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Morning Briefing: June 24, 2024

ACA's preventive services provision, HIV, abortion access, hospital prices, Medicaid, covid cases climb, vaping, and more are in the news.
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Monday, June 24, 2024
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Morning Briefing

In This Edition:

From KFF Health News:

KFF Health News Original Stories

2. Young Gay Latinos See Rising Share of New HIV Cases, Leading to Call for Targeted Funding

Since being diagnosed with HIV in 2022, Fernando Hermida has had to move three times to access treatment. A KFF Health News-Associated Press analysis found gay and bisexual Latino men account for a fast-growing proportion of new diagnoses and infections, showing they are falling behind in the fight against HIV. (Vanessa G. Sánchez and Devna Bose, Associated Press and Phillip Reese, )

4. KFF Health News' 'What the Health?' Podcast: Live From Aspen: Health and the 2024 Elections

Health policy may not be the top issue in this year's presidential and congressional elections, but it's likely to play a key role. President Joe Biden and Democrats intend to hold Republicans responsible for the Supreme Court's unpopular ruling overturning the right to abortion, and former President Donald Trump aims to take credit for government efforts to lower prescription drug prices — even in cases in which he played no role. Meanwhile, some critical health care issues, such as those involving Medicaid and the Affordable Care Act, are unlikely to get discussed much, even though the party in power after the elections would control the future of those programs. This week, in an episode taped before a live audience at the Aspen Ideas: Health festival in Aspen, Colorado, Margot Sanger-Katz of The New York Times and Sandhya Raman of CQ Roll Call join KFF Health News' Julie Rovner to discuss these issues and more. ( )

Here's today's health policy haiku:

ALREADY BEHIND

Memory fades fast ...
Recall how bad covid was.
Bird flu not prepared?

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 KFF Health News or KFF.

Summaries Of The News:

Health Law

6. ACA's Free Preventive Services Mandate Stands, Appeals Court Rules

The lawsuit was brought by two Christian-owned Texas businesses opposed to covering the HIV-prevention drug. That portion of the case — specifically a panel's authority — has been sent back to a lower court for review.

Axios: Court Upholds ACA's Free Preventive Services Mandate
Health insurers nationwide must continue to provide coverage of certain preventive services like cancer screenings and behavioral counseling at no cost, a federal appeals court ruled Friday. The decision in the closely watched case largely preserves the Affordable Care Act's free preventive services requirement. (Goldman, 6/21)

NBC News: Appeals Court Finds 'Obamacare' Pillar Unconstitutional In Suit Over HIV-Prevention Drug
A federal appeals court on Friday found unconstitutional a key component of the Affordable Care Act that grants a health task force the effective authority to require that insurers both cover an array of preventive health interventions and screenings and refrain from imposing out-of-pocket costs for them. The lawsuit centered on the objections of a coalition of small businesses in Texas to the requirement that they cover a drug for HIV prevention, known as PrEP, in their employee health plans. (Ryan, 6/21)

Axios: U.S. Health Care Is Deeply Unequal — And Might Get Worse
We've spent the last nine weeks going through health care's defining topics, but if there's a thread tying them all together it's this: Health care in America is deeply unequal, and it might get worse. All of the innovation in the world won't make any difference to patients if it's unaffordable or inaccessible, and right now everything in the pipeline is headed for a two-tiered system. (Owens, 6/21)

In related news about HIV —

CNBC: Gilead's Twice-Yearly Shot To Prevent HIV Succeeds In Late-Stage Trial
Gilead's experimental twice-yearly medicine to prevent HIV was 100% effective in a late-stage trial, the company said Thursday. None of the roughly 2,000 women in the trial who received the lenacapavir shot had contracted HIV by an interim analysis, prompting the independent data monitoring committee to recommend Gilead unblind the Phase 3 trial and offer the treatment to everyone in the study. Other participants had received standard daily pills. (Peebles, 6/20)

KFF Health News: Young Gay Latinos See Rising Share Of New HIV Cases, Leading To Call For Targeted Funding
Four months after seeking asylum in the U.S., Fernando Hermida began coughing and feeling tired. He thought it was a cold. Then sores appeared in his groin and he would soak his bed with sweat. He took a test. On New Year's Day 2022, at age 31, Hermida learned he had HIV. "I thought I was going to die," he said, recalling how a chill washed over him as he reviewed his results. He struggled to navigate a new, convoluted health care system. (Sánchez, Bose and Reese, 6/24)

After Roe V. Wade

7. On 2nd Anniversary Of Dobbs Ruling, Not Much Has Improved For Doctors

Physicians say they've developed workflows to help them navigate confusing state laws. Still, they are regularly forced to turn away pregnant patients in need. Meanwhile, learning how to perform an abortion is increasingly tough: Some doctors travel hundreds of miles to Illinois for training.

