The New York Times: National Health Spending To Surpass $10,000 A Person In 2016
National health spending will average more than $10,000 a person this year for the first time, the Obama administration said Wednesday, a milestone that heralds somewhat faster growth in health spending after several years of exceptionally low growth. By 2025, the administration reported, health care will represent 20 percent of the total economy, up from 17.8 percent last year. By 2025, one of every five Americans will be on Medicare, and the program will spend an average of nearly $18,000 a year for each beneficiary. Medicare spent about $12,000 per beneficiary in 2015. (Pear, 7/13)

The Associated Press: $10,345 Per Person: U.S. Health Care Spending Reaches New Peak
A stronger economy, faster growth in medical prices and an aging population are driving the trend. Medicare and Medicaid are expected to grow more rapidly than private insurance as the baby-boom generation ages. By 2025, government at all levels will account for nearly half of health care spending, 47 percent. (Alonso-Zaldivar, 7/14)

The Washington Post: Health Care Spending Is Projected To Grow Much Faster Than The Economy
The report, compiled by a team of government actuaries, shows overall health spending picking up after a historic slowdown, but the growth remains lower than the nearly 8 percent annual growth in the two decades before the Great Recession. The Obama administration — including the president himself in a recent essay — has credited the Affordable Care Act with keeping health expenditures in check. But economists remain uncertain whether the slowdown in spending is because of provisions of the law or might be explained by other factors. (Johnson, 7/13)

The Wall Street Journal: Pace Of U.S. Health Spending Increased In 2015, With Further Rise Expected
The pickup in the past two years follows five consecutive years in which average spending growth through 2013 was less than 4% annually, the lowest rates since the government began tracking health-care spending in the 1960s. The acceleration is largely attributed to a stronger economy, faster growth in medical prices and an aging baby boom generation. Spending growth in 2014 and 2015 was also driven by expanded coverage under the Affordable Care Act because it means more people are using health services. At the same time, the law has helped rein in spending growth, administration officials said. However, the actuaries said quantitative estimates that measure the impact of the ACA aren’t yet available. (Armour, 7/13)

The Hill: US Health Spending Rises To $3.2 Trillion
Drug spending has been a particularly scrutinized area given calls to address the rising cost of prescription medications. The report finds that drug spending grew 8.1 percent last year, a slight slowdown from the spike of 12.2 percent the year before. (Sullivan, 7/13)

Modern Healthcare: Healthcare Spending Growth Rate Rises Again In 2015
CMS actuaries wrote that higher rates of health coverage through Medicaid expansion and the ACA's public exchanges, as well as more people getting insurance through their employers, “resulted in a slight acceleration in spending growth.” Indeed, 2014 kicked off the full-scale rollout of expanded Medicaid eligibility for all people who earn up to 138% of the federal poverty level as well as the introduction of the state and federal insurance marketplaces. The exchanges have become financial headaches for many health insurers, though not all. (Herman, 7/13)

Morning Consult: Health Care Expenditures Heading Toward 20 Percent Of Economy
“The Affordable Care Act continues to help keep overall health spending growth at a modest level and at a lower growth rate than the previous two decades. This progress is occurring while also helping more Americans get coverage, often for the first time,” said CMS Acting Administrator Andy Slavitt in a statement. (Owens, 7/13)

The New York Times: Senate Approves Bill To Combat Opioid Addiction Crisis
The Senate on Wednesday approved a bill to tackle the nation’s opioid crisis, sending to the president’s desk the most sweeping drug legislation in years in a rare instance of consensus in Congress. The measure, which passed, 92 to 2, would strengthen prevention, treatment and recovery efforts, largely by empowering medical professionals and law enforcement officials with more tools to help drug addicts. It would also expand access to a drug that emergency medical workers could use to help reverse overdoses and improve treatment for the incarcerated. (Huetteman, 7/13)

The Wall Street Journal: Congress Passes Bill To Fight Opioid Abuse, But Funding Clash Continues
The legislation will authorize almost $900 million over five years for prevention, treatment and law enforcement efforts to fight the health crisis. “This is a historic moment, the first time in decades that Congress has passed comprehensive addiction legislation, and the first time Congress has ever supported long-term addiction recovery,” said Sen. Rob Portman (R., Ohio), who along with Sen. Sheldon Whitehouse (D., R.I.) introduced the Senate version of the bill. (O'Keeffe, 7/13)

