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Morning Briefing

Summaries of health policy coverage from major news organizations

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Friday, Sep 29 2023

麻豆女优 Health News Original Stories 4

  • These Appalachia Hospitals Made Big Promises to Gain a Monopoly. They鈥檙e Failing to Deliver.
  • Social Security Overpayments Draw Scrutiny and Outrage From Members of Congress
  • Bill of the Month: She Received Chemo in Two States. Why Did It Cost So Much More in Alaska?
  • GOP Presidential Primary Debate No. 2: An Angry Rematch and the Same Notable No-Show

Note To Readers

Reproductive Health 1

  • House Republicans Introduce Bill To Ban Abortion Meds

Covid-19 1

  • Don't Be Surprised If Your Free Govt. Covid Tests Are Already 'Expired'

Capitol Watch 2

  • McCarthy Wins Votes On A Few Spending Bills, But Government Shutdown Looms
  • Manchin Joins Republicans in Blocking VA Nominee Over Abortion Policy

Medicare 1

  • Medicare's 'Innovation' Agency Was Expected to Save Money. It's Cost Billions.

Public Health 1

  • Surgeon General: Beating Loneliness May Help US Mental Health Crisis

Science And Innovations 1

  • 3 In 4 Infants Needing Hospital Care For Covid Had Unvaccinated Mothers

Health Industry 1

  • Credit Rating Downgrades Hitting Dozens Of Health Systems

State Watch 1

  • San Francisco To Start New Court Process For Unhoused People With Mental Illness

Editorials And Opinions 1

  • Viewpoints: Why Is Polio Proving So Hard To Eliminate?; Heat Waves Are More Deadly Than People Realize

From 麻豆女优 Health News - Latest Stories:

麻豆女优 Health News Original Stories

These Appalachia Hospitals Made Big Promises to Gain a Monopoly. They鈥檙e Failing to Deliver.

Ballad Health, the only hospital system across a large swath of Tennessee and Virginia, has fallen short of quality-of-care and charity care obligations 鈥 even as it鈥檚 sued thousands of patients for unpaid bills. ( Brett Kelman and Samantha Liss , 9/29 )

Social Security Overpayments Draw Scrutiny and Outrage From Members of Congress

Lawmakers are faulting the Social Security Administration for issuing billions of dollars of payments that beneficiaries weren鈥檛 entitled to receive 鈥 and then demanding the money back 鈥 in the wake of an investigation by 麻豆女优 Health News and Cox Media Group. ( David Hilzenrath and Jodie Fleischer, Cox Media Group , 9/29 )

Bill of the Month: She Received Chemo in Two States. Why Did It Cost So Much More in Alaska?

A breast cancer patient who received similar treatments in two states saw significant differences in cost, illuminating how care in remote areas can come with a stiffer price tag. ( Arielle Zionts , 9/29 )

GOP Presidential Primary Debate No. 2: An Angry Rematch and the Same Notable No-Show

Though never framed as a marquee issue, the topic of health care crept into the chaotic seven-way faceoff throughout the evening, highlighting Republican culture-war themes. ( 麻豆女优 Health News and PolitiFact staffs , 9/28 )

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Note To Readers

Morning Briefing will not publish next week. You will instead receive our First Edition newsletter -- it is delivered earlier in the morning with a smaller selection of health policy stories, including all of 麻豆女优 Health News' latest reporting. Morning Briefing will be back as usual on Oct. 10.

Summaries Of The News:

Reproductive Health

House Republicans Introduce Bill To Ban Abortion Meds

The goal is to ban nationwide what bill supporters claim are "dangerous drugs." Mifepristone has been approved for 23 years for abortions until 10 weeks and the drugs have become the most common abortion method. In other news, a legal to-and-fro in Texas over Yelp and "crisis pregnancy centers."

Rep. Andy Ogles (R-Tenn.), flanked by leaders of anti-abortion groups, introduced a bill Thursday that would ban abortion pills nationwide. 鈥淏anning these dangerous drugs for the purpose of chemical abortion is an important step in protecting life,鈥 he told reporters. 鈥淲e have a duty to uphold the sanctity of life.鈥 The new bill, which has 13 Republican co-sponsors as of Thursday, comes on the 23rd anniversary of the FDA approving the abortion drug mifepristone for terminating a pregnancy in the first 10 weeks. In recent years, the pills have become the most common method of abortion nationwide. (Miranda Ollstein, 9/28)

Meanwhile, so-called crisis pregnancy centers are at the center of a battle 鈥

Republican Texas Attorney General Ken Paxton will be filing a lawsuit against Yelp for allegedly for adding "inaccurate and misleading language" to pregnancy crisis centers listings on the platform, Fox News has learned. The lawsuit comes after the business review site and aggregator鈥檚 CEO, Jeremy Stoppelman, said that Yelp needed to "take action" after the Supreme Court鈥檚 Dobbs Decision, which ruled that the Constitution does not protect access to an abortion. The decision effectively returned regulation of abortion to the states. (Christ, 9/28)

Online business review site Yelp is suing Texas to defend its descriptions of crisis pregnancy centers which make clear to readers that the centers do not provide abortions or abortion referrals.聽Currently, Yelp applies an alert it calls a "Consumer Notice" to crisis pregnancy center listings reading, "This is a Crisis Pregnancy Center. Crisis Pregnancy Centers do not offer abortions or referrals to abortion providers." (Cerullo, 9/28)

