The Wall Street Journal: Federal Government Doesn’t Have To Pay Billions To Health Insurers, Court Rules
The federal government doesn’t have to pay insurers billions of dollars under an Affordable Care Act program aimed at enticing them into the markets by helping cover their financial risks, a divided federal appeals court ruled Thursday. In a case brought by Moda Health Plan Inc., the ruling is a blow to insurers hoping to recoup money they say they were owed under the 2010 health law. (Armour and Kendall, 6/14)

Politico: Court: Federal Government Doesn’t Owe Insurers Obamacare Payments
A divided three-judge panel rejected claims from two Obamacare insurers that the federal government was required to make good on payments from a program meant to protect insurers who attracted customers who were sicker and more expensive than anticipated. The two insurers were seeking hundreds of millions of dollars in payments from Obamacare’s risk corridor program, and at least three dozen other insurers have filed similar lawsuits. In all, insurers say they’re owed more than $12 billion from the risk corridor program, a shortfall they have partially blamed for skyrocketing premiums and dwindling competition in the Affordable Care Act marketplaces. (Demko, 6/14)

The Hill: Court Rules Insurers Not Entitled To ObamaCare Payments 
“Congress clearly indicated its intent here,” the court ruled. “It asked GAO [the Government Accountability Office] what funding would be available to make risk corridors payments, and it cut off the sole source of funding identified beyond payments in. It did so in each of the three years of the program’s existence.” The insurers are likely to appeal and seek a review by the full court, rather than just a panel. If that doesn’t succeed, the next step would be an appeal to the Supreme Court. (Weixel, 6/14)

Modern Healthcare: Feds Don't Owe Health Insurers Billions In ACA Risk-Corridor Funds, Appeals Court Rules 
A federal appeals court on Thursday ruled that the U.S. government does not owe health insurers billions of dollars in unpaid risk-corridor funds meant to offset losses during the early years of the Affordable Care Act exchanges. Although more than three dozen insurers claimed the federal government owed them more than $12 billion in risk-corridor payments, a panel of judges from the U.S. Court of Appeals for the Federal Circuit determined the payments weren't necessary since Congress deemed the program had to be budget-neutral through appropriations riders. (Livingston, 6/14)

The Washington Post: Broad Health-Care Coalition Opposes Administration Stance In Anti-ACA Lawsuit
A broad swath of health-care constituencies weighed in on Thursday to oppose a lawsuit challenging the Affordable Care Act, forming an uncommonly united front against a decision by the Trump administration not to defend significant parts of the law. Hospitals, doctors, medical schools, patient-advocacy groups, the health insurance industry and others filed briefs in a federal court in Texas, disputing the argument of 20 Republican-led states and the Justice Department that all or part of the 2010 law is unconstitutional. In all, 11 friend-of-the-court briefs were filed. From various vantage points, each argues that a ruling in favor of this latest challenge to the ACA’s constitutionality would “have a devastating impact on doctors, patients, and the American health care system as a whole,” as a brief from the American Academy of Child and Adolescent Psychiatry puts it. (Goldstein, 6/14)

In other news on the health law —

Denver Post: Coloradans Protected From The Comeback Of Pre-Existing Conditions In Health Insurance 
The Trump administration shook the health care world last week when the Department of Justice announced that it will no longer defend in court key protections of the Affordable Care Act, also known as Obamacare. The announcement — coming in a case brought by Republican leaders in 20 states (but not Colorado) — could mean the end of insurance protections for people across the country with pre-existing conditions or high-cost medical needs. The states argue that those rules are unconstitutional, especially in light of a vote in Congress last year to slash to zero dollars the penalty for not having health insurance, essentially rendering meaningless the mandate that all people be covered. (Ingold, 6/14)

The Star Tribune: Despite Uncertainty, Minnesota Health Plan Premium Requests Expected Friday 
Minnesotans who buy health insurance on their own will get their first hints Friday about premiums for 2019 with the scheduled release of data on the rates being requested by carriers. The information from regulators is expected even as new questions are brewing at the federal level about the future of the Affordable Care Act (ACA), the health law that started fundamentally reshaping the individual market in 2014. (Snowbeck, 6/14)

The Associated Press: FDA Clears 1st Generic Film Strip Of Addiction Drug Suboxone
U.S. regulators have approved the first generic version of an under-the-tongue film for treating opioid addiction. The Food and Drug Administration on Thursday approved a generic version of Suboxone, a film strip that dissolves under the tongue. Used daily, it reduces withdrawal symptoms, cravings for opioids and the high from abusing them. (Johnson, 6/14)

