the world, we’re losing our best ways of studying what that change will look like.
Turning Point lays groundwork to shape GOP presidential race in 2028
Turning Point Action mixed online-ready confrontations with on-the-ground organizing at the Iowa State Fair as it registers voters and recruits activists to influence Iowa’s 2028 Republican presidential contest.
An ‘albatross’ or a GOP turnout force: Trump’s role in Texas midterm elections
With a president down in the polls coming to Dallas for a convention, navigating the politics can be tricky for some midterm candidates.
Pa. GOP lawmakers explore increased public health reporting for tick-borne diseases
New legislation would require health care practitioners to report cases of babesiosis, a rare malaria-like disease that is spread by deer ticks, the same species responsible for most cases of Lyme disease.
Editorial: GOP uses ‘socialism’ to distract and deceive
The Florida election is awash in ludicrous Republican accusations of socialism. Plans for a hurricane insurance fund are socialist. Ranked-choice voting is socialist. New residents are suspected of being “radicals.”
Trump’s embrace of AI data centers adds to GOP’s midterm peril
Recent polling has shown around seven in 10 Americans don’t want the facilities built near them.
New Hampshire's GOP primary features two familiar names from the past, and voters are fine with that
While voters elsewhere have embraced a decidedly anti-establishment sentiment this campaign season, New Hampshire Republican voters appear content with their choices and are poised to pick a familiar name over a fresh face on Tuesday.
Missouri asks Supreme Court to back GOP-drawn congressional map
Missouri officials are asking the Supreme Court to allow a GOP-favored congressional map that's been blocked by the state's highest court.
Talarico plans Texas food drive to counterprogram Trump’s GOP convention
Democratic U.S. Senate candidate James Talarico plans to hold a statewide food drive next week as Republicans descend on Dallas for President Donald Trump’s midterm convention.
Blue-collar support trends highlighted GOP gains among rank‑and‑file workers
Forty-five years ago this week: Kathy Oatis of the Colorado AFL-CIO’s Committee on Political Education said that organized labor had a negative image with the American voter. “I don’t think the country is against us,” said Oatis. “I think the leaders of the country are, and they don’t support the things that we have traditionally […]
Musk has started spending money to help Ken Paxton. Will it help change the course of the Texas Senate race?
For months, Texas Republicans have anxiously awaited the arrival of national resources to help boost Ken Paxton, one of the GOP’s most vulnerable Senate candidates.
Missouri asks Supreme Court to allow congressional map with extra GOP seat ahead of midterms
Missouri officials urged the Supreme Court on Friday to reinstate a congressional map that includes an additional seat for the Republican Party, the latest emergency case tied to President Donald Trump’s nationwide redistricting fight to reach the high court.
EAST TEXAS POLITICS: Smith County GOP chair previews RNC midterm convention, reacts to Trump’s data center remarks
Smith County GOP Chairman David Stein joins Blake Holland ahead of next week’s convention in Dallas
GOP Lawmakers Discuss Economic Development At W.Va. Chamber Business Summit
WHITE SULPHUR SPRINGS – The final day of the West Virginia Chamber of Commerce 90th Annual Meeting and Business Summit at the Greenbrier wrapped up Friday morning with Republican lawmakers talking about the state’s economic future. House Speaker Roger Hanshaw, R-Clay, moderated a panel discussion with House Judiciary Committee Chairman JB Akers, R-Kanawha; state Sen. […]
The Battle for Texas: GOP, Paxton and Talarico
Co-hosts Brandon Rottinghaus and Jeronimo Cortina delve into the latest news in politics
In boost to GOP, Supreme Court says parties should get lower TV ad rates
The Supreme Court ruled Friday that political parties should get discounted TV ad rates when they coordinate spending with candidates.
GOP lawmaker says Kamala Harris is ‘political kryptonite,' unhelpful to Democrats
Rep. Pat Fallon, R-Texas, examines the Democratic Party's midterm election strategy on ‘The Evening Edit.’
