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The United States Supreme Court is expected to rule on several major cases next week impacting everything from abortion rights to the presidential election. Traditionally, the court issues all of it's rulings by the end of June to go on recess by early July. It's unclear this year however if the Supreme Court will extend its rulings if they are behind because of the pandemic. The Supreme Court said in advance what days justices will issue opinions, but would not announce which specific opinions will be announced on those days. Rulings typically come down around 10 a.m. ET.EXPECTED CASE #1 SEPARATION OF CHURCH AND STATE CHANGES?In Espinoza v. Montana Department of Revenue, the ruling could allow students in religious schools the ability to seek private scholarships funded through state income-tax credits. For years such programs were thought to be incompatible with Montana's constitutional ban on public aid to religious schools, however the Supreme Court could allow the program to exist. Because similar bans exist in 38 states, the ruling could change the definition of the separation of church and state. EXPECTED CASE #2CHANGE TO ABORTION RIGHTS?In June Medical Services LLC v. Russo, the ruling could impact the future of abortion rights across the country. The ruling examines whether a Louisiana law, which requires abortion providers to have admitting privileges in nearby hospitals, is constitutional. Abortion-rights activists say it will lead to clinics being shut down because most providers don't work with hospitals. More importantly, the ruling could tell anti-abortion leaders across the country that the High Court may be open to changes to Roe v Wade in the future. EXPECTED CASE #3ELECTORAL COLLEGE CONFUSION?In Colorado Department of State v. Baca, the ruling could result in major confusion in the 2020 election. The case is out of Colorado where in 2016, state electors to the electoral college attempted to vote for someone other than the winner of Colorado, Hillary Clinton. The electors were removed and replaced with someone to deliver the actual result, however it raised questions over how much power do these electors really have. EXPECTED CASE #4PRESIDENT TRUMP TAX RETURNS?In Trump v. Mazars USA, LLP and Trump v. Deutsche Bank, the question is whether the president has to comply with subpoenas for personal records. Does the power of the presidency allow President Donald Trump to say "no" when it comes to revealing his tax returns? If the Supreme Court rules against President Trump, it could create a new controversy for the President ahead of the election. 2615

The Senate is expected to vote on an economic relief package this week and while it has little chance of passing the House, it is sending a very clear message to airlines: help may not be coming. United Airlines and American Airlines have both threatened thousands of their employees with layoffs if government assistance doesn't come before October 1. October 1 is the first date airlines that took bailout money from earlier this year can layoff workers under the terms set by Congress. United is looking at cutting around 16,000 employees while American is slashing around 19,000 workers. Southwest and Delta, notably, are not laying off workers after offering buyouts to many workers. For weeks, airlines and unions were holding out hope lawmakers would pass a bill after returning from their August recess. The Association of Flight Attendants took to Capitol Hill Wednesday to demand action. 906

The US Centers for Disease Control and Prevention warned US consumers on Tuesday to not eat romaine lettuce, as it may be contaminated with E. coli.Thirty-two people, including 13 who have been hospitalized, have been infected with the outbreak strain in 11 states, according to the CDC. One of the hospitalized people developed hemolytic uremic syndrome, a potentially life-threatening form of kidney failure. No deaths have been reported.People have become sick in California, Connecticut, Illinois, Massachusetts, Maryland, Michigan, New Hampshire, New Jersey, New York, Ohio and Wisconsin.The Public Health Agency of Canada has identified an additional 18 people who have become sick with the same strain of of E. coli in Ontario and Quebec.If you have any romaine lettuce at home, you should throw it away, even if you have eaten some and did not get sick, the CDC cautioned."This advice includes all types or uses of romaine lettuce, such as whole heads of romaine, hearts of romaine, and bags and boxes of precut lettuce and salad mixes that contain romaine, including baby romaine, spring mix, and Caesar salad," the CDC said in its announcement.All types and brands of romaine lettuce are suspect because no common grower, supplier, distributor or source company has been identified by the CDC.Retailers and restaurants also should not serve or sell any until more is known about the outbreak.Symptoms of E. coli infection, which usually begin about three or four days after consuming the bacteria, can include watery or bloody diarrhea, fever, abdominal cramps, nausea and vomiting, according to the CDC. Most people infected by the bacteria get better within five to seven days, though this particular strain of E. coli tends to cause more severe illness.People of all ages are at risk of becoming infected with Shiga toxin-producing E. coli, according to the US Food and Drug Administration, which is also investigating the outbreak. Children under 5, adults older than 65 and people with weakened immune systems, such as people with chronic diseases, are more likely to develop severe illness, but even healthy children and adults can become seriously ill.Illnesses started in October. This outbreak is not related to a multistate outbreak linked to romaine lettuce this summer.The-CNN-Wire 2311

The Trump administration is taking steps to give telehealth a broader role under Medicare, with an executive order that serves as a call for Congress to make doctor visits via personal technology a permanent fixture of the program. The order President Donald Trump signed Monday applies to one segment of Medicare recipients — people living in rural communities. But administration officials say it’s intended as a signal to Congress that Trump is ready to sign more significant legislation that would permanently open up telehealth as an option for all people with Medicare. Trump says his administration is “taking action to make sure telehealth is here to stay.”"When the invisible enemy struck our shores, we took immediate action to eliminate regulatory barriers to telehealth, making it easier for patients to consult with doctors from safety and convenience and really, they have great safety and great convenience right from their homes," Trump said. While the CDC said in June it was working on expanding access to telehealth, it did list some drawbacks to the service:Situations in which in-person visits are more appropriate due to urgency, underlying health conditions, or inability to perform an adequate physical examThe need to address sensitive topics, especially if there is patient discomfort or concern for privacyLimited access to technological devices (e.g., smartphone, tablet, computer) needed for a telehealth visit or connectivity issuesLevel of comfort with technology for HCP and patientsCultural acceptance of conducting virtual visits in lieu of in-person visits by HCP and patientsInterstate licensure challenges and other regulatory issues that may vary by state 1701

The U.S. has now surpassed 17 million confirmed cases of COVID-19 and has yet again recorded more than 1 million cases of the virus in less than a week, according to a database kept by Johns Hopkins University.The U.S. reached the 16 million case threshold over the weekend. According to the COVID Tracking Project, the country is averaging more than 200,000 new cases of the virus every day, putting it on pace to record 1 million cases every five days.Since Oct. 30, the U.S. has recorded more than 8 million cases of COVID-19 — a number that represents 47% of all cases recorded since the virus reached the U.S. in January. The U.S. is currently in the midst of the most deadly stretch of the pandemic to date. The country surpassed 300,000 deaths linked to the virus on Monday. Since then, nearly 8,000 more people have died of the disease.The COVID Tracking Project reports that the U.S. has averaged more than 2,500 deaths every for the last week — and that number will likely increase in the weeks to come. The COVID Tracking Project also reports that record numbers of Americans are battling the virus in a hospital. The group says more than 113,000 people are currently hospitalized with the virus, leading many health care facilities — particularly those in rural areas — to reach maximum capacity levels.Spikes in COVID-19 typically trail behind spikes in cases and hospitalizations, meaning death totals will likely only increase in the weeks to come. 1481

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