The Hill: Kentucky Sues Walgreens Over Opioid Epidemic
Kentucky’s attorney general sued Walgreens Thursday, alleging that the company contributed to the state’s opioid epidemic. Attorney General Andy Beshear, a Democrat, sued Walgreens for its role as both a distributor and a pharmacy. The lawsuit alleges that the company failed to report suspicious shipments of opioids to authorities and that it dispensed large quantities of the painkiller. (Roubein, 6/14)

WBUR: Kentucky Sues Walgreens For 'Dual Role' In The State's Opioid Crisis
The lawsuit also asserts the company willfully ignored its own safeguard systems that are designed to protect consumers and monitor their drug consumption. The lawsuit, filed in Boone County, claims parent company Walgreens Boots Alliance fulfilled orders "for such large quantities of prescription narcotic pain medication that there could be no associated legitimate medical purpose for their use." (Romo and Saldivia, 6/14)

Politico Pro: Vulnerable Lawmakers Eye Opioid Bills For Midterm Boost
Everybody wants their name on a bill addressing the opioid crisis — especially Republicans facing tough reelection battles. That’s why House leadership will bring more than 70 such bills to the floor by the end of the month, many sponsored by the most vulnerable members of the GOP conference. (Ehley and Haberkorn, 6/14)

CQ: House Debate On Opioid Abuse Turns Partisan Before Bill Passes
The House debate on opioids legislation turned contentious Thursday with the consideration of legislation to set aside housing vouchers for people with substance abuse disorder. The voucher bill (HR 5735) was ultimately approved, 230-173. The bill would allocate 10,000 housing vouchers to people recovering from a substance use disorder, but it would not increase the overall supply of vouchers or increase appropriations. (Raman, 6/14)

Kaiser Health News: In New Hampshire, Even Mothers In Treatment For Opioids Struggle To Keep Children
Jillian Broomstein starts to cry when she talks about the day her newborn son Jeremy was taken from her by New Hampshire’s child welfare agency. He was 2 weeks old. “They came into the house and said they would have to place him in foster care and I would get a call and we would set up visits,” she said. “It was scary.” Broomstein, who was 26 at the time, had not used heroin for months and was on methadone treatment, trying to do what was safest for her child. (Gotbaum, 6/15)

The Philadelphia Inquirer: Pa. Hospital Admissions For Heroin Overdoses Increase Even As Pain-Med Overdoses Decline
Hospitalizations for pain medication overdoses decreased by 2.2 percent from 2016 to 2017, while those for heroin overdoses increased by 12.7 percent. Those trends are in keeping with other research findings that use of prescription medicines — often blamed for fueling the opioid crisis — is being curtailed after years of legal and medical efforts, as well as heightened public awareness of the drugs’ addiction potential. (Whelan, 6/13)

New Hampshire Public Radio: How Big Will N.H.'s Share Of New Federal Opioid Dollars Be?
New Hampshire will soon see a more than seven-fold increase in federal funds aimed at combatting the opioid crisis, up from about $3 million to $23 million for the fiscal year ending September 30. The money comes from $3 billion in additional funds for the crisis included in the federal budget deal negotiated in March. (Greene, 6/15)

The Associated Press: Texas Abortion Clinics Sue To Undo Laws Dating Back Decades
Texas abortion providers who won a landmark U.S. Supreme Court ruling in 2016 that blocked a new wave of anti-abortion efforts are now using that decision to try to undo laws on the books for decades in a lawsuit filed Thursday. In suing over anti-abortion measures that stretch back 20 years in some cases, Texas clinics are putting a new spin on what has become a recurring cycle in GOP-controlled states — legislatures passing new abortion laws, followed by opponents rushing to court before they can take effect. (6/14)

Austin American-Statesman: Sweeping Lawsuit Seeks To Overturn Dozens Of Texas' Abortion Laws
The legal action draws heavily on a 2016 Supreme Court ruling that struck down two Texas regulations that would have closed most abortion clinics in Texas. The court said requiring abortion doctors to have admitting privileges in a nearby hospital and requiring all abortions to be done in hospital-like settings placed an improper burden on access to the procedure that outweighed the regulations’ benefits. (Lindell, 6/14)

Politico: Dozens Of Abortion Curbs Challenged In Lawsuit By Texas Clinic
The move led by the Whole Woman’s Health Alliance comes two years after the abortion provider successfully challenged two provisions of a Texas abortion law at the Supreme Court. The decision marked the most significant abortion rights ruling in a generation and paved the way for groups to challenge abortion laws in other states. (Rayasam and Haberkorn, 6/14)

