MMN Editor

Payoffs and Presidential Candidates

TikTok is lawyering up. The embattled social media app has 150 million users in the US, but dancing teenagers don’t have the kind of pull that TikTok needs. So, they are spending millions on the most connected Washington lobbyists they can get, high-priced, “well placed names” who can speak to Republicans or Democrats.On the most recent episode of The Drill Down with Peter Schweizer, Peter and co-host Eric Eggers detail the impressive lineup of former politicians and staffers from previous White House administrations who are making money defending what some critics and computer security professionals call “Chinese spyware.”

The Risks The Big Banks Continued Taking

The net is tightening. House Republicans are acquiring more evidence that connects Hunter Biden’s China business dealings to other members of the Biden family including his father, the current president of the United States. Peter Schweizer first exposed many of the connections and the coincidences all the way back in 2018, and the Government Accountability Institute continues to uncover new details. Peter and co-host Eric Eggers detail the latest revelations on the most recent episode of The Drill Down.

by Rafael Carranza, Arizona Luminaria

This article was produced for ProPublica’s Local Reporting Network in partnership with Arizona Luminaria. Sign up for Dispatches to get our stories in your inbox every week.

Arizona law enforcement agencies are largely rejecting a fast-growing ICE program that lets local officers act as deportation agents — citing the experience of the state’s largest sheriff’s office, which was booted from the program in 2009 after a federal judge found deputies racially profiled and violated the constitutional rights of Latinos.

Even in Republican-led communities known for backing immigration measures, law enforcement leaders are steering clear of Immigration and Customs Enforcement’s 287(g) task force program, which the Trump administration is using to enlist local officers in its mass deportation efforts.

Of at least 106 municipal police departments, sheriff’s offices and county attorneys in the state, nine currently have agreements to cooperate with ICE in making arrests, as of Oct. 15. And only four Arizona departments have signed on since January, amid a national recruitment campaign that has prompted more than 900 agencies to join.

The program’s explosive nationwide growth follows President Donald Trump’s Jan. 20 executive order that, among other things, called for local law enforcement to “perform the functions of immigration officers.”

Local police have three ways of participating in the 287(g) program. The first two are through the Jail Enforcement and Warrant Service Officer models, which restrict local collaboration with ICE to people who’ve already been booked into their jails. The third way is through the Task Force Model, in which local officers “serve as a force multiplier” in federal immigration enforcement “during routine police duties,” according to ICE.

ICE did not respond to Arizona Luminaria and ProPublica’s questions.

Half of the agreements in Arizona are for jail enforcement, including the state’s prison system, the only statewide agency. It signed on in 2020. The Republican sheriffs of two Arizona counties that border Mexico, Yuma and Cochise, signed 287(g) warrant service agreements for their jails this year, along with Navajo County, in the far northeast part of the state.

The only local agency in Arizona to sign a task force agreement since ICE revived them in January is the County Attorney’s Office of Pinal County, a Republican stronghold sandwiched between the Phoenix and Tucson metro areas.

ICE, under the Obama administration, suspended all task force agreements in 2012. The move followed a Department of Justice investigation that found the Maricopa County Sheriff’s Office, which had a task force agreement under former Sheriff Joe Arpaio, used “discriminatory policing practices including unlawful stops, detentions and arrests of Latinos.” In 2013, a federal judge ruled that under Arpaio the sheriff’s office had discriminated against Latinos during immigration enforcement operations, violating their Fourth and 14th amendment rights against unreasonable searches and seizures and to equal protection under the law, respectively.

“I’ve never been guilty of anything,” Arpaio told Arizona Luminaria and ProPublica, despite the judge’s rulings. “They went after me. But that’s OK. And you can tell your audience I’ll do it again.”

Pinal County Attorney Brad Miller, a Republican, said he intends to certify four deputies under the task force agreement he signed in August. Miller said these investigators will process immigration violations involving people they encounter during child abuse and drug investigations, instead of waiting on ICE officers. He said he does not foresee them participating in ICE raids.

Miller prosecuted sex crimes in Maricopa County when Arpaio’s 287(g) task force agreement was in effect. He said he remembers the “chaos that ensued from that” and doesn’t want it repeated in Pinal County. “We have zero intention and we will not be participating in any immigration raids or task forces. I just want to make that clear.”

Miller said he spoke with federal officials his agency works with before signing the task force agreement.

