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Republican senators' latest attempt to repeal Obamacare could be the most far-reaching of GOP efforts this year.Senators Lindsey Graham of South Carolina and Bill Cassidy of Louisiana last week released?a bill that would eliminate or overhaul major sections of the health reform law. The duo had been trying to garner interest in earlier versions of their bill for months, but hadn't gotten much traction.Now, however, Republicans likely have only two weeks left to use their 2017 budget reconciliation bill as a way to dismantle Obamacare with a simple majority in the Senate. The Graham-Cassidy bill is the only repeal effort left on the table, coming even as a bipartisan Senate committee is working on legislation to stabilize the Affordable Care Act.The Congressional Budget Office said Monday it may take several weeks for it to release an analysis of the Graham-Cassidy bill so it remains to be seen how many fewer people could be insured under it or what the impact on premiums may be.Here's what's in the bill:Repeal Obamacare individual and employer mandates: Obamacare levies penalties on most Americans who don't have health insurance and larger employers who don't provide affordable coverage for their workers. The bill would eliminate the penalty, retroactive to 2016.Repeals Obamacare subsidies and ends Medicaid expansion funding: The legislation would eliminate Obamacare subsidies that lower premiums, deductibles and co-pays in 2020. It would also jettison federal funding for Medicaid expansion, which 31 states use to provide coverage for residents with incomes up to about ,000.The legislation would turn the federal funding for Medicaid expansion and the subsidies into a block grant program. States would be given a lump sum of money and would have a lot of leeway over how to spend it.For instance, they could help enrollees pay their premiums and out-of-pocket costs or set up high-risk or reinsurance pools to help protect insurers from costly enrollees and entice them to stay in the individual market. States could use a portion of money to help those enrolled in Medicaid afford care.Graham and Cassidy say that this provision would return power to the states and allow them to create programs that fit their residents' needs. Also, it would equalize Medicaid funding across the states. The bill's authors note that four states get 37% of Obamacare funding.But Democrats and consumer advocates say that many states, particularly those that expanded Medicaid, would lose a lot of federal funding, making it harder for them to provide coverage or assistance to their residents. Also, they note, the block grant is only authorized through 2026, jeopardizing the continuation of funding after that.Loosens Obamacare's regulations regarding pre-existing conditions: The bill would also waive several key Obamacare protections for those with pre-existing conditions. While it would still require insurers to provide coverage to everyone, it would allow carriers to charge enrollees more based on their medical history. So younger, healthier folks could see their premiums go down, but sicker Americans could find themselves priced out of policies.The legislation also would eliminate Obamacare's essential health benefits provision, which mandates insurers cover an array of services, including hospitalization, maternity care, prescription drugs, mental health and substance abuse services. This could lower premiums somewhat and give consumers a wider choice of plans. But it would also make it harder for people to buy comprehensive policies so those with pre-existing conditions may not be able to find coverage that meets their health care needs.Revamps funding for Medicaid overall: The legislation would send the states a fixed amount of money per Medicaid enrollee, known as a per-capita cap, starting in 2020.States could also opt to receive federal Medicaid funding as a block grant for the non-disabled adults and children in their program. Under a block grant, states would get a fixed amount of federal funding each year, regardless of how many participants are in the program.States, however, cannot opt to receive block grant funding for elderly and disabled participants.Graham-Cassidy would also shrink the program even more over time by pegging the annual growth rate of funding for children and non-disabled adults to standard inflation after 2024, rather than the more generous medical inflation.Either per-capita caps or block grants would limit federal responsibility, shifting that burden to the states. However, since states don't have the money to make up the difference, they would likely either reduce eligibility, curtail benefits or cut provider payments. The block grant would be more restrictive since the funding level would not adjust for increases in enrollment, which often happens in bad economic times.Allows states to institute work requirements for Medicaid: States would now be able to require adult Medicaid recipients to work. The disabled, elderly and pregnant women would be exempt, however.Permits everyone in the individual market to buy catastrophic plans: Obamacare only allows those under age 30 to buy catastrophic policies, which usually have higher deductibles and fewer benefits. This legislation would allow anyone to buy these plans starting in 2019.Repeals a handful of taxes: The bill would repeal the tax on over-the-counter medicine, health savings accounts and medical devices, a levy unpopular on both sides of the aisle. But it keeps in place Obamacare's taxes on the wealthy, health insurers and others.Defunds Planned Parenthood: In keeping with longstanding Republican beliefs, the legislation prohibits federal funding for Planned Parenthood. But the restriction is only for a year, beginning when the bill is enacted.Increases maximum contributions to health savings accounts: Today, individuals can save up to ,400 and families can save up to ,750 a year tax-free in a health savings account. The bill would raise that limit to the annual out-of-pocket maximum for high-deductible plans. For 2018, that would be ,650 for individuals and ,300 for families. 6238

