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President Donald Trump is now setting his sights on overhauling the nation's safety net programs.Trump signed an executive order Monday directing federal agencies to promote employment for those on public assistance.The president called for enforcing work requirements that are already in the law and reviewing all waivers and exemptions to such mandates. Also, the executive order asked agencies to consider adding work requirements to government aid programs that lack them."The federal government should do everything within its authority to empower individuals by providing opportunities for work, including by investing in federal programs that are effective at moving people into the workforce and out of poverty," the order read.The agencies have 90 days to submit a list of recommended policy and regulatory changes.The move is the latest step in the administration's effort to require low-income Americans to work for their federal benefits. The Centers for Medicare & Medicaid Services earlier this year began allowing states to mandate that certain Medicaid enrollees must work for the first time in the program's history, while the Department of Housing and Urban Development is looking into the issue for those in subsidized housing.The Department of Agriculture also wants to strengthen the work requirements in the food stamp program. Currently, adults without minor children can only receive benefits for three months out of every 36-month period unless they are working or participating in training programs 20 hours a week. However, states can waive that requirement for areas where unemployment is at least 10% or there is an insufficient number of jobs, as defined by the Department of Labor.Several states, particularly those with Republican leaders, have also been adding work mandates. Kentucky, Indiana and Arkansas have already received approval to require certain Medicaid recipients to participate in community engagement programs, including working, volunteering or job training, while several other states have applications pending before CMS. West Virginia and Wisconsin recently tightened the work requirement provisions in their food stamp programs.The president is ramping up these efforts after Congress opted to punt on entitlement reform with the midterm elections looming in the fall.The order outlines nine "Principles of Economic Mobility," which are in line with longstanding Republican ideals. They include improving employment outcomes and economic independence, promoting marriage as a way of escaping poverty, reserving benefits for those truly in need and empowering the private sector to find solutions to poverty. The order directs agencies to provide more flexibility to the states, which administer many of these safety net programs.Millions of Americans flocked to the nation's government assistance programs in the wake of the Great Recession and the expansion of Medicaid under the Affordable Care Act. More than 74 million Americans are on Medicaid, while more than 41 million people receive food stamps, formally known as the Supplemental Nutrition Assistance Program, or SNAP. (Enrollment in food stamps has drifted down from a peak of more than 47 million in 2013.)The administration, along with conservative policy experts, argue that this is the perfect time to enforce and expand work requirements because unemployment is near record lows and employers are looking to hire. They are setting their sights on the able-bodied, working-age adults -- particularly childless men -- who have joined the assistance programs in recent years.The executive order should send a strong signal to federal agencies that they need to prioritize adding or strengthening work requirements, said Robert Doar, who used to oversee New York City's public assistance programs. Getting people to work -- even if they still need some assistance -- is the first step to helping them gain economic independence, he said."People can't rise out of poverty if they are only receiving SNAP and Medicaid," said Doar, now a fellow at the conservative American Enterprise Institute. "These programs were meant to supplement earnings, not replace them."Consumer advocates, however, argue that work requirements will lead to millions of people losing crucial assistance. Putting in place such mandates doesn't take into account barriers to employment, such as medical conditions, child care and transportation."So-called 'work requirements' are premised on a set of myths about poverty," said Rebecca Vallas, vice president of the Poverty to Prosperity Program at the left-leaning Center for American Progress."First, that 'the poor' are some stagnant group of people who 'just don't want to work.' Second, that anyone who wants a well-paying job can snap her fingers to make one appear. And third, that having a job is all it takes to not be poor," she said.Many low-income Americans who can work already do, advocates say.In households that receive SNAP and have at least one non-disabled adult, 58% are employed and 82% worked in the year prior to or after enrollment, according to the Center for American Progress.Among Medicaid recipients, 60% of able-bodied, working-age adults have jobs, while nearly 80% live in families with at least one member in the labor force, according to a Kaiser Family Foundation analysis. Most of those who don't work cite illness, disability or family obligations as the reason.Instead of mandating employment, the president could do other things to help Americans gain economic independence, Vallas said."If Trump were serious about helping the 'forgotten man and woman' he pledged to fight for during his campaign, he'd be addressing the real problems trapping Americans in poverty -- like the poverty-level minimum wage that's remained stuck at .25 for nearly a decade," she said. 5936

Potential accuracy issues with a widely used coronavirus test could lead to false results for patients, U.S. health officials warned.The Food and Drug Administration issued the alert Monday to doctors and laboratory technicians using Thermo Fisher’s TaqPath genetic test. Regulators said issues related to laboratory equipment and software used to run the test could lead to inaccuracies. The agency advised technicians to follow updated instructions and software developed by the company to ensure accurate results.The warning comes nearly a month after Connecticut public health officials first reported that at least 90 people had received false positive results for the coronavirus. Most of those receiving the false results were residents of nursing homes or assisted living facilities.A spokeswoman for Thermo Fisher said the company was working with FDA “to make sure that laboratory personnel understand the need for strict adherence to the instructions for use.” She added that company data shows most users “follow our workflow properly and obtain accurate results.”The FDA said one possible problem was related to the incorrect use of equipment that rapidly spins samples in preparation for processing. The agency’s letter tells lab workers to follow new instructions developed by the company for this step.A second issue relates to the software used on Thermo Fisher’s testing platform. FDA said labs must upgrade the software to a new version.Dr. Albert Ko of Yale’s School of Public Health said the potential accuracy problems have “pretty serious implications” given that Thermo Fisher’s test is used widely both in the U.S. and around the world to screen for coronavirus.The FDA statement did not provide any details on how many test results may have been affected by the problem.Lab tests are the backbone of U.S. screening for coronavirus, accounting for more than half of the roughly 750,000 tests developed daily. The tests look for traces of coronavirus’ genetic material in nasal swabs taken from patients.Thermo Fisher’s test was granted emergency use by the FDA in mid-March. The test runs on a large, automated machine used in hospital, government and commercial labs to look for diseases such as HIV, hepatitis and flu.The FDA has used its emergency powers to OK more than 200 tests for coronavirus since February. No test is perfect and all are expected to give at least a small percentage of false negatives and false positives.___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. 2656