GOP brings unusual midterm convention to Dallas next week
Republicans will rally the troops in Dallas next week in an effort to keep control of Washington, D.C. NBC 5’s Phil Prazan talked with Meet the Press moderator Kristen Welker about the reason for this historic event.
In win for GOP, Supreme Court greenlights lower ad rates for political parties
The ruling has major implications for this year’s midterms, where Republicans hold significant cash advantages at the party level.
SCOTUS grants Republican appeal on TV ad rates before midterms
The order clears a legal roadblock to political parties getting cheaper TV ad time ahead of the midterm elections
SCOTUS grants Republican appeal on TV ad rates before midterms
The order clears a legal roadblock to political parties getting cheaper TV ad time ahead of the midterm elections
Supreme Court backs Republican request to lower TV ad rates
The Supreme Court on Friday endorsed a request from Republican campaign groups that want to buy discounted TV advertising for this year’s midterms, the latest in a series of emergency rulings from the high court benefiting the GOP.
New Supreme Court ruling helps GOP buy cheaper TV ads for critical midterms
The Supreme Court allowed political parties to access discounted advertising rates, potentially aiding GOP candidates in the midterm elections.
GOP consensus elusive on timing, scope of data centers bill
WASHINGTON — As anger mounts over the impacts of data centers, Republicans are wrestling with legislation that would address concerns over increased electricity and water demand that many voters associate
Elon Musk’s super PAC starts spending to help GOP in midterms, including Texas’ Ken Paxton
Elon Musk's America PAC has disclosed its first spending on Republican candidates — roughly $800,000 across Senate and House races in multiple states. Who do you think this spending will impact most?
GOP mayor rejects Trump renaming Lake Ontario, speaks to OutFront: It’s ‘part of our identity’
Court throws out Missouri congressional map, helping Democrats keep seat
In addition, Maryland’s high court cleared the way for voters to decide in November whether to back a plan to eliminate a GOP-held seat in 2028.
Missouri candidate allegedly wanted campaign manager to plant cocaine in opponent’s car
The state’s GOP chairman called the allegations “serious and deeply troubling” and said Republican Thomas Christopher Ross should immediately drop out of the race.
GOP candidate gets busted trying to plant drugs on his political rival
Thomas Ross allegedly conspired to plant cocaine and Adderall in his Republican rival's purse, but his campaign manager wore a wire for the FBI.
Missouri Supreme Court rules new GOP-drawn map can’t be used for November election
The court said a referendum seeking to put the map up for a vote must be placed on the ballot, meaning the state’s elections this fall will take place under its old congressional lines.
Hope Florida burns, Trump on midterm, Florida economy: IFP podcast
Hope Florida Foundation grand jury report rocks midterm kick-off, Trump bullish on election prospects and is the GOP over-hyping Florida's economy?
Pete Hegseth’s problems are getting harder to ignore
When GOP Sen. Mitch McConnell voted against Pete Hegseth for defense secretary last year, he bypassed the big-ticket controversies over Hegseth’s personal life and instead focused on his lack of experience.
GOP lawmaker says he expects McConnell will return to Capitol Hill later this month after lengthy absence
House Oversight Chair James Comer of Kentucky said Thursday that Sen. Mitch McConnell’s staff have told him they are hoping the senator – who has had an extended absence from Washington due to health issues – will return when the Senate comes back into session on September 14.
Murphy & Schrier Advocate for Patient-First American Approach to Health Care
WASHINGTON, DC – As health care costs continue to rise across the country, Congressman Greg Murphy, M.D. (R-NC-03), Chair of the GOP Doctors Caucus, and Con ...
Brawl of the Business Owners at GOP CD1 Primary Debate on WMUR
Verbal shots were fired in a battle of the business owners at the Republican Primary WMUR debate for the U.S. House of Representatives First Congressional District on Wednesday night.
