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ACA plans rack up millions

Presented by The American Cancer Society Cancer Action Network: Delivered daily by 10 a.m., Pulse examines the latest news in health care politics and policy.
Nov 22, 2023 View in browser
 
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By Chelsea Cirruzzo and Ben Leonard

Presented by

The American Cancer Society Cancer Action Network

PROGRAMMING NOTE: We’ll be off for Thanksgiving this Thursday and Friday but back to our normal schedule on Monday, Nov. 27.

Driving the Day

Affordable Care Act.

Enrollment in Affordable Care Act market plans has seen an uptick compared with this time last year. | AP Photo/LM Otero

EARLY OPEN ENROLLMENT OVERVIEW — About 4.6 million people have selected Affordable Care Act marketplace plans in the first few weeks of open enrollment, HHS said Tuesday, Chelsea reports.

Why it matters: Open enrollment, which started Nov. 1, comes after Medicaid unwinding this year knocked an estimated 10,868,000 off the program as of Tuesday, according to the Kaiser Family Foundation.

HHS, which has been tracking where people have re-enrolled in coverage, said 1.5 million more people, including those who lost Medicaid, enrolled in health insurance marketplace coverage from March to September this year than during the same period last year.

What the data says: The first open enrollment snapshot is from the initial three weeks of open enrollment for 32 states that use the federal marketplace and the first two weeks for the 17 states and D.C. that use state-based marketplaces.

According to HHS, 20 percent, or 920,000 people, who chose plans were new to the marketplace.

“This year’s Marketplace enrollment season is off to a strong start,” HHS Secretary Xavier Becerra said in a statement. “Four out of five people can find a plan for $10 or less a month after subsidies on HealthCare.gov. Nearly 96 percent of HealthCare.gov consumers will be able to choose plans from at least three health insurers.”

Last year, nearly 5.5 million people had enrolled for a marketplace plan in the first month of open enrollment, according to HHS. Twenty-two percent were new to the marketplace.

WELCOME TO WEDNESDAY PULSE. We wish you and your families a wonderful Thanksgiving! You may, however, want to keep this Yoga with Adriene: Yoga for Digestion video in your back pocket. Send your tips, scoops and feedback to ccirruzzo@politico.com and bleonard@politico.com and follow along @ChelseaCirruzzo and @_BenLeonard_.

TODAY ON OUR PULSE CHECK PODCAST, host Katherine Ellen Foley talks with POLITICO health care reporter David Lim about the dim prospects for passing health policies before year’s end in light of the recent short-term government funding agreement and what that means for 2024.

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A message from The American Cancer Society Cancer Action Network:

Congress: Support the highest possible increases for cancer research funding at the National Institutes of Health and National Cancer Institute to make time. Literally. More than 1.9 million people are expected to be diagnosed with cancer in 2023 alone. But by investing in the research of today, you’re helping prevent, detect, and treat many of the cancers of tomorrow, creating countless moments for patients and their loved ones in the process. Fight Cancer. Make Time.

 
Lobby Watch

A pharmacy.

Last year, PhRMA, the lobbying group that represents the pharmaceutical industry, contributed $7.5 million to the American Action Network, which is linked to House Republicans. | AP Photo/Mark Lennihan, File

PHARMA GIVES BIG TO GOP — The pharmaceutical industry’s leading lobbying organization contributed $7.5 million to the American Action Network last year, a group linked to House Republicans, according to an analysis of 2022 tax forms, POLITICO’s Megan Wilson and Caitlin Oprysko report.

Why it matters: It’s the most PhRMA has ever given to the group in a year, though the network has received $34.5 million in PhRMA cash since 2010, according to Issue One, a campaign finance reform advocacy group.

American Action Network spent millions on advertising in 2022 opposing Democrats’ drug pricing reform effort as part of a yearslong campaign against the proposals, which eventually became law as part of the Inflation Reduction Act.

The law ultimately ordered Medicare to negotiate prices for 10 drugs, less ambitious than a Democratic proposal that passed the House in 2019.

A POLITICO analysis of the industry group’s most recent tax forms shows that the contribution was among the top five grants or donations PhRMA made in 2022. In total, PhRMA gave nearly $52 million to political campaigns and nonprofits, patient groups, universities and other organizations, according to the recently filed disclosures.

PhRMA’s top five recipients in 2022:

— We Work for Health, a business coalition that advocates for medical innovation: $13.6 million

— American Action Network: $7.5 million

— Yale University, which recently started a PhRMA-backed research initiative: $5 million

— Rx Abuse Leadership Initiative, an opioid-crisis advocacy group: $2 million

— Center Forward, a political action committee: $1.6 million

PhRMA did not reply to a request for comment on the contributions.

 

GET A BACKSTAGE PASS TO COP28 WITH GLOBAL PLAYBOOK: Get insider access to the conference that sets the tone of the global climate agenda with POLITICO's Global Playbook newsletter. Authored by Suzanne Lynch, Global Playbook delivers exclusive, daily insights and comprehensive coverage that will keep you informed about the most crucial climate summit of the year. Dive deep into the critical discussions and developments at COP28 from Nov. 30 to Dec. 12. SUBSCRIBE NOW.

