After record high number of hot car deaths, here’s a guide to keep kids safe this summer

iStock/Srdjanns74(NEW YORK) — As the temperature climbs this Memorial Day weekend, so does the danger lurking inside our own cars.

Hot car deaths reached a record level last year with at least 52 children killed, from California to Tennessee to Mississippi, according to national nonprofit KidsAndCars.org.

Just this Wednesday, a baby girl died when she was left for hours in a hot van outside her Florida day care, according to authorities. A co-owner of the day care was arrested on child neglect charges.

“We are all just beyond devastated,” KidsAndCars.org director Amber Rollins told ABC News after Wednesday’s death.

Children’s bodies heat up much faster than adults’ do, according to the National Safety Council.

Children’s internal organs begin to shut down once their core body temperature reaches 104 degrees — and it takes very little time for a car to get too hot for children, according to a report published by the council last year.

On an 86-degree day, for example, it would take only about 10 minutes for the inside of a car to reach a dangerous 105 degrees, researchers said.

Rollins offers these tips for drivers:

  • Always keep cars locked even if you don’t have children.
  • Always keep keys out of children’s reach.
  • Place an item you can’t start the day without in the backseat.
  • If a child goes missing, check the inside and trunk of all cars in the area immediately.
  • Teach children to honk the horn if they get stuck.

“If you see a child or animal alone in a car, do something,” Rollins said. “If they are in distress, you need to get them out immediately and begin to cool them.”

Her nonprofit, KidsAndCars.org, is advocating for Congress to require rear occupant alarm technology in cars.

“We have to do more,” Rollins said. “This cannot continue to happen week after week, year after year when the solution is right at our fingertips.”

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Warm weather and heat-related illness: Why it’s important to stay hydrated

kuppa_rock/iStock(NEW YORK) — As the weather warms up, more people are heading outside for both fun and exercise. But with warm weather comes a greater risk of heat-related illnesses, which is why it’s important to stay hydrated, especially if you’re practicing high-intensity activities, such as running.

Heat-related illness is more likely to affect people who are 65 years old and above, however, other age groups can also be affected. From 2001 to 2010, there were 28,000 heat-related hospitalizations in the United States, with the highest rates occurring in the Southeast and Midwest, according to the latest figures from the Environmental Protection Agency. From 1979 to 2014, over 9,000 people died from heat-related causes.

During that same time period, however, sports-related heat strokes more than doubled, with more deaths reported between 2005 and 2009 than any other five-year period in the preceding 30 years, according to a 2014 study.

The good news is these complications are preventable if you take the right precautions.

Here’s what you should know about heat-related illnesses and staying hydrated.

Why is hydration important?

Water is a fluid that’s necessary for carrying nutrients to our cells, preventing constipation and improving mental and physical performance.

It’s also essential for sweating, one of the main mechanisms the body uses to cool down. When we sweat, the heat that our bodies produce is transferred into the water within our bodies, which is then expelled as sweat. Without proper hydration, the body is unable to cool down properly. Dehydration can lead to heat-related illnesses, such as heat exhaustion, heat cramps and heatstroke.

For the average person each day, the Centers for Disease Control and Prevention recommends that women drink 2.7 liters of water (from all beverages and foods and men drink 3.7 liters).

What are some warning signs of dehydration?

Common symptoms include feeling light-headed, dizzy, nauseous or tired and having headaches. These are often the first signs of heat exhaustion. Urine is also a good way to determine your hydration levels — the lighter it is, the more hydrated you are. If it appears dark yellow or amber, then it’s more concentrated, and you’re most likely dehydrated.

If these symptoms become more severe, they can lead to shock, a condition where the body’s tissues are unable to maintain adequate blood flow.

What are some complications of dehydration?

When symptoms of dehydration become more severe, they can lead to major complications if left untreated. Dehydration occurs when the body has lost its stores of salt and water. If these stores aren’t replenished, painful, involuntary muscle spasms known as heat cramps can occur.

In cases of severe dehydration, a person can go into shock due to inadequate blood flow throughout the body’s tissues and muscle tissues can break down — a condition known as rhabdomyolysis. This, in turn, can progress into life-threatening complications such as heat stroke, which occurs when the body overheats and sweating and other cooling mechanisms fail.

