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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

PROVIDENCE, R.I. (AP) -- The suspect in a fatal stabbing in Rhode Island last month was apprehended apparently trying to cross from California into Mexico.U. S. Border Patrol says 35-year-old Michael Domenech approached the checkpoint on Interstate 8 near Pine Valley, in a car at about 2 a.m. Saturday.When agents approached the driver, he drove away from the checkpoint. Authorities say agents used a tire deflation device to deflate one of the car's tires.The pursuit continued for 20 minutes until Domenech was taken into custody.Domenech is wanted in connection with the fatal stabbing of Cory Vargas in Providence on Sept. 24. 640

President Donald Trump's son Donald Trump Jr.'s wife Vanessa Trump has filed for an uncontested divorce. The couple first married in 2005 and have five kids together. "After 12 years of marriage, we have decided to go our separate ways," a joint statement from the Trumps said. "We will always have tremendous respect for each other and our families. We have five beautiful children together and they remain our top priority. We ask for your privacy during this time."The New York Post's Page Six was first to report on the divorce. According to Page Six's sources, Trump Jr.'s hectic travel schedule running The Trump Organization has worn on the couple. “Don Jr. has been busy traveling, which has contributed to their problems. Vanessa is a devoted mother, but she is increasingly lonely and alone in the house with the children," a Page Six source said. In February, an envelope that contained a white powder was sent to Trump Jr. and his wife. The threatening envelope turned out to be a hoax.  1047

RAMONA, Calif. (KGTV) - A Ramona couple walking their yellow Labrador puppy say they were attacked by two pit bulls Tuesday night, suffering serious injuries.Michael Dougherty was walking with his wife, Dee, in the Kmart parking lot in the 1800 block of Main Street training their puppy, Rueger. Dougherty said it's easier in the parking lot, as there is more light, compared to their rural neighborhood.As they walked toward the Taco Shop, around 7:15 p.m., Dougherty said from the corner of his eye, he saw two pit bulls charging.RELATED: Dog and owner mauled by pit bull during walk in OceansideThey attacked Rueger and his wife, who went down trying to rescue the dog. Dougherty is recovering from a back injury and walks with a cane. He used it as a weapon."I just started beating the dog, beating the dog, until it [the cane] snapped. This fell down alongside the dog and my wife and she grabbed this and was jamming it into the dog's mouth. When this broke I started punching the dog in the head."Eventually they were able to separate all three dogs. No one escaped uninjured. Dougherty described his wife's wounds, "the top fang went in," gesturing at his left cheek, "and the bottom fang went under her chin like this."RELATED: Pit bull comes to defense of injured owner in apartment, chases away attackers"Both arms are bitten up quite a bit, I couldn't even count them there were so many," he continued, saying her hand bore the worst injury. "Her thumb was bitten three quarters of the way around," saying the skin had been pushed up, away from her hand. "She said she could see the bone, but I don't know about that."Dougherty suffered a bite to his hand as well.As he called 911, he saw the owner and the two pit bulls walking away."It's frustrating to think that he didn't have the courage to stand here and be responsible for what his animals did."RELATED: Family trying to save 'sweetest pit bull on earth' after authorities recommended it be euthanizedDougherty said they don't know how much his wife's emergency room trip will cost. They have a 0 veterinarian bill and said his wife is anxious when he leaves the house.Dougherty hoped by telling their story he would "make people aware and maybe get some information to get this wild animal off the street. He was plain vicious."Animal Control confirmed they have a dog in quarantine, and will have the couple identify Friday whether it's the same dog who attacked them.Dougherty has a GoFundMe set up to help with his wife's expenses. His son said she will be out of work while she recovers. 2572

President Donald Trump's personal lawyer Jay Sekulow announced Thursday that Rudy Giuliani is joining the President's personal legal team."I am announcing today that former New York City Mayor and United States attorney for the Southern District of New York Rudy Giuliani is joining the President's personal legal team," Sekulow said in a statement, adding that Trump said Giuliani is "great" and has been his friend "for a long time." 443

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