Kaiser Health News Original Stories

3. Political Cartoon: 'Better Late Than Never'

Kaiser Health News provides a fresh take on health policy developments with "Political Cartoon: 'Better Late Than Never'" by Chris Browne.

Here's today's health policy haiku:

BLAME GAME OVER FLINT WATER CRISIS

Snyder points finger
But accusations abound.
Congress is flinty.

If you have a health policy haiku to share, please Contact Us and let us know if you want us to include your name. Keep in mind that we give extra points if you link back to a KHN original story.

Capitol Hill Watch

4. Lawmakers Call For Resignations Over Flint: 'I've Had Enough Of Your Phony Apologies'

At the congressional hearing, Environmental Protection Agency Chief Gina McCarthy was defiant against challenges that her agency did not do enough, and Michigan Gov. Rick Snyder, while apologetic, said the blame doesn't fall completely on him.

The Washington Post: EPA’S McCarthy Stands Up To Claims Her Agency Is Responsible For Flint Water Crisis
The head of the Environmental Protection Agency conceded Thursday that her agency was too slow to intervene in the Flint, Mich., water-contamination crisis and less forceful than it should have been when federal officials told a recalcitrant state bureaucracy to act. Despite learning last June that three homes had lead-tainted water and expressing her concern over the situation in a September email to top staffers, Administrator Gina McCarthy did not use her emergency powers until late January. Assuming the state would make good on promises to take decisive measures, the EPA did not push Michigan’s environmental quality agency hard enough to begin treating the water, McCarthy acknowledged. (Bernstein, 3/17)

The Wall Street Journal: EPA Chief, Michigan Governor Asked To Resign Over Flint Water Crisis
Lawmakers from both parties called on the top officials at the federal Environmental Protection Agency and the state of Michigan to resign Thursday over their respective roles in the lead-tainted water crisis in Flint, Mich. Republicans began by calling for EPA Administrator Gina McCarthy’s resignation, and Democrats shot back that Michigan’s GOP Gov. Rick Snyder should resign. Thursday’s hearing in front of the House Committee on Oversight and Government Reform was the first such appearance for both Ms. McCarthy and Mr. Snyder on this issue, which has captured the nation’s attention for the past few months. (Harder and Maher, 3/17)

Detroit Free Press: Michigan Gov. Rick Snyder Apologizes Before Congress For Flint Water Crisis
Michigan Gov. Rick Snyder again apologized for the Flint drinking water disaster when he opened his testimony Thursday before the U.S. House Committee on Oversight and Government Reform. Snyder and U.S. Environmental Protection Agency Administrator Gina McCarthy appeared before the committee during its third day of hearings into what caused the Flint drinking water public health crisis and how to prevent a recurrence. Reading from prepared remarks, Snyder called the Flint catastrophe a failure at all three levels of government, but he also accepted personal responsibility. (Egan, 3/17)

NPR: Michigan Gov. Rick Snyder: 'We All Failed The Families Of Flint'
"Let me be blunt," Michigan Gov. Rick Snyder said in his opening statement to the House Committee on Oversight and Government Reform. "This was a failure of government at all levels. Local, state and federal officials — we all failed the families of Flint." He was answering questions at a Congressional hearing this morning that is investigating the lead-laced water crisis in Flint, Mich. EPA Administrator Gina McCarthy also testified at the hearing, which frequently became heated with multiple calls for their resignations. Once such call came from Democratic Congressman Matt Cartwright. "Governor, plausible deniability only works when it's plausible and I'm not buying that you didn't know about any of this until October 2015. You were not in a medically induced coma for a year," he said. "And I've had about enough of your false contrition and phony apologies." (Wagner and Kennedy, 3/17)

5. Not Just In Flint: 350 Systems That Provide Water To Schools, Day Care Centers Have Failed Lead Tests

A USA Today investigation found that children's drinking water can have such high levels that the Environmental Protection Agency would deem it "hazardous waste." Meanwhile, New Jersey's largest school district has begun voluntary blood tests to check children's lead levels, D.C.'s water officials try to soothe fears over the city's lead problems, which were "20 to 30 times worse" than Flint, and a "widespread" investigation into New York's public housing-lead problem nets millions of documents.

