jili 178 ph reviews
With a market valuation of Rs 10,512.65 Cr, KPI Green Energy Ltd. is a mid-cap company in the power generation industry. The stock surged 68.52% year-to-date and concluded Friday's trading session on the BSE at Rs 800.90, up 4.92%. KPI Green Energy Limited is the KP Group's solar and hybrid division. Located in Gujarat, it is a well-known solar and hybrid power generation enterprise. Founded in February 2008, the company deals in supplying solar and hybrid power through several business sectors. Under the "Solarism" brand, the company designs, constructs, owns, runs, and maintains solar and hybrid power plants as an Independent Power Producer (IPP) and as a service provider to Captive Power Producers (CPPs). KPI Green Energy Bonus Shares "Pursuant to Regulation 42 of Securities and Exchange Board of India (Listing Obligations and Disclosure Requirements) Regulations, 2015, and relevant provisions of the Companies Act, 2013 and Rules made thereunder, the Company has fixed Friday, January 03, 2025, as the 'Record Date' for determining the eligibility of Shareholders entitled for issuance of Bonus Equity Shares of the Company in the proportion of 1 (One) Equity Shares of Rs. 5/- (Rupees Five only) each for every 2 (Two) existing Equity Share of Rs. 5/- (Rupees Five only) each, subject to the approval of Shareholders which is being obtained through Postal Ballot," said KPI Green Energy in a stock exchange filing. The estimated date by which such bonus shares would be credited/dispatched is on or before January 14, 2025 according to the company. KPI Green Energy News KPI Green Energy Limited earlier announced on December 2, 2024, that it has received its largest-ever order from Coal India Limited for the installation of a 300 MWAC (405 MWDC) ground-mounted solar PV plant, including complete operation and maintenance (O&M) services for a term of five years. This is the largest order that the whole Central PSU team has ever placed. In accordance with the tender timelines, the 300 MWAC (405 MWDC) ground-mounted solar PV project will be carried out at GIPCL's Solar Park in Khavda, Gujarat, with O&M for five years and a contract price of Rs. 13.11 billion. It will be completed on an EPC (Engineering, Procurement, and Construction) basis. Meanwhile, KPI Green Energy Limited and the Government of Rajasthan signed a Memorandum of Understanding (MoU) on December 19 to build hybrid, solar, and wind power projects in Jaisalmer (Ramgarh), Rajasthan. The Government of Rajasthan will assist the organisation or company in obtaining the required clearances, approvals, etc. from the relevant state agencies in accordance with the state government's current policies, rules, and regulations. KPI Green Energy Share Price Target "KPI Green Energy stock price is bullish on the Daily charts with strong support at 764. A Daily close above the resistance of 848 could lead to a target of 918 in the near term," commented A R Ramachandran, Independent Research Analyst. Disclaimer The recommendations made above are by market analysts and are not advised by either the author, nor Greynium Information Technologies. The author, nor the brokerage firm nor Greynium would be liable for any losses caused as a result of decisions based on this write-up. Goodreturns.in advises users to consult with certified experts before making any investment decision.Government ‘dragging its feet’ on tackling anti-Semitism, campaigners say
Adventures on special teams made the Washington-Dallas showdown a clumsy affair, yet Joe Davis and Greg Olsen saw to it that the broadcast of the chaotic finish was pure gold. After Terry McLaurin weaved his way past five defenders for an 86-yard touchdown catch from Jayden Daniels to cut the Cowboys lead to 27-26 with 21 seconds left, Fox's No. 2 broadcast crew captured the chaos before admonishing the audience not to count on anything as a certainty on this helter-skelter afternoon. "Lightning strikes twice in Washington!" Davis shouted in an homage to Daniels' 52-yard Hail Mary to Noah Brown that stunned the Bears last month. "They dropped 11 guys in coverage," Olsen marveled. "If they just tackle him inbounds the game is over. I don't even know what to say. I'm absolutely speechless." Not for long he wasn't. People are also reading... Olsen quickly cautioned the audience that "Automatic" Austin Siebert had already missed an extra point along with a field goal Sunday in his return from a right hip injury. "Before anyone in Washington gets too fired up, remember, we've seen a missed PAT already," Olsen said. "Yeah, you hold your breath with anything special teams-related on this day," Davis agreed. After all, this was the first game in NFL history