“‘Would we be required to join specifically an immigration task force?’ That was my first question, and the answer came back as no,” he said. “If that were one of the prerequisites, I was not going to do the program.”

Starting in October, ICE began reimbursing local agencies with task force agreements for the salaries of certified officers and paying “performance awards” of up to $1,000 per officer.

Miller said money didn’t influence his decision. None of his four deputies will be assigned full time to the 287(g) agreement, he said, only as needed in the course of their other task force investigations.

Santa Cruz County Sheriff David Hathaway, a Democrat, believes the financial incentives are a federal ploy to pull local officers away from their everyday duties and direct them to immigration enforcement.

“I consider the program to be illegal,” said Hathaway, whose county shares a border with Mexico. He bases this view on court rulings on Arizona’s landmark 2010 anti-illegal immigration law. The “show me your papers” law was the toughest state immigration law in the nation at the time. But the Supreme Court struck down most of its provisions, leaving in place only one that allows local police to check immigration status as long as it doesn’t prolong the public’s interaction with officers.

“The Supreme Court said this is not in the realm of local law enforcement,” Hathaway said. “This is entirely a federal issue.”

States including Texas and Florida have since enacted laws to more aggressively curb illegal immigration. Florida was also among the first to require all county law enforcement agencies to sign on to the 287(g) program. Other states, largely in the Southeast, have followed suit.

Arizona’s Republican-controlled Legislature this year passed a similar requirement for its local law enforcement agencies called the Arizona ICE Act. But the state’s Democratic governor, Katie Hobbs, vetoed it.

Pima County Sheriff Chris Nanos, a Democrat who runs southern Arizona’s largest sheriff’s department, has vowed not to involve his deputies in deportation arrests. The county shares a 130-mile border with Mexico. Nanos has said his department is instead focused on preventing crime, and to do that it’s imperative his deputies build trust with communities they protect, including migrant ones.

“The stance we take is: ‘Look, you have a job to do and I have a job to do,’” Nanos says in a video released by his office this year. “But clearly immigration laws, enforcement of those laws, that is the federal government’s job.”

In Maricopa County, home to a majority of Arizona’s population, Sheriff Jerry Sheridan says he’s hesitant to have his deputies certified to patrol with ICE, mainly because his office remains under strict court oversight related to its past experiment with the 287(g) program. But Sheridan has endorsed the ICE program’s work inside local jails and said that’s where Maricopa County got it right on cooperating with federal immigration enforcement.

“They’re focusing on the criminal illegal aliens,” he said of local jail partnerships with ICE. “And that’s really what a law enforcement agency should be concerned with, is people that commit crimes here in Maricopa County. And that’s what I’m concerned with.”

Sheridan is working to rebuild trust with Latinos that was broken by Arpaio’s raids and sweeps, beginning when the sheriff’s office entered a 287(g) agreement.

For Hathaway, the Santa Cruz county sheriff, lost trust is his biggest concern with deputies enforcing immigration laws in a border county that’s 83% Latino.

“I don’t want to have any animosity between the local population and our sheriff’s office,” he said. “I want them to trust us and not think just because they’re Hispanic, we’re chasing them.”

by Andy Kroll

ProPublica is a nonprofit newsroom that investigates abuses of power. Sign up to receive our biggest stories as soon as they’re published.

Join us Nov. 5 for a virtual discussion about our yearlong investigation into Russell Vought. Register now.

On the second day of the federal government shutdown, President Donald Trump shared an AI-generated video set to the classic song “(Don’t Fear) The Reaper” by Blue Öyster Cult. The star of that video, which quickly went viral, was Russell Vought, the president’s top budget adviser. More than that, Vought is the architect of Trump’s broader plan to fire civil servants, freeze government programs and dismantle entire agencies, and he’s a big reason the second Trump administration has been more effective at accomplishing its goals than the first. In the video shared by Trump, Vought appeared as the scythe-wielding Grim Reaper of Washington, D.C.

Vought’s title is director of the Office of Management and Budget. The OMB directorship is one of the most powerful jobs in Washington, and Vought has used his position to wage a quiet war to change the shape of the entire U.S. government. In Vought’s hands, OMB has acted as a choke point for the funding that Congress approves and agencies rely on to run the government. While he tends to operate behind the scenes as much as possible, his influence in Trump’s second administration is so pronounced that people have described him as akin to a shadow president.

