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The shooter behind the 2023 Nashville elementary school attack that killed six people, including three children, had been obsessively planning it for years while hiding mental health issues from family and doctors, a police report released Wednesday reveals. (Mattise, Kruesi and Loller, 4/2)

More cities and counties across the U.S. are moving to ban fluoride in public drinking water after Utah became the first state in the country to do so. The Miami-Dade County commissioners voted 8-2 on Tuesday to stop adding fluoride to the public water supply. Commissioner Roberto Gonzalez, who sponsored the legislation, referred to fluoride as a "neurotoxin" and that studies show it "should not be in the water." (Kekatos, 4/2)

A major Indiana Senate Medicaid bill has been amended and passed the House Ways and Means committee. Senate Bill 2 — authored by Sen. Ryan Mishler, R-Mishawaka — places restrictions on Medicaid, including work requirements on an insurance program for Hoosiers with a medium income and between ages 19 to 64, according to Post-Tribune archives. (Wilkins, 4/2)

Across rural North Carolina, the opioid epidemic has left a devastating mark — overdose deaths have surged, families have been shattered and communities have struggled to find resources to fight the crisis. More than 4,440 overdose-related deaths were reported across the state in 2023, with rural counties accounting for about 41 percent of the toll. (Baxley, 4/3)

Xavier Becerra, who served as Health and Human Services secretary under President Joe Biden, will run for California governor in 2026, he announced Wednesday. Becerra faced a tough first two years as HHS secretary, a post he took over during the height of the COVID-19 pandemic. (Stein and Burke, 4/2)

San Francisco Mayor Daniel Lurie on Wednesday announced that the city would no longer give users free paraphernalia to consume drugs without providing treatment counseling. The move marks a shift away from the standing policy of providing supplies for people to use drugs in a safer manner, including clean foil and needles. San Francisco has long been criticized for its lax views on public drug use. (Ramos and Pehling, 4/2)

With the top city and county elected officials sitting in his jury box, the judge lectured for more than an hour, excoriating what he called the “Rocky Horror Picture Show” of homeless services in Los Angeles. But when it came time to reveal the drastic remedy anticipated by a courtroom full of spectators, U.S. District Judge David O. Carter hit pause at a hearing last week. (Smith, 4/2)

A military veteran wanted by police was found dead from an apparent self-inflicted gunshot wound inside a parked vehicle this week at the Jerry L. Pettis Memorial Veterans' Hospital in the latest of a string of suicides connected to the VA Loma Linda Health Care System in California. (Schwebke, 4/2)