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FTC poised to shake up health care

Delivered daily by 10 a.m., Pulse examines the latest news in health care politics and policy.
Apr 22, 2024 View in browser
 
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By Ben Leonard and Chelsea Cirruzzo

Driving the day

Lina Khan speaks during a hearing.

The FTC, chaired by Lina Khan, is poised to vote on whether to ban noncompetes this week. | Pool photo by Graeme Jennings

NONCOMPETE POWER PLAY — The Federal Trade Commission is expected to vote tomorrow on issuing a rule that would prevent employers, including in the health care sector, from enforcing most noncompete agreements.

The FTC has argued that such clauses stifle wages and innovation by making it harder for workers to change jobs and bring new ideas to other companies. The commission proposed the ban in January 2023 and received more than 26,000 comments from the public.

FTC Chair Lina Khan has said freedom to change jobs is key to “economic liberty” and “a competitive, thriving economy.”

Erin C. Fuse Brown, director of the Center for Law, Health & Society at Georgia State University, told Pulse that banning such agreements would have far-reaching consequences because most doctors don’t operate their own practices and are employed by other groups. “The FTC’s ban on noncompetes would loosen the grip that corporate employers have on their physicians," she said.

John Carroll, a partner in the antitrust and competition practice group at Sheppard Mullin, said the most significant impact would be on the valuation of physician group transactions.

The pushback: Hospitals have fought the proposal and are pushing for an exemption. The American Hospital Association has argued that the FTC doesn't have the authority to propose such a ban, and has said that doctors and senior executives "at the very least" should be excluded.

“Even if the FTC had the legal authority ... now is not the time to upend the health care labor markets with a rule like this,” AHA wrote in comments to the commission, adding that the pandemic exacerbated worker shortages in the health care sector. The Federation of American Hospitals also opposed the proposed ban.

The American Medical Group Association, with members including physician group practices, is at odds with the FTC proposal, saying noncompetes bolster a "team-based approach" to care, which can improve continuity of care.

On the other side: The American Medical Association's House of Delegates voted to oppose noncompetes for doctors at for-profit and nonprofit hospitals, hospital systems or who are employed by staffing firms. The AMA has noted that some doctors who are employers and own physician practices may support "reasonable noncompetes," while employed physicians might support banning the clauses.

Many doctors have argued that ending noncompetes would benefit patients and help balance the power between doctors and the powerful interests behind hospitals and large physician practices.

What to watch for: The FTC is expected to vote to ban noncompetes, but it’s unclear whether the decision will include exemptions for health care workers.

WELCOME TO MONDAY PULSE. AI is now being used to make coffee. Reach us and send us your tips, news and scoops at bleonard@politico.com or ccirruzzo@politico.com. Follow along @_BenLeonard_ and @ChelseaCirruzzo.

 

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Congress

HOUSE PASSES TIKTOK BILL — The House has passed a bill that could force TikTok to sell within a year or face a ban in U.S. app stores, POLITICO’s Rebecca Kern reports.

The legislation was attached to a larger aid and national security package this weekend. The Senate is expected to pass the legislation. The chamber sat on a previous version of the bill, and the new version was updated to strengthen its standing in the courts. TikTok is expected to challenge the legislation if it becomes law.

President Joe Biden said he would sign the measure if it passes the Senate.

Why it’s happening: The move comes amid national security concerns about ByteDance, TikTok’s Beijing-based owner, and lawmakers’ concerns about the impact of social media on the mental health of children.

FIRST IN PULSE: MENTAL HEALTH PARITY AD CAMPAIGN — The ERISA Industry Committee, which represents large employers’ benefit interests, is launching a six-figure ad campaign today slamming the Biden administration’s mental health parity proposal.

The proposal would make insurers comply with a federal law requiring them to provide mental health care on the same terms as other care. It’s not clear when the administration might finalize its plan.

The campaign on cable TV, streaming services and “digital platforms will point to health care workforce shortages and argue that the proposed rule would make mental health care access worse by adding more “red tape.”

“These proposed changes could have unintentional yet catastrophic impacts on the progress that has already been made,” Melissa Bartlett, ERIC’s senior vice president of health policy, said in a statement.

The group calls instead for expanded telehealth and integrating mental health care into primary care.

Why it matters: Amid a worsening mental health crisis, federal policymakers are considering new policies. POLITICO has reported that state and local governments across the country are also scrambling to determine new strategies to help record numbers of children with anxiety and depression.

Abortion

Joe Biden gestures as he steps off Air Force One.

President Joe Biden is set to return to Florida, where he'll discuss abortion. | Patrick Semansky/AP

BIDEN TO DELIVER ABORTION SPEECH — President Joe Biden is set to give an abortion-focused speech at a campaign event in Tampa, Florida, tomorrow, POLITICO's Elena Schneider reports.

He is expected to tie the 2024 election to access to abortion and reproductive rights, a campaign aide told POLITICO. The Biden campaign has made abortion one of its top issues in taking on former President Donald Trump, especially after Trump said he would defer to state-level abortion laws.

After Trump’s announcement, state decisions have put the GOP on defense. The Arizona Supreme Court reinstated an 1864-era abortion ban, while Florida’s six-week ban, approved by the state Legislature, will soon go into effect.

That Biden himself is speaking on abortion is significant. A devout Catholic, he has been uncomfortable with the issue over the years and more recently has largely leaned on others, including Vice President Kamala Harris, to discuss access to reproductive care. And his campaign has released several ads featuring women who share personal stories about access to the procedure.

Public Health

NEW SYPHILIS RECS — Pregnant people should get screened for syphilis three times during pregnancy, the American College of Obstetricians and Gynecologists recommends in a new advisory.

The group had recommended "risk-based testing" only for people in areas with high rates of the disease and those at risk of contracting it during pregnancy. CDC guidance recommends screening at the first prenatal care visit. For people with prenatal care that isn't "optimal," screening should take place at the time of pregnancy testing, the CDC says, among other recommendations.

“While we continue to endorse CDC’s sexually transmitted infection treatment guidelines, ACOG’s new guidance will no longer follow an individualized risk-based approach to testing later in pregnancy and instead help ensure more opportunities for testing and treatment,” Dr. Christopher Zhan, interim CEO of ACOG, said in a release. The CDC didn’t respond to a request for comment.

The bigger picture: The move comes amid a tenfold spike in congenital syphilis over a decade. Colorado last week declared a syphilis epidemic.

Names in the News

Haydé Adams is now the director of media and editorial services at the Elizabeth Glaser Pediatric AIDS Foundation. She previously was an international broadcaster and multimedia producer at Voice of America.

WHAT WE'RE READING

Healthcare Dive reports on providers and drugmakers being in conflict over a new 340B rule from the Biden administration.

The Wall Street Journal reports on influencers touting weight-loss drugs but not offering the full picture of potential risks.

POLITICO’s Bill Mahoney reports on Republicans in New York hoping to counter Democrats on abortion by claiming an amendment could open the door to minors buying alcohol and shield sexual predators.

 

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