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Republican senators' latest attempt to repeal Obamacare could be the most far-reaching of GOP efforts this year.Senators Lindsey Graham of South Carolina and Bill Cassidy of Louisiana last week released?a bill that would eliminate or overhaul major sections of the health reform law. The duo had been trying to garner interest in earlier versions of their bill for months, but hadn't gotten much traction.Now, however, Republicans likely have only two weeks left to use their 2017 budget reconciliation bill as a way to dismantle Obamacare with a simple majority in the Senate. The Graham-Cassidy bill is the only repeal effort left on the table, coming even as a bipartisan Senate committee is working on legislation to stabilize the Affordable Care Act.The Congressional Budget Office said Monday it may take several weeks for it to release an analysis of the Graham-Cassidy bill so it remains to be seen how many fewer people could be insured under it or what the impact on premiums may be.Here's what's in the bill:Repeal Obamacare individual and employer mandates: Obamacare levies penalties on most Americans who don't have health insurance and larger employers who don't provide affordable coverage for their workers. The bill would eliminate the penalty, retroactive to 2016.Repeals Obamacare subsidies and ends Medicaid expansion funding: The legislation would eliminate Obamacare subsidies that lower premiums, deductibles and co-pays in 2020. It would also jettison federal funding for Medicaid expansion, which 31 states use to provide coverage for residents with incomes up to about ,000.The legislation would turn the federal funding for Medicaid expansion and the subsidies into a block grant program. States would be given a lump sum of money and would have a lot of leeway over how to spend it.For instance, they could help enrollees pay their premiums and out-of-pocket costs or set up high-risk or reinsurance pools to help protect insurers from costly enrollees and entice them to stay in the individual market. States could use a portion of money to help those enrolled in Medicaid afford care.Graham and Cassidy say that this provision would return power to the states and allow them to create programs that fit their residents' needs. Also, it would equalize Medicaid funding across the states. The bill's authors note that four states get 37% of Obamacare funding.But Democrats and consumer advocates say that many states, particularly those that expanded Medicaid, would lose a lot of federal funding, making it harder for them to provide coverage or assistance to their residents. Also, they note, the block grant is only authorized through 2026, jeopardizing the continuation of funding after that.Loosens Obamacare's regulations regarding pre-existing conditions: The bill would also waive several key Obamacare protections for those with pre-existing conditions. While it would still require insurers to provide coverage to everyone, it would allow carriers to charge enrollees more based on their medical history. So younger, healthier folks could see their premiums go down, but sicker Americans could find themselves priced out of policies.The legislation also would eliminate Obamacare's essential health benefits provision, which mandates insurers cover an array of services, including hospitalization, maternity care, prescription drugs, mental health and substance abuse services. This could lower premiums somewhat and give consumers a wider choice of plans. But it would also make it harder for people to buy comprehensive policies so those with pre-existing conditions may not be able to find coverage that meets their health care needs.Revamps funding for Medicaid overall: The legislation would send the states a fixed amount of money per Medicaid enrollee, known as a per-capita cap, starting in 2020.States could also opt to receive federal Medicaid funding as a block grant for the non-disabled adults and children in their program. Under a block grant, states would get a fixed amount of federal funding each year, regardless of how many participants are in the program.States, however, cannot opt to receive block grant funding for elderly and disabled participants.Graham-Cassidy would also shrink the program even more over time by pegging the annual growth rate of funding for children and non-disabled adults to standard inflation after 2024, rather than the more generous medical inflation.Either per-capita caps or block grants would limit federal responsibility, shifting that burden to the states. However, since states don't have the money to make up the difference, they would likely either reduce eligibility, curtail benefits or cut provider payments. The block grant would be more restrictive since the funding level would not adjust for increases in enrollment, which often happens in bad economic times.Allows states to institute work requirements for Medicaid: States would now be able to require adult Medicaid recipients to work. The disabled, elderly and pregnant women would be exempt, however.Permits everyone in the individual market to buy catastrophic plans: Obamacare only allows those under age 30 to buy catastrophic policies, which usually have higher deductibles and fewer benefits. This legislation would allow anyone to buy these plans starting in 2019.Repeals a handful of taxes: The bill would repeal the tax on over-the-counter medicine, health savings accounts and medical devices, a levy unpopular on both sides of the aisle. But it keeps in place Obamacare's taxes on the wealthy, health insurers and others.Defunds Planned Parenthood: In keeping with longstanding Republican beliefs, the legislation prohibits federal funding for Planned Parenthood. But the restriction is only for a year, beginning when the bill is enacted.Increases maximum contributions to health savings accounts: Today, individuals can save up to ,400 and families can save up to ,750 a year tax-free in a health savings account. The bill would raise that limit to the annual out-of-pocket maximum for high-deductible plans. For 2018, that would be ,650 for individuals and ,300 for families. 6238

