PHOENIX, AZ (AP)--   Republican-led states that signed onto Medicaid expansion are in a tough spot as they wonder if president-elect Donald Trump's pledge to dump the Affordable Care Act means the expansion goes away. 

Former Arizona Governor Jan Brewer fought her own Republican party in the state Legislature to push through expansion three years ago.

MARQUETTE, MI--   Plans have been finalized to build a sports medicine complex in Marquette. 

UP Health System officials says the complex will feature sports medicine and training services, athletic training, physical therapy, hand therapy, education program studies, and related sports sciences research. 

UP Health System, UP Rehab Services, and the Advanced Center for Orthopedic and Plastic Surgery will be housed in the $3.6 million, 25,000-square-foot facility.

LANSING, MI (AP)--   Michigan will consider requiring all infants and toddlers to be tested for lead as part of an initiative to eradicate children's exposure to the neurotoxin. 

The recommendation is among many unveiled Thursday by a state board formed in the wake of Flint's water crisis.

The emergency stems from old lead pipes contaminating drinking water after the city switched to improperly treated water while under state management. But lead poisoning is more frequently linked to paint and dust in older housing and soil.

LANSING, MI--   Two UP Health System Marquette registered nurses have been honored by the Michigan Nurses Association. 

Gayle St. Onge was presented with the Excellence in Nursing Practice award.  It recognizes patient advocacy, leadership abilities, and evidence-based nursing practice. 

St. Onge has worked at the hospital for 25 years, mostly in the emergency department. 

FLINT, MI (AP)--   Lead and galvanized steel service lines are expected to be replaced this fall in 788 Flint homes as the city continues efforts to stop lead-tainted water from flowing through residential taps.

Mayor Karen Weaver on Monday will announce neighborhoods targeted for the work in the third phase of her FAST Start initiative.

The work is being paid with $25 million from the state. Water lines were replaced in 218 homes during phase two.

MARQUETTE, MI--   Northern Michigan University will simulcast a Returning Veterans Mental Health Conference being held at Central Michigan University next month. 

Anyone in the health care field—as well as the general public—is invited to be a part of the conference.  It will focus on such topics as Identifying and Treating “Moral Injury” in Veterans with PTSD; Understanding Military Culture and the Role It Plays in Preventing Access to Care for Veterans; and New Research in Gulf War Syndrome Toxic Pollutants and Recommendations in Veteran Care Plans.

MENOMINEE, MI--   Feeding America West Michigan has received two grants to support its hunger-relief efforts in Menominee.  

Totaling nearly $11,000, the grants will bring more mobile food pantries to the city and establish a program for women veterans in need. 

The Caterpillar Foundation has granted $9,822 to underwrite food pantries at Abundant Life Mission Center.  Center officials say each mobile food pantry is able to serve about 300 households.  Abundant Life also hosts 66 people, 25 of whom are children. 

LANSING, MI (AP)--   The nearly 400,000 people who buy their own health insurance in Michigan will see premiums rise by an average of 16.7 percent next year.  

It's a sticker shock that insurers and the government say can be offset for those who qualify for tax credits.

Open enrollment for 2017 begins Nov. 1.

It's the fourth year individuals can purchase private insurance through a government-regulated market under the federal health care law.

MADISON, WI (AP)--   Nearly two dozen Republican lawmakers plan to introduce a package of rural health care bills next session that seek to improve health care, education and technology.  

Wisconsin Public Radio reports that the $3.5 million package is part of the Rural Wisconsin Initiative.

Republican state representative Ed Brooks of Reedsburg says he wants to draft legislation aimed at bolstering an aging health care workforce by training more workers in specialties needed the most such as OB-GYN and mental health.

MARQUETTE, MI--    On Thursday thousands of people around the state will chomp into an apple at noon. 

Begun four years ago, the Apple Crunch program is a means to celebrate Michigan’s agricultural heritage, to promote local economies and to benefit from the fruit itself.

Marquette Public Schools will participate in the program, as will NICE Community Schools and Gwinn.  Area businesses like the Marquette Food Co-op, Peter White Public Library, and Blue Cross/Blue Shield will also take a bite to show support for the apple and Farm to School programming.