Stat: Senate Sends First Major Opioids Legislation To Obama’s Desk
The legislation would create a $100 million-per-year grant program within the US Department of Justice to support states in fighting opioid addiction. Programs that offer an alternative to jail time, overdose training for first responders, and prescription drug-monitoring programs are some of the efforts that could be funded. Other provisions include allowing nurse practitioners and physician assistants to administer medication-assisted treatment, undertaking awareness campaigns to try to deter opioid abuse, and requiring the US Department of Health and Human Services to set up a task force on pain management. (Scott, 7/13)

Politico Pro: Without Money, CARA Not Expected To Impact Opioid Crisis Soon
The catch is it doesn’t include a penny to fund them, although Republicans are pledging to provide resources to back up the bill through appropriations later this year. But when Congress returns in September, it’s expected to keep the government running with a continuing resolution, which typically keeps funding flat. “After the confetti has fallen and the champagne corks have popped, people are going to look back and say, ‘Where is this new funding? What are these new programs?’” said Daniel Raymond, policy director of the Harm Reduction Coalition and a supporter of the legislation. (Norman, 7/13)

The Hill: Congress Sends First Major Opioids Bill To Obama's Desk
The slow pace of action from Congress has, at times, drawn fierce criticism from advocates, particularly the families of people who have died of overdoses, who say national and state leaders have ignored the warning signs. Many say the Obama administration and the GOP-led Congress are not thinking big enough to tackle the problem. “I don’t think the speed at which the solutions are being adopted are even close to what they should be based on the enormity of the issue,” Gary Mendell, the founder and CEO of an anti-addiction group called Shatterproof, told The Hill earlier this year. “It’s not right, in relation to the amount of suffering that’s going on.” (Ferris, 7/13)

The Associated Press: Congress Sends Obama Compromise Drug-Abuse Bill
In a statement, the White House said Obama would sign the bill while expressing disappointment that it failed to provide significant money to deal with the epidemic. "Some action is better than none," the White House said, but Obama "won't stop fighting to secure the resources this public health crisis demands. Congressional Republicans have not done their jobs until they provide the funding for treatment that communities need to combat this epidemic." (Daly, 7/13)

Meanwhile, governors are also uniting to battle the epidemic —

The Associated Press: In Rare Show Of Unity, Governors Vow To Fight Opioid Crisis
Nearly every U.S. governor pledged Wednesday to combat the opioid crisis that is leaving a trail of overdose deaths and misery in their states. At least 45 state governors signed on to the Compact to Fight Opioid Addiction committing to fight the epidemic, fueled by the overprescribing of prescription pain relievers. The National Governors Association released the compact ahead of its summer meeting, which starts Thursday in Des Moines, Iowa. (7/13)

The Associated Press: House Bill Allows Companies To Deny Abortion Coverage
The House backed legislation designed to circumvent a California order that requires health insurance companies to pay for elective abortions. The legislation passed 245-182 on a mostly party-line vote on Wednesday. Republicans say the California order upheld by the Obama administration last month would discriminate against companies and employees that oppose abortion on ethical and moral grounds. (Jalonick, 7/13)

The Hill: House Approves Bill To Shield Anti-Abortion Healthcare Workers
The House on Wednesday approved a controversial abortion bill that supporters say would help shield healthcare providers who refuse to perform the procedure on religious grounds. Anti-abortion lawmakers, including the bill’s chief sponsor, Rep. Diane Black (R-Tenn.), say it would bar state or local governments from penalizing healthcare providers who decline to offer abortions. (Ferris, 7/13)

The Wall Street Journal: Bill Would Forbid Firms From Getting Workers’ Birth-Control Details
A Democratic congresswoman is proposing legislation that would keep employers from accessing data about individual employees’ birth-control prescriptions. The Birth Control Privacy Act, introduced in the House of Representatives on Wednesday by Rep. Suzan DelBene of Washington, would explicitly prevent workplace health vendors from sharing information about individual workers’ use of birth control. Rep. DelBene said she introduced the bill in response to a story published this year in The Wall Street Journal that described how some workplace health programs mine employee health data— such as claims for birth-control prescriptions and other information, including age and search data—to predict whether an employee might be pregnant. (Silverman, 7/13)

Meanwhile, the head of the Susan B. Anthony List talks about her top election priorities —