ABC News: 2 Years After Roe V. Wade, Physicians Still Struggle To Provide Essential Care
Obstetrics and gynecological care in much of the U.S. has transformed in the two years since Roe v. Wade was overturned, leaving physicians facing tough decisions as they try to provide patients with quality care and struggle to interpret unclear, confusing and strict state abortion laws. Physicians interviewed by ABC News across several states said they are relying on each other to determine what emergency and lifesaving care they can legally provide patients. (El-Bawab, 6/24)

Chicago Tribune: Dobbs, 2 Years Later: Out-Of-State Medical Providers Flock To Illinois For Abortion Training As Opportunities Dwindle
Obstetrics and gynecology resident Dr. Cory Reiter travels more than 200 miles round trip from Indianapolis to an Illinois clinic once a week to learn how to perform abortions, which she deems a vital aspect of health care. Yet opportunities for learning how to terminate a pregnancy have dwindled in Indiana since the state's near-total abortion ban went into effect in August, spurring Reiter and other OB-GYN residents at Indiana University School of Medicine to come to Illinois for abortion training. (Lourgos, 6/23)

Vox: Abortion In America After The End Of Roe, In 8 Charts
Dobbs has had a devastating effect on pregnant people in huge swaths of the country. While the number of abortions across the country actually increased last year — thanks in large part to increasingly cheap and accessible medication abortion — that has not changed the fundamental realities of post-Dobbs America. Large reproductive care deserts have emerged in which there are no abortion providers for hundreds of miles. Pregnant people are being denied necessary medical care as their doctors fear the legal repercussions of providing it. All of this has exacerbated long-standing inequities. (Narea, 6/24)

The Hill: Vice President Harris: Anti-Abortion Laws Pose Health Care 'Crisis'
Vice President Harris on Sunday argued the implications of anti-abortion laws go beyond the medical procedure and present a larger "crisis" for other women's health treatments. Harris, speaking with MSNBC on Sunday, and two years since the Supreme Court ruling that overturned Roe v. Wade, warned "everything is at stake" in the upcoming election regarding abortion and other reproductive freedoms. (Nazzaro, 6/23)

What's ahead in the abortion fight —

Politico: Inside The $100-Million Plan To Restore Abortion Rights In America
A new coalition of abortion-rights groups is marking the second anniversary of the fall of Roe v. Wade with a pledge to spend $100 million to restore federal protections for the procedure and make it more accessible than ever before. In plans shared first with POLITICO, groups including Planned Parenthood, the ACLU and Reproductive Freedom for All are banding together to form Abortion Access Now — a national, 10-year campaign that will both prepare policies for the next time Democrats control the House, Senate and White House, and build support for those policies among lawmakers and the public. At a private event Monday evening in Washington, they will pitch a group of influential progressives on going on offense at a time when abortion is outlawed in a third of the country. (Ollstein, 6/24)

The New York Times: In Abortion Cases, Legions Of 'Friends' Seek To Persuade Supreme Court
When the Supreme Court decided Roe v. Wade in 1973, establishing a constitutional right to abortion, it noted that it had received 14 friend-of-the-court briefs and listed them in a snug footnote at the beginning of the decision. ... In the decision that overturned Roe in 2022, Dobbs v. Jackson Women's Health Organization, the court was flooded with more than 140 amicus briefs. The footnote had metastasized, spanning seven pages. Those 50 years of amicus briefs tell a cumulative story. (Liptak, 6/24)

KFF Health News' 'What The Health?' Podcast: Live From Aspen: Health And The 2024 Elections
Health policy may not be the top issue in this year's presidential and congressional elections, but it's likely to play a key role. President Joe Biden and Democrats intend to hold Republicans responsible for the Supreme Court's unpopular ruling overturning the right to abortion, and former President Donald Trump aims to take credit for government efforts to lower prescription drug prices — even in cases in which he played no role. (6/21)