RAMONA, Calif. (KGTV) - Forest service officials are alerting San Diegans to keep their eyes out for rattlesnakes around property and on local trails as spring sets in.Cleveland National Forest officials found a young rattlesnake hiding in the shade under a drainage pipe at the department's Palomar district office in Ramona this week.The snake was captured and released unharmed, officials said, though "still angry."RELATED: What to do in the event of a rattlesnake biteDespite last year's trends, San Diego has been enjoying a lull in rattlesnake calls. The county has recorded a total of 82 calls since the beginning of 2018, according to Daniel DeSousa, director at the county Department of Animal Services.Last year, San Diego saw a surge in rattlesnake calls to the county. Most of those calls occurred in April but continued well into June. Between January 2017 and March 2017, the county saw 177 calls for rattlesnakes. That number rose to 232 the next month.Traditionally as San Diego heats up, sightings could increase."Due to our very temperate climate, rattlesnakes can be found year round in our County, in communities ranging from the coast to the deserts," DeSousa said during last year's spike. "But snake sightings may spike during hot spells."When encountering a rattlesnake, residents should keep a safe distance away and call county animal services. Animal control officers will be sent out to impound the snake and place it in an area where it doesn't pose a threat to humans.Residents in San Diego County's unincorporated areas or in Carlsbad, Del Mar, Encinitas, San Diego, Santee or Solana Beach can call Animal Services at 619-236-2341. Otherwise, residents should call the respective animal control agency for their city. 1797

Ray Chavez, the nation's oldest survivor of the attack on Pearl Harbor, has died, the White House says. He was 106.The veteran passed away peacefully in his sleep Wednesday, CNN affiliate KFMB reported, citing a family statement.Chavez was a quartermaster stationed in Pearl Harbor at the time of the Japanese attack on Hawaii that launched America's entry into World War II in 1941.He lived in Poway, California, with his family but gained prominence in recent years as he traveled around the country, attending memorial services and commemorations. Earlier this year, he met with President Donald Trump in the Oval Office ahead of Memorial Day."Ray was honored to have served his country and to fight among heroes and loved meeting his fellow comrades," his family said in a statement. "He cherished his time going to talk to the kids at schools because he doesn't want them to forget Pearl Harbor."As his health declined in recent months, he wished to be buried at the Miramar National Cemetery, the San Diego Union-Tribune reported. 1044

Retail credit card APRs have not changed despite the Federal Reserve slashing interest rates to near zero this year, according to a new report from CreditCards.com.Store-only cards have the highest interest rate at nearly 30%. That's the case for a few jewelers, Discount Tire and Big Lots, which sells furniture and appliances.“They're kind of preying, in some cases, on people who are really desperate to buy something, but may not have the money for it,” said Ted Rossman, an industry analyst at CreditCards.com. “So, it's really all about risk management.”The website’s survey found more than 43% of people have impulsively applied for a store card at checkout.That phenomenon may change this holiday season, when much of the shopping is expected to be online.“It might be less of an issue this year,” said Rossman. “Although, who knows? Maybe the shoppers that are in store are going to be peddled these even more aggressively, so it's something to watch for.”Store credit cards can be worth it if you pay your bills in full to avoid interest and you're loyal to a certain retailer. That's especially true for cards that offer 5% back on everything you buy. Amazon, Walmart, Target and a few clothing stores offer those kinds of rewards.If you're just signing up for an initial discount, don't waste it on a small purchase.Remember a credit card is different from a free loyalty program.You might be getting into something that could hurt your credit score. 1470

President Donald Trump, House Speaker Paul Ryan and Senate Majority Leader Mitch McConnell honored the late evangelist Billy Graham while he lies in honor at the US Capitol Wednesday.Graham, an evangelical minister and spiritual confidant to American presidents, died at the age of 99 last week."The man had such a gift with connecting with people," Ryan said in his remarks honoring the late Reverend. "When listening to Reverend Graham, it was like he was right there next to you."He continued: "Here lies America's pastor."  540

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