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Summaries of health policy coverage from major news organizations
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窪蹋勛圖厙 News Original Stories
Some CT Scans Deliver Too Much Radiation, Researchers Say. Regulators Want To Know More.
Unnecessarily high radiation doses in scans have been linked to cancers. Under new federal rules, doctors and imaging centers have to more closely track and report the doses of radiation that patients receive.
Sent Home To Heal, Patients Avoid Wait for Rehab Home Beds
Many patients ready to leave the hospital end up lingering for days or weeks occupying beds that others need and driving up costs because of a lack of open spots at nursing homes and rehabilitation facilities. A few health systems are addressing this problem by moving post-acute rehab into the home.
Medical-Debt Watchdog Gets Sidelined by the New Administration
The Consumer Financial Protection Bureau is offline for now. Heres what that could mean for people with medical debt.
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Summaries Of The News:
Capitol Watch
House Funding Bill Preserves Hospital Provisions, Omits Physician Pay Terms
House Republicans on March 11 passed legislation to keep the government running through Sept. 30 and extend several critical healthcare provisions that were due to expire March 31. The continuing resolution, which passed the House in a 217-213 vote, would: Eliminate the Medicaid disproportionate share hospital cuts through Sept. 30; Extend certain telehealth waivers and the hospital-at-home program through Sept. 30; Expand the enhanced low-volume adjustment program through Sept. 30 and the Medicare-dependent hospital program through Oct. 1; Extend add-on payments for rural ambulance services through Oct. 1. (Condon, 3/11)
The bill from Sens. Alex Padilla, D-Calif., and Jim Banks, R-Ind., is called Tylers Law, named after a California teenager who died following a fentanyl overdose. (Tsirkin, 3/11)
The Senate on Tuesday approved Gail Slater, President Trumps nominee to lead the Justice Department antitrust division, by a vote of 78-19. Ms. Slater, a veteran tech and media lawyer, has pledged to be skeptical of corporate power across the economy, and has been particularly critical of power in the tech industry. (McCabe, 3/11)
A Republican lawmaker abruptly adjourned a congressional hearing on Tuesday after being challenged for referring to Representative Sarah McBride, Democrat of Delaware and the first openly transgender lawmaker in Congress, as a man. (Karni, 3/11)
Administration News
RFK Jr. Wants Artificial Food Dyes Removed From Foods Quickly
Health and Human Services Secretary Robert F. Kennedy Jr. told food industry leaders in a closed-door meeting on Monday that he wants them to remove artificial color additives from their products by the end of his time in office, according to a memo describing the meeting, which was obtained by ABC News. At the Washington gathering, which included the CEOs of Kellogg's, Smucker's and General Mills, Kennedy said it is a top priority of the Trump administration to rid America's food of the artificial dyes, wrote Melissa Hockstad, president and CEO of the Consumer Brands Association, a trade group, who penned the memo. (McDuffie and Flaherty, 3/11)
Health and Human Services Secretary Robert F. Kennedy Jr. instructed the Food and Drug Administration to consider changes to a rule governing food additives deemed generally recognized as safe or GRAS. Federal law currently lets companies determine whether many food ingredients can be considered GRAS. Because it is voluntary, many companies dont notify the FDA of those ingredients. HHS said it would look for ways legislation can close what it described as a loophole in food safety. (Newman and Peterson, 3/11)
At least a dozen US states from traditionally conservative Oklahoma to liberal-leaning New York are rushing to pass laws outlawing commonly used dyes and other chemical additives in foods, citing a need to protect public health. In one of the most far-reaching efforts, West Virginia last week advanced a sweeping ban on a range of common food dyes that have been linked to health problems, particularly for children, with overwhelming support from both Republicans and Democrats. (Gillam, 3/11)
