DOVER, Del. (AP) — A bill allowing doctor-assisted suicide in Delaware failed to win approval in the state Senate on Thursday after narrowly clearing the House earlier this year, but it could come back next week.

The legislation failed in the Democrat-led Senate in a 9-9 tie after three members of the Democratic caucus spoke against the measure. No Republican lawmakers voted for it.

Two Republicans were absent and Smyrna-area Democrat Sen. Kyra Hoffner tearfully declined to vote on the measure she co-sponsored. In a strategic move that could allow the bill to come back for a vote next week before the legislative session ends, Majority Leader Bryan Townsend, of Newark, switched his vote from “yes” to “no.” Under Senate rules, a motion for reconsideration can be made by a member who voted on the prevailing side, which in this case includes the “no votes” and members not voting.

“I just can’t get there,” Stanton Democrat Sen. Jack Walsh explained as he spoke about his older sister’s 10-year fight against breast cancer. He also recounted the plea made by the late college basketball coach Jim Valvano in a 1993 speech marking the start of the V Foundation for Cancer Research as he himself was dying from cancer: “Don’t give up. Don’t ever give up.”

Change Healthcare is starting to notify hospitals, insurers and other customers that they may have had patient information exposed in a massive cyberattack.

The company also said Thursday that it expects to begin notifying individuals or patients in late July.

Change Healthcare, a subsidiary of health care giant UnitedHealth Group, provides technology used to submit and process billions of insurance claims a year. Hackers gained access in February to its system and unleashed a ransomware attack that encrypted and froze large parts of it.

The attack triggered a disruption of payment and claims processing around the country, stressing doctor’s offices and health care systems by interfering with their ability to file claims and get paid.

BERLIN (AP) — The European Union's top court said Thursday that products such as disinfectants can't be advertised as “skin friendly.”

The European Court of Justice issued its ruling after a German federal court sought its opinion in a case against a drugstore chain that sold a hand, skin and surface disinfectant with a label that, among other things, declared it “skin friendly.”

In that case, the German Association for Protection against Unfair Competition argued that drugstore chain dm failed to comply with an EU regulation on biocidal products. The court said the regulation prohibits promoting such products by calling them a “low-risk biocidal product,” “nontoxic,” “harmless,” “natural,” “environmentally friendly" or “animal friendly” — “or any similar indication.”

The EU court found that “skin friendly” has positive connotations that avoid suggesting any risk, and may imply that the product could be beneficial for the skin.