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Federal health officials Wednesday issued insurance coverage rules designed to deliver on the promise that every American will have access to free COVID-19 vaccines when they are approved.The regulations from the Centers for Medicare and Medicaid Services, or CMS, will also increase what Medicare pays hospitals for COVID-19 treatments. The changes arrive at a time when coronavirus infections are rising in much of the country, signaling a third wave that could eclipse the number of cases seen earlier this year.Congress and President Donald Trump have already enacted legislation that calls for vaccines to be free, but the new rules were needed to align that policy with the many arcane payment requirements for public and private insurance.“CMS is acting now to remove bureaucratic barriers while ensuring that states, providers and health plans have the information and direction they need to ensure broad vaccine access and coverage for all Americans,” agency head Seema Verma said in a statement.The rules aim to resolve potential legal issues over whether Medicare could cover a vaccine that receives “emergency use authorization” from the Food and Drug Administration. That’s a step short of full approval, and questions arose about whether Medicare could pay under its standard coverage policies.Under Wednesday’s announcement:— Seniors with traditional Medicare will pay nothing for COVID-19 vaccines, and any copays and deductibles are waived.— The government will pay private Medicare Advantage plans to administer the vaccine to seniors. Enrollees will not be charged.— Workplace and individual health insurance plans will cover the COVID-19 vaccine as a preventive service, with no cost sharing. The requirement applies to the vast majority of private plans, which are mandated to cover approved preventive care under the Obama-era Affordable Care Act — even as the Trump administration is trying to overturn that law at the Supreme Court.— State Medicaid and Children’s Health Insurance plans will have to provide vaccines for free for the duration of the coronavirus public health emergency.— Doctors, clinics and hospitals vaccinating uninsured people will be able to get paid through a federal fund set up to assist health care providers under financial stress.The regulations take effect immediately.A White House-backed initiative called “Operation Warp Speed” seeks to have a vaccine ready for distribution in the coming months. The government is spending billions of dollars to manufacture vaccines even before they receive FDA approval, thereby cutting the timeline for delivery. Officials at the FDA have pledged that the program will not interfere with their own science-based decisions. Vaccines that do not meet the test for approval would be discarded. 2791

Every Thursday before the sun rises, the line of cars forms. They are filled with residents like Suzanne Bridges."I get up at 4 in the morning; I’m here by 4:30,” she explained.Bridges and all the others in line are waiting for a necessity to live.“Water. Water is the main source in my home. We drink a lot of it,” Bridges said.When asked if she trusts the water that flows from her faucets and shower in her home, her answer is clear.“No,” she said.Throughout the day, the line of cars continues to grow. As it stretches down the street and around the block, it becomes clear how the Flint water crisis continues to live on.“As you can see, the lines after five years are still very, very long, and the need does not seem to get any better,” said resident Sandra Jones.Every week, Jones is at the front of the line.She runs the RL Jones Community Center, which hands out cases of bottled water to people who live in the City of Flint.“I’ve seen it all because I’m out here with them, and if you don’t have a heart, I don’t even understand. Where is the compassion?” Jones said.Jones was in Flint in 2014 when the water crisis started. The city’s water supply was switched to the Flint River to save money.Aging pipes contaminated the water, exposing around 100,000 people to elevated levels of lead. Lead poisoning can cause irreversible developmental issues, specifically in children.A state of emergency was declared in 2016.“I’ve seen what this lead has done,” Jones said. “I've seen children who have not been able to say complete sentences because their cognitive skills are not there. I’ve seen parents who have not been able to potty train a child at 4 years old, and these people come through these lines that hurts my heart.”In June of 2019, at a National Press Club event, Environmental Protection Agency Administrator Andrew Wheeler said Flint’s water is safe to drink.“We test their water on a regular basis. We’re working with the local city, as well as the state,” Wheeler said. “We’re still providing bottled drinking water to people if they need it, but at this point, the water quality in Flint, Michigan is safe to drink.”But in Flint, trust in the water and the government has run dry.“Even though they say it’s safe to drink, we still are afraid of drinking the water,” said Steven Atkins, a Flint resident."It’s something that we have to have. It’s important that we need it, but now we just can’t trust it,” said resident VanNessa Taylor.In August, the state of Michigan agreed to a 0 million settlement with those impacted by the water crisis, and 80 percent of the money will go to children.Jones says that money will only go so far. Transparency must bring back trust.“That’s where we are,” she said. “This was a marriage and you cheated on me for your benefit, not for my benefit.”Jones says the pandemic has made giving bottled water away even more difficult. She’s faced a shortage of volunteers to give away the water to the cars that come through. She says the lines grow outside her community center each week, six years after the Flint water crisis first began.However, Jones says she will continue to fill trunk after trunk until the cars no longer need to come through.“This city has got to get back whole again. It cannot continue like this. This is the United States of America,” she said. 3338