Trump says he’ll campaign for Republicans in 35 races ahead of the midterms
The president said he’ll travel to help out GOP candidates in competitive contests, including the Senate races in Alaska and Texas.
GOP Senator, 73, Shows Worrying Health Condition She Covered Up
The issue, which Susan Collins revealed in May, was evident in a nearly hour-long interview Wednesday.
GOP ads contradict Trump’s rosy view of the economy
For months, President Donald Trump has falsely claimed that consumer prices are falling ahead of this year’s 2026 midterm elections. Now some Republican candidates are running campaign ads that acknowledge reality. CNN’s Daniel Dale reports.
House GOP lawmakers explore increased public health reporting for tick-borne diseases
The commonwealth had more than 16,000 reported cases of Lyme disease in 2024, according to the U.S. Centers for Disease Control.
Republicans fail to ease one of Trump's greatest fears as Supreme Court measure collapses
House Democrats blocked a constitutional amendment to cap Supreme Court justices at nine after President Donald Trump warned of future court packing.
Florida Gov. Ron DeSantis takes on several hecklers at GOP event
Video shows Florida Gov. Ron DeSantis criticizing hecklers at a Republican unity event in Tampa.
As Republicans plan to gather in Bush’s backyard, his influence is largely absent from the party
Next week's Republican convention in Dallas takes place in the same city that helped give rise to the Bush political dynasty. But George W. Bush himself — and many policies he pushed 30 years ago — are largely missing from today's GOP, political scientists say.
8 questions GOP lawmakers face as the House returns
Republicans face a torrent of questions about the words and actions President Donald Trump has unleashed while they’ve been gone.
DeSantis throws support behind Donalds after contentious Republican primary
DeSantis made sure an event billed as a Florida GOP unity gathering was a celebration of his time as governor.
From pucks to politics: Crews race to remake Dallas arena for Trump
North Texas company is compressing weeks of work into about 10 days to turn American Airlines Center into political hub for GOP.
DeSantis endorses Florida GOP slate including Byron Donalds in governor's race
Florida Gov. Ron DeSantis endorsed a "slate" of candidates that included GOP gubernatorial candidate Rep. Byron Donalds.
As Republicans plan to gather in Bush's backyard, his influence is largely absent from the party
Next week's Republican convention in Dallas takes place in the same city that helped give rise to the Bush political dynasty. But George W. Bush himself — and many policies he pushed 30 years ago — are largely missing from today's GOP, political scientists say.
Inside a Conservative Operation to Hijack Your Social-Media Feed
A service run from Latvia offers payment for short, social-media-friendly clips designed to look like grassroots GOP support.
August Monthly Review: ChatGPT In Epic
Death, taxes, another frontier lab healthcare launch inspiring truly insane LinkedIn takes. As much as I want to stay away, I repeatedly am the crewman unplugging his ears whenever we pass these sirens. So it’s not the first and probably not the last time we dial up the typewriter rather than tie ourselves to the mast. The full blow-by-blow timeline: Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe The End of the Standalone PHR (Jan 8): ChatGPT Health arrives for consumers, at the time powered by b.well. I was bullish on the approach in that the best way for the PHR to finally solve distribution was to meet consumers were they already are (i.e. When Horizontal Meets Healthcare (Jan 9): OpenAI for Healthcare puts out the shingle for enterprises, with SharePoint ingestion standing in for the EHR integration the product actually needed. Another One: Anthropic’s Healthcare Debut (Jan 16): Claude's version, on HealthEx rails instead of b.well, with Agent Skills for FHIR development as the one true vertical-specific investment. ChatGPT for Clinicians: The Trap Sprung (Apr 24): OpenAI filled in the missing GTM middle with a free product for verified clinicians, effectively peeling the enterprise wrapper off ChatGPT for Healthcare and taking the PLG fight directly to OpenEvidence. OpenAI’s Second Attempt at Health (Jul 31): a relaunch of their patient specific app, now branded Health in ChatGPT, where the privacy partition came out, the connectors thinned, and b.well disappeared in favor of first-party FHIR work against a smaller network Beyond a Shingle So what was announced now? Today, we’re introducing a new electronic health record