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Morning Briefing

Summaries of health policy coverage from major news organizations

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Wednesday, Aug 3 2022

吃瓜不打烊 Original Stories 4

  • They Lost Medicaid When Paperwork Was Sent to an Empty Field, Signaling the Mess to Come
  • Music Festivals Embrace Overdose Reversal Drugs, but Fentanyl Testing Kits Remain Taboo
  • Two-Thirds of Americans Disapprove of Ending 鈥楻oe,鈥 but It鈥檚 Not a Top Voting Issue
  • 鈥楢n Arm and a Leg鈥: Her Bill for a Prenatal Test Felt Like a 'Bait-and-Switch' Scheme
  • Political Cartoon: 'Unbearable'

Health Law 1

  • Number Of Americans Without Health Insurance Dips To Record Low

Reproductive Health 4

  • In 'Landslide' Vote, Kansas Preserves Right To Abortion
  • Second Biden Executive Order On Abortion Access Expected Today
  • Justice Dept. Targets Idaho's Ban In First State Abortion Access Lawsuit
  • Montana 1999 Court Decision Muddies Legislative Action On Abortion

Veterans' Health Care 1

  • Senate Passes Bill To Expand Care For Vets Exposed To Burn Pits, Toxins

Medicare 1

  • Medicare Ditches Plan To Bury Hospital Safety Data Next Year

Health Industry 1

  • Industry Presses Congress To Fix Doctor Shortage With Foreign Staff

Covid-19 1

  • Study: Youngsters More Susceptible To Omicron Via The Nose

Mental Health 1

  • Newly Passed Bill Recognizes Impact Of Officer PTSD, Suicides

Public Health 1

  • Lyme Disease Diagnoses Soared Over 15 Years

From The States 1

  • The Healthiest State? Massachusetts, For The Second Year

Prescription Drug Watch 2

  • Drug Cost Bill Faces Unpredictable Ride; Long Covid Drug Shows Promise
  • Perspectives: Collapse In Antibiotic Development Will Hurt Future Crises

Editorials And Opinions 1

  • Different Takes: Indiana Must Reduce Its Maternal, Infant Mortality Rates

From 吃瓜不打烊 - Latest Stories:

吃瓜不打烊 Original Stories

They Lost Medicaid When Paperwork Was Sent to an Empty Field, Signaling the Mess to Come

Tennessee expects to soon disenroll about 300,000 people from its Medicaid program. But families like the Lesters have suffered when bureaucracy and clerical mistakes caused them to unfairly lose coverage under the same program. ( Brett Kelman , 8/3 )

Music Festivals Embrace Overdose Reversal Drugs, but Fentanyl Testing Kits Remain Taboo

Music festival promoters are allowing distribution of overdose reversal medication as fentanyl deaths continue to surge. But nonprofits and volunteers are often left to do the work, and more controversial forms of harm reduction aren鈥檛 openly allowed. ( Blake Farmer, Nashville Public Radio , 8/3 )

Two-Thirds of Americans Disapprove of Ending 鈥楻oe,鈥 but It鈥檚 Not a Top Voting Issue

Despite concerns about making abortion legal in the states and strong interest in the issue, three-quarters of Americans say economic matters are top of mind as they consider voting in the fall, according to a new KFF poll. ( Lexie Verdon , 8/2 )

鈥楢n Arm and a Leg鈥: Her Bill for a Prenatal Test Felt Like a 'Bait-and-Switch' Scheme

Her doctor told her the noninvasive genetic test would be $99. When she called, she was told $250 and if she didn't pay quickly it could be $800. ( Dan Weissmann , 8/3 )

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Political Cartoon: 'Unbearable'

吃瓜不打烊 provides a fresh take on health policy developments with "Political Cartoon: 'Unbearable'" by John Deering.

Here's today's health policy haiku:

WHAT'S NOT TO LIKE?

Build Back Better lives 鈥
Climate, energy, health care
Senate, stop the games!

鈥 Paul Hughes-Cromwick

If you have a health policy haiku to share, please Contact Us and let us know if we can include your name. Haikus follow the format of 5-7-5 syllables. We give extra brownie points if you link back to an original story.

Opinions expressed in haikus and cartoons are solely the author's and do not reflect the opinions of 吃瓜不打烊 or KFF.

Summaries Of The News:

Health Law

Number Of Americans Without Health Insurance Dips To Record Low

In the first quarter of this year, the U.S. uninsured rate declined to 8%, the Biden administration announced. That number could go back up again though if Congress does not extend Affordable Care Act premium subsidies.

