Amazon shortlists 20 cities, including Toronto, for second headquarters

(Reuters) – Inc (AMZN.O) has short-listed 20 cities and regions, including Canada’s Toronto, for the construction of a second headquarters that it says will generate 50,000 new, high-paying jobs in a $5 billion investment.

Major U.S. centers including New York City, Los Angeles, Chicago and Washington D.C. also made it onto the list announced on Thursday, and smaller cities such as Raleigh, North Carolina, and Columbus, Ohio. Toronto is the lone non-U.S. location.

The Seattle-based e-commerce giant’s search for a location for a second North American headquarters set off a frenzy among city officials jostling for the economic boost such a project represents, with some of the 238 initial bidders promising billions of dollars in tax breaks.

Amazon said on Thursday it expects to make a decision this year.

Including Toronto in the shortlist means Amazon must now weigh whether Canada’s advantages – a more open immigration policy focused on luring top global tech talent, and universal healthcare – outweigh potential blowback from U.S. President Donald Trump, who has leaned heavily on U.S. companies to invest more domestically.

“There could be consequences politically for making a decision to invest outside of the U.S.,” said Shauna Brail, director of the urban studies program at the University of Toronto. “The question is how will a company the size of Amazon respond to that kind of a threat.”

In November, Amazon said it would open a second corporate office in Vancouver, across the border from Seattle, in an announcement unrelated to the second headquarter search.

Toronto’s bid shied away from financial incentives, while New Jersey proposed $7 billion in potential credits against state and city taxes if the company chooses Newark and sticks to hiring commitments. The Atlanta suburb of Stonecrest has offered 345 acres of industrial land to create a new city called Amazon and to make Chief Executive Jeff Bezos its mayor for life.

The shortlist news follows Apple’s announcement on Wednesday that it would build a new U.S. campus and create 20,000 new jobs as part of a $30 billion investment, with both underlining the growing power of U.S. technology companies over the economy.

Other locations on the Amazon shortlist were Atlanta, Austin, Boston, Dallas, Denver, Indianapolis, Miami, Montgomery County in Maryland, Nashville, Newark, Northern Virginia, Philadelphia, and Pittsburgh.

Additional reporting by Jeffrey Dastin in San Francisco and Shariq Khan in Bengaluru; Editing by Saumyadeb Chakrabarty and Nick Zieminski

What Amazon’s Latest Job Listing Says About Its Health Care Ambitions

Signs emerged last year that Amazon may be preparing an entry into the pharmaceuticals distribution business, but it seems the online giant’s plans may get more personal than that.

As first reported by CNBC, Amazon is looking to hire someone to head up compliance with U.S. health security and privacy requirements.

Specifically, the firm wants someone experienced in handling aspects of the Health Insurance Portability and Accountability Act, or HIPAA. This law covers personal health information, so it suggests that Amazon is looking further than the drug wholesaling business.

The job ad mentions “HIPAA Business Associate Agreement” requirements, which points to partnerships with other players, such as health care and health plan providers.

According to the Department of Health and Human Services, a provider covered by the HIPAA rules can only transfer protected health information to a business associate “to help the [provider] carry out its health care functions—not for the business associate’s independent use or purposes, except as needed for the proper management and administration of the business associate.”

In other words, if Amazon is the business associate in this scenario, it will face limitations on how it can use the confidential health information that it receives. It will also be obliged to keep that data safe.

What is Amazon actually planning to do? According to CNBC, it might want to bring its Alexa personal assistant technology—which is not yet HIPAA-compliant—into the health care environment.

Fortune has asked Amazon what sort of initiative it’s planning, and will update this article if and when an answer arrives.