Here are some of the key things you should know about Vought. Read ProPublica’s full investigation here. (Vought declined to be interviewed for the article. A spokesperson for him at OMB would not comment on the record in response to a detailed list of questions.)

1. Vought went from the mail room to becoming the chief antagonist of his own party.

A native of Trumbull, Connecticut, and the son of an electrician father and a mother who spent decades in public education before helping to launch a Christian school, Vought got his first job in D.C. politics working in the mail room for Republican Sen. Phil Gramm of Texas, a fierce budget hawk known for criticizing members of his own party for breaking what he viewed as core conservative principles.

As Vought rose through the GOP ranks, eventually going on to advise then-Rep. Mike Pence, he grew disillusioned with members of his party who claimed to care about balanced budgets and spending cuts yet voted to approve bills loaded with pork-barrel spending and corporate giveaways.

In 2010, he quit Congress and helped launch an offshoot of the Heritage Foundation think tank called Heritage Action for America, which was tasked with strong-arming congressional Republicans to act more conservatively.

“I think he thought the Republican leadership was a bigger impediment to conservative causes than Democrats were,” a former Capitol Hill colleague of Vought’s said.

2. OMB’s massive power supercharges Vought’s influence.

While the Office of Management and Budget is part of the White House, Vought is a member of Trump’s cabinet along with the secretary of defense and attorney general. OMB director has little of the cachet of those jobs, but it plays a vital role. Every penny appropriated by Congress first passes through the OMB. It also reviews all significant regulations proposed by federal agencies, vets executive orders before the president signs them and issues workplace policies for more than 2 million federal employees.

“Every goddam thing in the executive branch goes through OMB,” explained Sam Bagenstos, a former OMB official during the Biden administration.

3. Vought’s early work at OMB helped lead to Trump’s first impeachment.

This isn’t Vought’s first stint as OMB director; he held the same position during the first Trump administration.

In 2019, after the Trump White House pressured Ukraine’s government to investigate then-candidate Joe Biden and his son Hunter, it asked Vought, then acting director, to freeze $214 million in congressionally approved security assistance for Ukraine. He obliged.

This impoundment, later deemed illegal by the Government Accountability Office, would trigger congressional investigations and, ultimately, Trump’s first impeachment. During that process, Vought refused to cooperate with investigators, calling the probe a “sham process that is designed to relitigate the last election.”

After the attempt to freeze the Ukraine funds ultimately failed, Vought and Mark Paoletta, an attorney and close ally of Vought’s, spent the years between Trump’s presidencies developing a legal argument that not only are such impoundments legal, but there is a long history of presidents using the power. (Legal experts have disputed Vought’s version of that history.)

4. Vought played a surprising role in popularizing the phrase “woke and weaponized.”

In 2021, Vought launched the Center for Renewing America, a think tank devoted to keeping the MAGA movement alive and preparing for a second Trump presidency. According to previously unreported recordings obtained by ProPublica, Vought accepted an assignment from Trump to come up with a way for conservatives to counter Black Lives Matter. He popularized the concept of “woke and weaponized” government — a phrase embraced by GOP politicians and activists to disparagingly label policies, people and even agencies that didn’t fit with the MAGA agenda.

“If you’re watching television and the words ‘woke and weaponized’ come out of a politician’s mouth, you can know that this is coming … from the strategies we’re putting out,” Vought boasted in a recording obtained by ProPublica.

When Vought’s think tank released a federal budget blueprint in 2022, calling for $9 trillion in cuts over 10 years, the word “woke” appeared 77 times across its 103 pages.

5. Vought’s vision for what would become Project 2025 began during Trump’s first term.

In 2017, while an adviser at OMB, Vought played a lead role in trying to implement a Trump executive order that called for a top-to-bottom reorganization of the federal government. A former OMB senior staffer said Vought initially wanted to eliminate the U.S. Agency for International Development and the Consumer Financial Protection Bureau, and to fold the Department of Education and the Department of Housing and Urban Development, along with food stamps programs, into a new Department of Welfare. “They wanted to call it that because they think it sounds bad,” a former OMB analyst said. “There were very few, if any, debates where Russ wouldn’t take the most extreme option available to him, the most conservative, the most budget-cutting.”