In other news relating to abortion 鈥

A federal appeals court has lifted a lower court ruling that prevented the State of Idaho from enforcing aspects of its near-total ban on abortion. The 9th Circuit Court of Appeals issued an order Thursday granting Idaho officials鈥 request to put the injunction against the law on hold while the state appeals the lower judge鈥檚 decision. (Gerstein, 9/28)

The complexities of abortion-related politics in the post-Roe v. Wade era continue to put the squeeze on Republican Daniel Cameron, who appeared to redefine his position on Kentucky鈥檚 strict anti-abortion law for the second time in two weeks while campaigning for governor. After revealing last week that he would sign legislation adding rape and incest exceptions to the state鈥檚 abortion ban, Cameron seemed to take a more hardline stance Wednesday. He did so while trying to reassure someone who claimed to be concerned that he was weakening his anti-abortion position. Cameron indicated that he would support such exceptions 鈥渋f the courts made us change that law.鈥 (Schreiner, 9/29)

Lawyers for a national religious rights organization have filed a new motion for a preliminary injunction against Colorado鈥檚 law banning so-called abortion pill 鈥渞eversal.鈥 The motion, filed last week by lawyers from the Becket Fund for Religious Liberty on behalf of Catholic health clinic Bella Health and Wellness, says recent rulemaking by state medical boards has 鈥渄oubled down鈥 on the law鈥檚 alleged violations of religious freedom and free expression. (Ingold, 9/29)

Emotional and physical abuse by parents who expected her to someday play a 鈥渟upporting role鈥 in her own life in deference to a future husband featured in the childhood of a woman who burned what was to be Wyoming鈥檚 first full-service abortion clinic in at least a decade, a judge said Thursday in handing down the minimum prison sentence for the crime. (Gruver, 9/29)

As what was then known as House Bill 481 made its way through Georgia鈥檚 legislative process in 2019, abortion rights activists repeatedly said that enacting new restrictions would disproportionately affect Black women. That prediction looks to be coming true, with state Department of Public Health data showing that Black women were the only single-race demographic group to get fewer abortions in 2022 than in 2021. Black women still received the procedure at a higher rate in Georgia than any other racial group. (Prabhu, 9/29)

Covid-19

Don't Be Surprised If Your Free Govt. Covid Tests Are Already 'Expired'

Experts say that expired tests that may be delivered as part of the latest round of free test kits shouldn't immediately be discarded 鈥 they may still be valid. Meanwhile, the CDC director is urging flu and covid vaccinations this fall amid low uptake rates. Also: hydroxychloroquine is in the news again.

Consumers who've ordered free home COVID-19 tests through a federal website could be in for a surprise: they might get kits with expiration dates that passed months ago. But experts say you shouldn't immediately discard those tests. Even though you might not see it on the packaging, the federal government has extended expiration dates on many of these home tests. Consumers can check this Food and Drug Administration聽website to find extended expiration dates聽for home coronavirus tests. (Alltucker, 9/29)

On the fall covid surge, vaccines and more 鈥

Vaccination rates for COVID-19 and the flu have declined, and a significant portion of the U.S. population indicated they are not interested in getting either this year, according to a new survey. The survey from the National Foundation for Infectious Diseases found that only about 20 percent of Americans are worried about themselves or someone in their family getting infected with the flu, COVID-19 or respiratory syncytial virus (RSV). (Weixel, 9/28)

Updated COVID-19 vaccines may be getting a little easier for adults to find but they鈥檙e still frustratingly scarce for young children. Health officials said Thursday the kid shots have started shipping 鈥 and reminded most everyone to get a fall flu shot too. About 2 million Americans have gotten the new COVID-19 shot in the two weeks since its approval despite early barriers from insurance companies and other glitches, according to the Department of Health and Human Services. (Neergaard, 9/28)

Vaccination rates against flu and Covid-19 have declined since earlier in the pandemic and a new survey suggests significant portions of the U.S. population intend to forgo these vaccines this fall. The survey, conducted by the National Foundation for Infectious Diseases, suggests only about one in five Americans worry that they or someone in their family will contract influenza, Covid, or RSV 鈥 respiratory syncytial virus. (Branswell, 9/28)

Autumn is here, school is back in session, and along with the recent uptick in Covid-19 cases, people are experiencing sniffles, coughs and other cold-like symptoms. What should people do if they have these symptoms? At what point should they get tested for Covid-19, flu and other viruses? What can they take to feel better, and when should they seek medical help? And what precautions should they take at school, work and home? (Hetter, 9/28)

Hydroxychloroquine is in the news again 鈥

The claim: Mayo Clinic updated guidance to say hydroxychloroquine is effective against COVID-19. A Sept. 25 Instagram post (direct link, archive link) shows a screenshot of a blog post with a supposed guideline change at one of the country's top hospitals. 鈥淢ayo Clinic updates guidance, now states hydroxychloroquine is effective against COVID-19,鈥 reads the headline in the image. Our rating: False. There was no such update. (McCreary, 9/28)

Also 鈥

Sen. Debbie Stabenow (D-Mich.) said Thursday that she tested positive for COVID-19 and would continue working remotely as she isolated. (Fortinsky, 9/28)

Capitol Watch

McCarthy Wins Votes On A Few Spending Bills, But Government Shutdown Looms

House Speaker Kevin McCarthy managed to win passage of a handful of spending bills late Thursday, potentially strengthening his position in last-minute negotiations to avert a government shutdown.