The Wall Street Journal: Antiabortion Group Lays Out Central Goals For 2016
A prominent antiabortion group says banning terminations after 20 weeks of pregnancy and blocking taxpayer funding of abortion and Planned Parenthood are the key issues that it will use to rally support for its congressional and White House candidates this fall, following recent setbacks in the courts. Marjorie Dannenfelser, president of the Susan B. Anthony List, said at a press conference Wednesday that she was encouraging candidates to focus on aspects of the abortion debate where they have the most support — such as getting a bar on abortions later in pregnancy, and preserving restrictions on federal dollars being used for abortion, or for any services at Planned Parenthood, the clinic network that also provides contraception and reproductive health screening. (Radnofsky, 7/13)

Chicago Tribune: Obamacare Company Shutdown Leaves Customers In A Lurch, Facing Higher Costs
The Illinois Insurance Department moved Tuesday to shut down Land of Lincoln because of its unstable financial health, leaving about 49,000 policyholders in a lurch. They will lose coverage in the coming months, but neither regulators nor the company have said exactly when. Policyholders will be able to buy insurance from a different carrier to cover them for the rest of 2016, according to the state Insurance Department. But switching plans is going to cost them. The co-pays and deductibles enrollees have been paying since January will not transfer to new plans. A new plan will reset deductibles and out-of-pocket maximums paid by consumers. (Sachdev, 7/13)

Kaiser Health News: Seven Remaining Obamacare Co-Ops Prepare Survival Strategies
New failures are piling up among the member-run health insurance co-ops carrying out one of the Affordable Care Act's most idealistic goals, leaving just seven remaining when the health law's fourth enrollment season starts in the fall. There were 23 in 2014. The public knows them as co-ops. They’re officially called consumer operated and oriented plans in the health law. Eleven are still in business, but four in Oregon, Ohio, Connecticut and Illinois will disappear by fall due to financial insolvency. (Galewitz, 7/13)

Morning Consult: Top CMS Official Tries To Defend Co-Ops As Conservatives Label Program A ‘Failure’
A top Centers for Medicare and Medicaid Services official defended the health insurance co-ops created under the Affordable Care Act Wednesday, after four more of the nonprofit insurers announced they would take steps to wind down in recent weeks. Kevin Counihan, the CEO of HealthCare.Gov, told a subcommittee of the House Committee on Oversight and Government Reforms that the co-ops have spurred innovation within the health insurance marketplace and given consumers more opportunities. But Republicans on the panel railed against the program, as about two-thirds of the co-ops have now announced steps to close down. (McIntire, 7/13)

Cleveland Plain Dealer: Obamacare In Ohio: Hospitals Respond With Innovation And Efficiency, But Care Remains Costly
At Cleveland Clinic, the onset of the Affordable Care Act prompted a massive cost-cutting effort that has trimmed $600 million in expenses over the last three years. University Hospitals has responded to the law by re-engineering the way it does everything from hip replacement surgeries to appointment booking. And MetroHealth Systems is shifting its entire model of care, delivering more preventive care to outpatients to keep them, whenever possible, from becoming hospital inpatients. (Ross, 7/13)

Bloomberg BNA: IRS Proposes Rules On Opt-Out Payments Under ACA
Opt-out payments offered by employers may be used to determine affordability under the Affordable Care Act, depending on whether they are conditional or unconditional, according to IRS proposed rules. Under the proposed rules, opt-out payments, cash payments given to employees who opt-out of their employer-sponsored health insurance, will be treated as a salary reduction for the purposes of determining health insurance affordability if they are considered unconditional. (Elgatian, 7/13)

The Fiscal Times: Here’s How Big The Proposed Price Hikes Are For Key Obamacare Plans
Consumers who purchase their insurance through the public exchanges will likely see prices rise again next year, according to a new analysis of proposed premiums for next year. The Avalere Health analysis of 14 states where data is available finds that premium increases for average silver plans would go up by 11 percent. Lower-cost silver plans would increase a bit less, by 8 percent. The average price of silver premiums for a 50-year-old male non-smoker would increase 11 percent to $508, according to the report. (Braverman, 7/13)

