- KFF Health News Original Stories 2
- Markups On Care Can Fatten Hospital Budgets — Even If Few Patients Foot The Full Bill
- Missouri Rejects Federal Money In Order To Set Up Its Own Abortion Restrictions
- Covered California & The Health Law 1
- White House Floats Plan With Waivers For Pre-Existing Condition Rules To Woo Freedom Caucus
Latest From California Healthline:
KFF Health News Original Stories
Markups On Care Can Fatten Hospital Budgets — Even If Few Patients Foot The Full Bill
A study finds that higher charges are associated with greater payments by private insurers, which can drive up costs for employers and consumers who pay their way. (Chad Terhune, 4/3)
Missouri Rejects Federal Money In Order To Set Up Its Own Abortion Restrictions
Abortion is already heavily restricted in Missouri, but now the state is cutting more funding to organizations that provide abortions, even though it means rejecting millions of dollars from the federal government. (Durrie Bouscaren, St. Louis Public Radio, 4/4)
More News From Across The State
Covered California & The Health Law
White House Floats Plan With Waivers For Pre-Existing Condition Rules To Woo Freedom Caucus
Freedom Caucus members said they wanted to see the Trump administration's offer in writing — which is expected Tuesday — before deciding whether to accept it.
The Associated Press:
White House Officials Offer Change To Health Care Bill
White House officials made a new offer to conservative House Republicans late Monday on the GOP's failed health care bill, hoping to resuscitate a measure that crashed spectacularly less than two weeks ago. ... Under the White House offer, states would be allowed to apply for waivers from several coverage requirements that President Barack Obama's 2010 health care law imposed on insurers. These include an Affordable Care Act provision prohibiting insurance companies from declining to write policies for people with serious diseases. Conservatives have argued that such requirements have the effect of inflating insurance costs. (4/4)
Reuters:
Trump Aides, Lawmakers Hold Talks To Revive Healthcare Bill
Top White House officials met moderate and conservative Republicans in the U.S. House of Representatives on Monday in an effort to revive a plan to repeal and replace Obamacare. Key members of the administration, including Vice President Mike Pence, invited a group of moderate Republicans known as the "Tuesday Group" to the White House. Pence then went to Capitol Hill to meet the Freedom Caucus, a group of House conservatives who last month derailed a healthcare bill backed by President Donald Trump. (Morgan, 4/3)
In other news —
The Associated Press:
Repeal In Doubt, What Trump Alone Can Do On 'Obamacare'
With prospects in doubt for repealing "Obamacare," some Republicans say the Trump administration can rewrite regulations and take other actions to undo much of the health care law on its own. Some of those moves could disrupt life for millions of people, many in states that the new president carried. And then there's the risk of court challenges. Remember the White House travel ban? (Alonso-Zaldivar, 4/3)
The Wall Street Journal:
Democrats Weigh ACA Effort While Republicans Regroup After Health Bill
Democrats, hoping to seize on momentum from the apparent collapse of the Republicans’ health bill, are grappling with a tough question—whether they can do anything to prevent the Trump administration from weakening the Affordable Care Act through administrative actions by the Department of Health and Human Services. (Armour, 4/3)
Court Program Allows Veterans To Choose Treatment Instead Of Jail Time
“Their service frequently creates their problem. They come out and they self-medicate with drugs and or alcohol for PTSD that should be properly treated then they’ll pick up DUI’s or some other criminal behavior,” says San Joaquin County Superior Court Judge Barbara Kronlund.
Capital Public Radio:
Treatment Program Helps Veterans Struggling With PTSD Stay Away From Jail
Veterans coming home often struggle with PTSD, and that can lead to arrest and jail. A court in Stockton has a unique way of dealing with the problem. San Joaquin County Superior Court Judge Barbara Kronlund presided over the graduation of 6 veterans who completed Veterans Treatment Court. All were arrested on various charges but instead of fines or jail time, they chose probation and treatment which lasted from one to two years, says Kronlund. (Ibarra, 4/3)
Bill Would Shift Children Under 12 Away From Juvenile Hall And Toward Counseling
“The cradle-to-prison pipeline is a problem,” state Sen. Holly Mitchell says. “We’re not acknowledging and dealing with trauma and the impact repeated traumatic experiences have on young kids.”
Sacramento Bee:
California Bill Bars State From Prosecuting Kids Under 12
[Sen. Holly] Mitchell believes it makes more sense to attempt to understand the source of the child’s problems that led up to the crime and use social services to help them. In lieu of doing time in a jail cell at juvenile hall, children would be redirected to dependency court, child protective services, mental health counseling and other services at the local level. (Luna 4/3)
In Light Of Homeless Crisis, LA Supervisor Asks Mental Health Department To Review Existing Laws
L.A. County Fifth District Supervisor Kathryn Barger is requesting from the Department of Mental Health what the state qualifies as ‘gravely disabled’ — the interpretation of which could increase access to resources for homeless people.
KHTS:
Barger To Ask County To Look At Mental Health Policy
L.A. County Fifth District Supervisor Kathryn Barger is recommending the Department of Mental Health to provide a legal analysis, interpretation and application of all existing state mental health laws. “Currently in Los Angeles County, we have a homeless crisis,” said Tony Bell, spokesperson for Supervisor Barger. “Many of these individuals are suffering from mental illness.” Current mental health laws only require mandatory treatment for emergency circumstances, known as a ‘5150 hold’ — this only applies when the individual is a danger to others, or themselves or gravely disabled, according to the code. (Miller, 4/3)
Deadline To Put Regulations In Place For Marijuana Use Ticks Ever Closer
The state still has a lot left to do before the new year.
