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Federal health officials Wednesday issued insurance coverage rules designed to deliver on the promise that every American will have access to free COVID-19 vaccines when they are approved.The regulations from the Centers for Medicare and Medicaid Services, or CMS, will also increase what Medicare pays hospitals for COVID-19 treatments. The changes arrive at a time when coronavirus infections are rising in much of the country, signaling a third wave that could eclipse the number of cases seen earlier this year.Congress and President Donald Trump have already enacted legislation that calls for vaccines to be free, but the new rules were needed to align that policy with the many arcane payment requirements for public and private insurance.“CMS is acting now to remove bureaucratic barriers while ensuring that states, providers and health plans have the information and direction they need to ensure broad vaccine access and coverage for all Americans,” agency head Seema Verma said in a statement.The rules aim to resolve potential legal issues over whether Medicare could cover a vaccine that receives “emergency use authorization” from the Food and Drug Administration. That’s a step short of full approval, and questions arose about whether Medicare could pay under its standard coverage policies.Under Wednesday’s announcement:— Seniors with traditional Medicare will pay nothing for COVID-19 vaccines, and any copays and deductibles are waived.— The government will pay private Medicare Advantage plans to administer the vaccine to seniors. Enrollees will not be charged.— Workplace and individual health insurance plans will cover the COVID-19 vaccine as a preventive service, with no cost sharing. The requirement applies to the vast majority of private plans, which are mandated to cover approved preventive care under the Obama-era Affordable Care Act — even as the Trump administration is trying to overturn that law at the Supreme Court.— State Medicaid and Children’s Health Insurance plans will have to provide vaccines for free for the duration of the coronavirus public health emergency.— Doctors, clinics and hospitals vaccinating uninsured people will be able to get paid through a federal fund set up to assist health care providers under financial stress.The regulations take effect immediately.A White House-backed initiative called “Operation Warp Speed” seeks to have a vaccine ready for distribution in the coming months. The government is spending billions of dollars to manufacture vaccines even before they receive FDA approval, thereby cutting the timeline for delivery. Officials at the FDA have pledged that the program will not interfere with their own science-based decisions. Vaccines that do not meet the test for approval would be discarded. 2791
FBI agents who raided the home, office and hotel of Donald Trump's personal lawyer sought communications that Trump had with attorney Michael Cohen and others regarding the infamous "Access Hollywood" tape that captured Trump making lewd remarks about women, which surfaced a month before the election, according to sources familiar with the matter.The warrant's specific reference to Trump is the first known direct mention of the President in a search warrant, and sources said it appeared in connection with "Access Hollywood."One of the sources said the warrant also referenced an investigation into wire fraud and bank fraud. CNN previously reported FBI agents removed Cohen's computer, cellphone, business files and financial documents, according to the source.The search warrant also sought communications between then-candidate Trump and his associates regarding efforts to prevent disclosure of the tape, according to one of the sources. In addition, investigators wanted records and communications concerning other potential negative information about the candidate that the campaign would have wanted to contain ahead of the election. The source said the warrant was not specific about what this additional information would be.The warrant is the first indication that investigators suspect there was any effort to suppress the tape. It is not clear Cohen played any role in the Access Hollywood controversy.Another source familiar with the matter confirmed to CNN that agents sought information regarding the Access Hollywood tape, as The New York Times first reported.An attorney for Cohen didn't respond immediately to request for comment. Cohen's attorney has said the search was carried out on behalf of the US attorney's office in Manhattan in part because of a referral from special counsel Robert Mueller.The warrant itself also tracks very closely to information already known about efforts by Trump's team to suppress negative information about Stormy Daniels, a porn star who alleges a sexual encounter with Trump in 2006, and Karen McDougal, a former Playboy model who says she had an affair with Trump between 2006 and 2007, the source said. There were no other women beyond Daniels and McDougal named in the warrant in regard to the President, the source said.Three sources with knowledge believe that the information sought was not just to target Cohen but was also clearly aimed at discovering what Trump knew, if anything, about these efforts and any potential involvement he may have had in keeping the information from going public.Trump has denied relationships with both Daniels and McDougal.A source with knowledge of the matter said NBCUniversal, which produces "Access," has not been contacted by Mueller's office or the Southern District of New York. There has been no subpoena, the source said.An NBC spokesman declined to comment.The circumstances of the leaked Access Hollywood tape remain something of a mystery. NBC has long held that it was about to broadcast the tape when The Washington Post obtained and published it. 3085

ENCINITAS, Calif. (KGTV) -- A girl who disappeared from Moonlight Beach Tuesday afternoon was found safe in San Marcos. According to lifeguards, the 14-year-old girl’s family called to report her missing just before 5 p.m. Just before 6 p.m. the San Diego County Sheriff's Department said the young girl was located in San Marcos. It's unclear at this time what the girl was doing in San Marcos, but the department said family members were traveling to the city to pick her up. 487
