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The U.S. Supreme Court on Thursday held that the federal government has been under-funding Native American tribes that administer their own healthcare programs for 30 years and must pay potentially hundreds of millions more going forward. In its 5-4 ruling, the court found that federal law requires the U.S. Department of Health and Human Services to pay the overhead costs that tribes incur when spending money from Medicare, Medicaid and private insurers. The ruling is a victory for the San Carlos Apache Tribe in Arizona and the Northern Arapaho Tribe in Wyoming, which had each sued over the funding. (Pierson, 6/6)

Northern Arapaho tribal leaders Thursday celebrated a win in the U.S. Supreme Court in a lawsuit that sought a $1.5 million federal reimbursement for health care costs. “Indian Country is often forgotten and left out when it comes to allocation of health care dollars,” said Lee Spoonhunter, a member of the Northern Arapaho Business Council. “We’re able to assess our peoples’ problems,” he said, and use IHS funding “to provide a better system of care.” (Thuermer Jr., 6/7)

Former President Donald Trump nominated Neil Gorsuch to the Supreme Court within weeks of taking office in 2017. It was a triumphant moment for Trump and for his supporters, many of whom voted for him due to an interest in shifting the ideological balance of the court. Over the past seven years, Gorsuch has helped deliver a number of big wins for the conservative movement. ... But Gorsuch has also broken with the conservative pack somewhat regularly, often alongside Chief Justice John Roberts. He’s written or joined opinions protecting gay and transgender workers, protecting Native American tribal sovereignty and protecting a prisoner from additional jail time. (Dallas, 6/6)

In a ruling on Thursday, the Supreme Court expanded who can object to bankruptcy settlements, giving an insurance company a say in how to settle asbestos injury claims. The unanimous ruling said Truck Insurance Exchange could object to a construction company’s Chapter 11 bankruptcy reorganization plan. ... Justice Sonia Sotomayor said Truck will have to pay the vast majority of its liability claims — up to $500,000 per claim for thousands of asbestos-injury claims. The current plan, Sotomayor said, would leave Truck alone in carrying that financial burden. (Reichmann, 6/6)

Supreme Court Justice Samuel Alito sat out of a unanimous decision this week in a case involving insurance claims and bankruptcy. On Thursday, the U.S. Supreme Court issued a ruling in Truck Insurance Exchange v. Kaiser Gypsum Co., Inc., et al., which focused on bankruptcy claims amid asbestos-related lawsuits. Alito did not provide a reason for his decision to sit out of the case. (Impelli, 6/6)

The Food and Drug Administration announced Thursday that it has reversed its ban on Juul e-cigarettes while it reviews new court decisions and considers updated information provided by the vape maker. The FDA first ordered the company to stop selling its products in 2022, but they have stayed on shelves pending an appeal. Juul has maintained its status as the No. 2 e-cigarette maker in the U.S. during this time. Now, the FDA says Juul's products are back under agency review. (Wile, 6/6)

An FDA analysis of trial data for Eli Lilly's experimental Alzheimer's drug donanemab released on Thursday revealed no red flags, but raised questions about safety of the treatment for patients with early-stage disease. The drug is a potential rival to Eisai and Biogen's Leqembi, which won approval last July. (Satija and Steenhuysen, 6/6)

Nestle Health Science will buy the rights to Seres Therapeutics' Vowst, the companies said on Thursday, gaining full access to the first-ever pill alternative to fecal transplants for a deadly infection. The drug was greenlit by the U.S. health regulator in 2023 to prevent the recurrence of Clostridioides difficile infections (CDI) in adults, generally caused by the prolonged use of antibiotics, which can lead to potentially fatal diarrhea and inflammation of the colon. (Jain, 6/6)

A Philadelphia judge has substantially reduced a $2.25 billion verdict against agricultural giant Monsanto, ruling that a Pennsylvania man who contended he developed cancer from the company’s weed killer Roundup ought to receive $400 million. Philadelphia Court of Common Pleas Judge Susan Schulman’s ruling comes following a Philadelphia jury’s January verdict in favor of John McKivison. ... Exposure to Roundup, McKivison claimed, caused him to later develop non-Hodgkin lymphoma, a type of blood cancer. (Vadala, 6/6)

