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Jan 26 • 11 tweets • 3 min read • Read on X
/1🚨BREAKING — AFL just sued HHS, CMS, and HRSA to expose a Biden-era DEI program that injects RACE into life-and-death organ transplants.

Race has no place in deciding who lives and who dies. Image
/2 Before leaving office, the Biden Administration overhauled the organ transplant system to advance its “racial equity” agenda, justified as a response to the “unbearable human costs of systemic racism.”
/3 Then-HHS Secretary Xavier Becerra said the system was “not immune to racial inequities” and pledged to reshape transplant policy around race. Image
/4 President Trump ordered the federal government to terminate all discriminatory diversity, equity, and inclusion programs.

The IOTA Model is a Biden-era DEI remnant that has not yet been dismantled.
/5 The IOTA Model is a six-year federal mandate that took effect July 1, 2025, and applies to 103 transplant hospitals nationwide.

It pressures hospitals to consider race when deciding who gets evaluated, referred, and placed on kidney transplant waitlists. Image
/6 The rule urges hospitals to create “health equity plans” that sort patients by race, ethnicity, and socioeconomic status.

It also ties federal funds to transplant volume, pressuring organ procurement organizations and hospitals to procure more organs to hit “equity” targets. Image
/7 Under the IOTA Model, the consequences are real.

A kidney could go to someone with a less urgent medical need simply because they check the “right” racial box.

This is discrimination.
/8 Around 90,000 people are on the waitlist for a kidney.

More than 5,000 Americans die each year waiting.

In a system this scarce, injecting race isn’t compassion.

It’s reckless. Image
/9 In August 2025, AFL filed FOIA requests to expose how this program was designed, approved, and imposed.

Every agency acknowledged the requests.

None produced records.
/10 The American people deserve the truth.

AFL is fighting to restore merit-based medicine, so life-saving care is governed by medical need — not discrimination.
/11 Read more here:

aflegal.org/press-release/…

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More from @America1stLegal

Feb 6
/1🚨BREAKING — AFL just filed a new lawsuit against HHS and CMS to expose the architects behind a Biden-era organ transplant policy that financially rewards higher transplant volume and prioritizes race in transplant decisions. Image
/2 Last week, AFL filed a lawsuit to determine who within the Biden Administration was behind its race-based organ transplant policy.

This new lawsuit seeks to uncover the outside influencers who shaped the program, and why.
/3 The lawsuit targets the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) for failing to produce records tied to a federal transplant program that rewards hospitals for increasing kidney transplant volume and embeds race into the process.
Read 9 tweets
Feb 6
/1🚨VICTORY — AFL DEFEATED Maricopa County’s attempt to hijack County Recorder Justin Heap’s election integrity lawsuit and block us from representing him.

An Arizona court fully rejected the blatant power grab.

Our lawsuit against Maricopa County will now proceed. Image
/2 After Recorder Heap chose AFL to represent him in a lawsuit against the Maricopa County Board of Supervisors, Maricopa County Attorney Rachel Mitchell filed another lawsuit against him, claiming that she had the right to select his attorney, and she did not want AFL to represent him.
/3 In its ruling, the Maricopa County Superior Court held that Arizona law does not give the county attorney authority to control a county officer’s legal representation.
Read 9 tweets
Feb 6
/1🚨VICTORY — AFL has BROKEN Nashville’s years-long stonewalling over the Covenant School shooter’s “manifesto.”

A Tennessee appeals court REJECTED Nashville’s attempt to withhold records related to the shooting and keep the public in the dark. Image
/2 The ruling from the Court of Appeals of Tennessee at Nashville reverses most of a lower court decision that allowed the Metropolitan Government of Nashville and Davidson County (Metro) to withhold the shooter’s “manifesto” in full.
/3 The court’s ruling made clear that government agencies cannot rely on sweeping legal theories to justify total secrecy, and must instead conduct a record-by-record review, redacting only what is lawfully protected and releasing the rest under Tennessee’s Public Records Act.
Read 12 tweets
Jan 29
/1💨BLOWN AWAY —

AFL has uncovered that MULTIPLE states lack evidence to support their claims of harm in their lawsuit challenging the Trump Administration’s federal wind regulation review. Image
/2 Last year, 17 states and D.C. sued the Trump Administration and several federal agencies, challenging the implementation of the Wind Memo, claiming it would cause irreparable harm to each state’s environment, climate, and economic, transportation, and security interests.
/3 The plaintiff states include New York, Massachusetts, Arizona, California, Colorado, Connecticut, Delaware, Illinois, Maine, Maryland, Michigan, Minnesota, New Jersey, New Mexico, Oregon, Rhode Island, Washington, and the District of Columbia.
Read 9 tweets
Jan 29
/1🏛️NEW SCOTUS BRIEF — 

AFL filed a brief on behalf of @tedcruz, @Jim_Jordan, and 26 members of Congress urging the U.S. Supreme Court to uphold President Trump’s executive order on birthright citizenship and restore the Fourteenth Amendment’s original meaning. Image
/2 AFL’s brief, filed in partnership with Boyden Gray PLLC, supports President Trump’s Executive Order 14160, “Protecting the Meaning and Value of American Citizenship.”
/3 Executive Order 14160 restores the original meaning of the Fourteenth Amendment’s Citizenship Clause, which the lower courts wrongly blocked by expanding birthright citizenship beyond what the U.S. Constitution allows.
Read 8 tweets
Jan 26
/1🏛️NEW SCOTUS BRIEF —

AFL filed a new amicus brief after the U.S. Supreme Court agreed to hear Noem v. Al Otro Lado, a major case on whether courts can rewrite federal immigration law and block critical border security tools.

SCOTUS must reverse the Ninth Circuit’s ruling. Image
/2 AFL’s brief, filed with Boyden Gray PLLC, on behalf of U.S. Rep. Darrell Issa and U.S. Senators Ted Cruz, Ted Budd, Mike Lee, Kevin Cramer, and Josh Hawley, urges SCOTUS to reverse the Ninth Circuit’s ruling on the merits and stop a decision that would cripple border security.
/3 The Supreme Court’s decision to take the case puts this dispute on the main stage.
Read 11 tweets

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