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US judge rules in favor of pharmacist who denied woman morning-after pill | usnews

A Minnesota jury has ruled that a pharmacy did not discriminate against a woman when it was denied to give her the morning-after pill.

The pharmacist gave “belief” as the reason for refusing to fill the prescription for emergency contraception. Although the jury decided that the woman’s rights had not been violated, it did say that the emotional damage caused by the decision amounted to $25,000.

Gender Justice, a nonprofit legal advocacy, filed the lawsuit on behalf of Andrea Anderson in 2019, although the case did not reach trial until Monday.

Anderson was denied morning-after contraceptive bills by numerous pharmacies, and said she would have to travel 100 miles total to get a pill.

In a statement released by Gender Justice, she expressed concern about the preceding jury’s decision sets and the message it gives to other women seeking emergency contraception.

“What if they accept the pharmacist’s decision and don’t realize that this behavior is wrong? What if they have no other choice? Anderson said. “Not everyone has the means or ability to drive hundreds of thousands to get a prescription filled.”

“Unfortunately, highly personal healthcare decisions such as whether to get pregnant and grow your family are heavily politicized,” said Jess Braverman, legal director at Gender Justice. “It is illegal sex discrimination in the state of Minnesota for a pharmacist to refuse to dispense emergency contraception without, at the very least, ensuring a patient can get their prescription without extra delay and cost to them.”

The verdict comes on the heels of a June decision by the supreme court to overturn the constitutional right to an abortion initially protected in the case of Roe v Wade.

Minnesota still allows abortions legally after the overturning of Roe, and permanently blocked “numerous medically unnecessary restrictions” in July.

Friday’s jury decision coincided with Indiana imposing a near-total ban on abortion, the first state to do so following the overturning of Roe.

Following the passing of that law, the pharmaceutical company Eli Lilly said it will be “forced to plan for more employment growth outside our home state”.

“We are concerned that this law will hinder Lilly’s – and Indiana’s – ability to attract diverse scientific, engineering and business talent from around the world,” it said.

Some traditionally conservative states such as West Virginia and South Carolina continue to debate remain in a limbo in terms of coming to a conclusion about their decision on abortions.

Last week, in the nation’s first referendum on abortion since the supreme court decision, voters in Kansas rejected a change to their state constitution protecting abortion rights.

The surprise victory was celebrated as a testament to the desire for abortion rights nationwide, even in Republican-leaning states.

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US

US judge rules in favor of pharmacist who denied woman morning-after pill | usnews

A Minnesota jury has ruled that a pharmacy did not discriminate against a woman when it was denied to give her the morning-after pill.

The pharmacist gave “belief” as the reason for refusing to fill the prescription for emergency contraception. Although the jury decided that the woman’s rights had not been violated, it did say that the emotional damage caused by the decision amounted to $25,000.

Gender Justice, a nonprofit legal advocacy, filed the lawsuit on behalf of Andrea Anderson in 2019, although the case did not reach trial until Monday.

Anderson was denied morning-after contraceptive bills by numerous pharmacies, and said she would have to travel 100 miles total to get a pill.

In a statement released by Gender Justice, she expressed concern about the preceding jury’s decision sets and the message it gives to other women seeking emergency contraception.

“What if they accept the pharmacist’s decision and don’t realize that this behavior is wrong? What if they have no other choice? Anderson said. “Not everyone has the means or ability to drive hundreds of thousands to get a prescription filled.”

“Unfortunately, highly personal healthcare decisions such as whether to get pregnant and grow your family are heavily politicized,” said Jess Braverman, legal director at Gender Justice. “It is illegal sex discrimination in the state of Minnesota for a pharmacist to refuse to dispense emergency contraception without, at the very least, ensuring a patient can get their prescription without extra delay and cost to them.”

The verdict comes on the heels of a June decision by the supreme court to overturn the constitutional right to an abortion initially protected in the case of Roe v Wade.

Minnesota still allows abortions legally after the overturning of Roe, and permanently blocked “numerous medically unnecessary restrictions” in July.

Friday’s jury decision coincided with Indiana imposing a near-total ban on abortion, the first state to do so following the overturning of Roe.

Following the passing of that law, the pharmaceutical company Eli Lilly said it will be “forced to plan for more employment growth outside our home state”.

“We are concerned that this law will hinder Lilly’s – and Indiana’s – ability to attract diverse scientific, engineering and business talent from around the world,” it said.