USA Today: Lead Taints Drinking Water In Hundreds Of Schools, Day Cares Across USA
Jamison [Rich's] school, Caroline Elementary in Ithaca, N.Y., is one of hundreds across the nation where children were exposed to water containing excessive amounts of an element doctors agree is unsafe at any level, a USA TODAY NETWORK investigation found. An analysis of U.S. Environmental Protection Agency data showed about 350 schools and day-care centers failed lead tests a total of about 470 times from 2012 through 2015. That represents nearly 20% of the water systems nationally testing above the agency's "action level" of 15 parts per billion. (Ungar, 3/17)

The Associated Press: Voluntary Lead Tests Begin At Big New Jersey School District
New Jersey's largest school district began voluntary blood tests to check students for the presence of lead Thursday, a week after officials announced that elevated levels had been found in the drinking water. The first testing concentrated on the Newark school district's youngest students and began at the early childhood center, which was among 30 schools that had elevated lead levels in their water. About 67 families had registered for testing, said schools spokeswoman Dreena Whitfield. (Frederick, 3/17)

The Washington Post: D.C.’s Decade-Old Problem Of Lead In Water Gets New Attention During Flint Crisis
The District’s water utility found itself on the defensive this week after a Virginia Tech professor who has crusaded against lead in drinking water told a congressional panel that the city’s lead problem in the early 2000s was “20 to 30 times worse” than what has occurred recently in Flint, Mich. D.C. Water officials said that they didn’t take issue with professor Marc Edwards’s statement Tuesday to a House committee because the District is a much larger city than Flint, and the elevated levels of lead in the city’s tap water occurred over several years vs. about 18 months in Flint. (Shaver and Hedgpeth, 3/17)

The Wall Street Journal: City Produces Millions Of Documents For Federal Probe Of Public Housing
City officials have turned over millions of documents to the federal prosecutors who are conducting a broad investigation into health and safety conditions at New York City Housing Authority buildings and at homeless shelters, according to people familiar with the matter. The investigation is “widespread” and about far more than lead issues, a senior city official said, adding it began in October 2015. (Dawsey and O'Brien, 3/18)

Health Law Issues And Implementation

6. GAO: Government Must Crack Down On Health Law Subsidy Fraud

An extensive investigation found that, as of last April, almost a half-million people were able to obtain subsidies for insurance purchased on the federal marketplace, despite having inconsistencies in their applications. In other health law news, Wyoming's ACA enrollment numbers continue to climb.

Reuters: U.S. Must Combat Fraud In Federal Health Marketplace -- GAO
The federal government should do more to prevent people from fraudulently obtaining health insurance subsidies under the Affordable Care Act, the U.S. Government Accountability Office said in testimony to the Senate Finance Committee. The testimony, delivered on Thursday in person and in writing by GAO spokesman Seto Bagdoyan, caps an extensive investigation by the GAO which found that, as of last April, about 431,000 people were still allowed to receive subsidies for insurance purchased through the federal exchange in 2014 despite possible inconsistencies in their applications. (3/17)

The Associated Press: Wyoming Enrollment In Affordable Care Act Program Climbs
The number of Wyoming residents registered for subsidized health insurance under the federal Affordable Care Act continues to climb. Wyoming Insurance Commissioner Tom Glause said this week that 23,770 people registered for coverage through the federal health insurance marketplace by the Jan. 31 open enrollment deadline. That's up from about 21,000 who registered last year. (Neary, 3/17)

Supreme Court

7. Health Care Law's Contraception Mandate Gets Day In High Court Next Week

After Justice Antonin Scalia's death, there's a likelihood the court will rule 5-3 against the challenge to the health law. Justice Anthony Kennedy, the likely swing vote, has appeared to voice approval of the workaround the government has already created to address conscientious objections to contraception.

The Wall Street Journal: Supreme Court To Consider Compromise To Health-Law’s Contraception Rules
A four-year-old fight between the Catholic Church and the Obama administration reaches the Supreme Court on Wednesday, in a bishop’s challenge to the health-care law’s contraception requirements that could alter the boundaries of religious freedom. Eight justices will weigh how far the government has to go to accommodate religiously affiliated employers that object to including contraception in workers’ insurance plans. The outcome could affect as many as a million Catholic nonprofit employees. The case comes after the court’s 2014 Hobby Lobby ruling that for-profit businesses could assert such objections. (Radnofsky, 3/17)

Meanwhile, Vermont lawmakers are moving a contraception bill through the Legislature in case the health law is repealed after the 2016 elections —

