Skip to main content

The court decision that could defang federal health agencies

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

By Sarah Owermohle and Krista Mahr

Presented by

PhRMA

With help from Ruth Reader

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 looming Supreme Court decision could have massive health care ramifications, and it's not the Roe v. Wade one.

— But speaking of Roe: The president's options for executive action are limited.

— The intellectual property waiver is on awkward ground as supporters go quiet ahead of a key World Trade Organization meeting.

WELCOME TO FRIDAY PULSE — ICYMI: The Jan. 6 hearings began last night. Send news and tips to sowermohle@politico.com and kmahr@politico.com.

 

A message from PhRMA:

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

The Supreme Court is pictured.

A looming Supreme Court decision on environmental policies could reverberate across health agencies. | AP Photo

HOW SCOTUS COULD UNRAVEL AGENCY AUTHORITIES — The Supreme Court is expected to issue a ruling this month hobbling the Biden administration's efforts to rein in greenhouse gases — but its impact could weaken Washington's power to oversee wide swaths of American life well beyond climate change.

The upcoming decision on the Environmental Protection Agency's climate oversight could reverberate across federal agencies as the court assesses what the bureaucracy can do without explicit congressional directions — impacting everything from Obamacare protections to health-equity efforts.

"A narrow reading of what the federal agencies can do is going to literally handcuff the federal government from taking action to protect Americans' health safety and the environment," said Lawrence Gostin, a public health law professor at Georgetown University.

What could happen: Legal experts on both sides of the issue widely expect the court to side with conservatives by saying the Obama-era EPA had gone too far. But the big mystery is whether the court's majority is prepared to go big — and open the door to a judicial crackdown on the executive branch.

The courts have never precisely defined where the line between legislative and executive power lies. But they've repeatedly cited a "major questions" principle to knock down executive branch actions they think went too far. That includes prior decisions on tobacco regulation and, more recently, pandemic-era vaccine-or-test mandates and eviction moratoriums.

What it could mean: The Health and Human Services Department is already defending decisions related to payments through the 340B program and Affordable Care Act–mandated contraceptive coverage requirements, both of which could be harder cases to win without deference to agency interpretations. But if the Supreme Court goes big and curtails executive branch authority, a wave of new legal challenges to Obamacare, health justice initiatives and even drug approvals could crash.

POLITICO's Alex Guillén and Sarah break down just some of the battles that could happen .

WHAT CAN BIDEN REALLY DO ON ABORTION? President Joe Biden says he's looking at ways to shore up abortion rights if the Supreme Court overturns Roe v. Wade in the coming weeks. The problems: Legal experts say he can do little to stop states that want to outlaw the procedure.

The president is looking at executive orders, he said on Jimmy Kimmel Live! Wednesday night, though he avoided specifics on what those would entail. Echoing Democratic congressional leaders, Biden largely focused his remarks on electing more abortion-rights supporters to Congress in the November midterms.

Yet, many Democratic officials and abortion-rights activists fear the party is unlikely to pick up enough seats in the midterms to pass comprehensive abortion-rights legislation. And even if it can, many fear that waiting until a new Congress is seated in January will be too late to prevent the harm they expect if tens of millions of people lose access to abortion.

What he can do: The administration could make it easier to obtain abortion medication, protect patient privacy and ensure affordable and accessible contraception options, according to lawmakers and abortion-rights groups.

White House spokesperson Alexandra LaManna told POLITICO in a statement that the administration is looking at "every possible option" and "believes we should defend the right of all Americans to make their own decisions."

The White House has repeatedly said it's waiting for a Supreme Court ruling, which could happen as early as next week, before the administration rolls out any response — angering Democrats at both the state and federal levels who want to see Biden take a stronger and more proactive stand.

"We knew this was coming and, nationally, didn't have a plan," fumed Rep. Elissa Slotkin (D-Mich.) in an interview with POLITICO. "Part of my frustration is with, frankly, some of my own colleagues and peers. The other side for 50 years has had a legal strategy — where is our 50-year strategy?"