Is it possible to overhydrate?

Though rare, it is possible to drink water to the point that it’s dangerous. This is because too much water can lead to a low sodium level, known as “hyponatremia.”

Exercise-associated hyponatremia is the term used for people who have low blood sodium levels that occur during or immediately after strenuous exercise. Exercise-associated hyponatremia was noted in 13 percent of the 488 finishers who participated in the 2002 Boston Marathon, according to one study.

The biggest risk factor for the condition is drinking too much water too quickly — more than 1.5 liters per hour — which leads to fluid overload. Other risk factors, according to one review, included a longer race time — such as in marathons — a lower body mass index, and being a woman.

Despite sports drinks with added carbs or electrolytes providing sodium to those who drank them, a 2006 study found that they were still not effective at preventing exercise-associated hyponatremia in older, active adults ages 54 to 70.

How can I stay properly hydrated?

The American College of Sports Medicine has provided key tips for hydrating yourself before, during and after an intense workout. Here they are:

Before exercise:

· Hydrate. Drinking fluids with meals will help replace the ones you lose during exercise and reduce your risk of dehydration.

· Checking your daily weight can be a helpful tool to track fluid loss. Postexercise and day-to-day changes are likely from losing fluid.

· Consider drinking 16 to 20 fluid ounces four hours before you exercise, especially if your weight is on the lower end pre-exercise.

· Allow your body to recover after exercise for at least eight to 12 hours to help with fluid replacement.

During exercise:

· Drink to thirst. No more, no less.

· Drink no more than 0.8 liters of fluids per hour because anything more could put you at risk for hyponatremia.

· Adjust for the weather. Hotter temperatures mean more fluid loss, so you will need to drink more.

· Consider drinking something with 6% to 8% carbohydrates for longer events.

After exercise:

· Drink 16 to 24 fluid ounces for every pound lost relative to your pre-workout weight.

· After exercise, you should drink beverages with your meal.

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Morgan Miller reflects on the drowning death of her daughter

Stephen J. Cohen/WireImage(NEW YORK) — Almost a year after Olympic skier Bode Miller and his volleyball star wife lost their 19-month-old daughter in an accidental drowning in a neighbor’s swimming pool, Morgan Miller is working to raise awareness about water safety.

In an Instagram post, Morgan Miller shared a PSA she made with another mother who lost a child to drowning. In it, they share details of what happened to their families and educate others on how to avoid the same fate.

Both mothers encouraged parents to make a water safety plan.

“Time is not on our side when it comes to water. And even though my daughter was resuscitated there was too much damage to her brain for her to survive,” Morgan Miller said. “It takes seconds.”

Emmy Miller was 19 months old when she died following a drowning accident in Orange County, Calif last June. According to the Centers for Disease Control and Prevention, drowning is responsible for more deaths among children ages 1-4 than any other cause except for birth defects, and children ages 1-4 have the highest drowning rates. Furthermore, for children 1-4, most drownings occur in home swimming pools.

“With a holiday weekend quickly approaching, be vigilant, be aware and be a voice to spread awareness,” Morgan Miller wrote on Instagram. Do not rely on the visual stimulation of water to trigger your awareness.”

At the time of Emmy’s death, Morgan Miller, 32, was pregnant with her third child, son Easton, who was born last October. (Bode Miller, 41, also has two children from previous relationships.)

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As Memorial Day approaches, 62,000 pounds of raw beef products recalled due to E. coli concerns

gilaxia/iStock(NEW YORK) — Over 62,000 pounds of raw beef products shipped nationwide are being recalled due to possible E. coli contamination, just days before Memorial Day, one of the country’s biggest grilling holidays.

The beef products came from Aurora Packing Company in Aurora, Illinois, where they were packed on April 19, according to the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS).

The products that are being recalled — cuts of meat that include skirt, brisket, short ribs and ribeye — are labeled with an establishment number of “EST. 788.”

The FSIS implored anyone with these beef products to throw them away or return them.

The contaminated meat was discovered during random sample testing by the FSIS.

Although there have been no confirmed reports of illness from eating the meat, the FSIS asked anyone who is concerned about an injury or illness to contact a health care provider.

