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Walmart is making its opioid policy more strict, limiting the duration of such prescriptions and requiring that they be filled electronically.The company announced on Monday that within 60 days, it will only fill first-time acute opioid prescriptions for seven days or less nationwide, and it will limit the dosage to 50 morphine milligram equivalents, or MMEs, per day. The CDC publishes?MME conversion guides to help pharmacists figure out the right dosage for each type of prescribed opioid.There are more than 5,300 Walmart and Sam's Club locations in the United States.The new restrictions follow recommendations from the Centers for Disease Control and Prevention. A CDC study found that people who were prescribed at least one day of opioid therapy had a 6% chance of being addicted a year later — but for those prescribed eight or more days of treatment saw that chance spiked to 13.5%. The CDC also notes that patients who are prescribed higher dosages are more likely to die from an overdose.Some states already limit prescriptions to seven days or fewer. Walmart will go by state law when the cap is lower than one week.Walmart also said that starting in 2020, it will require e-prescriptions for controlled substances. The company explained that online prescriptions will help prevent prescription fraud and minimize error.The new measures are an extension of Walmart's efforts to fight the US opioid epidemic.In January, the company introduced a way to safely destroy leftover opioids at home. DisposeRx is a powder that, when combined with water and the pills, creates a gel that is difficult to remove from its container. The mixture can be thrown out at home or left at a drop off location. The company said on Monday that it will make DisposeRx available online.Plus, Walmart and Sam's Club pharmacists will continue to recommend the anti-overdose drug naloxone, which is available over the counter in some states, to customers who may be at risk of an overdose. They will complete a pain management curriculum by the end of August.Other companies are making similar efforts to help fight the epidemic.Aetna started waiving co-pays for the anti-overdose drug Narcan, a branded version of the naloxone nasal spray, and limiting first-time opioid prescriptions to seven days in January. And CVS Caremark, the prescription benefit manager for CVS Health, began capping first-time prescriptions at seven days in February.Purdue Pharma, which makes the opioid OxyContin, said in February that it will stop promoting the addictive painkiller to doctors.The CDC said in March that more than 63,000 Americans died of a drug overdose in 2016, and that nearly two-thirds of those overdoses involved either a prescription or illegal opioid, like heroin and fentanyl. 2830

