Generate an explanation for the given claim using the provided supporting material from the paragraph. Please consider the following points while generating an output. 1) The claim will always have supporting proof in the paragraph, and the paragraph will have a clear point of view supporting the claim. 2) There can be instances where direct correlation to the claim is not available. Make use of the sentences in the paragraph to provide a corresponding output supporting the claim. 3) The explanation should be at least one and at most twelve sentences long.

[EX Q]: Paragraph: In its latest “report card,” the American College of Emergency Physicians said such reduced access earned the nation a “D+” — that’s down from the overall “C-“ grade from the group’s last report in 2009. Shortages and reduced hospital capacity make it more difficult to access emergency care, the group said. It also warned about the impact on disaster preparedness. While the report does not measure the actual quality of care provided, it does offer a snapshot of national and state policies affecting emergency medicine as seen by providers. Washington, D.C., was ranked the highest in the report, earning a “B-“ grade, while Wyoming ranked last and was the only state to earn an overall failing grade of “F.”  The group’s task force looked at scores of measure in five major categories — access to care, quality and patient safety, liability, injury prevention and disaster preparedness — and relied on data from the Centers for Disease Control and the Centers for Medicare and Medicaid Services, among others. The report comes just as the Affordable Care Act, known as Obamacare, comes into full effect this year. The 2010 law aims to expand access to health insurance and reduce the nation’s healthcare costs, but it has become a political flashpoint amid a troubled rollout of the federal insurance exchange website. While the physician’s report does not factor in all of the effects of the law — its grades are based on data from early 2013 — emergency rooms could be used even more as more Americans gain insurance coverage under Obamacare, it said. Some health experts have predicted that increasing the number of insured patients should reduce pressure on hospital emergency rooms because access to regular doctor care will improve, something that is hoped would prevent chronic conditions from spiraling out of control or help catch other problems before they worsen. But insurance coverage could also lead those who might have held off going to the emergency room to seek care, said Jon Mark Hirshon, an emergency medicine doctor and researcher at the University of Maryland who oversaw the group’s report card. Newly insured people also may have a hard time finding a regular doctor who accepts their plan, he said. “On top of that, emergency departments are open 24 hours a day, seven days a week. If I have a primary care provider but it’s 9 o’clock at night on a Friday and they’re closed, then people come to the emergency department,” Hirshon told Reuters. The group is asking for congressional hearings to probe whether the law puts “additional strains” on emergency rooms. Already, beds for patients have fallen from a rate of 358 per 100,000 people four years ago to about 330 beds per 100,000 people now, the report said. Wait times have increased to a median of 4.5 hours compared to four hours in 2009. Despite the dismal U.S. grade given by the group, it noted that policies and infrastructure varied widely by state. States with the best emergency care include Massachusetts, Maine, Nebraska and Colorado, while Kentucky, Montana, New Mexico and Arizona rounded out the bottom, just above Wyoming. States are also still grappling with the uninsured. By law, hospitals must provide emergency care regardless of patients’ ability to pay. Under Obamacare, states can expand access to Medicaid, the federal-state health insurance plan for the poor. Data shows that Medicaid patients use emergency rooms as much as other insured patients, but several recent studies have shown that Medicaid patients utilize them more than the uninsured. One study this month showed Oregon patients given Medicaid through a lottery increased their emergency room use by 40 percent compared to those not offered Medicaid. “We have to be leaner and more efficient, but it just becomes more and more challenging,” Hirshon said. Claim: Doctors say pressure on ERs may rise, give U.S. failing grade.
[EX A]: People seeking urgent medical could face longer wait times and other challenges as demand increases under Obamacare, U.S. emergency doctors said in a report on Thursday that gives the nation’s emergency infrastructure a near failing grade.