On pregnancy and maternal health —

The New York Times: Abortion Debate Shifts To Pregnancy And Fertility As Election Nears
Tresa Undem, who has been polling people on abortion for 25 years, estimated that before the Supreme Court's ruling in Dobbs v. Jackson Women's Health Organization, the case that overturned Roe, less than 15 percent of the public considered abortion personally relevant — women who could get pregnant and would choose an abortion. "Now it's about pregnancy, and everybody knows someone who had a baby or wants to have a baby or might get pregnant," she said. "It's profoundly personal to a majority of the public." (Zernike, 6/24)

The Wall Street Journal: More Women Risk IUD Pain To Prevent Unwanted Pregnancies
Michele Von Hatten is willing to endure a day of pain twice a decade for reliable birth control. Von Hatten uses an intrauterine device, or IUD, among the most effective reversible forms of birth control and an increasingly popular one. More women are choosing IUDs despite a common experience of pain during insertion that can be severe. Broader insurance coverage and improved doctor training have encouraged more women to use them. (Calfas, 6/23)

Axios: How The Health System Is Trying To Improve Postpartum Care
America has become much more aware of the health risks facing new mothers, but the health care system is still trying to catch up. More than half of pregnancy-related deaths in the United States occur up to one year after birth, a largely preventable tragic toll that disproportionately affects Black and Native American women. (Goldman, 6/24)

8. Texas Updates Abortion Guidelines But Adds Little Clarity Over Exceptions

The Texas Medical Board loosened some paperwork requirements for physicians. Plus: Data show Texas is averaging five abortions a month now.

Houston Chronicle: Texas Medical Board Approves Limited Guidance For Emergency Abortions
The Texas Medical Board on Friday adopted guidance on when physicians can perform emergency abortions, loosening some paperwork requirements but adding little clarity to the state ban's exceptions. The decision follows a meeting last month in which doctors, patients and lawyers criticized an earlier proposal of the rules, with many saying it only added more administrative requirements that could further delay care in emergency situations. (Gill, 6/21)

The Texas Tribune: Texas Averages Five Abortions A Month After Dobbs
In the last two years, Texas abortion clinics closed, legal challenges raced through the court system, towns tried to ban out-of-state travel, conservative activists made abortion pills and emergency rooms into battlegrounds, and woman after woman after woman came forward with stories of medical care delayed or denied because of confusion over Texas' abortion laws. And five women were able to get an abortion, on average, each month. (Klibanoff, 6/24)

Abortion news from Kentucky and Ohio —

The Tennessean: Kentucky Gov. Beshear Decries Abortion Extremism At Nashville Event
Kentucky Democratic Gov. Andy Beshear decried "extremism" in state abortion bans during a Nashville event on reproductive rights on Friday, pointing to a lack of rape and incest exceptions in Kentucky and Tennessee law as Republicans have effectively banned nearly all abortions in both states. "Extremism pushes everybody off. It's not the right way to govern," Beshear said. "It's not the right way to make policies, because our policies aren't about proving how pure you are to this party or that party. They're about human beings." (Brown, 6/22)

AP: Woman Who Was Raped As A Child Campaigns With First Lady On Abortion
A 22-year-old woman who became an abortion rights advocate after she was raped by her stepfather as a child will campaign with first lady Jill Biden in Pennsylvania this weekend as part of a 2024 election push around the anniversary of the fall of Roe v. Wade. Hadley Duvall of Owensboro, Kentucky, first told her story publicly last fall in a campaign ad for the governor's race in her home state, discussing the consequences of abortion restrictions, particularly those without exceptions for rape or incest. (Long, 6/22)

Cleveland.com: Ohio Has Abortion Rights In The Constitution. Yet As Abortions Are On The Rise, Hospitals Have Not Increased Services.
Ohio voters enshrined reproductive rights in the state constitution last year, but smaller clinics continue to provide most of the abortions in the state as Ohio's hospitals are not increasing services or wading into the abortion debate. Abortion clinics report seeing increasing numbers of patients, including many from states outside Ohio, where women no longer have abortion rights, according to estimates, though state data won't be available until later this year. (Hancock, 6/24)

