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Sonna Anderson was enjoying a horseback ride through the Badlands in North Dakota in September 2017 when her horse, Cody, got spooked, jerked toward a fence and tripped on a cow track in the dirt. The horse rolled onto Anderson, who hit her head, briefly lost consciousness and broke three ribs.The 911 transcript shows that an ambulance reached the 60-year-old judge from Bismarck within 20 minutes. Anderson was secured on a backboard and ready to go when an air ambulance, a helicopter with a medical crew, also landed at the scene. Anderson says her husband asked repeatedly whether the ground ambulance crew could take her by ground; there was a hospital less than an hour's drive away."But he was told that [the air ambulance] was necessary. They never told him why it was necessary or how much it cost, but they insisted I had to go by air ambulance," Anderson said. "But it's so odd there is nothing in the record that indicated it was time-sensitive or that I needed to be airlifted."For that one helicopter ride, to a hospital farther away in Bismarck, records show that Valley Med Flight charged Anderson ,727.26. Sanford Health Plan, her insurance, paid ,697.73. That left Anderson with a ,029.53 bill.Valley Med Flight did not respond to requests for comment."It shocked me," Anderson said. "I kept thinking, 'my God.' I got a copy of the 911 and air ambulance report to see how long they actually spent with me, when really, it was only around 45 minutes. I wrote [the air ambulance company] a letter telling them that I thought it was all outrageous." 1583

