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    In this undated file photo, New York Yankees' Babe Ruth hits a home-run.

    A tale of 2 bats, and Babe Ruth’s 60th home run in 1927

    This is an undated file photo of Reza Shah Pahlavi in an unidentified place

    Mummified body found in Iran could be father of last shah

    In this Aug. 4, 2014, photo, Rick Butler, a nationally renowned volleyball coach from Chicago, watches a scrimmage during the first day of a volleyball camp at Abbott Sports Complex in Lincoln, Neb.

    Michigan State kept ties to coach accused of sexual abuse

    Former Presidents George W. Bush, left, and George H.W. Bush arrive at St. Martin's Episcopal Church for a funeral service for former first lady Barbara Bush, Saturday, April 21, 2018, in Houston.

    Spokesman: George HW Bush is eager to get well, go to Maine

    In this March 7, 2017, file photo, the CEO of a methadone clinic holds a 35 mg liquid dose of methadone in Rossville, Ga.

    Opioid treatment gap in Medicare: methadone clinics

    Officials carry a body into a vehicle after a van mounted a sidewalk crashing into pedestrians in Toronto on Monday, April 23, 2018. (Aaron Vincent Elkaim/The Canadian Press via AP)

    Motive elusive after van driver kills 10 on Toronto sidewalk

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    • Politics
      In this April 16, 2018, photo, U.S. Navy Rear Adm. Ronny Jackson, M.D., sits with Sen. Johnny Isakson, R-Ga., chairman of the Veteran's Affairs Committee, before their meeting on Capitol Hilin Washington.

      Senators considering a delay for VA confirmation hearing

      Former Presidents George W. Bush, left, and George H.W. Bush arrive at St. Martin's Episcopal Church for a funeral service for former first lady Barbara Bush, Saturday, April 21, 2018, in Houston.

      Spokesman: George HW Bush is eager to get well, go to Maine

      French President Emmanuel Macron speaksa on arrival at Andrews Air Force Base, Md., Monday April 23, 2018, outside of Washington.

      No ordinary double date: Trumps, Macrons at Mount Vernon

    • Business
      In this March 29, 2018, file photo, the logo for Facebook appears on screens at the Nasdaq MarketSite in New York's Times Square.

      For the first time, Facebook spells out what it forbids

      In this May 9, 2017, file photo, a package from Amazon Prime is loaded for delivery in New York.

      Get Into My Car … Amazon begins delivery to vehicles

      Gas prices steady to open 2018

      Gas prices continue to hit 2015 highs; oil prices, record demand the culprits

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      LEADING OFF: Ohtani faces champs; Cubs-Indians rematch

      LEADING OFF: Ohtani faces champs; Cubs-Indians rematch

      Miami Marlins starting pitcher Jarlin Garcia throws to the plate during the first inning of a baseball game against the Los Angeles Dodgers Monday, April 23, 2018, in Los Angeles.

      Buehler! Top prospect shines in Dodgers’ 2-1 win over Miami

      Toronto Maple Leafs centre Tyler Bozak (42) and goaltender Frederik Andersen (31) celebrate their win over the Boston Bruins in NHL round one playoff hockey action in Toronto on Monday, April 23, 2018.

      Andersen helps Maple Leafs beat Bruins 3-1 to force Game 7

      In this undated file photo, New York Yankees' Babe Ruth hits a home-run.

      A tale of 2 bats, and Babe Ruth’s 60th home run in 1927

      In this Aug. 4, 2014, photo, Rick Butler, a nationally renowned volleyball coach from Chicago, watches a scrimmage during the first day of a volleyball camp at Abbott Sports Complex in Lincoln, Neb.

      Michigan State kept ties to coach accused of sexual abuse

      Britain's Queen Elizabeth II talks to John Spurling, Chairman of London Marathon Events, before pressing a button to start the London Marathon from Windsor Castle, Windsor, England, Sunday April 22, 2018, which is relayed to big screens at the start of the Marathon setting off 40,000 runners

      29-year-old chef dies after collapsing at London Marathon

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      In this April 2018 photo provided by the Museum of Contemporary Art Chicago, Qatari-American artist Sophia Al-Maria poses for a portrait in Glasgow, Scotland, Britain.