E. coli is a bacteria often transmitted through contaminated food or water. The bacteria can cause stomach cramps, diarrhea and vomiting, with these symptoms normally appearing three to four days after exposure.

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14 nurses in 1 hospital oncology unit are pregnant at the same time

Fourteen pregnant nurses from the oncology unit of Massachusetts General Hospital in Boston are pictured in an undated handout photo. (Courtesy Massachusetts General Hospital)(BOSTON) — Over the past few months, 14 nurses have come into the office of Ellen Fitzgerald, director of nursing in an oncology unit at Massachusetts General Hospital.

Each nurse has told Fitzgerald the same thing: “I am pregnant.”

The 14 nurses in the unit, which treats leukemia and bone marrow patients, are all expecting between now and November. That is on top of four nurses in the unit who have already given birth this year.

While the prospect of planning for 18 maternity leaves at once may sound overwhelming, Fitzgerald said the seriousness of the illnesses they treat in their oncology unit puts it all in perspective.

“I don’t know that you can be anything but joyful about bringing life into the world,” Fitzgerald said. “We will take care of our patients and our nurses.”

Fitzgerald said she created a spreadsheet to track the nurses’ schedules and that she plans to turn a room in the unit into a lactation room so that her nurses can pump peacefully.

For the pregnant nurses, all in their 30s, being pregnant at the same time has been a bonding experience for the already close coworkers.

“It’s a blessing because I feel so supported by my manager and colleagues who have become my close friends,” said Kathleen Chivers, who is due in September with a girl. “I feel so lucky.”

The nurses said they are supporting each other in ways big and small, from sharing advice to maternity clothes and staying stocked with snacks for whoever needs one at any moment.

“We do serious work but we have a lot of fun together and are very close,” said Sally Alexander, who is due in June. “We’re very supportive of each other on a day-to-day basis and now even more so when people may need a little help because they can’t walk as fast.”

Chelsey Johnson is expecting her first child — a boy — next month. She spoke for the first-time moms-to-be in the group who are relying on their coworkers for advice.

“Being pregnant is a really a wild ride and you don’t know what to expect and there’s been 13 other people to ask,” she said, describing the experience as “happy” and “reassuring.”

While it is easy to imagine there being a reason beyond coincidence for how groups of women like the ones at Massachussetts General get pregnant at the same time, doctors say there isn’t one.

“More likely, I think it’s people who are around the same age, going through the same thing and they see people getting pregnant and being able to handle it,” Dr. Joanne Stone, director of maternal-fetal medicine at Mt. Sinai Hospital, told Good Morning America last month. “It’s more of an atmospheric thing than there’s any medical reason for it.”

The nurses plan to take an average of 12 weeks maternity leave. Fitzgerald said that for the first time in her career she has over-hired for her unit.

“I will be over budget and the hospital supports that because we have to have coverage,” she said. “It’s just causing smiles around here. We know we will absolutely get through this.”

Another nurse, Caroline Arriggi, surprised the group further when she announced that she is pregnant with twins. She is already planning for a photo shoot in November with all 19 of the unit’s babies.

The coworkers said they are also planning future play dates with their children. They also wouldn’t be surprised if there are more pregnancy announcements to come.

When asked what the last due date is for the group of 14 pregnant nurses, they replied, “November,” and then quickly added nearly in unison, “That we know of.”

“A lot of us are in that core age bracket where people are having their first child or have one baby and are planning for another,” Ariggi said. “I think Ellen [Fitzgerald] just has to get used to all these pregnancies all the time.”

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Seven dietary factors may increase your risk of cancer: Study

fcafotodigital/iStock(NEW YORK) — Seven dietary factors may increase the risk of cancer for American adults aged 20 and over, according to a new study published in the JNCI Cancer Spectrum medical journal.

The study, conducted by researchers at Tuft’s Friedman School of Nutrition Science and Policy, found that in 2015 over 80,000 new cancer cases were associated with low whole-grain intake, low dairy intake, high intake of processed meats and red meat, low fruit and vegetable intake, and high intake of sugary beverages.

Those new cases represent approximately 5.2 percent of total cancer cases reported among U.S. adults in that year, similar to the percentage of cancer cases linked to alcohol consumption — approximately 4 percent to 6 percent — according to the researchers.