to feature two kickoff returns for touchdowns, two errant extra points and a blocked punt. In the 41-point fourth quarter that erased the game's snoozer status, Washington allowed KaVontae Turpin's 99-yard kickoff return for a score. Earlier, the Cowboys missed a field goal and saw another one blocked along with a punt. Sure enough, the snap was low ... the hold was better ... "It is no good!" Davis hollered. "And the worst special teams day in history has a fitting finish!" Actually, no. More ruckus remained. Siebert's onside kick bounced twice in front of safety Juanyeh Thomas, who gathered it in and returned it 43 yards for Dallas' second kickoff return for a touchdown. If Thomas takes a knee short of the goal line, he effectively seals the Cowboys' win. Instead, the score, while pushing Dallas' lead to 34-26, also left enough time for Daniels and the Commanders for a shot at yet another miracle touchdown. Austin Ekeler returned the kickoff to the Washington 36 and after a short gain, Daniels' Hail Mary was intercepted by Israel Mukuamu as time expired. And that's how what Davis called the "worst special teams day in NFL history" came to an end. "What a wild special teams moment of blocked punts, kicks, kickoff returns, blocked field goals," Commanders coach Dan Quinn said. In keeping with the not-so-special-teams theme, there were several foibles in the kicking game across the NFL in Week 12, where the Broncos gave up a 34-yard pass completion on a fake punt that Denver coach Sean Payton swore the team saw coming — and not as it was unfolding, either, but five days earlier. "We met Tuesday as a staff. It wasn't a matter of if, it was when they were going to run a fake punt," Payton said. "You're struggling as a team like this, we had it on the keys to victory, so credit them, they executed it." Thanks to AJ Cole's 34-yard pass to linebacker Divine Deablo that set up a second-quarter field goal, the reeling Raiders took a 13-9 advantage into the locker room, just their second halftime lead of the season. In the second half, the Raiders succumbed to surging rookie QB Bo Nix and veteran wide receiver Courtland Sutton in their 29-19 loss. That's seven straight losses for the Raiders, their longest skid in a decade. The Broncos (7-5), who blew a chance to beat the Chiefs in Week 10 when their 35-yard field goal try was blocked as time ran out, also allowed a 59-yard kickoff return that led to Las Vegas' only touchdown Sunday. The Texans (7-5) lost for the third time in four games after Ka'imi Fairbairn shanked a 28-yard field goal try that would have tied the Titans just after the two-minute warning. Like the Broncos, the Vikings (9-2) overcame a special teams blunder and escaped Soldier Field with a 30-27 overtime win against the Bears after allowing Chicago (4-7) to recover an onside kick with 21 seconds left. Caleb Williams followed with a 27-yard pass to D.J. Moore to set up Cairo Santos' tying 48-yard field goal as the fourth-quarter clock hit zeros. Be the first to know Get local news delivered to your inbox!Cyber protection ordinance: Draft fails to shake off ghosts of the past
NC State defensive coordinator Tony Gibson is named head coach at MarshallBrazil’s Bolsonaro planned and participated in coup plot, unsealed report says
MQ FRAUD ALERT: The Class Action Deadline for Marqeta, Inc. Investors is February 7 -- Contact BFA Law if You Lost Money (NASDAQ:MQ)Knights center ‘excited’ to visit old rink for 1st time since trade
Harness innovation to turn adversity into opportunity: U.P. CMSpecial teams bungles dominate NFL, with Commanders and Cowboys leading the way
Mexico City, Mexico, November 26, 2024 ( ) – Venezuela sent its congratulations to the newly elected president of Uruguay, Yamandú Orsi and his running mate Carolina Cosse, pledging a closer and more cooperative future relationship between the two nations. In its , the Venezuelan Ministry of Foreign Affairs celebrated the “important victory over the neoliberal right” in the country by the leftist electoral coalition known locally as the . Caracas experienced frayed relations with Montevideo during the mandate of outgoing president, Luis Lacalle Pou, who frequently his criticisms of the Maduro government in public forums and threw behind the former self-proclaimed “interim government” led by Juan Guaidó. “Let us work towards building a respectful and positive relationship, one of cooperation and shared support between our countries,” said Maduro via social media. Orsi, a one time teacher and former mayor, narrowly defeated his rival Álvaro Delgado, who represented Lacalle’s right-wing National Party and the Republican Coalition on the ballot. According to results, the secured 