�鶹Ů�� Health News: Thousands Of Children Got Tested For Lead With Faulty Devices: What Parents Should Know

A company that makes tests for lead poisoning has agreed to resolve criminal charges that it concealed for years a malfunction that resulted in inaccurately low results. It’s the latest in a long-running saga involving Massachusetts-based Magellan Diagnostics, which will pay $42 million in penalties, according to the Department of Justice. While many of the fault-prone devices were used from 2013 to 2017, some were being recalled as late as 2021. (Appleby, 6/7)

Americans spend more on prescription drugs than anyone else in the world. It’s true that they take a lot of pills. But what really has set the US apart is how much drugs cost. Unlike in most other countries, their prices are set without direct government intervention. A new law aims to change that for certain drugs for elderly and disabled patients who rely on the government’s Medicare health program. The pharmaceutical industry opposes the change, and the law faces a raft of lawsuits seeking to stop it from taking effect. (Langreth, 6/6)

Conservative policymakers influential with former president Donald Trump are discussing how to use a little-known labor law to impose sweeping restrictions on private-employer-covered abortions, according to a public statement and two people with direct knowledge of labor policy discussions among Trump advisers. Although Trump has not formally committed to anything and talks are ongoing, the Heritage Foundation, a conservative think tank, has publicly called for using federal labor law to limit the ability of private employers to provide coverage that includes abortions in states with abortion restrictions. (Gurley and Stein, 6/6)

The statement provides estimated effects of ballot measures on government revenues and the budget. A Leon County judge rules the statement is “inaccurate, ambiguous, misleading, unclear and confusing.” A Leon County circuit judge on Wednesday ruled a “financial impact statement” that would accompany a proposed constitutional amendment about abortion rights needs to be revised, finding that the statement is “inaccurate, ambiguous, misleading, unclear and confusing.” (Kam, 6/6)

Deborah Dorbert knew it would be excruciating, both emotionally and physically, to carry to term and deliver a baby doctors told her would only live a few minutes, at most. And it was, she said. "It was the most excruciating pain to go through," Dorbert, 35, told "Good Morning America" of giving birth to her son Milo Evan Dorbert on March 3, 2023, after not being able to access abortion care in her home state of Florida. "Delivering him just to watch him die was just all extra added trauma." (Kindelan, 6/6)

More than a year after state lawmakers passed Senate Bill 20, adding new abortion restrictions in a late-night vote overriding Gov. Roy Cooper’s veto, the status of the law dictating access to the procedure in North Carolina remains in flux. That’s because the law has been entangled in two lawsuits that challenge some of the requirements lawmakers implemented. A federal judge’s ruling on June 3 in the first case loosens restrictions on how medication abortion pills can be provided in North Carolina. The same judge will soon determine the fate of two other contested provisions in a second case. (Crumpler, 6/7)

Two professors at the University of Texas at Austin are suing for the right to penalize students who miss class to obtain an abortion out of state. The professors, John Hatfield and Daniel Bonevac, are contesting the Biden administration’s efforts to shield students from retaliation when they obtain reproductive health care, a long-standing guarantee under Title IX. They also demand the freedom to discriminate against students and teaching assistants who identify as LGBTQ. (Lithwick and Stern, 6/7)

Whooping cough, a bacterial illness that poses an especially significant threat to infants, is surging in the United States — another potential legacy of the coronavirus pandemic. Federal disease trackers report that during the first five months of this year, about 5,000 whooping cough cases were reported, more than double the number for the same period last year. (Johnson and Malhi, 6/6)

The FDA is concerned because the illness is a highly contagious respiratory infection caused by the bacterium Bordetella pertussis. It can be very dangerous, particularly to infants and those with compromised immune systems, as it can lead to severe complications such as pneumonia, seizures, and even death. Symptoms begin with mild cold-like signs, including a runny nose and mild cough, but progress to severe coughing fits that can produce a "whooping" sound when the person breathes in. These fits can be debilitating, causing vomiting and exhaustion. The rise in cases this year can be put down to several factors. Decreased vaccination rates, partially due to vaccine hesitancy, have played a significant role. (6/6)

Eight infants have died between January and April 2024, according to the UK Health Security Agency (UKHSA). This is three more than the previously reported figure for the year so far. Whooping cough can be called the "100-day cough" because of how long it can take to recover from it, and it spreads very easily. (6/6)