Some traditionally conservative states such as West Virginia and South Carolina continue to debate remain in a limbo in terms of coming to a conclusion about their decision on abortions.

Last week, in the nation’s first referendum on abortion since the supreme court decision, voters in Kansas rejected a change to their state constitution protecting abortion rights.

The surprise victory was celebrated as a testament to the desire for abortion rights nationwide, even in Republican-leaning states.

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US

Democrats plan to challenge parliamentarian on insulin cap

Senate Democrats say they plan to challenge a ruling by the parliamentarian striking a proposal sponsored by Sen. Raphael Warnock (D-Ga.) to cap insulin prices from the Inflation Reduction Act, according to a Democrat familiar with the plan.

As of now, Warnock’s proposal to cap out-of-pocket insulin costs at $35 a month is in the bill, but the parliamentarian is expected to rule on the Senate floor that it does not comply with the Byrd rule, which prohibits policymaking in budget reconciliation bills that have a tangential impact on spending and revenue.

But Democrats plan to challenge the parliamentarian’s ruling on the floor, which means they would need 60 votes to waive an objection to keeping the insulin provision in the bill.

Any effort to overturn the parliamentarian is not likely to get 10 Republican votes, but it will put Republicans on the record as opposing a $35 monthly cap on patients’ insulin costs, which Democrats can use as political ammo in the midterm elections.

“I think it’s hard for elected officials to go home, as everybody’s headed now, and try to explain, if they choose to vote that way, why they’re not supporting getting relief to millions of Americans who are getting crushed by these insulin bills ,” Senate Finance Committee Chairman Ron Wyden (D-Ore.) said ahead of the floor showdown.

Maine Sen. Susan Collins (R) said it was “unfortunate” that Democrats were turning the issue into a political football.

Collins has sponsored a bipartisan bill with Sen. Jeanne Shaheen (DN.H.) to lower insulin costs.

Their bill would encourage insulin manufacturers to reduce their list prices and limit out-of-pocket costs for patients with diabetes by ensuring that group and individual market health plans waive deductibles and cost-sharing to no more than $35 a month, according to a summary provided by their offices.

“I think it’s unfortunate that it was included” in the reconciliation package, Collins said of the insulin proposal that is expected to be defeated on the floor Saturday.

Mychael Schnell contributed.

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US

Northfield, New Hampshire homicides: New search underground

Law enforcement will be searching areas in Tilton and Northfield on Saturday in connection to the ongoing investigation into the triple homicide of a mother and her two sons. Officials said Kassandra Sweeney, 25, and her two sons, Benjamin Sweeney, 4, and Mason Sweeney , 1, each died of a single gunshot wound. Autopsies by the chief medical examiner revealed that the manner of each death was homicide. The New Hampshire Attorney General’s Office said New Hampshire State Police and other law enforcement agencies will be in Tilton and Northfield in the areas of Shaker Road, Laconia Road, Wethersfield Road , Tilton Road, and the ramp areas entering I-93. The search is for physical evidence and is part of the investigation and not the result of new information in the case. The search poses no danger to the public, the Attorney General’s Office said. Officials asked the public to stay off properties of the search area, allow investigators to complete their work and for the public to respect the privacy of residents in the area. The bodies of Sweeney and her sons de ella were discovered Wednesday at their home de ella on Wethersfield Drive. Senior Assistant Attorney General Geoffrey Ward stressed that officials believe there is no danger to the public and the killings were not the result of a random event. Ward said that while officials believe all parties have been identified in the case, “I have not said we know who did it.” He said no arrests have been made in the case, and no one has been charged. Sources told News 9 that Northfield and state police were called to the address just before 11:30 am Wednesday after someone reported that several people might have been injured. When officers arrived, they found the bodies of Sweeney and her two sons of her. A silver Ford F-150 was taken away on a flatbed truck Thursday morning, but there was no word as to why it was removed. K-9 units were also seen going in and out of the home, and officers began searching a wooded area near the home later in the day. Ward said the investigation is active and ongoing. A GoFundMe was launched for the family to help with funeral expenses.

Law enforcement will be searching areas in Tilton and Northfield on Saturday in connection to the ongoing investigation into the triple homicide of a mother and her two sons.

Officials said Kassandra Sweeney, 25, and her two sons, Benjamin Sweeney, 4, and Mason Sweeney, 1, each died of a single gunshot wound. Autopsies by the chief medical examiner revealed that the manner of each death was homicide.