1,196,798 votes in the second-ballot vote versus 1,101,296 votes for Delgado. Uruguay’s Supreme Electoral Court reported a voter turnout of 89 percent, with the participation of over 2.7 million eligible voters. Orsi drew some scrutiny from Venezuelans after he described the political situation in the country as “indefensible” and labeled the government as “authoritarian.” His running mate, however, has defended Venezuela in the past. In a 2018 interview, Cosse rejected the accusation that there are “dictatorships” in Cuba and Venezuela. “I do not consider Cuba and Venezuela to be dictatorships. I believe that each nation has the right to self-determination. In Venezuela, there is a president elected in free elections,” said Cosse at the time. The election of Orsi marks the return of the left to power in Uruguay following a five-year absence. The Frente Amplio had previously governed the South American country for an uninterrupted 15-year period, with historical leaders Tabaré Vásquez and José “Pepe” Mujica alternating in the presidential palace. Orsi is expected to mirror his coalition’s progressive and moderate style of governance that characterized their previous stint in power. “I will be a president who promotes dialogue. I will be a president who builds a more integrated society and country, where no one is left behind economically, socially, or politically,” said Orsi in his victory speech.Mumbai: Parents And Director Booked For Fraudulent ₹4.5 Crore Fundraiser For Child's TreatmentSeahawks place running back Kenneth Walker III on injured reserveSporting CP 1-5 Arsenal: Gunners deliver statement display to end Champions League away day blues
WASHINGTON — President Joe Biden on Monday vetoed a once-bipartisan effort to add 66 federal district judgeships, saying “hurried action” by the House left important questions unanswered about the life-tenured positions. The legislation would have spread the establishment of the new trial court judgeships over more than a decade to give three presidential administrations and six Congresses the chance to appoint the new judges. The bipartisan effort was carefully designed so that lawmakers would not knowingly give an advantage to either political party in shaping the federal judiciary. The Democratic-controlled Senate passed the measure unanimously in August. But the Republican-led House brought it to the floor only after Republican Donald Trump was reelected to a second term in November, adding the veneer of political gamesmanship to the process. The White House had said at the time that Biden would veto the bill. “The House of Representative's hurried action fails to resolve key questions in the legislation, especially regarding how the new judgeships are allocated, and neither the House of Representatives nor the Senate explored fully how the work of senior status judges and magistrate judges affects the need for new judgeships,” the president said in a statement. Get the latest breaking news as it happens. By clicking Sign up, you agree to our privacy policy . “The efficient and effective administration of justice requires that these questions about need and allocation be further studied and answered before we create permanent judgeships for life-tenured judges,” Biden said. He said the bill would also have created new judgeships in states where senators have not filled existing judicial vacancies and that those efforts "suggest that concerns about judicial economy and caseload are not the true motivating force behind passage of this bill now. “Therefore, I am vetoing this bill,” Biden said, essentially dooming the legislation for the current Congress. Overturning Biden's veto would require a two-thirds majority in both the House and Senate, and the House vote fell well short of that margin. Organizations representing judges and attorneys had urged Congress to vote for the bill. They argued that the lack of new federal judgeships had contributed to profound delays in the resolution of cases and serious concerns about access to justice. Sen. Todd Young, R-Ind., reacted swiftly, calling the veto a “misguided decision” and “another example of why Americans are counting down the days until President Biden leaves the White House.” He alluded to a full pardon that Biden recently granted his son Hunter on federal gun and tax charges. “The President is more enthusiastic about using his office to provide relief to his family members who received due process than he is about giving relief to the millions of regular Americans who are waiting years for their due process," Young said. "Biden’s legacy will be ‘pardons for me, no justice for thee.’” —-- Associated Press writer Kevin Freking contributed to this report.