The Burlington Free Press: Vermont Birth Control Bill Braces For Obamacare Repeal
Some Vermont lawmakers are trying to reinforce the state's birth control insurance mandates with an eye on the 2016 national elections. A bill moving through the Vermont House of Representatives would retain the birth control mandate in the federal Affordable Care Act, requiring health insurance plans to provide contraceptives and sterilization at no cost to patients — even if Congress repeals the law. (Burbank, 3/18)

Medicare

8. Medicare Payment Lobbying War Heats Up As More Voices Join The Fight

The campaigns center around a proposed 1.35 percent boost to Medicare Advantage. Kaiser Health News looks at how the Obama administration is trying to borrow ideas from the private sector with its Medicare plan, Medicare beneficiaries could face higher out-of-pocket drug costs as a result of the trend toward coinsurance rather than co-payments, and Rep. Pat Tiberi, R-Ohio, is urging his fellow lawmakers to consider changes to the Medicare Advantage program.

Politico Pro: Medicare Advantage Lobbying Fight Draws In New Players
The perennial brawl over billions of dollars in payments to private Medicare plans is bigger than ever. Even though the Obama administration is proposing an overall 1.35 percent boost to Medicare Advantage, health plans and diverse coalitions of Republican and Democratic lawmakers, employers and labor unions are rallying to fight policies within the program’s complex payment formula that could mean cuts to some health plans in 2017. (Demko and Cook, 3/17)

Kaiser Health News: How Medicare Drug Plans Hope To Follow Private Sector Lead
Aetna and Cigna inked deals in early February with drugmaker Novartis that offer the insurers rebates tied to how well a pricey new heart failure drug works to cut hospitalizations and deaths. If the $4,500-a-year drug meets targets, the rebate goes down. Doesn’t work so well? The insurers get a bigger payment. In another approach, pharmacy benefit firm Express Scripts this year began paying drugmakers a special negotiated rate for some cancer drugs — to reward the use of the medicines for the specific cancers for which they have the most demonstrated effectiveness. (Appleby, 3/18)

Kaiser Health News: Coinsurance Trend Means Seniors Likely To Face Higher Out-Of-Pocket Drug Costs, Report Says
Medicare beneficiaries may get dinged with higher prescription drug bills this year because more than half of covered drugs in standalone plans require them to pay a percentage of the cost rather than a flat fee, a new analysis found. Fifty-eight percent of covered drugs in Part D drug plans are subject to “coinsurance” in 2016 rather than flat copayments, the analysis by Avalere Health found. The percentage of drugs requiring coinsurance has climbed steadily, increasing from 35 percent in 2014 to 45 percent last year. That percentage is approaching two-thirds of all covered drugs. (Andrews, 3/18)

Pharmaceuticals

9. With Eye On Improving Costs, Walgreens Forms Partnership With UnitedHealth

Under the deal, the insurer will charge its patients less if they fill their prescriptions at Walgreens stores.

The Wall Street Journal: Walgreens, UnitedHealth Form Pharmacy Partnership
Two of the largest players in the U.S. pharmaceutical supply-chain, Walgreens Boots Alliance Inc. and UnitedHealth Group Inc.’s OptumRx, formed a partnership aimed at helping them capture a greater share of the prescription drug market. Under the deal, OptumRx, which manages prescription drug insurance for more than 66 million Americans, will charge its customers, including employers and insurers, less for certain drugs if patients fill their prescriptions at Walgreens stores, instead of other pharmacies. The offering will apply to 90-day prescriptions for medications that patients take for chronic conditions, sometimes called maintenance drugs. (Walker, 3/17)

Reuters: UnitedHealth Unit Signs Deal With Walgreens To Grow In-Store Prescriptions
OptumRx, the pharmacy benefit manager of UnitedHealth Group Inc., said Thursday that it had signed an agreement with Walgreens Boots Alliance that is the first step in a strategic relationship with the pharmacy chain. Walgreens, which has 8,200 pharmacies, will fill 90-day prescriptions for OptumRx customers at its mail delivery prices, starting Jan. 1, 2017, OptumRx said. Mail delivery prices are typically lower, sometimes by as much as one-third, than what pharmacies charge in stores. (3/17)

10. As Pharmaceutical CEOs Bow Out, One Leaves Mixed Legacy And The Other Stability

Recent years have marred Glaxo CEO Andrew Witty's tenure. The company's stock fell on the news of his departure, and the board is giving itself a year to replace him, which could stir unrest among its investors. Rio's stock jumped and its board has already appointed a new successor to CEO Sam Walsh.

