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Biden’s ARPA champion is MIA

Presented by PhRMA: Delivered daily by 10 a.m., Pulse examines the latest news in health care politics and policy.
Feb 08, 2022 View in browser
 
POLITICO's Pulse newsletter logo

By Sarah Owermohle

Presented by

PhRMA

With Darius Tahir and Alice Miranda Ollstein

Editor's Note: POLITICO Pulse is a free version of POLITICO Pro Health Care's morning newsletter, which is delivered to our subscribers each morning at 6 a.m. The POLITICO Pro platform combines the news you need with tools you can use to take action on the day's biggest stories.  Act on the news with POLITICO Pro.

QUICK FIX

— A hearing for the president's top health priority starts this morning, but his remaining mascot for the multibillion-dollar proposal won't be there.

— The administration is recalculating Covid hospitalizations, trying to parse Covid-sick patients from those infected at the facility.

— Health care advocates are pressing for BBB as the clock runs on passing Biden's package.

WELCOME TO TUESDAY PULSE — Roughly two years ago today, Chinese doctor Li Wenliang, an early whistleblower on the then-novel coronavirus, died from Covid-19. Send news and feedback to sowermohle@politico.com.

 

A message from PhRMA:

Washington is talking about price setting of medicines, but it won't stop insurers from shifting costs to you. And it will risk access to medicines and future cures. Instead, let's cap your out-of-pocket costs, stop middlemen from pocketing your discounts and make insurance work for you. Let's protect patients. It's the right choice. Learn more.

 
Driving the Day

THE ARPA HEARING GETS … INTERESTING — A congressional panel convenes this morning to discuss funding one of President Joe Biden's top priorities: A new, multibillion-dollar health agency focused on preventing, diagnosing and developing new treatments for conditions like cancer and Alzheimer's disease. But the president's top witness became a liability — and resigned late Monday , pulling out of defending one of the president's biggest initiatives.

Eric Lander was slated to testify before the House Energy and Commerce Committee's health panel today. He's not. The longtime geneticist resigned amid "credible evidence" of "bullying" and demeaning conduct, POLITICO's Alex Thompson scooped.

The Monday POLITICO report revealed employee complaints against Lander, including evidence that multiple women had complained about interactions with the longtime geneticist, who joined the administration early on as an advocate for science research, including Biden's so-called cancer moonshot.

Biden warned on his first day in office that employees would be fired "on the spot" for disrespectful behavior. But White House press secretary Jen Psaki on Monday backed Lander, saying senior officials had met with him to discuss his actions.

What's next: Lander has been the administration's top advocate for the Advanced Research Projects Agency for Health, especially after his ally, National Institutes of Health Director Francis Collins, stepped down last year. The proposal is broadly popular in Congress but hasn't found a vehicle for authorization or funding, especially with other legislative priorities crowding it out.

Left on the agenda for ARPA's hearing tomorrow are a handful of experienced scientists and doctors, including former President Donald Trump's assistant secretary for health Brett Giroir. But without Lander there, a champion's missing in the fight for a key presidential objective.

ADMIN REJIGS COVID HOSPITAL RATES — The Biden administration is working on recalculating the number of Covid-19 hospitalizations in the U.S., two senior officials familiar with the matter tell POLITICO's Erin Banco.

What's happening: A task force comprised of scientists and data specialists at the Department of Health and Human Services and the Centers for Disease Control and Prevention are working with hospitals nationwide to improve Covid-19 reporting. The group is asking hospitals to report separately the number of patients who go to the facility to be treated for Covid-19 and the number who go for other reasons and test positive after being admitted, the two officials said.

But why: The administration's goal is to get a more accurate sense of Covid-19's impact across the country and whether the virus is causing severe disease. Senior Biden health officials have increasingly relied on hospitalization numbers instead of case counts to determine how to respond to the virus as well as the vaccines' effectiveness.

Lower hospitalization rates could inform the administration's thinking on public health measures such as masking. More accurate Covid-19 numbers could also provide a better picture of the strain on hospitals and the resources they might need during surges.