Trump’s Cabinet secretaries at the time resisted wholesale cuts, and few of the plans reached fruition. But Vought’s suggestions now read like a guide to the second Trump administration, which has gutted both USAID and the CFPB and is hollowing out the Department of Education.

“I didn’t realize it then,” the former OMB staffer said, “but I was writing the first draft of Project 2025.”

6. Vought’s role shows Project 2025 has indeed shaped the administration.

Vought was a key figure in the work of Project 2025, the coalition of conservative groups that created a roadmap and recruited future appointees for the next Republican administration. He led Project 2025’s transition portion, which included writing some 350 executive orders, regulations and other plans to more fully empower the president. “I don’t want President Trump having to lose a moment of time having fights in the Oval Office about whether something is legal or doable or moral,” Vought said in a private 2024 speech.

During the 2024 campaign, Trump repeatedly claimed to have nothing to do with Project 2025. His campaign aides criticized the initiative, and news reports suggested that Project 2025 leaders would be blacklisted from working in the Trump White House.

But Vought deftly navigated the controversy, and Trump brought him back to OMB. Meanwhile, the administration has moved quickly to fulfill many of Project 2025’s policy objectives. Early on in this month’s government shutdown, when Trump announced that he would soon meet with Vought to decide which “Democrat Agencies” to temporarily or permanently cut, he referred to his budget director as “Russ Vought, he of PROJECT 2025 Fame.”

7. Elon Musk and DOGE often acted at Vought’s direction, insiders say.

Elon Musk, Tesla’s CEO and the world’s wealthiest person, may have grabbed the headlines as his Department of Government Efficiency took a chainsaw to budgets and staffing. But court records, interviews and other accounts from people close to Vought show that DOGE’s efforts were guided, more than previously known, by the OMB director.

“I can’t imagine that the DOGE team knew to target all these little parts of the government without Russ pointing them there,” a former OMB branch chief told ProPublica.

In May, an official with Citizens for Renewing America, a group founded by Vought, credited Vought with steering DOGE’s cuts. “DOGE is underneath the OMB,” the official said, according to a video of her remarks. “Honestly, a lot of what Elon began pinpointing … was at the direction of Russ.”

An administration official who has worked with Vought and Musk told ProPublica that DOGE showed Vought that it was possible to ignore legal challenges and take dramatic action. “He has the benefit of Elon softening everyone up,” the official said. “Elon terrified the shit out of people. He broke the status quo.”

8. Vought has used OMB to try to pressure Democrats into reaching a deal with Republicans to end the shutdown.

Vought has frozen $26 billion in federal funding for infrastructure and clean energy projects in blue states in the days after the federal government shut down on Oct. 1. The government has also followed through on Vought’s earlier threat to fire a massive number of civil servants if the shutdown were not averted.

“We work for the president of the United States,” a senior agency official who regularly deals with the OMB told ProPublica. But right now, he added, “it feels like we work for Russ Vought. He has centralized decision-making power to an extent that he is the commander in chief.”

Kirsten Berg contributed research.

by Audrey Dutton

ProPublica is a nonprofit newsroom that investigates abuses of power. Sign up for Dispatches, a newsletter that spotlights wrongdoing around the country, to receive our stories in your inbox every week.

Three women become choked up as they deliver news in a video posted to social media. “We did it, everybody,” says Leslie Manookian, the woman in the middle. She is a driving force in a campaign that has chipped away at the foundations of modern public health in Idaho. The group had just gotten lawmakers to pass what she called the first true “medical freedom” bill in the nation. “It’s literally landmark,” Manookian said. “It is changing everything.”

With Manookian in the video are two of her allies, the leaders of Health Freedom Idaho. It was April 4, hours after the governor signed the Idaho Medical Freedom Act into law.

Watch Leslie Manookian and Allies Celebrate Idaho Medical Freedom Act

(Health Freedom Idaho via Rumble)

Watch video ➜

The act makes it illegal for state and local governments, private businesses, employers, schools and daycares to require anyone to take a vaccine or receive any other “medical intervention.”

Whether the law will actually alter day-to-day life in Idaho is an open question, because Idaho already made it easy to get around the few existing vaccination requirements.

But it could have a significant effect in other states, where rules aren’t already so relaxed. And it comes at a time when diseases once eradicated from the U.S. through vaccination are making a resurgence.