“Our findings underscore the opportunity to reduce cancer burden and disparities in the United States by improving food intake,” the study’s lead author, Dr. Fang Fang Zhang, said in a statement.

While the study looked at national data for diet and cancer, that data is based on what people self-reported.

“It was a very interesting study,” ABC News chief medical correspondent Dr. Jennifer Ashton said Thursday on Good Morning America. “They based it on mathematical models, statistics, estimates, they crunched some numbers based on how people say they ate and the new cases of cancer in the United States.”

“It’s not only about eating the wrong things, it’s about not eating enough of the right things,” she added.

Low whole-grain intake was the dietary factor most strongly associated with a higher cancer risk, according to the study. Cancers most associated with diet were colorectal cancers, followed by cancer of the mouth and throat.

Researchers also found that diet was responsible for higher rates of cancers among racial minorities in the U.S., including African Americans and Latinos, compared to white people.

Ashton said that especially in regards to the study’s finding about low whole-grain intake, people need to keep in mind that diets and eating are “not one size fits all.”

“You have to find what works for you and there is a trade off, and a big one when you talk about low-carb diets,” she said. “Because for a lot of people [on low-carb diets], they’re keeping their weight down, they’re preventing obesity and diabetes and heart disease and some types of cancer, so that can be a good thing.

“But, again, if you’re not eating grains and dairy and fruits and vegetables, you’re missing out, so again, moderation, holistic and do what works for you,” said Ashton.

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Girl with spina bifida chases her dreams by running in her first track race

Courtesy Chelsea Garcia(NEW YORK) — Aubrey Garcia, a 7-year-old girl with spina bifida, is running straight into people’s hearts after completing her first track race.

Aubrey’s mom Chelsea Garcia learned that her daughter had a fluid sac on her spine and an enlarged ventricle in her brain when she received her 20-week ultrasound. When the doctor called the next day to tell her and her husband what they had found, the couple didn’t know how to take the news.

“I had never met anyone with the condition or read anything about it,” Garcia said. “You never think you’re going to hear something bad about your child.”

The day after Aubrey was born she received surgery to remove her spinal defect and insert a shunt to drain the extra spinal fluid into her abdomen. Despite the procedure, the effects of her condition still impact her.

Aubrey has no feeling from the knees down and has worn orthotics on her feet and ankles since she was 3 months old. When learning to walk, she had to teach herself using only her hip and thigh muscles. Because of this, she has relied on the help of mobile prone standers, walkers and therapy to help her walk the majority of her life. After years of hard work, Aubrey began to walk on her own at 6 years old.

“Sometimes I’ll suggest using a walker to get around if we’re going to Walmart or a big store like that, but she refuses,” Garcia said. “She wants to do it all on her own.”

Because of Aubrey’s strong will, it came as no surprise when she told her mom that she wanted to run track just like her older sisters.

“She’s very headstrong and she won’t be stopped from doing anything and she’s not fazed by learning how to do things differently,” Garcia said. “She’s never acted like any of this was a problem. It’s just normal, this is her life. She’s never been less than happy.”

Garcia entered Aubrey in the “Little Cardinal” track meet, a running competition the town puts on for kids once a year. After months of anticipation and practicing by running down the field with her friends at her sister’s track meets, Aubrey was ready for her big race.

Garcia stood with Aubrey by the starting line while her husband waited for her at the end of the lane. When the starting bell sounded, Garcia couldn’t help but get tears in her eyes.

“It’s just one of those moments you can’t help but cry because you thought these were things you were never going to get to see happen,” Garcia said. “Yet it wasn’t surprising to see her out there running because that’s just how she is.”

Aubrey stumbled before she got to the finish line, and although the other kids she competed against already finished, the crowd made it clear that she was first in their hearts.

“I couldn’t help but lose it when she began to stumble,” Garcia said. “It was amazing to see how many people were clapping and rooting for her to finish.”

Garcia said Aubrey was smiling from ear-to-ear when she finished the race. Although 50 meters may not have seemed long to the other kids, Aubrey conquered many hurdles to cross that finish line.