From New Hampshire, Massachusetts, and California —

The Boston Globe: N.H. Teacher Fired For Helping A Pregnant Student Access Abortion Services
A teacher was fired in New Hampshire after investigators concluded she secretly escorted a pregnant student to a medical appointment during the school day, ostensibly to access abortion services. The teacher admitted to her employer that she had lied about having food poisoning when she called in sick from work and drove the student to the medical facility, according to records obtained by The Boston Globe through a public records request. State officials then opened an investigation into her alleged failure to observe appropriate boundaries with the student entrusted to her care. (Porter, 6/23)

The Boston Globe: Massachusetts Has An Abortion Shield Law And Is Leading The Post-Dobbs Resistance
Affixed to the far window of Dr. Angel Foster's tiny Somerville office is a large map of the United States dotted with silver stars. Each star represents the hometown of a patient, or group of patients, who received abortion pills through the mail last fall in the first month after she launched her telemedicine provider. There are stars in 13 Florida locales, 10 in Georgia, five in Indiana, and a sprinkling in Texas, Missouri, Mississippi, Kentucky, Idaho, North and South Carolina, Alabama, Arkansas, Oklahoma, and Ohio. (Piore, 6/21)

Politico: In California, Is 'Pro-Choice Republican' A Winning Strategy?
A Republican running to flip a competitive California House seat has an unusual strategy on abortion: Talk like a Clinton-era Democrat. "I'm a pro-choice Republican that believes abortion should be safe, legal and rare," said Matt Gunderson, the car dealership owner challenging Democratic Rep. Mike Levin in Southern California. That position, a throwback to Democrats' framing on abortion in the nineties, puts Gunderson in a vanishingly small club of Republicans who espouse support for abortion rights — and sets him apart from most GOP candidates who try to avoid the topic altogether. (Mason, 6/22)

Health Industry

9. Raising Hospital Prices Hurts The Local Economy, Study Shows

"Employers that face increases in health care spending respond by laying off workers who they can no longer afford to retain," said one of the University of Chicago researchers responsible for the study. Meanwhile, Sutter Health gets a legal reprieve after a court found it didn't double-bill patients.

The Wall Street Journal: When Hospital Prices Go Up, Local Economies Take A Hit
Rising healthcare prices have long eroded American wages. They are doing that by eating into jobs. Companies shed workers in the year after local hospitals raise their prices, new research found. Higher hospital prices pushed up premiums for employees' health insurance, which businesses help pay for. The new study, scheduled to be published Monday as a National Bureau of Economic Research working paper, is a comprehensive look at one way companies manage those higher premiums: cutting payrolls. (Evans, Mollica and Ulick, 6/23)

Modern Healthcare: Sutter Health Did Not Double Bill Patients, California Court Says
Sutter Health was absolved this week from a California whistleblower lawsuit alleging the nonprofit system owed $519 million for double-billing patients. After a seven-week trial, Alameda County Superior Court Judge Stephen Kaus ruled Monday retired surgeon Dr. Gregory Duncan and patient Gary Hulbert failed to show that Sutter's billing practices for surgical patients were fraudulent. (Hudson, 6/21)

Modern Healthcare: Risant Health To Buy Cone Health, Second For Kaiser-Backed System
Risant Health, the nonprofit entity created by Kaiser Permanente, has signed a definitive agreement to acquire North Carolina's Cone Health, the nonprofit systems said Friday. Cone would be the second system to join Risant, subject to regulatory approval, following Geisinger Health earlier this year. Financial details of the deal were not disclosed. It is expected to close in early 2025. (Hudson, 6/21)

Modern Healthcare: Prospect Medical Given Conditions To Sell 2 CharterCare Hospitals
Prospect Medical Holdings can move ahead with plans to sell two CharterCare hospitals in Rhode Island — if the for-profit system satisfies dozens of conditions. Rhode Island Attorney General Peter Neronha granted conditional approval Thursday for the proposed transfer of Providence-based Roger Williams Medical Center and North Providence-based Our Lady of Fatima Hospital to nonprofit ownership under the Centurion Foundation. (Hudson, 6/21)

Reuters: Ardent Health Discloses Over 5% Rise In Annual Revenue In US IPO Filing
Ardent Health Partners disclosed a more than 5% rise in revenue for 2023 on Friday, as the healthcare provider revealed its paperwork for an initial public offering in the United States. The U.S. capital market has seen a recovery in the number of IPOs in 2024, after a nearly two-year dry spell, as expectations of a soft-landing for the economy encourage companies to list their shares. (6/21)