[EX Q]: Paragraph: "Gov. Andrew M. Cuomo says women in New York state don’t have to worry about new Trump administration rules ending a federal requirement that employers must include birth control coverage in their health insurance plans. The new rules exempt employers from the Obama-era mandate if they have religious or moral reservations to the coverage. But Cuomo said contraception will still be covered in New York state. ""This year, we ensured that whatever happens at the federal level, women in our state will continue to have cost-free access to reproductive health care,"" Cuomo said in a statement. States can set certain insurance standards beyond what the federal government requires. New York state told insurance companies in January they are required to cover birth control and abortion services. That condition still stands, but is Cuomo right that women in New York state are not affected by Trump’s decision? Limits to state regulation State regulations, like the one from January, do not apply to all plans. The state Department of Financial Services regulates everything sold on the state health exchange, called New York State of Health. That includes plans sold to individuals and companies with 100 or fewer employees. The agency says the state’s birth control mandate covers 1.35 million residents in those plans. Health care offered through companies with more than 100 employees is more complicated. Companies that go the traditional route of buying health coverage through an insurance carrier must adhere to the rules. About 2.5 million people in that category are covered by the state’s birth control mandate. But companies that are self-insured, where the employer assumes a large part of the costs, are not regulated by the state, meaning they need not adhere to the state's birth control mandate. About 60 percent of private sector workers in the U.S. who get their health coverage through an employer were enrolled in a self-insured plan in 2015. That’s up from 46 percent in 1996, according to research from the Employee Benefit Research Institute. In New York state, about 54 percent of private sector employees who get health insurance through their employer had a self-insured plan last year, according to the federal Agency for Healthcare Research and Quality. The option is most popular for companies with at least 1,000 employees. Eighty percent of private sector employees at companies that size in New York state are enrolled in a self-insured plan. What about public health insurance? The federal government sets the baseline for what services are covered under Medicaid. Government workers are covered under state regulation, but Medicaid and Medicare enrollees are not.States can add to that list. The list of services covered by Medicaid in New York state goes well beyond the federal standard. New York is one of multiple states where Medicaid covers birth control and abortion services. About a third of the state’s population alone is on Medicaid. Our ruling Cuomo said women in New York state ""will continue to have cost-free access to reproductive health care"" because of an action the state took earlier this year. But not every woman is in an insurance plan regulated by the state. It’s possible a self-insured large employer in New York state could apply for an exemption from the federal birth control mandate. If granted the exemption, the company would not have to provide health coverage for birth control to its employees. Those exemptions are not expected to be widespread, but they are possible. Cuomo’s statement needs clarification." Claim: Women in our state will continue to have cost-free access to reproductive health care
[EX A]: "Cuomo said women in New York state ""will continue to have cost-free access to reproductive health care"" because of an action the state took earlier this year. But not every woman is in an insurance plan regulated by the state. It’s possible a self-insured large employer in New York state could apply for an exemption from the federal birth control mandate. If granted the exemption, the company would not have to provide health coverage for birth control to its employees. Those exemptions are not expected to be widespread, but they are possible. Cuomo’s statement needs clarification."

[EX Q]: Paragraph: Adolescents appear to spread SARS-CoV-2, the coronavirus responsible for COVID-19, as quickly and effectively as some adults, according to a study of more than 65,000 individuals in South Korea conducted during the onset of the 2020 pandemic. In the context of this study, news reports making such claims are mostly accurate. However, there are some important caveats to note when interpreting the broader implications of the findings. After the first case of COVID-19 in South Korea was discovered on Jan. 20, 2020, the nation adopted a “rigorous contact-tracing program” to track its spread throughout the population. Between the first reported case and March 27, researchers with the U.S. and Korea Centers for Disease Control and Prevention (CDC) tracked more than 5,700 individuals diagnosed with COVID-19 by analyzing GPS, credit card transactions, and closed-circuit television. More than 59,000 people had come into contact with the original “index patients,” allowing researchers to determine how likely an infected individual was to transmit the virus to those living in their home and beyond. While researchers did not set out to characterize transmission rates specific to age groups, the claim is a byproduct of the work. Children between 10 and 19 years of age were shown to have a higher transmission rate within their households than younger children and were thus able to spread the virus as efficiently as, and in some cases at higher rates than, adults. More specifically, this age group had a transmission rate of over 18% within their own household, which is much higher than adults between the ages of 20 and 59 (ranging 7 and 14.7%). On the other hand, adolescents were much less likely to spread the disease to others outside of their home, and though children under 10 were found to transmit less than adults, they are still believed to contribute to community transmission. It is unclear why teens and tweens appear to be transmitting the disease more than adults, though the researchers speculate that it may be due to how children were socializing during the study period. “We also found the highest COVID-19 rate for household contacts of school-aged children, and the lowest for household contacts of children [up to nine years] in the middle of school closure. Despite [the] closure of their schools, these children might have interacted with each other, although we do not have data to support that hypothesis,” wrote the authors. Claim: Teens and tweens transmit SARS-CoV-2 quicker and more efficiently than adults. 
[EX A]:
What's true: A study including more than 65,000 individuals in South Korea found that juveniles between the ages of 10 and 19 are just as likely as adults — if not more — to transmit SARS-CoV-2, the virus responsible for COVID-19. What's undetermined: The study used contact tracing to determine how likely an infected individual is to spread the virus to people who live within their home compared to those they come into contact with outside of the home. It is important to highlight several limitations present in the study that may have influenced or skewed the findings that are described in the article below. Furthermore, the study was pre-released in July 2020 in advance of its October 2020 publish date, and may see further edits before final publication.