House Republicans largely succeeded in passing a series of annual spending bills late Thursday night, trying to show that the often fractured conference can stay united on legislation headed into any last-gasp negotiations with Democrats to avert a government shutdown this weekend. (Stech Ferek, Hughes, Wise and Peterson, 9/29)

House Republicans on early Friday rolled out聽their new plan聽for a short-term spending bill that would stave off a government shutdown. The plan, dubbed the Spending Reduction and Border Security Act, would extend funding through the end of October, but impose across the board cuts of about 30 percent 鈥 with exemptions for national defense, the Departments of Veterans Affairs and Homeland Security, and for funding designated disaster relief. (Folley and Brooks, 9/29)

Community health centers across the country are anxiously watching the budget impasse in Congress. Some 1,400 clinics depend on federal funds to serve the most vulnerable patients, and any interruptions in their funding will only add to the financial pressures they already face. These federally-qualified health centers, or FQHCs, are often located in low-income or rural communities. They deliver care on a sliding-fee scale and are mandated to serve everyone regardless of a patient's ability to pay. For millions of Americans, these clinics are the only way they can access primary care. (Boden, 9/29)

Unless Congress acts to pass a spending package on or before September 30, the federal government is hurtling toward a shutdown. How will that affect federal healthcare programs? Stakeholders and policy experts, including former government officials, shared with MedPage Today their forecasts around which health programs and personnel might be most impacted by a shutdown and the kinds of ripple effects patients, providers, and consumers broadly should anticipate. (Firth, 9/28)

For on-base medical care: Unless it's an emergency or an inpatient hospital service, your appointment is probably going to be canceled. Give your clinic a buzz to be sure or watch for specific information from your local base. For off-base medical care: You won't be affected. All Tricare functions will continue without interruption. (Bushatz and Theisen, 9/28)

Also 鈥

A handful of federal programs that people nationwide rely on everyday could also be disrupted 鈥 from dwindling funds for food assistance to potential delays in customer service for recipients of Medicare and Social Security. The ripple effects would come down to how long the shutdown lasts and varying contingency plans in place at impacted agencies. (Grantham-Philips, 9/28)

Food banks and pantries statewide, already straining to fill the gap from the end of COVID benefits, are bracing to meet additional demand if a government shutdown furloughs federal and military workers and federal nutrition programs run dry. (Quinn, 9/29)

Minnesota鈥檚 supplemental nutrition program for women, infants and children 鈥 WIC 鈥 will continue to run even if the federal government shuts down on Sunday, the state director of that vital program told MPR News. 鈥淧articipants should continue to use their benefits, and keep their appointments with WIC clinics,鈥 Kate Franken told MPR News host Cathy Wurzer. 鈥淲e plan to continue business as usual for as long as we can with the program.鈥 (Wurzer and Brown, 9/28)

For manager Dave Gasso, King Cole Foods in Detroit's Highland Park neighborhood provides more than just fair prices. It is a place that helps serve low-income families. "We're a small store, but we have everything for what families need," Gasso says. Gasso says the majority of the store's customers are reliant on the Supplemental Nutrition Assistance Program (SNAP), the Women, Infants and Children (WIC) program, and food stamp benefits to pay for their groceries. (Samra, 9/28)

Manchin Joins Republicans in Blocking VA Nominee Over Abortion Policy

Sen. Joe Manchin, a Democrat from West Virginia, has joined with Republicans on the Veterans Affairs Committee to block the confirmation of President Joe Biden's nominee for general counsel at Veterans Affairs, Politico reports. Manchin and the Republicans oppose a policy the VA adopted to counsel patients on abortion and provide the procedure under limited circumstances. The nomination has been stalled for more than a year.

Manchin (D-W.Va.) has joined Republicans on the Veterans鈥 Affairs Committee in blocking Anjali Chaturvedi, a top Department of Justice lawyer, over the agency鈥檚 policy allowing it to provide abortion counseling and some abortions. The VA last fall finalized the policy, which enables it to provide the procedure when the life or health of a veteran or beneficiary is in peril, or in cases of rape or incest. The policy also covers dependents. (Leonard, 9/28)

In other news 鈥

麻豆女优 Health News: Social Security Overpayments Draw Scrutiny And Outrage From Members Of Congress

Several members of Congress are calling on the Social Security Administration to answer for issuing billions of dollars of payments it says beneficiaries weren鈥檛 entitled to receive 鈥 and then demanding the money back. Many of the recipients are elderly, poor, or disabled and have already spent the money. They have little or no way of repaying it. (Hilzenrath and Fleischer, 9/29)

The House Judiciary Committee advanced legislation Thursday to reauthorize the Support for Patients and Communities Reauthorization Act, a major 2018 opioid law providing treatment and support to people with opioid use disorder. The measure includes an amendment by New York Rep. Jerry Nadler, the top Democrat on the panel, that would make the horse sedative xylazine 鈥 which drug traffickers are adding to illicit fentanyl with deadly effect 鈥 a Schedule III controlled substance, for three years, subject to additional Drug Enforcement Administration regulation. (Paun, 9/28)

The top-ranking Republican on the Senate health committee is launching an investigation into two hospitals鈥 use of a government program that provides big drug discounts in return for serving low-income communities. (Wilkerson, 9/28)