“My husband and I both told her how proud we were of her and how we were so amazed she made it,” Garcia said. “To see her do something that you didn’t think she’d ever be able to do, it makes you think about all the other things she’s capable of.”

Garcia says Aubrey definitely wants to run in the next track meet and is looking forward to participating in the Special Olympics when she’s old enough.

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Should parents get their kids’ permission before posting their photos on social media?

ABC News(NEW YORK) — You might think kids are sharing too much on social media, but in many cases it’s parents who are doing it — with kids complaining that their moms and dads are revealing way too much.

For 14-year-old Lillian Durben of Silverlake, Washington, her mom Kate Durben was posting photos of her without permission.

“To be honest, I was very upset,” Lillian told ABC News’ Good Morning America in a sit-down interview.

Mom Kate said that although she knew her daughter didn’t want her to share certain pictures, she just couldn’t resist.

“I justified it by saying, ‘It’s fine, it’s a cute picture. Why wouldn’t she want me to share it?,'” Kate told GMA. “She looked cute … but that isn’t the issue, is it?”

“It really wasn’t the picture I was upset about,” Lillian explained. “Mostly it was just because I asked her not to post my photo. I just was hurt after I clearly didn’t want her to.”

Kate has since pulled down the photos that Lillian had asked her not to share.

Even celebrity moms have found themselves in hot water. Actress Gwyneth Paltrow was recently scolded by her daughter Apple after posting a photo of her on Instagram.

“Mom, we have discussed this,” Apple wrote in the comment section. “You may not post anything without my consent.”

Jodi Gold, a child and adolescent psychologist who is the director of the Gold Center for Mind, Health and Wellness, said parents of middle schoolers and above should get consent from their children before posting.

“We’re all on social media and all of our kids are on social media, so we’re now going to have to navigate the parental-child relationship in the realm of social media,” Gold told GMA.

Gold also warned that even if your kids are too young to care, you should still use discretion.

“The naked [baby] pictures in the bathroom are really cute, but will the 20- or 25-year-old children really appreciate them? Probably not,” Gold said.

And it’s not just photos. In April, an anonymous user who said he or she was in middle school vented on Reddit, “…my mom has posted literally every aspect of my life … If we get in a fight, she’s on FB asking for advice. I feel like I have absolutely no privacy. I can’t talk to my own mother for fear she’ll post it on social media. I’m her child, not her dog.”

Gold said it’s important for parents to keep the dialogue open with their kids.

“It is very dangerous if you start posting about what’s going on with you and your child, because you will shut down that dialogue immediately and you will lose your child’s trust,” said Gold.

“It’s fine to vent to friends but there’s appropriate places to vent, and social media is not the place,” Gold added.

Kate Durben said she now sees that damage can be done if you don’t respect your child’s wishes.

“She’s got her own image to manage,” Kate said of her daughter.

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More questions than answers in death of 13-year-old Massachusetts girl left at hospital

Adam Calaitzis/iStock(LAWRENCE, Mass.) — More questions than answers remain in the mysterious death of a 13-year-old girl as investigators look into how she died at a Lawrence, Mass., emergency room this week.

Authorities have not released the name of the Amesbury, Mass., girl, but the family identified her as Chloe Ricard, reported ABC Boston affiliate WCVB.

The 13-year-old was brought to the Lawrence General Hospital emergency room at 4:47 p.m. Monday and was pronounced dead “shortly after arrival,” the Essex District Attorney’s Office said in a statement.

An autopsy was conducted Tuesday, but it’s expected to “take some time before there is a ruling on the cause and manner of death,” according to the district attorney’s office.

Foul play has not been ruled out, district attorney’s office spokeswoman Carrie Kimball told ABC News Wednesday.

Investigators are not disclosing how the teen arrived at the emergency room, citing the ongoing investigation, Kimball said.

She added, “The people who brought her made her identity known to the hospital.”

Ricard’s family said the teen had stayed with a friend on Sunday night.

“Who can do that? Who can take and just dump her?” Chloe’s mother, Deborah Goldsmith-Dolan, told WCVB.

Chloe’s stepfather, Brian Dolan, added, “I’ve been trying to piece it together, like trying to get a hold of her friends to see if I can find out what’s going on, and no one is saying nothing to me.”

