the death of a 3- year old girl from orange city. jenna: sapp admitted to injuring autumn elgersma so badly at her daycare that she died of her injuries. in octer of last year, sapp made a plea deal and was sentenced to two 50 year prison sentences. last month, judge edward jacobson, decided to change that sentence and allow sapp to serve them at the same time, siting good behavior while in prison. but, that's little comfort to autumn's grieving family. her mother, jen, spoke to us on the phphe today. " " jenna:

allowed to reconsider sentences within a year of the sentencing date, without notifying the county attorney attorney general or the victim's family. sioux county attorney thomas kunstle had this to say today. this is sort of an unprecedented move ...undermines any closure the victims may have had. tim: the family of autumn elgersma says they plan to attend all future parole hearings so the iowa parole board is aware of the impact sapp's crimes had on them and their community in general. jenna: the elgersrs family is honoring the memory of autumn by helping start a center for children who have been abused. autumn's center, will be the newest addition to the season's center for

behavioral health located in spencer iowa. they've just recently received a grant for just over 35 thousand dollars from the iowa department of public health to recruit child and adolescent phychiatrists within the next few weeks, season's center plans on begining renovations for autumn's center. nat/walking jenna:today advocates from across the midwest took part in the 13th annual memorial march to honor native american children lost while in foster care. it's part of a larger program that has been held all week long. around 50 people showed to participate in the walk to the woodbury county courthouse "things are getting better but thee's ill disproportionate numbers of native children in the chil welfare system, disproportionate number of our children being adopted. four directions, who sponsors this, is about making ourselves well and pulling our families back together." saysfrank lamere, director of four directions cent jenna: the event started at the war eagle

made several stops along the way to say prayers for native american children, , they're not forgotten. tim: iowa is about to go through a huge undertaking, a complete re- vamp of the state's medicaid system. five weeks remain until the new plan is supposed to start. insurance packets have arrived but the plans aren't in place. amanda krenz brings has an update. "iowans currently on medicaid received this packet in the mail. it tells them to choose an m- c-o - amanaged care organizationon there are four out- of-state mco's to choose from. greg 7:13 no other state in the country s tried to move to managed care in this compressed timeline. greg boattenhamer of the iowa hospital association says governor branstad's deadline of januarty 1st to change over the state's medicaid program is way too agressive. how do people know which of these companies to pick? which one will include their current doctors and hospitals? well, they don't know. greg 5:58 it's challenging to know who to sign up with when the networks don't exist.

the department of human services is working on a list providers that have signed on with one of the companies, but hasn't released a number. only saying, "more providers are signing up every day, and we're working hard to remove any contracting barriers to make as smooth of a transition as possible for medicaid members and providers." 6:41 when we've contacted larger health care systems in the state, des moes metro hospitals, they've indicated they haven't signed contracts with any of the mco's. and that's a big worry with very little time left. 7:30 our concern is we get to january first and we have a train wreck on our hands that we don't know how to manage." tim: the federal government has to give its approval before the state can move forward with thehehange over. . so far the feds have not given their okay to do so. jenna: today firefighters in des moines got to dig into their

feast a day early. fire crews from urbandale, clive, johnston, windsor heights, and waukee were honored from the community for their service. community and family members sat down with the firefighters, who were thankful for the support. "it's a way of being thankful for our safety. everyoyo is going home at the end of their shift. we're very thankful for r at. we're very thankful for the communities that help support us. we're very thankful for the citizens within the communities who are taking fire safety so seriously." tim: crews gathered for the festivities at the urbandale fire station. jenna: there are plenty of things to be thankful for at thanksgiving .... but traffic is not one of them. the holiday is one of the worst for travelers. tim: iowa state troopers will be more prominant in several areas monitoring road safety and the hundreds of travelers trying to get to their destination. abc 9's bria bell is out in sioux city to tell us more. bria: tim and jenna, according to triple a, around 47

million will be traveling this thanksgiving starting today all the way up until sunday. with more drivers can lead to more accidents and iowa's state troopers will be actively monitoring the roadways. "we are aware of the extra traffic that's going to be on," said farley. more drivers this holiday could mean more accidents if drivers are not careful. thanksgiving is known nationwide to have more traffic, but siouxlanders should be on an even higher alert considering the winter weather advisories that have been issued for thursday. state trooper john farley says to monitor r speed d gns, as speedidi is linked to most fatalities in the state of iowa. "speed, you know we've said it forever, speed kills. it still is the number one thing. people are in a hurry to either get to their destination or get home," said farley. so far this year, iowa has had nearly 300 fatalities. because of the higher risks that may soon be present on the highways. iowa state troopers will have more personnel on duty to monitior the roadways. "we want to make sure that...hopefully we want to see that number end there and then next year go down," said

