Trump's border czar suggests a possible drawdown in Minnesota, but only after ‘cooperation’

MINNEAPOLIS (AP) — The Trump administration could reduce the number of immigration enforcement officers in Minnesota, but only if state and local officials cooperate, the president's border czar said Thursday, noting he has “zero tolerance” for protesters who assault federal officers or impede the ongoing Twin Cities operation.

Tom Homan addressed reporters for the first time since the president sent him to Minneapolis following last weekend's fatal shooting of protester Alex Pretti, the second this month by federal officers carrying out the operation. His comments came after President Donald Trump seemed to signal a willingness to ease tensions in the Minneapolis and St. Paul area and as the administration ended its “enhanced operations” in Maine.

Homan, who said he wouldn't address the shootings, emphasized that the administration isn't relenting on its immigration crackdown and warned that protesters could face consequences if they interfere with federal officers.

But he seemed to acknowledge there had been missteps.

“I do not want to hear that everything that’s been done here has been perfect. Nothing’s ever perfect,” he said.

Homan hinted at the prospect of pulling out many of the roughly 3,000 federal officers taking part in the operation, but he seemed to tie that to cooperation from state and local leaders and a reduction in protester interference.

“The drawdown is going to happen based on these agreements," he said. "But the drawdown can happen even more if the hateful rhetoric and the impediment and interference will stop.”

He also said he would oversee internal changes in federal immigration law enforcement, but he gave few specifics.

“The mission is going to improve because of the changes we’re making internally,” he said. “No agency organization is perfect. And President Trump and I, along with others in the administration, have recognized that certain improvements could and should be made.”

Minneapolis Mayor Jacob Frey told reporters in Washington on Thursday he was “hopeful” that the number of federal officers in the city would be reduced. He said police would do their jobs but not “somebody else's,” referring to federal law enforcement.

Despite Trump softening his rhetoric about Minnesota officials — he said this week they were on a “similar wavelength” — there has been no visible sign of any big changes to the operation. On Thursday, as the Justice Department charged a man accused of squirting vinegar on Democratic Rep. Ilhan Omar, a smattering of protesters braved the frigid temperatures to demonstrate outside of the federal facility that has been serving as the operation's main hub.

Pretti, 37, was fatally shot Saturday during a scuffle with the Border Patrol. Earlier this month, 37-year-old Renee Good was shot in her vehicle by an Immigration and Customs Enforcement officer.

Homan doubled down on the need for jails to alert ICE to inmates who could be deported, saying transferring such inmates to the agency is safer because it means fewer officers have to be out looking for people in the country illegally.

The White House has long blamed problems arresting criminal immigrants on so-called sanctuary jurisdictions, a term generally applied to state and local governments that limit law enforcement cooperation with the Department of Homeland Security.

Homan reiterated that, saying, “Give us access to illegal aliens, public safety threats in the safety and security of a jail.”

But Minnesota officials say this is already happening.

“At best, DHS fundamentally misunderstands Minnesota’s correctional system,” Paul Schnell, chief of the state Department of Corrections, told reporters last week, pushing back against the federal narrative. “At worst, it is pure propaganda.”

State prisons, he noted, always honor “detainers,” or federal requests to hold an arrested immigrant until agents can take custody of them.

“This occurs every time without exception,” he said, noting that “the vast majority,” of the state’s county sheriffs also cooperate with immigration authorities about immigrants in their jails.

Some do not, including the jails in Hennepin County, which serves Minneapolis, and Ramsey County, which serves St. Paul. However, both do hand over inmates to federal authorities if an arrest warrant has been signed by a judge.

Homan, whose arrival followed the departure of the Trump administration’s on-the-ground leader of the operation, Border Patrol chief Greg Bovino, also seemed to suggest a renewed focus on what ICE calls “targeted operations” focused on apprehending immigrants who have committed crimes. He said the agency would conduct “targeted strategic enforcement operations” prioritizing “public safety threats.”

