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A federal judge in Washington declined to block the Trump administration's new asylum rule that dramatically limits the ability of Central American migrants to claim asylum if they enter the US by land through Mexico.US District Judge Timothy Kelly, a Trump appointee, said Wednesday that plaintiffs didn't meet the threshold of irreparable harm. The ruling is specific to a temporary restraining order. Proceedings will continue for a preliminary injunction.The 475

SOPERTON, Ga. -- For Teresa Cammack, gardening is a life-long passion. “Even pulling weeds,” she said. “You know, never thought it would just be so incredible to do that.” It's incredible to her because, just one year ago, Cammack had a massive stroke. “It was absolutely terrifying,” she said. “I could feel the weakness. Honestly, I could just feel the life just kind of leaving my body.” Her sister found her lying on the bathroom floor in her home in Soperton, Georgia: population about 2,900. The closest major hospital there is about an hour and half away. With time critical to Cammack’s survival, local paramedics called for an air ambulance. “It’s all a matter of saving time,” said Rafe Waters, program director for the Air Evac Life Team based in Vidalia, Georgia. In these cases, time can be the difference between life and death for accident victims, and heart attack and stroke patients. “Time is muscle, time is brain cells and that’s the biggest advantage to this,” said flight paramedic Marshall Worth. However, a proposed bill now in the U.S. Senate – S. 1895 – could place restrictions on how much air ambulance companies can charge. The “Lower Health Care Costs Act” calls for “ending surprise ambulance bills,” whose costs can range anywhere from ,000 to ,000 and are not usually fully covered by insurance. Lower bills might sound great, but air ambulance companies said the bill would force them to charge only a median rate, which they argue is too low and would put them out of business. “The current Senate health language would cause a number of air medical bases to close and people who live in those rural areas of the United States would lose access to health care,” said Richard Sherlock, president of The Association of Air Medical Services. Already this year, 38 air medical bases have closed because of too few patients and high operating costs. They are not the only ones under financial pressure – so are rural hospitals. In Soperton, there used to be a hospital – Cammack was born in it – but it closed years ago. Hospital closures are increasingly becoming a problem for rural communities across the country. “So many people, especially in bigger cities, take for granted ‘hey, there’s a hospital that can treat me, five minutes from where this wreck was at,’ and that’s what this is for these areas,” said flight paramedic Worth. “It’s invaluable.” Johns Hopkins Carey Business School professor Ge Bai is a health policy expert and helped write the proposed Senate bill. “Good luck – you’re likely to pay a very high price for this trip,” Bai said, adding, “I think this air ambulance issue is the poster child of surprise medical billing.” Bai said patients often have no choice when it comes to using an air ambulance – and since many insurance companies don’t pay – patients can get stuck with huge bills. “These are perfect ingredients to make the patients the most delicious prey,” she said. However, air medical services believe the better solution would be to have them deal with insurance companies directly and take patients out of the middle. “We think those discussions should take place directly between the providers and insurers,” Sherlock said. Back in Georgia, Cammack said she’s just grateful she got help for her stroke in time and said everyone should hope to be as lucky. “You just don’t ever think it could happen to you,” she said, “but it can.”If you ever do end up needing an air ambulance, Bai said you should try to negotiate with the company, to see if you can get a discount on the bill. 3575

ROME (AP) — After months in a Rome jail, a trial has begun for a pair of schoolmates from California who are accused of murdering an Italian policeman during vacation in Italy. The first hearing, held Wednesday, is expected to deal with procedural manners. Carabinieri paramilitary officer Mario Cerciello Rega was unarmed and on plainclothes assignment when he was stabbed 11 times near the Americans’ hotel in the early hours of July 26, 2019. Prosecutors have alleged that Finnegan Lee Elder, now 20, thrust a 7-inch attack-style knife repeatedly into the 35-year-old officer, while Gabriel Natale-Hjorth, now 19, scuffled nearby with the officer's partner.Prosecutors believe the suspects attacked the officers to avoid arrest after attempting to buy drugs in Rome’s trendy Trastevere area. The defendants have said they're innocent. They say they acted in self-defense, believing the officers were ill-intentioned. The circumstances that led to the officer’s death remain unclear, but there’s overwhelming evidence against the suspects, including the murder weapon that was found in their possession, 1121

A federal judge said Monday that former White House counsel Don McGahn must comply with a House subpoena."However busy or essential a presidential aide might be, and whatever their proximity to sensitive domestic and national-security projects, the President does not have the power to excuse him or her from taking an action that the law requires," the judge writesThis story is breaking and will be updated. 421

A 12-year veteran of the New York Police Department is accused of putting a hit on her ex-husband and a juvenile girl.A confidential source told the FBI that in February Valerie Cincinelli, 34, had asked him to hire a hitman to kill her estranged husband and the source's daughter, according to court documents.Cincinelli allegedly gave the source ,000 in cash to pay the hitman, and over the next few months they discussed how to kill the two and establish solid alibis, the documents said.Cincinelli allegedly told the source to make her husband's death look like a robbery and to run over the source's daughter -- a minor-- with a car.Authorities say she tracked the girl's whereabouts on social media and plotted how to arrange their deaths with the source until Friday, when she was told by a Suffolk County Police Department detective that her estranged husband had died and there would be an investigation. About a half an hour later, the source showed her photos of the crime scene the hitman had sent via text, the documents said.But that hitman was actually an FBI agent, and that day she was arrested for attempting to hire someone to commit murders, according to the documents.Cincinelli appeared in court on Friday and was held without bail, according to CNN affiliate 1295

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