MTN (Montana) News: More Than 47K Montanans Signed Up For Expanded Medicaid Coverage
Montana’s Medicaid expansion is covering 47,400 low-income people so far this year and has paid for $75 million in care, with federal money, Bullock administration officials told an oversight panel Wednesday. Jessica Rhoades, policy director for the state Department of Public Health and Human Services, said as of May, the program has paid for 11,000 preventive dental exams, 2,600 wellness exams, 3,600 cholesterol screenings and 1,300 vaccinations. (Dennison, 7/13)

Montana Public Radio: Medicaid Expansion Brings $75 Million In Federal Funding To Montana
Montana’s Medicaid expansion also requires recipients with incomes greater than 100 percent of the federal poverty level to pay premiums, averaging $26 a month. Officials say 379 Montanans have been dis-enrolled from Medicaid for failing to pay. The state has collected $1.1 million in Medicaid premiums so far. And the state has saved more than $5 million by shifting some people who previously received Medicaid into the expansion population, and receiving federal reimbursement for them. (Whitney, 7/13)

The Associated Press: Roy Cooper "Jobs Plan" Includes Medicaid Expansion, HB 2 Repeal
Democratic gubernatorial nominee Roy Cooper unveiled his “jobs plan” on Wednesday, promising that if elected, he’ll expand Medicaid and broadband access, cut taxes for the middle class, pass a transportation bond and repeal the law on discrimination known as House Bill 2. ... Supporters say expanding Medicaid to cover hundreds of thousands of uninsured working people would generate health-care jobs and revitalize rural hospitals by leveraging a relatively small amount of state money. The Republican-led General Assembly voted in early 2013 to prevent any such expansion without its approval. (7/13)

In other Medicaid news —

Idaho Statesman: Can Uber-Style Rides Work For Medicaid Patients In Idaho?
The afternoon of June 30, Jeremy Ricky was shutting down his Boise transportation company. As the 14 full-time drivers at Trinity Transport parked their vehicles for the last time, Ricky said a change in a state contract had slashed payments to his business, forcing it to close. He worried the contract also will cause missed therapy or medical appointments for Idaho’s most vulnerable residents. The Idaho Department of Health and Welfare chose a new contractor to arrange transportation for Medicaid patients to go to health care-related appointments. After evaluating bids from five companies, the state hired Veyo, a San Diego startup that uses Uber-like technology in urban areas to move patients in a way it says is more efficient and less costly. (Dutton, 7/13)

The Washington Post: Four Countries Face The Highest Risk Of Zika Virus From The Olympics
Four countries face the highest risk of a Zika outbreak if a single one of their athletes or travelers becomes infected during the Summer Olympics in Rio de Janeiro, according to a risk analysis published Wednesday by U.S. health officials. The four countries -- Chad, Djibouti, Eritrea and Yemen -- have the factors that could result in a sustained spread of the mosquito-borne virus in a worst-case scenario, according to the Centers for Disease Control and Prevention. (Sun, 7/13)

The Wall Street Journal: Global Zika Risk Is Low For Rio Olympics, CDC Says
The 350,000 to 500,000 visitors expected at the Olympic and Paralympic Games in August and September represent less than 0.25% of the total estimated travel to Zika-affected countries in 2015, the CDC analysis found. Estimated travel to the U.S. from Rio for the Games is 0.11% of all 2015 U.S. travel from countries where Zika is now spreading, the CDC said. “The relative contribution of the Olympics is really quite small,” said Martin Cetron, director of the CDC’s division of global migration and quarantine, who led the analysis. (McKay, 7/13)

Stat: Olympics Pose Direct Zika Threat To Only Four Countries, CDC Says
Brazil’s hosting of the Olympics next month has prompted concern that the games could propel the spread of Zika across the globe. But the event in Rio de Janeiro is unlikely to cause the virus to spread to new places, according to a new report from the Centers for Disease Control and Prevention. The CDC’s risk assessment, published Wednesday, bolsters the case that the games should not fuel much wider spread of the mosquito-borne Zika virus, which can cause birth defects when it infects pregnant women. A key reason: Even though hundreds of thousands of people are expected to head to Rio, they represent only a small percentage of the overall travel to and from areas with Zika transmission. (Joseph, 7/13)