In summer 2022, the global mpox outbreak seemed poised to overwhelm the U.S. with cases rising exponentially every week and no signs of slowing. A successful public health campaign -- promoting behavior changes and vaccination -- helped cases drop dramatically. However, a new small study published Thursday and led by the University of California, Los Angeles (UCLA) says that mpox cases are still circulating at low levels in the U.S. and primarily among unvaccinated high-risk groups. (Kekatos, 6/6)

Lab tests have confirmed highly pathogenic avian influenza in a dairy herd in Benson County, the Minnesota Board of Animal Health said. ... According to the Minnesota Board of Animal Health, a producer noticed signs of illness in only a few cows over the weekend. The next day, however, the producer reported that over 40 cows had contracted a fever. (Lofgren, 6/6)

Dairy cows infected with avian flu in five U.S. states have died or been slaughtered by farmers because they did not recover, state officials and academics told Reuters. Reports of the deaths suggest the bird flu outbreak in cows could take a greater economic toll in the farm belt than initially thought. Farmers have long culled poultry infected by the virus, but cows cost much more to raise than chickens or turkeys. (Douglas and Polansek, 6/6)

The popular sugar substitute xylitol, commonly used by those wanting to lose weight or who are diabetic, is associated with an increased risk of a cardiovascular event such as a heart attack and stroke, according to a study published in the European Heart Journal on Thursday. (Chesler, 6/6)

A 3-year-old Sewickley, Pennsylvania, biotech firm is partnering with a Boston hospital to test a new drug combination, which has the promise of helping people debilitated by stroke. Neuro-Innovators LLC is collaborating with Spaulding Rehabilitation Hospital to evaluate the effectiveness of Neuro-Innovators’ NIV-001 therapy to enhance and restore mobility and function lost through a burst or blocked vessel in the brain, which causes stroke. (Mamula, 6/6)

Adults who eat a salty diet appear to have a higher risk for eczema, according to a study by researchers at the University of California at San Francisco. An estimated 1 in 10 Americans will develop eczema, or atopic dermatitis, which causes the skin to become irritated, inflamed and itchy. But according to the National Institutes of Health, the cause of the rash remains unknown. Dermatologists say the study, published on Wednesday in JAMA Dermatology, will lead to further research regarding how salt may play a role in the skin condition. (Amenabar, 6/6)

Up to one in five young athletes ages 10 to 31 may have pre-hypertension, a precursor to high blood pressure, according to a new preliminary study. More than 20% of athletes studied met the criteria for having high blood pressure, which can increase the risk of heart attack, stroke, and kidney disease. Teenage boys appeared to be more at risk than teenage girls, according to the study, with more than double the rates of stage 1 and stage 2 hypertension. (March and Rahman, 6/6)

A growing body of research suggests that high blood pressure, or hypertension, affects men and women in different ways. Emerging research suggests that women may have an increased risk of heart attack and stroke at a lower blood pressure than men, even when their blood pressure falls in the range that is currently considered healthy. Although the evidence is far from definitive, some scientists are calling for additional studies to learn whether guidelines on hypertension need to be updated to include different recommendations for men and women. (Szabo, 6/6)

We often hear that many children in the world aren't getting enough to eat. But what does that mean exactly and what does 'not enough' look like? ... A new report by UNICEF has pulled together these details and other data from 137 low and middle income countries to understand what young children are being fed and what that means for their growth. ... One in four children under the age of five are experiencing what study authors call “severe food poverty” which means kids are only being fed two or less food groups per day. (Tanis, 6/6)

As the planet continues its streak of record-breaking heat, the World Health Organization has issued urgent new warnings about the ways in which climate change is affecting the most vulnerable members of society at almost every stage of life. ... “These studies show clearly that climate change is not a distant health threat, and that certain populations are already paying a high price,” read a statement from Anshu Banerjee, the WHO’s director of maternal, newborn, child and adolescent health and aging. (Smith, 6/6)

A Connecticut-based beverage company is recalling several products due to undeclared preservatives and food dyes on the labels. Charles Boggini Company issued a voluntary recall for its "Yellow Lemonade," "Yellow Lemonade X," "Pink Lemonade" and its "Cola Flavoring Base," according to separate enforcement reports posted by the U.S. Food and Drug Administration (FDA). (Genovese, 6/6)