integration that brings authorized patient context from Epic into ChatGPT for Healthcare, along with the Healthcare Public Data plugin for direct, structured access to official healthcare datasets like PubMed, DailyMed, and CMS Coverage. Together, these capabilities bring ChatGPT closer to the systems and sources healthcare teams trust, while supporting the controls and compliance healthcare work requires. The core portfolio is unchanged from prior announcements we delineated and discussed (aside from the relaunch of patient-facing). Since trade publications still seem to be confusing them by using the wrong names: Enterprise sales motion: ChatGPT for Healthcare Protecting their core product / PLG: ChatGPT for Clinicians Consumer/patient-facing product: Health in ChatGPT So really, this is a feature release (specifically for ChatGPT for Healthcare when it comes to EHR integration). What’s cool about it, though, is that we are moving beyond just putting out a shingle. Everything in the January enterprise launch was horizontalizable: Horizontal tech companies thus generally start verticalization with their “putting out a shingle phase”. Telling the world you’re open for business as a horizontal tech company reliably attracts early inbound interest from buyers who are already trying to force-fit horizontal tools into domain-specific workflows and are eager for any signal that the vendor intends to support their use case more directly. Nothing was really vertical specific, which is exactly what you'd expect from the ultimate hypergrowth horizontal company dipping their toes into specific industries. But eventually you have to stop changing the sign on the door and start changing the product. Can you guess where the horizontal product was going to run out of road? This is the core dilemma writ large: verticalization requires differentiation, while scale economics of consumer and horizontal push toward unification. I’ve buried the lede so deep here it will be painful to some readers, but what should be shocking to no one is that my perspective is that EHR integration is the only path that meaningfully resolves this tension for ChatGPT for Healthcare. Integration with Microsoft Sharepoint is fine, but it is categorically insufficient for any product that hopes to influence clinical decision-making. SMART Money Well here we are, eight months later! Real vertical investment has begun, which surprised a few people. One friend in the industry messaged me: “Absolutely no way Epic gave ChatGPT API access.” Looking forensically at the announcements, the integration is notably read-only across appointment notes, laboratory results, medications, and specialist documentation. So while I’m not a betting man, I'd wager the house this is a SMART on FHIR launch: That sounds a lot like USCDI! The recommended path for the workflow they outline would be SMART on FHIR Their Health AI lead’s post is evocative of both standalone and EHR launch SMART, which another termed “ChartGPT” and “EHR Plugin” The implementation burden for SMART on FHIR is the lowest of the available integrative paths This is the team who literally did patient-facing SMART on FHIR with Epic last month Most importantly, if you’re a horizontal company, you generally still haven’t taken the full plunge and thus (overly) value reusability. SMART on FHIR is the logical compromise: healthcare-specific enough to matter, but standardized enough to reuse. Nobody Asked Judy Another friend asked “I thought they had to go to each health system, or did they go direct to Epic and now health systems opt in?” Given the trust paradigms in healthcare, this functionally cannot be Epic hoovering up all the data for OpenAI and shoving ChatGPT in their customers’ faces (or they would revolt). However, I do believe the aforementioned terrible coverage by TechCrunch and other outlets is probably responsible for that question, given the 325 million reference. When using FHIR as a business associate to an Epic customer, there is no EHR gatekeeping to speak of, as that isn’t how fhir.epic.com works: You register an app You pick your APIs You test against the sandbox APIs You list as “Ready for Production” Hospitals pick your app You test and go live with them Bluntly, nobody had to say yes or no in Verona (nor were they given the chance). Vendor Services (their next developer tier up that I doubt OpenAI is using quite yet in this initial release) certainly has contractual paperwork that some resent, but even there, the twin pressures of mounting antitrust and information blocking make outright gatekeeping increasingly fraught. My friend’s sentiment is, to