The New Hampshire Attorney General’s Office said New Hampshire State Police and other law enforcement agencies will be in Tilton and Northfield in the areas of Shaker Road, Laconia Road, Wethersfield Road, Tilton Road, and the ramp areas entering I-93.

The search is for physical evidence and is part of the investigation and not the result of new information in the case. The search poses no danger to the public, the Attorney General’s Office said.

Officials asked the public to stay off properties of the search area, allow investigators to complete their work and for the public to respect the privacy of residents in the area.

The bodies of Sweeney and her sons were discovered Wednesday at their home on Wethersfield Drive.

Kassandra Sweeney and her two children

Senior Assistant Attorney General Geoffrey Ward stressed that officials believe there is no danger to the public and the killings were not the result of a random event.

Ward said that while officials believe all parties have been identified in the case, “I have not said we know who did it.”

He said no arrests have been made in the case, and no one has been charged.

Sources told News 9 that Northfield and state police were called to the address just before 11:30 am Wednesday after someone reported that several people might have been injured. When officers arrived, they found the bodies of Sweeney and her two sons of her.

A silver Ford F-150 was taken away on a flatbed truck Thursday morning, but there was no word as to why it was removed.

K-9 units were also seen going in and out of the home, and officers began searching a wooded area near the home later in the day.

Ward said the investigation is active and ongoing.

A GoFundMe was launched for the family to help with funeral expenses.

.

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US

At least 4 dead after reported shooting in Dayton, police say

At least four people were found suffering from fatal gunshot wounds Friday in Butler Township in Dayton, Ohio, police said. According to WLWT sister station WDTN, police were called to the 7200 block of Hardwicke Place around 11:30 am on reports of shots fired. When officers arrived on the scene, they found a total of four victims at multiple crime scenes suffering from gunshot wounds, said Butler Township police Chief John Porter. All four of the victims died on the scene, police said. The Montgomery County Coroner’s Office has not confirmed the identity of the victims at this time. Police sent out information about a person of interest possibly connected to the shooting. Officials are searching for 39-year-old Stephen Alexander Marlow. He is described as 5 feet, 11 inches, weighing approximately 160 pounds with brown hair and blue eyes. He was last seen wearing shorts and a yellow t-shirt, police said. On Saturday, Butler Township stated Marlow remains the primary suspect and law enforcement is aggressively pursuing all leads to bring him safely into custody. According to officials, information indicates he may have fled outside Ohio. Police said Marlow is driving a 2007 white Ford Edge with an Ohio license plate number JES 9806. He is believed to be armed and dangerous and should not be approached. Porter said police crews will continue to monitor the area in case Marlow returns. The Dayton police bomb squad has also been called to ensure there are no other threats to neighborhood safety.“This is the first violent crime in the neighborhood in recent memory. We ask that anyone with any possible information involving this incident or whereabouts of Marlow are asked to call our dispatch center,” Porter said. “We are working to determine if there was any reason for this horrible tragedy or if mental illness played any role.”The FBI has joined local authorities in the search. Officials said Marlow has connections to Indianapolis, Chicago and Lexington. Anyone with information on Marlow’s whereabouts is asked to contact the FBI at 1-800-Call-FBI or call 911. The Butler Township Police Department is being assisted by partners at the Montgomery County Sherriff’s Office, FBI and the Bureau of Alcohol, Tobacco, and Firearms. This is a breaking news story and will be updated when more information becomes available.

At least four people were found suffering from fatal gunshot wounds Friday in Butler Township in Dayton, Ohio, police said.

According to WLWT sister station WDTN, police were called to the 7200 block of Hardwicke Place around 11:30 am on reports of shots fired.

When officers arrived on the scene, they found a total of four victims at multiple crime scenes suffering from gunshot wounds, said Butler Township police Chief John Porter.

All four of the victims died on the scene, police said.

The Montgomery County Coroner’s Office has not confirmed the identity of the victims at this time.

Police sent out information about a person of interest possibly connected to the shooting.

Officials are searching for 39-year-old Stephen Alexander Marlow. He is described as 5 feet, 11 inches, weighing approximately 160 pounds with brown hair and blue eyes.

He was last seen wearing shorts and a yellow t-shirt, police said.

On Saturday, Butler Township stated Marlow remains the primary suspect and law enforcement is aggressively pursuing all leads to bring him safely into custody.