 

DON'T MISS DIGITAL FUTURE DAILY - OUR TECHNOLOGY NEWSLETTER, RE-IMAGINED:  Technology is always evolving, and our new tech-obsessed newsletter is too! Digital Future Daily unlocks the most important stories determining the future of technology, from Washington to Silicon Valley and innovation power centers around the world. Readers get an in-depth look at how the next wave of tech will reshape civic and political life, including activism, fundraising, lobbying and legislating. Go inside the minds of the biggest tech players, policymakers and regulators to learn how their decisions affect our lives. Don't miss out, subscribe today.

 
 

Ngozi Okonjo-Iweala walks outside of the International Monetary Fund building.

World Trade Organization Director-General Ngozi Okonjo-Iweala is championing a vaccine patent waiver. | Jose Luis Magana/AP Photo

THE VACCINE DIPLOMACY BALANCE — A year after President Joe Biden won applause from fellow Democrats for supporting a waiver of patent protections on Covid-19 vaccines … not much has changed.

The proposal brokered by World Trade Organization Director-General Ngozi Okonjo-Iweala is getting little love from advocacy groups that once championed the idea, POLITICO trade reporter Doug Palmer writes. On the other side, the pharmaceutical industry continues to oppose an agreement, calling it harmful to drug innovation and unnecessary at this point to beat back the pandemic.

The path to a final deal is extremely uncertain just days ahead of the WTO's Ministerial Conference next week in Geneva. Both sides fear political pressures are forcing negotiators into an agreement that neither sees as beneficial. But failure to reach any deal would also underscore the WTO's reputation for being unable to overcome its dysfunctions to respond to global challenges.

Congressional proponents of a broad waiver of intellectual property protections for vaccines — including House Speaker Nancy Pelosi, Sens. Bernie Sanders (I-Vt.) and Elizabeth Warren (D-Mass.) and Reps. Jan Schakowsky (D-Ill.), Earl Blumenauer (D-Ore.) and Rosa DeLauro (D-Conn.) — have been mostly silent about the deal that's shaping up.

A solution without a problem: One big question is whether a deal is needed, given the rapid expansion of patented vaccine production over the past year.

"There are enough vaccines being produced to give one to every single person that wants one," said Clete Willems, a former Trump White House official now at the Akin Gump law firm. "The problem is not enough people want them. And the problem is that distribution channels are not as good as they could be for people who do want them but can't get them."

 

A message from PhRMA:

Advertisement Image

 
eHealth

NATIONAL HEALTH RECORD DATABASE? — Oracle chair Larry Ellison pledged to solve health care's data fragmentation problems by developing a national electronic health records database, POLITICO's Ben Leonard and Ruth report.

"We're building a system where all American citizens' health records not only exist at the hospital level, but they also are in a unified national health records database," Ellison said at an event following the company's closing of a $28.3 billion deal to acquire electronic health record giant Cerner. "That national database solves the electronic health record fragmentation problem."

The database would allow providers to more easily track down patient data across systems by constantly updating health records in the database, Ellison said.

Needless to say, the proposal is very ambitious. Efforts to boost data-sharing with the aim of bolstering patient outcomes have been tried for decades. Plus, it's unclear how or whether the database will go beyond the company's own clients. It also poses questions about how the company will navigate the legalities of inter-health system data sharing.

The U.S. also doesn't have a national patient identifier, rendering it hard to match patients' records from different systems with each other or tell the difference between two people with the same name.

Names in the News

Hilary Marston has left the White House after a yearlong detail as senior policy adviser for the global Covid response, a White House official confirmed. Marston is expected to return to a senior role within the health department.

The Senate on Thursday confirmed Samuel Bagenstos to be general counsel of the Health and Human Services Department. Bagenstos will move to HHS from the White House Office of Management and Budget, where he also served as general counsel. He is a former law professor and longtime civil rights lawyer.

Ro Health General Counsel Adam Greenberg is departing for Blank Street, a venture capital–backed coffee-shop startup popular with the tech set. While at Ro, Greenberg was particularly interested in shaping public policy to support asynchronous telemedicine visits. In his wake, Amy Westergren and Lisa Eisenberg will be promoted to associate general counsel.

 

STEP INSIDE THE WEST WING: What's really happening in West Wing offices? Find out who's up, who's down, and who really has the president's ear in our West Wing Playbook newsletter, the insider's guide to the Biden White House and Cabinet. For buzzy nuggets and details that you won't find anywhere else, subscribe today.