The U.S. uninsured rate fell to a record low of 8 percent in the first quarter of 2022, according to a new report from the Biden administration. 聽President Biden touted the number on Tuesday, saying it showed the success of his efforts to build on the Affordable Care Act (ACA). 聽(Sullivan, 8/2)

The drop in uninsured Americans began last year, when Congress and Biden signed off on a $1.9 trillion coronavirus relief bill that lowered premiums and out-of-pocket costs for new or returning customers purchasing plans through the Affordable Care Act鈥檚 private health insurance markets. ... Prior to last year, the uninsured rate had consistently remained in the double digits for decades. (Seitz, 8/2)

The 2021 American Rescue Plan temporarily expanded who was eligible for more generous ACA subsidies, resulting in millions of Americans enrolling in health insurance for the first time. ... Biden urged Congress to pass the Inflation Reduction Act, which he said would "lock in an average $800 a year savings in health insurance premiums for 13 million Americans and prevent 3 million Americans from becoming uninsured." (Gonzalez, 8/2)

And Pennsylvania is the latest state to warn of rising insurance rates 鈥

Pennsylvanians who plan to shop later this year on the state鈥檚 Affordable Care Act exchange are unlikely to find shelter from the inflation that has engulfed other areas of the economy, according to a preview offered Monday by the Pennsylvania Insurance Department. (Brubaker, 8/2)

Reproductive Health

In 'Landslide' Vote, Kansas Preserves Right To Abortion

Voters turned out in droves 鈥 turnout was nearly 250% higher than the last primary midterm election 鈥 and the latest tally showed a decisive win for abortion-rights supporters, 59% to 41%. President Biden and prominent pollsters said the victory in a "red" state underscores the importance of this fall's midterm elections.

The right to an abortion will remain in the Kansas Constitution. In the first ballot test of abortion rights in a post-Roe America, Kansas voters turned out in historic numbers to overwhelmingly reject a constitutional amendment that would have opened the door for state lawmakers to further restrict or ban abortions across the state. (Bernard and Gutierrez, 8/3)

In a major victory for abortion rights, Kansas voters on Tuesday rejected an effort to strip away their state鈥檚 abortion protections, sending a decisive message about the issue鈥檚 popularity in the first political test since the Supreme Court overturned Roe v. Wade in June. (Gowen and Itkowitz, 8/3)

Turnout for the primary also soared above usual levels Tuesday, and in some counties was closer to the participation usually seen in a presidential election. The in-person early vote, which tends to favor Democrats, was also nearly 250 percent higher than the last primary midterm election in 2018, when both Democrats and Republicans had competitive governors鈥 races, while the number of mail-in ballots was more than double. (Ollstein, 8/2)

The proposed amendment to the Kansas Constitution would have added language stating that it does not grant the right to abortion. A 2019 state Supreme Court decision declared that access to abortion is a 鈥渇undamental鈥 right under the state鈥檚 Bill of Rights, preventing a ban and potentially thwarting legislative efforts to enact new restrictions. (Hanna and Stafford, 8/3)

President Biden cheers the results in Kansas 鈥

President Biden on Tuesday hailed a vote in Kansas rejecting a state constitutional amendment that would have eliminated abortion protections and given the state legislature more power to regulate access to the procedure. ... "This vote makes clear what we know: the majority of Americans agree that women should have access to abortion and should have the right to make their own health care decisions,鈥 Biden said. (Vakil, 8/3)

The text messages arrived on Monday, the day before Kansans were set to vote on an amendment that would excise abortion protections from their state constitution. The text claimed that approving that measure, which could allow the Republican-controlled legislature to outlaw abortion, would safeguard 鈥渃hoice.鈥 If the amendment fails, constitutional protections would remain in place, buttressing current law that allows abortion in the first 22 weeks of pregnancy. (Stanley-Becker, 8/2)

In Kansas, abortion is allowed up to 20 weeks after fertilization鈥攁bout the middle of the second trimester. After that, it is allowed only to save the patient's life or prevent "a substantial and irreversible physical impairment of a major bodily function." (Fung, 8/2)

In related election news 鈥

It would have been a victory for Democrats and abortion rights activists if they鈥檇 even kept it close in Kansas. Instead, as the heavily Republican state rejected an anti-abortion constitutional amendment, it marked a political earthquake with the potential to reshape the entire midterm campaign. (Siders, Wren and Montellaro, 8/3)

KHN: Two-Thirds Of Americans Disapprove Of Ending 鈥楻oe,鈥 But It鈥檚 Not A Top Voting Issue

Barely a month after the Supreme Court overturned Roe v. Wade鈥檚 federal guarantee of access to abortion, two-thirds of Americans said they disapprove of the court鈥檚 decision and 6 in 10 said they want their states to make abortion legal, a new poll finds. Yet despite that interest, abortion is not top of mind for many voters, the poll released Aug. 2 by KFF found. Three-quarters of registered voters said inflation and gas prices were their top concerns when considering decisions in the upcoming midterm elections. Abortion access was a key priority for 55% of voters, about the same as health care costs and gun violence. That was up from the 46% recorded by a KFF poll in February, after the Supreme Court had heard arguments in the case. (Verdon, 8/2)

Second Biden Executive Order On Abortion Access Expected Today

Media outlets report that the president will sign another executive order to protect abortion access, even if abortion is illegal in states where women seek this care. Separately, Sen. Elizabeth Warren, a Democrat, said she'll vote against a new bipartisan bill on federal abortion protection.