Also
Health and Human Services Secretary (HHS) Robert F. Kennedy Jr. traveled to a Steak n Shake in Florida over the weekend with Fox News host Sean Hannity, days after the company announced it would be cooking its iconic shoestring fries in beef tallow. "Steak n Shake has been great. We're very grateful [to] them for RFK'ing the french fries. They turned me into a verb," he said Monday on "Hannity." In a March 1 post on X, the company said it had officially started cooking with 100% all-natural beef tallow at all of its locations. (Carnahan, 3/10)
EPA To Shutter Environmental Justice Offices, A Blow For Minorities' Health
The Trump administration intends to eliminate Environmental Protection Agency offices responsible for addressing the disproportionately high levels of pollution facing poor communities, according to a memo from Lee Zeldin, the agency administrator. Mr. Zeldins move effectively ends three decades of work at the E.P.A. to try to ease the pollution that burdens poor and minority communities, which are frequently located near highways, power plants, industrial plants and other polluting facilities. Studies have shown that people who live in those communities have higher rates of asthma, heart disease and other health problems, compared with the national average. (Friedman, 3/11)
In related news
For older Black people in America, the golden years often come with a harsh reality: They are more likely to suffer from chronic illnesses, be sicker in old age, and die younger than their white counterparts. (Goodwin, 3/11)
More news from the Trump administration
The Education Department said Tuesday that it is cutting its staff by about half, a major step toward President Donald Trumps goal of shrinking the federal role in education and one that critics denounced as damaging to American children. Trump has said he wants to eliminate the department altogether, but that is unlikely because it would require an act of Congress and 60 yes votes in the Senate, where Republicans hold only 53 seats. Absent that, the administration has been working to gut the agency by cutting grants and contracts and reducing staff. (Meckler and Douglas-Gabriel, 3/11)
Dozens of former Centers for Disease Control and Prevention employees sent a letter to agency leaders on Monday asking to be reinstated, citing shifting guidance from the government office that triggered their layoffs. (Cueto, 3/11)
The new administrations decision to fire a tenth of the workers at the federal government agency that oversees mental and behavioral health will imperil efforts to curb suicides and drug overdose deaths, according to current and former employees. (Broderick, 3/12)
The Trump administration has shut down a unit of the Department of Veterans Affairs created under President Joe Biden to address disparities in how the federal government provides disability compensation to military service members. The closure of the Veterans Benefits Administrations Office of Equity Assurance effectively hobbles internal efforts at the VA to investigate and eliminate long-standing racial inequities the department itself has acknowledged. (Coleman, 3/11)
In the wake of federal firings and executive orders, providers and patients at the Department of Veterans Affairs say mental health and mental health care are suffering. They fear this struggle will get worse as the VA carries through with 80,000 promised job cuts. The agency is one of the largest providers of mental health care in the country. (Riddle, 3/12)
Also
Uma Reddy was sitting at her kitchen table Monday night, wrapping up patient notes, when the notice finally came: The $16.6 million grant she had used to build a maternal health center at Columbia University had been terminated. (Mast, 3/11)
The Trump administration has terminated $800 million in grants to Johns Hopkins University, spurring the nations top spender on research and development to plan layoffs and cancel health projects, from breast-feeding support efforts in Baltimore to mosquito-net programs in Mozambique. The cuts, which are in addition to threatened trims to National Institutes of Health grants, are related to the universitys work with the U.S. Agency for International Development. The school is preparing to shrink its Baltimore-based affiliated nonprofit, JHPIEGO, that since the 1970s has worked closely with the USAID and has already stopped work on a number of international health projects. (Essley Whyte, 3/11)