      Qatari-American contemporary artist wins new $100,000 prize

      Town Crier Tony Appleton announces that the Duchess of Cambridge has given birth to a baby boy outside the Lindo wing at St Mary's Hospital in London London, Monday, April 23, 2018.

      Royal baby: It’s a boy for Kate on England’s national day

      In this June 11, 2008 file photo, actor Verne Troyer poses on the press line at the premiere of the feature film "The Love Guru" in Los Angeles

      Verne Troyer, Mini-Me from ‘Austin Powers’ films, has died

      In this December 2017 file photo, singer Taylor Swift performs at Z100's iHeartRadio Jingle Ball at Madison Square Garden on in New York.

      Police: Stalker broke into Taylor Swift’s NYC home, took nap

      Britain's Queen Elizabeth raises her glass during speeches at The Queen's Dinner, during the Commonwealth Heads of Government Meeting at Buckingham Palace in London, Thursday, April 19, 2018

      Queen Elizabeth II turns 92, to attend star-studded concert

      In this Nov. 24, 2013 file photo, Avicii accepts the award for favorite artist - electronic dance music at the American Music Awards in Los Angeles.

      Avicii, DJ-producer who performed around the world, dies

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      In this March 7, 2017, file photo, the CEO of a methadone clinic holds a 35 mg liquid dose of methadone in Rossville, Ga.

      Opioid treatment gap in Medicare: methadone clinics

      This Dec. 17, 1997, file photo, lettuce is harvested at a farm in Wellton, Ariz., east of Yuma.

      CDC expands romaine lettuce warning after E. coli cases rise

      Mike Cossey, of Bureau Veritas, uses an air monitor to check the quality of air at a police roadblock marking the 1.5-mile perimeter of the evacuation area around the Arkema Inc. chemical plant Thursday, Aug. 31, 2017, in Crosby, Texas.

      Air quality improving in SWFL, new report says

    • Tech
      In this March 29, 2018, file photo, the logo for Facebook appears on screens at the Nasdaq MarketSite in New York's Times Square.

      For the first time, Facebook spells out what it forbids

      In this May 9, 2017, file photo, a package from Amazon Prime is loaded for delivery in New York.

      Get Into My Car … Amazon begins delivery to vehicles

      In this April 19, 2018, photo, workers remove the veil from the Infiniti electric concept sedan at a showroom ahead of the Auto China 2018 to be held in Beijing, China.

      China auto show highlights industry’s electric ambitions

      In this May 16, 2012, file photo, the Facebook logo is displayed on an iPad in Philadelphia.

      Facebook adds privacy settings to comply with European rules

      This Oct. 15, 2014 photo made available by The Reykjavík Metropolitan Police shows Sindri Thor Stefansson.

      Iceland: Bitcoin heist suspect has likely fled to Sweden

      In this Feb. 26, 2014, file photo, a sign for the ZTE booth is seen at the Mobile World Congress, the world's largest mobile phone trade show in Barcelona, Spain.

      US bars China’s telecom giant ZTE from buying US components

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      In this undated file photo, New York Yankees' Babe Ruth hits a home-run.

      A tale of 2 bats, and Babe Ruth’s 60th home run in 1927

      This is an undated file photo of Reza Shah Pahlavi in an unidentified place

      Mummified body found in Iran could be father of last shah

      In this Aug. 4, 2014, photo, Rick Butler, a nationally renowned volleyball coach from Chicago, watches a scrimmage during the first day of a volleyball camp at Abbott Sports Complex in Lincoln, Neb.

      Michigan State kept ties to coach accused of sexual abuse

      Former Presidents George W. Bush, left, and George H.W. Bush arrive at St. Martin's Episcopal Church for a funeral service for former first lady Barbara Bush, Saturday, April 21, 2018, in Houston.

      Spokesman: George HW Bush is eager to get well, go to Maine

      In this March 7, 2017, file photo, the CEO of a methadone clinic holds a 35 mg liquid dose of methadone in Rossville, Ga.

