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The sweeping rule changes, all enacted outside the typical legislative process, have upended life for noncitizens, including those who are here legally.
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Officials approved the change after hearing from speakers who argued it would hamper the state's economy and push immigrants to work without licenses in the black market.
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Gov. Greg Abbott on Sunday signed Senate Bill 3070, which will also criminalize the online sale of lottery tickets through couriers.
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The bill would also mandate a review of the Texas Lottery, which could lead to the abolishment of the lottery itself.
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Authorities say Maria Margarita Rojas presented herself as a gynecologist without a medical license.