The Hill: Abortion Provider Files New Suit Against Texas Restrictions
“For years, Texas politicians have done everything in their power to push abortion out of reach for Texans. Today, we join communities and advocates across the state to send the message that we have had enough,” said Amy Hagstrom Miller, President of Whole Woman’s Health Alliance. (Hellmann, 6/14)

Dallas Morning News: Abortion Rights Supporters Sue Texas Over Dozens Of Laws They Say Restrict The Procedure 
Marc Rylander, director of communications for the Texas attorney general, said the Supreme Court has affirmed several times that the state can have an interest in "safeguarding women's health and protecting unborn life." "Abortion providers have been complying with the laws being challenged in this case for years," Rylander said in a prepared statement. "They are common-sense measures necessary to protect Texas women from unhygienic, unqualified clinics that put women's lives and reproductive health at risk. It is ridiculous that these activists are so dedicated to their radical pro-abortion agenda that they would sacrifice the health or lives of Texas women to further it." (Wang, 6/14)

Texas Tribune: Texas Abortion Rights Groups Sue In An Effort To Strike Down Years Of Abortion-Related State Laws
Stephanie Toti, one of the lawyers representing the reproductive rights organizations, said the lawsuit only challenges laws that are not "medically necessary.” But, she said, it’s an important first step in increasing access to abortions in the state. She added that Texas is not alone in restricting abortions and that other states have similar restrictions. “As time goes on, we’re going to see more of these cases,” she said. (Choi, 6/14)

The New York Times: Sex And Drugs Decline Among Teens, But Depression And Suicidal Thoughts Grow
One in seven high school students reported misusing prescription opioids, one of several disturbing results in a nationwide survey of teenagers that revealed a growing sense of fear and despair among youth in the United States. The numbers of teenagers reporting “feelings of sadness or hopelessness,” suicidal thoughts, and days absent from school out of fear of violence or bullying have all risen since 2007. The increases were particularly pointed among lesbian, gay and bisexual high school students. Nationally, 1 in 5 students reported being bullied at school; 1 in 10 female students and 1 in 28 male students reported having been physically forced to have sex. (Hoffman, 6/14)

Los Angeles Times: U.S. Teens Are Taking Fewer Risks With Their Health, Though Drinking And Unsafe Sex Are Still Common
“The overall prevalence of most health-risk behaviors has moved in the desired direction,” wrote a team from the Centers for Disease Control and Prevention’s Division of Adolescent and School Health. However, they added, “many high school students are engaged in health-risk behaviors associated with the leading causes of death” for their age group. (Kaplan, 6/14)

The Associated Press: Fewer US Teens Smoking, Doing Drugs ... And Drinking Milk
Last year's survey asked about 100 questions on a wide range of health topics, including smoking, drugs and diet. Researchers compared the results to similar questionnaires going back more than 25 years. One trend that stood out was the drop in drinking milk, which started falling for all Americans after World War II. In recent decades, teens have shifted from milk to soda, then to Gatorade and other sports drinks and recently to energy drinks like Monster and Red Bull. (6/14)

The Hill: Poll: 14 Percent Of High School Students Admit To Misusing Opioids
Only 14 percent of high school students admitted to misusing opioids, according to a recently released National Youth Risk Behavior Survey report. The survey found that 14 percent of students said they had used opioids, including OxyContin, Percocet, and Vicodin, without a prescription or medical advice.  (Manchester, 6/14)

The CT Mirror: CT High School Student Behavior Is Less Risky Than National Average
Connecticut high school students engaged less often in risky behaviors, like taking painkillers without a prescription, seriously considering suicide and texting or emailing while driving, when compared to their peers nationwide. But Connecticut students more often carried a weapon and were offered, sold or given an illegal drug, both on school property. (Rigg, 6/14)

Bloomberg: Deleting Your Online DNA Data Is Brutally Difficult
Your genetic code includes details about not only your own health and family, but also similarly intimate information about your relatives. When police recently used a genetic genealogy website to find a suspect in the case of the Golden State Killer, it illuminated the unexpected ways that your genetic data can be used by people you had no idea you were sharing it with. Recently, I started feeling uneasy about how freely my DNA data flowed. So I decided to try to erase my DNA data footprint from all the websites and databases and laboratories in which it was stored. It turns out that isn’t so easy. (Brown, 6/15)