Outbreaks and Health Threats
Texas-New Mexico Measles Outbreak Has Likely Spread To Oklahoma
Today, the Oklahoma State Department of Health (OSDH) reported two measles cases in the state likely linked to ongoing outbreaks in West Texas and New Mexico.The individuals reportedly self-isolated and refrained from going out in public upon symptom onset, OSDH said. (Soucheray, 3/11)
The resident recently traveled through LAX before going to a North Hollywood nail salon and an El Monte grocery store. (Rodriguez, 3/11)
Texas state health officials said Tuesday there were 25 new cases of measles since the end of last week, bringing Texas total to 223. Twenty-nine people in Texas are hospitalized. New Mexico health officials announced three new cases Tuesday, bringing the states total to 33. The outbreak has spread from Lea County, which neighbors the West Texas communities at the epicenter of the outbreak, to include one case in Eddy County. (Shastri, 3/11)
Measles is unlike other childhood viruses that come and go. In severe cases it can cause pneumonia. About 1 in 1,000 patients develops encephalitis, or swelling of the brain, and there are 1 or 2 deaths per 1,000, according to the Centers for Disease Control and Prevention.The virus can wipe out the immune system, a complication called immune amnesia. (Syal, 3/12)
In related news about vaccines
Unlike President Trumps picks to lead other health agencies who established their conservative bona fides during the Covid-19 pandemic, his choice to head the Centers for Disease Control and Prevention, Dave Weldon, was virtually invisible during that period. But an examination by STAT of thousands of pages of documents from Weldons 14 years in Congress, part of his archives housed here at the Florida Institute of Technology, and interviews with a half-dozen former health officials, found that his support for anti-vaccine theories runs long and deep. (Owermohle, 3/12)
State Watch
Gender Dysphoria Lawsuit Could Raze Protections For Those With Disabilities
Jennifer Kucera has a form of muscular dystrophy that limits her ability to move. Daily caregivers help her get out of bed, bathe and dress. Without them, Kucera, 55, said she would be forced to live in an institution. She is one of millions of disabled Americans who rely on Medicaid for legally mandated services to remain integrated in society. An ongoing lawsuit challenges these legal mandates, leaving Kucera and others fearful that their services could be cut. (Morris, 3/11)
Related news about Title IX
Saige Dahmen was eager to learn the basics of hair cutting and coloring in cosmetology school in Beaverton, Oregon, in 2023. There was just one hiccup: She needed a 20-minute break during her five-hour school day to express milk for her nearly 1-year-old daughter, and the school only allowed 15 minutes. Dahmen, 24, was told to submit a request under the Americans with Disabilities Act to the schools Title IX coordinator, but it was denied, according to interviews and correspondence reviewed by NBC News, on the grounds that it did not meet the requirements for an ADA accommodation.Instead, the coordinator said shed have to clock out and make up the time. (Harris, 3/11)
Medicaid news from Florida and Connecticut
Your insurance is no longer valid. Breana Dion understood the words. What she didnt understand was why and how she no longer had health insurance for her 6-year-old daughter, Kamila. I open up every piece of mail that comes for my kid. Theres no way. I didn't receive anything, Dion said. I don't let things like this slide with my kid. I can't. It's her life. When Dion says Its her life, she means it. Kamila has a compromised immune system due to a rare condition. If Kamila gets a cold, it could cause sepsis, a condition that can be life-threatening. (Pedersen, 3/11)
The Community Health Center Association of Connecticut sent a petition Tuesday to the Department of Social Services demanding the agency admit its violating state and federal law governing reimbursements for care they provide to low-income patients on Medicaid. (Golvala, 3/11)
More health news from across the U.S.