It remains to be seen whether ICE's renewed focus on “targeted operations” might reduce tensions.

ICE and Homan have long said the Trump administration's primary focus is to arrest people in the country illegally who have a criminal history or pose a threat to public safety. But they acknowledge they'll also arrest anyone else found to be in the U.S. illegally.

They argue that ICE operations target specific people, as opposed to carrying out indiscriminate raids where officers round up everyone and demand their papers.

Sameera Hafiz, policy director with the Immigrant Legal Resource Center, said Homan's comments seemed to reflect a recognition that public opinion has turned against ICE, but she questioned his argument that carrying out targeted operations would make the country safer.

“His comments still seem to be based on the false premise that deporting people or deportation will make our community safer,” she said. “All the evidence and data has shown that deportations don’t make our communities safer. They destabilize families, they tear communities apart, they hurt our economy.”

Homan didn't give a specific timeline for how long he would stay in Minnesota.

“I’m staying until the problem’s gone,” he said, adding that he has met with community, law enforcement and elected leaders in the hopes of finding common ground and suggested that he’s made some progress.

Santana reported from Washington. Associated Press reporters Tim Sullivan in Minneapolis, Mike Catalini in Trenton, New Jersey, and Steven Sloan in Washington contributed.

A federal agent approaches a vehicle on Thursday, Jan. 29, 2026, in Minneapolis. (AP Photo/Adam Gray)

A person photographs a federal agent inside their vehicle on Thursday, Jan. 29, 2026, in North Minneapolis. (AP Photo/Adam Gray)

Posters depicting Alex Pretti and Renee Nicole Good are displayed inside a bus shelter across the street from the site where Pretti, a 37-year-old ICU nurse, was fatally shot by federal immigration agents, in Minneapolis, Minn., Thursday, Jan. 29, 2026. (Kerem Yücel/Minnesota Public Radio via AP)

Posters depicting Alex Pretti and Renee Nicole Good are displayed on a wall near the site where Pretti, a 37-year-old ICU nurse, was fatally shot by federal immigration agents, in Minneapolis, Minn., Thursday, Jan. 29, 2026. (Kerem Yücel/Minnesota Public Radio via AP)

People participate during a noise demonstration outside the Graduate by Hilton Minneapolis hotel on Wednesday, Jan. 28, 2026, in Minneapolis. (AP Photo/Adam Gray)

A pair of volunteer observers patrol south Minneapolis neighborhoods Tuesday, Jan 27, 2026, looking for signs of activity by federal immigration officers. (AP Photo/Tim Sullivan)

People hold up photos during a vigil for Alex Pretti, who was shot and killed by federal immigration enforcement in Minneapolis, Wednesday, Jan. 28, 2026, in Henderson, Nev. (AP Photo/John Locher)

Federal agents try to clear demonstrators near a hotel, using tear gas during a noise demonstration protest in response to federal immigration enforcement operations in the city Sunday, Jan. 25, 2026, in Minneapolis. (AP Photo/Adam Gray)

White House border czar Tom Homan holds a news conference as Marcos Charles and Rodney Scott, listen, at the Bishop Whipple Federal building on Thursday, Jan. 29, 2026 in Minneapolis. (AP Photo/Julia Demaree Nikhinson)

Law enforcement officers prepare to make arrests after declaring an unlawful assembly during a noise demonstration outside the Graduate by Hilton Minneapolis hotel on Wednesday, Jan. 28, 2026, in Minneapolis. (AP Photo/Adam Gray)

White House border czar Tom Homan holds a news conference at the Bishop Whipple Federal building on Thursday, Jan. 29, 2026 in Minneapolis. (AP Photo/Julia Demaree Nikhinson)

White House border czar Tom Homan holds a news conference as Marcos Charles and Rodney Scott, listen, at the Bishop Whipple Federal building on Thursday, Jan. 29, 2026 in Minneapolis. (AP Photo/Julia Demaree Nikhinson)

