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The shooter who killed a student and teacher at a religious school in Wisconsin brought two guns to the school and was in contact with a man in California whom authorities say was planning to attack a government building, according to authorities and court documents that became public Wednesday. ... A California judge, meanwhile, issued a restraining order Tuesday under California’s gun red flag law against a 20-year-old Carlsbad man. The order requires the man to turn his guns and ammunition into police within 48 hours unless an officer asks for them sooner because he poses an immediate danger to himself and others. (Richmond, Bauer and Foley, 12/18)

A new federal audit of Medicaid payments to autism therapy providers contains a stark finding: All of the client records inspected had payments that were either improper or suspected to be. (Bannow, 12/19)

Wayne County is erasing $27 million in medical debt for more than 46,000 county residents. The debt came from an area hospital, which Wayne County's Department of Health, Human, and Veteran Services says "wishes to remain anonymous but is committed to community benefit and making healthcare accessible." (Buczek, 12/18)

An Alameda County family is suing Amazon One Medical, alleging a 45-year-old father of two collapsed and died shortly after he had a video consultation with the telehealth clinic. Philip Tong had a history of diabetes and, according to the lawsuit, was having trouble breathing and was coughing up blood. The suit also mentioned his feet had turned blue. During a video appointment with Amazon’s medical service providers on Dec. 18, 2023, he was told to buy an inhaler. (Hernandez, 12/18)

Heroin use among people who also use fentanyl appears to have seen a "dramatic" rise in the span of just a few months, particularly in the western U.S., according to new data from specialty lab Millennium Health provided first to Axios. "Not only was it a significant jump in heroin positivity, it seemingly happened almost overnight," Dawson told Axios. (Reed, 12/19)

Add another first for Southwest Florida Proton, the $80 million cancer treatment center recently opened in Fort Myers. Lee Health Imaging’s outpatient center, which opened in the 35,000-square-foot facility this month, is offering a 3T MRI magnet for the first time, in addition to CT and PET scans. (Zoldan, 12/19)

The Maryland Department of Health is expanding the Program of All-Inclusive Care for the Elderly (PACE) from one, to four locations, the department said Wednesday. With the expansion, the state will be able to serve up to 800 seniors - and more older adults to receive care without leaving their homes as a result. Currently, there is only one location, the Hopkins ElderPlus in East Baltimore. (Olaniran, 12/18)

A device used in South Jersey is being called a real game-changer for millions of people with inflammatory bowel disease. This is for people who suffer from things like Crohn's disease and colitis. It's an alternative to invasive screenings like MRIs and colonoscopies. An intestinal ultrasound is an easy, noninvasive way to check on different types of inflammatory bowel diseases. (Stahl and Nau, 12/18)

Two New York men have died after contracting a rare fungal infection from the bat feces they used to fertilize their marijuana plants. The men, both of Rochester, were cultivating cannabis for personal use when their health started to deteriorate, according a case published in the journal, Open Forum Infectious Diseases. (Schladebeck, 12/18)