President Donald Trump announced Wednesday he will replace his Veterans Affairs Secretary David Shulkin with Ronny Jackson, who currently serves as physician to the President.Trump thanked Shulkin via Twitter for his "service to our country and to our GREAT VETERANS" and said Robert Wilkie, the under secretary of defense for personnel and readiness, will serve as acting secretary until Jackson is confirmed.Jackson, who is an active duty Navy physician, was nominated last week for a military promotion by the President.Shulkin's departure from the administration is a stark reversal of fortunes for the VA leader, who served as undersecretary of health in the Obama administration. He'd been held in high regard by Trump, who publicly praised him and touted a series of legislative wins regarding veterans issues.Trump even joked last year that his signature phrase, "you're fired" would never be used with Shulkin."We'll never have to use those words on our David. We will never use those words on you. That's for sure," Trump said of Shulkin last June.Things soured early this year as Shulkin was the subject of a damning report from the department's inspector general that found "serious derelections" by Shulkin and senior VA officials on a Europe trip last year, and concluded that Shulkin had spent a good deal of the trip sightseeing and had inappropriately accepted a gift of Wimbledon tickets.The report fueled Shulkin's critics, both within his own agency and outside it, and brought into the open the power struggle over how to best care for the nation's veterans. Expanding private health care for veterans was a talking point of Trump's on the campaign trail, and a White House priority, and Shulkin's critics have said he was a roadblock to achieving that goal.As the year went on, Shulkin grew increasingly isolated and at odds with top aides, including those in charge of VA communications efforts, was so wide that the secretary had recently been conducting his own crisis communications effort via his personal cell phone, telling reporters that there were political staffers working to oust him.Shulkin's public comments rubbed White House officials, including chief of staff John Kelly, the wrong way. That frustration reached the White House recently, with Trump reportedly floating the idea in private of replacing Shulkin with Energy Secretary Rick Perry.His efforts to turn around the troubled VA were met with acclaim last year. However, over the last few months his standing with the White House grew more dubious, with political appointees saying that he wasn't going far enough to advance the Trump administration's goal of moving more care into the private sector.The inspector general's report also damaged Shulkin's standing, though he remained widely popular on Capitol Hill and retained the support of many of the nation's major veterans organizations.The leaders of some of those groups publicly implored Trump to keep Shulkin on board at VA, saying they were concerned a potential replacement could be inexperienced or in favor of privatizing healthcare for the nation's veterans. 3127

President Donald Trump questioned the basis of special counsel Robert Mueller's Russia investigation in a tweet early Saturday morning, alleging that the probe started after former FBI Director James Comey "illegally leaked classified" information."James Comey illegally leaked classified documents to the press in order to generate a Special Council? Therefore, the Special Council was established based on an illegal act? Really, does everybody know what that means?" Trump wrote at shortly after midnight.The President has called the special counsel's probe a "witch hunt" as Mueller investigates whether Trump campaign associates colluded with Russia and any instances of obstruction of justice in the process of the investigation. 743

President Donald Trump designated April 2018 "Second Chance Month" in a presidential proclamation on Friday.The proclamation states that during the month of April, the United States will emphasize the need "to provide opportunities for people with criminal records to earn an honest second chance."A bipartisan group of senators, including Democratic Sen. Dick Durbin of Illinois and Republican Sen. Rob Portman of Ohio, introduced a resolution last year to make April 2017 "Second Chance Month" to honor efforts to help those with criminal records become productive members of society. The Senate passed the resolution in April of last year. A similar resolution was introduced by Democratic Rep. Tony Cardenas of California last week."Affording those who have been held accountable for their crimes an opportunity to become contributing members of society is a critical element of criminal justice that can reduce our crime rates and prison populations, decrease burdens to the American taxpayer, and make America safer," Trump said in his proclamation.The President goes on to urge the implementation of "evidence-based programs" in prison systems at the federal, state and local level that focus on job training, mentoring and treatment for drug and mental health issues.Trump made promises to crack down on crime a prominent part of his 2016 campaign for the White House. In a speech at the Republican National Convention after winning the Republican presidential nomination, Trump vowed that under his leadership the US would "be a country of law and order."Trump also delivered a combative speech in July 2017 calling gang members "animals" and praising law enforcement for being "rough."In January, Trump held a listening session on prison reform with Republican lawmakers and reform advocates in attendance. CNN reported at the time that Jared Kushner, senior adviser to the President and Trump's son-in-law, was spearheading the White House prison reform push.The New York Times reported on Wednesday that Kushner's interest in prison reform is in tension, however, with the tough-on-crime mentality of Attorney General Jeff Sessions. The contrast in the two approaches to criminal justice has, in turn, "left both Democratic and Republican lawmakers confused and has contributed to skepticism that the Trump administration is serious about its own proposals," the Times reported. 2403