WINNIPEG — Kyle Walters doesn’t believe losing a third consecutive Grey Cup means the Winnipeg Blue Bombers’ roster should be blown up. The CFL club’s general manager told reporters at his year-end availability Tuesday that reaching a fifth straight championship game by overcoming lots of injuries was a big accomplishment. Even before Winnipeg’s recent 41-24 Grey Cup loss to the Toronto Argonauts, Walters said he was looking forward to next season. “I was excited for next year based on what I’m looking at, compared to years past, where we’ve got more young guys that have contributed that are under contract,” he said. “We’ve got more young players in the building. So, the idea of, ‘This is the end of the road. The team is in a free-for-all downward,’ I don’t think is accurate. “We have a good group of guys and we were in a one-point (Grey Cup) game with 10 minutes left ... before things went downhill.” The Blue Bombers started the season 0-4, moved to 2-6 and finished 11-7 to claim the West Division title. Star receiver Dalton Schoen, veteran linebacker Adam Bighill and backup quarterback Chris Streveler all suffered season-ending injuries and are pending free agents. Negotiating with the team’s 27 unsigned players could be impacted by moves across the league among coaches, personnel staff and players such as quarterbacks, Walters said. The Bombers have given permission for offensive coordinator Buck Pierce to speak to the B.C. Lions and Edmonton Elks about those teams’ vacant head-coaching jobs, he said. Walters also revealed the Ottawa Redblacks were given the go-ahead to talk to Richie Hall about their defensive coordinator vacancy. Hall was a Winnipeg defensive assistant this season after Jordan Younger took over from him as defensive coordinator. Walters said the Bombers received permission to speak to Lions offensive coordinator Jordan Maksymic in case Pierce leaves. The Hamilton Tiger-Cats have already been given the OK to talk to Winnipeg assistant general managers Danny McManus and Ted Goveia about the Ticats’ GM opening. “You’re hesitant to have too much conversation with people who may not be in the organization next year, so it’s just been me and (head coach) Mike (O’Shea) in this moment huddled together and talking about next year,” Walters said. He said an NFL team had asked Tuesday morning to work out one Blue Bomber, but he didn’t reveal the player’s name in case he wasn’t aware of the request yet. The Blue Bombers won the Grey Cup in 2019 and ’21, but lost 28-24 to the Montreal Alouettes last year and 24-23 to Toronto in 2022. Winnipeg re-signed placekicker Sergio Castillo last week. Walters said he’d like to have deals done with three or four main players before the end of the year. The team has some up-and-coming young players inked for next year, and injuries gave others valuable experience on both sides of the ball, Walters said. Receivers such as rookie Ontaria Wilson (1,026 yards receiving in 18 games) and Keric Wheatfall (273 yards in seven games) are signed through next season. “The experience that they got was invaluable,” Walters said. Re-signing players who missed time because of injuries can get tricky. “Organizationally, can we approach (their agents) and say, ‘Well, your guy was hurt, he should come back for less money?’” Walters said. “Generally, they don’t view it like that. They view that they’ll be back 100 per cent.” One question mark is the backup to starting quarterback Zach Collaros, who suffered a deep cut to the index finger of his throwing hand late in the third quarter of the Grey Cup. Collaros got five stitches and numbing agent applied to his finger. He returned with a bandage on it, but admitted he had a hard time gripping the ball. “We’ll have to find out who our offensive coordinator is first,” Walters said when asked who might be Collaros’s backup. Terry Wilson, who briefly replaced Collaros in the Grey Cup, and Jake Dolegala are signed for next year. This report by The Canadian Press was first published Nov. 26, 2024. Judy Owen, The Canadian Press