Meanwhile, tensions continue to roil on the Hill over the funding stalemate —

The Hill: GOP Chairman Blasts White House Over Zika Spending
A top GOP chairman is blasting the White House for what he described as millions of dollars that could be used to fight the Zika virus, as Congress is locked in a tense partisan stalemate over funding for the virus. House Appropriations Committee Chairman Hal Rogers (R-Ky.) said Wednesday that the Obama administration has spent just $90 million of the $590 million it redirected from its Ebola virus fund in April to launch efforts against Zika. (Ferris, 7/13)

Morning Consult: McConnell, Ryan Turned Down White House Meeting On Zika, Reid Says
Republican leaders in Congress declined a meeting with administration officials to work on fighting the Zika virus, Minority Leader Harry Reid (D-Nev.) revealed Wednesday on the Senate floor. Still, Majority Leader Mitch McConnell (R-Ky.) said Tuesday that he’s spoken with both President Obama and Health and Human Services Secretary Sylvia Burwell about the issue. (McIntire, 7/13)

And media outlets cover developments out of the states —

The Texas Tribune: First Baby With Zika-Related Microcephaly Born In Texas
A baby boy born with microcephaly in Harris County is the first Zika-affected infant in Texas, the Texas Department of State Health Services announced Wednesday. The baby's mother contracted Zika in Colombia, and the baby was infected in the womb, according Umair Shah, executive director of Harris County Public Health. The baby was born a few weeks ago in Harris County outside of Houston, and tests confirmed that he had Zika on Monday, Shah said. (Taft, 7/13)

Orlando Sentinel: Zika Update: 2 New Cases In Orange County; Florida Total: 293
The number of travel-related Zika cases in Florida is getting closer to 300, including 11 new cases confirmed on Wednesday by the state health department. There have been 25 cases in Orange, 12 in Osceola, nine in Seminole and one in Lake County, since the state began reporting travel-related Zika cases in eary February. (Miller, 7/13)

Richmond Times Dispatch: Virginia Will Begin Testing Mosquitoes For Zika Virus In Targeted Areas
As the number of Virginians infected with the Zika virus jumped to 38 this week, state health care leaders gathered Wednesday to educate the public and share tactics on ways to prevent the virus, which has spread rapidly through Latin America and the Caribbean, from doing so in Virginia. ... There has yet to be a local transmission of Zika — which is spread through mosquitoes and sexual activity — in the U.S. All the reported cases of the illness in Virginia are related to residents traveling outside the country. As of July 7, the number of infected Virginians stood at 33. (Demeria, 7/13)

Los Angeles Times: Brain Changes Wrought By Gene Linked To Alzheimer’s May Begin In Childhood, Scientists Say
The gene that makes some people more vulnerable to Alzheimer’s disease as adults also affects the brain development and mental abilities of children, a new study shows. Researchers who examined brain scans of 1,187 kids and teens found distinct patterns in the size and structure of the cortex, hippocampus and other important structures. These patterns were linked with different versions of a gene known as APOE, which may play a role in up to 25% of Alzheimer’s cases. (Kaplan, 7/13)

Boston Globe: New Research Consortium To Focus On Alzheimer’s
Five drug makers, including Cambridge-based Biogen Inc., are banding together with academic scientists to form a research consortium aimed at speeding development of therapies for Alzheimer’s, a neurological disorder that has stubbornly eluded treatments. The new group, which will be formally launched Thursday night at an event at Massachusetts General Hospital, is called the Massachusetts Center for Alzheimer Therapeutic Science, or MassCATS. It will be based at a Mass. General research center. (Weisman, 7/14)

KQED: Sex, Drugs And The Controversial AIDS Activist
As an AIDS activist 30 years ago, Michael Weinstein helped defeat an inflammatory ballot measure that could have quarantined Californians with the disease. Today, Weinstein has turned to the ballot to advance his own controversial vision for public health. President of the Los Angeles-based AIDS Healthcare Foundation, which has clinics around the world, Weinstein is the architect of two initiatives Californians will vote on in November: Proposition 60, which would require actors in adult films to use condoms, and Proposition 61, which would cap the price state health programs pay for prescription drugs. (Rosenhall, 7/13)

PBS Newshour: ‘Ending AIDS’ In New York Means Finding The Most Vulnerable
Nearly one in 10 Americans living with HIV live in New York, where an ambitious plan aims to cut new infections and HIV-related deaths. But it has serious challenges, including keeping people on their meds, and stopping the spread among IV drug users. (Brangham, 7/13)