President Biden and Vice President Kamala Harris will host the first meeting of the interagency Task Force on Reproductive Health Care Access on Wednesday, when the president is expected to take further executive action to protect abortion services. At the meeting, Biden will issue and sign a second executive order that will help allow women to receive abortions even if abortion is illegal in their state, a senior administration official said. (Richard, 8/3)

Wednesday鈥檚 order asks the department鈥檚 secretary, Xavier Becerra, to 鈥渃onsider action to advance access鈥 to abortion, including through Medicaid, for those who travel out of state, the White House said in a news release. It also calls for Mr. Becerra to 鈥渃onsider all appropriate actions鈥 to ensure health care providers comply with federal nondiscrimination laws, and promote research on maternal health. (Victor, 8/3)

However, the executive order will not result in any immediate policies being implemented.聽And, it's unclear how the Hyde Amendment聽鈥 a long-standing prohibition on using federal funds for abortion聽鈥 could聽interfere with actions as a result of聽the executive order.聽(Morin, 8/3)

In related news from Capitol Hill 鈥

Sen. Elizabeth Warren (D-Mass.) told NBC News Tuesday night she'll vote against a new bipartisan bill on federal abortion protections introduced in response to the Supreme Court overturning Roe v. Wade. (8/3)

Justice Dept. Targets Idaho's Ban In First State Abortion Access Lawsuit

The Department of Justice is suing Idaho over its six-week abortion ban, arguing that the state measure violates federal law requiring doctors and hospitals to provide emergency medical services, including abortion. It's the first such action taken by the Biden administration since the Supreme Court overturned Roe v. Wade.

The Justice Department is suing Idaho over the state鈥檚 abortion ban, saying it violates a federal law requiring hospitals to provide stabilizing treatment to patients when necessary, including abortion. Idaho's six-week abortion ban, which takes effect Aug. 25, allows for abortions to prevent the death or "substantial and irreversible impairment" of the mother, and when the pregnancy is the result of rape or incest. (Hellmann, 8/2)

The suit seeks a declaratory judgment stating that Idaho's law violates the Constitution's Supremacy Clause and is preempted and conflicts with federal law. It also seeks a judgment that Idaho may not initiate a prosecution against or attempt to revoke the professional license of any medical provider who performs an abortion authorized under federal law. The department also called for a preliminary and permanent injunction against the state of Idaho to prohibit enforcement of its abortion ban when it conflicts with federal law. (Shabad and Dilanian, 8/2)

It鈥檚 likely that virtually all abortions will be banned eventually in deeply conservative Idaho, along with most other Republican-dominated states, but there are still battles to play out in court and maybe the legislature before it happens. Wednesday, lawyers representing a physician and the regional Planned Parenthood affiliate will be before the Idaho Supreme Court asking the justices to block enforcement of three laws intended to restrict abortion. (Boone, 8/3)

Montana 1999 Court Decision Muddies Legislative Action On Abortion

Montana Gov. Greg Gianforte, a Republican, asked Montana Supreme Court justices to reverse a 1999 decision that upholds abortion access, in favor of allowing state legislators to set new laws. Legal battles on the issue are also reported out of Kentucky, Indiana, California, and elsewhere.

Montana鈥檚 governor is asking the state鈥檚 high court to consider his arguments that justices should reverse a previous decision upholding the right to access an abortion and instead put the matter in state legislators鈥 hands. (Michels, 8/2)

In other abortion updates from Kentucky, Indiana, and California 鈥

Kentucky鈥檚 two abortion clinics filed a quick appeal Tuesday aimed at restoring abortion services in the state, a day after an appellate judge reinstated a near-total statewide abortion ban. The clinics, both in Louisville, asked the Kentucky Supreme Court to vacate the ruling issued Monday evening by a judge on the state鈥檚 intermediate Court of Appeals. (Schreiner and Lovan, 8/2)

An Indiana House committee passed wide-ranging changes to the proposed near-total abortion ban Tuesday morning with less than five minutes of discussion moments before, giving the public its final chance to testify on what's seen as one of the most controversial issues Indiana lawmakers have touched. (Lange and Herron, 8/2)

San Clemente City Councilmembers are set to discuss making their city an abortion-free zone under a new resolution.聽The resolution states that San Clemente will be a 鈥渟anctuary for life,鈥 and that the city council will 鈥渆nforce this resolution by all means within its power and authority.鈥澛 ... The resolution has not yet been discussed by council members. They鈥檙e expected to debate the proposal at the Aug. 16 meeting, and it looks to be headed to a city council that鈥檚 split over the issue, based on interviews and past public statements. (Biesiada, 8/2)

In related news 鈥

A pharmacist in McGregor, Minnesota, refused to fill a woman's morning-after pill prescription because it violated his "beliefs," a lawsuit alleges. (Watson, 8/2)

Denise Johnston stood in line at the pharmacy to pick up her monthly prescription of methotrexate, which she takes to relieve pain from her聽psoriatic arthritis.聽A month earlier, Johnston, 49, picked up her new prescription with no problems.聽But this time, she聽was stopped at the counter of her聽CVS pharmacy outside San Antonio, Texas, and asked about her 鈥渂irth control plan.鈥 (Rodriguez, 8/3)