PBS NewsHour: Why Miami Is The Epicenter Of New HIV Cases In The U.S.
The tourist mecca of Miami is also a hotbed of HIV transmission. While city and state officials have launched an ambitious plan to tackle the crisis, William Brangham and Jason Kane join Jon Cohen of Science magazine to look at how and why it’s gotten so bad. (Brangham and Kane, 6/14)

The Hill: Lawmakers Ask For Increase In Suicide Prevention Funding 
Two House lawmakers are asking for more funds for suicide prevention efforts in the wake of a report that showed rising rates across the country. Reps. Don Beyer (D-Va.) and John Katko (R-N.Y.), co-chairs of the bipartisan House Suicide Prevention Task Force, noted Wednesday that funding for suicide prevention programs has remained flat or decreased in recent years. (Hellmann, 6/14)

The New York Times: Using Harpoon-Like Appendages, Bacteria ‘Fish’ For New DNA
Two bacteria are sitting near free-floating DNA. Suddenly, one bacterium shoots out a long appendage, latches onto a DNA fragment and reels in its catch. It happens fast, but it’s clear: this organism had just gone fishing. Biologists at Indiana University recently captured this maneuver on camera for the first time. (Yin, 6/14)

The Associated Press: US Renews Call For Cuba To Probe Cause Of Health 'Attacks'
The United States on Thursday renewed calls for the Cuban government to determine the source of health "attacks" on U.S. diplomats in Cuba that have affected some two dozen people. Cuba again denied any involvement or knowledge of any such attacks. At a senior-level meeting with Cuban officials in Washington, the State Department said it had again raised the issue, which has prompted a significant reduction in staffing at the U.S. Embassy in Havana. It reiterated "the urgent need to identify the source of the attacks on U.S. diplomats and to ensure they cease." (6/14)

The Washington Post: Higher Vitamin D Levels Linked To Lower Colorectal Cancer Risk, Study Finds
Higher concentrations of vitamin D circulating in the bloodstream are linked to a lower risk of colorectal cancer, according to a large international study published Thursday. The researchers said the results strengthen the evidence that the vitamin may play a protective role against the disease, which is the third-most common cancer in the United States, killing more than 50,000 people a year. Previous studies exploring a possible link were inconclusive, they said. The latest research, which appears in the Journal of the National Cancer Institute, was conducted by scientists from NCI, the American Cancer Society, the Harvard T. H. Chan School of Public Health and 20 other medical centers and organizations around the world. (McGinley, 6/14)

NPR: Low Vitamin D Levels Associated With Increased Risk Of Colorectal Cancer
To determine what role vitamin D might be playing, researchers looked at participants' blood samples collected in the years before their cancer diagnosis. They also considered the established risk factors for colorectal cancer, including smoking, low physical activity and high body mass index. "Our findings suggest what's optimal for bone health may not be optimal for colorectal risk reduction," McCullough says, which could mean higher doses are needed to prevent cancer. Current recommendations for vitamin D supplementation are based solely on studies showing conclusively that it does preserve bone health. (Neighmond, 6/14)

Los Angeles Times: LAPD Raids Home Of Ex-USC Gynecologist Accused Of Sexually Mistreating Patients
Police detectives on Thursday served search warrants at the Los Angeles home of a former USC gynecologist and a storage facility as they investigate allegations that he sexually mistreated patients. Los Angeles Police Department Capt. Billy Hayes said sex-crimes detectives talked to George Tyndall and seized evidence during the search but did not provide further details. The LAPD has been in contact with 135 women about Tyndall, who served as the campus’ gynecologist for nearly 30 years. More than 400 women have called a university hotline since a Times investigation detailed how USC allowed Tyndall to continue practicing at a student health clinic on campus despite a record of complaints that spanned more than two decades. (Winton, 6/14)

The Hill: CDC Investigates Hepatitis A Outbreak In Six States 
The Centers for Disease Control and Prevention (CDC) is warning public health officials in six states about an outbreak of Hepatitis A among drug users and the homeless. From January 2017 to April of this year, the CDC has received more than 2,500 reports of infections from California, Indiana, Kentucky, Michigan, Utah and West Virginia.  (Hellmann, 6/14)

Modern Healthcare: Healthcare, Social Services To Take Up 38% Of State, Local Budgets By 2025 
The share of state and local government budgets dedicated to healthcare is expected balloon by 2025 as healthcare inflation continues its upward trajectory, according to a new report from Fitch Ratings. Fitch analysts forecast that ongoing inflation will drive the proportion of budgets dedicated to healthcare and social services to 38.3% in 2025, a bump from 30.7% in 2015. As a result, other priorities like education, transportation and public safety are expected to shrink under the weight of healthcare, social services and other areas less likely to be cut. (Bannow, 6/14)