The intermediaries in the prescription drug supply chain are stuck between a rock and a hard place, facing congressional scrutiny and pharmaceutical-industry-backed efforts to reform the multibillion-dollar industry. Pharmacy benefit managers (PBMs) have emerged as a bipartisan target in a divided Congress. (Choi and Giorno, 9/28)

Sen. Ben Cardin (D-Md.) said Thursday he will keep pushing for a five-year renewal of the country鈥檚 $7 billion annual global HIV-AIDS initiative, even as his colleagues call for a shorter extension to satisfy anti-abortion groups. 鈥淚t鈥檚 important to give the signal to the international community that we鈥檙e in the game,鈥 said Cardin, who took over as chair of the Senate Foreign Relations Committee this week after Sen. Bob Menendez was indicted. (Miranda Ollstein and Paun, 9/28)

麻豆女优 Health News: GOP Presidential Primary Debate No. 2: An Angry Rematch And The Same Notable No-Show

From the start of the second Republican presidential primary debate of the 2024 campaign, the seven candidates on stage were boisterous and unruly. Florida Gov. Ron DeSantis, former South Carolina Gov. Nikki Haley, South Carolina Sen. Tim Scott, entrepreneur Vivek Ramaswamy, former Vice President Mike Pence, former New Jersey Gov. Chris Christie, and North Dakota Gov. Doug Burgum spent most of the evening talking loudly over 鈥 and sometimes quite angrily at 鈥 one another. (9/28)

Similar to the updated health, physical, and sex education framework the Board of Elementary and Secondary Education unanimously approved last week, the mental and behavioral health framework would be a set of guidelines and recommendations for how schools and teachers could teach about mental health in all grades, Tutwiler said. 鈥淲hat we want to do is establish a strategy around mental health and that, quite frankly, does not exist,鈥 Tutwiler said in an interview with the Globe on Thursday. (Griswold, 9/28)

On the Biden administration 鈥

The FDA on Thursday said that for the first time, it was fining 22 retailers for more than $19,000 each after it found they continued to sell unauthorized flavored e-cigarettes despite warnings to stop. (Ellen Foley, 9/28)

When President Joe Biden took office, his administration gutted many of the health policies former President Donald Trump had implemented. But there鈥檚 one Trump-era health insurance regulation that Biden has yet to touch: the 2019 rule that allowed employers to provide tax-exempt subsidies to help workers purchase Obamacare plans. The lack of action is puzzling left-leaning health care advocates who say the Trump rule allows employers to dump sicker, more expensive employees onto the Affordable Care Act exchanges, raising premiums for everyone else. (Hooper, 9/28)

Also 鈥

Johnson & Johnson has seen at least a 28% surge in new lawsuits claiming its talc-based Baby Powder causes cancer a little more than five weeks after the company鈥檚 plan to resolve the cases was tossed from bankruptcy court. A New Jersey judge overseeing all the federal talc litigation said in a Sept. 6 court hearing that more than 11,000 new complaints have been filed, according to a court transcript. (Feeley, 9/28)

Medicare

Medicare's 'Innovation' Agency Was Expected to Save Money. It's Cost Billions.

The Congressional Budget Office once predicted that the Center for Medicare and Medicaid Innovation would save taxpayers nearly $3 billion over a decade. It's instead increased spending on federal health care programs by billions of dollars.

The agency tasked with lowering Medicare costs by changing how physicians and hospitals are paid is on pace to increase spending by more than $1 billion through 2030. The Congressional Budget Office released an updated estimate Thursday that shows the Center for Medicare and Medicaid Innovation, created under Obamacare to test new ways to pay for health care, will increase federal spending by $1.3 billion from 2021 to 2030. From 2011 through 2020, the center increased spending by $5.4 billion. (King, 9/28)

On the cost of health care 鈥

Merck confirmed on Thursday it will enter talks with CMS for Medicare price negotiations on its diabetes drug Januvia, saying that it has no choice but to agree. The drugmaker in June sued the Biden administration challenging the constitutionality of the negotiations policy. It is the fourth company to say it will opt into talks with the government ahead of an Oct. 1 deadline joining AstraZeneca, Bristol-Myers Squibb and Boehringer Ingelheim. (King, 9/28)

Ophthalmologists who accepted payments from drug companies were less likely to prescribe a cheaper medicine to treat an eye disease that causes blindness in older people, rather than a pair of more expensive alternatives, according to a new study. This led Medicare to spend an additional $643 million during a recent six-year period. (Silverman, 9/28)

On disenrollment 鈥

As states prepared to end a pandemic-era promise earlier this year that everyone on Medicaid could keep their health coverage, the Biden administration sought to quell fears that millions of people would become newly uninsured. A policy favorite of the president鈥檚 鈥 Affordable Care Act insurance marketplaces 鈥 would offer a haven for people losing Medicaid because their incomes had grown too high to qualify, his aides pledged. (Goldstein, 9/28)

Meanwhile, in Nebraska 鈥

Lower-income new mothers will get a full year of Medicaid health care coverage in Nebraska under an order issued Wednesday by Republican Gov. Jim Pillen. The move makes Nebraska the latest in a growing list of Republican-led states that had previously refused to expand postpartum Medicaid coverage beyond the minimum 60 days after women give birth. Conservatives are now largely embracing the change as part of an anti-abortion agenda in the wake of the U.S. Supreme Court ruling last year overturning Roe v. Wade, which for 50 years guaranteed a constitutional right to abortion. (9/28)

Public Health

Surgeon General: Beating Loneliness May Help US Mental Health Crisis

Surgeon General Dr. Vivek Murthy say that he worries that the state of U.S. mental health is worse than ever, and called for stronger communities to help tackle loneliness. Among other public health news: a worrying parasite in Baltimore drinking water, TikTok promotions for steroids, more.