The Michigan facility where a hyperbaric chamber fire killed a 5-year-old child held safety among their lowest considerations, the state attorney general said Tuesday, a day after four people were arrested in the boys death. Thomas Cooper died Jan. 31 at the Oxford Center, an alternative medicine facility in the Detroit suburb of Troy that says it treats over 100 conditions, including Alzheimers, autism and dyslexia. Those conditions are not cleared for hyperbaric oxygen therapy by the Food and Drug Administration, nor are the ones that a family attorney said Thomas parents took him in for: sleep apnea and attention-deficit/hyperactivity disorder.(Chuck, 3/11)
A federal judge has halted Louisiana's first death row execution using nitrogen gas, which was scheduled to take place next week. Louisiana has three approved execution methods, including lethal injection as the default and electrocution and nitrogen hypoxia as alternatives. (3/11)
San Francisco is withdrawing plans to open a new mental health service center on the border of the citys Mid-Market and SoMa neighborhoods following backlash from the community and Board Supervisor Matt Dorsey, who lives on the same block as the proposed site. The citys Department of Public Health was recently pursuing plans to move its behavioral health service center from a leased property at 1380 Howard St. to 1125 Mission St., a more modern building that the city was looking to purchase. (Angst, 3/11)
窪蹋勛圖厙 News: Listen To The Latest '窪蹋勛圖厙 News Minute'
Zach Dyer reads this weeks news: The current bird flu outbreak is gaining momentum despite mass culling of infected poultry, and the Trump administration is embracing the conservative policy playbook known as Project 2025. (3/11)
Pharmaceuticals
Gilead's HIV Drug Prevents Infection With One Shot A Year Instead Of Two
Last year, Gilead released data showing that an HIV drug, called lenacapavir, could provide virtually complete protection against infection with just a single injection every six months. The drug, now under regulatory review, was greeted as a breakthrough, the closest thing the field has ever had to a vaccine. On Tuesday, Gilead published early data suggesting a new formulation of the drug could be used to prevent infection with just a single shot every year. (Mast, 3/11)
More pharma and tech news
By being an excellent host for slimy biofilms created by bacteria to protect themselves from attack, microplastics may be contributing to the proliferation of dangerous antibiotic-resistant superbugs, a new study found. (LaMotte, 3/11)
An Australian man lived for 100 days with an artificial titanium heart while he awaited a donor transplant, the longest period to date of someone with the technology. The patient, a man in his 40s who declined to be identified, received the implant during surgery at St. Vincents Hospital Sydney last November. (Whiteman, 3/12)
AI systems designed to predict the likelihood of a hospitalized patient dying largely aren't detecting worsening health conditions, a new study found. Some machine learning models trained exclusively on existing patient data didn't recognize about 66% of injuries that could lead to patient death in the hospital, according to the research published in Nature's Communications Medicine journal. (Goldman, 3/12)
窪蹋勛圖厙 News: Some CT Scans Deliver Too Much Radiation, Researchers Say. Regulators Want To Know More.
Rebecca Smith-Bindman, a professor at the University of California-San Francisco medical school, has spent well over a decade researching the disquieting risk that one of modern medicines most valuable tools, computerized tomography scans, can sometimes cause cancer. Smith-Bindman and like-minded colleagues have long pushed for federal policies aimed at improving safety for patients undergoing CT scans. Under new Medicare regulations effective this year, hospitals and imaging centers must start collecting and sharing more information about the radiation their scanners emit. (Kenen, 3/12)
In health industry updates
For 17 years, Michelle Arroyo did everything she could to keep her son alive after hed been diagnosed with brain cancer at 6 years old. The single mom from California moved from Orange County to Los Angeles to be closer to the best doctors and medical facilities, quit her job in real estate to care for her son around-the-clock and liquidated all her financial assets, including her retirement account. But despite her best efforts, Arroyos son, Grayson Arroyo-Smiley, died in 2023 at 22 years old, leaving Arroyo distraught and saddled with mounting medical bills that soared, she said, into the millions. (Francis, 3/12)
For the Rev. Beth Stotts, death is a natural part of her ministry. A major aspect of her job is guiding her congregants through their most vulnerable moments from birth throughout life. The struggles she has seen in her community led her to seek more training to help people face death, and in 2022 she added another credential to her spiritual one: end-of-life doula. (Empinado, 3/12)