KFF Health News: It's Called An Urgent Care Emergency Center — But Which Is It?
One evening last December, Tieqiao Zhang felt severe stomach pain. After it subsided later that night, he thought it might be food poisoning. When the pain returned the next morning, Zhang realized the source of his pain might not be as "simple as bad food." He didn't want to wait for an appointment with his regular doctor, but he also wasn't sure if the pain warranted emergency care, he said. (Rayasam, 6/24)

In news about health care workers —

Modern Healthcare: Blue Shield Of CA Fires Tosha Lara-Larios Over Alleged Fake DO
Blue Shield of California has fired a senior executive it alleges misrepresented her name and professional credentials, the insurer said Friday. The nonprofit company "involuntarily terminated" Dr. Tosha Lara-Larios and reported her to law enforcement for fraud, a Blue Shield spokesperson wrote in an email. The San Diego Union-Tribune first reported her termination. (Tepper, 6/21)

Asheville Watchdog: Mission Nurses Demand Action After Assaults
Choked. Hit. Kicked. Thrown against walls. Nurses at HCA Healthcare-owned Mission Hospital face a steady stream of assaults and violence in their workplace and say management needs to do more to prevent their physical injuries and emotional trauma. (Jones, 6/22)

San Francisco Chronicle: UCSF Upgrades Midwifery To Doctoral Program Just As More Nurses Needed
UCSF is ending its long-standing and esteemed master's program for nurse midwives in favor of a doctorate program that many alumni and others in the field say will take longer and cost more to complete — making it harder for people to become midwives at a time maternal health workers are needed more than ever. ... Students on track to graduate next year will be the final cohort in the master's program. (Ho, 6/23)

Medicaid

10. Florida Law Requiring Hospitals To Ask About Immigration Status Leads To Big Drop In Medicaid Spending

Politico's analysis finds that Medicaid expenditures for undocumented immigrants in Florida have dropped dramatically since Gov. Ron DeSantis signed a law directing hospitals to ask patients about their immigration status.

Politico: Florida Medicaid Spending On Undocumented Immigrants Plummets After New Law
The amount of money that Florida's Medicaid program spends to provide emergency health care to undocumented migrants has dropped significantly after Republican Gov. Ron DeSantis launched a multi-pronged crackdown on illegal immigration amid his unsuccessful primary bid for president. DeSantis signed a law last year directing hospitals that accept Medicaid to ask patients about their immigration status when they seek treatment. While the law does not force patients to provide hospitals with an answer, immigrant rights groups feared the mandate would scare migrants away from seeking urgent medical attention. The DeSantis administration and other Florida Republicans say any marked decreases in spending are signs his immigration crackdown is working. (Sarkissian, 6/23)

New Hampshire Bulletin: State House Leaders Scramble To Settle Funding Fight Between Sununu And NH Hospitals
Some lawmakers are exploring an 11th hour attempt to settle a showdown between Gov. Chris Sununu and the state's hospitals over Sununu's plan to cut their state Medicaid payments by nearly $35 million a year. Senate President Jeb Bradley said earlier this month that Sununu's plan would take so much Medicaid funding away from hospitals, "the viability of hospitals is at stake." Steve Ahnen, the president of the New Hampshire Hospital Association, has called Sununu's plan a "direct threat" to hospitals. (Timmins, 6/21)

KFF Health News: Medicaid For Millions In America Hinges On Deloitte-Run Systems Plagued By Errors
Deloitte, a global consultancy that reported revenue last year of $65 billion, pulls in billions of dollars from states and the federal government for supplying technology it says will modernize Medicaid. The company promotes itself as the industry leader in building sophisticated and efficient systems for states that, among other things, screen who is eligible for Medicaid. However, a KFF Health News investigation of eligibility systems found widespread problems. (Pradhan and Liss, 6/24)

On disability benefits —

The Washington Post: Social Security Ditches Obsolete Jobs Data Used To Deny Disability Claims
For decades, the Social Security Administration has denied thousands of people disability benefits by claiming they could find jobs that have all but vanished from the U.S. economy — occupations like nut sorter, pneumatic tube operator and microfilm processor. On Monday, the agency will eliminate all but a handful of those unskilled jobs from a long-outdated database used to decide who gets benefits and who is denied, ending a practice that advocates have long decried as unfair and inaccurate. (Rein, 6/24)

Government Policy

11. Anti-Tobacco Critics: FDA's Menthol Vape Approval 'Blow To Public Health'

The products, intended as less-harmful alternative to cigarettes, were authorized by the FDA, drawing criticism from pediatricians and anti-tobacco groups. Separately, the Washington Post reports that the tobacco industry is using Black activists to battle menthol tobacco bans.