me, representative of a broader industry neurosis, perhaps a sort of scar tissue of prior eras: people assume the gate is still there and never actually try the door. There are certainly other ways Epic (and any EHR) can put its thumb on the scale, but they are not so dumb as to stand in front of a federally mandated API and play bouncer at this exact moment in time. So I think they can and probably should go deeper, as this release is at best parity and at worst behind vertical-specific competition. OpenEvidence did a basic SMART launch with Sutter Health in February, allowing for more convenient evidence search by providers. They then add patient-context (the equivalent SMART on FHIR flow to what we see here) when Cedars-Sinai went enterprise-wide in May. UpToDate has four distinct applications across deeper workflows like patient engagement listed in Epic Showroom and announced a partnership with Epic to power Art at UGM Abridge and other ambient scribes have invested deeply into the deepest bidirectional clinical copilot workflow with integrations well beyond SMART on FHIR. In that light, the “Who is OpenAI primarily targeting here?” is clear. This release brings them into striking distance of OpenEvidence, but not the others quite yet. They are the only one of the three you can reach without building something truly Epic-specific. When will they go further? Competition is a great motivator to overcome the horizontal demons and start building things that can’t be reused: not across industries, not across EHRs, maybe not past the customer you built them for. That’s the price of actually verticalizing. The question is if and when OpenAI will be willing to pay it. Month in Review Here is the monthly review. As a reminder, this is a regular round-up of the month’s posts and other content to surface things you may have missed across regulation, litigation, interoperability, and beyond. AI assistance is used in these bullet summaries so I can focus on articles. Articles Published: None this month Video Content: The Information Exchange: Standards-based Thruple Edition (Aug 14): Back to school for us too, with Brad reporting in from the CMS Health Tech Ecosystem’s one year anniversary in DC. We get into the January CMS-0057 deadline, the fall rulemaking reading list, and why enrollment still keeps most apps off FHIR. The Information Exchange: Epic Dúnadan Edition (Aug 25): A UGM roundup with Ryan Brickner joining for the first time to check our takes against what the building actually thinks. Rangers, Ergo sitting on top of EHI, and a down-market lineup that needs some cuts. Regulatory: Stacked Deck, Bad Hand (Aug 05): ONC’s website refresh took the entire HIT Policy Committee record with it, so I rebuilt the archive and went looking for the regulatory capture story everyone assumes is buried in there. Stacking the deck and winning the hand turn out to be very different things. The Sixth Generation of Patient Access (Aug 19): A quick catalog of the five generations of patient access we’ve layered on since HIPAA, and the two candidates now competing to be the sixth. One is planned. The other is the market routing around the plan entirely. Court cases: Three Cases Walk Into a Docket (Aug 06): Two surprise settlements cleared the board in a single week, and then Judge Maddox dropped ninety-four pages on Vyne v. Henry Schein. The sleeper is a DMCA holding that makes direct-to-database a considerably riskier business model. Epic v. Health Gorilla: Into the MDL (Aug 10): Nine class actions are headed to Miami, and the Panel signaled it wants to bring the case that spawned them along too. That would leave Epic arguing the requests were obviously fraudulent in one courtroom and unknowable in the other. Amazon v. Perplexity: Agents Are Legalized! (Aug 11): The Ninth Circuit vacated the injunction against Comet, holding that the user is the one accessing the servers rather than the company that built the agent. A real win for agentic access, and a much narrower one than the headline suggests. Veeva v. Epic: Come At Me, Bro (Aug 26): Epic’s response brief wants the dismissal affirmed and, unusually, wants the opinion published as precedent. Buried in it is Epic’s own description of what its non-competes actually prohibit, which current and former employees should read closely. EHRs: The Contract Epic Would Never Sign Today (Aug 04): A 1999 SEC exhibit catches Epic licensing nearly its entire product line, Tapestry included, to the company that became TriZetto. The marketing services menu attached to it is the part that will make you blink. Forecast from Verona (Aug 07): The Epic Almanac makes