Des Moines Register: Mental Health Commitments May Quicken In Iowa, But Rights At Stake
Under current Iowa law, mental health commitment orders may be imposed only if a person poses an immediate threat to themselves or others. The law was used to involuntarily commit Iowans more than 5,200 times last year. Legislators added a new option in the 2018 legislative session that allows judges and magistrates to order treatment for people who in the past have become dangerously ill because they failed to comply with doctors’ recommendations. (Leys, 6/14)

The Associated Press: Michigan Enacts Toughest Lead Rules In US After Flint Crisis
Michigan on Thursday began enforcing the nation’s strictest rules for lead in drinking water, a plan that eventually will result in replacing all 500,000 lead service pipes statewide in the wake of the contamination of Flint’s supply. The lead and copper rules will drop the “action level” for lead from 15 parts per billion, the federal limit, to 12 in 2025. Underground lead service lines connecting water mains to houses and other buildings will be replaced by 2040, unless a utility can show regulators it will take longer under a broader plan to repair and replace its water infrastructure. (6/14)

Boston Globe: Memo Hints At Tension Between Some Mass. General Doctors, Partners
An unusually candid memo from a longtime physician at Massachusetts General Hospital highlights the tension between some doctors at the hospital and its parent company, Partners HealthCare. Dr. Walter J. O’Donnell, who recently resigned from an executive committee at Mass. General because of frustration over the relationship with Partners, accused the company of failing to consult with doctors on key corporate decisions. (Dayal McCluskey, 6/14)

New Hampshire Public Radio: In New Hampshire, An Unlikely Team Tries To Reduce Gun Suicides
Over the past 10 years, an unlikely team of gun owners and public health experts in that state has come together to work on a prevention campaign. The Gun Shop Project educates gun sellers about the signs of suicide and encourages them not to make a sale if they think someone is struggling. (Choolijan, 6/14)

The Associated Press: Report: Minneapolis Cops Urged EMS To Sedate Subjects
A city report shows Minneapolis police officers have repeatedly requested that Hennepin County medical responders sedate people with ketamine, a powerful tranquilizer known as a "date rape drug." The draft report obtained by the Star Tribune says that in multiple instances, the ketamine caused heart or breathing failure and suspects had to be revived or intubated. (6/14)

St. Louis Public Radio: After School Nurse Sent Report, Was City’s Response To Breathing Illnesses Enough?
A school nurse told St. Louis health officials in February about students under the nurse’s care hospitalized by asthma attacks and teachers forced to stay home with respiratory illnesses, but neither the school district nor the health department warned those afflicted about a possible connection in their ailments. It was not until a St. Louis Public Radio investigation published last month that some parents and staff of the Gateway school complex said they first learned the respiratory illnesses may have been caused by dirt and dust kicked up by nearby demolition work funded and overseen by the city. (Delaney, 6/14)

New Orleans Times-Picayune: LSU Health Announces Partnership To Develop And Market Biomedical Products 
LSU Health New Orleans announced Thursday (June 14) it will collaborate with a Nashville-based company called Cumberland Emerging Technologies Inc. to develop and commercialize new biomedical products. According to their website, Cumberland Emerging Technologies works to identify promising biomedical technologies being developed by researchers, universities and entrepreneurs seeking a corporate partner to help them develop and commercialize those products. (Clark, 6/14)

The Baltimore Sun: Retiring CareFirst CEO Chet Burrell Discusses The Future Of Health Care And Insurance 
Chet Burrell came on as CEO of CareFirst BlueCross BlueShield as the health insurance company’s reputation suffered after previous leadership had attempted to turn it into a for-profit business. During his nearly 11 years at the helm of the state’s largest insurer, Burrell has rebuilt trust in the company, significantly modernized its operations and ushered it through adoption of the Affordable Care Act. (McDaniels, 6/15)

Milwaukee Journal Sentinel: Froedtert, Children's Hospital, Others To Buy Land Rented From County
Froedtert Hospital, Children’s Hospital of Wisconsin, the Medical College of Wisconsin and the BloodCenter of Wisconsin Blood Research Institute have tentatively agreed to buy the land they now lease — in some cases for as little as $1 a year — at the Milwaukee Regional Medical Center in Wauwatosa from Milwaukee County. The initial agreement — in the works for more than five years — would free Milwaukee County from obligations and potentially costly liabilities while generating $800,000 to $1.6 million a year in payments until 2073. (Boulton, 6/14)