In other California ballot measure news —

California Healthline: Hospital Finance Measure On State Ballot May Stump Voters
California voters will be asked to weigh in this November on a hospital financing measure so politically and financially complicated that they might be tempted to avoid it altogether. The initiative, Proposition 52, would make permanent the “Hospital Quality Assurance Fee,” which the state collects from private hospitals to bring in additional federal dollars for Medi-Cal, California’s version of the federal Medicaid health care program for the poor. The federal government matches money that California puts up to fund Medi-Cal services. (Bartolone, 7/13)

The Washington Post: Here Are Some Ways Cancer Can Thwart The New Immunotherapy Drugs
A new type of cancer drug designed to unleash the immune system is revolutionizing treatment for advanced melanoma, lung cancer and other malignancies. But some patients who initially respond to the therapy relapse, and researchers are anxious to figure out how and why the delayed resistance occurs. "Does the immune system stop working, or does the cancer change so that it's no longer responding to the immune system?" said Antoni Ribas, director of the Jonsson Comprehensive Cancer Center Tumor Immunology Program at the University of California at Los Angeles. (McGinley, 7/13)

Stat: Next-Generation Prosthetics Aim To Rewire The Brain And The Body
As program manager and chief engineer for the Johns Hopkins University’s Applied Physics Laboratory, (Michael) McLoughlin helped lead the development of “modular prosthetic limb” technologies, which have helped amputees experience lifelike movement of prosthetic limbs. The initiative has been backed by roughly $120 million from the Defense Advanced Research Projects Agency, or DARPA, and leverages new neurological sensor technology and robotics. (Tedeschi, 7/13)

Los Angeles Times: A Genetic Link Between Red Hair, Freckles And Skin Cancer
Whether you call them gingers, the devil’s spawn or just-plain sexy, be sure to call redheads out of the sun because along with their fiery tresses comes a powerful propensity to develop melanoma, a particularly deadly form of skin cancer. And now, scientists are beginning to uncover why redheads — and probably the non-gingers who carry a genetic variant common to redheads — may be so vulnerable: For those who carry an allele, or gene variant, associated with red hair and freckles, cancer-causing genetic mutations occur at a rate 42% greater than they do for people who don’t carry that gene variant. (Healy, 7/12)

Stat: The Superbugs Are Winning The Battle Against Us
This is totally sleeper phase right now … you want to get your arms around it before it really wakes up.” That’s Anthony Fauci, head of the National Institute of Allergy and Infectious Diseases. He’s talking about the scariest new threat in one of the biggest public health problems of our time. The threat: a deadly new superbug that’s just starting to surface. The problem: the rise of antibiotic resistance. Public health officials are warning we could be headed toward a post-antibiotics world, unless we do something, and fast. So where do we start? Inside a cave. (Tirrell and Timmerman, 7/14)

The Columbus Dispatch: Preschoolers Late For Bed May End Up Obese Teens
Here’s another reason to tuck your young children into bed early: It might help lower their risk of obesity during their teenage years. Ohio State University College of Public Health researchers say early bedtimes are an integral part of developing healthy behaviors that can last a lifetime. Sarah Anderson, an associate professor of epidemiology and lead author of the study, said poor sleep, especially not getting enough, is a known risk for obesity. (Fochesato, 7/14)

Graphiq: America's Decreasing Fertility Rate Could Spell Economic Trouble
In the late 1950s, American women could expect to have 3.7 children, on average. By 2014, that number had dropped to 1.9. Women around the world are having fewer children than ever, and this decline in fertility rates could spell trouble for some countries. While those who believe that the world is already overpopulated consider this trend a good thing, countries in which the fertility rate is lower than the replacement rate might struggle economically in the future. (Perrym, 7/13)

Stat: Cut-Rate Tummy Tucks Blamed For An Outbreak Of Nasty Skin Infections
The Centers for Disease Control and Prevention is warning Americans about the risks of “medical tourism” after nearly two dozen US residents contracted serious infections related to cosmetic surgery in the Dominican Republic.The 21 people affected were all women who underwent surgeries including liposuction, tummy tucks, butt implants, and breast reduction at one of five clinics in the Dominican Republic in 2013. In the process, they were infected with rapidly growing mycobacteria, organisms that thrive in dirty water and may enter the body during a procedure in an unsterile environment. (Seervai, 7/13)

