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A federal district court judge handed the Trump administration another defeat in its attempt to allow states to impose work requirements in Medicaid, which has caused 18,000 people to lose coverage so far.In two closely watched cases, US District Court Judge James Boasberg Wednesday voided the administration's approvals of requests by Kentucky and Arkansas to mandate that low-income people work for benefits and kicked the matter back to the Department of Health & Human Services for further review. Boasberg also suspended the program in Arkansas, which began in June.In both cases, the approvals did not address how the requests would align with Medicaid's core objective of providing Medicaid coverage to the needy, the judge said. However, Boasberg also said that it's not impossible for the agency to justify its approvals, but it has yet to do so.The Centers for Medicare & Medicaid Services, which has granted work requirement requests from nine states and is considering several more, was not deterred by the ruling."We will continue to defend our efforts to give states greater flexibility to help low income Americans rise out of poverty," said Seema Verma, the agency's administrator. "We believe, as have numerous past administrations, that states are the laboratories of democracy and we will vigorously support their innovative, state-driven efforts to develop and test reforms that will advance the objectives of the Medicaid program."Consumer groups sued the administration, arguing that mandating low-income people to work for benefits runs counter to Medicaid's objective of providing the poor with access to health care."We are gratified by the court's rulings today. They mean that low-income people in Kentucky and Arkansas will maintain their health insurance coverage -- coverage that enables them to live, work, and participate as fully as they can in their communities. Coverage matters, plain and simple," said Jane Perkins, legal director at the National Health Law Program, one of the groups involved in both suits.The advocates were seeking to stop the requirement in Arkansas, which yanked coverage from 18,000 people after they failed to meet the new rules. Arkansas was the first state in the nation to implement the mandate after the Trump administration began allowing it last year."I am disappointed in the decision handed down late this afternoon," Arkansas Republican Gov. Asa Hutchinson said. "I have not yet had the opportunity to review the opinion in its entirety, but I plan to do so this evening and provide further comment tomorrow morning on the future of the Arkansas Works work requirement."Also, the consumer groups once again sued to block the start of work requirements in Kentucky, which had to halt implementation last June after the same judge voided the federal government's approval. The Centers for Medicare & Medicaid Services 2911

A 6.4-magnitude earthquake struck Puerto Rico before dawn on Tuesday, killing one man, injuring at least eight other people and collapsing buildings in the southern part of the island. The quake was followed by a series of strong aftershocks, part of a 10-day series of temblors spawned by the grinding of tectonic plates along three faults beneath southern Puerto Rico. Seismologists say it's impossible to predict when the quakes will stop. The 6.4-magnitude quake cut power as power plants shut down to protect themselves. Authorities said two plants suffered light damage and they expected power to be restored later Tuesday. It was the second straight day in which a signifcant quake struck the island. On Monday, a 5.8 magnitude quake shook the island, causing minor damage.Puerto Rico Gov. Wanda Vazquez signed a series of executive orders Tuesday declaring a state of emergency on the island and activating the National Guard.The Associated Press reports that a 73-year-old man was killed when a wall in his home collapsed on top of him. Eight other people were injured in the city of Ponce, according to WAPA-TV in Puerto Rico.A tsunami alert was issued in the moments after the earthquake but was quickly canceled.The earthquakes on Tuesday came just a day after a 5.8-magnitude quake collapsed five homes on the south side of the island. That earthquake also caused a small landslide and some power outages, but no injuries were reported. 1461

WASHINGTON, D.C. – If the coronavirus is proving to be a challenge to most Americans, it’s even more so for those without a home. “If somebody on the street gets it, they can't self-quarantine. They don't have access to the same kinds of resources that the rest of us do,” said Joe Mettimano, president of the 323

7-Eleven Day typically means free Slurpees for everyone, but this year's celebration turned out more special than usual for one Missouri family.Rachel Langford of St. Louis gave birth to a baby girl on July 11 -- yes, 7/11.That's not all, baby J'Aime Brown was born at 7:11 pm, weighing seven pounds and 11 ounces.Langford, who also has a six-year-old son, told CNN she kept on seeing the numbers 7 and 11 during her pregnancy, but didn't think it meant anything."I thought it was weird at first, and I didn't know that (the numbers) meant so much," she said. "A lot of the times (during the pregnancy) I would look at the clock and it was 7:11."Although a bit "freaked out," both mom and baby are doing well.Langford says she even plans on telling the convenience store chain about the coincidence. 811