Morning Briefing
Summaries of health policy coverage from major news organizations
Why Is The Violence Against Women Act The House Passed Thursday Controversial? Its History Reveals The Fault Lines
Since it was proposed in the early 1990s as a bill to protect women 鈥渙n the streets and in homes,鈥 the Violence Against Women Act has been scrutinized by lawmakers, the Supreme Court, civil rights groups and the National Rifle Association, among others. The bill, which President Bill Clinton signed into law in 1994, was designed to protect victims of domestic crimes and reduce the stigma associated with domestic abuse. It must be renewed every few years by Congress, and on Thursday the House approved a bill that would reauthorize the act for a fourth time. (Rueb and Chokshi, 4/4)
The most contentious change sought by Democrats would expand gun laws to prohibit people convicted of crimes related to dating violence from possessing firearms. Federal law currently prohibits people convicted of or under a restraining order for domestic violence from accessing guns, but that doesn鈥檛 apply to dating partners who don鈥檛 live together or have children together. 鈥淲e know victims of domestic violence are more likely to be shot and killed if there鈥檚 a weapon in the house,鈥 said Rep. Madeleine Dean (D., Pa.), a member of the House Judiciary Committee. 鈥淪o anything we can do to keep weapons out of the hands of abusers is something we must do.鈥 (Peterson, 4/4)
The National Rifle Association opposed the bill 鈥 putting GOP lawmakers in a tough position of voting against a measure protecting victims of domestic and sexual violence or opposing the politically powerful gun lobby. The vote was 263 to 158, with 33 Republicans joining all but one Democrat to pass the measure. One GOP member voted present. (Davis, 4/4)
While the existing law already has protections for transgender individuals in shelters and housing, the new bill would add protections in prisons, allowing transgender individuals to stay in facilities for the gender with which they identify. Republicans spent time on the House floor objecting to both the existing and new protections, pointing repeatedly to a case last year in California where women alleged a transgender resident sexually harassed them at a women's shelter. Democrats disputed facts in the case and argued there was by and large no evidence that transgender residents cause problems at women's shelters. (Killough, 4/4)
President Donald Trump received a ring from an unusual caller on Wednesday evening: Democratic Sen. Doug Jones. The vulnerable Alabama Democrat urged Trump to accept more money for Puerto Rico as a way to unstick a $13 billion disaster aid bill that's stalled in the Senate. But Trump so far has been unmoved by pleas from both Democrats and Republicans. (Everett, 4/4)
Two senators are eying Congress' appropriations authority to influence a contentious debate over a change to national organ distribution policy. The issue was raised Thursday in a Senate health appropriations panel hearing with HHS Secretary Alex Azar. Panel Chair Roy Blunt (R-Mo.) and Sen. Jerry Moran (R-Kan.) are trying to intervene against a sweeping new policy that changes the geography-based system of liver allocation to one that prioritizes the sickest patients. (Luthi, 4/4)
So far, 325 tribes and states, including Montana, Idaho, Utah and Colorado, have joined forces to preserve a law that gives Native families preference in adoption of Native children. Texas, Indiana and Louisiana argue the Indian Child Welfare Act creates a special and unequal status for Native children that's unconstitutional. (Edwards, 4/4)
The Department of Health and Human Services will likely run out of money to take care of unaccompanied migrant children before the end of fiscal 2019, even after an internal transfer of $385 million earlier this year,聽Secretary Alex Azar told a Senate panel on Thursday. 鈥淚t鈥檚 just not sustainable at this rate,鈥 Azar said. 鈥淲e need help, and at this rate, the funding even for this year will not be satisfactory.鈥 (Siddons, 4/4)