White House border czar Tom Homan holds a news conference at the Bishop Whipple Federal building on Thursday, Jan. 29, 2026 in Minneapolis. (AP Photo/Julia Demaree Nikhinson)

White House border czar Tom Homan holds a news conference at the Bishop Whipple Federal building on Thursday, Jan. 29, 2026 in Minneapolis. (AP Photo/Julia Demaree Nikhinson)

CREIGHTON, Neb. (AP) — Rick and Jane Saint John chose to live in the small town of Creighton, Nebraska, for one main reason: its hospital.

The couple has a child with nonverbal autism and epilepsy who requires up to three hospital visits a week. And Creighton's critical access hospital has been a lifeline for Jane: not only is she employed there, but three years ago, doctors saved her life when she contracted bacterial pneumonia. If she had waited another day for care, doctors said, her organs would have begun to shut down.

“And if we had had to drive the hour to the Yankton (South Dakota) hospital," Rick Saint John said, his voice breaking with emotion, "it could have cost her her life.”

So the Saint Johns were shocked to hear that Avera Creighton Hospital faces financial peril. A $50 billion government fund meant to transform rural health care will do little to help. It's a problem that millions of Americans in rural areas are awakening to as they realize there's no windfall coming for the vulnerable hospitals near their homes.

Hundreds of rural hospitals across the country are facing closures after years of funding problems. The issue was compounded last summer by the Trump administration's massive cuts to Medicaid, the government's safety net for low-income Americans, whose reimbursements have long helped hospitals meet their bottom lines.

Outcry over the funding cuts prompted Republican lawmakers to create $50 billion in new rural health grants, but critics say that funding is intended for innovative health care delivery solutions — not propping up hospitals buckling under current pressures.

“It won’t pay to keep the lights on. And it won’t turn the lights back on once they’ve been turned off,” said Dr. Ben Young, an infectious disease specialist and policy expert with public health advocacy group Wellness Equity Alliance.

Rural Americans’ health care worries reflect broader national concerns about access and rising prices of care as the cost of living spikes — anxieties that could prove pivotal in this year’s midterm elections.

The $50 billion Rural Health Transformation Program included in President Donald Trump's tax-and-spending law last year was billed by Republicans as a way to help hospitals in rural areas. Last summer, Health Secretary Robert F. Kennedy Jr. touted it as the “biggest infusion in history” for rural hospitals and pledged it will “restore and revitalize these communities.”

Hospitals and health industry experts have warned that while the fund — $10 billion per year allocated across all states for five years — offers some support to struggling rural hospitals, it won’t save them. One reason is that the sum doesn't come close to offsetting the $137 billion that rural hospitals expect to lose over the next decade, according to health research nonprofit KFF. Millions of people are expected to lose Medicaid benefits as a result of new Medicaid work requirements going into effect in 2027 — changes the Trump administration has maintained will crack down on fraudsters rather than cut off eligible enrollees.

Administrators say the new $50 billion fund is not meant to shore up ailing rural hospitals or maintain the status quo, but to transform rural health care through tech, workforce and other innovations. Centers for Medicare and Medicaid Services Administrator Dr. Mehmet Oz in a December video said it “gives states the tools to design solutions that last, not Band-Aids that fail.”

The White House echoed that Wednesday, saying the fund is intended to fund “big ideas” to improve rural health care access long-term.

“Decades of mismanagement by career politicians in Washington have left rural communities with limited care options," White House spokesman Kush Desai said.

State applications show a wide range of proposals. Some pitches sought to improve emergency medical services and modernize rural facilities, while others looked to make school lunches healthier, expand physical fitness programs, beef up telehealth and expand AI-driven technologies to help monitor patients.

Avera Creighton Hospital CEO Theresa Guenther argues her hospital is not in danger of closing. but conceded that Medicaid cuts will be painful — a sentiment shared by most rural hospitals, she said.