As the surgeon general, part of Vivek H. Murthy鈥檚 job is to figure out what ails the country and how we can heal. His diagnosis: As we have receded from the places and activities where we used to find community, our mental health is worse than ever. 鈥淥ur connection to one another as a foundation on which we build a healthy society, as that foundation has crumbled and weakened, we鈥檝e seen that we鈥檙e suffering across the board,鈥 he told Dartmouth students and faculty during a panel at the college on Thursday. (Gokee, 9/28)

Seven current and former U.S. surgeons general were at Dartmouth College on Thursday to talk about the nation's mental health crisis. The country's current top doctor, Surgeon General Dr. Vivek Murthy, was joined by predecessors going back to the first Bush administration. Murthy said loneliness has become widespread, as communities have become less and less connected. He called it one of the country鈥檚 most pressing public health issues. (Cuno-Booth, 9/28)

While working in the West Wing under President George W. Bush, then-US Surgeon General Dr. Richard聽Carmona got a terrible telephone call from his daughter. After he had been missing, she found Carmona鈥檚 adult son in a catatonic state. He sat in the corner of his father鈥檚 home for two days and he kept screaming 鈥渋ncoming, incoming.鈥 Carmona鈥檚 son served in the army for 21 years, and Carmona said while he doesn鈥檛 talk much about it, his son has had 鈥渃rippling PTSD鈥 and been in and out of mental care facilities since that incident. Yet when the family initially sought help from the VA, Carmona said, even with all of his connections as surgeon general, they started to see the cracks in the country鈥檚 mental health care system. (Christensen, 9/28)

In other public health news 鈥

Low levels of a microscopic parasite were found during routine testing of Druid Lake Reservoir, the Baltimore Department of Public Works said, meaning the drinking water could sicken some vulnerable populations in parts of Baltimore, Baltimore County and Howard County. Today, Thursday, Sept. 28, DPW announced that during a routine test of the Druid Lake Reservoir low levels of the microscopic parasite Cryptosporidium were discovered. pic.twitter.com/VUBF6KJnBH (Mattu, 9/28)

TikTok has become a key marketing channel for vendors promoting steroids and other bodybuilding drugs to millions of the app鈥檚 users, according to a report released Thursday that the social media company disputes. In聽the study, the nonprofit Center for Countering Digital Hate says popular videos encouraging use of the products for aesthetic or athletic gain are being posted by influencers who often downplay the risks associated with them. It follows a warning issued by the U.S. Food and Drug Administration in April about performance-enhancing drugs being marketed to teenagers and young adults on social media platforms. (Hadero, 9/28)

Thousands of whole cantaloupes sold in 19 states and Washington, D.C., have been recalled due to potential salmonella contamination, the Food and Drug Administration announced.聽Eagle Produce, based in Scottsdale, Arizona, is doing a voluntary recall of 6,456 cases of whole cantaloupe after the fruits were tested in a distribution center by the FDA, the agency said in a news release.聽(Martinez, 9/28)

Baltimore City officials are advising immunocompromised individuals, as well as some young children and the elderly, to avoid drinking tap water across a large swath of its service area in the city, Baltimore County and a small part of Howard County due to parasitic contamination. Testing has detected low levels of a microscopic parasite called cryptosporidium in the drinking water reservoir at Druid Lake in Baltimore, officials announced Thursday. (Condon, 9/28)

Science And Innovations

3 In 4 Infants Needing Hospital Care For Covid Had Unvaccinated Mothers

Meanwhile, researchers found covid vaccines received during pregnancy help protect newborns. Other scientists looked into evolving covid vaccine loads and the timing of at-home testing. Also: antibiotic-resistant bacteria, an implantable for paralyzed patients, and menopause symptoms.

This week, studies in Morbidity and Mortality Weekly Report describe the landscape of COVID-19 vaccination among women of reproductive age and those who are pregnant, showing better outcomes for infants whose mothers were vaccinated during pregnancy. Maternal mRNA vaccines against COVID-19 have been widely recommended by providers for more than 2 years, and now evidence from the Omicron surge shows they were effective in preventing hospitalizations for infants ages 6 months or less. (Soucheray, 9/28)

Maternal vaccination was 54% effective against COVID-19 hospitalization in infants younger than 3 months old over the past season.聽The findings from the CDC-backed Overcoming COVID-19 Network were published Thursday in the agency's Morbidity and Mortality Weekly Report. They drew from data on hospitalizations from 26 pediatric hospitals around the country through May 2023. (Tin, 9/28)

In a group of adults in the state of Georgia tested for both COVID-19 and influenza A, most of whom were vaccinated and/or previously infected, median SARS-CoV-2 viral loads peaked on the fourth day of symptoms, while flu loads peaked soon after symptom onset. The authors of the study, published today in Clinical Infectious Diseases, say the findings have implications for the use of rapid antigen tests for COVID-19 and flu. (Van Beusekom, 9/28)

