Tuesday, June 14, 2022

When it’s this hot out, these people are at the greatest risk

Presented by PhRMA: Delivered daily by 10 a.m., Pulse examines the latest news in health care politics and policy.
Jun 14, 2022 View in browser
 
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By Krista Mahr and Sarah Owermohle

Presented by

PhRMA

With help from Daniel Lippman 

QUICK FIX

At least 13 states will face several extremely hot days this month, putting a long list of vulnerable groups at risk.

CDC Director Rochelle Walensky worked with a coach for months last year, underscoring the challenges of leading the troubled agency.

Senators want to get their gun safety deal out the door before Congress goes on recess in two weeks.

WELCOME TO TUESDAY PULSE — Google put an engineer on leave Monday after dismissing his claim that the company's artificial intelligence technology has a soul. Send news and tips to kmahr@politico.com and sowermohle@politico.com.

 

A message from PhRMA:

Did you know that only three insurance company PBMs control 80 percent of the prescription drug market? They use their market power to get tens of billions in rebates and discounts that should be going to you. Tell Congress those savings belong to patients.

 
Driving the Day

Extreme heat in June 2022

A HOT MESS — It's hot. It's hot in D.C. It's hot nearly everywhere. As of Monday around noon, some 100 million Americans were under heat alerts across the country. By Wednesday, the heat wave could threaten temperature records in more than 100 U.S. cities.

This month, 134 counties across 13 states are projected to have five or more extremely hot days where the temperature meets or exceeds the 95th percentile for each county's historical temperature distribution, POLITICO's Madi Alexander reports in this graphic.

Some people, of course, are at higher risk during this scenario than others. People who live in poverty, live in mobile homes, have no health insurance and are over 65 and live alone all face an increased risk of health problems when extreme heat hits. See Madi's full DataPoint graphic here.

As Sarah has reported in Pulse before, the Biden administration has pledged to tackle this crisis, but the new climate office established inside Health and Human Services lacks funding and permanent staff needed to address the many ways climate change is putting pressure on the U.S. health system.

The health costs of climate change and air pollution already exceed $800 billion annually between premature deaths, medical costs, related medicines and indirect tolls such as home and community instability, lost jobs and mental health harms, according to a 2021 analysis.

WALENKSY'S SECRET COACH — In January 2021, as Rochelle Walenksy was taking over the public health agency responsible for leading the fight against a once-in-a-century pandemic, she began quietly consulting with an executive coach, Tim Sullivan, POLITICO's West Wing Playbook reports.

The pair met regularly in one- to two-hour Zoom sessions or in person in Massachusetts over several months, according to a Freedom of Information Act request by the conservative nonprofit group Americans for Public Trust. Sullivan's firm, the Boston-area Wellesley Partners, boasts on its website that it's worked with "thousands of healthcare professionals to drive greater performance through fully integrated and tailored organizational solutions."

Walensky has been trying to improve her performance as the Biden administration struggles with ever-changing mask guidance, vaccine skepticism and new variants. Last fall, she began meeting with Democratic Party media consultant Mandy Grunwald to improve her public communication skills.

CDC spokesperson Jason McDonald noted in a statement to POLITICO that it's "very common in federal agencies for government executives to have coaches." He didn't answer a question about who paid for the sessions — the CDC or Walensky.

A former senior Biden health official said it's "actually really good for agencies to offer this to people." Still, the official said Walensky's reliance on such a small shop with no clear government ties was "a little weird."

SENATE RACES TO WRAP GUN SAFETY DEAL — Lawmakers are scrambling to turn the bipartisan framework on gun safety into legislation before Congress leaves for recess in two weeks, POLITICO's Marianne Levine and Burgess Everett report.

Senate Judiciary Chair Dick Durbin (D-Ill.) said his staff is working with Sen. Chris Murphy (D-Conn.), the lead Democratic negotiator, on legislative text. Durbin wants to move the legislation as quickly as possible before a possible Supreme Court ruling on Roe v. Wade mires the Capitol in controversy.

Republicans also want to clinch the deal quickly to both ensure conservatives don't mobilize against the legislation and allow them to shift their rhetoric back to the economy. Senate Minority Leader Mitch McConnell focused on inflation during his floor remarks Monday.

