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A federal district court judge handed the Trump administration another defeat in its attempt to allow states to impose work requirements in Medicaid, which has caused 18,000 people to lose coverage so far.In two closely watched cases, US District Court Judge James Boasberg Wednesday voided the administration's approvals of requests by Kentucky and Arkansas to mandate that low-income people work for benefits and kicked the matter back to the Department of Health & Human Services for further review. Boasberg also suspended the program in Arkansas, which began in June.In both cases, the approvals did not address how the requests would align with Medicaid's core objective of providing Medicaid coverage to the needy, the judge said. However, Boasberg also said that it's not impossible for the agency to justify its approvals, but it has yet to do so.The Centers for Medicare & Medicaid Services, which has granted work requirement requests from nine states and is considering several more, was not deterred by the ruling."We will continue to defend our efforts to give states greater flexibility to help low income Americans rise out of poverty," said Seema Verma, the agency's administrator. "We believe, as have numerous past administrations, that states are the laboratories of democracy and we will vigorously support their innovative, state-driven efforts to develop and test reforms that will advance the objectives of the Medicaid program."Consumer groups sued the administration, arguing that mandating low-income people to work for benefits runs counter to Medicaid's objective of providing the poor with access to health care."We are gratified by the court's rulings today. They mean that low-income people in Kentucky and Arkansas will maintain their health insurance coverage -- coverage that enables them to live, work, and participate as fully as they can in their communities. Coverage matters, plain and simple," said Jane Perkins, legal director at the National Health Law Program, one of the groups involved in both suits.The advocates were seeking to stop the requirement in Arkansas, which yanked coverage from 18,000 people after they failed to meet the new rules. Arkansas was the first state in the nation to implement the mandate after the Trump administration began allowing it last year."I am disappointed in the decision handed down late this afternoon," Arkansas Republican Gov. Asa Hutchinson said. "I have not yet had the opportunity to review the opinion in its entirety, but I plan to do so this evening and provide further comment tomorrow morning on the future of the Arkansas Works work requirement."Also, the consumer groups once again sued to block the start of work requirements in Kentucky, which had to halt implementation last June after the same judge voided the federal government's approval. The Centers for Medicare & Medicaid Services 2911

View this post on Instagram A post shared by President Donald J. Trump (@realdonaldtrump) on Jul 15, 2020 at 11:02am PDT 145

A former fraternity member and student at Truman State University in Missouri allegedly provided "step-by-step" directions to five people who died by suicide in 2016 and 2017, according to a lawsuit filed Wednesday against the university, the fraternity and the student.The member of the Alpha Kappa Lambda fraternity told people he considered himself a superhero nicknamed "peacemaker," parents of two of the deceased allege in the suit, which identifies the accused as Brandon Grossheim.Grossheim counseled people with "step-by-step directions" for using their own free will and to "deal with depression," according to a news release issued by lawyers for the parents of Alex Mullins, 21, and Joshua Thomas, 18.Grossheim gave no comment to CNN's repeated requests."Both the University and the Fraternity were aware that the Plaintiff victims were vulnerable and suffered from depression, yet they still allowed this suspicious fraternity brother to be alone and have unfettered access to the victims," the release states. "This tragedy was preventable."The lawsuit alleges negligence and wrongful death and seeks unspecified damages."It is our understanding that a lawsuit has been filed by the parents of Alex Mullens and Joshua Thomas, two members of the Xi Chapter of the Fraternity of Alpha Kappa Lambda, in connection with their deaths. Our sympathy continues for the families and friends of our lost Brothers of the Xi Chapter of Alpha Kappa Lambda," the fraternity said a statement."The death of these young men during the 2016-2017 school year greatly impacted the Xi Chapter and the surrounding community. Like Truman State University, The Fraternity of Alpha Kappa Lambda, Inc., the National Fraternity, strongly disagrees with the allegations in the lawsuit to the extent those allegations are directed against it and will vigorously defend the lawsuit. The Fraternity of Alpha Kappa Lambda does not comment on pending litigation and therefore, will not comment further.""We are aware that an attorney has announced the filing of litigation against the University pertaining to the deaths of two of our students. We strongly disagree with the allegations as stated in the lawsuit and will defend the suit vigorously," said Warren Wells, Truman State's general counsel. "As the litigation proceeds, it will become clear that the University is not responsible for the deaths of these students. We will not comment further on this pending litigation."The Kirksville, Missouri, Police Department did not immediately respond to CNN's inquiry about whether it investigated the suicides at the time or has since the lawsuit. 2642