The Wall Street Journal: Glaxo, Rio Bosses Out: Which CEO Departure Brings Real Relief?
The departure of a chief executive is a moment—sometimes marked by worries about the future; sometimes accompanied by relief that change is coming. Share-price reactions Thursday to news that the bosses at global mining heavyweight Rio Tinto and pharmaceutical giant GlaxoSmithKline are departing are a poor guide to which one’s which. Rio’s stock jumped while Glaxo fell. (Thomas, 3/17)

In other pharmaceutical news, other firms are affected by Valeant's bad news, a drugmaker's repurchase plan comes amid stock-price decline, and Turing executives appear before the Senate Committee on Aging —

The Wall Street Journal: Valeant Jitters Infect Specialty Drug Sector
Worries about Valeant Pharmaceuticals International Inc. seem contagious. Shares of other specialty pharmaceutical firms have fallen this week, as the Canadian drugmaker on Tuesday cut its earnings guidance and warned about a potential default on its debt due to a delayed filing. Among those also pummeled: some drug companies where investors see a resemblance to Valeant’s business model. (Farrell, 3/17)

The Wall Street Journal: Drugmaker Mallinckrodt Increases Stock Buyback
Mallinckrodt PLC said its board authorized the repurchase of an additional $350 million of the specialty biopharmaceutical company’s stock, which is trading around multiyear lows. Mallinckrodt, spun off from Covidien PLC in 2013, said in a news release Thursday that the latest stock-buyback plan reflects its “strong current performance and future prospects” as well as its “inherent long-term earnings power and free cash generation capacity.” Shares of Mallinckrodt have been under pressure amid investor concerns about the company’s business model. (Stynes, 3/17)

The Associated Press: Lawmakers Challenge Turing Executives On Drug Price Hikes
The former top lawyer for Turing Pharmaceuticals said Thursday that he and other executives warned Martin Shkreli against the drastic price hike that triggered a national backlash against the company and its then-32-year-old CEO. The Senate Committee on Aging subpoenaed current and former Turing executives to appear Thursday and explain the fiftyfold price hike of Daraprim, a drug used to treat a life-threatening parasitic infection. Lawmakers struggled to describe the company’s behavior, which Sen. Bob Casey, D-Pa., called “pure evil.” (Perrone, 3/17)

Women’s Health

11. Abortion Rate In Texas Drops Dramatically After New Restrictions Force Clinics To Close

Doctors say the decrease indicates that the law is creating a burden on women that they are unable to overcome. Meanwhile, an abortion rights group is asking the Oklahoma Supreme Court to overturn a similar law in that state, and Planned Parenthood goes on offensive for the first time all year in Florida.

Dallas Morning News: Abortion Down 14 Percent In Texas Since New Restrictions Closed Clinics
Texas women had nearly 9,000 fewer abortions in the first full year since new restrictions forced more than half of the state's abortion clinics to close. Provisional data recently released by the Department of State Health Services show a 14 percent reduction in the number of abortions performed in 2014 compared with the year before. Nationally, abortion rates have steadily decreased in recent years, but the drop in Texas is dramatic. The Associated Press found that abortions decreased by about 12 percent nationwide from 2010 to 2013-14. Texas abortions decreased by 30 percent in that five-year span. (Martin, 3/17)

The Texas Tribune: State Officials Note Significant Drop In Texas Abortions
The number of abortions performed in Texas dropped significantly in 2014, with almost 9,000 fewer procedures in the state compared to the year before. Early estimates by state health officials show 54,191 abortions were performed in Texas in 2014 — down from 63,168 in 2013. The state estimates do not include abortions Texas women obtained at facilities outside the state. In 2013, 681 Texas women obtained abortions out-of-state. (Ura, 3/17)

The Associated Press: Abortions Rights Groups Challenges Oklahoma Anti-Abortion Law
An abortion rights group asked the Oklahoma Supreme Court on Thursday to overturn a 2014 law that it says was designed to shut down abortion clinics in the state. The law, which hasn't taken effect because of a temporary injunction, would only allow abortions to be performed if a physician with local hospital admitting privileges is present. (Talley, 3/17)