Kaiser Health News: Podcast: KHN’s ‘What The Health?’ California Here We Come
Health care is a big political issue, but no place more than in California. In San Francisco last week, voters overwhelmingly approved a ballot measure upholding a ban on flavored tobacco products — over the vehement objections of the tobacco industry. And the state’s activist attorney general, Xavier Becerra, is leading a group of Democratic officials from more than a dozen states defending the Affordable Care Act in a case filed in Texas. That is important given that the Trump administration’s Justice Department decided not to defend the law in full from charges that changes made by Congress in last year’s tax law invalidates the health law. (6/14)

Kansas City Star: Blue Valley Hospital To Lose Medicare Certification Friday
Blue Valley Hospital offered employee discounts on weight-loss surgery and asked workers to falsify records to try to pump up its inpatient numbers enough to continue getting Medicare money, according to inspectors. (Marso, 6/14)

New Hampshire Public Radio: N.H. Medical Marijuana Is Turning 5, So How's The Program Doing?
New Hampshire's medical marijuana law turns 5 next month, and the Therapeutic Cannabis Advisory Council will be issuing a five-year status report on how the program has operated. State Sen. John Reagan, a Deerfield Republican who sponsored the medical marijuana bill, says it's received positive feedback so far. (Tuohy, 6/14)

Reveal: Administrator At Rogue NC Rehab Accused Of Sexually Harassing Clients
At least seven women have accused Phillip Warren, a substance abuse counselor and operations director at Recovery Connections Community, of sexual harassment and misconduct. He made lewd comments, inappropriately touched them and tried to force himself on at least one of them, according to state records and interviews with several of the women and former program participants. (Harris and Walter, 6/14)

San Jose Mercury News: How VTA's Human Trafficking Awareness Training Inspired A State Assembly Bill
A state assembly bill would make a human trafficking awareness training modeled after the Santa Clara Valley Transit Authority’s procedure mandatory for public transportation workers across the state. Inspired by the VTA training started in 2015, the bill aims to equip public transit workers with the skills to identify and report signs of human trafficking in and around transit systems. (Lam, 6/14)

Commonwealth Fund: Medicaid And The Role Of The Courts
The courts have shaped virtually all aspects of Medicaid policy, including eligibility, benefits and coverage, access to care, provider participation and payment, and the scope of federal agency demonstration powers under Section 1115. Furthermore, underlying the cases that focus on what federal law requires of participating states is a key threshold question of importance to lawsuits brought against states by beneficiaries and providers: whether, in advance of federal agency review, federal courts can intervene to prevent potentially unlawful state policies from taking effect before they cause immediate and irreparable injury. This question has commanded the attention of a more conservative judiciary, whose rulings increasingly are narrowing access to the courts. (Rosenbaum, 6/12)

The Henry J. Kaiser Family Foundation: Implications Of Work Requirements In Medicaid: What Does The Data Say?
In January 2018, the Centers for Medicare and Medicaid Services (CMS) issued new guidance for state Medicaid waiver proposals that would impose work requirements in Medicaid as a condition of eligibility. As of June 2018, four states have approved waivers to implement Medicaid work requirements, seven states have waiver requests pending with CMS, and other states are considering or developing work requirement programs. These states are all imposing or seeking to impose work requirements on populations already covered (both expansion and non-expansion populations); however, Virginia passed legislation to adopt the Medicaid expansion that included a provision to submit a waiver to impose a work requirement on a new expansion population. This brief builds on previous analyses to provide data on Medicaid enrollees and some of the policy implications of work requirements. (Garfield, Rudowitz, Musumeci and Damico, 6/12)

JAMA Internal Medicine: Identification And Characterization Of Failures In Infectious Agent Transmission Precaution Practices In Hospitals: A Qualitative Study
Preventing the spread of infectious organisms is a priority for hospitals and health care systems. A prominent concern is that cross-transmission can lead to patients becoming colonized and acquiring infections, such as hospital-onset Clostridium difficile infection and methicillin-resistant Staphylococcus aureus bacteremia, as well as infections from other emerging drug-resistant organisms. Minimizing risks for health care personnel is also paramount, as illustrated by the self-contamination and subsequent illness of 2 nurses caring for a patient with Ebola virus disease. (Krein et al, 6/11)

