Minnesota Gov. Tim Walz ends reelection bid: ‘Minnesota has to come first — always’

Minnesota Gov. Tim Walz ends reelection bid: ‘Minnesota has to come first — always’
Minnesota Gov. Tim Walz ends reelection bid: ‘Minnesota has to come first — always’
: Minnesota Gov. Tim Walz speaks to media gathered on the first day of school at Deerwood Elementary on September 2, 2025 in Eagan, Minnesota. (Photo by Stephen Maturen/Getty Images)

(NEW YORK) — Minnesota Gov. Tim Walz, a Democrat, announced Monday that he would drop his bid for reelection as governor, saying that he would not be able to give a campaign all of his attention as he works to defend Minnesota against allegations of fraud and right-wing attacks — including from President Donald Trump.

“In September, I announced that I would run for a historic third term as Minnesota’s Governor. And I have every confidence that, if I gave it my all, I would succeed in that effort,” Walz wrote in a statement Monday.

“But as I reflected on this moment with my family and my team over the holidays, I came to the conclusion that I can’t give a political campaign my all. Every minute I spend defending my own political interests would be a minute I can’t spend defending the people of Minnesota against the criminals who prey on our generosity and the cynics who prey on our differences.”

Walz, who served as Vice President Kamala Harris’ running mate in 2024, had come under fire in recent weeks amid allegations of fraud in child-care centers in Minnesota. Walz had said the state was investigating alleged fraud and slammed how rhetoric targeting the state’s Somali community about the allegations could put people at risk.

“I know this news may come as a surprise. But I’m passing on the race with zero sadness and zero regret. After all, I didn’t run for this job so I could have this job. I ran for this job so I could do this job. Minnesota faces an enormous challenge this year. And I refuse to spend even one minute of 2026 doing anything other than rising to meet the moment. Minnesota has to come first — always,” Walz wrote.

Walz was the subject of Trump’s frequent criticism — with the president claiming he was “a Crooked Governor” in a recent social media post.

Walz would have made history if he won the governorship in 2026, as previously no Minnesota governor has won a third consecutive four-year term.

His exit from the race currently leaves Democrats without a major candidate in the race, although other major names may be set to jump in soon.

Democratic Sen. Amy Klobuchar met with Walz over the weekend about a possible bid for governor, according to two sources familiar with the meeting.

This comes as a source close to Klobuchar tells ABC News that she’s been getting a lot of outreach encouraging her to run. She is considering the bid, according to the source, but hasn’t made a final decision.

Representatives for Klobuchar, who won reelection to the Senate in 2024, did not immediately respond to ABC News’ requests for comment.

The Democratic Governors Association, the arm of the Democratic Party focused on electing Democratic governors, released a statement on Monday praising Walz for his work without endorsing any other potential candidates.

“No matter who decides to run or how much national Republicans want to spend, the DGA remains very confident Minnesotans will elect another strong Democratic governor this November,” DGA chair and Kentucky Gov. Andy Beshear wrote in a statement.

On the Republican side, longtime Trump loyalist and CEO of MyPillow Mike Lindell announced in December that he is running for governor of Minnesota. Lindell has already been endorsed by Trump.

Walz also has been viewed as a potential 2028 presidential hopeful, and visited a few key presidential battleground states in 2025, although he has previously downplayed the prospect of running for the Democratic presidential nomination.

Walz, in his statement announcing he would not seek reelection, had harsh words for Trump and Republicans who have excoriated the state for alleged child-care fraud and said that it occurred on Walz’s watch.

“I won’t mince words here,” Walz wrote. “Donald Trump and his allies — in Washington, in St. Paul, and online — want to make our state a colder, meaner place.”

Saying that the state government had taken steps to investigate fraud, and continues to work on combating it, Walz said Minnesota “will win the fight against the fraudsters. But the political gamesmanship we’re seeing from Republicans is only making that fight harder to win.”

Republicans celebrated Walz’s announcement on Monday. House Majority Whip Tom Emmer, a Republican representing Minnesota, wrote in a short statement reacting to Walz’s announcement, “Good riddance.”