Nearly 70 Department of Veterans Affairs nurses rallied in front of the department's Washington, D.C., headquarters Thursday to protest staffing cuts they say are hurting the quality of veterans' medical care. The nurses, from 23 VA medical facilities across the country, called the expected reduction of 10,000 jobs in the Veterans Health Administration a "hiring freeze." However, VA officials have said the cuts are coming as a result of attrition and retirements and that hiring will continue for short-staffed, critical positions. (Kime, 6/6)

Starting June 1, hospitals were required to have approved a staffing plan that meets a minimum of one nurse for every two patients in intensive care units and one nurse for every five patients in surgical units where patient conditions are generally less acute. Staffing ratios are allowed to be laxer during the night shift when many patients are sleeping. The Oregon Health Authority is tasked with overseeing the implementation of the new law and investigating any allegations of violations. The state agency said since the law was passed it has received hundreds of complaints, many of which have come in since the new staffing plans went into effect June 1. (Giardinelli, 6/7)

�鶹Ů�� Health News' 'What The Health?' Podcast: Nursing Home Staffing Rules Prompt Pushback

The nursing home industry — as well as a healthy number of Congress members — are all pushing back on the Biden administration’s new rules on nursing home staffing. Industry officials say that there are not enough workers to meet the requirements and that the costs would be prohibitive. Meanwhile, Democrats on Capitol Hill are trying to force Republicans to explain their exact positions on assuring access to contraceptives and in vitro fertilization. (Rovner, 6/6)

A wave of labor organization continues among doctors, residents and fellows as more than 3,000 have joined unions so far this year, driven by worries about burnout, administrative burden and inadequate patient care. Doctors and support staff are seeking contracts across organizations that ensure reduced workloads and more one-on-one patient care time. However, where doctors want more decision-making power, residents are pushing for better benefits and higher pay. (Devereaux, 6/6)

Amid recent unionization efforts, ChristianaCare has parted ways with two executives who oversee the primary-care physician and specialty-care practices across its network that spans three states. ChristianaCare officials confirmed to the Delaware Business Times that ChristianaCare Medical Group President Lisa Maxwell and Chief Medical Officer Roger Kerzner have “left the organization.” (Tabeling, 6/5)

Demoralized doctors and nurses are leaving the field, hospitals are sounding the alarm about workforce shortages and employees are increasingly unionizing and even going on strike in high-profile disputes with their employers. Why it matters: Dire forecasts of health care worker shortages often look to a decade or more from now, but the pandemic — and its ongoing fallout — has already ushered in a volatile era of dissatisfied workers and understaffed health care facilities. (Owens, 6/7)

Cancer patients often prefer the convenience of video visits over in-person medical visits. A new study reveals another benefit – telehealth reduces greenhouse-gas emissions. By moving online all oncology visits that need not be done in person and by allowing patients to have blood drawn and other tests and procedures performed at clinics closer to their homes, researchers estimated they could reduce nationwide carbon-dioxide emissions generated as a result of cancer care by 33%, the study published Monday in JAMA Oncology found. (Cohen, 6/6)

On many days, some small hospitals in rural Mississippi admit just one patient — or none at all. The hospitals are drowning in debt. The small, tight-knit communities they’ve anchored for decades can do little but watch as the hospitals shed services and staff just to stay afloat. The federal government recently offered a lifeline: a new Medicare program designed to save dying rural hospitals that will pay them millions to stop offering inpatient services and instead focus on emergency care. (Claire Vollers, 6/6)

Health insurance companies are bracing for a near-term hit to their Medicaid finances as fallout from the eligibility redeterminations process takes shape. Insurers say they are pleading with state policymakers to boost the payments they receive for covering Medicaid beneficiaries, stressing that millions of people exiting the program over the past year has created unfavorable risk pools consisting of higher-acuity members. (Berryman, 6/6)

Prospect Medical Holdings is suing Yale New Haven Health, claiming the health system breached its contract with Prospect by “failing to deliver the agreed-upon purchase price” for the three Connecticut hospitals it has made a bid to buy. The California-based company also alleges that YNHH failed to make “reasonable best efforts” to complete the acquisition of the three Prospect-owned facilities and has “actively worked to prevent the closing of the transaction” in order to get a lower purchase price. (Carlesso, 6/6)