      Opioid treatment gap in Medicare: methadone clinics

      Officials carry a body into a vehicle after a van mounted a sidewalk crashing into pedestrians in Toronto on Monday, April 23, 2018. (Aaron Vincent Elkaim/The Canadian Press via AP)

      Motive elusive after van driver kills 10 on Toronto sidewalk

      Trending Tags

      • Politics
        In this April 16, 2018, photo, U.S. Navy Rear Adm. Ronny Jackson, M.D., sits with Sen. Johnny Isakson, R-Ga., chairman of the Veteran's Affairs Committee, before their meeting on Capitol Hilin Washington.

        Senators considering a delay for VA confirmation hearing

        Former Presidents George W. Bush, left, and George H.W. Bush arrive at St. Martin's Episcopal Church for a funeral service for former first lady Barbara Bush, Saturday, April 21, 2018, in Houston.

        Spokesman: George HW Bush is eager to get well, go to Maine

        French President Emmanuel Macron speaksa on arrival at Andrews Air Force Base, Md., Monday April 23, 2018, outside of Washington.

        No ordinary double date: Trumps, Macrons at Mount Vernon

      • Business
        In this March 29, 2018, file photo, the logo for Facebook appears on screens at the Nasdaq MarketSite in New York's Times Square.

        For the first time, Facebook spells out what it forbids

        In this May 9, 2017, file photo, a package from Amazon Prime is loaded for delivery in New York.

        Get Into My Car … Amazon begins delivery to vehicles

        Gas prices steady to open 2018

        Gas prices continue to hit 2015 highs; oil prices, record demand the culprits

      • Food
      • Sports
        • All
        • Baseball
        • Basketball
        • Boxing
        • Football
        • Golf
        • Hockey
        LEADING OFF: Ohtani faces champs; Cubs-Indians rematch

        LEADING OFF: Ohtani faces champs; Cubs-Indians rematch

        Miami Marlins starting pitcher Jarlin Garcia throws to the plate during the first inning of a baseball game against the Los Angeles Dodgers Monday, April 23, 2018, in Los Angeles.

        Buehler! Top prospect shines in Dodgers’ 2-1 win over Miami

        Toronto Maple Leafs centre Tyler Bozak (42) and goaltender Frederik Andersen (31) celebrate their win over the Boston Bruins in NHL round one playoff hockey action in Toronto on Monday, April 23, 2018.

        Andersen helps Maple Leafs beat Bruins 3-1 to force Game 7

        In this undated file photo, New York Yankees' Babe Ruth hits a home-run.

        A tale of 2 bats, and Babe Ruth’s 60th home run in 1927

        In this Aug. 4, 2014, photo, Rick Butler, a nationally renowned volleyball coach from Chicago, watches a scrimmage during the first day of a volleyball camp at Abbott Sports Complex in Lincoln, Neb.

        Michigan State kept ties to coach accused of sexual abuse

        Britain's Queen Elizabeth II talks to John Spurling, Chairman of London Marathon Events, before pressing a button to start the London Marathon from Windsor Castle, Windsor, England, Sunday April 22, 2018, which is relayed to big screens at the start of the Marathon setting off 40,000 runners

        29-year-old chef dies after collapsing at London Marathon

      • Entertainment
        • All
        • Celebrity
        • Movies
        • Music
        • TV
        In this April 2018 photo provided by the Museum of Contemporary Art Chicago, Qatari-American artist Sophia Al-Maria poses for a portrait in Glasgow, Scotland, Britain.

        Qatari-American contemporary artist wins new $100,000 prize

        Town Crier Tony Appleton announces that the Duchess of Cambridge has given birth to a baby boy outside the Lindo wing at St Mary's Hospital in London London, Monday, April 23, 2018.

        Royal baby: It’s a boy for Kate on England’s national day

        In this June 11, 2008 file photo, actor Verne Troyer poses on the press line at the premiere of the feature film "The Love Guru" in Los Angeles

        Verne Troyer, Mini-Me from ‘Austin Powers’ films, has died

        In this December 2017 file photo, singer Taylor Swift performs at Z100's iHeartRadio Jingle Ball at Madison Square Garden on in New York.