Senate Republicans and the White House reached tentative agreement for more testing funds in the next COVID-19 relief package, but deep disagreements over the scope of the trillion in federal aid remain ahead of Thursday’s expected roll out.Facing a GOP revolt, Senate Majority Leader Mitch McConnell was preparing a “handful” of separate COVID-19 aid bills, according to a top lawmaker involved in the negotiations. McConnell is set to unveil the package on Thursday, according to a Republican unauthorized to discuss the private talks and granted anonymity.“Very productive meeting,” Treasury Secretary Steven Mnuchin said while exiting a session late Wednesday at the Capitol.A key holdup remains President Donald Trump’s push for a payroll tax cut, according to a Republican granted anonymity to discuss the private talks. Hardly any GOP senators support the idea. Instead, McConnell and some Republicans prefer another round of direct ,200 cash payments to Americans.Mnuchin said the negotiators have agreed to an amount on direct payments, but declined to share details.The rest of the legislation is taking shape even as key Senate Republicans are rejecting the overall rescue, which is almost certain to grow. There will be no new money for cash-strapped states and cities, which are clamoring for funds, but they will be provided with additional flexibility to tap existing aid funds.Republicans propose giving 5 billion to help schools reopen and billion for child care centers to create safe environments for youngsters during the pandemic.The centerpiece of the GOP effort remains McConnell’s liability shield to protect businesses, schools and others from COVID-related lawsuits. The bills will also include tax breaks for businesses to hire and retain workers, and to help shops and workplaces retool with new safety protocols.Still unresolved is how to phase out the 0 weekly unemployment benefit boost that is expiring, starting Friday. Republicans appear to be settling on 0 a week that would ultimately be adjusted according to state jobless benefits rates.The breakthrough on testing money, though, was key after days of debate between Republicans and the White House, showing a potential shift in the administration’s thinking about the importance of tracking the spread of the virus. Republicans wanted billion but the Trump administration said the billion in unspent funds from a previous aid deal was sufficient. The two sides settled on adding billion to the unspent funds to reach billion, senators said.Despite deep differences among Republicans, McConnell is trying to push forward with what he calls a “starting point” in negotiations with Democrats.“I think what the leader has decided he wants to do is to have a handful of bills now instead of just one bill, so maybe that comes together,” Sen. Roy Blunt, R-Mo., told reporters at the Capitol.Exasperated Democrats warned the GOP infighting with Trump is delaying needed relief to Americans during the crisis, with the U.S. pandemic death toll climbing past 142,000.With millions out of work and a potential wave of evictions ahead, the severity of the prolonged virus outbreak is testing Washington’s ability to respond. Schools are delaying fall openings, states are clamping down with new stay-home orders and the fallout is rippling through an economy teetering with high unemployment and business uncertainty. A new AP-NORC poll shows very few Americans want full school sessions without restrictions in the fall.“We’re hopeful we’ll be able to get there,” McConnell told reporters earlier Wednesday.Pressure is mounting as the virus outbreak deepens, and a 0 weekly unemployment boost and a federal eviction moratorium come to an end starting Friday. But some GOP senators simply oppose big spending.“I just don’t see the need for it,” Sen. Ron Johnson, R-Wis., told reporters Wednesday.Democrats, who already approved House Speaker Nancy Pelosi’s more sweeping trillion package two months ago, said time is running out for Trump and his GOP allies to act.“We’re still on the 20-yard line?” Senate Democratic Leader Chuck Schumer said, referring to White House comments. “Where have the Republicans been?”The White House negotiators, Mnuchin and Mark Meadows, the president’s acting chief of staff, arrived late at the Capitol. After a raucous meeting Tuesday, senators did not discuss the package at Wednesday’s lunch. Still, Meadows said other talks had progressed, pushing Republicans to “the 35-yard line.”As the Republicans battle over their priorities, Democrats warn they are wasting precious time.“We are just days away from a housing crisis that could be prevented,” said Sen. Elizabeth Warren, D-Mass.As Trump and his GOP allies are tangled over details, a stopgap measure may be needed to prevent the unemployment benefits from being shutoff.“We cannot allow there to be a cliff in unemployment insurance given we’re still at about 11% unemployment,” said Sen. Rob Portman, R-Ohio.Portman’s bill to provide tax cuts to retool workplaces with safety features appears to be included. Another Republican, Sen. Joni Ernst of Iowa, has been pushing for child care funds.Of the 5 billion for education, Republicans want propose billion to help K-12 schools reopen, billion for colleges and billion for governors to allocate. The Trump administration wanted school money linked to reopenings, but in McConnell’s package the money for K-12 would likely be split between those that have in-person learning and those that don’t.Sen. Marco Rubio, R-Fla., said there will be another boost for small business lending in the Payroll Protection Program. “It’s going to be big,” he said.Mnuchin and Meadows made it clear during a private meeting Tuesday with Pelosi and Schumer that the White House was resisting Democratic proposals for new spending on virus testing, housing aid or money for cash-strapped states, according to a person granted anonymity to discuss the private talks.Republicans said some 0 billion allotted previously to state governments is sufficient to avert sweeping layoffs, and they said more housing protections are not needed.Democrats are calling for 0 billion to reopen schools, bigger unemployment benefits and direct aid checks, and a sweeping trillion for state and local governments. They also want a fresh round of mortgage and rental assistance and new federal health and safety requirements for workers.Sen. Mitt Romney, R-Utah, who opposes direct checks in favor of more targeted aid, lamented the White House’s handling of the crisis. “I don’t think it’s been a great example for the world to see,” he said. “We’re still struggling.”Congress approved a massive .2 trillion aid package in March, the biggest of its kind in U.S. history. Pelosi pressed on, passing her trillion House bill in May. McConnell at the time said he wanted to “pause” new spending.___Associated Press writers Andrew Taylor, Mary Clare Jalonick and Padmananda Rama contributed to this report. 7061