The law runs against one of the hallmarks of modern public health: that a person’s full participation in society depends on their willingness to follow certain rules. (Want to send your child to public school? They’ll need a measles vaccine. Want to work in a retirement community during flu season? You might have to wear a mask.)

The new Idaho law flips that on its head. It not only removes the obligation to follow such rules, it makes the rules themselves illegal.

The new law sets Idaho apart from even conservative-leaning South Carolina, where two schools recently quarantined more than 150 unvaccinated children after measles arrived.

A person can spread measles for four days before symptoms appear. During the South Carolina schools’ quarantine, five students began to show symptoms, but the quarantine kept them from spreading it, the health department said this month.

That precaution would now be illegal in Idaho.

Idaho’s law caught the attention of people who share Manookian’s belief that — contrary to hundreds of years of public health evidence and rigorous regulation in the U.S. — vaccines are worse than the diseases they prevent.

It also caught the attention of people like Jennifer Herricks, a pro-vaccine advocate in Louisiana and advocacy director for American Families for Vaccines.

Herricks and her counterparts in other states say that vaccine requirements have “done so much good for our kids and for our communities.”

An analysis published last year by the U.S. Centers for Disease Control and Prevention found that routine childhood vaccines prevented more than 1.1 million deaths and 32 million hospitalizations in the U.S. over three decades, saving $540 billion in direct costs and saving society about $2.7 trillion. The analysis was limited; it didn’t account for the lives and money saved by vaccines for flu or RSV, which kill and hospitalize babies and children each year.

Idaho’s move was “pretty concerning,” Herricks said, “especially seeing the direction that everything is headed at the federal government.”

The law is the culmination of a decade of anti-vaccine activism that got a boost from the pandemic.

It’s rooted in a belief system that distrusts institutions — government health agencies, vaccine makers, medical societies and others — on the premise that those institutions seek only money and control.

Manookian said in an interview that she believes one person should never be told to risk their health in “the theoretical” service of another.

Now, Manookian and her allies have a new goal in their sights: to make Idaho’s legislation a nationwide standard.

Idaho was already more permissive than other states when it came to vaccine rules. Parents since at least the 1990s could send unvaccinated children to school if they signed a form saying vaccination went against their religious or personal beliefs.

That wasn’t good enough for Idahoans who describe themselves as advocates for health freedom. They worked to shift the paradigm, bit by bit, so that it can be easier now for parents to get a vaccine exemption than to show the school their child is actually vaccinated.

In recent years, lawmakers ordered schools and daycare centers to tell parents about the exemptions allowed in Idaho whenever they communicate about immunizations.

The state also decided to let parents exempt their kids by writing a note, instead of having to fill out a form — one that, in the past, required them to acknowledge the risks of going unvaccinated.

(There is conflicting data on whether these changes truly affected vaccination rates or just led more parents to skip the trouble of handing in vaccine records. Starting in 2021, Idaho schools reported a steady drop in the share of kindergartners with documented vaccinations. Phone surveys of parents, by contrast, showed vaccination rates have been largely unchanged.)

An enduring backlash against Idaho’s short-lived COVID-19 mandates gave Manookian’s movement more momentum, culminating this year in what she considered the ultimate step in Idaho’s evolution.

Manookian had a previous career in finance in New York and London. She transitioned to work as a homeopath and advocate, ultimately returning to her home state of Idaho.

The bill she came up with said that almost nobody can be required to have a vaccine or take any test or medical procedure or treatment in order to go to school, get a job or go about life how they’d like to. In practice, that would mean schools couldn’t send unvaccinated kids home, even during a measles outbreak, and private businesses and daycares couldn’t require people on their property to follow public health guidance.

The state had just passed “the Coronavirus Stop Act” in 2023, which banned nearly all COVID-19 vaccine requirements. If lawmakers did that for COVID-19, Manookian reasoned, they could do the same for all communicable diseases and all medical decisions.

Leslie Manookian

(Courtesy of Leslie Manookian)

Her theory was right, ultimately.

The bill she penned in the summer of 2024 made it through the Republican-controlled House and Senate in early 2025.

Manookian took to social media to rally support for the legislation as it sat on the desk of Gov. Brad Little.

But the governor vetoed it. In a letter, he explained that he saw the bill as government intrusion on “parents’ freedom to ensure their children stay healthy.” During an outbreak, he said, schools wouldn’t be able to send home students “with highly contagious conditions” like measles.