one argument six different ways: the AI is only as good as the networks behind it. Emmie headlines, Art’s context stack is the most ambitious part, and Penny finally gets an autonomous coding date on the calendar. Works With Epic MyChart (Aug 17): Epic’s first new Showroom category since the death of Workshop certifies hardware instead of software, badge on the box and all. Made for iPhone, but for blood pressure cuffs, and rough news for anyone selling the RPM stack sitting in between. UGM Hot Takes 2026 (Aug 20): Everyone else covered the AI announcements, so I went after Savvy deleting the payment gateway, Rangers as Boost with the timer removed, and a down-market lineup with too many entries. Plus the Health Grid tidbits I cannot help myself on. MyChart Central Grows Up (Aug 24): Device data and Emmie turn Epic’s identity hub into a full consumer platform, which is both a logical answer to ChatGPT and a bit of a mistake. It also happens to be the best scraping target Epic has ever shipped. Industry Analysis: The Wrong Yardstick (Aug 12): Vertical software keeps getting judged against Superhuman and Notion, which is the wrong bar entirely. Your user is comparing your product to a whiteboard and forty phone calls before lunch. Primitives vs. Abstractions (Aug 27): Developers want building blocks, systems of record prefer to hand out business logic, and both sides have a real case. There’s no test from the outside that separates the engineering reason from the competitive one, which is why this keeps ending up in court. Cross-industry Comparisons: The Two Kinds of Platform Power (Aug 18): Attention power and record power are different problems that keep getting handed the same regulatory toolkit. Congress’s latest swing at Big Tech shows both what’s possible and where it falls apart. The Dogs of (Platform) War (Aug 21): A CourtListener alert turned up a property management fight with healthcare’s exact shape and none of the Cures Act. Shell prospects, ghost accounts, a notetaker bot that came back to haunt someone, and a lawyer arguing both sides of the same theory in two states. Fractals All the Way Down (Aug 31): Yardi dominates property management right up until you zoom into one segment, where AppFolio owns it outright and Yardi doesn’t appear at all. Where you draw the line around a B2B software market is about to decide an awful lot of cases. Other News: If Judy Had the Courage (Aug 13): A short eulogy for the era when software was allowed to look insane: WinAMP, bold colors, and everything the grey chatbot era has taken from us. External Media: Portland Monthly Health Tech Meetup: Erin O’Brien channeled my own feelings - maybe it’s just because it’s August and beautiful, but the monthly edition of the PDX Health community meetup was a ripper. Make sure to reach out if interested to join for the next one. STAT’s Coverage of Epic This Month: Brittany Trang of STAT did a fantastic job of breaking the FTC investigation that’s been lurking, as well as UGM related coverage, so I had to give her her wish of a meme. Fall Conferences: I’m pumped to be kicking off my fall conference season in NYC at Nabla Accelerate next month, which Chrissy provided the link to apply for. Here’s the rest of my schedule in case you want to meet up: Commonwell (Redwood Shores, CA): Oct 13-14 Open@Epic (Madison, WI): Oct 21-22 eHealthExchange (Austin, TX): Oct 27 Sequoia Project (Austin, TX): Oct 28-29 HLTH (Vegas): Nov 15-18 RSNA (Chicago): Nov 29-Dec 3 Posts I Liked: HTI-6 Should Unbundle API Certification: Josh Mandel makes the case that HTI-6 should split (g)(10) into separate authorization and data certifications, so a PACS or a genomics platform can certify only the role it actually performs. Imaging is the urgent example, but the structure solves a much bigger problem. On implementing ePrior Auth with Epic: Scott Rossignol’s field notes from a live ePrior Auth build on Epic, including the two app registrations nobody warns you about and the CPT mapping problem waiting at the end. CMS-0057 implementations are going to be such a beast. Healthcare point solutions are starting to look a lot like streaming services: Spencer Dorn runs the cable-to-streaming arc against health IT and lands squarely on the bundling half of the cycle. Bundling can be good! It can also be bad! Life is nuanced. Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe
Healthcare tops the Democrats’ to-do list if they win control of the House in 2026
Democratic leader Hakeem Jeffries said his party would unify around undoing Trump’s Medicaid cuts and reviving ACA funds that the GOP ended. Some Democrats want to go bigger.