Everyone has dealt with some sort of isolation this year due to COVID-19. But for those living with different forms of dementia, isolation can take a much larger toll.“He has Lewy body dementia,” Jaye Kephart explained. She takes care of her husband, Michael, who was diagnosed with this form of dimension five years ago. The illness can cause hallucinations.“I know that the Lewy body is progressing,” she said. With safer at home orders in place, people like Kephart and her husband have been forced to mostly stay home, which she said has made his hallucinations worse.“There is no doubt in my mind that it’s COVID, he also sleeps a lot more. Why not, he’s bored,” she said.Many caregivers are seeing the same thing -- a faster decline they blame on increased isolation.The Washington Post analyzed federal data, which showed more than 134,000 people have died from some form of dementia since March, around 13,000 more than expected.“It’s exactly what I’m seeing with the families I work with. I think that caregivers feel a little bit hopeless and stressed out because they have difficulty at times trying to figure out, what can I do to make this better?,” Jill Lorentz said. She has worked with dementia caregivers and those with dementia for over two decades.“I think the whole thing is just a perfect storm,” she said. Lorentz also has eight family members who have some type of dementia, she currently helps care for her sister.Social stimulation and routine are two ways caregivers help slow the decline -- and that can be done from home to an extent.“Allow them to be a part of the process and use those as engagement pieces and not normal day activities that are kind of out of mind. You don't realize you can utilize that as something in a routine that could be meaningful for that person,” Lorentz said.“I still give him as much to do as I can. He unloads the dishwasher and loads it,” Kephart said.But for those living in a facility, stimulation is even more scarce.“I think there’s been more people in communities that have died from the loneliness of not being able to see or touch their family members then there have been that actually have the COVID diagnosis,” Lorentz said.“We’re asking people to create plans to make sure they are combating social isolation like they are combating COVID right now,” Amelia Shafer said. She is the Executive Director at the Alzheimer's Association of Colorado. She said caregivers should make a plan to participate in virtual support groups to help their loved ones with dementia, but they should focus on their own health, too.“It was no surprise to us that people were feeling isolated, that people were feeling depressed,” Shafer said.“People are dying at higher rates especially people with dementia, and they feel like they've had a huge loss. Everyone around them is feeling that loss too, but it’s different because 90% of what they feel is energy. So if they're feeling the sadness of their caregivers and the sadness of the world,” Lorentz said. “I think this is somewhat of a grieving issue.”“It’s certainly not having a partner like I did, I’m a caretaker,” Kephart said.The Alzheimer’s Association has a 24/7 hotline that offers support and help for caregivers, family members, and those living with the disease at 800-272-3900. 3305
Federal health officials Wednesday issued insurance coverage rules designed to deliver on the promise that every American will have access to free COVID-19 vaccines when they are approved.The regulations from the Centers for Medicare and Medicaid Services, or CMS, will also increase what Medicare pays hospitals for COVID-19 treatments. The changes arrive at a time when coronavirus infections are rising in much of the country, signaling a third wave that could eclipse the number of cases seen earlier this year.Congress and President Donald Trump have already enacted legislation that calls for vaccines to be free, but the new rules were needed to align that policy with the many arcane payment requirements for public and private insurance.“CMS is acting now to remove bureaucratic barriers while ensuring that states, providers and health plans have the information and direction they need to ensure broad vaccine access and coverage for all Americans,” agency head Seema Verma said in a statement.The rules aim to resolve potential legal issues over whether Medicare could cover a vaccine that receives “emergency use authorization” from the Food and Drug Administration. That’s a step short of full approval, and questions arose about whether Medicare could pay under its standard coverage policies.Under Wednesday’s announcement:— Seniors with traditional Medicare will pay nothing for COVID-19 vaccines, and any copays and deductibles are waived.— The government will pay private Medicare Advantage plans to administer the vaccine to seniors. Enrollees will not be charged.— Workplace and individual health insurance plans will cover the COVID-19 vaccine as a preventive service, with no cost sharing. The requirement applies to the vast majority of private plans, which are mandated to cover approved preventive care under the Obama-era Affordable Care Act — even as the Trump administration is trying to overturn that law at the Supreme Court.— State Medicaid and Children’s Health Insurance plans will have to provide vaccines for free for the duration of the coronavirus public health emergency.— Doctors, clinics and hospitals vaccinating uninsured people will be able to get paid through a federal fund set up to assist health care providers under financial stress.The regulations take effect immediately.A White House-backed initiative called “Operation Warp Speed” seeks to have a vaccine ready for distribution in the coming months. The government is spending billions of dollars to manufacture vaccines even before they receive FDA approval, thereby cutting the timeline for delivery. Officials at the FDA have pledged that the program will not interfere with their own science-based decisions. Vaccines that do not meet the test for approval would be discarded. 2791
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