Pregnant Georgians can now list their fetus as a dependent on their tax returns. The Georgia Department of Revenue released new guidance this week establishing that the agency "will recognize any unborn child with a detectable human heartbeat ... as eligible for the Georgia individual income tax dependent exemption." (Diaz, 8/2)

Microsoft Corp. is coming under pressure from an activist shareholder group that is seeking聽greater transparency聽about political giving to groups and individuals that oppose abortion rights, asking the software giant to end donations and lobbying that might conflict with its stated support for employees accessing reproductive health care. (Bass, 8/3)

Veterans' Health Care

Senate Passes Bill To Expand Care For Vets Exposed To Burn Pits, Toxins

After 3 amendments introduced by Republicans were voted down, the Senate approved long-sought legislation expanding health and disability benefits for an additional 3.5 million former U.S. military members exposed to toxic substances during their service. President Joe Biden is expected to sign soon.

The Senate on Tuesday passed a sweeping expansion of veterans health care, sending it to President Joe Biden鈥檚 desk after GOP resistance held up the bill last week. Lawmakers voted 86-11 to back the measure, which caps a yearslong quest to help veterans who were exposed to substances like Agent Orange and toxins from burn pits while on active duty. Republicans quickly fell in line behind the bill 鈥 after blocking it less than a week ago 鈥 after Majority Leader Chuck Schumer allowed three GOP amendment votes, all of which failed on the floor. (Adragna and Carney, 8/2)

President Joe Biden is certain to sign the bill into law in the coming days. The legislation, long sought by veterans groups, means that millions of veterans suffering health problems will no longer have to prove their illnesses were caused by exposure to toxic substances from military deployments. Many served at bases that used open-air burn pits to dispose of trash and hazardous waste. The bill would make servicemembers who contracted any of 23 conditions 鈥 from brain cancer to hypertension 鈥 after being deployed to Iraq, Afghanistan and other combat zones automatically eligible for VA benefits. (Lerman, 8/2)

Susan Zeier, the mother-in-law of Heath Robinson, a member of the Ohio Army National Guard for whom the bill is named, had been protesting outside the Capitol for days to urge the Senate to pass the measure before leaving for its summer recess. Mr. Robinson served in Iraq and died in 2020 after battling lung cancer believed to have been tied to burn pit exposure, and the bill is called the Sgt. First Class Heath Robinson Honoring Our Promise to Address Comprehensive Toxics Act of 2022.鈥淔or me and my daughter, this is the satisfaction that we fulfilled our promise to Heath,鈥 Ms. Zeier said. 鈥淲e hope families don鈥檛 suffer like we did.鈥 (Lai, 8/2)

Eleven Republican senators voted Tuesday against a bipartisan measure, the PACT Act, that is designed to help veterans who were exposed to toxic chemicals while deployed abroad. All 11 senators also voted against the bill in June. (Davis, 8/2)

According to the VA, burning waste in pits can prove more toxic than in a commercial incinerator which operates a controlled, high-temperature burn.聽The open air allowed soldiers to breathe in the fumes from the burn pits fires, which have now been linked to some cardiovascular and respiratory conditions.聽(Kaufman, 8/2)

In other updates on veterans' health care 鈥

The St. Louis Veterans Administration Health System plans to extensively renovate and overhaul the John Cochran Veterans Hospital in Grand Center, adding multiple new buildings. (Fentem, 8/2)

Medicare

Medicare Ditches Plan To Bury Hospital Safety Data Next Year

Officials at the Centers for Medicare and Medicaid Services had said months ago that due to covid, hospital safety data would be distorted and therefore less useful to the public. In its reversal Monday, however, Stat reports that CMS officials recognized 鈥渢he importance of this measure for patients and providers.鈥 Separately, news outlets cover rising maternal mortality rates among women on Medicaid, and Medicaid coverage loss.

Medicare will continue to report hospital safety data as usual next year after the program, apparently swayed by backlash from patient safety advocates, reversed course on its plan to keep some information under wraps. (Bannow, 8/2)

The agency鈥檚 decision received a warm welcome from The Leapfrog Group, a patient safety watchdog that has been petitioning the government via letters, reports and informational webinars to keep the hospital quality measure available to the public. (Muoio, 8/3)

In other Medicare news 鈥

Republican U.S. Sen. Ron Johnson indicated Tuesday that Medicare and Social Security should be subjected to annual budget deliberations, a move that could upend聽guaranteed benefits relied upon by millions of Americans. (Glauber, 8/2)

And in news about Medicaid 鈥

A multi-year report analyzing maternal mortality in Missouri and published Monday found that women on Medicaid are eight times more likely to die within one year of pregnancy than their counterparts with private health insurance. (Weinberg, 8/2)

