Cities that say they are renegotiating their sewage agreements with the agency include Cleveland; Seattle; Kansas City, Mo.; South Bend, Ind.; and Chattanooga, Tenn. Other cities, including Pittsburgh and St. Louis, have already concluded talks for new terms.

E.P.A. Is Letting Cities Dump More Raw Sewage Into Rivers for Years to Come

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Lost Medicaid Funding

To date, the failure to expand Medicaid/TennCare has cost the State of Tennessee ? in lost federal funding. (Source)

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