The Baltimore Sun: New Scorecard Ranks Baltimore In Top Third Of Cities For Health
Health care improved across the U.S. in the three years ending in 2014, though progress was uneven around the country, according to a new scorecard released by the Commonwealth Fund. The nonprofit health research group looked at three dozen indicators in 306 localities nationwide that were grouped into categories, including access and affordability of care, prevention and treatment, potentially avoidable hospital use and cost, and health behaviors and outcomes. (Cohn, 7/14)

Georgia Health News: Ga. Health Care Markets Show Improvements, But Also Big Gaps
Seven Georgia urban markets saw general improvement in their health care systems from 2011 through 2014, according to a new national study released Thursday. But each of the seven metropolitan areas was ranked in the bottom half of the 306 U.S. communities evaluated in the Commonwealth Fund’s health system ‘’scorecard.” Atlanta received the highest ranking among the Georgia markets, at 189. It was followed by Columbus, at 207; Augusta, 229; Savannah, 247; Albany, 256; Macon, 294; and Rome, 298. (Miller, 7/14)

Houston Chronicle: Access To Health Care Improves, But Unevenly, Report Says
While access to health care and insurance coverage has improved in the United States, troubling gaps persist in Texas and across the country that have been toughest on poor Americans, according to a major report on the nation's health care system. (Deam, 7/14)

Sarasota Herald-Tribune: Sarasota Health Market Strongest In State, Report Finds
Sarasota had Florida's strongest local health system in 2014 in terms of access and affordability of care, prevention and treatments, avoidable hospital use and healthy lifestyles, according to a nationwide report from The Commonwealth Fund, a nonprofit research group focused on promoting a health system that improves access and quality for all people. (7/14)

Greenville News: Greenville Area Drops In National Ranking Of Health
The greater Greenville County area fell six places on a national scorecard ranking the health status of communities between 2012 and 2016, a new report shows. But that has more to do with greater rates of improvement in other communities than declines here, a scientist involved in the rankings said. The region dropped from 178 to 184 in a ranking of 306 communities by The Commonwealth Fund, a private foundation that advocates for a better health care system. (Osby, 7/14)

Arizona Daily Star: Tucson Could Improve Its Health, New Report Says
When it comes to health, a new report says that where you live matters — and that in Tucson there’s room for improvement. Data from a New York-based nonprofit, The Commonwealth Fund, ranks Tucson 163rd out of 306 metropolitan areas in a score based on 36 indicators of health care and health quality. Phoenix ranked below Tucson, at 180th. Honolulu, Hawaii, was ranked first and Hattiesburg, Mississippi, was ranked last. (Innes, 7/14)

The Center For Investigative Reporting: California Bill Could Protect Injured Workers From Convicted Providers
California lawmakers are advancing a bill that would bar medical providers who’ve been convicted of felonies from treating injured workers. The bill would require the state Department of Industrial Relations to ban medical providers who have also been stripped of a medical license or excluded from Medicare or Medi-Cal for a fraud-related offense. Citing a recent investigation by Reveal from The Center for Investigative Reporting, bill author Assemblyman Adam Gray, a Merced Democrat, told the Senate labor committee on June 29 that the state needs to stop letting people care for injured workers after they are locked out of other government health programs. (Jewett, 7/13)

The Tennessean: Report: Catastrophic Health Insurance Claims Rise For Businesses
Tennessee is among the most expensive states in the country for high-cost medical, or "catastrophic," claims, according to a report from SunLife Financial that analyzed its stop-loss insurance data. The state, along with Alabama, Kentucky and Mississippi, had the highest claim charges associated with what are called catastrophic claims – 27 percent higher than the national average. It was the most expensive region analyzed in the 2016 Catastrophic Claims Conditions report. (Fletcher, 7/13)

St. Louis Public Radio: Missouri Legislators Hope To Repeal Abortion Laws After Similar Rules Struck Down In Texas
Three Democrats in the Missouri legislature plan to file bills repealing two of the state’s laws restricting abortion facilities, following a recent U.S. Supreme Court decision that threw out similar measures in Texas. (Bouscaren, 7/13)

Cincinnati Enquirer: Kasich Signs Bills Addressing Developmental Disabilities
In a room lined people with developmental disabilities, Gov. John Kasich signed into law two bills Wednesday he believes will alleviate some of the burden they and their families face. ... Kasich signed two different bills at the St. Joseph Home in Sharonville: House Bill 483, which is aimed to allow more direct nursing from health care staff among other provisions and House Bill 158, which replaces all phrasing of “mental retardation” in the Ohio Revised Code with “intellectual disability.” (Samarghandi, 7/13)