“It’s been failure after failure for Tim Walz, so it’s no surprise he chickened out of running for re-election,” Republican National Committee Regional Communications Director Delanie Bomar wrote in a separate statement on Monday.

Minnesota has been under scrutiny in recent weeks over yearslong investigations and controversies about alleged fraud in child-care centers.

According to federal charges filed over the past couple of years, at least 70 people were part of a wide-ranging criminal conspiracy that exploited two federally funded nutrition programs to fraudulently obtain more than $250 million in one of the largest COVID-era fraud schemes anywhere in the nation.

The defendants allegedly used a Minnesota-based nonprofit organization called Feeding Our Future to avoid tough scrutiny from the Minnesota Department of Education, which was supposed to be conducting oversight of the programs.

More scrutiny came recently after an unverified online video from conservative influencer Nick Shirley alleging fraud in child care in Somali communities in Minneapolis. Minnesota officials have disputed the allegations. During more recent site checks, officials said locations highlighted by the video were operating as expected.

Last week, an official with the Department of Health and Human Services said that the Trump administration is pausing child-care funding to all states after the Minnesota allegations emerged. The official said the funds will be released “only when states prove they are being spent legitimately.”

“Republicans are playing politics with the future of our state,” Walz said in his statement on Monday. “And it’s shameful.”

ABC News’ Benjamin Siegel, Isabella Murray, Laura Romero and Mike Levine contributed to this report.

Copyright © 2026, ABC Audio. All rights reserved.

Flu-like illness activity now at highest rate on record, new CDC data shows

Flu-like illness activity now at highest rate on record, new CDC data shows
Flu-like illness activity now at highest rate on record, new CDC data shows
Stock photo of a sick woman. Guido Mieth/STOCK PHOTO/Getty Images

(NEW YORK) — Flu activity is continuing to climb across the U.S. as hospitalizations rise, according to newly released data from the Centers for Disease Control and Prevention.

The percent of outpatient visits for respiratory illnesses are now at the highest rate on record.

About 8% of visits to a health care provider were labeled as flu-like illness, surpassing any levels seen since 1997, the earliest for which data is available. Flu-like illness accounts for patients that have a fever as well as a cough and/or sore throat.

These visits are largely among children and young adults. About 35% of outpatient visits for a respiratory illness were among people unde. 24 years old and children under age 5 made up ​about 20% of those.

The CDC estimates there have been 120,000 hospitalizations so far this season, a 48.1% increase from the prior week.

Additionally, the CDC says there have been at least 11 million illnesses and 5,000 deaths due to flu so far this season, including at least nine pediatric deaths.

In New York, health officials recently reported the highest number of flu hospitalizations recorded in a single week.

“This is really quite a severe flu season right now,” Dr. James McDonald, health commissioner for New York state, told “Good Morning America” on Saturday.

Recently, New York also reported a record-breaking number of flu cases in a single week with 72,133 infections for the week ending Dec. 20, according to health department.

Data shows that the majority of this season’s cases are linked to a new flu strain called subclade K — a variant of the H3N2 virus, which is itself a subtype of influenza A.

Subclade K has been circulating since the summer in other countries and was a main driver of a spike in flu cases in Canada, Japan and the U.K.

Of the 994 flu samples tested since Sept. 30, nearly all were influenza A. Of those samples that underwent further testing roughly ​90% were H3N2, CDC data shows.

Experts expect flu-like illnesses to continue to climb in the coming weeks and warn that this season’s peak has likely not been reached yet.

In addition to influenza, COVID-19 and respiratory syncytial virus (RSV) are also circulating this time of year and are contributing to respiratory illness activity.

Currently, the CDC recommends that everyone ages 6 months and older, with rare exceptions, get an annual flu vaccine.  

The federal health agency states on its website that getting an annual flu shot prevents millions of illnesses and flu-related doctors’ visits every year and is especially important for those at higher risk of serious complications.

Amid surging cases and hospitalizations, the number of adults and kids who have received a flu shot remains relatively unchanged. As of Dec. 13, around 42.2% of adults and 42.3% of kids have received the flu vaccine despite the flu shot being widely available across the country.

Last season, 289 children died from flu and nearly all were unvaccinated. This was the highest number of deaths ever recorded since tracking pediatric deaths became mandatory in 2004. One additional pediatric death was reported this week from the 2024-2025 flu season to reach the record.