 
 
What We're Reading

People in jail with serious mental illnesses are waiting months to years to receive the psychiatric care that could help them stand trial, delaying treatment but also due process, Kaiser Health News' Andy Miller and Rebecca Grapevine report.

CMS on Wednesday fined two Georgia hospitals for failing to disclose their prices, the first time it's enforced a price transparency rule launched last year, The Wall Street Journal's Anna Wilde Mathews, Melanie Evans and Tom McGinty report.

Public support for stricter gun laws remains high even though Republican support has slightly faded, according toa new Morning Consult and POLITICO survey.

 

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.

 
 

Follow us on Twitter

Tucker Doherty @tucker_doherty

Dan Goldberg @dancgoldberg

Erin Banco @ErinBanco

Katherine Ellen Foley @katherineefoley

Lauren Gardner @Gardner_LM

Ben Leonard @_BenLeonard_

Rachael Levy @rachael_levy

David Lim @davidalim

Krista Mahr @kristamahr

Megan Messerly @meganmesserly

Alice Miranda Ollstein @aliceollstein

Sarah Owermohle @owermohle

Carmen Paun @carmenpaun

Megan R. Wilson @misswilson

 

Follow us

Follow us on Facebook Follow us on Twitter Follow us on Instagram Listen on Apple Podcast
 

To change your alert settings, please log in at https://www.politico.com/_login?base=https%3A%2F%2Fwww.politico.com/settings

This email was sent to rouf@idiot.cloudns.cc by: POLITICO, LLC 1000 Wilson Blvd. Arlington, VA, 22209, USA

Please click here and follow the steps to unsubscribe.

Comments

Popular Posts

📄 Liaqat Ali Ali shared Waheed Zaman's post

  See the post that he shared.           Facebook                 📄 Liaqat Ali Ali shared Waheed Zaman 's post. 26 April at 12:09   View               This message was sent to ludomallam@idiot.cloudns.cc . If you don't want to receive these emails from Facebook in the future, please unsubscribe . Facebook, Inc., Attention: Community Support, 1 Facebook Way, Menlo Park, CA 94025         To help keep your account secure, please don't forward this email. Learn more      

📄 Sazzad Khan shared Shakil Khan's post

  Ludo, see the post that he shared.           Facebook                 📄 Sazzad Khan shared Shakil Khan 's post. 27 April at 21:42   View               This message was sent to ludomallam@idiot.cloudns.cc . If you don't want to receive these emails from Facebook in the future, please unsubscribe . Facebook, Inc., Attention: Community Support, 1 Facebook Way, Menlo Park, CA 94025         To help keep your account secure, please don't forward this email. Learn more      

Afjal Hossain wants to be friends on Facebook

  1 mutual friend - Works at won businass - Atrai, Rājshāhi, Bangladesh - 3,883 friends - 6 photos - 3 groups           Facebook             Afjal Hossain wants to be friends with you on Facebook.   Afjal Hossain Works at won businass · Atrai, Rājshāhi, Bangladesh 1 mutual friend · 3,883 friends · 6 photos · 3 groups               Confirm request     See all requests             This message was sent to ludomallam@idiot.cloudns.cc . If you don't want to receive these emails from Facebook in the future, please unsubscribe . Facebook, Inc., Attention: Community Support, 1 Facebook Way, Menlo Park, CA 94025         To help keep your account secure, please don't forward this email. Learn more.      

DeepMind Gemini AI could rival ChatGPT / Congress restricts ChatGPT use / Unity launches AI marketplace

Plus: C-suite leaders plan to hire due to generative AI Inside AI For June 27, 2023 Thank you to our sponsor Hey Insiders,  Welcome to Inside AI! Here are today's top stories: Google DeepMind is developing a Gemini chatbot to rival ChatGPT. 64% of C-suite leaders say they plan to increase hiring due to generative AI. U.S. House members were instructed to limit ChatGPT usage to the paid version. Scroll down for some quick hits, and then let us know what other content you'd like to see in future issues!  Beth p/beth-duckett 1 Google DeepMind, its AI research lab, is developing a new chatbot called Gemini that could rival or surpass OpenAI's ChatGPT, according to CEO Demis Hassabis. Gemini, built on the capabilities of DeepMind's AlphaGo AI system, could analyze text, plan, and solve problems, Hassabis told Wired. More: AlphaGo is DeepMind's AI system that defeated a professional human player i...