Health Affairs: Comparison Of Hospitals Participating In Medicare’s Voluntary And Mandatory Orthopedic Bundle Programs
We analyzed data from Medicare and the American Hospital Association Annual Survey to compare characteristics and baseline performance among hospitals in Medicare’s voluntary (Bundled Payments for Care Improvement initiative, or BPCI) and mandatory (Comprehensive Care for Joint Replacement Model, or CJR) joint replacement bundled payment programs. BPCI hospitals had higher mean patient volume and were larger and more teaching intensive than were CJR hospitals, but the two groups had similar risk exposure and baseline episode quality and cost. BPCI hospitals also had higher cost attributable to institutional postacute care, largely driven by inpatient rehabilitation facility cost. These findings suggest that while both voluntary and mandatory approaches can play a role in engaging hospitals in bundled payment, mandatory programs can produce more robust, generalizable evidence. Either mandatory or additional targeted voluntary programs may be required to engage more hospitals in bundled payment programs. (Navathe et al, 6/1)

Bloomberg: Latest Obamacare Lawsuit Looks Like Another Loser
A lawsuit against Obamacare may well turn out to be a bigger story in the news than in the courts. When the Donald Trump administration declined to defend the law, and partly endorsed the lawsuit, critics denounced it for flouting its alleged duty to defend duly enacted federal laws in court. They said the lawsuit threatens everyone with pre-existing conditions, who would lose the protections that Obamacare provides. But the lawsuit is highly unlikely to succeed. It makes two basic arguments, one of which is trivial and the other absurd. It is on far weaker ground than the two major anti-Obamacare lawsuits that preceded it. (Ramesh Ponnuru, 6/14)

The New York Times: G.O.P. To Americans With Health Problems: Drop Dead
Polls suggest that the public considers health care the most important issue in the midterm elections. This immediately raises the question: Do voters understand what’s at stake? In particular, do they realize that if Republicans hold Congress, they will strip away protections for the 52 million Americans — more than a quarter of nonelderly adults — who have pre-existing conditions that, before passage of the Affordable Care Act, could have led insurers to deny them coverage? (Paul Krugman, 6/14)

USA Today: What Donald Trump Should Remember About Pre-Existing Conditions
Ask Americans whether the federal government should require health insurers to provide coverage for people with pre-existing conditions, and a vast majority — 92% of Democrats and 79% of Republicans — say yes.  So what part of Obamacare is the Trump administration trying to kill? The mandate to cover pre-existing conditions, which has been a blessing for people who buy insurance on the individual market. This would harm those people, and politically it’s not very smart, either. It hands Democrats another issue to use in their battle to win back the House and the Senate in November's elections. (6/14)

The Hill: Trump Is Right Not To Defend ObamaCare
In the Trump administration’s response to the lawsuit brought by Texas and the Texas Public Policy Foundation challenging the current constitutionality of the Affordable Care Act (ACA), the Department of Justice agreed that several key portions of the ACA were unconstitutional. Immediately, several commentators reported that the Justice Department’s failure to defend the law in its entirety was a radical and dangerous departure from precedent. The Associated Press called the move a “rare departure from the Justice Department's practice of defending federal laws in court.” Former Solicitor General Donald Verrilli, called it “a sad moment” and “impossible to believe.” ...The truth is, the government’s decision not to defend a clearly unconstitutional law is neither unprecedented, nor even rare. Indeed, it is what the founders expected and precisely how we should want government lawyers to behave. (Chance Weldon, 6/14)

USA Today: Pre-Existing Conditions: All Of Obamacare Is Unconstitutional
The Trump administration’s decision to argue that part of the Affordable Care Act is unconstitutional — the requirement that every American purchase health insurance, known as the individual mandate — raises real doubts about the law’s future. (Robert Henneke, 6/14)

The Hill: Opioid Treatment Plans Must Include A Trauma-Informed Approach
The S.2680 Opioid Crisis Response Act of 2018, introduced by the Senate Health, Education, Labor, and Pensions Committee (HELP), and the Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018, introduced by the Senate Committee on Finance, aim to improve the ability of federal agencies to not only address the crisis, but also its ripple effects on children, families, and communities. One such consequence can be found in the foster care system. (Marlo Nash, 6/14)

The Hill: Newt Gingrich: To Stop Opioid Overdoses, America Needs To Face Two Truths And A Big Lie 
Congress is in the midst of considering many proposals focused on solving the opioid addiction crisis. With more than 115 people dying every day, it is a tragedy of epidemic proportions. We have watched for nearly two decades as the crisis has ruined families, laid waste to communities, and crippled our workforce. Yes, Congress must take swift action, but true progress will depend on new policies that are guided by the irrefutable medical evidence — and not the bias and stigma that has traditionally permeated the debate and government decision-making. When it comes to doing the right thing for America, Congress needs to embrace and understand two fundamental truths about opioid addiction — and acknowledge and dispose of a big, deadly lie. (Newt Gingrich, 6/14)