Copyright © 2026, ABC Audio. All rights reserved.

Maduro appears in Manhattan federal court: ‘I am innocent,’ … ‘I am still president’

Maduro appears in Manhattan federal court: ‘I am innocent,’ … ‘I am still president’
Maduro appears in Manhattan federal court: ‘I am innocent,’ … ‘I am still president’
Venezuela’s President Nicolas Maduro is escorted by U.S. Drug Enforcement Agents after arriving in New York City, January 3, 2026. Obtained by ABC News

(NEW YORK) — Ousted Venezuelan leader Nicolas Maduro and his wife, Cilia Flores, made their initial appearance in Manhattan federal court on Monday following their capture by U.S. forces in a military operation in the Venezuelan capital of Caracas, with Maduro claiming, “I am innocent.”

The couple — who are being held in federal custody at MDC-Brooklyn — appeared in front of Judge Alvin Hellerstein. Maduro was escorted into the courtroom in shackles and orange jail slippers and is sitting two seats away from his wife.

Maduro and Flores wore headphones to hear the court-provided interpreter. 

When Maduro took his seat next to defense attorney Barry Pollack, he immediately began writing on a notepad. Flores sat next to her attorney, Mark Donnelly.

Maduro stood before the judge.

“Are you, sir, Nicolas Maduro Moros?” Hellerstein asked.

Maduro declared, through an interpreter, “I am the president of Venezuela.” He added, “I was captured at my home in Caracas, Venezuela,” before the judge interrupted and told him there would be time later to challenge his custody.

Maduro then affirmed he is who the judge said he is.

Hellerstein read Maduro the standard rights.

Maduro said, through an interpreter, “I did not know of these rights. Your Honor is informing me of them now.”

“How do you plead to the indictment?” Hellerstein asked.

Maduro responded, “I am innocent. I am not guilty. I am a decent man. I am still president of my country.”

“I am innocent. I am not guilty of anything mentioned here,” Maduro responded, through an interpreter, when asked to repeat his plea the charges.

Hellerstein then turned to Maduro’s wife.

“I am Cilia Flores,” she said. “I am first lady of the Republic of Venezuela.”

Hellerstein interjected, saying, “The purpose today is just to ask you who you are.” The judge then explained her rights to remain silent and to be represented by an attorney.

“Yes I understand and I’ve heard it,” Flores said.

Asked how she pleaded to the three counts of the indictment she faces. Flores responded, “Not guilty — completely innocent.”

Maduro and Flores are among six defendants named in a four-count superseding indictment that accused them of conspiring with violent, dangerous drug traffickers for the last 25 years. Maduro has long denied all the allegations. 

Dueling groups of protesters have gathered across the street from the courthouse; one is holding signs urging President Donald Trump to “Free President Maduro,” and the other is supportive of his capture.

More people protesting against what they call “illegal kidnapping” are expected to arrive shortly before the court appearance.

Maduro’s son, two high-ranking Venezuelan officials and an alleged leader of the Tren de Aragua criminal gang are the other defendants.

Trump said on Saturday that the U.S. “successfully carried out a large-scale strike against Venezuela” in which Maduro and Flores were “captured and flown out of the Country.”

Trump said the operation was carried out in conjunction with U.S. law enforcement. Members of Congress said the military, which sources said included the elite Delta Force, was in place to support that law enforcement operation.

In a move that alarmed some observers, Trump, who campaigned on “America First” and against foreign entanglements, said during a press conference at Mar-a-Lago the U.S. would “run” Venezuela for an unspecified “period of time.”

He said a team comprised of some of his Cabinet officials along with a local team in Venezuela would be “running the country” because there is “nobody to take over.”

“We’ll run it properly. We’ll run it professionally. We’ll have the greatest oil companies in the world go in and invest billions and billions of dollars and take out money, use that money in Venezuela, and the biggest beneficiary are going to be the people of Venezuela,” Trump said.

Venezuelan Vice President Delcy Rodriguez has been sworn in as interim leader to lead the country after what the Venezuelan Supreme Court described as Maduro’s “kidnapping.” 