President Donald Trump tweeted on Monday that Sec. of Defense Mark Esper has been terminated.Trump added that he has tasked Christopher C. Miller to take over as Acting Sec. of Defense.Esper took over as Acting Sec. of Defense in June and was named as the department's director shortly thereafter. Late last week, NBC News reported that Esper had drafted a resignation letter in the days following the 2020 presidential election.Esper has been at odds with Trump throughout his tenure. In June, he said he opposed the President's call to use active-duty military members to break up protests against police brutality in the wake of George Floyd's death.NBC News also reports that Esper plans to help Congress draft legislation that would re-name military bases that honor Confederate generals — a policy that Trump also opposes.Esper was Trump's second full-time Secretary of Defense. Jim Mattis served in the role from 2017 until Jan. 1, 2019, when he resigned following Trump's call to remove U.S. troops from Syria. 1026

President Donald Trump's campaign said Tuesday it has filed for arbitration, accusing Omarosa Manigault Newman, the former campaign aide and White House official, of breaching a 2016 nondisclosure agreement with the campaign.The move is the first legal action the Trump campaign has taken since Manigault Newman published a tell-all book about her time as a Trump campaign adviser and senior White House official."Donald J. Trump for President, Inc. has filed an arbitration against Omarosa Manigault Newman, with the American Arbitration Association in New York City, for breach of her 2016 confidentiality agreement with the Trump Campaign," a Trump campaign official said in a statement to CNN.Manigault Newman embarked in recent days on a publicity tour to promote her newly released book, "Unhinged," in which she reveals private conversations during her time on the campaign and in the White House. She has also released several audio recordings of conversations she had with Trump and campaign aides.Trump has slammed Manigault Newman as a "low-life" and called her a "dog" amid the allegations she has leveled, including claiming that she heard an audio recording in which Trump says the N-word, a racial epithet. 1229

Republican Sen. John McCain, who is battling brain cancer in his home state of Arizona, says in his new book that his current term is his last and, as a result, he feels he can open up about how he sees the current political climate."This is my last term. If I hadn't admitted that to myself before this summer, a stage 4 cancer diagnosis acts as ungentle persuasion," he wrote in his book, "The Restless Wave," according to the excerpt published on Apple News on Monday. "I'm freer than colleagues who will face the voters again. I can speak my mind without fearing the consequences much. And I can vote my conscience without worry."Referring to President Donald Trump, McCain wrote, "He has declined to distinguish the actions of our government from the crimes of despotic ones. The appearance of toughness, or a reality show facsimile of toughness, seems to matter more than any of our values."McCain said he wants to see the nation's politics "return to the purposes and practices that distinguish our history" and says, "you're damn right, I'm a champion of compromise.""I would like to see us recover our sense that we are more alike than different," he wrote. "We are citizens of a republic made of shared ideals forged in a new world to replace the tribal enmities that tormented the old one. Even in times of political turmoil such as these, we share that awesome heritage and the responsibility to embrace it."McCain, 81, made public last summer his brain cancer diagnosis. He's been recovering from side effects of the cancer treatment at his home in Arizona since late last year."'The world is a fine place and worth the fighting for and I hate very much to leave it,' spoke my hero, Robert Jordan, in For Whom the Bell Tolls," McCain wrote in his book. "And I do, too. I hate to leave it. But I don't have a complaint. Not one. It's been quite a ride. I've known great passions, seen amazing wonders, fought in a war, and helped make a peace. I made a small place for myself in the story of America and the history of my times."Cindy McCain, the senator's wife, tweeted Monday that former Vice President Joe Biden visited the family."Enjoyed a wonderful visit from @JoeBiden yesterday. Such good family friends. Enjoyed catching up!" she tweeted. 2277

QUEEN CREEK, Ariz. — Conversations have been forced to change in children's classrooms. Many adults remember simply learning about a basic fire drill or what to do in a lockdown.But today, many teachers are having to teach kids what to do in case of an active shooter. Another safety net that is being used in places around Arizona, including Queen Creek Unified School District, is a donated, repurposed tool from the Queen Creek Fire and Medical Department: fire hoses. "They're cut into a certain segment. They are perfect to go over the hinges of our doors and that just adds this extra layer of security to our classroom," said Newell Barney Middle School science teacher Tammi Brewster. Brewster explained how the recycled and donated fire hoses from the fire department become a deterrent for any "bad guys" trying to get into a classroom and are now a part of their lockdown procedure called ALICE. ALICE stands for alert, lockdown, inform, counter and evacuate. Brewster said that the fire hose is part of a larger conversation with students regarding school shootings. It helps explain the procedure for active shooter or lockdown drills in a way that does not scare them, but empowers them. "It gives them a relief that, 'OK, all of this is going on in the news, in our society and I have choices I can make. I don't have to sit in a corner and be scared,' '' Brewster said. "The schools have their processes and their programs in place for a lockdown," said Queen Creek Fire Chief Vance Gray. "What we wanted to do was just assist by adding another layer of protection for the teachers and the students and the schools." Gray said his two children went to one of the schools where he has donated these fire hoses.While it is a piece of equipment he never hoped he would have to pass out, he knows taking action is the only thing to do. "If you can't change the way things are and make them exactly how you want them to be, then the best thing you can do is prepare," Gray said. He said they will continue donating their fire hoses whenever they go out of service.  2169