Every aspect of how children learn is being discussed right now, as public and private schools across the nation try to figure out how to safely get children back in the classroom. And it seems, the devil is entirely in the details.What will education look like this fall? The answer is complicated.Colleges are slowly coming up with plans, but school districts across the country are talking it out and discovering there's no easy answer.Music Watson, Chief of Staff for the San Diego County, California, Office of Education, said, “We’re looking at things like how do you physical distancing in a classroom? If students need to be 6 feet apart or can they be closer if they’re facing the same direction or if you add some shields or use a space that’s not traditionally a classroom like a library, could you have a class in there?”Most county offices like hers are an intermediary between local school districts and the state. They're now discussing new guidance from public health officials and from the California Department of Education, and they're trying to interpret that for local school districts.“Like symptom screening seems like a pretty easy thing, right, you come to school. you answer questions, get your temperature taken and go in,” Watson said, “except if you have a school with a thousand kids and you need to screen every single one. There’s a lot of logistics involved with that.”For symptom screening, you'll need thermometers, a way to record information, and a way to keep students apart. On buses if you're distancing, then you're reconfiguring how many students can be on that bus at a time.“This is a huge, multi-faceted problem and so we can’t just do it on our own we have to get employee associations, labor groups, parents involved,” Watson said. “We have to work with public health we can’t do it on our own.”The California Department of Public Health is handing out more than 47,000 thermometers, 2 million face shields, 143,000 gallons of hand sanitizer, 123,000 N95 masks, 16 million disposable masks, and 14 million cloth face coverings for staff and students. All of those will be distributed statewide.At the Lakeland School System in Memphis, Tennessee, Superintendent Dr. Ted Horrell said those face coverings, “May be the 2020 equivalent of ‘I forgot my pencil’ and the teacher comes up with a pencil”Which means, schools have to be ready for that. Lakeland Schools are already installing plexiglass shields in reception areas and putting hand sanitizing stations in every classroom. The district is getting Chromebooks ready in case there's a need to do distance learning entirely.Everyone wants a safe environment and there's still a lot of unknowns. When asked about a harsher cold and flu season and whether schools will be shut down again in the fall, Watson said, "It’s entirely possible that if we see a surge, that schools may need to go back to distance learning or may need to take some other tools out of their toolbox, which is why it’s important now to plan for every possibility because it is much easier to start at 100 and ramp down to 70 and then go back to 85 than start at 70 and then go back to 100.”All of these decisions are difficult for everyone, and it seems there's no middle ground. Many districts across the nation are sending out surveys asking for feedback about returning to school or doing a hybrid model. In areas without connectivity, parents may receive a physical handout. And, at the end of the day, educators want kids at school, but they won't do it until they know the nation's children-are safe.“Have a little grace we’re all doing the best we can that things are changing quickly, new guidance continues to come out and some of this will change and we have to be flexible and have a little grace because we’re all in this together and all trying to make it through,” Watson said. 3871

European Union and British negotiators are closing in on a trade deal with only a disagreement over fishing rights in U.K. waters remaining, After resolving a few remaining fair competition issues, negotiators were down to dealing with fishing quotas and transition terms as they worked to secure a deal for a post-Brexit relationship by an end-of-year deadline. Sources on both sides said the long and difficult negotiations were in their final stretch and an announcement of a deal could come Thursday morning. Britain withdrew from the EU on Jan. 31, and an economic transition period expires on Dec. 31. A deal would avert a chaotic break on New Year’s Day. 669

FARMINGTON, Utah — A man faces felony charges after he admitted to stabbing a woman and throwing her out of a moving car in Sunday night, killing her. At about 9:50 p.m., emergency dispatch started receiving calls about a body in traffic on northbound I-15. Witnesses reported seeing a vehicle driving erratically and nearly hitting the median."A short time later, witnesses stated a person or what appeared to be a body came out of the vehicle on the driver side. The vehicle then continued for a distance continuing to drive erratically before it came to a stop," a probable cause statement said.A Davis County Sheriff's Office deputy made contact with Oscar Cuevas-Landa near State St. and Main St. in Farmington.According to the probable cause statement, Cuevas-Landa had blood on his hand, forearm and pants, and he was wearing no shirt and only one shoe."After being advised of his Miranda [rights] the subject spoke about the incident stating that he had stabbed the victim multiple times, unbuckled her seat belt, reached over and opened the door and then pushed the victim out of the driver side door," the statement said.Investigators believe Cuevas-Landa had hitched a ride with the victim, whom he didn't know."During that journey, [Cuevas-Landa] stated that the victim looked at him funny, so he stabbed the victim several times and then pushed the victim (driver) from a vehicle moving at freeway speeds," the probable cause statement said.Cuevas-Landa also told investigators he had been using marijuana and LSD.A State Bureau of Investigation agent responded to the area where witnesses reported seeing the body and found the woman dead.Police didn't identify the victim, but said she suffered extensive injuries , including two wounds consistent with stabbing injuries.Cuevas-Landa faces a first-degree felony charge of murder and a second-degree felony charge of aggravated assault resulting in serious bodily injury.This story originally reported by David Wells on fox13now.com. 2006