Politico: Planned Parenthood Goes Up With Ads Against Florida Abortion Bill
Planned Parenthood is going up Friday with new television and digital ads pushing Florida Gov. Rick Scott to veto a sweeping anti-abortion bill. The ad campaign is Planned Parenthood’s first major pushback this year against state efforts to defund or undermine the organization — a legislative trend since sting videos targeting the group were released last summer. The Florida bill would increase regulations on abortion clinics and prohibit public funding for organizations such as Planned Parenthood that work with abortion clinics. It would also require abortion providers to have admitting privileges at a nearby hospital and perform the procedure in surgical centers — provisions similar to Texas restrictions that are now before the Supreme Court. (Haberkorn, 3/18)

Public Health And Education

12. Standing Desks More Fashionable Than Healthy, Analysis Finds

In an analysis of 20 studies, researchers say there is not enough evidence to justify the health benefits that some say come from standing desks. In other public health news, The Associated Press lays out what you need to know if you're thinking about bariatric surgery, and a commission finds that child abuse deaths remain stubbornly high in the United States.

NPR: Stand To Work If You Like, But Don't Brag About The Benefits
Too much sitting increases heart failure risk and disability risk, and shortens life expectancy, studies have found. But according to an analysis published Wednesday of 20 of the best studies done so far, there's little evidence that workplace interventions like the sit-stand desk or even the flashier pedaling or treadmill desks will help you burn lots more calories, or prevent or reverse the harm of sitting for hours on end. "What we actually found is that most of it is, very much, just fashionable and not proven good for your health," says Dr. Jos Verbeek, a health researcher at the Finnish Institute of Occupational Health. (Chen, 3/17)

The Associated Press: Things To Know, Ask If You’re Considering Bariatric Surgery
Finances and fear deter many morbidly obese patients from having stomach-reducing bariatric surgery, but it’s steadily becoming more common. Surgical techniques and insurance coverage have improved, and the number of obese Americans, now about 79 million, keeps rising. Meanwhile, research shows benefits go far beyond looking better, because obesity reduces life span by two to 10 years. (Johnson, 3/17)

The Associated Press: Commission: US Lacks Strategies To Lower Child Abuse Deaths
The United States lacks coherent, effective strategies for reducing the stubbornly high number of children who die each year from abuse and neglect, a commission created by Congress reported Thursday after two years of sometimes divisive deliberations. The report made dozens of recommendations, including expanding safe-haven programs for abandoned infants and enlisting a broader range of community organizations to help often-overburdened child protection service workers. "We need a system that does not rely on CPS agencies alone to keep all children safe," the report said. "Other systems become key partners, including the courts, law enforcement, the medical community, mental health, public health, and education. Even neighbors who come into regular contact with young children and families are part of a public health approach." (3/17)

13. Fatal Blood Infection Outbreak Spreads To Second State

The Michigan Department of Health and Human Services confirmed that an older patient has died after contracting the infection, which is linked to 17 deaths out of 50 cases in Wisconsin.

The Washington Post: The Mysterious Infection That Might Be Behind 17 Deaths In Wisconsin Has Spread To A Second State
The biggest outbreak of Elizabethkingia in recorded public health history just got bigger. The Michigan Department of Health and Human Services (MDHHS) confirmed Thursday that an older adult from the western part of the state has died after contracting the obscure blood infection, which has sickened more than 50 in Wisconsin. Seventeen of those patients died, though it’s not clear whether the infection was to blame. All of the victims were people with underlying health conditions, including the latest one in Michigan. An outbreak like this one is thought to be unprecedented — according to the Milwaukee Journal-Sentinel, most prior outbreaks had fewer than ten patients. (Kaplan, 3/18)

The Associated Press: Michigan Death After Infection Linked To Wisconsin Outbreak
Health officials have confirmed that a western Michigan resident died after contracting a bloodstream infection matching a Wisconsin outbreak. The Michigan Department of Health and Human Services said Thursday that it was notified March 11 by the federal Centers for Disease Control and Prevention of the match. The person was described as an older adult with underlying health conditions. (3/17)

State Watch

14. Idaho Lawmakers Say They Have Plan To Close Medicaid Gap

About 78,000 Idahoans are affected by it. In other news, a bill banning Medicaid payments for elective births moves through the Kansas Senate.

The Associated Press: Lawmakers: Health Fix In The Works
A proposal will be introduced Monday to address the estimated 78,000 Idahoans who don’t qualify for Medicaid but also don’t make enough to qualify for health insurance subsidies, the head of the House Health and Welfare Committee says. Fred Wood, R-Burley, says legislative leaders were still finalizing the proposal as of Thursday, and committee members expressed new support for addressing the so-called Medicaid gap population before adjournment, which is tentatively expected by the end of next week. (Brown, 3/17)

15. At Ohio Hospital, Health Leads Program Helps Patients Meet Basic Needs

The program is new to Cleveland's University Hospital but already operational in five other states. Meanwhile, in other hospital news, ProPublica examines the link between industry funding and teaching hospitals, and operating rooms were shut down in an Arkansas hospital after a deadly disease was detected.