“Medicaid cuts will have an impact to us, and we — as well as many others — will have to figure out what that looks like moving forward,” she said. Her hospital hopes to get a piece of the $50 billion fund to help manage patients' chronic diseases — like diabetes — and to help cover workforce costs.

Nebraska, which received $218 million for the rural health grants' first installment, plans to spend some $90 million on healthier food options at schools, recruiting more health care workers and mobile sensors to remotely monitor chronically ill patients in rural areas, among other things. But for rural critical access hospitals at risk of closing, it offers $10 million to “right size” them by getting rid of inpatient care, where bed occupancy is typically low.

Republican state Sen. Barry DeKay said hospitals like Creighton's are vital, despite it's low occupancy rate. The hospital is in his district; even his mother received life-extending care there following a hip replacement. He's worried that the Medicaid cuts could hurt all the state's rural hospitals.

“I'll try to be working as hard as I can to get as much money to rural hospitals — whether it's in my district or any other rural district in the state,” he said.

Rick Saint John acknowledged he knows little about how Nebraska will use the federal funds, but he thinks it should go to helping hospitals like Creighton’s remain intact.

“The hospital is very important to this community, and for more than just medical care,” he said, citing job losses if the hospital loses services or closes.

The fund has seen pushback from hospital groups over an issue that's shaping up as important for 2026 voters.

The Colorado Hospital Association sent a letter in December to state lawmakers accusing them of ignoring input from rural hospitals during the application process.

The Nebraska Hospital Association, which endorsed Republican U.S. Sen. Deb Fischer’s 2024 reelection bid based on her advocacy for rural health care, has criticized both the cuts and the $50 billion fund. Fischer voted last summer for the Medicaid cuts.

That and other efforts by the state to limit Medicaid spending sends a message “that access to health care is not a priority," the group said.

Some Republican state lawmakers across the country have expressed unease with parts of the fund and have sought ways to use it to help struggling rural hospitals.

Under pressure, some rural states are making their own moves to help.

Wyoming enacted a law allowing rural hospitals to file Chapter 9 bankruptcy, normally reserved for financially stressed cities to reorganize debts and repay creditors while protecting them from legal action.

In North Dakota, during a special session to allocate the state’s federal rural health funds, the Republican-led Legislature passed an unrelated bill that aims to rescue a rural hospital with a low-interest loan of up to $5 million administered through the state-owned bank.

It's hoped the plan will keep the hospital open in a vast rural area where it employs 5% of the surrounding county's residents, hospital board member Matt Hager said.

Young, the expert with Wellness Equity Alliance, sees dark days ahead for rural hospitals.

“I am not optimistic in the short term,” he said. “Because these hospitals are facing immediate financial shortfalls, are barely financially operating currently, and they need operating support now.”

Swenson reported from New York. Associated Press writer Jack Dura contributed to this report from Bismarck, North Dakota.

Avera Creighton Hospital CEO Theresa Guenther is seen in her office, Feb. 24, 2026, in Creighton, Neb. (AP Photo/Margery A. Beck)

Nebraska State Sen. Barry DeKay, R-Niobrara, is seen on the floor of the Nebraska State Capitol, Feb. 5, 2026, in Lincoln, Neb. (AP Photo/Margery A. Beck)

Jane and Rick Saint John hold hands on Feb. 24, 2026, as they recall how Jane received life-saving care three years ago at Avera Creighton Hospital, in rural Creighton, Neb. (AP Photo/Margery A. Beck)

Jane and Rick Saint John discuss how important their local hospital, Avera Creighton Hospital, is in their rural community, Feb. 24, 2026, in Creighton, Neb. (AP Photo/Margery A. Beck)

Avera Creighton Hospital is seen on Feb. 24, 2026, in Creighton, Neb. (AP Photo/Margery A. Beck)