The $975 million TikTok mystery

Red flags pile up in Khaby Lame’s mega deal. View in browser | Subscribe ...

Breaking News: Dems fall short of flipping deep-red House seat in surprisingly competitive Tennessee special election

Dems fall short of flipping deep-red House seat in surprisingly competitive Tennessee special election Breaking News Alert ...

Start separating your leaves from your trash

Presented by Uber: POLITICO's must-read briefing informing the daily conversation among knowledgeable New Yorkers May 31, 2023 View in browser   By Danielle Muoio Dunn and Zachary Schermele Presented by ...

75% of software engineers faced retaliation after reporting wrongdoing / AWS announces new updates to CodeWhisperer at re:Invent event

Plus, Plane raises a $4M seed round Inside Dev For November 29, 2023 Thank you to our sponsor Here's a look at today's Dev briefing. Engprax's research discovered that 75% of developers who reported wrongdoings faced retaliation.  AWS unveiled new updates to CodeWhisperer at re:Invent.  Microsoft open-sourced Azure RTOS.  Thank you. Sudarshan p/sudarshan 1 A recent Engprax/Survation research revealed that 75% of software engineers in the U.K. faced retaliation after reporting wrongdoing to their employers. More than half (53%) of respondents said they suspected wrongdoing at work. More: Software engineers who did not report wrongdoing pointed to fear or retaliation from management (59%) and colleagues (44%) as the main reasons. The investigation also indicated that engineers feel unsafe to voice concerns because of flaws in the "industry standard" metrics frameworks used to asses softwar...

Trump verdict puts Illinois GOP on the attack

Shia Kapos' must-read rundown of political news in the Land of Lincoln May 31, 2024 View in browser   By Shia Kapos TGIF, Illinois . The 2024 presidential campaign just got a new talking point. TOP TALKER PLEDGING ALLEGIANCE: Illinois Republicans and a certain former gove...

Meta removes disinformation campaigns / Google Maps disables features in Ukraine / NIO seeks HK listing

Plus: OnePlus's upcoming phone can fully charge in 15 minutes. Inside.com Part of   Network February 28, 2022 Presented by Facebook parent company Meta said it took down two disinformation campaigns that targeted Ukraine and were spreading anti-Ukrainian propaganda. Russia-linked hacking group Ghostwriter, which perpetrated one of the campaigns, gained access to real Facebook accounts and posted YouTube videos "portraying Ukrainian troops as weak and surrendering to Russia," according to Meta. The company said it blocked phishing domains that Ghostwriter used to gain access to the accounts and beefed up security. More: Meta described the second disinformation campaign as "coordinated inauthentic behavior" made up of about 40 accounts, pages, and groups on Facebook and Instagram.  The campaign ran several websites disguised as independent...

Popular Posts

📄 Liaqat Ali Ali shared Waheed Zaman's post

  See the post that he shared.           Facebook                 📄 Liaqat Ali Ali shared Waheed Zaman 's post. 26 April at 12:09   View               This message was sent to ludomallam@idiot.cloudns.cc . If you don't want to receive these emails from Facebook in the future, please unsubscribe . Facebook, Inc., Attention: Community Support, 1 Facebook Way, Menlo Park, CA 94025         To help keep your account secure, please don't forward this email. Learn more      

📄 Sazzad Khan shared Shakil Khan's post

  Ludo, see the post that he shared.           Facebook                 📄 Sazzad Khan shared Shakil Khan 's post. 27 April at 21:42   View               This message was sent to ludomallam@idiot.cloudns.cc . If you don't want to receive these emails from Facebook in the future, please unsubscribe . Facebook, Inc., Attention: Community Support, 1 Facebook Way, Menlo Park, CA 94025         To help keep your account secure, please don't forward this email. Learn more      

Afjal Hossain wants to be friends on Facebook

  1 mutual friend - Works at won businass - Atrai, Rājshāhi, Bangladesh - 3,883 friends - 6 photos - 3 groups           Facebook             Afjal Hossain wants to be friends with you on Facebook.   Afjal Hossain Works at won businass · Atrai, Rājshāhi, Bangladesh 1 mutual friend · 3,883 friends · 6 photos · 3 groups               Confirm request     See all requests             This message was sent to ludomallam@idiot.cloudns.cc . If you don't want to receive these emails from Facebook in the future, please unsubscribe . Facebook, Inc., Attention: Community Support, 1 Facebook Way, Menlo Park, CA 94025         To help keep your account secure, please don't forward this email. Learn more.      