The Washington Post: Tobacco Industry Enlists Black Activists To Fight Menthol, Vaping Bans
In 2022, Earl Fowlkes, a Black gay activist, denounced tobacco companies for marketing e-cigarettes to his community as the latest way to hook people on nicotine. A year later he declared that vaping saves Black and LGBTQ+ lives. Fowlkes's promotion of looser e-cigarette regulations, which came as he developed a relationship with an industry trade group, illustrates how the tobacco industry has expanded alliances with activists representing Black, LGBTQ+ and other disenfranchised groups to defend products public health experts say are harmful. (Nirappil, 6/21)

In other news about the FDA —

Reuters: US FDA Approves Bristol Myers' Colorectal Cancer Therapy
The U.S. Food and Drug Administration has approved Bristol Myers Squibb's combination therapy for treating colorectal cancer in patients with a specific gene mutation, the health regulator said on Friday. The approval under the agency's accelerated process was based on an early- to mid-stage study, in which 94 previously treated patients were administered the oral drug Krazati, in combination with cetuximab. (Santhosh and L, 6/21)

ScienceAlert: Parkinson's Discovery Suggests We May Already Have An FDA-Approved Treatment
Researchers have discovered how a cell surface protein called Aplp1 can play a role in spreading material responsible for Parkinson's disease from cell-to-cell in the brain. Promisingly, an FDA-approved cancer drug that targets another protein called Lag3 – which interacts with Aplp1 – blocks the spread in mice, suggesting a potential therapy may already exist. (Dyer, 6/24)

On medical devices —

Stat: How Kaiser Permanente Hospitals Track Risky Medical Devices
When a new medical device hits the market, there's typically still some uncertainty about whether it works. Device makers generally do not have to submit as much, or as rigorous, clinical data to the Food and Drug Administration as their biotech counterparts. Once FDA regulators decide a device is safe and effective, companies and researchers then attempt to track how the device performs in the real world. (Lawrence, 6/24)

Reuters: Doctor's Recommendation Does Not Bar Patient's Lawsuit Over Device - California Top Court
A patient may be able to pursue a claim against a drug or medical device maker for failing to warn of a product's risks even if the warning would not have stopped the patient's doctor from recommending it, California's highest court has ruled. The California Supreme Court, in a unanimous opinion on Thursday by Justice Joshua Groban, revived a lawsuit against Somatics, the maker of an electroshock therapy device, by a woman who said she suffered brain damage after it was used to treat her severe depression. (Pierson, 6/21)

Covid-19

12. Covid Cases Climbing Across Country As New Variant Is Poised To Dominate

Western states are nearing a "high" level of infection with the summer surge starting earlier this year. Meanwhile, as bird flu continues its spread, farmers are urged to step up measures to protect their workers and herds.

CBS News: COVID Summer Wave Grows, Especially In West, With New Variant LB.1 On The Rise
A summertime wave of COVID-19 infections is arriving earlier than last year across a growing share of the country, federal data suggests, as a new variant called LB.1 could be on track to become the latest dominant strain of the virus. For the first time in months, the CDC estimates that no states or territories are seeing COVID-19 infections slow this past week. Key virus indicators appear to be worsening fastest across a number of western states, where trends first began climbing this month. (Tin, 6/21)

The Washington Post: Masks Are Going From Mandated To Criminalized In Some States
State legislators and law enforcement are reinstating dormant laws that criminalize mask-wearing to penalize pro-Palestinian protesters who conceal their faces, raising concerns among covid-cautious Americans. Republican lawmakers in North Carolina are poised to overturn Gov. Roy Cooper's (D) recent veto of legislation to criminalize masking. New York Gov. Kathy Hochul (D) said earlier this month she supports legislative efforts to ban masks on the subway, citing an incident where masked protesters on a train shouted, "Raise your hands if you're a Zionist. This is your chance to get out." Student protesters in Ohio, Texas and Florida have been threatened with arrest for covering their faces. (Nirappil, 6/24)