A day after a Virginia Beach city employee killed 12 people — including colleagues — in a shooting rampage in the municipal building where he worked, investigators are scrambling to nail down why it happened, officials said Saturday."It's still a sense of shock, disbelief. Why did this happen?" Bobby Dyer, mayor of the coastal Virginia city, told CNN, standing across the street from the multistory brick building where the massacre happened."I guess the big question is why. We want to know, too."Authorities said DeWayne Craddock, 40, a certified professional engineer in the city's public utilities department, opened fire on all three floors of Building 2 of the Virginia Beach Municipal Center at the end of Friday's workday.Craddock killed a dozen people and injured others, and sent terrified witnesses running out of the building or hiding under desks before dying at the end of a lengthy gunbattle there with four police officers, authorities said.Eleven of the 12 killed were city employees. The other was a contractor who was there to fill a permit, City Manager Dave Hansen said.Officials are now left not only answering questions about what happened but also dealing with the deaths of their colleagues. Hansen said he'd worked with many of them for years, and served with one in the US military in Germany. Dyer said the contractor was a friend of his who'd done carpentry work at his home."They leave a void that we will never be able to fill," Hansen said Saturday before he read the victims' names.Four others in the shooting were hospitalized, police said. They had surgery Friday night, and three are in critical condition, while one is in fair condition, hospital officials said. An officer was shot in the gunfight but survived because of his ballistic vest, police Chief James Cervera said.Friday's massacre is the deadliest in the United States this year and adds the Virginia city to a grim list of places affected by a mass shooting.Gunman fired through all floors except the basement, officials sayOfficials said Saturday they were either searching for answers, or unwilling to reveal details, about what spurred the shooting.A Virginia government source briefed on the investigation told CNN the shooter was a "disgruntled employee."Craddock was a certified professional engineer in the city's public utilities department. He is listed on department news releases as a point of contact for information on local road projects over the past several years.Cervera, the police chief, said his investigators still don't know the shooter's motive. He and Hansen declined to answer questions Saturday about whether Craddock had threatened anyone in the building previously or faced discipline at work.The gunfire started at the end of the workday while people still were visiting the municipal center for business. He fired through on every floor except the basement as he moved through the building, officials said.Officers gave the shooter first aidFour officers confronted the shooter inside the building in what the chief called a "long gunbattle."Two veteran detectives and two K-9 officers entered the building and began a shootout with the suspect. Cervera said they helped stop him from committing more carnage.The gunman was wounded, and officers tried to save him, the chief said."Even though he was involved in a long-term gunbattle with these officers when he went down, they did what cops do and they rendered first aid to this individual," Cervera said Friday.The chief said that a .45-caliber pistol, a suppressor and several empty, higher-capacity magazines were found near the shooter.Investigators have found "additional weapons" at the gunman's home, the chief said.He was thought to have purchased the firearms legally, according to initial information investigators have, a law enforcement official said.Co-worker describes encounter with Craddock earlier in the daySometime before the shooting Friday, a co-worker of Craddock's had a final exchange with him that amounted to "have a good weekend," the colleague said.Joseph Scott, who said he worked with Craddock for several years, saw him in a bathroom at work Friday."He was at the sink, brushing his teeth like he always did," Scott told CNN. "I used the bathroom and walked up and was washing my hands, and I said, 'How are you doing?' He said he was doing OK."I asked, 'Any plans for the weekend?' And he said, 'No.' And I said, 'Well, have a good day,' and he said the same to me."And it was no more than that."Scott said Craddock was "what I thought was a good person," and described him as generally quiet."When we were together, we would talk about family, friends, things that we were going to do, trips we were going to take and things like that," Scott said.Many victims were longtime workers for the cityHansen said the 11 slain city employees had worked for Virginia Beach for times ranging from 11 months to 41 years.They were Virginia Beach residents Tara Welch Gallagher, Mary Louise Gayle, Alexander Mikhail Gusev, Katherine A. Nixon, Ryan Keith Cox, Joshua A. Hardy, Michelle "Missy" Langer; Chesapeake residents Laquita C. Brown and Robert "Bobby" Williams; Norfolk resident Richard H. Nettleton; and Powhatan resident Christopher Kelly Rapp.Also killed was the contractor, Herbert "Bert" Snelling, of Virginia Beach.Nettleton, an engineer with the city's public utilities department, "served with me as a lieutenant in Germany in the 130th Engineer Brigade," said Hansen, the city manager.Lawmakers and activists respondDavid Hogg, who survived the Parkland, Florida, school massacre, responded to the latest mass shooting with a short tweet: "How many more."Local and federal lawmakers also expressed their dismay."This is the most devastating day in the history of Virginia Beach," said Dyer, the city's mayor. "The people involved are our friends, co-workers, neighbors, colleagues."The city will help them go through the healing process, he said."We're going to move forward as a city, as a community. We're going to be there for the families," the mayor said. "The people that were victims of this tragic event, they were family members, they were co-workers, they were a vital part of the community of Virginia Beach, and they will not be forgotten."Gov. Ralph Northam ordered all Virginia flags to be lowered to half-staff across the state until sunset on June 8 in memory of the victims, according to the 6442

A group of 14 states, New York City and Washington, D.C. filed a lawsuit Thursday to block the Trump administration from enacting a new rule that could potentially impact thousands of food stamp recipients. The new rule, finalized by the U.S. Department of Agriculture in December, would change a work requirement that could impact unemployed people who currently receive benefits under the Supplemental Nutrition Assistance Program, 446

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