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Thursday, Mar 3 2016

Full Issue

State Highlights: Death With Dignity Act Unlikely To Pass In Maryland; Miss. House Votes To Loosen Vaccination Exemptions Process

News outlets report on health issues in Maryland, Mississippi, New York, Michigan, Florida, Massachusetts and Pennsylvania.

A bill that would allow terminally ill adults in Maryland to take their own lives appears likely to fail in committee for the second straight year, its lead sponsor said Wednesday. With a vote expected Thursday, none of the four lawmakers whose support is needed to move the Death With Dignity Act to the full state Senate appears ready to commit to the measure, Sen. Ronald N. Young (D-Frederick) said. (Hern谩ndez and Wiggins, 3/2)

The Mississippi House voted 65-54 Wednesday to loosen the process for getting medical exemptions to some of the strictest childhood vaccination requirements in the nation. It is not clear whether the proposal will survive in the Senate, however. All states allow a process to get a medical exemption to avoid some or all vaccinations that are required to attend school. (Pettus, 3/3)

New York鈥檚 public hospital system, the largest in the U.S., projects it will end the fiscal year with its lowest cash level in at least 15 years, and it鈥檚 鈥渋mperative鈥 that city officials come up with a plan to stabilize it, according to the state comptroller鈥檚 office. The Health and Hospitals Corp., which serves 1.4 million patients annually, projects a closing cash balance of $104 million for the fiscal year ending June 30, enough to meet obligations for six days. The estimate was included in a report on New York City鈥檚 finance issued by the state comptroller鈥檚 office Monday. (Braun, 3/1)

The state of Michigan restricted Flint from switching water sources last April without approval from Gov. Rick Snyder's administration under the terms of a $7 million loan needed to help transition the city from state management, according to a document released Wednesday. By the time the loan agreement was in place, cries about Flint's water quality were growing louder, though it had not yet been discovered that the improperly treated Flint River water had caused lead to leach from aging pipes and put children at risk. Flint's state-appointed emergency manager said at the time that switching back to the water source would cost the city more than $1 million a month and that "water from Detroit is no safer than Flint water." (3/2)

Gov. Rick Snyder has hired two outside attorneys in connection with the Flint drinking water crisis, including a criminal defense attorney retained to serve as "investigatory counsel," a Snyder spokesman confirmed Thursday. Eugene Driker, a civil defense attorney, and Brian Lennon, a criminal defense attorney, were each awarded a contract worth $249,000 through Dec. 31, after which those contracts can be extended, Snyder spokesman Ari Adler told the Free Press. (Egan, 2/3)

Reports documenting scheduling problems and wait-time manipulation at the Department of Veterans Affairs are being made public, as the agency鈥檚 internal watchdog bows to pressure from members of Congress and others to improve transparency. The VA鈥檚 Office of Inspector General released 11 reports Monday outlining problems at VA hospitals and clinics in Florida. The reports are the first of 77 investigations to be made public over the next few months. (3/2)

With the support of doctors and small businesses, the Florida House has unanimously passed a bill that would clear the way for "direct primary care鈥 agreements. The agreements involve monthly payments that patients or their employers make to doctors to cover routine primary-care services, which would cut out the role of insurers. (Miller, 3/2)

A Boston nonprofit plans to soon test a new way of addressing the city鈥檚 heroin epidemic. The idea is simple: Starting in March, along a stretch of road that has come to be called Boston鈥檚 鈥淢ethadone Mile,鈥 the program will open a room with a nurse, some soft chairs and basic life-saving equipment 鈥 a place where heroin users can ride out their high, under medical supervision. ... With state statistics indicating that roughly four Massachusetts residents die every day from an overdose, the need for some sort of new approach seems more urgent than ever, [Dr. Jessie Gaeta, chief medical officer at the Boston Health Care for the Homeless Program, which initiated the project] said. Still, her organization plans only a limited version of the 鈥渟afe place鈥 other countries offer. In Boston, patients will not be allowed to take drugs in the room. (Bebinger, 3/3)

Public health officials say there have been more than 90 new confirmed cases of the flu in Delaware in a week, and the numbers could go higher. The Delaware Division of Public Health said in a news release Wednesday there were 92 new cases confirmed by lab tests for the week ending Feb. 27. Officials say that is more than double the new cases reported the week before. (3/2)

Lauren Frick is waiting for the 鈥渃rampy feeling鈥 in her lower back that signaled the beginning of labor with her first two children. Her third child is due March 23. Frick plans to deliver at the Cambridge Birth Center, where 100 percent of babies arrive with the assistance of midwives. The 34-year-old biological engineer will have chosen a midwife instead of an MD as her primary provider for all three births. Doctors, Frick says, seem to focus on what can go wrong, not on childbirth as a normal, natural process. (Bebinger, 3/3)

An ambulance company that provides services to Thomas Jefferson University Hospital, Main Line Health, and Crozer-Keystone Health System plans to close up shop June 30. The company, Falck USA, an arm of a Danish company that operates in the Philadelphia region as LifeStar Response, blamed low reimbursement rates. (Brubaker, 3/2)

It's only March, but Baltimore City Health Commissioner Leana Wen already has an embarrassingly full calendar. She's put together the city's plan for dealing with the Zika virus, launched a campaign against soda and other sugary beverages and overseen an investigation into why so many people in the city are overdosing on fentanyl. Trained in emergency medicine, Wen, 33, says running the health department in Baltimore is the fastest-paced job she's had. (Hsu, 3/2)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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