alalady started ththr road trip say the increased number of vehicles on the road is all it takes for them to be even more careful. "i'd say i'm a little more cautious just because i know it's going to be a lot more drivers out and the weather wasn't too great the past couple of days," said baxter. "i see alot of things going on on the road, i see it as a spectator and also [by] avoiding problems," said marc. bria: iowa state trooper farley also wants to people to be mindful of construction areas and to practice your best defensive driving skills because anything can happen at any given time. im going to toss it back to you in studio.....reportin g live in sioux city, bria bell abc 9 news jenna: with thanksgiving just within reach, the folks down at hy-vee are working hard, roasting turkeys

workers at the hy-vee on hamilton boulevard say they're cooking birds non-stop until tomorrow. this year will be a record year for their catering orders. al metz of the hy- vee catering says it's a busy time al metz, hamilton hy-vee says, "we will go non stop and cooking approximately 30 at a time, soso of the turkeyeywill go out cold most of them m will be full. carving the turkeys will be a fulltime job." tim: the 23rd annual festival of trees here in sioux city is underway! festival of trees here in sioux city is underway! during th festival you can bid on your favorite tree through a silent auction with all of the proceeds going to the siouxland autism support group. folks s n go ahead and d ew the trees from now until december 2rd at the hohohunk now until december 2rd at the ho-chunk centre. jenna:: if you're planning on going to the iowa-nebraska heroes game on friday... be prepared for an

increase in security. the game is scheduled to kick off at 2:30 that afternoon, but officials are encouraging those in attendance to arrive at memorial stadium a little earlier blankets will l allowed, but n n backpacks or big bags. all unnecessary items should b b ft at home or in the car. tim: and if you're planning on watching the game at home, be sure to tune in to abc9 this friday we'll have extended coverage of the heroes game between iowa and nebraska. kick off will be at 2:30pm jenna: tim: jenna: still to come well take a look at why sometimes taking anitboitics when your sick can be doing more harm then good (fred) ice and snow are coming tomorrow, and that will bring travel headaches. cooler weather will follow. your forecast is next!

storm warning will be in effect for harrison county south to omaha/council bluffs. all of us will see ice changing to snow, but the ice may be somewhat thicker in the yellow warned area. road conditions are fine, but this map will look different tomorrow. stay in touch with road conditions on siouxlandmatters.co m or by downloading our abc9 weather app. the port neal welding company skycam hd shows cloudy skies. the high today was 53 and the low 27. here are conditions in storm lake on the king's pointe skycam hd. 37 is our sioux city temperature with a north wind at 9 miles per hour. local temperatures are in the 30s and 40s. relative humidity is as high as 100 percent, and we do see some fog in the north, with visibilili less than 5 miles. here's the midwest satellite/radar which is quiet now, but let's go to the stormcast which shows drizzle early tonight, but with cooling temperatures, ice is expected for a large part of siouxland by sunrise in the form of sleet and freezing rain. that will continue through the

afternoon, continued cooling will change things over to snow. so, we will have snow on top of ice, which is among the worse conditions for travel. be aware--roads may be very slick! we could see over a third of an inch of ice in the southeast, and widespread show to the tune of 2-4" will be seen, with isolated 5". tonight, we'll see fog and drizzle early, then ice late. the low will be 30. tomorrow, expect freezing rain and slslt in the morninin and snow in the afternoon. an early high of 30 will be seen, but expect slowly falling temperatures during the day. the 7-day shows 20s friday and saturday, then 30s with a chance of light snow monday. jenna/tim/fred (jenna) thanks, fred. (fred) you bet.

tim:

get antibiotics when they get sick, but in some cases, they may be doing more harm than good. we'll explain why in today's health minute.