In other research not related to covid 鈥

The results of a phase 3 clinical trial show an antibiotic used for treating pneumonia could be an option for treating bloodstream infections caused by antibiotic-resistant bacteria, researchers reported today in the New England Journal of Medicine. The trial, which was led by investigators from Duke University and received funding from the US Department of Health and Human Services, found that the cephalosporin antibiotic ceftobiprole was noninferior to daptomycin for treatment of patients with complicated Staphylococcus aureus bacteremia, including methicillin-resistant S aureus (MRSA). (Dall, 9/28)

For the first time ever, a human has successfully received an implanted device to enable movement of the arms, hands and fingers after a paralyzing spinal cord injury. Onward Medical NV, a medical technology company based in the Netherlands, announced on Wednesday the surgical implant of its ARC-IM Stimulator, which is designed to restore function to the upper extremities of paralyzed patients. (Rudy, 9/28)

The rush of heat comes out of nowhere, so fierce for some that their faces burn and sweat streams from every pore of their bodies. Welcome to the hot flashes and other symptoms of approaching menopause 鈥 an experience experts say about 75% of women will share if they live long enough. Even if menopause is years or decades away, it鈥檚 time to pay attention 鈥 because according to emerging science, the menopause experience may be damaging to future health. (LaMotte, 9/27)

Health Industry

Credit Rating Downgrades Hitting Dozens Of Health Systems

Current challenging operating environments are blamed. Separate reports show there's an "exodus" of life scientists from academia to industry positions, raising worries over the future of U.S. science. Other news includes new drug reviews and approvals, an Eli Lilly whistleblower lawsuit and more.

Dozens of hospitals and health systems have faced credit rating downgrades this year as the industry continues to wrestle with a challenging operating environment. As of the end of August,聽more than 60聽hospitals and health systems聽have been downgraded by at least one of the three largest credit rating agencies. ... Reports from the agencies often cited operating losses stemming from labor shortages and high costs plus dwindling liquidity, high debt-to-cash ratios and/or possible default on debt agreements as reasons for the downgrades.聽(Hudson, 9/28)

New data released Thursday by the National Science Foundation show the exodus of young life scientists from the Ivory Tower to industry has reached the highest level in nearly three decades, deepening concerns about the future of academic science in the U.S. (Wosen, 9/28)

In other industry news 鈥

FemHealth Ventures, which invests in companies focused on women鈥檚 health, has closed a $32 million debut fund despite a difficult fundraising environment for new venture firms.聽(Gormley, 9/28)

A Cambridge biotech run by the former head of the Food and Drug Administration has raised $140 million to complete the study of a blood test it developed to screen for cancers in people without symptoms. Harbinger Health, founded in 2020 by Flagship Pioneering, the venture capital giant that created the vaccine-maker Moderna, is testing the cancer screening technology in a clinical trial of 10,000 volunteers. Some trial results are expected next year. Saltzman, 9/28)

Jefferson Health continued a recent push into money-raising deals with outside partners with an announcement on Thursday that it will put its 13 mammography clinics into a joint venture with Solis Mammography, which already had a partnership with Einstein Healthcare Network before it was acquired by Jefferson in 2021. ... Based in Addison, Texas, Solis is owned by Madison Dearborn Partners, a private equity firm based in Chicago. (Brubaker, 9/28)

In Massachusetts 鈥

The severing of ties between two of Boston鈥檚 biggest health care giants has placed one of the nation鈥檚 largest health care systems in the position of figuring out how, exactly, to fill a new hole in its oncology services, at a time when cancer care is changing rapidly. (DeAngelis, 9/28)

While hospitals struggle with nursing shortages, a Massachusetts startup is preparing to train hundreds of foreign-born students to fill those roles. Boston-based InSpring plans to admit its first cohort of 20-30 international students with bachelor's degrees in the U.S. and other countries this winter, co-founder and CEO Chris Hoehn-Saric tells Axios. (Solis, 9/28)

Stuart L. Schreiber, one of the four founding members of the Broad Institute of MIT and Harvard, is scaling back his work at the renowned biomedical research center in Cambridge. Schreiber, a Harvard professor known for his role in the development of the field of chemical biology, is 鈥渢ransitioning his status to founding core institute member emeritus as he enters the next phase of his career,鈥 David Cameron, a Broad spokesman, confirmed Thursday. He had no further details. (Saltzman, 9/28)

Also 鈥

After overhauling its C-suite, Chicago鈥檚 largest physicians group is shedding staff, cutting compensation and reducing services as it battles industrywide headwinds and lugs a heavy debt burden from a 2017 private-equity deal. Downers Grove-based Duly Health & Care laid off a number of workers in September across the organization, the second round of job cuts in recent months, current and former employees say. (Davis, 9/28)

GSK on Thursday lifted its medium-term growth forecast for its HIV drugs business ViiV, encouraged by strong sales of long-acting injections that aim to replace daily pills for preventing and treating the infection. The ViiV business, in which Pfizer and Shionogi hold small stakes, is a key element of a push by group CEO Emma Walmsley to improve investor confidence in the strength of GSK's drug development pipeline, which has lagged that of its rivals. (Burger, 9/28)

Eli Lilly and Co and a former employee agreed to settle a lawsuit in which the worker claimed she was terminated after pointing out poor manufacturing practices and data falsification involving one of its blockbuster diabetes drugs, according to court filings. The former human resources officer, Amrit Mula, contended in the lawsuit that she repeatedly urged leaders at a New Jersey plant to remedy problems involving several biologic drugs, including Type 2 diabetes medicine Trulicity. (Levine and Taylor, 9/28)