During the COVID-19 pandemic, New Hampshire and other states have been required to keep people enrolled in Medicaid throughout the ongoing federal public health emergency 鈥 even if they haven鈥檛 filed key paperwork or have lost eligibility due to a change in income, for example. It鈥檚 not clear when the federal public health emergency will end, but when it does, about 90,000 Granite Staters could risk losing Medicaid access. (Fam, 8/2)

KHN: They Lost Medicaid When Paperwork Was Sent To An Empty Field, Signaling The Mess To Come聽

Three years ago, Mason Lester, a rambunctious toddler, tumbled off his family鈥檚 porch and broke his wrist. His mother, nine months pregnant, rushed him to a nearby hospital, where she made a confounding discovery: Their health insurance had vanished. Alarmed, Katie Lester called the Tennessee Medicaid agency, TennCare, which had covered her during a prior pregnancy and insured Mason since the day he was born. (Kelman, 8/3)

Health Industry

Industry Presses Congress To Fix Doctor Shortage With Foreign Staff

Medical groups are asking for Congress to pass the Conrad State 30 and Physician Access Reauthorization Act, incentivizing foreign physicians. Meanwhile, high levels of nursing staff burnout in the Twin Cities area raise an alarm.

In letters to the House and Senate, medical groups urged Congress to pass the Conrad State 30 and Physician Access Reauthorization Act, which incentivizes foreign physicians to serve in underserved communities. The bill would extend the Conrad 30 waiver program, which allows these international medical graduates to remain in the United States.聽(Schoonover, 8/2)

Nurses in stalled contract talks sought to increase public pressure on Twin Cities area hospitals Tuesday, warning that burned-out colleagues are poised to leave bedside care if they don't get incentives to stay. Negotiations have produced little progress on wages and how to compensate nurses after two-plus years of the pandemic. Nurses, working under prior contracts that expired two months ago, accused the hospitals of exploiting their good will to work last-minute shifts and take extra patients to get through the pandemic's peaks. (Olson, 8/2)

In other health care industry news 鈥

Dozens of healthcare providers and health plans were affected by a data breach involving printing and mailing vendor OneTouchPoint. On April 28, OneTouchPoint discovered encrypted files on some of its computer systems, it said in a July 27 notice on its website. With the help of third-party forensic specialists, an investigation determined an unauthorized party had accessed the vendor's servers the day before. (Bruce, 8/2)

The HHS launched a service July 29 for hospitals to track the availability of medications, personal protective equipment, products used for burn patients and supplies for trauma patients.聽The tool, called the Disaster Available Supplies in Hospitals, is designed to estimate how much medical supply a hospital needs within 49 hours of a "mass casualty incident" or an infectious disease emergency, according to its website. It isn't intended to be used for disasters.聽(Twenter, 8/2)

When an independently owned rural hospital is in financial crisis, hospital leaders often say they鈥檇 be able to survive if only a big hospital system would come in and buy them. It would give them an infusion of capital, help with technological upgrades, and increase their patient population and ability to negotiate better reimbursement rates with insurers. And sometimes when a rural hospital is already owned by a larger system and begins to struggle, its hospital administrators will point to the facility鈥檚 affiliation as its safety net. They鈥檒l say that while their hospital鈥檚 specific numbers might look bad, what we can鈥檛 see are all of the resources it has access to through this larger system 鈥 resources that will ensure its survival. (Donnelly-DeRoven, 8/3)

The U.S. healthcare system emits the same amount of greenhouse gases every year as 100 coal-fired power plants. That鈥檚 according to Gary Cohen, founder and president of Practice Greenhealth and Health Care Without Harm. Cohen said two culprits account for nearly 80% of the healthcare industry鈥檚 carbon emissions: the supply chain and nonrenewable energy investments. The supply chain in particular鈥攚hich includes anything from medical devices to food鈥攊s a pain point for all hospitals, because they cannot function without a reliable pipeline. (Abrams, 8/2)

KHN: 鈥楢n Arm And A Leg鈥: Her Bill For A Prenatal Test Felt Like A 鈥楤ait-And-Switch鈥 Scheme聽

Can a health care company make enough people mad about its billing practices that its business is hurt? For one genetic testing company, maybe.聽An 鈥淎rm and a Leg鈥 listener got a test that has become routine in early pregnancy: noninvasive prenatal testing. It was supposed to be $99. But then 鈥 after she took the test 鈥 that turned into $250. And when she asked questions, she was told it could go up to $800 if she didn鈥檛 pay up quickly. The patient looked up the testing company and found that lots of people had experienced what she called 鈥渢he genetic testing bait-and-switch.鈥 (Weissmann, 8/3)

Covid-19

Study: Youngsters More Susceptible To Omicron Via The Nose

A small study shows that omicron is more efficient at infecting younger children through the nose than earlier versions. It also suggests symptoms of anosmia are a good predictor of long-term cognitive impact of covid. Separately, data show subvariant BA.5 is increasingly dominant in the U.S.