According to officials, information indicates he may have fled outside Ohio.

-

Hearst-Ownedwlwt

Steven Alexander Marlow

Police said Marlow is driving a 2007 white Ford Edge with an Ohio license plate number JES 9806.

He is believed to be armed and dangerous and should not be approached.

suspect car

Porter said police crews will continue to monitor the area in case Marlow returns.

The Dayton police bomb squad has also been called to ensure there are no other threats to neighborhood safety.

“This is the first violent crime in the neighborhood in recent memory. We ask that anyone with any possible information involving this incident or whereabouts of Marlow are asked to call our dispatch center,” Porter said. “We are working to determine if there was any reason for this horrible tragedy or if mental illness played any role.”

The FBI has joined local authorities in the search. Officials said Marlow has connections to Indianapolis, Chicago and Lexington.

Anyone with information on Marlow’s whereabouts is asked to contact the FBI at 1-800-Call-FBI or call 911.

The Butler Township Police Department is being assisted by partners at the Montgomery County Sherriff’s Office, FBI and the Bureau of Alcohol, Tobacco, and Firearms.

This is a breaking news story and will be updated when more information becomes available.

.

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President Biden tests negative for COVID : NPR

President Joe Biden gestures toward reporters as he departs Marine One and walks to the Oval Office on the South Lawn of the White House on July 20.

Drew Angerer/Getty Images


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President Joe Biden gestures toward reporters as he departs Marine One and walks to the Oval Office on the South Lawn of the White House on July 20.

Drew Angerer/Getty Images

President Biden tested negative for COVID-19 on Saturday, according to a letter from White House physician Dr. Kevin O’Connor, but he will continue to isolate until he tests negative a second time.

“The President continues to feel very well,” O’Connor wrote. Biden has been testing daily since he first tested positive for the virus on July 21. The White House said he experienced only mild symptoms, including fatigue, a runny nose, and cough.

Biden, who is fully vaccinated and twice boosted, was prescribed the antiviral therapy Paxlovid, a standard course of treatment for people who are considered to be at higher risk of adverse affects of COVID, including anyone over 50.

His symptoms were “nearly resolved” after four days of treatment, the White House said.

The president briefly left isolation last week, after testing negative for COVID on July 27. He reentered isolation after testing positive again on July 30, in what O’Connor described as a “rebound” case.

Paxlovid manufacturer Pfizer and the Food and Drug Administration have both acknowledged reports of rebound COVID cases associated with the drug, but research into the extent and severity of the problem is ongoing.

The president has continued to work through his illness, including some public, distanced appearances at the White House and virtual events.

On Monday night, Biden delivered a speech from the Blue Room Balcony announcing that the United States had killed al-Qaida leader Ayman al-Zawahiri. He also made remarks outdoors on Friday on the economy, noting a strong July jobs report as the White House pushes back on fears of a recession due to recent negative economic growth.

Biden’s agenda has progressed in Congress while he’s been in isolation. Senate Democrats are poised to pass a long-sought bill to address climate change and prescription drug costs. The president also plans to hold events next week to sign bipartisan bills to boost semiconductor manufacturing and expand health care support for veterans exposed to toxic burn pits.

If he’s able to end his isolation, Biden plans to travel to Kentucky on Monday with First Lady Jill Biden to tour damage from devastating floods.

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US

Northfield, New Hampshire homicides: New search underground

Law enforcement will be searching areas in Tilton and Northfield on Saturday in connection to the ongoing investigation into the triple homicide of a mother and her two sons. Officials said Kassandra Sweeney, 25, and her two sons, Benjamin Sweeney, 4, and Mason Sweeney , 1, each died of a single gunshot wound. Autopsies by the chief medical examiner revealed that the manner of each death was homicide. The New Hampshire Attorney General’s Office said New Hampshire State Police and other law enforcement agencies will be in Tilton and Northfield in the areas of Shaker Road, Laconia Road, Wethersfield Road , Tilton Road, and the ramp areas entering I-93. The search is for physical evidence and is part of the investigation and not the result of new information in the case. The search poses no danger to the public, the Attorney General’s Office said. Officials asked the public to stay off properties of the search area, allow investigators to complete their work and for the public to respect the privacy of residents in the area. The bodies of Sweeney and her sons de ella were discovered Wednesday at their home de ella on Wethersfield Drive. Senior Assistant Attorney General Geoffrey Ward stressed that officials believe there is no danger to the public and the killings were not the result of a random event. Ward said that while officials believe all parties have been identified in the case, “I have not said we know who did it.” He said no arrests have been made in the case, and no one has been charged. Sources told News 9 that Northfield and state police were called to the address just before 11:30 am Wednesday after someone reported that several people might have been injured. When officers arrived, they found the bodies of Sweeney and her two sons of her. A silver Ford F-150 was taken away on a flatbed truck Thursday morning, but there was no word as to why it was removed. K-9 units were also seen going in and out of the home, and officers began searching a wooded area near the home later in the day. Ward said the investigation is active and ongoing. A GoFundMe was launched for the family to help with funeral expenses.