ProPublica: ProPublica Adds Teaching Hospitals To Dollars For Docs
The largesse of the pharmaceutical and medical device industry extends well beyond physicians who are paid to deliver promotional talks and consult on their behalf. Teaching hospitals, which train future generations of doctors, also receive hundreds of millions of dollars each year from the companies. And that doesn’t include research funding. (Ornstein, 3/17)

KNWA: Operating Rooms Shut Down After Deadly Disease Found In AR Hospital
A patient at an Arkansas hospital diagnosed with Creutzfeldt-Jakob disease prompted all operating rooms to be closed. Washington Regional Hospital representatives said as soon as they got the lab reports Tuesday afternoon, they immediately shut down all operating rooms. The hospital is working with the World Health Organization and the Arkansas Department of health to identify and advise those patients who received care at Washington Regional during the relevant period whether they may be at risk. (3/17)

16. Needle Exchange Provision Stripped Out Of Georgia's HIV Bill

Media outlets report on other news from state legislatures in California, Kentucky and Kansas.

Georgia Health News: ‘Needle Exchanges’ Still Left Out Of State’s Anti-HIV Fight
A bill to clarify state rules related to HIV tests sailed through the Georgia House in February without a dissenting vote. It arrived in the Senate with little fanfare and with good prospects for passage. But a provision in House Bill 1058 that would have promoted ‘‘needle exchanges’’ for injection drug users was stripped out of the bill in the Senate, as a health committee took up the proposal. (Miller, 3/17)

The Associated Press: Senate Passes Bill To End Mine Inspections
Kentucky would halt its mine inspections in the beleaguered coalfields, ceding the job to a federal agency, under legislation that passed the Republican-led state Senate on Thursday. Sen. Chris Girdler said his measure, which passed on a 25-11 vote, would end duplication from federal and state inspections and offer some relief for struggling coal operators. (Schreiner, 3/17)

Kansas Health Institute: House Advances Bill To Block Local Efforts To Curb Consumption Of Junk Food
The Kansas House on Thursday tentatively approved a bill to prohibit city, county and school district officials from adopting certain types of healthy food policies. The bill — House Bill 2595 — would prevent local officials from restricting the sale of so-called junk food at restaurants, grocery stores and other retailers. It also would preclude policies that require businesses to provide consumers with more nutritional information about the food and drinks they sell. (McLean, 3/17)

17. State Highlights: State Prisons Bear Burden Of Elderly Inmates; N.C. To Consolidate State-Funded Mental Health Services

News outlets report on health issues in North Carolina, Mississippi, Minnesota, Oregon, Washington, Idaho, Missouri, Texas and Maryland.

Stateline: Elderly Inmates Burden State Prisons
Walter Melvin Atkinson is a bit vague about how long he has been in the assisted living portion of the Deerfield Correctional Center and how long he has left on his sentence. He claims to not even remember the crime — pedophilia — that landed him here. At 92, “Speedy,” as he is called ironically by fellow prisoners and guards, is frail enough to require a wheelchair to get around, and his inmate caregivers rushed to his side to grab from his shaking hand a coffee mug that seemed destined to spill all over his cot. A huge, bright orange star has been sewn on to the white blanket that covers the cot — an idea the unit manager, Kathy Walker, dreamed up to help Atkinson spot his own bed among the six rows of beds in the spotless unit. (Ollove, 3/17)

The Associated Press: Agency Unveils Plan To Consolidate Mental Health Networks
North Carolina's eight managed-care networks for treating people with mental health and substance abuse needs and providing services for people with developmental disabilities using public funds are becoming more consolidated. The Department of Health and Human Services laid out a plan Thursday to merge the eight over time into four — two in central North Carolina and one each in the east and west. (3/17)

The Sun Herald: Grant Delay Could Leave Mississippi HIV/AIDS Patients Homeless
Nine Coast households with a family member suffering from HIV/AIDS could find themselves homeless next month after a federal housing grant was delayed -- again -- and sluggish fundraising rendered a local agency unable to make up the shortfall. Though the South Mississippi AIDS Task Force is aggressively seeking funding sources, it is also looking for ways to cut its expenses so other programs don't suffer. (Zilbermints, 3/17)

