March 12, 2024
Reporter, D.C. Diagnosis Writer

Hello and happy Tuesday D.C. Diagnosis readers! I hope by the time you read this, you’re sleep-adjusted to our “spring forward.” But in case you aren’t (same). The Washington Post recently wrote about how twice-a-year clock changes impact health — and whether we should do them at all. Send news, tips and favorite reads to sarah.owermohle@statnews.com.

budget battles

Cybersecurity, more drug pricing reforms top Biden’s budget wish list 

No, not that budget. The president on Monday released his proposed 2025 fiscal year spending, kickstarting another lengthy battle with Congress while the 2024 spending package still hangs in limbo. Speaking to reporters that afternoon, HHS Sec. Xavier Becerra sought to sell the relatively flat spending request amid budgetary headwinds across the government.

One of its highlights, previewed by Biden in last week’s State of the Union, is the pledge to “significantly” increase Medicare drug price negotiation, which starts with 10 drugs in 2026. But how many more, and how fast? Officials wouldn’t say. Asked at the Humphrey building, CMS Administrator Chiquita Brooks-LaSure said only, Biden “is asking Congress to work with him to accelerate our ability to negotiate more drugs.”

Becerra also touted a proposed $1.3 billion Medicare incentive program “to encourage hospitals to adopt essential and enhanced cybersecurity practices,” noting a spike in cybersecurity attacks like Change Healthcare’s paralysis. While the program is aimed at helping hospitals stand up stronger systems, he had some criticism for seemingly both providers and health tech companies. 

“The private sector has to step up,” he said when asked about the attack that froze thousands of medical payments. “They can't just throw out their hands and say, ‘Well, we were cyber-attacked and now we need to be bailed out.’” (UnitedHealth, Change’s parent company, hasn’t publicly asked to be bailed out, but Medicare did set up a loan program for providers).


the opioid crisis

How methadone clinics’ rigid rules can stifle recovery

STAT24_OpioidCrisis_Fin01-V2

In Part 2 of The War on Recovery, a yearlong investigation into why America denies lifesaving medications to people with opioid addiction, STAT’s Lev Facher delves into the patient experience at methadone clinics. While methadone is the most effective medication available to treat opioid addiction in the U.S., it’s difficult to access: Any doctor can prescribe it to treat pain, but it’s only available as an addiction treatment at specialized methadone clinics known as opioid treatment programs, or OTPs.

Many patients at OTPs encounter obstacles and suffer indignities that would be unthinkable in any other health care setting, Lev writes. In interviews, patients reported centering their lives around the requirement that they show up in person each day to receive their dose, which in many cases can interfere with work, family life, or financial stability. Others recounted giving urine samples while physically supervised by clinic staff or being admonished for not saying “please” or “thank you.”

With 80,000 people dying of opioid overdose each year, major players in Washington are increasingly considering overhauling the nation’s methadone treatment system. New SAMHSA rules governing OTPs are set to take effect next month. And separately, a bill that would allow addiction doctors to prescribe methadone directly to patients has received bipartisan support, as well as the endorsement of Nora Volkow, the director of the National Institute on Drug Abuse. You can read more here.



Up at white oak

Baby steps toward baby tests

Researchers should consider testing cell and gene therapies in younger children, including babies, an FDA official said Friday. 

Nicole Verdun, director of the FDA’s Office of Therapeutic Products, said parents of children with rare diseases that affect them from birth want access to potential treatments at younger ages, my colleague John Wilkerson reports from an Alliance on a Stronger FDA event. Also, earlier treatment might benefit patients, Verdun said.

“We are looking to ways where we can enroll pediatric patients earlier in the development process,” she said. “And I think that people will really appreciate that.”


the campaign trail

Progressive group spends big to promote Medicare drug price negotiation

A progressive nonprofit group is spending more than $5 million on ads to do what the Biden administration has failed at: promoting Medicare drug price negotiation to voters.

The group, Protect Our Care, will run television, streaming and digital ads to help the re-election campaigns of nine Democrats: Yadira Caraveo (Colo.), Hillary Scholten (Mich.), Susan Wild (Penn.), Matt Cartwright (Penn), Susie Lee (Nev.), Steven Horsford (Nev), Pat Ryan (N.Y.), Frank Pallone (N.J.), and Gabe Vasquez (N. Mex).

The ads connect those lawmakers to a Democratic-passed law that directs Medicare to negotiate drugs, and caps monthly insulin costs and annual retail drug costs for seniors, John writes. Polls show that most people are unaware of the law, despite large majorities of voters in both parties supporting its policies. The Biden administration has started to aggressively tout the law. In the State of the Union, Biden attacked “Big Pharma” and promised to expand the law.

 


More around STAT
Check out more exclusive coverage with a STAT+ subscription
Read premium in-depth biotech, pharma, policy, and life science coverage and analysis with all of our STAT+ articles.

What we’re reading

  • Experts say leaked messages present false link between gender-affirming care and cancer, STAT
  • ‘Damning’ FDA inspection report undermines positive trial results of possible Alzheimer’s drug, Science
  • UnitedHealth is on a buying spree of outpatient surgery centers, STAT
  • Court upholds town bylaw banning anyone born in 21st century from buying tobacco products, AP News

Thanks for reading! More on Thursday,


Enjoying D.C. Diagnosis? Tell us about your experience
Continue reading the latest health & science news with the STAT app
Download on the App Store or get it on Google Play
STAT
STAT, 1 Exchange Place, Boston, MA
©2024, All Rights Reserved.