        Police: Stalker broke into Taylor Swift’s NYC home, took nap

        Britain's Queen Elizabeth raises her glass during speeches at The Queen's Dinner, during the Commonwealth Heads of Government Meeting at Buckingham Palace in London, Thursday, April 19, 2018

        Queen Elizabeth II turns 92, to attend star-studded concert

        In this Nov. 24, 2013 file photo, Avicii accepts the award for favorite artist - electronic dance music at the American Music Awards in Los Angeles.

        Avicii, DJ-producer who performed around the world, dies

      • Lifestyle
        • All
        • Arts
        • Culture
        • Fashion
        • Food & Drink
        • Health
        • Nightlife
        • Real Estate
        • Shopping
        In this March 7, 2017, file photo, the CEO of a methadone clinic holds a 35 mg liquid dose of methadone in Rossville, Ga.

        Opioid treatment gap in Medicare: methadone clinics

        This Dec. 17, 1997, file photo, lettuce is harvested at a farm in Wellton, Ariz., east of Yuma.

        CDC expands romaine lettuce warning after E. coli cases rise

        Mike Cossey, of Bureau Veritas, uses an air monitor to check the quality of air at a police roadblock marking the 1.5-mile perimeter of the evacuation area around the Arkema Inc. chemical plant Thursday, Aug. 31, 2017, in Crosby, Texas.

        Air quality improving in SWFL, new report says

      • Tech
        In this March 29, 2018, file photo, the logo for Facebook appears on screens at the Nasdaq MarketSite in New York's Times Square.

        For the first time, Facebook spells out what it forbids

        In this May 9, 2017, file photo, a package from Amazon Prime is loaded for delivery in New York.

        Get Into My Car … Amazon begins delivery to vehicles

        In this April 19, 2018, photo, workers remove the veil from the Infiniti electric concept sedan at a showroom ahead of the Auto China 2018 to be held in Beijing, China.

        China auto show highlights industry’s electric ambitions

        In this May 16, 2012, file photo, the Facebook logo is displayed on an iPad in Philadelphia.

        Facebook adds privacy settings to comply with European rules

        This Oct. 15, 2014 photo made available by The Reykjavík Metropolitan Police shows Sindri Thor Stefansson.

        Iceland: Bitcoin heist suspect has likely fled to Sweden

        In this Feb. 26, 2014, file photo, a sign for the ZTE booth is seen at the Mobile World Congress, the world's largest mobile phone trade show in Barcelona, Spain.

        US bars China’s telecom giant ZTE from buying US components

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      Medicaid work mandate will create uncertainty in some states

      by Associated Press
      January 14, 2018
      in Health, National
      0
      Medicaid recipient Thomas J. Penister, of Milwaukee, responds to a question during an interview Friday, Jan. 12, 2018, in Milwaukee

      Medicaid recipient Thomas J. Penister, of Milwaukee, responds to a question during an interview Friday, Jan. 12, 2018, in Milwaukee. (AP Photo/Gretchen Ehlke)

      AP LogoBY ANDREW DeMILLO and GRETCHEN EHLKE

      LITTLE ROCK, Ark. (AP) — Republicans this past week began to realize their long-held goal of requiring certain adults to work, get job training or perform community service in exchange for getting health coverage through Medicaid.

      Whether that’s a commonsense approach or an added burden that will end up costing many Americans their health insurance will now be debated in states across the country considering the landmark change to the nation’s largest health insurance program.

      To Medicaid recipients such as Thomas J. Penister of Milwaukee, it’s created uncertainty about their ability to have health coverage.

      He’s been unemployed for the last four or five years and has received Medicaid for the past two. He sees a behavioral health specialist to deal with anxiety and said Medicaid has made a big difference in his life.

      Penister, 36, said he is not yet ready to rejoin the workforce and is unnerved by the prospect of potentially losing Medicaid. His state, Wisconsin, is one 10 that applied to the federal government for a waiver seeking to implement work and other requirements for single adults.

