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In 2016, President Obama used the Affordable Care Act to extend federal sex discrimination protections to people who identify as transgender.But after a recent move by the Trump administration, some of those protections are now gone.“What happened with the recent Trump administration ruling is that they basically said they were taking out that definition of sex discrimination and stated that it only applied to a person’s birth sex and couldn’t be applied to their gender identity and that they were no longer going to enforce any protections on the basis of gender identity," said Dr. Eliabeth Kvach. “I think there’s something to be said, to think about what it’s like to be a person where the government says you don’t deserve to get accessible health care,” said Andrew MillerKvach and Miller both work at Denver Health in Colorado. Both call the recent rule change in DC a direct threat to the lives of transgender men and women.“We have for example, 300 patients on our list to be able to receive vaginoplasty or gender confirming surgery for transgender women. And if you’re waiting years to get that surgery and then all of a sudden you’re worried about whether your insurance is going to cover it, that is enormously psychologically devastating to people,” said Kvach.“I think that we’re already seeing that with cases coming out of hospitals denying care to transgender and non-binary folks," said Miller.“I certainly think that it is dangerous to the lives of transgender and non-binary people,” said Kvach.Denver Health is a LGBTQ+ Center of Excellence. For the health system it means any patient regardless of sexual orientation, gender identity, or other LGBTQ identification can receive treatment from any doctor for any health need“LGBTQ health care isn’t specialty care, it’s just health care,” said Miller.And while Miller is an employee at Denver Health, this is an extra important issue for him personally.“I identify as a transgender man, and as I said before, my pronouns are he, him, his. I was born female, and at a certain point in my life, I recognized that being a woman didn’t fit for me, it was like I was living this false life,” said MillerFor him, and many trans people, being called the wrong name or the wrong pronoun isn’t just a simple mistake“When we say hey, my name is Andrew, that’s what I go by, but you call me my birth name, what I hear is, 'It doesn’t matter that I told you my name.' You get to be more of an expert on me than I get to be on me. Why should I feel safe that you’re going to actually take care of me, if you can’t even call me my name?” Miller said.For trans people around the country, this rule change might mean they could be denied hormone therapy or gender reassignment surgery. Procedures the transgender and health care providers who treat them, deem medically necessary.“Medical treatment with hormones and with surgery help a person’s body align with who they are, with their gender identity,” Kvach said.But it also means they have to be worried about being denied treatment for anything from a sore throat to life saving surgery.“I’m from the south, I think about it all the time. What it would be like to go back home and have a medical emergency and not be able to get care. To be a person denied health care, and it’s terrifying,” said Miller.And that increased anxiety can lead to bad health outcomes from avoiding preventative treatment to suicide.A survey from the Trevor Project released this month shows that more than half of kids who identify as transgender and nonbinary have seriously considered suicide in the last 12 months.While this rule change may be disheartening to many, institutions like Denver Health reaffirm their commitment to treating transgender people, like people“I want folks to be able to go to the doctor and feel safe. I want my community to survive,” Miller said. 3878

IMPERIAL BEACH, Calif. (KGTV)— South Bay beaches are closed again, after millions of gallons of contaminated sewage water spilled from Tijuana, BC into Imperial Beach communities.It may look beautiful from afar, but up close, Giovanny Ceja says the waves were a little off Thursday afternoon. “We usually go to other beaches, and they look really clear, but that one was dirty and brown,” Ceja said.  Ceja and his little sister spent the day at Imperial Beach, near the south end of Seacoast Drive, boogie boarding and building sand castles. To get there, he walked right past many warning signs. Large yellow signs read: “KEEP OUT. SEWAGE CONTAMINATED WATER.”“It’s a completely unacceptable,” Imperial Beach City Councilwoman Paloma Aguirre says.According to the International Boundary Water Commission, a Tijuana water collector ruptured Wednesday night. That spilled 3.5 million gallons of sewage water into the Tijuana River, which gushed into South Imperial Beach. “It’s incredibly frustrating because this is the summer. This is our time to have open beaches in Imperial Beach,” Aguirre said. “It’s because of the incredible negligence that the state of Baja California authorities have shown and the lack of accountability and leadership from our federal agencies.”So far this year, there have been 50 beach closure days in Imperial Beach. Aguirre says as polluted water gushes into IB, quality of life gushes out. “At the end of the day Imperial Beach is at the end of the pipe,” Aguirre said. “We are the ones that are paying with economic losses, with illnesses to our kids, to our families, and to our environment.”As for little Giovanny, who did not notice the warning signs, now he is getting worried. “When I was boogie boarding the water wet in my mouth,” Ceja said. “I’ll shower. Maybe twice.”THe closure only affects beaches south of Seacoast Drive in Imperial Beach to the US-Mexico border. The IB Pier remains open. 1949