A group of Senate Democrats wants to know when the federal government will finalize a nearly year-old proposed rule to toughen enforcement of mental health parity laws. The Health and Human Services, Labor, and Treasury departments announced the draft regulation last July. The White House even touted it, signaling mental health parity as a priority for President Joe Biden. (Early, 6/6)

Texas officials on Thursday rejected attempts by several major insurers for needy families to cancel a proposal that would drop them from the state Medicaid program and shake up the coverage of nearly 2 million low-income Texans. At issue are some $116 billion in Medicaid contracts that Texas Health and Human Services officials are attempting to award by the end of the summer, a plan announced earlier this year that has drawn wide criticism because it would eliminate three major health plans run for decades by the state’s premiere nonprofit children’s hospitals. (Harper, 6/6)

A proposal to legalize cannabis in New Hampshire cleared a key hurdle Thursday afternoon, as negotiators from the House and Senate settled on a compromise that’s now cued up for a final vote next week. The compromise, which incorporated several relatively minor changes to the version of the bill that passed the Senate, will head back to each chamber for a final up-or-down vote. (Porter, 6/6)

After seeing three previous efforts fail to legalize psychedelics, a bipartisan pair of California legislators are trying again to permit them for therapeutic purposes, this time narrowing their focus to helping veterans and first responders in three counties, including San Francisco. Republican State Senate Leader Brian Jones of San Diego and Democratic Sen. Josh Becker of Menlo Park introduced legislation Thursday that will create a three-year psychedelic pilot program in San Francisco, Santa Cruz and San Diego counties. (Garofoli, 6/6)

A year after San Francisco launched a multiagency effort to dismantle open-air drug markets in the Tenderloin and South of Market neighborhoods, it remains unclear whether arrests have led any drug users to engage in treatment programs. The Chronicle spoke to several unhoused people who use fentanyl and who were recently arrested or cited, all of whom said it had not affected their drug habits. (Angst, 6/6)

Staff at the Oregon State Hospital neglected to conduct hourly checks to ensure patients were alive and breathing, a failure that in one case led to a patient being found dead 4 1/2 hours after the last verification, investigators found. Those findings, outlined in a notice provided to The Oregonian/OregonLive, led the Centers for Medicare and Medicaid Services to place the state psychiatric hospital in Salem in “immediate jeopardy status.” (Goldberg, 6/6)

Times have been getting tougher and tougher in health care. It shows up in the copays, the bills and now Colorado hospitals are facing a crisis. "Reimbursement is down everywhere partly because we have an increase in the number of uninsured patients across the country," said Denver Health's CEO Donna Lynne. Lynne went before a Denver City Council committee Wednesday to ask them to advance a ballot question to Denver voters requesting a sales tax hike. The increase would be devoted to help pay cost shortages and would cost shoppers an extra 3.4 cents on a $10 purchase. (Gionet, 6/6)

A survey of more than 200 Colorado students showed 90% of teen girls have started their menstrual cycle unexpectedly at school or during a school-related activity when they didn’t have access to period products. Eighty percent of those girls missed class because they didn’t have a pad or tampon; 72% of them used a substitution in place of a typical period product within a year before the study was conducted such as toilet paper, paper towels and napkins; and 59% said they struggled to afford or access period products. (Flowers, 6/7)

A new push to break the stigma around mental health just expanded to first responders in Pennsylvania. Firefighters aren't just responding to fires anymore. They're going out on all sorts of calls. But because of a court decision, firefighters say they're not able to access the care they need for their mental health. (Schiller, 6/6)

When Michael Bommer found out that he was terminally ill with colon cancer, he spent a lot of time with his wife, Anett, talking about what would happen after his death. She told him one of the things she’d miss most is being able to ask him questions whenever she wants because he is so well read and always shares his wisdom, Bommer recalled during a recent interview with The Associated Press at his home in a leafy Berlin suburb. That conversation sparked an idea for Bommer: Recreate his voice using artificial intelligence to survive him after he passed away. (Grieshaber and Hadero, 6/4)