Law enforcement will be searching areas in Tilton and Northfield on Saturday in connection to the ongoing investigation into the triple homicide of a mother and her two sons.

Officials said Kassandra Sweeney, 25, and her two sons, Benjamin Sweeney, 4, and Mason Sweeney, 1, each died of a single gunshot wound. Autopsies by the chief medical examiner revealed that the manner of each death was homicide.

The New Hampshire Attorney General’s Office said New Hampshire State Police and other law enforcement agencies will be in Tilton and Northfield in the areas of Shaker Road, Laconia Road, Wethersfield Road, Tilton Road, and the ramp areas entering I-93.

The search is for physical evidence and is part of the investigation and not the result of new information in the case. The search poses no danger to the public, the Attorney General’s Office said.

Officials asked the public to stay off properties of the search area, allow investigators to complete their work and for the public to respect the privacy of residents in the area.

The bodies of Sweeney and her sons were discovered Wednesday at their home on Wethersfield Drive.

Kassandra Sweeney and her two children

Senior Assistant Attorney General Geoffrey Ward stressed that officials believe there is no danger to the public and the killings were not the result of a random event.

Ward said that while officials believe all parties have been identified in the case, “I have not said we know who did it.”

He said no arrests have been made in the case, and no one has been charged.

Sources told News 9 that Northfield and state police were called to the address just before 11:30 am Wednesday after someone reported that several people might have been injured. When officers arrived, they found the bodies of Sweeney and her two sons of her.

A silver Ford F-150 was taken away on a flatbed truck Thursday morning, but there was no word as to why it was removed.

K-9 units were also seen going in and out of the home, and officers began searching a wooded area near the home later in the day.

Ward said the investigation is active and ongoing.

A GoFundMe was launched for the family to help with funeral expenses.

.

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US

Senate Democrats gave green light to vote on $430bn climate and tax bill | U.S. Senate

US Senate Democrats on Saturday were set to push ahead on a bill that would address key elements of President Joe Biden’s agenda, tackling climate change, lowering the cost of energy and senior citizens’ drugs and forcing the wealthy to pay more taxes.

A Senate rulemaker determined that the lion’s share of the $430bn bill could be passed with only a simple majority, bypassing a filibuster rule requiring 60 votes in the 100-seat chamber to advance most legislation and enabling Democrats to pass it over Republican objections, majority leader Chuck Schumer said in a statement.

Democrats hope that the legislation will give a boost to their candidates in the 8 November midterm elections in which Biden’s party is in an uphill battle to retain its narrow control of the Senate and House of Representatives.

“Democrats have received extremely good news,” Schumer said in the statement. “Medicare will finally be allowed to negotiate drug prices…This is a major victory for the American people.”

Medicare is the government health insurance program for people age 65 and older.

There are three main parts to the bill: a 15% minimum tax on corporations, tougher IRS enforcement and a new excise tax on stock buybacks. The legislation has $430 billion in new spending along with raising more than $740 billion in new revenues.

Besides billions of dollars to encourage the production and purchase of more electric vehicles and foster clean energy, the bill would set $4 billion in new federal drought relief funds. The latter is a move that could help the re-election campaigns of Democratic Senators Catherine Cortez Masto in Nevada and Mark Kelly in Arizona.

Republicans have promised to do everything they can to stall or block the bill, with Senator Lindsey Graham on Friday calling the legislation “this jihad they’re on to tax and spend.”

Democrats aim to push the bill through the Senate using an arcane and complicated “reconciliation” procedure allowing passage without any Republican support in the chamber divided 50-50 between the parties, with the Democrats in control because Kamala Harris, the vice-president, can cast a tie-breaking vote.