Share Tweet Share Share Email What if the biggest financial crisis you’ve ever known turned into the greatest investment opportunity of your life? Imagine being in 1973, during the economic crash, where chaos reigned supreme. Stocks tanked, inflation soared, and people scrambled to cut losses. Yet, legends like Warren Buffett thrived by buying undervalued stocks amid the panic. Fast forward to today, and history’s lesson is clear—opportunity hides in chaos. In the ever-evolving world of meme coins, BTFD Coin (BTFD) mirrors this strategy by encouraging you to “Buy the Dip.” With its presale storming past $4.3 million and a community-driven approach, BTFD is rewriting the playbook for meme coins with its BIG50 bonus code that unlocks stage 7 price in the ongoing presale stage. Alongside the likes of Just a Chill Guy (CHILLGUY) and Dogs (DOGS), BTFD is proving that meme coins aren’t just fun—they’re formidable investments. Let’s break it down. BTFD Coin: Turning Dips into Opportunities BTFD Coin is redefining the rules of presales, offering a rare chance to purchase tokens in Stage 12 at the unbeatable Stage 7 price of $0.000064. This opportunity is not just exciting but potentially life-changing, with an expected ROI of 837.5% once the coin lists at $0.0006. By using the exclusive code “ BIG50 ,” investors can unlock this massive discount and position themselves for substantial gains. The discounted price aligns with BTFD Coin’s strategy of rewarding early adopters and creating buzz in the crypto market. For seasoned investors or those new to the crypto space, this rollback represents a golden chance to maximise returns with minimal risk. Don’t let this unique opportunity slip away—secure your spot in the presale, use the BIG50 code, and set the stage for your financial success. Opportunities like this are rare, and BTFD Coin is ready to deliver exceptional value to its growing community. BTFD Coin isn’t just a meme coin—it’s a movement. Inspired by the classic investing mantra, “ Buy the Dip ,” BTFD is for those who spot uncertain opportunities. The BTFD Coin’s presale has already sold over 57 billion tokens to over 6,300 holders, with analysts predicting even bigger moves post-launch. The BTFD Edge BTFD’s Play-to-Earn (P2E) game, introduced in Stage 10, is a game-changer. Although the beta version doesn’t yet reward players, it’s setting the stage for a vibrant gaming ecosystem. Players will soon earn tokens while enjoying an immersive experience with the Bulls Squad, the mascots symbolising resilience, creativity, and community strength. BTFD’s 90% APY staking program is a no-brainer for those looking to grow their holdings. Active since December 2, staking stabilises the ecosystem and offers hefty returns for long-term investors. Add in the referral programme, where top referrers earn 10% of purchases made through their codes, and you’ve got a recipe for community-driven growth. Want numbers? Let’s say you invest $3,000 at the current price of $0.000064. That nets you a whopping 46,875,000 $BTFD. When the coin lists at $0.0006, your holdings shoot up to $28,125—nearly 9x your initial investment. Not bad, right? Dogs (DOGS): An Old Favourite Among Meme Enthusiasts DOGS has been around for a while, serving as a beacon for meme coin lovers. Its charm lies in its community-focused approach, attracting crypto enthusiasts looking for a less conventional investment path. DOGS has firmly established itself as a top-tier meme coin, thanks to its playful branding and utility-focused updates. What makes DOGS special? Beyond its meme appeal, it’s carved out a niche in the charity space, often donating portions of its profits to animal welfare initiatives. As a long-term player in the meme coin market, DOGS maintains its relevance by staying true to its roots while consistently innovating. Though it’s a reliable choice for meme coin collectors, its price volatility mirrors the unpredictable nature of the meme coin market. While DOGS remains an iconic project, its community is its backbone, driving its value. Just a Chill Guy (CHILLGUY): A Breath of Fresh Air CHILLGUY offers a more relaxed take on the meme coin scene. With its chill vibe and steady growth, it appeals to crypto investors who want to keep things light. But don’t let its laid-back branding fool you—CHILLGUY is serious about creating value for its holders. Known for its transparent approach, CHILLGUY thrives on fostering trust within its community. Its staking rewards, though not as high as BTFD’s, still provide a passive income stream for those willing to hold. CHILLGUY has also dabbled in NFTs, adding another layer of utility to its ecosystem. While it doesn’t offer the adrenaline rush of a fast-paced