they've been hoping for for 2 years. the miltenbergers' son, jacac has severe breathing problems and will need round the clock care once he comes back home to elk point. jackas spent most ohis life in an ohio children's hospital... specially equiped

to handle his needs. right now, jack is only in his elk point home through pictures and thoughts. but, his family hopes he'll be able to come home in january... if they line-up the in-home nursinincare they'll need to manage hisventilator and other medical concerns. erin miltenberger says, "right now there's such a nursing shortage, it's difficult to find those home nurses." ben says, "we've kind of been th close to where we are now, but then he's had a setback." coming up tonight at 10, why jack's parents believes sharing his story will bring the right people to them to help care for their son so they don't have to be split up any more. that's tonight's your health tters. tim: according to t t c-d-c, at least two million people a year in the u-s become infected with bacteria that are resistant to antibiotics....leadi ng to more than 23,000 deaths... finding out your body isn't responding to treatment can be a scary, and life threatening, experience... luckily, there are ways to protect yourself.

in today's health minute, kelly bowman caught up with a pharmacist to fininout the do's a a don'ts of antibiotic resistance. " " we all know "germs" are bad, but some disease-causing bacteria have the ability to develop resistance to the drugs created to destroy them... the overuse, or misuse, of prescription antibiotics, and the use of antibiotics in the food we eat, like beef and pork, are some of the causes. what does it mean when your body doesn't respond to antibiotics? (steve mok, pharmacist, emory university) antibiotic resistance occurs when organisms have been exposed to different types of antibiotics, and once they've seen antibiotics they can develop and evolve, as part of their living process, a resistance to some of the antibiotics. if you experience this resistance, does it mean the bacteria are resistant to that antibiotic forever? (steve mok, pharmacist, emory university) as we remove antibiotic pressure - they'll become not so resistant anymore. so, it's very important that we use our antibiotics judiciously to make sure we get the right dose, taking it for the right amount of time to attack those organisms, so it can't come back and huhu you later on. e there ways to reduceceour risk of cacahing a resistant strain of bactctia? (steve mok, armacist, emory university) it's very important for people to remember

to wash their hands. the other one is to make sure you don't share things like towels, razorsail clippers... those sorts of personal products. for health minute,@i'm kelly bowman. coming up in sports...sergeant bluff-luton's cole croston has followed in his dad's foot steps bluff-lulun's cole croston has followed i ihis dad's foot steps to iowa city. we'll hear from both of them coming up after

home. five of those players are in their first year with the program, but the remaining two are a pair of walk-ons who have worked their way onto the depth chart. brandon snyder from west lyon is the backup safety d a special teams standout and sb-l's cole croston has worked his way up from walk-on to

hawkeyes. according to his dad dave, that's quite a change from where he was in high school. cole croston--"he was a fantastic player and i don't think i'm necessarily in his shadow by any means. i'm just trying to be my own player. he was a great player. if i could even be half as good as he was it would be a fantastic career for me." dave croston--"the fact that i played down there, you know, my name's on the wall in the o-line room, i think he maybe caught a little grief from the other guys, but i don't think there was ever really pressure. we don't talk about technique, we don't talk about his kick- step or we don't talk about a whole lot football wise. just a little bit every now and then, but the big thing has just been when you get an opportunity you have to make the most of it and that's what he's done." chris: we'll hear more from cole and dave coming up wewel hear more from cole and daveveoming up tomorrow in our heroes game preview spial. on the other side of the missouri, it's been a tumultuous four years for the nebraska seniors, preview special. on the other side of the missouri, it's been a tumultuous four years for the nebraska seniors, but they have a chance to go out on a high note on friday. the senior class

has gone through a coaching change, an athletic director change, and is on the verge of possibly missing out on a bowl game for just the third time since 1968. but they also have a chance to play spoiler on friday, ruining iowa's undefeated season and possibly knocking them o o of the college football playoff. they say the challenges they've faced though have made them stronger as a group. jack gangwish--"there isn't a lot of romance in college football, you know? it's results-driven, you know, you've gotta perform. you've gotta go out there and do well, especially at a place like nebraska." andy janovich--"when the last coaching staff was gone, we all just came together and realized that we can only really count on ourselves and i think everybody's got great chemistry because of it." mike riley--"i really appreciate them for who they've been and how they have gone through this year. they're good representatives of this program, of this school." kick off friday is at 2:30 right here on abc9. anandon't forget we'll have much more heroes game

photo of the day. today's picture comes from...kevin hurley and the folks putting together this years naia volletyball national championships at the tyson events center. 24 teams in town dec 1-5th... check it ouity,. if you're like to submit a facebook fan photo, jt post it on our abc-9 facebook page. jenna/tim/chris/fred: (fred) tonight, we'll see fog and drizzle