One provision cut from the bill would have forced drug companies to refund money to both government and private health plans if drug prices rise more quickly than inflation. The Senate arbitrator, known as the parliamentarian, ruled that measure could not apply to private industry.

Saturday will kick off an arduous process that could extend into early next week, with senators offering amendment after amendment in a time-consuming “vote-a-rama.”

Senators on the left such as Bernie Sanders are likely to try to expand the scope of the bill to include new programs such as federal subsidies for childcare or home healthcare for the elderly. Republicans have signaled that they will offer plenty of amendments touching on another issue: immigrants coming across the US border with Mexico.

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US

22-month-old child killed in Texas when cement truck falls from overpass onto vehicle

A 22-month-old twin boy was killed when the driver of a cement truck lost control and fell from an overpass onto a vehicle traveling below, police in Texas said.

The crash happened Friday afternoon on the Houston Parkway in east Harris County.

“It appears a cement truck traveling on the main lanes lost control, went over the overpass and landed on top of a vehicle with four occupants,” Harris County Sheriff Ed Gonzalez tweeted.

A sheriff’s office spokesperson said the driver of the car, 54, was able to escape along with a 22-year-old woman and one of the twin boys. The other child was pronounced dead at the scene.

Raymond Romo, who witnesses the accident, told NBC affiliate KPRC of Houston that he saw the truck swerve to avoid another car before crashing through the overpass. He said the truck was dangling from the overpass as the cars below attempted to move out of the way.

Romo, who works nearby, said the truck then fell forward and landed on a Ford Expedition.

“We saw it when we were in the middle of the parking lot land on the vehicle,” he told the news station. “Instantly, me and my friend Joe, we went into action.”

Romo said he pulled the driver’s daughter out of the car and then tried to remove the 22-month-old twins seated in the back. He was able to grab one car seat but could not grab the other, he told KPRC.

The three occupants of the car were taken to the hospital with minor injuries, the spokesperson said. The driver of the truck, a 36-year-old woman, suffered minor injuries but refused care.

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US

Senate Democrats gave green light to vote on $430bn climate and tax bill | U.S. Senate

US Senate Democrats on Saturday were set to push ahead on a bill that would address key elements of President Joe Biden’s agenda, tackling climate change, lowering the cost of energy and senior citizens’ drugs and forcing the wealthy to pay more taxes.

A Senate rulemaker determined that the lion’s share of the $430bn bill could be passed with only a simple majority, bypassing a filibuster rule requiring 60 votes in the 100-seat chamber to advance most legislation and enabling Democrats to pass it over Republican objections, majority leader Chuck Schumer said in a statement.

Democrats hope that the legislation will give a boost to their candidates in the 8 November midterm elections in which Biden’s party is in an uphill battle to retain its narrow control of the Senate and House of Representatives.

“Democrats have received extremely good news,” Schumer said in the statement. “Medicare will finally be allowed to negotiate drug prices…This is a major victory for the American people.”

Medicare is the government health insurance program for people age 65 and older.

There are three main parts to the bill: a 15% minimum tax on corporations, tougher IRS enforcement and a new excise tax on stock buybacks. The legislation has $430 billion in new spending along with raising more than $740 billion in new revenues.

Besides billions of dollars to encourage the production and purchase of more electric vehicles and foster clean energy, the bill would set $4 billion in new federal drought relief funds. The latter is a move that could help the re-election campaigns of Democratic Senators Catherine Cortez Masto in Nevada and Mark Kelly in Arizona.

Republicans have promised to do everything they can to stall or block the bill, with Senator Lindsey Graham on Friday calling the legislation “this jihad they’re on to tax and spend.”

Democrats aim to push the bill through the Senate using an arcane and complicated “reconciliation” procedure allowing passage without any Republican support in the chamber divided 50-50 between the parties, with the Democrats in control because Kamala Harris, the vice-president, can cast a tie-breaking vote.

One provision cut from the bill would have forced drug companies to refund money to both government and private health plans if drug prices rise more quickly than inflation. The Senate arbitrator, known as the parliamentarian, ruled that measure could not apply to private industry.

Saturday will kick off an arduous process that could extend into early next week, with senators offering amendment after amendment in a time-consuming “vote-a-rama.”

Senators on the left such as Bernie Sanders are likely to try to expand the scope of the bill to include new programs such as federal subsidies for childcare or home healthcare for the elderly. Republicans have signaled that they will offer plenty of amendments touching on another issue: immigrants coming across the US border with Mexico.