No arrests have been made, the district attorney’s office said, and the investigation is ongoing.

Brian Dolan called his stepdaughter “a great kid… she was bright.”

“Just the wrong place with the wrong people,” he told WCVB.

A spokesperson for Lawrence General Hospital tells ABC News, “Our hearts go out to the family in this situation. We’re cooperating fully with the police in the investigation.”

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Democrats and Republicans come together to end surprise medical bills

DNY59/iStock(WASHINGTON) — Katie Porter while fighting through the pain of a burst appendix during campaigning and just weeks before election day in Irvine, Ca., texted her campaign manager that she needed to go to the hospital.

Even though there was an emergency room close by she asked to go to Hoag Hospital because she knew her health insurance would cover her since it was an in-network provider.

Six hours later she awoke from surgery to see the medical team around her in a panic.

They couldn’t get her temperature to drop or her blood pressure to rise and she would spend the next five days in the hospital recovering.

Roughly $55,000 worth of her hospital costs were covered by her Anthem Blue Cross insurance policy. However, a few days later, Porter said she received a roughly $3,000 bill from her surgeon. While the hospital she went to was in-network, the surgeon himself was not and her insurance company refused to pay.

“Apparently, to Anthem Blue Cross, $3,000 was too high a price to charge for saving my life,” Porter said in a Tuesday congressional hearing.

Rep. Porter’s surprise medical bill is a phenomenon that impacts 57 percent of American adults, according to a University of Chicago survey conducted last summer.

In the midst of a political showdown between Congress and the White House over issues ranging from subpoenas to immigration, lawmakers are currently considering bipartisan pieces of medical billing legislation that might ultimately make it to the president’s desk. Two weeks ago, Trump announced his desire to see surprise medical billing legislation rolled out and within a week, Republicans and Democrats in both the House and Senate drafted bipartisan legislation to answer that request.

A number of 2020 presidential contenders have weighed in on this issue including Sen. Bernie Sanders whose re-launched Medicare-for-all proposal would provide government-run, Medicare-style health insurance for all Americans, outlaw most duplicative private insurance in the process and end copays, deductibles and surprise medical bills.

Several of his fellow 2020 presidential competitors have signed onto his bill in the past, including Senators Kamala Harris, Elizabeth Warren, Cory Booker and Kirsten Gillibrand.

Tuesday, the House Energy and Commerce Committee held a hearing with lawmakers, medical experts and health care trade association leaders to address the problem of surprise medical bills.

“I know both sides of the isle of Congress are interested in finding a solution that protects patients,” Rep. Devin Nunes, R-Calif., said.

In the Senate, lawmakers unveiled the STOP Surprise Medical Bills Act that would ban surprise medical billing for patients who visit an out-of-network provider in both emergency and non-emergency situations. The bill, which Louisiana Republican Sen. Bill Cassidy has been working on for nearly a year, would have patients pay the same cost as if they went to an in-network provider. However, under the legislation insurers and providers could appeal the payment amount to an independent arbitrator.

“Patients should be the reason for the care, not an excuse for the bill,” Cassidy said in a statement. “This is a bipartisan solution ensuring patients are protected and don’t receive surprise bills that are uncapped by anything but a sense of shame.”

The No Surprises Act, which was drafted by the House Ways and Means Committee, is similar to Cassidy’s proposed legislation but leaves out the independent arbitration process which the White House has said it doesn’t support.

Reps. Joe Morelle, D-N.Y., and Van Taylor, R-Texas, released their own piece of bipartisan legislation that would give providers and plans 30 days to participate in negotiations about medical costs. If they do not come up with an agreement, then the insurer must pay the provider a temporary payment. Either party could dispute the temporary payment from arbitration.

“Americans are already struggling to afford the continually increasing cost of health care – they shouldn’t be blindsided by unexpected and hyper-inflated medical bills when they unexpectedly need to see out-of-network providers,” Taylor said. “Reducing out-of-pocket health care cost isn’t a partisan issue and I am proud to come together with Representative Morelle to introduce this commonsense proposal that will end surprise billing and give more certainty to our constituents.”

According to a recent ABC News/Washington Post poll, Americans by a 17-point margin say Trump’s handling of health care makes them more likely to oppose than support him for a second term.

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