Thursday, August 15, 2024

Democrats split on bill that could aid pot research

The ideas and innovators shaping health care
Aug 15, 2024 View in browser
 
Future Pulse

By Shawn Zeller, Daniel Payne, Erin Schumaker, Ruth Reader and Toni Odejimi

POLICY PUZZLE

Marijuana plants are displayed at a shop in San Francisco.

Federal rules make research on pot's health effects hard to do. | Jeff Chiu/AP

A new report from the Biden administration recommends legislation that would help overcome legal hurdles that hinder marijuana research — the same legislation that Senate Democrats are blocking and that most Democrats opposed when the House passed it last year.

The report, prepared by the Department of Health and Human Services, says the Halt Fentanyl Act would permanently classify fentanyl and related substances as Schedule I drugs — a classification that would subject them to increased regulation — and make it easier for researchers to study any Schedule I drug, including marijuana.

The bill’s research provisions, the report says, are based on input from federal agencies and aim to make it easier for researchers to get clearance to study the substances and to loosen rules governing how research is conducted.

For example, the bill would:

— No longer require separate Schedule I research registrations for every Schedule I researcher at an institution

— Allow a single Schedule I research registration for research at multiple locations under the control of a single institution within the same city or county

— No longer require Schedule I research registrants to obtain a registration to manufacture small quantities of material coincident to research, such as creating dosage formulations needed to administer cannabis and other drug products to study participants

But those provisions didn’t convince most Democrats when the bill came up for a vote in the House last year. It split the party, with 132 voting nay, and 74 yea, but passed with nearly unanimous GOP support.

Rep. Frank Pallone (D-N.J.), ranking member of the Energy and Commerce Committee, criticized the bill alongside a coalition of advocacy groups as a law-and-order approach to combating drug addiction that’s failed and lambasted Republicans for not accepting amendments that would have provided for quick descheduling of any fentanyl-related substances found to have medical applications.

Among those voting against the bill was Rep. Earl Blumenauer (D-Ore.), an advocate of medical marijuana, who sponsored the 2022 legislation that required HHS to produce the report.

In a statement, he said the report showed that the best way to research marijuana is to remove it from Schedule I, as the Biden administration has also proposed.

“This report validates what we have known for years: Reclassifying cannabis is paramount to effectively researching it,” he said.

 

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WELCOME TO FUTURE PULSE

Vik, Norway

Vik, Norway | Shawn Zeller/POLITICO

This is where we explore the ideas and innovators shaping health care.

When to get another Covid vaccine isn’t a one-size-fits-all decision, according to The New York Times. If someone’s immunocompromised or trying to avoid getting sick before a trip, scientists say it’s best to get a shot now given the level of disease circulating. But today’s vaccines don't target the latest variants, so waiting for updated shots this fall might be the better choice for others.

Share any thoughts, news, tips and feedback with Carmen Paun at cpaun@politico.com, Daniel Payne at dpayne@politico.com, Ruth Reader at rreader@politico.com, Erin Schumaker at eschumaker@politico.com, or Toni Odejimi at aodejimi@politico.com.

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THE REGULATORS

Dr. Lisa Ravindra conducts a telehealth visit with patient Jenny Thomas.

Coverage for telehealth remains in flux. | Antonio Perez/Getty Images

Congress faces a year-end deadline to decide whether to continue allowing Medicare patients to receive care via telehealth after previously extending the pandemic program.

But that’s only one factor in determining how prominent virtual care will be in the future.

The other is private-sector insurance coverage.

“The way that the payers decide to treat telehealth now and going forward is something that is really going to shape its adoption,” said Dr. Sipra Laddha, a psychiatrist who specializes in women’s mental health and a cofounder of digital mental health clinic LunaJoy.

How so? Telehealth reimbursement rates could impact the extent of telehealth offered by providers — and, in turn, limit the amount of virtual care patients can access.

And though telehealth advocates have pointed to potential cost savings and access improvements, some evidence suggests the technology hasn’t made as much of a difference on those fronts as hoped.

Even so: As advocates lobby Congress for an extension of relaxed rules for telehealth, providers are asking that they not ignore the importance of private insurance coverage for the tech.

 

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EXAM ROOM

This Aug. 26, 2009 photo shows Dr. Pedro Jose Greer, right, preparing to do a colonoscopy at Mercy Hospital in Miami. Greer has made a career of offering treatment without regard to patients' ability to pay, and it's one reason he received a 2009 Presidential Medal of Freedom. (AP Photo/Lynne Sladky)

AI could remake the colonoscopy of the future. | AP

Doctors assisted by artificial intelligence during colonoscopies are more likely to identify polyps that could present cancer risk, according to new research.

Out of nearly 2,000 colonoscopies — about half using the AI system and half not — doctors found adenomas, or noncancerous tumors that can sometimes become cancer, in about 8 percent more patients when the tool was used.

The AI system, GI Genius, flags possible polyps to providers during colonoscopies.

Detecting adenomas, and removing them, is correlated with lower colorectal cancer rates in the future.

The authors concluded the findings supported the use of the device in colonoscopies, whether for routine screenings or to follow up on symptoms. The study, funded by Medtronic, the device maker, was published in the Lancet Gastroenterology and Hepatology.

Why it matters: Colon and rectal cancers account for about 8 percent of new cancer cases in the U.S. and 9 percent of deaths, according to the National Cancer Institute.

 

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