When faced with infertility, Amanda and Jeff Walker had a baby through in vitro fertilization but were left with extra embryos — and questions. Tori and Sam Earle “adopted” an embryo frozen 20 years earlier by another couple. Matthew Eppinette and his wife chose to forgo IVF out of ethical concerns and have no children of their own. All are guided by a strong Christian faith and believe life begins at or around conception. And all have wrestled with the same weighty questions: How do you build a family in a way that conforms with your beliefs? Is IVF an ethical option, especially if it creates more embryos than a couple can use? (Ungar and Stanley, 6/5)

Sarah Bailey had one thought in the sterile hospital room where the doctors were going over her daughter’s diagnosis, using words like hemoglobin and neutrophils and allopurinol: We need to get out of here. It was March 2023 and the beginning of a battle she knew she was willing to fight with 5-year-old Bellamy Korn, the youngest of her four kids. She knew she would be there for every step of the treatment that she hoped would wipe out the leukemia sickening her child. (England, 6/3)

To an outsider, Billiejo Mullett is someone who has her head firmly screwed on. She’s smart and educated — a registered nurse who works for a medical insurance provider — and balances her career with a busy family life. In many ways, Ms. Mullett, who lives in Minoa, N.Y., seems to have things figured out, which is why she is still reeling from a life-coaching experience she describes as a “pyramid scheme” that took tens of thousands of dollars from her. “I’m an intelligent human being,” Ms. Mullett, 46, said. “We all think that it’ll never happen to us. That’s the really scary part.” (Bishop, 6/2)

While the natural hallucinogen can be found in some plants and fungi, its best-known source is the Sonoran Desert toad, a greenish gray amphibian that roams the southwestern United States and northwest Mexico. To get the psychedelic, poachers squeeze the toad’s glands to secrete a milky toxin that contains 5-MeO-DMT, along with other molecules. Though the toad usually survives this process, conservationists warn that rising demand in the once obscure psychoactive compound has put pressure on the toad population. They call it yet another risk for an amphibian already threatened by dry weather, a shrinking habitat, and disease. (Medrano, 6/3)

The bubonic plague pandemic of the 14th century gained infamy as much for its death toll — 25 million in Europe alone — as for the horror of the disease itself. Scientists have long blamed rat-transmitted fleas for the plague’s swift spread. But recent research points the finger at an additional culprit: body lice. (Blakemore, 6/1)

The East Canfield Village neighborhood of Detroit is not the most likely place to encounter a monumental sculpture of an African crown glittering with gold lowrider paint and soaring high into the trees. Yet this queenly structure, designed by the land artist and activist Jordan Weber, is fitting for one of the city’s most disadvantaged and polluted neighborhoods: In place of jewels, the crown is outfitted with an air-monitoring system that will enable residents to track airborne pollutants, from Canadian wildfire smoke to emissions from a massive automotive assembly complex four blocks away. (Brown, 5/29)

Physicians are taught to respect individuals' autonomy, guiding decision-making for their medical care beneficently, without maleficence, and justly. What do we do when patients make potentially harmful medical decisions for themselves or others? Hippocrates tells us, "Primum non nocere," or "First do no harm." (Jessica Tuan, 6/6)

As the former surgeon general of the United States and a Black man, I feel compelled to tell Congress: Black Americans need your help. Substance use disorder affects communities across America, but it doesn’t affect all communities the same. The epidemic of addiction and overdose disproportionately impacts Black Americans. (Dr. Jerome Adams, 6/7)

Philanthropists and foundations like the one I work for take a lot of calculated risks. We invest in research, advocacy, strategic communications, technical assistance, and many other activities, hoping they will help us advance our strategic priorities. We evaluate our efforts whenever we can, but many defy measurement — assessing the impact of our work is a persistent challenge. Results from a recent study, currently published as a National Bureau of Economic Research (NBER) working paper, on the important topic of medical debt relief provided an all-too-rare burst of clarity. (Katherine Hempstead, 6/7)

Steward Health Care System LLC was once thought to be the future. Its chief executive officer, Ralph de la Torre, was named “health care’s new maverick” by Fortune in 2012. With the help of private equity giant Cerberus Capital Management LP, de la Torre turned six Boston-area facilities into one of the nation’s largest for-profit hospital chains. (6/4)