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: The updated legislation unveiled by Sens. Chuck Grassley, R-Iowa, and Ron Wyden, D-Ore., would lower the standard copay to 20% from the current 25% for seniors enrolled in Medicare’s Part D prescription drug benefit. It also introduces a feature that would let Medicare enrollees spread out their copays in monthly installments. Because of the current design of the system, seniors taking very expensive drugs can face unmanageable out-of-pocket costs in the first couple of months of any year. The bipartisan Senate bill has the support of President Donald Trump, but it’s unclear if any significant drug pricing legislation can pass a Congress polarized by impeachment. In the House, Speaker Nancy Pelosi plans to bring her own, more ambitious bill to a floor vote next week. The California Democrat’s legislation would empower Medicare to negotiate prices with drug companies and plow the savings back into expanded dental, vision and hearing benefits for seniors. But congressional Republicans are opposed to the government negotiating drug prices. Trump, who supported the idea as a candidate, has since dropped it. And Senate Majority Leader Mitch McConnell, R-Ky, is reluctant to bring the bipartisan Grassley-Wyden bill to the floor. It could trigger Democratic amendments designed to create political headaches for Republicans on other issues, such as protecting people with pre-existing medical conditions. In terms of policy ideas, there’s considerable overlap between the Senate bill and parts of Pelosi’s plan. Both would cap out-of-pocket costs for Medicare beneficiaries and require drugmakers to pay rebates to the government if they hike prices above inflation. But the political challenges may be impossible to overcome. The Grassley-Wyden bill would limit out-of-pocket medication costs faced by seniors to $3,100, starting in 2022. Currently there is no limit, and some Medicare recipients dealing with serious illness face copays rivaling a mortgage payment. In a statement late Friday, the White House said “President Donald J. Trump applauds the work of Chairman Grassley and Ranking Member Wyden to lower prescription drug costs and further improve their bipartisan legislation, such as adding a provision to limit monthly out-of-pocket spending for seniors with chronic high costs. The White House called on Congress “to act now to give Americans the relief they need by sending bipartisan drug pricing reform to the President’s desk this year.” Supporters of the Senate bill are hoping a deal can still be had, and that major prescription drug legislation can be incorporated in a budget bill expected early next year. The pharmaceutical industry opposes both the Senate and House bills and has poured millions of dollars into a lobbying battle to block them. Claim: "Bipartisan Medicare drug bill gets makeover to lower copays."
[EX A]: A bipartisan Senate bill to curb prescription drug costs for Medicare recipients got a makeover Friday to lower copays and make it easier for seniors to budget for their expenses.

[EX Q]: Paragraph: "Raising backyard chickens has been satisfying some foodies’ affection for the uber-local egg and lower-fat meat in urban areas, including metro Atlanta, for about a decade. Now the Centers for Disease Control is warning of a downside to the popular trend: salmonella outbreaks traced to some backyard owners kissing and cuddling their flocks. The CDC findings drew some media attention last month, and a PolitiFact reader who heard the health alert on NPR’s ""Morning Edition"" on July 16 asked us to dig deeper. We went directly to the source, the CDC, which is headquartered in Atlanta and has been investigating four recent Salmonella outbreaks that, as of July 29, had infected 218 people in 41 states. Five of them were in Georgia, 19 were in Alabama, 5 were in North Carolina, 11 were in South Carolina and 6 were in Tennessee. Fifty of the 218 people have required hospitalization for Salmonella, the major symptoms of which are usually diarrhea, fever and abdominal pain. No deaths have been reported, CDC spokeswoman Kristen Nordlund said. So how exactly do CDC officials know that some of these cases are due to backyard breeders kissing and cuddling live poultry? Dr. Megin Nichols, a veterinarian with the CDC, told PolitiFact the agency has been tracking upward trends in both the number of outbreaks and people infected in the past five years and has been working to trace their causes. ""We’ve been trying to interview these people to find out how they are getting sick,"" Nichols said. ""We are finding a certain proportion that are due to very close contact -- something that surprised us here at the CDC."" Salmonella is a germ that lives naturally in the intestine of chickens, ducks and many other animals. It doesn’t typically make the birds sick, but they can transmit the germs in their droppings and on their feet, feathers and beaks, even when they look clean and healthy, the CDC says. The germs also can get on their cages, coops, feed, water dishes, hay, plants and the area where they live and roam. In addition, the bacteria can rest on the hands, shoes and clothes of those who work around the birds or play with them. And Nichols told us that among the people who became ill between 2008 and 2014 due to baby poultry exposure, 49 percent, or 196 out of 400, reported snuggling and holding baby birds. Another 13 percent, or about 53, reported kissing baby birds, she said. Those people, many of whom were young children, became sick through fecal oral contact, Nichols said. Those same