CIDRAP: Cannabis Use Linked To Worse COVID-19 Outcomes
Cannabis use is linked to an increased risk of more serious COVID-19 outcomes, including hospitalization and intensive care unit (ICU) admission—similar to risks from tobacco use—according to a study today in JAMA Network Open from researchers at the Washington University School of Medicine in St. Louis. (Soucheray, 6/21)

CNN: House's Covid Committee Struggles To Overcome Polarizing Politics
The partisan politics that have surrounded the federal and local responses to the Covid-19 pandemic continue to overshadow the committee aimed at examining – and learning from – the government's response to the disease since the investigation's start last year. Rep. Brad Wenstrup, a doctor who chairs the committee looking into the Covid response, told CNN he wants his probe to be nonpartisan, but the Ohio Republican struggles against the polarizing political climate. (Grayer, 6/24)

On bird flu and dengue fever —

Iowa Public Radio: Iowa Dairy Farmers In A Bird Flu Hotspot Take Precautions To Prevent Viral Spread
Lee Maassen is a dairy farmer in northwest Iowa. The area became a hot spot for bird flu after the first H5N1 infection was detected this year. It hit a commercial egg-laying operation with 4.2 million chickens in late May. The first case discovered in Iowa dairy cows came earlier this month. As of June 20, the area has seen 11 cases of the virus infecting dairy and poultry in five counties. (Brummer, 6/21)

Health News Florida: A Locally Acquired Case Of Dengue Fever Is Reported In Hillsborough County
A person has been infected with dengue fever in Hillsborough County. Health officials say the disease was acquired locally, meaning it was likely transmitted through a mosquito bite. Dengue fever is spread to humans through the bites of infected female mosquitoes of the Aedes genus, primarily Aedes aegypti. This is the eighth locally acquired case of dengue fever in Florida this year. (6/23)

Editorials And Opinions

13. Viewpoints: Missouri's War On Women Must Be Thwarted At The Polls; Is Phage Therapy The Cure For AMR?

Editorial writers discuss these issues and more.

Kansas City Star: Vote For Missouri Women's Basic Rights In November Election
Missouri Republicans continued their assault on women's access to sexual and reproductive health care during the 2024 legislative session. This practice is becoming all too disturbing. This time, on a straight party-line vote, Republicans passed House Bill 2634. The new law, signed by Gov. Mike Parson, marks the culmination of a yearslong effort to defund Planned Parenthood clinics in Missouri. (Emily Weber, 6/24)

Stat: Bacteriophage Therapy Could Counter Rise In Antimicrobial Resistance
My daughter, Mallory, died in 2017 at the age of 25 from a multiply resistant bacterial lung infection that followed a double-lung transplant necessitated by cystic fibrosis. In the weeks before her death, my wife, Diane Shader Smith, and I sought out and obtained an innovative yet underused treatment for antibiotic-resistant bacteria known as phage therapy. Her physicians administered the therapy, but it was too late to save Mallory's life. An autopsy, though, confirmed that the phages had reached their target and had started to work. (Mark H. Smith, 6/23)

Harvard Public Health: Affordable Housing Is Key To End Cycles Of Homeless Hospitalization
The most recent national survey estimated 650,000 people experienced homelessness on a single night in 2023, up 12 percent from 2022. People experiencing homelessness seek medical attention for ailments directly attributable to their living conditions—and yet the health care system fails to address the underlying problem, which creates a cycle of hospitalizations. Without more housing that people like my patient can afford, the care that doctors like me provide can be futile. (Jeremy Cygler, 6/20)

Stat: Suicide Prevention Can Begin With Collaborative Care
Suicide rates in the United States increased approximately 36% between 2000 and 2022, according to updated data from the National Center for Health Statistics. Suicide was responsible for just under 50,000 deaths in 2022 (the last year with complete statistics) — an all-time high. As this appalling trend continues, offering mental health assessments and care in primary care settings could help save lives. (Roshni Koli and Christine Yu Moutier, 6/24)

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF. (c) 2024 KFF Health News. All rights reserved.

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