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A federal judge in Texas said on Friday that the Affordable Care Act's individual coverage mandate is unconstitutional and that the rest of the law must also fall."The Court ... declares the Individual Mandate ... unconstitutional," District Judge Reed O'Connor wrote in his decision. "Further, the Court declares the remaining provisions of the ACA ... are inseverable and therefore invalid."The case against the ACA, also known as Obamacare, brought by 20 Republican state attorneys general and governors, as well as two individuals. It revolves around Congress effectively eliminating the individual mandate penalty by reducing it to A deadly crash involving semi-trucks has shut down eastbound Interstate 10 west of Tonopah, Arizona. According to the Arizona Department of Public Safety, multiple semi-trucks were involved in the crash near milepost 79. DPS says a semi rolled over in the area and a second semi was able to come to a stop to avoid the rolled-over truck. At that time, a third truck hit the second semi, killing the driver of the third truck. The impact of the wreck caused the second semi to hit the rolled truck, causing injuries to the second driver. Eastbound lanes are expected to remain closed for some time while crews get "heavy duty tow trucks" to remove the vehicles and debris.The Arizona Department of Transportation says drivers can use the following detour: I-10 EB detour at Vicksburg Road (milepost 45) north to US 60, east to Salome Road and drive southeast back to I-10 past crash site. 925 as part of the 2017 tax cut bill.The Republican coalition is arguing that the change rendered the mandate itself unconstitutional. They say that the voiding of the penalty, which takes effect next year, removes the legal underpinning the Supreme Court relied upon when it upheld the law in 2012 under Congress' tax power. The mandate requires nearly all Americans to get health insurance or pay a penalty.The Trump administration said in June that it would not defend several important provisions of Obamacare in court. It agreed that the zeroing out the penalty renders the individual mandate unconstitutional but argued that that invalidates only the law's protections of those with pre-existing conditions. These include banning insurers from denying people policies or charging them more based on their medical histories, as well as limiting coverage of the treatment they need.But the administration maintained those parts of the law were severable and the rest of the Affordable Care Act could remain in place.Because the administration would not defend the law, California, joined by 16 other Democratic states, stepped in. They argued that the mandate remains constitutional and that the rest of the law, in any event, can stand without it. Also, they said that eliminating Obamacare or the protections for those with pre-existing conditions would harm millions of Americans.In oral arguments in September, a lawyer for California said that the harm from striking down the law would be "devastating" and that more than 20 million Americans were able to gain health insurance under it.The lawsuit entered the spotlight during the midterm elections, helping propel many Democratic candidates to victory. Protecting those with pre-existing conditions became a central focus of the races. Some 58% of Americans said they trust Democrats more to continue the law's provisions, compared to 26% who chose Republicans, according to a Kaiser Family Foundation election tracking poll released in mid-October.The consumer protections targeted by the administration are central to Obamacare and transformed the health insurance landscape. Their popularity is one of the main reasons GOP lawmakers had such difficulty repealing Obamacare last year."Guaranteed issue" requires insurers to offer coverage to everyone regardless of their medical history. Prior to the Affordable Care Act, insurers often rejected applicants who are or had been ill or offered them only limited coverage with high rates.Under the law's community rating provision, insurers are not allowed to set premiums based on a person's health history. And the ban on excluding pre-existing conditions from coverage meant that insurers cannot refuse to pay for treatments because of a policyholder's medical background.All these provisions meant millions of people with less-than-perfect health records could get comprehensive coverage. But they also have pushed up premiums for those who are young and healthy. This group would have likely been able to get less expensive policies that offered fewer benefits prior to Obamacare. That has put the measures in the crosshairs of Republicans seeking to repeal the law and lower premiums.It's no wonder that politicians on both sides of the aisle promised to protect those with pre-existing conditions during the election. Three-quarters of Americans say that it is "very important" for the law to continue prohibiting health insurers from denying coverage because of medical histories, according to the Kaiser Family Foundation's September tracking poll -- 58% of Republicans feel the same way. And about the same share of Americans say it's "very important" that insurers continue to be barred from charging sick people more. 4383
A man is hospitalized, but expected to survive, after his girlfriend struck him with her car following a domestic argument, according to police in Port St. Lucie, Florida.The incident happened in the 1900 block of W. Dunbrooke Circle.Police said the man got out of the car and began walking down the street and the woman then dropped off her baby at their house, drove back to where the man was walking and hit him.Video posted by police shows crime scene tape around a car which appears to have a big dent in the hood and a shattered windshield.The man, described as the woman's 24-year-old live-in boyfriend, was airlifted to a hospital with head trauma. He was undergoing surgery late Wednesday afternoon.Police did not identify either person but said the investigation continues. “It sounded like a car hitting a shopping cart," said Lance Chmura who lives just across the street from the crash scene. He was making breakfast around 9 a.m. when he heard the impact and ran out to help.“I went down, grabbed his hand and stabilized him because he was starting to thrash around a bit," said Chmura.The impact of the crash was so intense it sent the man flying 35 yards down the street.“She (the girlfriend) then left the scene, drove back home. Her relative got in car and came back to the scene," said Master Sgt. Frank Sabol with Port St. Lucie Police.The victim’s grandmother would not reveal what the girlfriend said to her immediately after the crash, but said the couple had a good relationship and had just moved down here last month. She said she thinks this was an accident.“I think they were just playing around and didn’t realize the severity of it," said the grandmother.“The initial investigation determines she was on the wrong side of the road when he was struck," added Sgt. Sabol.Right now, it’s being investigated as a case of domestic violence. No arrests have been made. 1948

A gunman opened fire inside of a Cheltenham Township, Pa. Walmart on Tuesday, leaving five people shot and several others with non-gunshot injuries, NBC Philadelphia reported, citing law enforcement officials. The incident took place around 6:15 p.m., and has since been contained. Eyewitnesses told NBC Philadelphia that the shooting took place at a cash register inside of Walmart.A gunman reportedly took the gun out of his waistband and shot five people during an altercation. A pregnant woman, who was not shot, was injured trying to get away. Two police officers were also injured during a fight trying to apprehend the suspect. The gunman reportedly fired 10 gunshots inside of the Walmart before fleeing. All eight victims are expected to survive. Two people were taken into custody after the suspected gunman and a possible accomplice tried to flee. 917
A brawl broke out during a sentencing Wednesday afternoon of a former daycare owner accused of reckless homicide in the death of a 7-week-old baby in her care.37-year-old Claudette Mitchell was being sentenced for charges related to the death of a 2-month-old child that died while in Mitchell's care last August at "WHO'S LUVIN YOU" daycare. Mitchell ran the daycare out of her home on Milwaukee's northside. A criminal complaint says Mitchell told police she put the baby down for a nap and when she checked on her about an hour later she was unresponsive and had scratches and blood on her face. Court documents show the baby suffered multiple fractures to her skull and bruising all over her body. Forensic investigators believe the baby died of blunt force trauma to the head. Mitchell received a sentence of 42 months, and upon release, 48 months of supervision. Following the sentencing, an altercation broke out between 50 members of Mitchell's and the victim's families and friends according to the Milwaukee County Sheriff's Office.Additional deputies and district attorney investigators were called to the room to restore order. Authorities say additional security had been in place prior to the altercation but Mitchell's loved ones did not comply with deputies’ orders to remain in the courtroom while the victim’s family was being escorted out. 1407
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