The Desert Sun:
A 'Massive Undertaking' As California Races To Regulate Marijuana So Legal Sales Can Begin Jan. 1
The passage of California's Adult Use of Marijuana Act in November left a 14-month gap before businesses could begin selling marijuana to recreational users. For residents eager to purchase and use cannabis, that may have seemed like a long time. But that period is almost half over — and for the state, which has been tasked with regulating the sprawling cannabis industry, there's a lot more to do. (Murphy, 4/3)
Price Reaps Windfall From Selling Off Stocks At Center Of Ethics Controversy
HHS Secretary Tom Price, before he was confirmed, pledged to divest his shares in Innate Immunotherapeutics. Meanwhile, a look at what questions FDA nominee Scott Gottlieb will face at his hearing this week.
ProPublica:
Tom Price’s $150,000-Plus Stock Windfall
Tom Price doesn’t appear to have suffered a financial hit when he fulfilled his pledge to sell off some assets as the new head of the Department of Health and Human Services. On one transaction alone, Price made a profit of more than $150,000 on shares he held in a tiny Australian biotech company, according to his financial disclosures. His purchases of that stock, which came while he was serving in Congress, were the subject of particular scrutiny during his confirmation hearings in January. He was one of a handful of U.S. investors allowed to buy discounted shares in Innate Immunotherapeutics, which was working on an experimental multiple sclerosis drug. (Faturechi, 4/3)
CQ Roll Call:
FDA Nominee's Vast Public Record Hints At Views On Major Issues
Scott Gottlieb, the Trump administration's choice to lead the Food and Drug Administration, will likely face questions during a confirmation hearing Wednesday about his potential for conflicts of interest and the details of his well-documented views on issues the agency oversees. Gottlieb was a deputy commissioner at the FDA during the administration of George W. Bush. Since leaving the agency a decade ago, he has been a practicing physician who also made millions of dollars advising pharmaceutical companies. (Siddons, 4/3)
Lawmakers On Both Sides Dig In Heels Over Drastic Cuts To NIH Funding
“I’m extremely concerned about the potential impact of the 18 percent cut,” said Rep. Tom Cole, the Republican chairman of the House Appropriations subcommittee responsible for the National Institutes of Health. Meanwhile, Rep. Nita Lowey, senior Democrat on the House Appropriations Committee, said the proposed cuts could have “catastrophic results” for patients and researchers.
The New York Times:
Plan To Cut Funding For Biomedical Research Hits Opposition In Congress
A proposal by President Trump to cut federal spending for biomedical research by 18 percent — just months after Congress approved bipartisan legislation to increase such spending — has run into a buzz saw on Capitol Hill, with Republicans and Democrats calling it misguided. (Pear, 4/3)
In other national health care news —
The Associated Press:
VA Defending Work To Fix Troubled Veteran Suicide Hotline
The Department of Veterans Affairs is telling skeptical members of Congress that it has fixed problems with its suicide hotline that were highlighted in a critical recent internal watchdog report. A March 20 audit by the VA inspector general had found that nearly a third of calls to the Veterans Crisis Line as recently as November were bounced to back-up centers run by an outside contractor. The rollover calls happen when phone lines are busy, leading to possible waits of 30 minutes or more. (Yen, 4/4)
Stat:
Mylan Extends EpiPen Recall To The US And Other Countries
A widespread recall of EpiPen that began last week in several countries has now spread to the United States and parts of Europe, Asia, and North and South America due to a product defect. For the moment, it remains unclear how many allergic-reaction devices are being recalled. The effort, which Mylan described as voluntarily, began earlier this month in Australia, Denmark, Ireland, Norway, Finland, New Zealand and Japan, where tens of thousands of EpiPens were pulled. (Silverman, 3/31)
The New York Times:
The Campaign To Lead The World Health Organization
In May, the World Health Organization will select a new director general, a choice that will affect the health of hundreds of millions in the developing world — perhaps even more if a global pandemic were to emerge. For the first time, the selection will be made by a vote of the W.H.O.’s member nations for candidates who have campaigned openly for the post. (McNeil, 4/3)
The Washington Post:
20 Percent Of Patients With Serious Conditions Are First Misdiagnosed, Study Says
More than 20 percent of patients who sought a second opinion at one of the nation’s premier medical institutions had been misdiagnosed by their primary care providers, according to new research published Tuesday. Twelve percent of the people who asked specialists at the Mayo Clinic in Rochester, Minn., to review their cases had received correct diagnoses, the study found. The rest got diagnoses that were partly in line with the conclusions of the Mayo doctors who evaluated their conditions. (Bernstein, 4/4)
Stat:
Chiropractors, Naturopaths Lobby For A Bigger Role In Treating Pain
Seizing on the opioid epidemic as a chance to expand their reach, naturopaths and chiropractors are aggressively lobbying Congress and state governments to elevate the role of alternative therapies in treating chronic pain. They’ve scored several victories in recent months, and hope the Trump administration will give them a further boost. Their most powerful argument: We don’t prescribe addictive pain pills. Shunning pharmaceuticals, they treat pain with everything from acupuncture to massage to castor oil ointments. They offer herbal supplements and homeopathic pills. (Thielking, 4/4)
Los Angeles Times:
Health Officials Acknowledge Effects Of Utility Leak On Alabama Residents
A chemical leak at a natural gas facility that had long been owned by San Diego-based Sempra Energy has been found to have contributed to the troubled health of residents in a poor Alabama community. The Alabama Department of Public Health announced in a recent press release that the ongoing review of the 2008 leak in Eight Mile, Ala., has determined that the chemical odorant used to detect natural gas leaks is affecting residents in the predominantly African American community of 8,000. (Penn, 4/3)