Seven children have died as a result of adenovirus at the Wanaque Center for Nursing and Rehabilitation in Haskell, New Jersey.The Wanaque facility has been "instructed not to admit any new patients until the outbreak ends and they are in full compliance," according to the health department.The timing of the deaths is not clear. The health department was notified of respiratory illness at the center on October 9 and Wanaque sent parents of children at the facility letters about the infection on October 19 according to Nicole Kirgan at the New Jersey Department of Health.On Tuesday the New Jersey Department of Health announced the death of six pediatric residents at the center and the infection of 12 additional residents. Wednesday the department announced an additional pediatric death.The New Jersey Department of Health said it's an ongoing outbreak investigation and workers were at the facility Tuesday. A team at the facility on Sunday found minor handwashing deficiencies. "The Department continues to work very closely with the facility to ensure that all infection control measures are being followed," the Wanaque facility said in a statement Wednesday.The exact ages of the children are not being released to protect patient privacy, Nicole Kirgan, a spokeswoman for the department of health said, adding that the age ranges for the deceased children was "from a toddler through young adults - but most are under 18."Adenoviruses can cause mild to severe illness, though serious illness is less common. People with weakened immune systems or existing respiratory or cardiac disease are at higher risk of developing severe illness from an adenovirus infection, according to the Centers for Disease Control and Prevention.This outbreak, caused by adenovirus type 7, "is affecting medically fragile children with severely compromised immune systems. The strain has been particularly associated with disease in communal living arrangements and can be more severe," according to the health department statement.In a statement Tuesday, the facility said it "promptly notified all appropriate government agencies when the virus was initially identified.""The Wanaque Center continues to fully cooperate with these agencies and has sought out their medical guidance with respect to the virus," the facility said. "As a result, facility staff have diligently implemented all available infection control and prevention measures in order to protect the health and safety of the Wanaque Center's residents."Nurses at the facility had previously reported a shortage of nursing staff and supplies, according to a statement from the union that represents the nursing staff which was posted online Tuesday. The Health Professionals and Allied Employees (HPAE) said the shortages may have led to "poor infection control practices."The union said it represents the 70 nurses that work at the Wanaque Center for Nursing and Rehabilitation.In a review by the government's Centers for Medicare and Medicaid Services the Wanaque Center was awarded an above average ranking in overall quality but was given a below average health inspection rating. Based on an inspection conducted in August, CMS reported that "it was determined that the facility failed to provide a clean and homelike physical environment for their residents. " 3335

Spring is here.This turn of the seasons generally brings warmer temperatures and more rainfall -- but what does spring have in store for your part of the country?The National Oceanic and Atmospheric Administration, or NOAA, released their three-month spring outlook Thursday, giving us an idea of what we should expect from April to June in terms of temperatures, droughts and floods. 392

Smart homes are here to stay. Many of us now have an Amazon Echo or Google Home and are adding video doorbells, automatic door locks and other automation features.But how can you make sure you are keeping your family safe and not sharing your most private moments with the world?Digital assistants doing more and moreIt all started with Amazon's Echo digital assistant, which in the beginning played music and answered our basic questions.Then along came Google Home, and soon we were using voice assistants to ask who's at the front door, open up the garage and adjust the lights.Now, almost two years later, digital assistants are flying off the shelves at Best Buy, loved by busy moms like Amanda Compton, who we found shopping with her toddler at a Best Buy store."It does a lot of work for you when you have kids," she said. "It kind of helps out a lot."Google vs AmazonThe first thing you'll notice when you are looking at smart home devices is that there are two different universes. You have the option of purchasing Google Home or Amazon's Echo, each selling for around 0 (though simplified models cost less.)Apple recently launched the Home Pod, though is it a bit late to the game and at 0 is much more expensive than the competition. Like the Apple Watch, it appears aimed at a more upscale audience.Each works with its own set of apps and devices, though in the end they are pretty much the same, according to Best Buy's Brian Gibson.Which is better? Gibson says its really just personal choice. All of them will control cameras, your thermostat, smart lights, even smart door locks.How vulnerable are you?But some security experts are sounding the alarm.IT security consultant David Hatter says a vulnerability in one of your devices can let a hacker watch your video cameras, maybe even access your bank account, if they are all on the same WiFi network."If someone can break into your washing machine," Hatter explained, "and then into your door lock, they can potentially break into your house or your bank account."He says many people set up smart devices leaving the default password, which is often as simple as 1-2-3-4."If you just buy a smart thermostat and don't change any of the settings, you're ripe for hacking," he said.He says Echo and Google home units themselves are fairly secure, but it is the peripherals that are more vulnerable.Hatter says to protect yourself: 2435

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