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Why telehealth lobbyists are staying out of the abortion debate

Delivered daily by 10 a.m., Pulse examines the latest news in health care politics and policy.
Jul 06, 2022 View in browser
 
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By Krista Mahr and Sarah Owermohle

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Driving the Day

In this Thursday, Dec. 20, 2012 photo, Dr. Terry Rabinowitz, right, talks with nurse Leslie Orelup at Helen Porter Nursing Home in Burlington, Vt. New health insurance regulations in Vermont are giving a boost to telemedicine, the system that enables health care providers to offer consult with patients without being in the same room. Telemedicine isn't new, but the new regulations make it easier for physicians to be reimbursed for services performed by two-way video hookups. Fletcher Allen Telemedicine director Dr. Terry Rabinowitz says popular specialties are   psychiatry and dermatology. (AP Photo/Toby Talbot)

Telehealth lobbyists worry the abortion debate will impact their efforts. | Toby Talbot/AP Photo

TELEHEALTH LOBBYISTS STEER CLEAR OF ABORTION — Lobbyists pushing lawmakers to extend pandemic-related rules that have been a boon to the telehealth sector are staying out of abortion politics, POLITICO's Megan Wilson reports.

The telehealth rules that eased as a response to the Covid-19 pandemic are widely popular and, if extended, wouldn't likely involve abortion care, as a vast majority of the rules apply to the Medicare program. But after the Supreme Court overturned Roe v. Wade, advocates of an extension fear that the divisive issue could find a way into their negotiations to extend the relaxed rules tied to the public health emergency, which could end as early as October.

Although abortion services represent a small percentage of overall telehealth services, consultants and lobbyists are concerned that digital providers could be pulled into legal battles as patients in states where the procedure is now illegal seek other ways to access it.

POLITICO spoke with nine consultants and lobbyists who advocate on behalf of clients or businesses that care about telehealth policy — including employers, insurers, providers, health systems and telehealth companies — who said that abortion politics could threaten policy wins.

One Republican health care lobbyist said that lawmakers leading the effort to extend telehealth flexibilities don't want to be pulled into the abortion debate either, preferring to focus instead on the larger benefits of a widened telehealth policy. 

While some conservative and progressive policymakers may want to use telehealth provisions to address abortion federally, the lobbyist said, "the folks that are in the room negotiating the telehealth compromise are not going to be interested in introducing this issue into the conversation."

FDA EYES VIN GUPTA AS NEW ADVISER —The Food and Drug Administration is planning to hire a new senior adviser to shore up the agency's public messaging amid various crises, and sources say NBC pundit Vin Gupta is at the top of the list, POLITICO's Adam Cancryn reports.

The gig: If selected, Gupta would manage a broad portfolio ranging from the FDA's Covid-19 response to its aggressive crackdown on vaping and nicotine.

He's also expected to take a lead in guiding the FDA's communications strategy, trying to bolster trust in the agency's health recommendations. The agency has stumbled repeatedly in its messaging on abortion access, the baby formula shortage and Covid-19 vaccines, heightening the belief within the Biden administration that FDA Commissioner Robert Califf needs more high-level support, sources said.

Why Gupta? Gupta is currently the chief medical officer for new products at Amazon. He raised his national profile over the last two years as a medical analyst and frequent NBC and MSNBC guest commentator on the pandemic and was part of a group of health experts advising President Joe Biden's presidential campaign and transition on the pandemic response.

GLOBAL COVID EQUITY PROGRAM SET TO WIND DOWN — The World Health Organization program for fast-tracking and distributing Covid-19 vaccines, diagnostics and therapeutics is likely to close in its current form in the fall, POLITICO's Erin Banco and Ashleigh Furlong report.

Known as the Access to Covid-19 Tools (ACT) Accelerator, the program is a collaboration among the WHO, governments and global health organizations to ensure equitable access to Covid tools. Its best-known initiative is the COVAX vaccine facility, which has tried to ensure shots are distributed to countries that can't afford them.

As Covid cases have declined, however, ACT-A has struggled to secure funding: Only Germany, Norway, Sweden and Canada promised the requested financing this year.

In a series of recent calls, representatives of the consortium have discussed the likelihood that the current ACT-A will fold or transition in September, according to two people familiar with the matter.

 

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IN THE STATES

A FAST-SHIFTING LANDSCAPE — Abortion laws are changing on a near-daily basis amid a volley of petitions from Republican attorneys general asking courts to allow state bans to take effect, while abortion-rights advocates hope to have the prohibitions stalled or blocked, POLITICO's Megan Messerly reports.

Two weeks after the Supreme Court overturned Roe v. Wade, nine states have banned abortions either in almost all cases except to save the pregnant person's life or after six weeks of pregnancy. Four have abortion bans poised to take effect soon. And eight states have abortion bans on their books that have been blocked by the courts.

See the map below for more information about the status of abortion in each state as of Tuesday evening.

This map shows clusters of states in the South and West were abortion has been banned or is soon to be banned. More states in the South have injunctions that have been temporarily blocked or enjoined by the courts.

Coronavirus

BA.5 TAKES OVER — Omicron subvariant BA.5 now comprises most Covid-19 cases in the country, according to newly published data from the Centers for Disease Control and Prevention for the week ending on July 2.

BA.2.12.1, the previously dominant strain, now makes up about 27 percent of cases, and BA.4, which is closely related to BA.5, comprises 16.5 percent.

Why it matters: BA.5 is highly transmissible, likely because of its ability to evade immune protections, experts say. On July 4, the weekly case average was more than 94,000, with an average of 295 deaths. Nearly twenty percent of U.S. counties are now categorized as high risk, according to the CDC community level map. At the same time, testing has significantly decreased, as has state reporting.

In other words: We have a less and less accurate picture of what transmission in the U.S. looks like. Given the new variants on the scene, it seems unlikely that case numbers will meaningfully decrease in the near future.

Cannabis

ONE TEST TO REGULATE THEM ALL — A coalition called the National Cannabis Laboratory Council is pitching a standardized testing scheme for cannabis products across the nation, POLITICO's Mona Zhang reports.

Why? A patchwork system of regulation has sprung up among states in the absence of federal oversight of the growing cannabis market. Not only do labs vary in how they test products, requirements for testing cannabis before it hits the shelves can vary greatly from state to state. Massachusetts requires testing for nine pesticides, for example, while Oregon requires testing for 59 pesticides, according to a new NCLC report shared with POLITICO. (The group represents six labs and four ancillary businesses covering more than 15 state marijuana markets.)

What would be better? The report recommends what regulators should be testing for when it comes to cannabinoid and terpene content, as well as a variety of contaminants, including microbials, mycotoxins, residual solvents, heavy metals and pesticides. It also provides recommendations for shelf stability, water activity and moisture content testing, which can help ensure that contaminants like mold don't develop while products are sitting on the shelf.

Names in the News

Aisha Pittman will be the next senior vice president of government affairs for the National Association of Accountable Care Organizations. Pittman most recently was Premier's vice president of policy and previously worked for the National Quality Forum, the Maryland Health Care Commission and CenterLight Healthcare.

What We're Reading

Most unvaccinated adults in the U.S. wouldn't get a traditional protein-based Covid-19 vaccine even if Novavax's shot were to be authorized soon, Morning Consult reports.

The Washington Post reports how Republican states are trying to use federal pandemic aid to pay for tax cuts.

The New York Time Magazine explores in this long read what it's like caring for somebody living with PTSD.

 

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Megan Messerly @meganmesserly

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