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AP file photo

The National Association of Medicaid Directors opposes the Senate health care bill, saying the cuts it makes to the program are too deep. NAMD represents all 56 Medicaid directors, and the decision to oppose the bill was made by its bipartisan board.

The spending growth rates for the proposed Medicaid per capita caps are "insufficient and unworkable," the directors wrote in a statement to be released Monday. While they say they support some elements included in the bill, "no amount of administrative or regulatory flexibility can compensate for the federal spending reductions that would occur as a result of this bill."

Why it matters: Coming after GOP Sen. Dean Heller of Nevada said he opposes the bill, the statement is an indication that the Medicaid cutbacks are now one of the biggest threats to the bill's passage.

Go deeper

California governor declares drought emergency for entire state

California Gov. Gavin Newsom speakinng to reporters in Los Angeles in September. Photo: Allen J. Schaben/Los Angeles Times via Getty Images

California Gov. Gavin Newsom (D) extended a drought emergency declaration to cover the entire state on Tuesday.

Why it matters: "California is experiencing its worst drought since the late 1800s, as measured by both lack of precipitation and high temperatures," per a statement from the governor's office. This past August was the driest and hottest one on record, "and the water year that ended last month was the second driest on record," the statement added.

Updated 2 hours ago - World

Reports: Brazil leader to be accused of crimes against humanity over COVID

Brazilian President Jair Bolsonaro. Photo: Andressa Anholete/Bloomberg via Getty Images

A Brazilian Senate panel will recommend President Jair Bolsonaro be charged with "crimes against humanity," alleging his COVID-19 pandemic response led to hundreds of thousands of deaths, per the New York Times and the Washington Post.

The latest: The lawmakers initially said Bolsonaro should be charged with mass homicide and genocide, but lawmakers updated the report to replace these recommendations with the new charge, its lead author, Sen. Renan Calheiros, told the NYT.

Updated 5 hours ago - World

North Korea claims latest missile test new weapon launched from submarine

North Korean state media claims the country's military fired this missile on Tuesday. Photo: Korean Central News Agency

North Korean state media announced that a detected ballistic missile launch off its east coast on Tuesday was a newly developed weapon test-fired from a submarine.

Why it matters: Pyongyang's latest in a series of recent missile launches into the sea happened hours after U.S. officials emphasized their commitment to restart negotiations on North Korea's nuclear weapons program, which have stalled since talks broke down during the Trump administration, AP notes.