WASHINGTON (AP) — A divided Senate rejected a bipartisan plan Thursday to help young "Dreamer" immigrants and parcel out money for the wall President Donald Trump wants with Mexico, as Republican leaders joined with the White House and scuttled what seemed the likeliest chance for sweeping immigration legislation this election year.The vote came after the White House threatened to veto the measure and underscored that the issue, a hot button for both parties, remained as intractable as it's been for years. Even the focus on Dreamers, who polls show win wide public support, was not enough to overcome opposition by hard-line conservatives and liberal Democratic presidential hopefuls — neither of whom want to alienate their parties' base voters.The vote was 54-45 in favor, but that was short of the 60 that were needed for approval. Eight Republicans bucked their party and supported the measure while three Democrats abandoned their own leaders and opposed it.The chamber planned to vote next on a wide-ranging plan by Trump that would also restrict legal immigration. It faced strong Democratic opposition and had virtually no chance for passage.Earlier Thursday, the White House used a written statement to label the proposal "dangerous policy that will harm the nation." It singled out a provision that directs the government to prioritize enforcement efforts against immigrants who arrive illegally beginning in July.In an ominous sign, party leaders opened the day's debate by trading blame, as prospects grew that the chamber's long-awaited debate on helping Dreamers and other hot-button immigration issues would end in stalemate. Dreamers are young immigrants who were brought to the U.S. illegally as children who still lack permanent protections from deportation.Senate Majority Leader Mitch McConnell, R-Ky., assailed Democrats for failing to offer "a single proposal that gives us a realistic chance to make law." Instead, he said, Democrats should back Trump's "extremely generous" proposal.Trump would offer 1.8 million Dreamers a 10- to 12-year process for gaining citizenship, provide billion to build his coveted U.S.-Mexico border wall and restrict legal immigration. Dreamers are immigrants brought to the U.S. illegally as children who risk deportation because they lack permanent authorization to stay in the U.S.Instead, Democratic leaders rallied behind a bipartisan plan that would also give 1.8 million Dreamers a chance for citizenship. But while it would provide the billion Trump wants for his wall, it would dole it out over 10 years and lacks most of the limits Trump is seeking on legal immigration.Senate Minority Leader Chuck Schumer, D-N.Y., said Trump has "stood in the way of every single proposal that has had a chance of becoming law." He added, "The American people will blame President Trump and no one else for the failure to protect Dreamers."Overnight, the Department of Homeland Security said in an emailed statement that the bipartisan proposal would be "the end of immigration enforcement in America."That drew fire from Sen. Lindsey Graham, R-S.C., one of eight GOP co-sponsors of the bipartisan plan. "Instead of offering thoughts and advice — or even constructive criticism — they are acting more like a political organization intent on poisoning the well," Graham said in a statement.The bipartisan compromise was announced Wednesday by 16 senators with centrist views on the issue and was winning support from many Democrats, but it faced an uncertain fate.Besides opposition by the administration and leading Republicans, the bipartisan plan prompted qualms among Democrats. The party's No. 2 Senate leader, Dick Durbin of Illinois, said some Democrats had "serious issues" with parts of the plan. Those concerns focused on its spending for Trump's wall and its prohibition against Dreamers sponsoring their parents for legal residency.So far, neither Trump's plan or the bipartisan measure seemed to have support from 60 senators, the number that will be needed to prevail. Republicans control the chamber 51-49, though Sen. John McCain, R-Ariz., has missed the last several weeks while battling cancer.The bipartisan measure's sponsors included eight GOP senators. That meant just three more Republicans would be needed for it to prevail if it is backed by all 47 Democrats and the two independents who usually support them.The centrist proposal was produced by a group led by Sens. Susan Collins, R-Maine, and Joe Manchin, D-W.Va., that spent weeks seeking middle ground. Besides its path to citizenship and border security money, it would bar Dreamers from sponsoring their parents for citizenship, far narrower than Trump's proposal to prevent all legal immigrants from bringing parents and siblings to the U.S.The moderates' measure does not alter a lottery that distributes about 55,000 visas annually to people from diverse countries. Trump has proposed ending it and redistributing its visas to other immigrants, including some who are admitted based on job skills, not family ties.Also in play is a more modest plan by McCain and Sen. Chris Coons, D-Del. It would let many Dreamers qualify for permanent residency and direct federal agencies to more effectively control the border by 2020. But it doesn't offer a special citizenship pathway for Dreamers, raise border security funds or make sweeping changes in legal immigration rules.The White House said it opposes the McCain-Coons plan, saying it would "increase illegal immigration" and cause other problems.Another vote would be taken on a proposal by Sen. Pat Toomey, R-Pa., that would add language blocking federal grants to "sanctuary cities," communities that don't cooperate with federal efforts to enforce immigration laws. The amendment is considered sure to lose. 5813

WASHINGTON (AP) — Democrats controlling the House say they'll vote next week on a bill that would make the District of Columbia the country's 51st state.It's an issue that they say has become far more important in the aftermath of protests for racial justice in both Washington D.C. and across the nation.Next Friday’s vote, if successful, would pass a D.C. statehood bill for the first time in the House, but the legislation faces insurmountable opposition in the GOP-controlled Senate.The White House's move to use federal forces to clear peaceful protesters so President Donald Trump could walk to a nearby church for a photo op two weeks ago prompted Democratic leaders to schedule the vote.If the measure was signed into law, the state of “Washington, Douglass Commonwealth” would be admitted into the U.S. and the new state would elect two U.S. senators and one U.S. representative.The state would consist of all D.C. territory except federal buildings and monuments, including the principal federal monuments, the White House, the Capitol Building, the U.S. Supreme Court Building, and the federal executive, legislative, and judicial office buildings located adjacent to the Mall and the Capitol Building. 1221

Volunteers at a Chicago food bank got a surprise treat for the holidays.Former President Barack Obama paid an unannounced visit Tuesday to the Greater Chicago Food Depository, where he helped bag potatoes for Thanksgiving meals.Wearing a Chicago White Sox hat, Obama arrived with bags of donated food and donned latex gloves to work side by side with volunteers at the nonprofit, which helps provide meals to more than 700 food pantries and shelters across Cook County, Illinois.The former President and longtime Chicago resident came with staffers from the Obama Foundation, which seeks to improve communities across the US through leadership training and other educational efforts."Hey, how's it going?" he asked volunteers as he walked in. "This is a spiffy-looking spot right here.""We believe no one should go hungry, especially this time of year, and that's why we're working to address the root causes of hunger in Chicago and Cook County," the food bank tweeted out Tuesday, along with a video of the surprise visit.In the video, Obama encounters two little girls who are volunteering and tells them, "You guys are doing such a great job helping out. I'm really proud of you."Obama still lives in Washington but was in Chicago to attend the Obama Foundation Summit, a gathering of community leaders and students.A hallmark of Obama's presidency was combating hunger across the globe. In 2009, his administration pledged?.5 billion over three years to a Feed the Future initiative, which works to promote agricultural knowledge and tools in areas with high food insecurity. In 2016, he signed the Global Food Security Act to bolster government efforts toward Feed the Future initiatives.This was not the first time Obama has volunteered during the Thanksgiving holiday. He and his family spent the day before Thanksgiving in 2015 serving dinner to homeless people and veterans at Friendship Place Homeless Center in Washington.Back then, Obama said it wasn't only "of the spirit of giving during this holiday season but our national obligation to make sure all those who serve and sacrifice for our country have a place to call home." 2176