presale, CHILLGUY remains a solid option for long-term meme coin enthusiasts. Lessons from 1973: Buy the Dip, Change the Game The 1973–74 financial crash taught us that crisis breeds opportunity. When the Bretton Woods system collapsed and OPEC’s oil embargo quadrupled prices, markets tanked nearly 50%. But amidst the chaos, investors like Warren Buffett thrived by identifying undervalued assets. Today, BTFD Coin embraces this ethos. Its name is a rallying cry, urging investors to act decisively when others hesitate. With its presale offering Stage 7 pricing in Stage 12, this is your chance to follow in Buffett’s footsteps—grab the dip before the next big run. How to Join the BTFD Movement Ready to get started? Here’s how: Go to the Presale Page . Connect Your Wallet: Choose MetaMask, Trust Wallet, or another compatible option. Enter the Bonus Code: Use code “BIG50” to unlock the Stage 7 price. Input Purchase Details: Specify how much $BTFD you want to buy. Confirm Your Transaction: Complete the purchase and watch your wallet grow. The Final Words: Why BTFD Coin is Your Best Bet Today When it comes to the best new meme coins to invest in for long term, BTFD Coin checks all the boxes. Its impressive presale performance, staking rewards, and P2E game position it as more than just a meme—it’s a movement. While DOGS and CHILLGUY are excellent options for collectors, BTFD stands out as the ultimate choice for investors seeking significant returns. Don’t wait—join the presale now and secure your spot before the bull run takes off. Because in the world of meme coins, timing is everything, and BTFD Coin is your ticket to the top. Find Out More: Website: https://www.btfd.io/ X/Twitter: https://x.com/BTFD_COIN Telegram: https://t.me/btfd_coin Related Items: Blockchain , BTFD Share Tweet Share Share Email Recommended for you Why Crypto Enthusiasts Are Scrambling to Grab These Top Five Digital Gems: Discover the Best Coins to Join This Month and Secure Your Slice of the Blockchain Revolution Before It’s Too Late! Best Cryptos to Join in December 2024: Why Qubetics, Ethereum, and Monero Are Essential for Building a Winning Portfolio Islamic FinTech: Adapting Financial Technology to Sharia Compliance CommentsBME: 8.4% Yield From An Undervalued Sector
The latest Liverpool news as Man City were pegged back by the Dutch side in a 3-3 draw ahead of the weekend's Premier League meeting. Liverpool’s Premier League title rivals Manchester City had a night to forget in a dramatic end to their Champions League clash against Feyenoord, as their winless run continued. Going into the game, Pep Guardiola’s men were looking to bounce back from five defeats in a row in all competitions. The latest was a shock 4-0 home defeat against Tottenham at the weekend. Things looked to have turned around when Man City hosted Feyernoord. Two goals from Erling Haaland and another from Ilkay Gundogan gave them a comfortable 3-0 lead in the 53rd minute. They held that advantage until the 75th minute when Anis Hadj-Moussa pulled a goal back for the Dutch team. Things got more nervy for City when Santiago Gomez scored another to make it 3-2 with eight minutes left to play. The comeback was complete for Feyenoord in the 89th minute with David Hancko sparking scenes in the away end with his goal. The draw means that City are now winless in six games, going into the weekend’s Premier League clash against Liverpool. In the closing stages of the match, while Feyenoord were seeing the draw out, the away fans sang Liverpool’s iconic song ‘you’ll never walk alone’ in support of their team. While the song is associated with Liverpool is is also sang by Feyenoord fans on a regular basis. Videos also show the travelling fans showing appreciation for their former now Liverpool manager Arne Slot, with chants of ‘Arne Slot La La La’. The Dutchman left the Eredivisie club to manage Liverpool in the summer. The Champions League clash means that City will come into the Premier League clash against Liverpool low on confidence. A win for the Reds over Guardiola’s side will move them 11 points clear of their rivals at the top of the Premier League table.The empires strike back at the kings of involutionBy Katheryn Houghton and Arielle Zionts, KFF Health News (TNS) Tescha Hawley learned that hospital bills from her son’s birth had been sent to debt collectors only when she checked her credit