If California electric utility PG&E is responsible for California's wildfires, it may not be able to afford the payouts it would owe.PG&E disclosed in a regulatory filing Tuesday that it "experienced an outage" on a transmission line in Butte County at 6:15 a.m. on November 8 -- just 15 minutes before the Camp Fire that has so far claimed 48 lives broke out.PG&E said the cause of the fire is still under investigation. But if its equipment is found to be responsible for it, PG&E "could be subject to significant liability in excess of insurance coverage" and that this could have "a material impact" on its financial results.The utility renewed its liability insurance coverage for wildfire events for an amount of approximately .4 billion that covers the period from August 1, 2018 through July 31, 2019, the company said in the SEC filing.But the fire is far from being under control, which means more damage is likely. PG&E said in the filing that the California Department of Forestry and Fire Protection estimates the fire won't be fully contained until November 30.The damages alone could cost up to .8 billion. according to a report from Moody's this week.PG&E may not have enough to cover the cost that, let alone any legal fees or fines it might have to pay. The utility said in its filing that it currently has .46 billion in cash after borrowing from an existing revolving credit line.Shares of PG&E (PCG) plunged more than 30% Wednesday following this disclosure and were briefly halted for volatility. The stock has now fallen by half since the Camp Fire began.The utility could need another bailout from the state of California if it's found to be liable for the Camp Fire.Governor Jerry Brown signed a bill in September that lets PG&E issue bonds backed by surcharges from the utility's customers. Those bonds would help pay for damages tied to deadly California wildfires in October 2017 caused by faulty PG&E equipment.The bill allows for the possibility that utilities could issue similar bonds for future fires, but that is not guaranteed.PG&E already faces one lawsuit on behalf of victims of the Camp Fire.A group of law firms that has dubbed itself the Northern California Fire Lawyers filed a suit Tuesday on behalf of Camp Fire survivors.The firms allege in the suit that "PG&E was negligent in failing to maintain its infrastructure and properly inspect and manage its power transmission lines." 2507

HOUSTON, Texas — Houston's police chief says four police officers have been terminated after an internal investigation determined they did not use reasonable force when they fired their weapons 21 times at a man who had been experiencing a mental health crisis.The man, 27-year-old Nicolas Chavez, was already injured and on the ground when he was shot and killed by the officers on the night of April 21.During a news conference Thursday, video footage was presented from body cameras showing Chavez, who had already been shot and was bleeding, kneeling on the ground and grabbing a stun gun when the four officers shot him.WARNING: The video below contains graphic clips and may be difficult to watch."Let me be clear, it's objectively not reasonable to utilize deadly force when a man's already been shot multiple times, has been tased, has been on the ground, has shown that he really cannot get up," said Police Chief Art Acevedo on Thursday. "I cannot defend that."At the briefing, Mayor Sylvester Turner said the dismissal of the four officers isn’t an indictment of the police department and its nearly 5,300 others officers.“But when you are wrong, there are consequences,” he continued. “And for the good of every police officer who serves, for the good of everyone that followed the rules, that protect this city, it is important for us to call a ball a ball, and a strike, a strike."Turner acknowledged the effect Chavez’s death has had on the city and expressed sympathy for his family."What happened the night of April 12 has dramatically affected many people and this City,” said the mayor. “Nicolas Chavez’ life was taken, and his family must live with their personal loss and anguish for the rest of their lives."Leaders with the Houston Police Officers’ Union denounced the firings, saying the officers followed tried to de-escalate the situation but were forced to shoot Chavez.“This unjust and deplorable decision by Chief Acevedo has sent a shock wave through HPD, even if you deescalate, retreat, follow policy, training and the law...you will still lose your job as a Houston Police Officer,” tweeted Joe Gamaldi, the president of the Houston union.Harris County District Attorney Kim Ogg said in a statement Thursday that prosecutes will be conducting an independent review of all the evidence in Chavez’s death and once it’s complete, the findings will be presented to a grand jury. They’ll determine whether charges will be brought against the officers involved. 2496

HUNTINGTON BEACH (CNS) - Two firefighters and two Oktoberfest celebrants remain hospitalized Sunday with injuries resulting from an electrical vault that exploded at the Old World Village's seasonal celebration in Huntington Beach, authorities said. Witnesses at the scene claimed there were actually three explosions. A witness using the Twitter handle kylen1972 posted video on the platform of what he claimed was the second explosion, in which flames can be seen shooting into the air. Restaurant patron Dawn Orlow-Townsend told KCAL9 the lights flickered before the explosions and that she could feel the heat through the walls. She said that after the initial blast, ``you could hear a pin drop.'' She then described a scene of panic as patrons struggled to get out of the building. ``I pray those firefighters are okay,'' she said. ``It was crazy, it was so intense. There was a second explosion and then a third. We just started running, we left our cellphones. We were freaking out. People were running all over. It was crazy.'' She added, ``It's the world we live in right now. After the first explosion, you just don't know what to think. We didn't know what was going on. The first one, the second one -- then there was mass pandemonium. By the third one, we just couldn't get out of there fast enough.'' KCAL9 also talked to Adam Carlson. ``Everyone was just happy and drinking beer and then the first explosion hit and people started backing away, and security tried to calm everyone,'' he said. ``I didn't see anyone get hurt in my immediate response, but while evacuating, we saw -- I personally saw two people that appeared hurt, one had burns. I just tried to comfort who I could.'' At 8:10 p.m., the Huntington Beach Fire Department received news of the explosion at 7561 Center Ave., a dispatcher said. The flames were out at 8:33 p.m., he said. The injured firefighters were already at Old World Village, investigating reports of a possible electrical fire, Huntington Beach Fire Department Battalion Chief Jeff Lopez told reporters at the scene. They were met by the first explosion when they opened an electrical vault, he said. The second explosion happened within minutes. The injured firefighters and civilians were taken to hospitals for treatment of minor injuries, Lopez said, but added that they were taking those injuries ``very seriously.'' Firefighters and police worked to evacuate employees and patrons of Old World Village, he said. Broadcast reports indicate there were more than 100 visitors at the celebration. A lengthy investigation was begun that will involve the fire department and Edison, Lopez said. 2652