In other news 鈥

The U.S. Food and Drug Administration (FDA) on Thursday approved the medication Exxua to treat major depressive disorder 鈥 a significant step after a decades-long battle for approval.聽Exxua is unique for its ability to target the serotonin 1A receptor, which is a regulator of mood and emotion. In doing so, it avoids undesirable side effects that often come with drugs that treat anxiety and depression disorders, including sexual dysfunction and weight gain, according to the press release from drug manufacturer Fabre-Kramer Pharmaceuticals. (Fortinsky, 9/28)

Merck said on Thursday the U.S. health regulator will review its experimental therapy to treat a type of progressive blood vessel disorder on a priority basis. The drugmaker had gained rights to the therapy, sotatercept, through its $11.5 billion acquisition of Acceleron Pharma in 2021. The U.S. Food and Drug Administration has set March 26, 2024 as a target action date for the review, Merck said. (9/28)

Amicus Therapeutics' treatment for a rare muscle disorder called Pompe disease was approved by the U.S. health regulator, the drugmaker said on Thursday, ending its years-long efforts to launch the therapy. (Roy, 9/29)

Johnson & Johnson said its cancer drug combination increased the time patients with a type of non small-cell lung cancer live without the disease worsening compared to AstraZeneca's Tagrisso in a late-stage study. J&J said on Thursday it expects the combination to become a first-line treatment for non small-cell lung cancer (NSCLC) patients with a type of mutation in EGFR protein that causes rapid tumor cell growth. (Satija, 9/28)

In 2020, as biotech stocks surged amid the pandemic, a startup called Taysha Gene Therapies raised over $300 million off an audacious promise: It was going to license and develop gene therapies for at least 18 different rare and serious neurological diseases. (Mast, 9/29)

State Watch

San Francisco To Start New Court Process For Unhoused People With Mental Illness

The CARE court will allow some parties to directly petition the court for behavioral health services. Pilots in San Francisco and Stanislaus counties are set to launch Monday. Separately, Los Angeles city and county are set to spend billions of dollars to provide support, housing services for homeless people.

Starting in October, San Francisco will implement a new civil court process aimed at helping people with untreated schizophrenia or other psychotic disorders get off of the streets. CARE court 鈥 the result of legislation championed by California Gov. Gavin Newsom 鈥 will allow first responders, family members, behavioral health providers and others to directly petition the court for behavioral health services. (Chen, 9/28)

Starting Monday, a program including Stanislaus County and the Superior Court will try to assist people who aren鈥檛 getting treated for severe mental illness. Stanislaus is one of seven counties in the state鈥檚 CARE Court pilot program aiming to get people with untreated mental disorders off the streets and into housing and treatment. Many of these adults are not sheltered and exhibit behavior that could lead to injury or incarceration. (Carlson, 9/28)

Los Angeles County and city will spend billions of dollars to provide more housing and support services for homeless people under a lawsuit settlement approved Thursday by a federal judge. The county ends more than two years of court battles over LA鈥檚 response to the homelessness crisis by agreeing to provide an additional 3,000 beds by the end of 2026 for people with mental health and drug abuse issues. (Jablon, 9/29)

Blue cities that have taken the most progressive 鈥斅燼nd often controversial聽鈥 steps to tackle the nation's drug crisis are beginning to question those strategies amid rising political backlash. Public health experts emphasize policies that prioritize saving the lives of drug users 鈥 like so-called safe injection sites 鈥 but the worsening fentanyl problem is testing the patience of even the seemingly most tolerant cities. (Owens, 9/29)

In other news from across the states 鈥

Houston officials on Wednesday approved $5 million for a fund to help relocate residents from neighborhoods located near a rail yard polluted by a wood preservative that has been blamed for an increase in cancer cases. (9/28)

Houston community leaders are pushing back against a company鈥檚 effort to build a concrete crushing plant across the street from Lyndon B. Johnson Hospital, just as the Harris Health System prepares for a possible expansion of the LBJ hospital campus. ... In a statement, Dr. Esmaeil Porsa, Harris Health鈥檚 CEO and president, said the hospital already treats many patients with conditions associated with exposure to pollutants from concrete plants. 鈥淔urther contributing to the pollution in the vicinity will exacerbate these conditions,鈥 he said. (Gill, 9/28)

The city鈥檚 eight sexual health clinics saw nearly 95,000 annual visits before the pandemic; that number has dropped to nearly 62,000 over the last year, according to data from the Health Department. Only five of the clinics offered sexual health services, and a sixth reopened in July. As for tuberculosis 鈥 a highly infectious disease that has higher rates in some other countries from which people emigrate to New York 鈥 one of the city鈥檚 four clinics, in Washington Heights, closed as part of the pandemic response and has not reopened. (Rubinstein and Fitzsimmons, 9/29)

After a very active legislative session in which more than a dozen states passed restrictions on gender-affirming care, many of the laws are now being challenged in court as unconstitutional. Federal courts have started to weigh in, offering conflicting decisions. The ruling by the U.S. Court of Appeals for the 6th Circuit is the latest of these. The U.S. Court of Appeals for the 6th Circuit issued a ruling Thursday evening that allowed Tennessee and Kentucky to enforce laws banning gender-affirming medical care for minors, such as puberty blockers and hormones. (Javaid, 9/28)

