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The Trump administration has finalized a Medicare hospital drug pricing model that will apply to only four pharmaceutical manufacturers after granting sweeping exemptions. According to the rule published on Wednesday evening, regulators waived the participation requirement for companies that signed separate most favored nation pricing agreements with the White House. This adjustment reduced the number of impacted manufacturers from an initial broader scope down to just four unnamed companies. Furthermore, the Department of Health and Human Services sharply lowered projected program savings. The agency now estimates the initiative will reduce Medicare Part B spending by approximately $440 million over the model period, down significantly from the roughly $11.9 billion projected in the proposed rule. While the administration has secured separate bilateral deals with more than two dozen major pharmaceutical companies, officials have not responded to questions regarding what drove the massive reduction in projected regulatory savings.

U.S. Immigration and Customs Enforcement has issued an internal memo prohibiting officers from engaging in high-speed vehicle pursuits under any circumstances. Signed by Enforcement and Removal Operations Executive Associate Director Marcos D. Charles, the directive also mandates specific training before personnel can conduct routine traffic stops. The policy shift follows multiple escalations during vehicle stops over the past year, resulting in over a dozen weapon discharges, at least four deaths, and several injuries. The memo directs agents to record vehicle details for later investigation rather than chasing fleeing drivers. This policy update comes amid ongoing friction within the federal administration regarding high-risk traffic enforcement tactics. Following fatal incidents in Maine and Texas, temporary halts on vehicle stops faced public pushback from President Donald Trump, who defended traffic enforcement as an essential crime-fighting tool. The new rules restrict pursuit protocols nationwide while establishing stricter training benchmarks for agents executing mobile operations.