The Star Tribune: St. Cloud Clinic Merger Under Antitrust Review By State
Attorney General Lori Swanson is raising concerns about the impact on competition from a possible merger between two large primary care providers in the St. Cloud area. In an interview this week, Swanson said her office has launched an antitrust review of a potential acquisition by CentraCare of St. Cloud Medical Group, and asked the parties to delay any closing. (Snowbeck, 3/16)

The Associated Press: NC Reverses Safety Warning On Well Water Near Duke Ash Dumps
North Carolina is reversing warnings about water that health officials said was too polluted to drink and now reassuring residents who live near pits that hold waste from decades of coal-burning for electricity that their well water is safe. The state health agency issued written warnings last April to the owners of 330 water wells near eight Duke Energy power plants that their well water was too contaminated with vanadium and hexavalent chromium to use. Now a new letter is being sent to homeowners who draw from 235 of those wells suggesting more confidence in the safety of the water. The remaining 95 water wells will continue to carry a "do not drink" warning because of the presence of arsenic, cobalt or other pollutant, an agency spokeswoman said. (Dalesio, 3/17)

The Seattle Times: Seattle Doctors Buck Trend, Would Allow Vaccine Opt-Outs -- Except For Measles
Amid growing calls to limit vaccine exemptions for children in public schools, several Seattle doctors have come up with a controversial plan: Allow personal and religious opt-outs for all shots — except the one that prevents measles. The proposal, published Friday in the journal Pediatrics, flies in the face of current thinking by many medical experts and some lawmakers, like those in California, who passed one of the nation’s strictest vaccination laws, prohibiting nonmedical exemptions. (Aleccia, 3/17)

The Associated Press: What You Need To Know About Medical School Opening In Meredith
A new for-profit osteopathic medical school is opening in Idaho, promising to bring more doctors to the rural Intermountain West. The Idaho College of Osteopathic Medicine is a private, for-profit company, but it is affiliated with the public Idaho State University and its students will have access to ISU's campus in Meridian. Supporters say the new school will bring an economic boost and improve health care across the state, while opponents worry that it could tax existing infrastructure for Idaho medical students and that profits could take precedence over training. (Boone, 3/17)

The Associated Press: Miss. Health Officials Urge Tetanus Shots In Flood Areas
Mississippi's health department says free vaccinations against tetanus, diphtheria and pertussis are being offered at county health offices in 29 counties affected by recent floods. Health officials say tetanus vaccinations are recommended for anyone who hasn't had one in more than 10 years. People dealing with floods or storm cleanup are deemed at greater risk for tetanus infections. (3/17)

The Baltimore Sun: Maryland Sees A Late Surge In Flu Cases
As spring and the end of the flu season approach, state health officials say they are seeing a surge in cases of the virus. The increase began in late February and continues, according to the Department of Health and Mental Hygiene. Officials say the type of flu recorded is covered by this year's vaccine and it's not too late to get a flu shot, which are commonly available in doctors' offices, drug stores and other retail outlets. The U.S. Centers for Disease Control and Prevention recommends anyone older than six months old get vaccinated. (Cohn, 3/17)

Editorials And Opinions

18. Viewpoints: More Health Law Vulnerabilities; Some Drugs Have High Costs For A Reason

A selection of opinions from around the country.

The Wall Street Journal: Obamacare Cost-Sharing Provisions And The Stakes In House V. Burwell
House v. Burwell is far from resolution, but this case’s path through the federal courts and the threat it could pose to the Affordable Care Act show continued vulnerabilities of the health-care law as well as the stakes of the 2016 election. A Commonwealth Fund report published Thursday looks at a provision in the health-care law that is at issue in the case. To soften the impact of out-of-pocket costs under Obamacare, the law requires insurers to reduce certain payments for individuals whose incomes are up to 250% of the federal poverty level if they purchase a “silver” plan through one of the insurance marketplaces. The law also says that insurers are to be repaid for the discounts. (David Blumenthal and Sara R. Collins, 3/17)

STAT: Why Some Drug Prices Should Be High
Current methods for estimating the value of new drugs fail to capture the added value of better and extended life for loved ones who care for, depend on, and interact with the individual using the drug. (Dhruv Khullar, 3/17)