Manookian tried again days after the veto. In the next version of the bill, protections during a disease outbreak applied only to “healthy” people.

This time, Little signed it.

Weeks after the signing, Manookian joined like-minded advocates on a stage in Washington, D.C., for a launch event for the MAHA Institute, a group with strong ties to Robert F. Kennedy Jr. (MAHA stands for Make America Healthy Again.) The new Health and Human Services secretary had denounced vaccines for years before President Donald Trump appointed him.

At the gathering, Manookian announced her next mission: to make it “a societal norm and to codify it in law” that nobody can dictate any other person’s medical choices.

“We’re going to roll that out to other states, and we’re going to make America free again,” Manookian told the audience in May.

Manookian’s commitment to bring along the rest of the country has continued ever since.

U.S. Health and Human Services Secretary Robert F. Kennedy Jr. visited an Idaho farm with Leslie Manookian and several of her allies in the “health freedom” movement this past summer.

(Screenshot by ProPublica)

Her nonprofit, the Health Freedom Defense Fund, is now distributing model legislation and a how-to guide, with talking points to persuade legislators. Manookian said in podcast interviews that she is working with the nonprofit Stand For Health Freedom to mobilize activists in every state.

In an interview with ProPublica, Manookian said her objective is for people to “understand and appreciate that the most basic and fundamental of human rights is the right to direct our own medical treatment — and to codify that in law in every state. Breaking that barrier in Idaho proves that it can be done, that Americans understand the importance of this, and the humanity of it, and that it should be done in other states.”

Her efforts were rewarded over the summer with a visit from none other than Kennedy, who visited Boise and toured a farm with Manookian and state lawmakers in tow.

“This state, more than any other state in the country” aligns with the MAHA campaign, Kennedy told reporters at a news conference where no one was allowed to ask questions. Kennedy called Idaho “the home of medical freedom.”

The Department of Health and Human Services did not respond to ProPublica’s request for comment from Kennedy or his staff on Idaho’s law and his visit to the state.

Children’s Health Defense, the organization Kennedy built into one of the fiercest foes of childhood vaccines, took interest in the Idaho bill early on.

The group promoted the bill as it sat on the governor’s desk, as he vetoed it, then as Manookian worked successfully to get a revived bill through the statehouse and signed into law.

The organization’s online video programming featured Manookian five times in late March and early April. One show’s host told viewers they could follow Idaho in its “very smart strategy” of taking a law against COVID-related mandates, “crossing out ‘COVID,’ making a few other tweaks, and you have an incredible health freedom bill after that.”

Children’s Health Defense CEO Mary Holland said she’s known Manookian for more than 15 years and pushed the national organization to publicize Manookian’s work. Holland introduced her at the Washington, D.C., event.

Whereas most states put the onus on unvaccinated people to show why they should opt out of a mandate, Idaho’s legislation made unvaccinated people the norm — shifting the burden of accommodation onto those who support vaccination.

Now, parents of infants too young for a measles vaccine can’t choose a daycare that requires immunization. Parents of immune-compromised students must decide whether to keep their children home from school during an outbreak of vaccine-preventable diseases, knowing unvaccinated children won’t be quarantined.

Holland said Idaho parents who want their kids to be in a learning environment with “herd immunity” levels of measles vaccination can start a private “association” — not a school, because schools can’t require vaccines — just as parents who don’t like vaccines have done in order to dodge requirements imposed by states like California and New York.

“I think you could certainly do that in Idaho.” Holland said. “It wouldn’t be a public school. It might be the Church of Vaccinia school.”

The Idaho Capitol building, before Gov. Brad Little’s press conference with Kennedy this past July.

(Otto Kitsinger for ProPublica)

The day Idaho’s Medical Freedom Act was signed, a legislator in Louisiana brought forward the Louisiana Medical Freedom Act. In a hearing later, she pointed to Idaho as a model.

Louisiana followed Idaho once before in 2024, when it passed a law that requires schools to describe the exemptions available to parents whenever they communicate about immunizations. Idaho had passed an almost identical law three years earlier.

Herricks, the Louisiana pro-vaccine advocate, said she watched the Idaho Medical Freedom Act’s progress with “a lot of concern, seeing how much progress it was making.” Now it’s set a precedent, Herricks said.