Around 37.4% of Iowa adults were considered obese in 2022 鈥 up from 36.4% the previous year, according to a report by non-partisan health advocacy group Trust for America's Health. Iowa's obesity rates have trended upward for the last decade and underscore a host of complicated issues, such as eating and sleep patterns, lack of activity, genetics and environmental factors. (Ta, 9/28)

Wills Eye Hospital will once again offer free vision care and screenings for Philadelphia-area children at its annual 鈥淕ive Kids Sight Day,鈥 slated for Saturday, Oct. 7, at its Walnut Street location in Center City, from 8 a.m. to noon. The event is geared toward helping uninsured or underinsured children, ages 6 to 17, gain access to vision care. Children will get an eye exam and an eyeglasses prescription, along with two free glasses frames. (Ruderman, 9/29)

Yale New Haven Health officials acknowledged Thursday for the first time they have growing concerns about the completion of a deal to buy Waterbury, Manchester Memorial and Rockville General hospitals and said the acquisition is 鈥渕ore at risk鈥 as time passes without approval from the state. The three hospitals are owned by Prospect Medical Holdings. (Carlesso and Altimari, 9/28)

SSM Health is building a new, 14-story pediatric hospital to eventually replace Cardinal Glennon, officials announced on Thursday. They said the new building, planned just north of St. Louis University Hospital at Chouteau Avenue and South Grand Boulevard, will be better suited for the more complex 鈥 and often, larger 鈥 equipment that hospitals now use in pediatric care. (Merrilees, 9/28)

SSM Health and Cardinal Glennon Children's Hospital on Thursday announced plans to build a new hospital in St. Louis at the corner of Grand Boulevard and Chouteau Avenue. Officials say the new hospital will be better equipped to meet the increasing demand for specialized pediatric treatments for newborns, children and teenagers in the region. (Fentem, 9/28)

New Ulm Medical Center is planning to close its 10 bed residential addiction services unit.聽In an email statement on Thursday Allina Health said it made the decision to move away from the hospital-based residential addiction service to a new partial hospitalization and day treatment program. (Yang, 9/28)

Also 鈥

麻豆女优 Health News: These Appalachia Hospitals Made Big Promises To Gain A Monopoly. They鈥檙e Failing To Deliver

Five years ago, rival hospital companies in this blue-collar corner of Appalachia made a deal. If state lawmakers let them merge, leaving no competitors, the hospitals promised not to gouge prices or cut corners. They agreed to dozens of quality-of-care conditions, spelled out with benchmarks, and to provide hundreds of millions of dollars in charity care to patients in need. (Kelman and Liss, 9/29)

麻豆女优 Health News: She Received Chemo In Two States. Why Did It Cost So Much More In Alaska?

Emily Gebel was trying to figure out why she was having trouble breastfeeding. That鈥檚 when she felt a lump. Gebel, a mother of two, went to her primary care doctor in Juneau, Alaska, who referred her for testing, she said. Her 9-month-old was asleep in her arms when she got the results. (Zionts, 9/29)

Editorials And Opinions

Viewpoints: Why Is Polio Proving So Hard To Eliminate?; Heat Waves Are More Deadly Than People Realize

Editorial writers discuss polio, heat waves, cold medicine and more.

A variety of new hurdles has emerged in the long, difficult struggle to eradicate polio, a disabling and life-threatening disease caused by the poliovirus that can infect the spinal cord and cause paralysis. World health authorities have the tools to fight back. But the effort will require sustained attention 鈥 and funding. (9/28)

Heat is now the deadliest weather effect in the U.S. It kills more people per year than hurricanes and tornadoes combined. Last year, the Centers for Disease Control and Prevention reported at least 1,710 heat-related deaths, and researchers have consistently found deaths increase on extreme heat days. In 2019, one study found 1,373 additional deaths could be attributed to extreme heat days in the U.S. each year. In July, another study estimated that last year there were 60,000 heat-related deaths in Europe. (Gina Jimenez, 9/28)

Nearly two decades ago, several pharmacists started calling into the University of Florida Drug Information and Pharmacy Resource Center hotline with the same query: Does phenylephrine, a common ingredient in cold medicine sold over the counter, actually work? (Randy C. Hatton and Leslie Hendeles, 9/29)

A 2020 report from the National Academies of Sciences, Engineering and Medicine found that social isolation significantly increases our risk of premature death, a risk that may rival those associated with smoking, obesity and physical inactivity. (Amy Eisenstein, 9/29)

As three Black men in the medical field, one of whom served as an officer in the Air Force, we seek to make the case that a diverse medical workforce is of compelling national health and security interest, and that race-conscious admissions should be considered in medical institutions. (Victor Agbafe, Dr. Lawrence Brown and Dr. Brian Williams, 9/29)

Also 鈥

On Sept. 11, the Food and Drug Administration approved an emergency use authorization for updated COVID-19 vaccines. The next day, the Centers for Disease Control and Prevention released a statement that recommended updated vaccines for people 6 months and older. As these new vaccines become available, it is critical that we improve access to save lives. (Amelia E. Van Pelt, Sara Becker and Rinad S. Beidas, 9/28)

The end-of-summer increase in covid-19 infections has brought renewed attention to the Centers for Disease Control and Prevention鈥檚 isolation guidance. These outdated recommendations must be revised, as they disincentivize testing, sow confusion and fail to achieve the most important objective of protecting vulnerable individuals. (Leana S. Wen, 9/28)

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