Rodriguez demanded Maduro’s return and vowed to defend Venezuela against American aggression.

On Sunday, Rodriguez posted a statement to social media in which she appeared to soften her tone, inviting “the U.S. government to collaborate with us on an agenda of cooperation oriented towards shared development within the framework of international law to strengthen lasting community coexistence.”

Trump told reporters on Sunday that the U.S. is “in charge” of Venezuela.

The president said he had not yet spoken to Rodriguez. Asked if he wanted to, Trump said, “At the right time, I will.”

ABC News’ Meghan Mistry and Hannah Demissie contributed to this report.

Copyright © 2026, ABC Audio. All rights reserved.

Flu activity continues to climb across the US with at least 11 million cases: CDC

Flu activity continues to climb across the US with at least 11 million cases: CDC
Flu activity continues to climb across the US with at least 11 million cases: CDC
An Influenza Vaccine is prepared for a patient on September 12, 2025, in Coral Gables, Florida. Joe Raedle/Getty Images

(ATLANTA) — Flu activity is continuing to climb across the U.S. as hospitalizations rise, according to newly released data from the Centers for Disease Control and Prevention.

The CDC estimates there have been 120,000 hospitalizations so far this season, a 38.8% increase from the prior week.

Additionally, the CDC says there have been at least 11 million illnesses and 5,000 deaths due to flu so far this season.

This is a developing story. Please check back for updates.

Copyright © 2026, ABC Audio. All rights reserved.

Trump implies he may target Colombia’s president, says Cuba appears ‘ready to fall’

Trump implies he may target Colombia’s president, says Cuba appears ‘ready to fall’
Trump implies he may target Colombia’s president, says Cuba appears ‘ready to fall’
US President Donald Trump during a news conference at the Mar-a-Lago Club in Palm Beach, Florida, US, on Saturday, Jan. 3, 2026. Nicole Combeau/Bloomberg via Getty Images

(LONDON) — President Donald Trump implied on Sunday that Colombian President Gustavo Petro could face U.S. action soon, following the American attack on Venezuela that saw its president, Nicolas Maduro, captured and taken to face trial in the U.S.

Trump also appeared to threaten Cuba, the leftist government that has been a longtime ally of Maduro and his authoritarian regime in Venezuela.

“Colombia is very sick too, run by a sick man who likes making cocaine and selling it to the United States. And he’s not going to be doing it very long, let me tell you,” Trump told reporters Sunday.

Asked if the U.S. would launch a military operation against Colombia, Trump responded, “It sounds good to me.”

Earlier on Sunday, Petro released a statement on the operation against Venezuela and Trump’s previous comments about him, saying, “I deeply reject Trump speaking without knowing; my name does not appear in the judicial files on drug trafficking over 50 years, neither from before nor from the present.”

“Stop slandering me, Mr. Trump. That’s not how you threaten a Latin American president who emerged from the armed struggle and then from the people’s struggle for Peace in Colombia,” he added.

Following the removal of Maduro in Venezuela, reporters asked Trump if the U.S. had a similar plan to deal with Cuba, to which he said that the government in Havana only survived because of Venezuelan largesse.

“Now, they won’t have that money coming in. They won’t have the income coming in. You know, a lot of Cubans were killed yesterday, you know that a lot of Cubans were killed,” Trump said.

Trump said the Cubans killed on Saturday were trying to protect Maduro. According to Cuban officials, at least 32 Cuban nationals were killed in the U.S. operation.

“Cuba looks like it’s ready to fall. I don’t know how they — if they’re going to hold out, but Cuba now has no income,” Trump said. “They got all of their income from Venezuela, from the Venezuelan oil. They’re not getting any of it. And Cuba literally is ready to fall. And you have a lot of great Cuban Americans that are going to be very happy about this.”

Asked again if the U.S. is considering action in Cuba, the president said he did not think it necessary because “it looks like it’s going down.”

In Venezuela, meanwhile, Vice President Delcy Rodriguez was appointed as interim president by the country’s Supreme Court, which described the U.S. capture of Maduro as a “kidnapping.”

Maduro and his wife, Cilia Flores, are scheduled to make their initial appearances on Monday in a federal court in Manhattan.

