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2 Covid-19 vaccine options for kids under 5 are safe and effective, FDA says

Presented by PhRMA: Delivered daily by 10 a.m., Pulse examines the latest news in health care politics and policy.
Jun 13, 2022 View in browser
 
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By Krista Mahr and Sarah Owermohle

Presented by

PhRMA

With help from Lauren Gardner

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

— FDA says Pfizer-BioNTech and Moderna vaccines are safe and effective for kids, setting the stage for possible emergency use authorization this week.

— State supreme court justices will become key in the abortion access fight if the Supreme Court overturns Roe v. Wade in coming weeks.

— Senators strike a bipartisan deal on gun safety, putting the package in position to pass in the upper chamber.

WELCOME TO MONDAY PULSE — Canadian singer Justin Bieber becomes the latest celebrity to openly talk about his health to millions of followers on social media. Send your news and tips to kmahr@politico.com and sowermohle@politico.com.

 

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New data show that 35% of insured Americans spent more on out-of-pocket costs than they could afford in the past month. Read more about how insurance is leaving patients exposed to deepening inequities.

 
Driving the Day

A clinical pharmacist administers a shot of the Moderna Covid-19 vaccine.

The FDA will meet to review vaccines for under-5-year-olds this week. | Karen Ducey/Getty Images

FDA: MODERNA, PFIZER KIDS' VACCINES SAFE AND EFFECTIVE — Two Covid-19 vaccine options for babies and toddlers are safe and effective, FDA reviewers said in briefing documents posted online over the weekend, Lauren reports.

The announcement sets the stage for regulators to potentially authorize the shots for emergency use later this week.

The three-dose Pfizer-BioNTech vaccine for kids ages 6 months through 4 years will likely benefit this age group, the FDA said, noting higher hospitalization and death rates among the youngest children in the U.S. compared with those 5 and older.

Moderna's two-dose Covid-19 vaccine regimen for children is generally safe and effective for children ages 6 months to 17 years, the FDA said in a separate briefing document on Friday.

The documents will form the basis of the FDA's independent vaccine advisers' review at meetings on Tuesday and Wednesday when they'll vote on whether to recommend that the agency endorse EUAs for the age groups.

The FDA analyzed both vaccines' ability to induce neutralizing antibody responses in kids that were comparable with those of young adults, a concept known as immunobridging.

Real-world efficacy against the Omicron variant in the 6-month-to-5-year-old age group for Moderna's vaccine ranged from 36 to 51 percent, but efficacy estimates for all age groups were "generally consistent" with rates seen in observational studies of adults during the same variant waves, the FDA said.

No new safety signals were detected in the companies' clinical trials, though they were unlikely large enough to detect the rarest side effects, the FDA said.

STATE JUSTICES TAKE CENTER STAGE IN ABORTION FIGHT — The right to abortion in some states could come down to state supreme court justices, POLITICO's Megan Messerly reports.

If the Supreme Court overturns Roe v. Wade in the coming weeks, state courts are likely to be flooded with new litigation that could require them to rule on abortion access, putting the spotlight on down-ballot races that voters usually pay little attention to in the midterms.

Judges are supposed to be impartial arbiters of the law, but many judicial candidates are using not-so-subtle clues — such as saying they oppose "the overreach of government" or support "fairness, equality and respect" — to signal how they might rule. Eight states require judges to run with their party affiliation next to their name on the ballot.

Unsurprisingly, organizations on both sides of the abortion debate are planning to spend big to tip the scales in their favor.

While most of the spending won't happen until the fall, races in Ohio, Michigan and North Carolina — where abortion litigation is almost certain — are already garnering significant attention because partisan control is at stake.

BIPARTISAN GUN SAFETY DEAL COMES INTO FOCUS — A day after thousands of protesters convened in Washington, D.C., demanding tighter gun safety laws, senators said on Sunday they had struck a bipartisan deal on gun safety, POLITICO's Burgess Everett and Marianne Levine report.

The framework includes extra scrutiny for under-21 gun buyers, grants to states to introduce red-flag laws and new spending on mental health and school security.

The group of 20 senators — 10 Republicans and 10 Democrats — who came out in support of the law indicated it has a chance of passing the Senate. President Joe Biden urged both chambers to pass the legislation quickly.

Sens. Chris Murphy (D-Conn.), John Cornyn (R-Texas), Kyrsten Sinema (D-Ariz.) and Thom Tillis (R-N.C.) are the lead negotiators on the proposal. Senate Majority Leader Chuck Schumer endorsed it; Minority Leader Mitch McConnell said the deal showed the value of cooperation but stopped short of backing it.