The Omicron variant may be more efficient at infecting children through the nose than previous versions of the coronavirus, a small study suggests. ... And severity of smell dysfunction after infection with the coronavirus may be a better predictor of long-term cognitive impairment than overall severity of COVID-19, according to an Argentinian study. (Lapid, 8/2)

More on the spread of covid 鈥

The proportion of the more transmissible BA.5 Omicron subvariant continued to increase in the United States last week, rising to 85.5% of sequenced samples, up from 81.6% the week before, according to the latest update from the Centers for Disease Control and Prevention (CDC). Meanwhile, the proportion of the BA.4 subvariant made up 7.7% of samples, down from 9.6% the previous week. (8/2)

"COVID is over" might trend within social media circles, but weekly U.S. death tolls tell a different story. Despite a slight uptick in July, the pace of COVID-19 deaths has remained steady since May at about 400 a day, according to a USA TODAY analysis of Johns Hopkins University data.聽(Rodriguez, 8/3)

Boston public health officials sounded a hopeful note Friday, saying COVID-19 metrics in the city had shown some improvement. But COVID-19 data from other sources last week continued to paint a picture of a pandemic that was refusing to fade in Massachusetts, thanks to the arrival of the highly transmissible BA.5 Omicron subvariant. (Finucane and Huddle, 8/2)

About 36.8% of the coronavirus tests conducted at Walgreens stores nationally are coming back positive, according to data published by the retail chain on Tuesday. That's up from about 30% recorded at the beginning of July. (Vaziri, Ho, Echeverria and Beamish, 8/2)

The North Carolina Court of Appeals ruled Tuesday that Gov. Roy Cooper鈥檚 secretary of health and human services should not be immune from a lawsuit over the administration鈥檚 restrictions on large gatherings in the early months of the coronavirus pandemic. (Schoenbaum, 8/2)

And an update on President Joe聽Biden's condition 鈥

President Joe Biden鈥檚 鈥渓oose cough鈥 has returned as he faces a rebound case of COVID-19, his doctor said Tuesday, though he 鈥渃ontinues to feel well.鈥 White House physician Kevin O鈥機onnor provided the update on the president鈥檚 condition as he continues to test positive for the virus. He said Biden 鈥渞emains fever-free,鈥 and that his temperature, pulse, blood pressure, respiratory rate and oxygen saturation 鈥渞emain entirely normal.鈥 (8/2)

Around a third of people with Covid will experience a rebound of their symptoms, regardless of whether they鈥檝e been treated with the antiviral Paxlovid, according to a study posted online Tuesday. The preprint study 鈥 meaning it hasn鈥檛 been published in a peer-reviewed journal 聽鈥 found that 27% of people with Covid saw a rebound in their symptoms after they had initially improved.聽(Lewis, 8/2)

Mental Health

Newly Passed Bill Recognizes Impact Of Officer PTSD, Suicides

The Public Safety Officer Support Act creates a route for families of officers who die by suicide to access benefits. Also: a strike among Kaiser Permanente mental health workers in California, concerns over public awareness of a new mental health law in Georgia, and more.

Inspired by the mental health toll that the Jan. 6, 2021, Capitol riot took on first responders, the U.S. Senate passed a bill Monday night that creates a pathway for families of officers who die by suicide to access death benefits. The unanimous passage of the Public Safety Officer Support Act means it now heads to President Biden鈥檚 desk, following prolonged advocacy by the partners of multiple officers who were on duty at the Capitol during the Jan. 6 assault and died by suicide in the aftermath. The bill also would amend the federal Public Safety Officers鈥 Benefits Program to make it easier for officers suffering from post-traumatic stress disorder linked to their work to access disability benefits. (Flynn, 8/2)

In other mental health news 鈥

A union representing 2,000 Kaiser Northern California mental health workers this morning announced plans for an open-ended strike beginning Aug. 15.Among the reasons union representatives outlined: high clinician workloads and patients waiting weeks or even months for mental health care. Even as demand for care has surged, frustrated therapists are abandoning the health giant, said union spokesperson Matt Artz. (Wiener, 8/2)

There鈥檚 a new law on the books that should make accessing treatment for mental illness and addiction much easier. But some proponents of the new law fear that many Georgia residents may not know about the change. That means patients could continue to pay out of pocket for treatments that should be covered, or choose to forgo needed medical care entirely. (Landergan, 8/3)

As companies selling health care apps struggle to prove to a skeptical system that they really deliver results, we鈥檙e about to start hearing a lot more about 鈥渆ngagement.鈥 (Aguilar, 8/2)

In related news about the effects of gun violence 鈥

Mayah Zamora was the last victim to be released from the hospital after being injured in the May 24 shooting rampage that killed 19 children and two teachers at Robb Elementary School. ... A tan brace decorated with a rainbow heart sticker covered Mayah鈥檚 left wrist, a still-visible remnant of the violence. But after 66 days inside the hospital and multiple surgeries, Friday 鈥渨as a happy day at University Hospital,鈥 according to the Twitter account for the medical center where Mayah was treated. (Paul, 8/2)

Public Health

Lyme Disease Diagnoses Soared Over 15 Years

The rise, reported by FAIR Health, was more pronounced in rural areas, where diagnoses were up 357%. Meanwhile, in Long Beach, California, a case of pediatric monkeypox is reported. A beverage recall over bacterial contamination, the baby formula shortage and more are also in the news.