 

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Coronavirus

WASHINGTON, DC - MAY 04: U.S. Secretary of the Department Of Health And Human Services (HHS) Xavier Becerra testifies before a Senate Appropriations Subcommittee, on Capitol Hill, May 04, 2022 in Washington, DC. Becerra testifies on the budget request for the fiscal year of 2023 for the Department of HHS. (Photo by Kevin Dietsch/Getty Images)

HHS Secretary Xavier Becerra has tested positive for Covid-19 a second time. | Kevin Dietsch/Getty Images

BECERRA TESTS POSITIVE FOR COVID-19 ... AGAIN — Health and Human Services Secretary Xavier Becerra tested positive for Covid-19 again on Monday, Sarah reports.

It's the second time in about a month the busy HHS head, who is fully vaccinated and boosted, has tested positive. He's currently in Sacramento.

New highly transmissible Omicron subvariants have been rapidly spreading in the U.S., according to the CDC, including BA.4 and BA.5, which accounted for roughly 13 percent of U.S. cases in early June. It's unclear which variant is responsible for Becerra's current infection or the case in May.

The secretary took the Covid-19 antiviral Paxlovid during his initial infection, an HHS official told POLITICO. Some people report rebound Covid-19 infections after treatment with the drug, but it usually occurs between two and eight days after recovery, according to the CDC.

Canadian Prime Minister Justin Trudeau also tested positive for Covid-19 for a second time, he tweeted on Monday, days after returning from the Summit of the Americas, where he met with President Joe Biden.

In Congress

FIRST IN PULSE — Lawmakers on both sides of the aisle, including Reps. Diana DeGette (D-Colo.), Buddy Carter (R-Ga.) and Brad Wenstrup (R-Ohio), participated in a bipartisan policy briefing by the Diabetes Leadership Council on Monday.

The briefing, which comes ahead of the group's virtual fly-in next week, covered insulin affordability, the role of PBMs in inflating drug costs, the Treat and Reduce Obesity Act, CURES 2.0 and other topics. The briefing will air on Tuesday at noon here.

At the Agencies

FORMER AFRICAN CDC LEADER APPOINTED NEW HEAD OF PEPFAR — John Nkengasong, the former head of Africa Centres for Disease Control and Prevention, was sworn in Monday to lead the U.S. global program fighting HIV and AIDS, POLITICO's Carmen Paun reports.

The Cameroonian virologist is the first African to head the U.S. Global AIDS Coordinator and Special Representative for Global Health Diplomacy. He'll coordinate the President's Emergency Plan for AIDS Relief, a $7 billion initiative that provides HIV treatment in more than 50 countries.

He takes over the spot after it's been vacant for more than two years since PEPFAR coordinator Deborah Birx stepped down to become the White House coronavirus response coordinator in 2020.

Angeli Achrekar, who has been the acting coordinator, will continue as principal deputy global AIDS coordinator, working on policy, programmatic and operational matters.

In the States

CANNABIS COVERAGE TEST IN NEW MEXICO — A group of medical marijuana patients and a medical marijuana company in New Mexico filed a lawsuit against several health insurance providers for failing to cover medical cannabis costs, writes POLITICO's Mona Zhang.

Backstory: New Mexico legalized medical marijuana in 2007. Last year, the state legislature passed a bill that eliminated health insurance cost-sharing for "behavioral health services," essentially requiring insurance companies to cover 100 percent of treatments and services under that category. It went into effect on January 1.

What patients want: The plaintiffs want the court to declare that medical cannabis should be covered 100 percent by health insurers in the state and to award the costs paid by plaintiffs for medical cannabis since January 1. They're asking the court for class-action status for an estimated 10,000-plus similar patients.

Names in the News

Maddie Davidson is now director of government affairs at Regeneron Pharmaceuticals. She most recently was health policy director for Sen. Mike Braun (R-Ind.).

Chelsea Arnone has joined the College of Healthcare Information Management Executives as the new director of federal affairs.

What We're Reading

The New Yorker tells the story of one Texas girl's journey to get an abortion.

Covid-19 is making the flu and other viruses act pretty weird, The Washington Post reports.

That hunger crisis in Afghanistan? Still happening, as is the finger-pointing over who's to blame, according to this story from The Washington Post.

 

A message from PhRMA:

This may come as a shock, but did you know that only three insurance companies and their pharmacy benefit managers (PBMs) control 80% of patients' medicines? They sure act like it. They use their market power to get tens of billions in rebates and discounts on medicines – rebates and discounts that should be going to patients. They decide what medicines are covered, what medicines aren't and what you pay for them. Regardless of what your doctor prescribed. That's too much control, and it leaves you fighting them for your medications, instead of fighting your illness. PBMs are putting their profits before your medicine. It's time we do better than that for patients. Tell Congress those savings belong to patients.

 
 

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