WASHINGTON (AP) — Former President George H.W. Bush is returning to Washington as a revered political statesman, hailed by leaders across the political spectrum and around the world as a man not only of greatness but also of uncommon decency and kindness.Bush, who died late Friday at his Houston home at age 94, is to be honored with a state funeral at National Cathedral in the nation's capital on Wednesday, followed by burial Thursday on the grounds of his presidential library at Texas A&M.Before that, his body will lie in state in the Capitol Rotunda for a public viewing from his arrival in Washington on Monday until Wednesday morning.President Donald Trump, who ordered federal offices closed for a national day of mourning on Wednesday, is to attend with first lady Melania Trump and other high-ranking officials.Bush's crowning achievement as president was assembling the international military coalition that liberated the tiny, oil-rich nation of Kuwait from invading neighbor Iraq in 1991 in a war that lasted just 100 hours. He also presided over the end of the Cold War between the United States and the former Soviet Union."We didn't agree much on domestic policy, but when it came to the international side of things, he was a very wise and thoughtful man," former Massachusetts Gov. Michael Dukakis, a Democrat who lost the presidency to Bush in 1988, told The Associated Press on Saturday. He credited Bush's ability to negotiate with former Soviet leader Mikhail Gorbachev as playing a key role.Related StoriesTrump to designate Dec. 5 as national day of mourning for George H.W. BushFormer President George H.W. Bush's last wordsGeorge H.W. Bush's funeral and memorial services plan"It was a time of great change, demanding great responsibility from everyone," Gorbachev told the Interfax news agency. "The result was the end of the Cold War and nuclear arms race."During that time and after, Gorbachev said, he always appreciated the kindness Bush and his family showed him.In Washington, the former Republican president won praise from leaders of both parties.Republican House Speaker Paul Ryan lauded him for leading the nation with "decency and integrity," while Democratic House leader Nancy Pelosi said it was a "privilege to work with him."Republican Sen. Bob Corker of Tennessee said Bush "befriended political foes, reminding Americans that there is always more that unites us than divides us."At the G-20 summit in Argentina, German Chancellor Angela Merkel, who was raised in East Germany, told reporters she likely would never have become her country's leader had Bush not pressed for the nation's reunification in 1990.A humble hero of World War II, Bush was just 20 when he survived being shot down during a bombing run over Japan. He had enlisted in the U.S. Navy on his 18th birthday.Shortly before leaving the service, he married his 19-year-old sweetheart, Barbara Pierce, a union that lasted until her death earlier this year.After military service, Bush enrolled in Yale University, where he would become a scholar-athlete, captaining the baseball team to two College World Series before graduating Phi Beta Kappa after just 2 ? years.After moving to Texas to work in the oil business, Bush turned his attention to politics in the 1960s, being elected to his first of two terms in Congress in 1967. He would go on to serve as ambassador to the United Nations and China, head of the CIA and chairman of the Republican National Committee before being elected to two terms as Ronald Reagan's vice president.Soon after he reached the zenith of his political popularity following the liberation of Kuwait, the U.S. economy began to sour and voters began to believe that Bush, never a great orator, was out of touch with ordinary people.He lost his bid for re-election to then-Arkansas Gov. Bill Clinton, who would later become a close friend. The pair worked together to raise tens of millions of dollars for victims of a 2004 Indian Ocean tsunami and Hurricane Katrina, which swamped New Orleans and the Gulf Coast in 2005."Who would have thought that I would be working with Bill Clinton of all people?" he joked in 2005.Clinton said he would be "forever grateful" for that friendship.___Rogers reported from Los Angeles. Associated Press writer Susan Haigh contributed to this story.Michael Cohen cites personal toll and Mueller cooperation in seeking no jail time after guilty pleas 4436

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