The Wall Street Journal: This Is No Time To Go To Pot
Sens. Cory Gardner and Elizabeth Warren have introduced a bill to legalize marijuana at the federal level in the name of “states’ rights.” In reality, it would give birth to Big Tobacco’s successor. This dangerous proposal would allow the marijuana industry to market high-potency pot candies, gummies and 99% pure extracts (compare that with 5% potent Woodstock weed). With 70% of today’s illicit drug users having started with marijuana, not prescription drugs, according to the National Institute on Drug Abuse, this is exactly the wrong time to legalize pot. (Patrick Kennedy and Kevin Sabet, 6/14)

Los Angeles Times: Of Course Students At UC And Cal State Campuses Should Have Access To Medication Abortions
The University of California and the California State University have nearly three dozen campuses scattered across the state and every one of them has a student health center. All of those centers provide basic reproductive healthcare, including gynecological exams and contraception. Senate Bill 320 would extend that to include what is known as a medication abortion — a simple and safe nonsurgical procedure that involves taking two pills. This is a sensible and smart addition to the healthcare services already provided to hundreds of thousands of women at UC and Cal State campuses, many of whom fall into the age range of women (20-24) with the highest rate of abortion. (6/15)

Stat: Congress Needs To Back Legislation Supporting Disaster Preparedness
The Energy and Commerce Subcommittee on Oversight and Investigations has been holding hearings on the current state of U.S. public health biopreparedness. Its goal is to improve the country’s ability to respond to biological attacks, pandemics, and outbreaks of emerging infectious diseases. Among the topics for discussion is the reauthorization and funding for an essential piece of legislation, the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018. Aimed at reauthorizing an earlier law, this act would ensure that the U.S. is poised to effectively prevent, detect, and respond to threats that could weaken public health. (Nicolette Louissaint, 6/15)

Sun Sentinel: The Bishops Want More Control Over Your Health Care?
As the Trump administration continues to attack women’s reproductive rights, an important, but little understood trend is already reshaping health care options for women. Catholic-run or -affiliated health care institutions are taking up a growing share of the U.S. health care sector. Why should this matter? Although Catholic facilities are in some ways comparable to their secular counterparts, there is one major exception. They are governed by a set of 72 Directives set by popes, bishops and Vatican councils that restrict women’s reproductive care and other services. And this week, the US Conference of Catholic Bishops (USCCB) annual Spring General Assembly seems primed to discuss how to tighten implementation of these Directives. (Cynthia Romero, 6/14)

The Hill: States Must Hold Trump To His Word On Working With Them To Solve ObamaCare
On the very day he was inaugurated, President Trump issued his first executive order directing all federal agencies to cooperate with and “provide greater flexibility to states” as they looked for ways to stop the premium pains of ObamaCare. So far, 500 days later, that order has yet to be followed. Sure, Secretary of Health and Human Services, Tom Price and the administrator of the Centers for Medicare and Medicaid Services, Seema Verma promptly called for innovative solutions and promised to work with states to numb the pain that ObamaCare continues to inflict on health-care markets. But actions always speak louder than words and, thus far at least, federal action has denied or delayed most of the state innovation waivers requested under Section 1332 of the Affordable Care Act. (Rea S. Hederman Jr., 6/14)

Miami Herald: Connecting To Religion And Faith Can Reduce Suicides
Recent celebrity suicides have sparked much discussion about depression and mental illness. There was, however, little talk of spiritual health. That’s unfortunate. Even as the suicide rate rises, a growing body of research testifies to a positive relationship between faith and mental health. The help so many need may be as close as the nearest house of worship. Suicide is now the 10th leading cause of death among American adults and the second leading cause among youth and adolescents. (Emilie Kao, 6/15)

Des Moines Register: Iowa's Increased Suicide Rate Must Become A Call To Action
If Iowa leaders needed another reason to follow through with improving mental health services, it arrived in a recent report from the Centers for Disease Control and Prevention.Suicide rates among Americans age 10 or older have risen significantly in nearly every state, making it the 10th-leading cause of death in the country. Iowa’s rate increased 36.2 percent since the late 1990s. Last year, 433 of our neighbors died by suicide. (6/14)