Democrat establishment flexes dominance as insurgents fall and GOP bench thins in deep blue stronghold
Massachusetts Democrats rewarded Ed Markey, 80, over Seth Moulton in a generational clash after Moulton urged the party to "pass the torch."
Minogue wins GOP governor’s primary, AP projects
The Army veteran turned CEO will be the Massachusetts Republican Party’s nominee for governor.
'Ignore the hecklers': Protesters liven up Florida GOP leadership forum
The Governor accused the interlopers of 'screeching' and doing a poor job of demonstrating.
House adopts Republican U.S. Rep. Jeff Crank’s resolution condemning socialism, mostly along party lines
The House on Tuesday approved a resolution sponsored by U.S. Rep. Jeff Crank to condemn socialism in a largely party-line vote that the Colorado Republican characterized as a chance for lawmakers to “stand firm” against an ideology making inroads among Democrats. The nonbinding resolution, HR 1490, also included a call for the “enactment” of GOP-led […]
House censures GOP congressman over creepy behavior toward staff
An ethics panel said the Republican lawmaker showered staffers with lavish trips, expensive gifts, romantic poems and an ice cream deluge.
Florida Politics: Hope Florida, Nixon-Moody debate?
Florida Governor Ron DeSantis is set to host a forum with several huge names in the Florida Republican Party, such as Attorney General James Uthmeier and GOP Gubernatorial Candidate Byron Donalds. Meanwhile, Angie Nixon is throwing her hat into the ring, challenging U.S. Senator Ashley Moody to a public debate ahead of the general election. POLITICO Reporter and Florida Playbook author Kimberly Leonard joined FOX 35's Garrett Wymer live over Zoom to discuss what's new in Florida politics.
Johnson quells House GOP rebellion to advance anti-socialism resolution
A group of House Republicans threatened to upend Speaker Mike Johnson's plans this week in protest of his handling of federal spending.
Republicans’ midterm convention in Dallas is anything but conventional. Why is it happening?
Political science experts say it's a sign Republicans are concerned about how key races will play out, including in the decades-long GOP stronghold of Texas. They expect the convention's effects to be negligible in polls, but its impact at the ballot box is less certain.
JD Vance confronts Jewish GOP skeptics ahead of a 2028 run
Vice President JD Vance has in recent months given voice to a rising skepticism in America toward Israel, leaving some Jewish Republicans uncomfortable, if not openly concerned, about the expected GOP frontrunner in the next presidential election.
minogue healey campaign event picture
Tara Healey, Governor Maura Healey’s younger sister, confidante, and longtime political adviser, attended GOP candidate for governor Michael Minogue’s campaign event on Plum Island on Sunday.
NC father at center of US Senate ad says he was ‘swindled’ by GOP political operatives
Ronald Hayes was cautious when he talked to a reporter this week about the political TV advertisement he appears in, talking about the death of his son Shemar, a college football player who was murdered in Charlotte in March 2024 at age 23.
Tensions erupt in House hearing as GOP advances anti-socialism resolution while Dems rage: 'Silly season'
House Republicans force Democrats to vote on condemning socialism and capping the Supreme Court at nine justices amid the left's inter-party civil war.