Coronavirus

Travelers at O'Hare International Airport.

The CDC drops requirements for Covid-19 testing for travelers arriving in the U.S. from overseas. | AP Photo/Nam Y. Huh

NO MORE TESTS BEFORE FLIGHTS TO U.S. — As of early this morning, the Biden administration has ended pre-departure testing requirements for all travelers coming into the United States from overseas, POLITICO's Oriana Pawlyk reports.

"The COVID-19 pandemic has now shifted to a new phase, due to the widespread uptake of highly effective COVID-19 vaccines, the availability of effective therapeutics, and the accrual of high rates of vaccine- and infection-induced immunity at the population level in the United States," the Centers for Disease Control and Prevention said in a statement on Friday.

The agency "continues to recommend that those travelers boarding a flight to the U.S. get tested for current infection with a viral test as close to the time of departure as possible (no more than 3 days) and not travel if they are sick."

Leaders from Airlines for America, which represents major air carriers, and the U.S. Travel Association met last month with White House officials to ask them to scrap the testing requirement since Covid cases are subsiding worldwide and air travel shouldn't be singled out when other mass gatherings have no such restriction.

The CDC said it "will reassess the need for a testing requirement if the situation changes."

Public Health

CDC URGES DOCTORS TO LOOK FOR OTHER MONKEYPOX SYMPTOMS — Though the CDC still characterizes the monkeypox risk to Americans as low, the agency is widening its net to detect the unusual virus, warning it's probably evading health officials' detection in some parts of the country.

On Friday, the agency said it was asking doctors to look for a widening list of symptoms, Krista reports. As of Sunday night, 49 cases were confirmed among 16 states and the District of Columbia.

Though most U.S. patients were exposed to monkeypox during recent international travel, some individuals had direct contact with a known monkeypox case in the U.S. Others don't know how they contracted the virus. "That might suggest that there is some community transmission happening at levels that are below what's coming to the attention of public health officials," a CDC official said.

Last week, the agency also clarified that, unlike SARS-CoV-2, monkeypox can't be transmitted over long distances by air through aerosols, as it sought to tamp down concerns that arose after it recommended travelers wear masks due to the global monkeypox outbreak. The CDC removed the guidance from its website last week.

 

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IN THE STATES

MICHIGAN ABORTION PROVIDERS BRACE THEMSELVES — If Roe is overturned, Michigan could either lose all abortion access or ultimately become a destination for patients seeking abortion across the region, writes POLITICO's Alice Miranda Ollstein.

Abortion providers in the swing state are preparing for both scenarios. A 90-year-old law could kick in, instituting a near-total ban that could force them to close their practices. Or, if one of their strategies to block the law from going into effect succeeds and abortion is protected, a surge of patients from Indiana, Ohio, Wisconsin and other nearby states could overwhelm their resources.

Providers could face up to 15 years in prison for violating the state's ban if the Supreme Court allows it to be enforced.

CAN OTHER DEM STATES SECURE ABORTION ACCESS, WHEN NY FAILED? New York's failure to advance an amendment to secure abortion access in the state highlights the challenges other states face when it comes to securing abortion rights in their own constitutions, reports POLITICO's Shannon Young.

No state explicitly guarantees the right to an abortion in its constitution, meaning a shift in the partisan makeup of a Legislature could allow abortion rights opponents to unravel laws passed by Democratic lawmakers in previous years.

Similar measures may be up for a vote in Vermont, California and Michigan. And courts in several states — including Kansas, Minnesota, Montana, Alaska and Florida — have recognized the right to abortion under their state constitutions, even though the constitutions haven't been specifically amended to include that right.

What We're Reading

STAT News reports on the scientists trying to give hamsters long Covid.

Texas billionaire John Arnold is funding a fight against hospital monopolies, The Wall Street Journal reports.

The New York Times writes that the cancer blood tests set to be part of Biden's Cancer Moonshot program may lead to unnecessary and expensive intervention.

 

A message from PhRMA:

According to data just released, insurance isn't working for too many patients. Despite paying premiums each month, Americans continue to face insurmountable affordability and access issues:

  • Roughly half (49%) of insured patients who take prescription medicines report facing insurance barriers like prior authorization and "fail first" when trying to access their medicines.
  • More than a third (35%) of insured Americans report spending more in out-of-pocket costs in the last 30 days than they could afford.
Americans need better coverage that puts patients first. Read more in PhRMA's latest Patient Experience Survey.

 
 

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