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      “Would it be advantageous for me even to go into the workforce instead of me therapeutically transitioning to a state where I’m actually ready to perform in the workforce?” he said. He compared it to someone recovering from a car accident “and saying that in order for me to give you this medication, you got to go to work. Well, I can’t.”

      Yet his story also helps make the case for those who favor some type of commitment from working-age adults who benefit from Medicaid, the state-federal health care program for poor and lower-income Americans. Wisconsin Gov. Scott Walker, a Republican, sought federal approval for a work requirement last year and said it helps prepare recipients to leave public assistance.

      Penister’s status is unclear, because Wisconsin’s proposed changes would exempt anyone diagnosed with a mental illness or who is mentally unable to work.

      Republicans say work and other requirements will return Medicaid to its original intent — to act as a stopgap until people can find work. They say it has expanded far beyond its basic mission.

      The program, created in 1965 for families on welfare and low-income seniors, now covers more than 70 million people, or about 1 in 5 Americans. It expanded under President Barack Obama’s health care law, with a majority of states choosing to cover millions more low-income people.

      President Donald Trump’s administration announced that it will allow states to implement certain requirements as a condition of receiving Medicaid benefits. Generally, it will mean that states can require many adults on Medicaid to get a job, go to school, take a job-training course or perform community service to continue their eligibility.

      Ten states had previously asked the federal government for the requirement waiver, and others are sure to follow. On Friday, Kentucky became the first to have it approved. Gov. Matt Bevin, a Republican, called the new requirement “transformational.”

      Bevin has said he expects the move to save the state more than $300 million over the next five years in Medicaid costs. But he also estimated that as many as 95,000 Kentucky residents could lose their Medicaid benefits, either because they will not comply with the new rules or will make too much money once they begin working.

      Critics of the policy shift point to the number of people who could lose coverage, even if they meet the new requirements.

      “We just have concerns that a lot of people who still are legitimately eligible, who do meet the work requirement, will end up falling off the rolls because they don’t know how to verify or there’s a technology glitch,” said Marquita Little, health policy director for Arkansas Advocates for Children and Families.

      In Arkansas, the work requirement is among several new restrictions the state has proposed for its hybrid Medicaid expansion. About 285,000 people are on the program, which uses money from Medicaid to buy private health insurance for low-income people.

      Supporters of the work requirement cast it as a way to move more people into the workforce and eventually off the program.

      “These are people that are either underemployed or do not have sufficient training, and this is a mechanism to put into place to make sure that the health care coverage is really a bridge to training and better employment,” Arkansas Gov. Asa Hutchinson, a Republican, told The Associated Press. “I think it really fits in with the goals of our state in increasing our workforce and training our workforce.”

      States face limits on how far they can go. The administration has said states should exempt pregnant women, the disabled and the elderly, and that they should take into account hardships for people in areas with high unemployment or for people caring for children or elderly relatives. States also have to make accommodations for people in treatment for drug and alcohol problems.

      Arkansas’ waiver request to the federal government says it would require childless, able-bodied adults on expanded Medicaid between the ages of 19 and 49 to work 20 hours a week or participate in other activities such as job training or volunteering.

      In Maine, where Republican Gov. Paul LePage is pushing for a work requirement, Democrats are deriding the idea as essentially a political stunt to punish the poor.

      “They aren’t about getting people back to work. Instead, it’s a political move to take health care away from people who have already fallen on hard times,” Democratic House Speaker Sara Gideon said. “The reality is that Medicaid supports work, and the sooner Governor LePage and the Trump Administration realize this, the better.”

      ___

      Ehlke reported from Milwaukee. Associated Press writers Scott Bauer in Madison, Wisconsin; Adam Beam in Frankfort, Kentucky; Kelli Kennedy in Fort Lauderdale, Florida; Bruce Schreiner in Louisville, Kentucky; and Patrick Whittle in Portland, Maine contributed to this report.


      Copyright 2018 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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      Tags: Healthcare reform in the United StatesMatt BevinMedicaidMedicaid work mandate
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