On Saturday, Rodriguez demanded Maduro’s return and vowed to defend Venezuela against American aggression. 

On Sunday, Rodriguez posted a statement to social media in which she invited “the U.S. government to collaborate with us on an agenda of cooperation oriented towards shared development within the framework of international law to strengthen lasting community coexistence.”

In comments to The Atlantic, Trump threatened further action in Venezuela if Rodriguez failed to “do what’s right.” Asked what he wanted from Rodriguez, Trump called for “total access” to the country’s oil reserves.

“We’re in charge,” Trump told reporters of the situation in the country on Sunday. The president said that he had not spoken to Rodriguez. Asked if he planned to, the president said, “At the right time, I will.”

ABC News’ Meghan Mistry, Hannah Demissie and Will Gretsky contributed to this report.

Copyright © 2026, ABC Audio. All rights reserved.

Vance speaks out after man allegedly breaks windows at his Ohio home

Vance speaks out after man allegedly breaks windows at his Ohio home
Vance speaks out after man allegedly breaks windows at his Ohio home
Vice President JD Vance speaks on the final day of Turning Point USA’s annual AmericaFest conference at the Phoenix Convention Center on December 21, 2025 in Phoenix, Arizona. (Photo by Caylo Seals/Getty Images)

(CINCINNATI) — A man was taken into custody after allegedly breaking windows at Vice President JD Vance’s home in Ohio, the Secret Service said on Monday.  

The suspect, 26-year-old William Defoor of Cincinnati, allegedly damaged the victim’s car and four windows at the house, according to the arrest report.

“The residence was unoccupied at the time of the incident, and the Vice President and his family were not in Ohio,” the Secret Service said.

The suspect was physically detained by Secret Service personnel just after midnight. He’s been charged with vandalism, obstruction of a official business and criminal trespass, according to the Hamilton County Sheriff’s office.

Vance spoke out on social media, expressing his gratitude to the Secret Service and Cincinnati police for responding quickly.

“As far as I can tell, a crazy person tried to break in by hammering the windows,” Vance said.

Vance and his wife, Usha, purchased the home for about $1.4 million in 2018 in Cincinnati’s East Walnut Hills neighborhood, which sits along the Ohio River and east of downtown, according to the Hamilton County Auditor’s Office.

Copyright © 2026, ABC Audio. All rights reserved.

Maduro and wife to appear in Manhattan federal court on Monday

Maduro appears in Manhattan federal court: ‘I am innocent,’ … ‘I am still president’
Maduro appears in Manhattan federal court: ‘I am innocent,’ … ‘I am still president’
Venezuela’s President Nicolas Maduro is escorted by U.S. Drug Enforcement Agents after arriving in New York City, January 3, 2026. Obtained by ABC News

(NEW YORK) — Ousted Venezuelan leader Nicolas Maduro and his wife, Cilia Flores, are scheduled to make their initial appearances on Monday in a federal court in Manhattan following their capture by U.S. forces in a military operation in the Venezuelan capital of Caracas.

The couple is expected to appear in front of Judge Alvin Hellerstein at 12 p.m. ET. Both are currently being held in federal custody at MDC-Brooklyn.

Maduro and Flores are among six defendants named in a four-count superseding indictment that accused them of conspiring with violent, dangerous drug traffickers for the last 25 years. Maduro has long denied all the allegations. 

Texas lawyer Mark Donnelly is representing Flores, according to a notice filed Monday with the court. Donnelly is admitted to practice in Texas but applied for pro hac vice admission to represent her in New York.

Maduro has retained attorney Barry Pollack, according to a notice on the court docket posted Monday. Pollack previously represented Wikileaks founder Julian Assange.

Neither defense attorney immediately responded to ABC News’ request for comment.

Dueling groups of protesters have gathered across the street from the courthouse; one is holding signs urging President Donald Trump to “Free President Maduro,” and the other is supportive of his capture.

More people protesting against what they call “illegal kidnapping” are expected to arrive shortly before the court appearance.

Maduro’s son, two high-ranking Venezuelan officials and an alleged leader of the Tren de Aragua criminal gang are the other defendants.

