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Sources told CNN that Ryan told members of his leadership team that much of his decision was based on spending time with his family. Ryan informed House Majority Leader Kevin McCarthy and Majority Whip Steve Scalise about his decision before news broke. 253

that will drench Puerto Rico and the Virgin Islands Tuesday, causing possible flooding and mudslides.It's expected to pass "near or over" Puerto Rico on Tuesday, the National Hurricane Center said.Heavy rain and tropical storm-force winds are expected, CNN meteorologist Michael Guy said."This could be enough to bring down trees, and the infrastructure for power is still weak after Maria, so I anticipate power outages," Guy said. "Strong rip currents will also be a danger for the next few days. (Tuesday) for the southern shores of the islands and northern shores through Thursday."As the storm trekked toward land early Tuesday, about 110 miles south of San Juan, it 672

SportsCenter anchor Jemele Hill, during the course of a Twitter exchange earlier this week, called Trump a "bigot" and said, "Donald Trump is a white supremacist who has largely surrounded himself w/ other white supremacists." 226

Speaking from Michigan, Biden added, "My wife Jill and I pray they'll make a quick and full recovery. This is not a matter of politics. It's a bracing reminder to all of us we have to take this virus seriously."Like Trump, Biden is at a higher risk for complications for the virus because of his age. The former vice president will turn 78 on Nov. 20.After it was learned that Trump would be treated at Walter Reed Hospital, Biden sent the following tweet: 456

Some U.S. doctors are skepticalDr. Dan Gehlbach, founder of Midwest Reproductive Center, says he just doesn’t know enough about clinics outside of the United States to be comfortable with saying much about traveling for treatment.“I don’t know the regulation that exists in other countries with medical and especially IVF procedures.Here in the United States, we are very regulated and our laboratories are inspected regularly. We’re monitored on a regular basis. There are things that we want to hold ourselves to a higher standard,” he said. He says there are costs associated with that high standard. He’s also concerned about timing.“For most patients, it’s about a three-month process from when we start to when we’re actually transferring an embryo in them and there are multiple visits and procedures,” said Gehlbach.Skinner admits most return to Barbados for multiple treatments.“For most patients, they’re going to be coming to Barbados one to three times, depending on how many times they need to be treated,” said Skinner.Insurance coverageCurrently, most insurance companies do not cover infertility treatments.The Merritt’s say their search for answers was covered by insurance: the appointments, the tests, and the specialists. But when it came time to start reproductive assistance, they were on their own.According to a just-published document from the National Association of State Legislatures, since the 1980s, 15 states have passed laws requiring insurers to either cover or offer coverage for infertility diagnosis and treatment.Those states include: Arkansas, California, Connecticut, Hawaii, Illinois, Louisiana, Maryland, Massachusetts, Montana, New Jersey, New York, Ohio, Rhode Island, Texas and West Virginia.Kansas and Missouri do not have laws mandating health insurance coverage for infertility treatment.The number of couples choosing IVF, and the methods employed to increase chances for success, are growing.Support from othersThe Merritt’s chose to share their story in hopes of encouraging others not to give up.They, along with several other local women, have told us how dark and depressing the inability to have a baby is when every cell in your body wants a baby. They all said they felt very alone during the journey. They want others to know they are not alone. Several women agreed to share their stories of infertility so if you are struggling you may find comfort in hearing from them.Click here for their stories. 2468