 
 
In Congress

CDC GOES TO CONGRESS — CDC Director Mandy Cohen will make her first appearance before Congress next week to testify on the agency’s efforts to rebuild public trust, Chelsea reports.

The House Energy and Commerce Oversight Subcommittee will hold a hearing on Thursday, Nov. 30, that’s focused on trust in the CDC amid the respiratory illness season.

“The CDC’s public trust has been damaged as a result of its confusing messaging and other failures during the COVID-19 Pandemic. This lack of trust could lead to complications as America heads into respiratory illness season,” Cathy McMorris Rodgers (R-Wash.), full committee chair, and Morgan Griffith (R-Va.), subcommittee chair, said in a statement.

Why it matters: Since taking the agency’s helm this summer, Cohen has made it a mission to restore public perception of the CDC as trustworthy headed into the respiratory illness season. She’s traveled the country to promote vaccination and made inroads on Capitol Hill, including among Republicans.

In October, she met with the GOP Doctors Caucus, a meeting that the caucus’s leadership, in a statement, called informative.

Cohen has told POLITICO she wants to turn a new leaf with Congress and the public.

“I think that there’s a lot of folks who want to look backwards. I want to look forward,” she said in October. “I think the first part of building trust is showing up and listening.”

— Also on the Hill next week: A House E&C Health Subcommittee hearing on artificial intelligence on Nov. 29.

ESHOO ESCHEWS ANOTHER RUN — Longtime California Rep. Anna Eshoo, the top Democrat on the House E&C Health Subcommittee, on Tuesday announced plans to retire after this term in Congress, POLITICO’s Anthony Adragna reports.

“I’m very proud of the body of bipartisan work I’ve been able to achieve on your behalf in the Congress,” she said in an announcement video. “As my last year in Congress approaches, I will continue my work with vigor and unswerving commitment to you.”

Eshoo’s retirement opens a spot to represent her safe blue district — which includes Silicon Valley — for the first time in 30 years.

Over her three-decade congressional career, Eschoo has been a key player in health care policy, helping lead efforts to lower prescription drug prices, advance biomedical research and expand health insurance access.

FDA REGULATES DRUG ADS — The FDA finalized a rule Tuesday requiring radio and TV ads selling prescription drugs to provide information on side effects and contraindications in a more consumer-friendly manner, Chelsea reports.

The rule builds upon previous regulations requiring the ads to include information on a drug’s risks by creating standards for what qualifies as “clear, conspicuous and neutral” presentation of risks.

The standards include displaying information, such as side effects, on a TV ad so it can be read easily and gives consumers sufficient time to read it. Drugs face having the FDA put limits on how they can be sold if they fail to follow these rules, the agency says.

 

A message from The American Cancer Society Cancer Action Network:

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Names in the News

Kaysie Brown is now global policy director and strategist at the U.S. Global Leadership Coalition. She previously was deputy lead negotiator on pandemics and senior adviser at the State Department’s Office of Global Covid Response and Health Security.

 

A NEW POLITICO PODCAST: POLITICO Tech is an authoritative insider briefing on the politics and policy of technology. From crypto and the metaverse to cybersecurity and AI, we explore the who, what and how of policy shaping future industries. We’re kicking off with a series exploring darknet marketplaces, the virtual platforms that enable actors from all corners of the online world to traffic illicit goods. As malware and cybercrime attacks become increasingly frequent, regulators and law enforcement agencies work different angles to shut these platforms down, but new, often more unassailable marketplaces pop up. SUBSCRIBE AND START LISTENING TODAY.

 
 
WHAT WE'RE READING

POLITICO’s Vincent Manancourt reports on a U.S.-based company that won a contract to run a data platform for Britain’s National Health Service.

POLITICO's Maya Kaufman reports on New York delaying its rollout of a low-income health plan expansion.

STAT reports on the broad definition of “Asian Americans” within health studies that can obscure disparities among a diverse population.

A message from The American Cancer Society Cancer Action Network:

Cancer takes away many things, but the most devastating is time. And while policies and federal research investment have helped avert 3.8 million cancer deaths since 1991, the fight against the country’s second most common cause of death is far from over. With over 609,000 deaths and 1.9 million diagnoses expected in 2023, there is still work to do in the fight against cancer. And that is where you come in.

When Congress prioritizes ending cancer as we know it, you literally make time for patients, loved ones, caregivers, and everybody else affected by 200 diseases known as cancer. By investing in the research of today, you’re helping prevent, detect, and treat many of the cancers of tomorrow, creating countless moments for cancer patients and their loved ones in the process.

Fight Cancer. Make Time.

 
 

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Chelsea Cirruzzo @chelseacirruzzo

Katherine Ellen Foley @katherineefoley

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Ben Leonard @_BenLeonard_

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