score while attending a home-buying class. The new mom’s plans to buy a house stalled. Hawley said she didn’t owe those thousands of dollars in debts. The federal government did. Hawley, a citizen of the Gros Ventre Tribe, lives on the Fort Belknap Indian Reservation in Montana. The Indian Health Service is a federal agency that provides free health care to Native Americans, but its services are limited by a chronic shortage of funding and staff. Hawley’s local Indian Health Service hospital wasn’t equipped to deliver babies. But she said staff there agreed that the agency would pay for her care at a privately owned hospital more than an hour away. That arrangement came through the Purchased/Referred Care program, which pays for services Native Americans can’t get through an agency-funded clinic or hospital. Federal law stresses that patients approved for the program aren’t responsible for any of the costs. But tribal leaders, health officials, and a new federal report say patients are routinely billed anyway as a result of backlogs or mistakes from the Indian Health Service, financial middlemen, hospitals, and clinics. The financial consequences for patients can last years. Those sent to collections can face damaged credit scores, which can prevent them from securing loans or require them to pay higher interest rates. The December report , by the federal Consumer Financial Protection Bureau, found these long-standing problems contribute to people in Native American-majority communities being nearly twice as likely to have medical debt in collections compared with the national average. And their amount of medical debt is significantly higher. The report found the program is often late to pay bills. In some cases, hospitals or collection agencies hound tribal citizens for more money after bills are paid. Hawley’s son was born in 2003. She had to wait another year to buy a home, as she struggled to pay off the debt. It took seven years for it to drop from her credit report. “I don’t think a person ever recovers from debt,” Hawley said. Hawley, a cancer survivor, still must navigate the referral program. In 2024 alone, she received two notices from clinics about overdue bills. Frank White Clay, chairman of the Crow Tribe in Montana, testified about the impact of wrongful billing during a U.S. House committee hearing in April. He shared stories of veterans rejected for home loans, elders whose Social Security benefits were reduced, and students denied college loans and federal aid. “Some of the most vulnerable people are being harassed daily by debt collectors,” White Clay said. No one is immune from the risk. A high-ranking Indian Health Service official learned during her job’s background check that her credit report contained referred-care debt, the federal report found. Native Americans face disproportionately high rates of poverty and disease , which researchers link to limited access to health care and the ongoing impact of racist federal policies . White Clay is among many who say problems with the referred-care program are an example of the U.S. government violating treaties that promised to provide for the health and welfare of tribes in return for their land. The chairman’s testimony came during a hearing on the Purchased and Referred Care Improvement Act, which would require the Indian Health Service to create a reimbursement process for patients who were wrongfully billed. Committee members approved the bill in November and sent it for consideration by the full House. A second federal bill, the Protecting Native Americans’ Credit Act , would prevent debt like Hawley’s from affecting patients’ credit scores. The bipartisan bill hadn’t had a hearing by mid-December. The exact number of people wrongfully billed isn’t clear, but the Indian Health Service has acknowledged it has work to do. The agency is developing a dashboard to help workers track referrals and to speed up bill processing, spokesperson Brendan White said. It’s also trying to hire more referred-care staff, to address vacancy rates of more than 30%. Officials say problems with the program also stem from outside health providers that don’t follow the rules. Melanie Egorin, an assistant secretary at the U.S. Department of Health and Human Services, said at the hearing that the proposed legislation doesn’t include consequences for “bad actors” — health facilities