窪蹋勛圖厙 News: 窪蹋勛圖厙 News' 'An Arm And A Leg': Medical-Debt Watchdog Gets Sidelined By The New Administration
The federal Consumer Financial Protection Bureau has taken major steps to help people with medical debt in its nearly 14-year history. It issued rules barring medical debt from Americans credit reports and went after debt collectors who pressured customers to pay bills they didnt owe. But in early February, the Trump administration moved to effectively shutter the agency.An Arm and a Leg host Dan Weissmann talks with credit counselor Lara Ceccarelli about how the CFPB has helped clients at the nonprofit where she works, and how shes navigating the sudden change. (3/12)
窪蹋勛圖厙 News: Sent Home To Heal, Patients Avoid Wait For Rehab Home Beds
After a patch of ice sent Marc Durocher hurtling to the ground, and doctors at UMass Memorial Medical Center repaired the broken hip that resulted, the 75-year-old electrician found himself at a crossroads. He didnt need to be in the hospital any longer. But he was still in pain, unsteady on his feet, unready for independence. Patients nationwide often stall at this intersection, stuck in the hospital for days or weeks because nursing homes and physical rehabilitation facilities are full. Yet when Durocher was ready for discharge in late January, a clinician came by with a surprising path forward: Want to go home? (Freyer, 3/12)
After Roe V. Wade
Abortion Reporting Requirements Are Now Too Risky, Advocacy Group Says
States should stop requiring health providers to file reports on every abortion because the information poses a risk to both them and their patients in the current political environment, a research group that advocates for abortion access says. The Guttmacher Institute says in a new recommendation that the benefit of mandated and detailed data collection is no longer worth the downsides: It could reveal personal information, be stigmatizing for patients and cumbersome for providers or could be used in investigations. (Mulvihill, 3/12)
A Justice Department attorney who defended the availability of abortion pills in a high-profile case during the Biden administration will be the Food and Drug Administration's top lawyer, a choice made by commissioner-designate Marty Makary. The future of access to medication abortion specifically mifepristone is a hot-button issue facing the Trump administration and was a key line of questioning at Makary's Senate confirmation hearing last week. (Owens, 3/11)
With a steady but urgent cadence, Dr. Jim Souza told reporters what would become one of the most cited talking points in a protracted legal fight over Idahos abortion ban: Without a court order protecting emergency room doctors from prosecution, his hospital system was sending patients to nearby states when certain pregnancy complications meant termination might be necessary. It was April 2024. Souza said Boise-based St. Lukes Health System had airlifted six pregnant patients in a span of four months to states where abortion was a legal treatment option in health emergencies. (Dutton and Moseley-Morris, 3/12)
A Louisiana woman pleads not guilty Tuesday to a felony, after allegedly getting abortion pills from a New York doctor and giving them to her teenage daughter to terminate a pregnancy. The womans arraignment is part of a cross-state legal battle that involves what may be the first instance of criminal charges against a doctor accused of sending abortion pills to another state, putting Louisianas near-total abortion ban in tension with New Yorks shield laws. (Cline, 3/11)
Editorials And Opinions
Viewpoints: Women's Health Sector Has Seen Tremendous Growth But Needs Investors, Leaders To Expand
Womens health is finally receiving the attention it deserves from the venture capital world. Over the past five years, investments in startups in the womens health space have surged to unprecedented levels. (Elizabeth Bailey, 3/12)
Watching last weeks confirmation hearings for Jay Bhattacharya and Marty Makary, President Donald Trumps nominees to lead the National Institutes of Health and the Food and Drug Administration, respectively, I was struck by how normal the candidates were. (Leana S. Wen, 3/11)
If anyone in the country should be expected to sing the praises of the measles vaccine, it would be David Edmonston, 82, a retired home contractor in Bowling Green, Virginia. The vaccine literally is named for him. (Marc Fisher, 3/12)
When it comes to preventing infectious diseases, all public health policy is local. (Kimberly Atkins Stohr, 3/12)
I am a geriatric physician and co-lead the federally funded Emory University Geriatric Workforce Enhancement Program, called Georgia Gear. We work to improve the care and quality of life for all older adults, particularly focusing on the unique needs of those living with Alzheimers disease and related dementias, as well as their families and caretakers. (Ted Johnson, 3/11)