A report today from FAIR Health reveals that, from 2007 to 2021, Lyme diagnoses rose 357% in rural regions of the United States and 65% in urban areas, according to private insurance claims. In the past 5 years, from 2016 to 2021, insurance claims increased 60% in rural areas and 19% in urban areas.聽(8/2)

In updates on the spread of monkeypox 鈥

鈥淲hile news of a pediatric case may cause alarm, please remember that monkeypox is still rare, is much more difficult to get than COVID-19 and other common childhood illnesses, and is rarely dangerous,鈥 Dr. Anissa Davis, city health officer, said in Long Beach鈥檚 announcement Tuesday. (Toohey, 8/2)

鈥淚t鈥檚 a balance of wanting to maximize our impact. We鈥檙e already getting a ton of calls bombarding our system,鈥 said Dr. Philip Huang, the county鈥檚 top health official. 鈥淪o we鈥檙e trying to balance that with, what can we handle? And, what can we get out there effectively and quickly?鈥 (Wolf, 8/2)

In other public health news 鈥

The maker of certain Oatly, Premier Protein and other specialty beverages has issued a recall for 53 of its products because of potential microbial contamination, according to the Food and Drug Administration. (Gregg, 8/2)

A Billerica woman who suffered a miscarriage after she ate ice cream contaminated with listeria during a visit to Florida is suing the ice cream maker and vendor, saying she has experienced physical and mental pain, lost wages, and medical expenses, according to court records. (Fox, 8/2)

The baby formula shortage that has plagued American families this spring isn't over yet, according to a report from the research firm Information Resources Inc. (IRI). (Scribner, 8/2)

From The States

The Healthiest State? Massachusetts, For The Second Year

Boston University鈥檚 School of Public Health and the digital health company Sharecare run an annual survey and for 2021, Massachusetts ranked at the top. Mississippi came in last place 鈥 for the third year running. Also: polio in New York wastewater, a second case of dengue in Florida, and more.

Massachusetts maintained the number one spot in 2021 for the second year in a row, followed by Hawaii, New Jersey, Maryland, and New York. Mississippi remains at the bottom of the list for the third year running, joined in the bottom five by Arkansas, West Virginia, Kentucky, and Alabama. (Bowker, 8/2)

In news from New York and Florida 鈥

The polio virus was detected in wastewater samples from the suburban county near New York City where an unvaccinated adult recently contracted the life-threatening disease, but health officials said Tuesday they have not identified any additional cases. (Hill, 8/2)

The Florida Department of Health on Jul 29 reported the state's second locally transmitted dengue case, also involving a resident of Miami-Dade County. Spread by Aedes mosquitoes, local cases aren't uncommon in south Florida. (8/2)

The Florida Board of Medicine is slated Friday to consider a proposal by Gov. Ron DeSantis鈥 administration to bar physicians from providing treatments such as hormone therapy and puberty-blocking medication to transgender youths. (Saunders, 8/2)

Between 2017 and 2021, there were 993 instances of residents of Florida nursing homes exiting their facility without proper authorization or supervision, according to Florida Agency of Health Care Administration (AHCA) records. (Carnell and Garcia, 8/2)

In news about drug overdoses 鈥

For years, Callie Crow and her charity, Drew鈥檚 27 Chains, have depended on a federally funded state program run out of the UT Health San Antonio School of Nursing for free Narcan. But in January, the program ran out of money for the fiscal year, which began in September. (Barragan, 8/3)

The Centers for Disease Control and Prevention聽publishes annual data聽on drug-overdose death rates in every U.S. state.聽Here is a ranking of every state by overdose-related deaths for 2020, the most recent year available. (Learish, 8/2)

KHN: Music Festivals Embrace Overdose Reversal Drugs, But Fentanyl Testing Kits Remain Taboo

A 26-year-old was found dead at his campsite during the Bonnaroo Music and Arts Festival in 2019. The toxicology report linked his death to a grim trend that has only worsened since. In his system were both ecstasy and fentanyl 鈥 a dangerous combination, especially if people don鈥檛 know the party drug contains the highly potent synthetic opioid. (Farmer, 8/3)

Prescription Drug Watch

Drug Cost Bill Faces Unpredictable Ride; Long Covid Drug Shows Promise

Read about the biggest pharmaceutical developments and pricing stories from the past week in KHN's Prescription Drug Watch roundup.