Holland, the Children’s Health Defense CEO, said she looks forward to Idaho’s approach spreading.

She pointed to a September announcement by Florida Surgeon General Dr. Joseph Ladapo that he intends to rid his state of all vaccine mandates. Holland said she expects other Republican-controlled states to take a serious look at the Idaho law. (Ladapo’s office did not respond to requests for comment.)

“It’s a big change,” Holland said. “It’s not just related to vaccines. It’s a blow against the notion that there can be compulsory medicine.”

Some people support the more-than-century-old notion that compelling people to be vaccinated or masked will provide such enormous collective benefits that it outweighs any inconvenience or small incursion on personal liberty.

Others, like Holland and Manookian, do not.

At the heart of laws like Idaho’s is a sense of, “‘I’m going to do what I want to do for myself, and I don’t want anybody telling me what to do,’ which is in direct contrast to public health,” said Paul Offit, pediatrician and vaccinologist at the University of Pennsylvania and Children’s Hospital of Philadelphia.

Offit, who co-invented a vaccine against rotavirus, is a critic of Kennedy and was removed from a federal vaccine panel in September.

A more fundamental conflict is that some people believe vaccines and other tools to prevent the spread of illness, like masks, are harmful. That belief is at odds with the overwhelming consensus of scientists and health experts, including Kennedy’s own Department of Health and Human Services and the CDC.

Both tensions are at play in Idaho.

In April, Idaho Gov. Brad Little signed into law the Idaho Medical Freedom Act, which prohibits state and local governments, private businesses, employers, schools and daycares to require anyone to take a vaccine.

(Otto Kitsinger for ProPublica)

As is the case nationally, Idaho’s “health freedom” movement has long pushed back against being labeled “anti-vaccine.” Idaho lawmakers and advocates have stressed that their goals are bodily autonomy and informed choice.

They do not take a stance on the bodily autonomy principle when it comes to abortion, however. Almost all state legislators who voted for the Idaho Medical Freedom Act also voted to ban abortion, if they were in office at both times.

“Every action has to be evaluated on its individual morality,” not on whether it does the most good for the most people, Manookian said.

But Manookian’s rejection of vaccine mandates goes beyond a libertarian philosophy.

Manookian has said publicly that she thinks vaccines are “poison for profit,” that continuing to let daycares require vaccination would “put our children on the chopping block,” that measles is “positive for the body,” that the virus protects against cancer, and that it can send people “into total remission” — an assertion she made on an Idaho wellness center’s podcast in April.

Manookian told ProPublica she believes infectious diseases have been made “the bogeyman.”

Against those claims, research has shown that having the measles suppresses immunity to other diseases, a phenomenon dubbed “immune amnesia” that can make children who have recovered from measles more susceptible to pneumonia and other bacterial and viral infections. About 20% of unvaccinated people who get measles will be hospitalized, and 1 to 3 of every 1,000 children who are infected will die from complications of the disease, according to the CDC.

And while researchers have studied using engineered measles viruses in a cancer treatment, those same researchers have written that they were “dismayed to learn” their research has been misconstrued by some who oppose vaccination. They said they “very strongly advise” giving children the measles vaccine, that there “is no evidence that measles infection can protect against cancer” and that measles is “a dangerous pathogen, not suitable for use as a cancer therapy.”

(Manookian said she believes she has evidence for her cancer remission claim but couldn’t readily produce it, adding that she may have been mistaken.)

The measles-mumps-rubella vaccine, meanwhile, is safe and highly effective, according to the American Academy of Pediatrics, the Infectious Diseases Society of America and the U.S. Centers for Disease Control and Prevention, among others. The CDC says the most common negative reactions are a sore arm, fever or mild rash. Two doses of the vaccine provide near total protection, according to the CDC.

Manookian said she doesn’t believe the research on vaccines has been adequate.

She will have another chance to spread her views from a prominent platform in November, when she’s scheduled to speak at the Children’s Health Defense 2025 conference in Austin, Texas.

She’ll share the stage with celebrities in the anti-vaccine movement: Del Bigtree, communications director for Kennedy’s past presidential campaign; actor Russell Brand; Kentucky Sen. Rand Paul and Wisconsin Sen. Ron Johnson; and Ladapo, the Florida surgeon general who made headlines for his push to end vaccine mandates in Florida, months after Idaho wrote that concept into law.

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