DeepMind Gemini AI could rival ChatGPT / Congress restricts ChatGPT use / Unity launches AI marketplace

Plus: C-suite leaders plan to hire due to generative AI Inside AI For June 27, 2023 Thank you to our sponsor Hey Insiders,  Welcome to Inside AI! Here are today's top stories: Google DeepMind is developing a Gemini chatbot to rival ChatGPT. 64% of C-suite leaders say they plan to increase hiring due to generative AI. U.S. House members were instructed to limit ChatGPT usage to the paid version. Scroll down for some quick hits, and then let us know what other content you'd like to see in future issues!  Beth p/beth-duckett 1 Google DeepMind, its AI research lab, is developing a new chatbot called Gemini that could rival or surpass OpenAI's ChatGPT, according to CEO Demis Hassabis. Gemini, built on the capabilities of DeepMind's AlphaGo AI system, could analyze text, plan, and solve problems, Hassabis told Wired. More: AlphaGo is DeepMind's AI system that defeated a professional human player i...

The $975 million TikTok mystery

Red flags pile up in Khaby Lame’s mega deal. View in browser | Subscribe ...

Breaking News: Dems fall short of flipping deep-red House seat in surprisingly competitive Tennessee special election

Dems fall short of flipping deep-red House seat in surprisingly competitive Tennessee special election Breaking News Alert ...

Start separating your leaves from your trash

Presented by Uber: POLITICO's must-read briefing informing the daily conversation among knowledgeable New Yorkers May 31, 2023 View in browser   By Danielle Muoio Dunn and Zachary Schermele Presented by ...

75% of software engineers faced retaliation after reporting wrongdoing / AWS announces new updates to CodeWhisperer at re:Invent event

Plus, Plane raises a $4M seed round Inside Dev For November 29, 2023 Thank you to our sponsor Here's a look at today's Dev briefing. Engprax's research discovered that 75% of developers who reported wrongdoings faced retaliation.  AWS unveiled new updates to CodeWhisperer at re:Invent.  Microsoft open-sourced Azure RTOS.  Thank you. Sudarshan p/sudarshan 1 A recent Engprax/Survation research revealed that 75% of software engineers in the U.K. faced retaliation after reporting wrongdoing to their employers. More than half (53%) of respondents said they suspected wrongdoing at work. More: Software engineers who did not report wrongdoing pointed to fear or retaliation from management (59%) and colleagues (44%) as the main reasons. The investigation also indicated that engineers feel unsafe to voice concerns because of flaws in the "industry standard" metrics frameworks used to asses softwar...

Trump verdict puts Illinois GOP on the attack

Shia Kapos' must-read rundown of political news in the Land of Lincoln May 31, 2024 View in browser   By Shia Kapos TGIF, Illinois . The 2024 presidential campaign just got a new talking point. TOP TALKER PLEDGING ALLEGIANCE: Illinois Republicans and a certain former gove...

Meta removes disinformation campaigns / Google Maps disables features in Ukraine / NIO seeks HK listing

Plus: OnePlus's upcoming phone can fully charge in 15 minutes. Inside.com Part of   Network February 28, 2022 Presented by Facebook parent company Meta said it took down two disinformation campaigns that targeted Ukraine and were spreading anti-Ukrainian propaganda. Russia-linked hacking group Ghostwriter, which perpetrated one of the campaigns, gained access to real Facebook accounts and posted YouTube videos "portraying Ukrainian troops as weak and surrendering to Russia," according to Meta. The company said it blocked phishing domains that Ghostwriter used to gain access to the accounts and beefed up security. More: Meta described the second disinformation campaign as "coordinated inauthentic behavior" made up of about 40 accounts, pages, and groups on Facebook and Instagram.  The campaign ran several websites disguised as independent...

Archive

Show more

Bottom Widget

Bottom Widget

font.css

videocontrol.css

GitFootCSS

BottomEdge Widget Title

Copyright © 2023 IdiotMail