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The word "first" is probably going to come up a lot on Tuesday.The House of Representatives is expected to see its first female Native American member. One way or another, Arizona will elect its first female senator. And Nevada might become the first state to have a Legislature made up of a majority of women.PHOTOS: Voter turnout around the nationBelow is a list of some of the most prominent firsts that could happen this fall: 438

The state of Massachusetts has ordered that children 6 months of age or older must obtain a flu vaccine by the end of December to attend any daycare, school or college in the state starting in January.The August 20 announcement was met with protest on Sunday. Hundreds held a protest in Boston, demanding the state rescind the order."They are forcing to inject something into our child and we don't agree with it,” protester Mike Megna told WBZ."I've been really stressed out about it. I am thinking of having home schooling until this gets reversed, but I am not going to let them pressure me to get the flu shot,” Jennifer Cordy also told WBZ. Cordy is the mother of 10-year-old student Xavier Cordy.But officials say that the flu vaccine is an important way for public health officials to reduce hospitalizations and deaths, even though the vaccine won’t provide protection from the coronavirus.“Every year, thousands of people of all ages are affected by influenza, leading to many hospitalizations and deaths,” said Dr. Larry Madoff, a medical director with the state's Department of Public Health. “It is more important now than ever to get a flu vaccine because flu symptoms are very similar to those of COVID-19 and preventing the flu will save lives and preserve healthcare resources.”The state is providing exemptions for medical or religious based reasons. Massachusetts is also exempting K-12 homeschoolers as well as college students who are fully off campus and do not attend in-person classes. There is not an exemption for K-12 students who are partaking in virtual learning through their school. 1620

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 White House, after a day of uncertainty, confirmed Wednesday that deputy national security adviser Mira Ricardel is leaving her position.She will remain in the administration.In a statement, press secretary Sarah Sanders said, "Mira Ricardel will continue to support the President as she departs the White House to transition to a new role within the Administration. The President is grateful for Ms. Ricardel's continued service to the American people and her steadfast pursuit of his national security priorities."Sources said the President told advisers Tuesday that he had decided to fire her.The decision comes a day after first lady Melania Trump's office issued a surprising statement calling for Ricardel to leave the White House. 750

The Washington Post has settled a libel lawsuit with Kentucky high school student Nicholas Sandmann, who was at the center of a viral video controversy in 2019.Sandmann sued several news media outlets after their coverage falsely painted his as a racist, wearing a ‘Make America Great Again’ hat during an interaction with a Native American activist near the Lincoln Memorial in Washington D.C. Judge William O. Bertelsman previously dismissed the lawsuit, but later reinstated the case, after he reviewed an amended complaint.On Friday, Sandmann celebrated the settlement on Twitter. 592

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