Modern Healthcare: Socio-Economic Factors Impact Hospital Readmissions
Socio-economic factors such as income, race, gender and age can predict whether a patient will be readmitted within 30 days of discharge from a hospital, according to a study. Findings from an analysis published Thursday in the Journal of Healthcare Quality suggests women who had been treated for a heart attack had a 17% higher risk than men for being readmitted within 30 days, while the odds of 30-day readmission among Medicare heart attack patients was 24% higher than patients with commercial insurance. (Steven Ross Johnson, 3/17)

The Wall Street Journal: The EPA’s Flint Abdication
This week’s Congressional hearings have shown that a series of government errors—local, state and federal—caused Flint’s lead-contaminated water. The state is fessing up, but the Environmental Protection Agency is trying to pretend it had nothing to do with it. (3/17)

The Wall Street Journal's Washington Wire: Flint, Mich., Water Contamination And Anxiety Closer To Home
Michigan Gov. Rick Snyder and Environmental Protection Agency administrator Gina McCarthy testified before the House Committee on Oversight and Government Reform on Thursday about the contaminated water in Flint, Mich., and state and federal regulation of the water supply. Most Americans say they have been following the issue, and many say they are worried about drinking-water safety, polling has found. As with many issues in our country, the poorer people are, the more worried they are likely to be that the system will fail them and their family. (Drew Altman, 3/17)

The Washington Post: Lawmakers Are Finally Sobering Up To The Reality Of Opioid Addiction
Slowly but surely, like the proverbial aircraft carrier, the U.S. government is changing to a new and better course on the long-neglected issue of opioid abuse and addiction. On Tuesday, the Centers for Disease Control and Prevention took an emphatic stand against the loose prescribing norms that have fueled the growth of opioid consumption for non-cancer pain, with the terrible result that 16,000 people a year die from overdoses. Labeling the drugs “dangerous,” and noting that evidence did not support their long-term efficacy for most cases of chronic pain, CDC Director Thomas Frieden urged physicians to follow more-cautious new CDC guidelines that emphasize alternative pain management techniques. Dr. Frieden and his colleagues deserve credit for incorporating a range of views in the guidelines while resisting pressure to weaken them from interest groups that support the status quo. (3/17)

The Des Moines Register: Congress Should Address Long-Term Care Costs
The human body breaks down and wears out over time. More than two-thirds of older adults will need some personal assistance with basic activities like dressing and bathing before they die. About half will need a high level of assistance, typically for two years at an average cost of more than $100,000. (3/17)

Lexington Herald Leader: Senate Committee Wrong To Limit Needle Exchanges
Ironies abound whenever the General Assembly meets, but Sen. Ralph Alvarado, R-Winchester, a physician, endorsed one of the most profound and disturbing of this session. Alvarado voted to assure that more dirty hypodermic needles will be in circulation, spreading deadly blood-borne infections. He did this by supporting a noxious change in the Senate to a simple bill that had easily passed the House. (3/17)

The Des Moines Register: Pharmacists Can Boost Health Care Options In Rural Areas
The Iowa Caucuses have come and gone, but Iowans’ engagement in the issues important to our state and our people remain. Just as we are fortunate to have the opportunity to meet and ask presidential candidates questions, our elected federal officials constantly travel Iowa to meet with constituents. This lends us the opportunity to discuss the issues and challenges we encounter with the people who have the ability to help. (Andrew Wagner, 3/17)

The Des Moines Register: Iowans Support Funding For Planned Parenthood
Though attacking Planned Parenthood is a favorite pastime of some politicians, Iowans see through the antics. Nearly three-fourths want state government to continue funding non-abortion services provided by the health clinics, a new Des Moines Register/Mediacom Iowa Poll shows. A mere 22 percent do not. (3/17)

Tampa Bay Times: New Abortion Restrictions Should Not Stand
The Florida Legislature has been brazen in its repeated attempts to restrict access to abortion. Thankfully, some of the most blatant restrictions proposed this year never made it to the full House or Senate. But a bill that would siphon money away from preventive care efforts for women who are exercising their constitutional right was approved and sent to Gov. Rick Scott. If the governor follows through with his signal that he will sign the bill into law, it should be challenged in court. (3/17)

The New York Times: The N.F.L. Comes Clean On Concussions
After years of denial by the National Football League, a ranking league official has conceded what brain dissections of nearly 100 deceased football players have revealed — a direct link between concussions on the field and degenerative brain disease. (3/18)