Trump said on Saturday that the U.S. “successfully carried out a large-scale strike against Venezuela” in which Maduro and Flores were “captured and flown out of the Country.”

Trump said the operation was carried out in conjunction with U.S. law enforcement. Members of Congress said the military, which sources said included the elite Delta Force, was in place to support that law enforcement operation.

In a move that alarmed some observers, Trump, who campaigned on “America First” and against foreign entanglements, said during a press conference at Mar-a-Lago the U.S. would “run” Venezuela for an unspecified “period of time.”

He said a team comprised of some of his Cabinet officials along with a local team in Venezuela would be “running the country” because there is “nobody to take over.”

“We’ll run it properly. We’ll run it professionally. We’ll have the greatest oil companies in the world go in and invest billions and billions of dollars and take out money, use that money in Venezuela, and the biggest beneficiary are going to be the people of Venezuela,” Trump said.

Venezuelan Vice President Delcy Rodriguez has been sworn in as interim leader to lead the country after what the Venezuelan Supreme Court described as Maduro’s “kidnapping.” 

Rodriguez demanded Maduro’s return and vowed to defend Venezuela against American aggression.

On Sunday, Rodriguez posted a statement to social media in which she appeared to soften her tone, inviting “the U.S. government to collaborate with us on an agenda of cooperation oriented towards shared development within the framework of international law to strengthen lasting community coexistence.”

Trump told reporters on Sunday that the U.S. is “in charge” of Venezuela.

The president said he had not yet spoken to Rodriguez. Asked if he wanted to, Trump said, “At the right time, I will.”

ABC News’ Meghan Mistry and Hannah Demissie contributed to this report.

Copyright © 2026, ABC Audio. All rights reserved.

Hegseth says Sen. Mark Kelly will receive administrative punishment for video about lawful orders

Hegseth says Sen. Mark Kelly will receive administrative punishment for video about lawful orders
Hegseth says Sen. Mark Kelly will receive administrative punishment for video about lawful orders
Senator Mark Kelly, a Democrat from Arizona, arrives for an all-Senate briefing at the US Capitol in Washington, DC, US, on Tuesday, Dec. 16, 2025. Graeme Sloan/Bloomberg via Getty Images

(WASHINGTON) — Defense Secretary Pete Hegseth, in a post on X, said the Pentagon will hold Democratic Sen. Mark Kelly accountable under the military code of justice for “conduct [that] was seditious in nature,” referring to a video Kelly participated in that told United States service members they have a right to refuse unlawful orders.

This is a developing story. Please check back for updates.

Copyright © 2026, ABC Audio. All rights reserved.

New federal screening guidance expands cervical cancer testing with an at-home HPV option

New federal screening guidance expands cervical cancer testing with an at-home HPV option
New federal screening guidance expands cervical cancer testing with an at-home HPV option
In this handout from Merck & Co, a box and vial of Gardasil, a new cervical cancer vaccine, is seen is this undated photo. Russell Kirk/Merck & Co. via Getty Images

(NEW YORK) — A major update to federal women’s health preventive guidance will make it easier for women to get screened for cervical cancer, including a self-collection option that allows some women to test themselves at home instead of going to a doctor for a pelvic exam.

The new option will be covered by private insurance beginning in January 2027.

The updated Health Resources and Services Administration (HRSA) guidance now advises that people receive a high-risk HPV test – which checks for the virus types most likely to cause cervical cancer – every five years for average-risk women ages 30 to 65 as the preferred screening approach. This can be done with a clinician-collected sample or by the patient at home. 

Women in that age group still have other choices: a combination of an HPV and Pap test every five years, or Pap testing alone every three years if HPV testing isn’t available. 

“The addition of self-collection really empowers women to make this choice for themselves,” Ann Sheehy, MD, the HRSA’s chief medical officer, told ABC News. “We do retain the option for Pap smear … this is just an additional choice for women.”

For women ages 21 to 29, the recommendations stay the same: Pap tests every three years, which Sheehy said aligns with available evidence.

“By doing this, we’re going to get some of those people that have been falling through the cracks and not getting this testing done in advance,” Tom Engels, administrator of the HRSA, told ABC News. “And by doing that, we’re going to save lives.”

