Senate leaders released a slightly revised version of their health care bill Monday as Mitch McConnell tries to win over enough holdouts to pass the measure, with at least six Republicans signaling opposition.

Republicans hold just 52 seats in the Senate. Senate Majority Leader Mitch McConnell is struggling to get more conservative and more moderate Republicans to unite behind the version of the Affordable Care Act change bill released last week.

Anthem agreed to pay $115 million to resolve consumer claims over a 2015 cyberattack that compromised data on 78.8 million people, marking what attorneys in the case called the largest data-breach settlement in history.

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