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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

ENCINITAS, Calif. (KGTV) -- One year after part of a bluff collapsed in Encinitas, killing three women, a bench honoring the victims now sits at the end of Grandview Street.Sunday, flowers decorated the bench along with a colorful chalk art displaying the words “you are loved.”The bench sits in memory of Julie Davis, Anne Clave, and Elizabeth Charles.RELATED STORIESCommunity, husband of victim push for Encinitas bluff stabilizationThird victim in deadly Encinitas Bluff collapse identifiedThe three were killed when a 30-foot by 25-foot slab of rock came crashing down onto Grandview Beach last August.The deadly incident sparked calls for the city to stabilize the bluffs.Some California lawmakers have also called for the government to pay for the stabilization after Congress approved the Storm Damage Project in 2016. 833

ESCONDIDO, Calif. (KGTV) — An Escondido home that was engulfed in flames early Friday reignited for a second time later the same day.The home in the 800 block of Via Rancho Parkway first ignited just before 2:40 a.m., according to Escondido Fire Department. Fire investigators believe that the fire started in the home's garage and spread to the attic.One adult, three children, and five pets were inside the home when the fire began. The pets woke up one of the children, prompting the family to escape the home.One of the pets, a cat, died in the fire, according to Escondido Fire. The American Red Cross helped the family find lodging after being displaced.Later Friday, just before 6 p.m., the home re-ignited, prompting another round of firefighting.The cause of both fires has not been identified. 811

ENCINITAS, Calif. (KGTV) — A verbal confrontation between a North County father and son turned violent after a knife was involved, leading to a stabbing.A man and his son living in the 1100 block of Saxony Rd. got into an argument at about 4:30 p.m. Friday, the San Diego Sheriff's Department said. The argument soon turned into a violent confrontation though, when one of the son reportedly stabbed his father, according to City News Service.The father was taken to a nearby hospital with a single, non-life threatening stab wound.Deputies were unable to find the man's son though, after searching the nearby area using K-9 officers and a SDSO helicopter.SDSO was still trying to locate the suspect Saturday. His name and age were not released. 753

Experts warned that a drop in air pollution from COVID-19 lockdowns would eventually come back as cars returned to the roads and businesses opened up. A study looking at air quality during the pandemic finds while the visible smog may have lifted in some areas, the air pollutants never really went away."It has been assumed that fewer cars on the road might have led to a decline in the level of air pollution outdoors and, in turn, reduce the number of cases of ill health linked to this pollution. However, our study -- contrary to research from places such as Wuhan in China, and Milan -- found no evidence of fine particulate air pollution declining in Scotland because of lockdown,” stated Dr. Ruaraidh Dobson, who led the study at the University of Stirling.Dr. Dobson and his group looked at the amount of fine particulate air pollution (referred to as PM2.5) in the first month of lockdown restrictions in Scotland. There was a 65 percent reduction in the number of vehicles on the roads, however there was little change in the levels of particulates.Looking at particles in the air between mid-March and mi-April of this year, then comparing that data to the same time period over the last few years, the researchers found little change in the amount of air pollution. They did notice a drop in nitrogen dioxide in 2020 samples, a compound specifically linked to car emissions.The team suggests traffic is not a key contributor to outdoor air pollution, and people may possibly be at greater risk of air pollution in their own homes from smoking and cooking appliances in small, enclosed, and poorly ventilated homes.“This could increase adverse health effects overall and also health inequalities – lower income people are more likely to smoke and to smoke indoors, and are likely to have smaller homes leading to higher PM2.5 concentrations from individual sources, due to smaller room volumes,” the study notes.The researchers express concern that if the severity of COVID-19 is related to air pollution exposure and respiratory issues, increased exposure to all sources of air pollution could increase the risk of serious complications from the disease. 2175