Engels emphasized that the update is meant to expand testing options, not replace the Pap test. Self-collection is intended to remove barriers for women who find in-office screening difficult to schedule, uncomfortable, or hard to access, he stressed. 

American Cancer Society (ACS) guidelines updated in December, by contrast, recommend that cervical cancer screening should begin at age 25 and centers on primary HPV testing, including self-collection tests.

“The combination of good evidence of the benefits of self-collection, which include increased access to cervical cancer screening, combined with FDA approval, led the ACS and HRSA to include self-collection in their guideline update,” Dr. Robert Smith, senior vice president, Early Cancer Detection Science at the American Cancer Society and author of the organization’s updated guidelines, told ABC News.

Cervical cancer screening is often cited as a major public health success. Over the last 50 years, cervical cancer incidence and deaths have fallen by more than 50% in the U.S., according to the American Cancer Society, largely because screening can catch precancerous changes early, before patients notice any symptoms.

When cervical cancer is found early, five-year survival is higher than 90%, Centers for Disease Control and Prevention (CDC) data suggests. But the HSRA guidance notes that more than half of diagnoses happen beyond the earliest stage, after the disease is spread to other areas of the body. In those later stages, five-year survival is only about 20%, according to the CDC.

Wide use of the HPV vaccine is expected to push cervical cancer rates even lower over time, but most of the historical decline happened before widespread vaccination efforts.

Sheehy said she has seen the consequences when screening doesn’t happen, and why early detection matters.

“I’ve seen women who didn’t have access to screening, and their cancer presented at a very late stage,” she said. “Most women who have early-stage cervical cancer or precancer lesions are asymptomatic, and the only way we’re going to detect that is with screening.”

The updated guidance aims to address stubborn gaps despite the decades of progress, she added, pointing out that about half of women diagnosed with cervical cancer have either never been screened or their screening isn’t up to date, and about one in four women in the U.S. are not up to date with screening, according to the CDC.

Only FDA-approved tests are recommended for self-collection. The FDA first expanded approvals in May 2024 to allow patients to self-collect samples in a clinical setting. In May 2025, the FDA approved the first at-home self-collection cervical cancer screening kit.

The at-home option is available by prescription. Exactly how patients access a covered self-collecting test may vary by insurer and plan.

“There’s some FDA tests that are approved for self-collection in an office-based setting and there is one that is available for self-collection at home,” Sheehy noted.

Sheehy and Smith both added that a positive HPV result is not a cancer diagnosis, but it can mean additional testing is necessary.

The updated guidance also aims to reduce costs that can pile up after an abnormal screening result by clarifying what insurers must cover without cost-sharing, including follow-up testing and diagnostic evaluation such as Pap testing, biopsy, and lab work, depending on individual needs.

A separate HRSA guideline that took effect Jan. 1 also requires insurance coverage for patient navigation services that help women schedule screenings, address care challenges, and follow up after abnormal results.

“We know the health care system is incredibly complicated for patients to navigate,” Sheehy said.

Both Engles and Sheehy emphasized how optimistic they are about the potential benefits of expanding access to cervical screening.

“This could be really, really, game-changing for women,” Sheehy said.

Radhika Malhotra, MD, is an internal medicine-preventive medicine resident at Rutgers New Jersey Medical School and a member of the ABC News Medical Unit. 

ABC News’ Liz Neporent contributed to this report.

Copyright © 2026, ABC Audio. All rights reserved.

New federal screening guidance expands cervical cancer testing with an at-home HPV option

New federal screening guidance expands cervical cancer testing with an at-home HPV option
New federal screening guidance expands cervical cancer testing with an at-home HPV option
In this handout from Merck & Co, a box and vial of Gardasil, a new cervical cancer vaccine, is seen is this undated photo. Russell Kirk/Merck & Co. via Getty Images

(NEW YORK) — A major update to federal women’s health preventive guidance will make it easier for women to get screened for cervical cancer, including a self-collection option that allows some women to test themselves at home instead of going to a doctor for a pelvic exam.

The new option will be covered by private insurance beginning in January 2027.