Senate Democrats will probably start a climactic series of votes on their party-line energy, tax and health care bill this week with very little public indication of where Sen. Kyrsten Sinema stands. They鈥檙e willing to risk it. While all of Washington waits on the Arizona Democrat, her previous treatment of high-profile issues shows she鈥檚 unlikely to make any statement about how she sees the deal written by Sen. Joe Manchin (D-W.Va.) and Majority Leader Chuck Schumer 鈥 at least until it鈥檚 on the floor. If the past is prologue, she鈥檒l also be a wild card on amendments that Republicans may offer in a bid to alter the bill on the Senate floor during votes later this week. (Everett, 8/2)

Democrats' drug pricing plan could end drugmakers' practice of taking out overlapping patents around one drug 鈥 a strategy which fends off competitors but that the industry argues incentivizes innovation after a drug is approved. (Owens, 8/3)

And in developments from the pharmaceutical industry 鈥

One of the first trials aimed at tackling long COVID helped some patients recover from lingering physical and mental fatigue, although the drug developed by Axcella Health Inc (AXLA.O) failed on the small study's main goal of restoring the normal function of mitochondria - the energy factories of cells. (Steenhuysen, 8/2)

More than half of high-risk SARS-CoV-2 Omicron inpatients or outpatients given the monoclonal antibody sotrovimab rapidly developed viral spike-protein mutations linked to treatment resistance, according to a study from the Netherlands published yesterday in JAMA. (8/2)

A study published yesterday in JAMA Network Open details US utilization of the two most effective medications used to treat opioid use disorder (OUD) in the first year of the COVID-19 pandemic, finding that quantities of methadone dwindled as buprenorphine doses expanded. (Van Beusekom, 7/27)

In a significant victory for AbbVie, a U.S. appeals court panel declined to revive a lawsuit that accused the company of using a so-called patent thicket to forestall competition for its Humira medication, a franchise product that generates billions of dollars in sales each year. (Silverman, 8/2)

Teva Pharmaceutical Industries Ltd., the biggest seller of Adderall in the US, has been experiencing 鈥渟upply disruptions鈥 of the popular ADHD drug at a time when demand is at all-time highs, a spokesperson for the company said. (Swetlitz, 8/2)

Perspectives: Collapse In Antibiotic Development Will Hurt Future Crises

Read recent commentaries about pharmaceutical issues.

Roughly a century after the first antibiotics revolutionized medicine, the development pipeline for these critical drugs is on the brink of collapse. Without policies to reinvigorate research into newer, more potent antibiotics, the world may soon face another global public health crisis as devastating as COVID-19. (Michelle McMurry-Heath, 8/2)

In 2009, Congress took the important step of banning flavored cigarettes that enticed youth to start smoking. However, that landmark legislation contained a significant flaw: a loophole that allowed tobacco companies to continue selling聽 menthol cigarettes. (Dr. Keith Churchwell, 8/1)

As an emergency department physician in New York, I often field calls about medical issues from family members, friends, and even friends of friends. The latest slew of these, about Paxlovid and rebound Covid-19 has revealed the confusion surrounding this phenomenon for me, my physician colleagues, and at least one Nobel laureate. (Joan Bregstein, 8/2)

Most Americans are blissfully unaware of the complicated intricacies that plague our healthcare system, which often increase the cost of critical care and reduce the availability of life-saving drugs. The commission聽study is an important step in the right direction. (Ted Strickland, 7/29)

Editorials And Opinions

Different Takes: Indiana Must Reduce Its Maternal, Infant Mortality Rates

Opinion writers weigh in on reproductive rights and veterans' health care.

I鈥檝e found my silver lining in this special session about abortion legislation. As I listened to debates, discussions and testimonies, I heard renewed attention on the symbiotic issues of maternal mortality and infant mortality. Ever since I learned of Indiana鈥檚 abysmal track record of keeping people alive after delivery, I鈥檝e made it my mission to illuminate the issue whenever I can. (Boyd, 8/2)

People said they worry what options they would have if something were to go wrong with a pregnancy, and about how their doctor would respond if providing them an abortion could lead to a felony charge. 鈥淚 will do whatever I can to save patients and make the best health care decisions with them and for them,鈥 one medical student said. 鈥淭his could easily now mean breaking the law and I could go to prison for saving someone鈥檚 life.鈥 (Jacobs, 8/2)

Given that abortion laws will now be set by state lawmakers, gerrymandering will have a direct impact on which party controls state legislatures and the direction for abortion laws in the future.聽(Sheldon H. Jacobson, 8/2)

Sen. Joe Manchin frequently insists that if Democrats take steps to weaken the filibuster, Republicans will do the same when they are in power. Well, Republicans have already weakened Senate rules by lowering the votes needed to confirm Supreme Court justices to a simple majority. Republicans have also already used the reconciliation process in an attempt to pass bills such as the repeal of the Affordable Care Act. That failed because their extreme measures were so unpopular that they could not get even a majority for that. (Jennifer Rubin, 8/2)

Also 鈥

The activists ultimately got what they came for, but having to plead for it was a reminder of the disrespect that lawmakers so often have for the people who employ them. On Tuesday, the veterans, military family members and their supporters were on their sixth day outside the Capitol. They were clustered under a few trees in the blessed shade just beyond the Capitol鈥檚 east plaza on a morning that was already sweltering. They were there to shame the Senate into passing the PACT Act, which extends health-care benefits to veterans who were exposed to toxins from the enormous pits in which the military regularly disposed of waste. (Robin Givhan, 8/2)

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