that repeatedly bill patients when they shouldn’t. “The lack of enforcement is definitely a challenge,” she said. But tribal leaders warned that penalties could backfire. Related Articles Health | How America lost control of the bird flu, setting the stage for another pandemic Health | How to kick back, relax and embrace a less-than-perfect holiday Health | New childhood leukemia protocol is ‘tremendous win’ Health | For some FSA dollars, it’s use it or lose it at year’s end Health | Norovirus is rampant. Blame oysters, cruise ships and holiday travel White Clay told lawmakers that some clinics already refuse to see patients if the Indian Health Service hasn’t paid for their previous appointments. He’s worried the threat of penalties would lead to more refusals. If that happens, White Clay said, Crow tribal members who already travel hours to access specialty treatment would have to go even farther. The Consumer Financial Protection Bureau report found clinics are already refusing to see any referred-care patients due to the program’s payment problems. The bureau and the Indian Health Service also recently published a letter urging health care providers and debt collectors not to hold patients accountable for program-approved care. White, the Indian Health Service spokesperson, said the agency recently updated the referred-care forms sent to outside hospitals and clinics to include billing instructions and to stress that patients aren’t liable for any out-of-pocket costs. And he said the staff can help patients get reimbursed if they have already paid for services that were supposed to be covered. Joe Bryant, an Indian Health Service official who oversees efforts to improve the referral program, said patients can ask credit bureaus to remove debt from their reports if the agency should have covered their bills. Leaders with the Confederated Tribes of the Colville Reservation in Washington state helped shape the proposed legislation after their citizens were repeatedly harmed by wrongful billing. Tribal Chairman Jarred-Michael Erickson said problems began in 2017, when a regional Indian Health Service office took over the referred-care program from local staff. It “created a domino effect of negative outcomes,” Erickson wrote in a letter to Congress. He said some tribal members whose finances were damaged stopped using the Indian Health Service. Others avoided health care altogether. Responsibility for the Colville Reservation program transferred back to local staff in 2022. Staffers found the billing process hadn’t been completed for thousands of cases, worth an estimated $24 million in medical care, Erickson told lawmakers . Workers are making progress on the backlog and they have explained the rules to outside hospitals and clinics, Erickson said. But he said there are still cases of wrongful billing, such as a tribal member who was sent to collections after receiving a $17,000 bill for chemotherapy that the agency was supposed to pay for. Erickson said the tribe is in the process of taking over its health care facilities instead of having the Indian Health Service run them. He and others who work in Native American health said tribally managed units — which are still funded by the federal agency — tend to have fewer problems with their referred-care programs. For example, they have more oversight over staff and flexibility to create their own payment tracking systems. But some Native Americans oppose tribal management because they feel it releases the federal government from its obligations. Beyond wrongful billing, access to the referred-care program is limited because of underfunding from Congress. The $1 billion budget this year is $9 billion short of the need, according to a committee report by tribal health and government leaders. Donald Warne, a physician and member of the Oglala Sioux Tribe in South Dakota, called the proposed legislation a “band-aid.” He said the ultimate solution is for Congress to fully fund the Indian Health Service, which would reduce the need for the referred-care program. Back in Montana, Hawley said she braces for a fight each time she gets a bill that the referral program was supposed to cover. “I’ve learned not to trust the process,” Hawley said. ©2024 KFF Health News. Distributed by Tribune Content Agency, LLC.
- Previous: jili 178 ph register login
- Next: jili 178 register login download