The updated Health Resources and Services Administration (HRSA) guidance now advises that people receive a high-risk HPV test – which checks for the virus types most likely to cause cervical cancer – every five years for average-risk women ages 30 to 65 as the preferred screening approach. This can be done with a clinician-collected sample or by the patient at home. 

Women in that age group still have other choices: a combination of an HPV and Pap test every five years, or Pap testing alone every three years if HPV testing isn’t available. 

“The addition of self-collection really empowers women to make this choice for themselves,” Ann Sheehy, MD, the HRSA’s chief medical officer, told ABC News. “We do retain the option for Pap smear … this is just an additional choice for women.”

For women ages 21 to 29, the recommendations stay the same: Pap tests every three years, which Sheehy said aligns with available evidence.

“By doing this, we’re going to get some of those people that have been falling through the cracks and not getting this testing done in advance,” Tom Engels, administrator of the HRSA, told ABC News. “And by doing that, we’re going to save lives.”

Engels emphasized that the update is meant to expand testing options, not replace the Pap test. Self-collection is intended to remove barriers for women who find in-office screening difficult to schedule, uncomfortable, or hard to access, he stressed. 

American Cancer Society (ACS) guidelines updated in December, by contrast, recommend that cervical cancer screening should begin at age 25 and centers on primary HPV testing, including self-collection tests.

“The combination of good evidence of the benefits of self-collection, which include increased access to cervical cancer screening, combined with FDA approval, led the ACS and HRSA to include self-collection in their guideline update,” Dr. Robert Smith, senior vice president, Early Cancer Detection Science at the American Cancer Society and author of the organization’s updated guidelines, told ABC News.

Cervical cancer screening is often cited as a major public health success. Over the last 50 years, cervical cancer incidence and deaths have fallen by more than 50% in the U.S., according to the American Cancer Society, largely because screening can catch precancerous changes early, before patients notice any symptoms.

When cervical cancer is found early, five-year survival is higher than 90%, Centers for Disease Control and Prevention (CDC) data suggests. But the HSRA guidance notes that more than half of diagnoses happen beyond the earliest stage, after the disease is spread to other areas of the body. In those later stages, five-year survival is only about 20%, according to the CDC.

Wide use of the HPV vaccine is expected to push cervical cancer rates even lower over time, but most of the historical decline happened before widespread vaccination efforts.

Sheehy said she has seen the consequences when screening doesn’t happen, and why early detection matters.

“I’ve seen women who didn’t have access to screening, and their cancer presented at a very late stage,” she said. “Most women who have early-stage cervical cancer or precancer lesions are asymptomatic, and the only way we’re going to detect that is with screening.”

The updated guidance aims to address stubborn gaps despite the decades of progress, she added, pointing out that about half of women diagnosed with cervical cancer have either never been screened or their screening isn’t up to date, and about one in four women in the U.S. are not up to date with screening, according to the CDC.

Only FDA-approved tests are recommended for self-collection. The FDA first expanded approvals in May 2024 to allow patients to self-collect samples in a clinical setting. In May 2025, the FDA approved the first at-home self-collection cervical cancer screening kit.

The at-home option is available by prescription. Exactly how patients access a covered self-collecting test may vary by insurer and plan.

“There’s some FDA tests that are approved for self-collection in an office-based setting and there is one that is available for self-collection at home,” Sheehy noted.

Sheehy and Smith both added that a positive HPV result is not a cancer diagnosis, but it can mean additional testing is necessary.

The updated guidance also aims to reduce costs that can pile up after an abnormal screening result by clarifying what insurers must cover without cost-sharing, including follow-up testing and diagnostic evaluation such as Pap testing, biopsy, and lab work, depending on individual needs.

A separate HRSA guideline that took effect Jan. 1 also requires insurance coverage for patient navigation services that help women schedule screenings, address care challenges, and follow up after abnormal results.

“We know the health care system is incredibly complicated for patients to navigate,” Sheehy said.

Both Engles and Sheehy emphasized how optimistic they are about the potential benefits of expanding access to cervical screening.

“This could be really, really, game-changing for women,” Sheehy said.

Radhika Malhotra, MD, is an internal medicine-preventive medicine resident at Rutgers New Jersey Medical School and a member of the ABC News Medical Unit. 

ABC News’ Liz Neporent contributed to this report.

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