The big picture: As Omicron cases have decreased, state and local officials nationwide are advocating for the country to begin returning to normal and easing public health measures. New Jersey Gov. Phil Murphy and Delaware Gov. John Carney, both Democrats, announced Monday they planned to lift mask mandates for schools in March.

FIRST IN PULSE : 90+ GROUPS PUSH SENATE DEMS TO REVIVE BBB'S DRUG PRICE REFORMS — A coalition of some of the country's biggest unions, corporations, physicians' and disease advocacy groups wrote to every Senate Democrat today to demand the revival of Democrats' stalled social spending bill and, particularly, the inclusion of provisions to lower drug prices.

The letter from the AFL-CIO, AARP, SEIU and dozens of other influential organizations — first shared with our Alice Miranda Ollstein — asks lawmakers to make good on years of promises to crack down on the pharmaceutical industry, warning that after the 2022 midterms, Democrats are likely to lose the slim majority they currently enjoy.

"You have a time-limited opportunity to deliver relief to millions of Americans by permitting Medicare to negotiate for lower drug prices, capping copays and out-of-pocket costs for beneficiaries, and limiting annual price increases on life-saving and life-sustaining drugs to the rate of inflation for all Americans," the groups wrote.

STATE OF PLAY: Democrats are no closer to reviving their reconciliation bill than they were when Sen. Joe Manchin (D-W.V.) pulled his support in December. While Manchin continues to declare the effort "dead" and call instead for a bipartisan approach, Democratic leaders insist negotiations are ongoing and a revamped and slimmed down package still has a chance. Meanwhile, all legislative efforts are currently in a holding pattern while Sen. Ben Ray Luján (D-N.M.) recovers from a stroke.

 

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In Congress

INFECTIOUS DISEASE DOCS SAY "YES, AND" TO PANDEMIC PREP BILL — The pandemic preparedness bill brought by top Senate HELP members Patty Murray (D.Wash.) and Richard Burr (R-N.C.) is a solid first step — but needs improvement, the Infectious Diseases Society of America write.

In particular, the infectious diseases group wants the proposed public health communications panel — meant to provide clear messaging to the public in pandemic times — to include members from marginalized communities and people of color. Explicit language on that matter is important given the impact of mis- and disinformation on the public health response, they say.

Around the Agencies

GOV'T WATCHDOG SAYS BULK UP INSPECTIONS – A new Government Accountability Office report published Monday called on the FDA to overhaul how it operates its foreign inspection program, urging the agency to strengthen and implement its unannounced inspection pilot scheduled to roll out in early 2022.

"Maintaining a robust investigator workforce is particularly important as FDA will likely continue to face a backlog of surveillance inspections in future years in light of the COVID-19 pandemic," the GAO report says.

What We're Reading

Covid in your backyard: Hard-to-detect infections in millions of free-ranging deer present a unique problem, The New York Times' Emily Anthes and Sabrina Imbler report.

Does Covid-19 exposure build immunity, even if we don't get sick ? Sumathi Reddy explores the question in The Wall Street Journal.

Some local dispatch: American University began distributing new KN95 masks this week after learning an initial batch was counterfeit, Nicole Asbury reports in The Washington Post.

 

A message from PhRMA:

Washington is talking about price setting of medicines, but it won't stop insurers from shifting costs to you. And it will risk access to medicines and future cures. Instead, let's cap your out-of-pocket costs, stop middlemen from pocketing your discounts and make insurance work for you. Let's protect patients. It's the right choice. Learn more.

 
 

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Dan Goldberg @dancgoldberg

Erin Banco @ErinBanco

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Lauren Gardner @Gardner_LM

Ben Leonard @_BenLeonard_

Rachael Levy @rachael_levy

David Lim @davidalim

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Alice Miranda Ollstein @aliceollstein

Sarah Owermohle @owermohle

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Megan R. Wilson @misswilson

 

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