interviews also showed that about 46 percent of backyard breeders are keeping live poultry in their homes, she said. Epidemiologic, laboratory, and traceback findings have linked the most recent four outbreaks of human Salmonella infections to contact with chicks, ducklings, and other live poultry from multiple hatcheries. Interviews have been conducted with 140 of those who were recently ill and, 117, or 84 percent, reported contact with live poultry in the week before their illness began, according to the CDC website. Additional interviews to determine whether that contact included snuggling and kissing have yet to be conducted, Nichols said. An increasing number of people around the country are choosing to keep live poultry - mostly chickens, ducks, turkeys and geese as part of a greener, healthier lifestyle. Local governments, including several in metro Atlanta, have changed their zoning ordinances in recent years to accommodate the trend, and groups of backyard poultry buffs meet regularly in the region to talk chicken. Backyard owners have told reporters at The Atlanta Journal-Constitution that the benefits include fresh eggs and meat, a built-in source of fertilizer for their gardens and ready-made bug-killers. Some say they give their chickens names, the freedom to roam the house and yard and cuddle and coddle them like family pets. The larger problem According to the CDC, salmonella, named for an American scientist who discovered the bacteria, is estimated to cause a million illnesses in the United States a year, with 19,000 hospitalizations and 380 deaths. Most people develop diarrhea and the other conditions within 12 to 72 hour after infection and recover without treatment in four to seven days. It has the potential to turn deadly if it spreads from the intestines to the bloodstream, and then to other body sites. Prompt treatment with antibiotics is critical, and the elderly, infants, and people with impaired immune systems are more likely to have a severe illness. In the largest recent outbreak, which occurred between March 2013 and July 2014, more than 600 people in 29 states and Puerto Rico were infected with seven outbreak strains. The outbreak was associated with one brand of chicken, which led to a company recall of more than 40,000 pounds of chicken products, according to the CDC. To prevent salmonella infections related to backyard farming, the CDC’s Nichols encourages several common-sense rules. These include thorough handwashing after contact with the chicken, keeping live poultry out of the home, and avoiding snuggling, close contact with the birds’ beaks or other close exposure that would allow ingestion of bacteria. She will be one of the experts featured in a webinar on the topic of practicing backyard bird biosecurity at 7p.m. Thursday. Our conclusion The CDC has issued a warning against kissing or snuggling backyard chickens. It follows four recent Salmonella outbreaks that, as of July 29, had infected 218 people in 41 states. Five of them were in Georgia. Interviews have been conducted with 140 of the ill and 117, or 84 percent, reported contact with live poultry in the week before their illness began, according to the CDC website. The CDC also has evidence from outbreaks between 2008 to 2014. In that period, they found that of the people who became infected with salmonella due to baby poultry exposure, 49 percent, or 196 out of 400 people, reported snuggling and holding baby birds. Another 13 percent, or about 53, reported kissing baby birds.. That’s cause to sound the alarm." Claim: Caution: Kissing and cuddling chickens can be hazardous to your health.
[EX A]: CDC: Kissing and cuddling backyard chickens linked to salmonella infections

[EX Q]: Paragraph: "South Florida has a reputation as a place ripe for fraud and crime -- including bilking the government. State Rep. Ron Saunders, the Democratic minority leader from Key West, has slapped a more specific label on a costly problem in South Florida: Medicaid fraud. ""The two worst counties for fraud in the country -- not state -- are Dade and Broward county,"" he told a roomful of reporters on Jan. 19, 2011, during an Associated Press preview of Florida's upcoming legislative session. It's easy to find news articles describing South Florida as a mecca for such fraud -- with labels such as ""ground zero"" or mind-boggling tales of abuse. But the word ""worst"" caught our eye -- are the South Florida counties of Miami-Dade and Broward truly the ""worst"" in the country for Medicaid fraud? Medicaid, a health care program for low-income individuals, is administered by the states and receives some federal funding. The Truth-O-Meter has weighed in multiple times on fact-checks related to the high cost and growth of Medicaid, including a claim by Pam Bondi, now Florida's attorney general, and Bill McCollum, Florida's previous attorney general. For more background, check out this website of the federal Centers for Medicare and Medicaid Services. We spoke to Saunders directly on Jan. 20, who told us that his statement was in response to a question about how to resolve the state's budget crisis. Saunders said it's a ""no-brainer"" to cut back on fraud such as in Medicare and Medicaid rather than make more cuts in areas such as education. But after a lot of calls and research, we can say one thing for certain: Nobody tracks county-by-county Medicaid fraud nationally. Even within Florida, a county breakdown is not available. So we're going to rely on expert opinions and documented trends in this ruling. Mark Hollis, spokesperson for the House Democratic caucus, sent us links to newspaper articles and government reports about Medicaid fraud in South Florida. Among the sources Hollis cited was a March 2009 article in Health News Florida, quoting state Sen. Don Gaetz saying: ""Since we have the worst problem in the nation, we need the most effective solution."" Hollis also sent us a December 2005 article in HomeCare, an industry publication, quoting FBI agent Michael Clemens, who was in charge of the Miami field office at the time, saying: ""South Florida is ground zero for health care fraud."" But neither article provides any documentation to support that ""worst"" label. Hollis also sent us links to a House bill and recent government reports about Medicaid fraud. House Bill 1487 in 2009, which labeled Miami-Dade an area of ""special concern,"" was intended to rein in Medicaid fraud. The Senate version, Senate Bill 2658, was signed into law in June 2009. The staff analysis outlined the rampant growth in home health care agencies in Florida: Of the 431 licensure applications in 2007, 58.5 percent were in Miami-Dade. In that county, the number of licensed agencies grew 414 percent between August 1999 and March 6, 2009. The analysis also stated that ""While Miami-Dade has about 20 percent of Florida’s Medicaid population and about 33 percent of Florida’s residents over the age of 60, 91 percent of the state reimbursement for certain home health services were going to Miami-Dade."" While the bill analysis doesn't provide data ranking all of Florida's counties, it certainly suggests that Miami-Dade has an overwhelmingly disproportionate share of Medicaid dollars -- and fraud. Florida's Agency for Health Care Administration, which administers the Medicaid program, has a report from 2009-10 that also provides some insight. Although the 94-page report does not describe Broward and Miami-Dade as the worst in the nation, it noted:  • ""Home health agencies have been an acknowledged area of health care fraud in recent years. For the four fiscal years ending June 30, 2009, approximately 90 percent of Medicaid expenditures for home health aide visits were made to providers in Miami‐Dade County, while only about 20 percent of Medicaid recipients reside in that area. At the end of the fiscal year, there were 339 home health agencies in Miami‐Dade County actively enrolled in the Medicaid program and only 293 in the other 66 counties combined."" (Page 53)  • Statutes were changed in 2008 and 2009 to address home-health fraud. Forty-seven licensure denials for home health agencies were upheld in FY 2009-10 for fraud-related reasons. Thirty-one of the denials (66 percent) were in Miami-Dade County. (Page 65)  We reached out to several agencies that have a role in Medicaid. Both the Florida Attorney General, which has a Medicaid Fraud Control Unit, and AHCA said they had no nationwide county-by-county information to support or refute Saunders' claim. Don White, spokesman for the Office of Inspector General for the U.S. Department of Health and Human Services, also told us that the federal government has ""no statistics on Medicaid fraud."" As for Saunders' claim that Dade and Broward are the ""worst"" in the country, White said: ""Do we have the numbers? No. Is he probably correct? Yes."" We ran Saunders' claim by Alan Levine, a former secretary at AHCA under Gov. Jeb Bush and an expert on Medicaid. ""I have absolutely no doubt South Florida is among the highest,"" Levine wrote in an e-mail. ""Others that likely run in the same circle are New York and New Jersey. But South Florida, from all the experience I have, clearly leads the way."" Levine sent us a 2009 report, ""Stop Paying the Crooks,"" by the Center for Health Transformation, an organization founded by former House Speaker Newt Gingrich. It stated that the U.S. Department of Justice labeled ""South Florida -- and more specifically, Miami-Dade County --Ground Zero for health care fraud in America."" But no numbers ranking counties nationwide. We sent Saunders' claim to Craig Smith, the attorney who wrote the South Florida chapter, who works at Hogan Lovells law firm in Miami. ""Whatever the exact figure is, there can be no question that the bulk of the fraud, waste and abuse is occurring in Miami-Dade and Broward counties,"" Smith wrote to us in an e-mail Feb. 1. ""Based on the size of Florida's Medicaid program, you can fairly eliminate about 45 states from the comparative discussion."" So let's review: Saunders said that ""The two worst counties for (Medicaid) fraud in the country -- not state -- are Dade and Broward county."" We could not find any government office that could point to numbers ranking counties across the nation in terms of Medicaid fraud. But we found four experts -- one from the federal Department of Health and Human Services Office of Inspector General, one a former secretary of the state's AHCA, a spokesperson from a national organization that provides information on health care fraud and an attorney who specializes in health care law -- who all agree that Saunders is likely right. At PolitiFact Florida, we dig for data to support claims by politicians -- and Saunders and our experts haven't provided hard numbers to prove him right. But the fact that four experts -- including one appointed by a Republican governor -- generally back up the Democratic minority leader or say that the two counties are at least among the worst in the nation carries weight with us." Claim: The two worst counties for (Medicaid) fraud in the country -- not state -- are Dade and Broward county.
[EX A]:
Ron Saunders says Miami-Dade, Broward rule the country in Medicaid fraud