Star Tribune: Minnesota's Health Tech Firms Saw Big Funding Increase In First Half
Minnesota health technology firms saw another sharp increase in investment capital in the first half of the year, according to an industry survey. Through June 30, 64 companies raised $227 million, about $174 million of which came in the second quarter alone, according to research published Wednesday by trade group Medical Alley Association. (Son, 7/13)

The Texas Tribune: See Which Texas Schools Have High Vaccine Exemption Rates
In Travis County, where residents are among the best educated in Texas, efforts by national medical groups to debunk concerns about vaccines appear to be meeting some of the strongest resistance. Parents of school-aged children there are choosing to avoid vaccine requirements at among the highest rates in the state, according to state data. (Smith and Daniel, 7/14)

Health News Florida: Want To Watch A Surgery? Just Log Into Facebook
Dr. Castellano, a plastic surgeon working out of his offices in a retirement community about two hours north of Tampa... has been broadcasting surgeries live for just over a year now, and has posted more than 400 videos. He started with wearable tech, like Google Glass, but found it too limiting, so he moved on to streaming straight from his smartphone. (Miller, 7/14)

Star Tribune: Feds Taking A Close Look At Abbott's Proposed Purchase Of St. Jude Medical
Federal antitrust regulators are closely scrutinizing the proposed $25 billion tie-up of local medical device-maker St. Jude Medical and its much larger acquirer, Chicago-based health care products maker Abbott Laboratories. After market-close Tuesday, the companies alerted investors that they had received a “second request” for information about their proposed deal from the Federal Trade Commission, which regulates anticompetitive mergers and acquisitions. (Carlson, 7/13)

San Antonio Express-News: Marathon Oil Sued Over Use Of Workers’ Health Care Funds
Marathon Oil Co. is accused in a lawsuit of teaming up with an insurance company to embezzle Marathon employee health care funds. The suit, filed by Redoak Hospital in U.S. District Court in Houston, alleges that Marathon entered into “an unlawful agreement” with United Healthcare that allows the Minneapolis-based insurer to use money set aside by Marathon and its workers to cover the health care expenses incurred by employees and dependents of unrelated companies, according to the case filed last month. (Sixel, 7/13)

The New York Times: Obama On Obamacare’s Flaws: An Assessment
President Obama has published an essay on Obamacare in The Journal of the American Medical Association. While it hit a lot of the Affordable Care Act’s high points, it was also pretty frank that the health law has some weaknesses that need to be fixed. Margot Sanger-Katz and Reed Abelson, two New York Times reporters who have been covering Obamacare, discuss the policy changes that the president wants. (Reed Abelson and Margot Sanger-Katz, 7/13)

Forbes: The GOP Needs To Tackle The High Price Of Prescription Drugs
Last month, House Speaker Paul Ryan unveiled the GOP’s comprehensive plan for health reform. It included 30-odd pages of constructive proposals for replacing Obamacare, reforming entitlements, and promoting innovation. But the plan was also notable for what it didn’t contain: a clear plan to tackle the high and rising price of branded prescription drugs. Like objects in the rear-view mirror, drug prices are a bigger problem than they seem. (Avik Roy, 7/12)

Cincinnati Enquirer: Close The Generic Drug Safety Loophole
In April 2009, my daughter Kira’s supervisor called me one morning to say she hadn’t shown up to work. I went to her apartment and found her lying on her couch, turning blue. ... Her biggest health problem was a torn ACL, not exactly a life-threatening condition. Her doctor prescribed her propoxyphene, the generic form of the painkiller Darvon, while she awaited ACL surgery. My husband and I didn’t think it was a big deal. Kira died just a few days after she started taking the drug. (Tammy Gilbert, 7/13)

Forbes: A New Vision For Medicare: Breaking Down Barriers Between Medical Treatment And Personal Care
Medicare needs to better serve a population of older adults who live longer and with more chronic conditions than they did in the 1960s. Medicare’s fee-for-service acute care model may have worked well in the days when treating heart attacks and strokes were a primary focus of health care. But in the past half-century, medical science has turned heart disease and even some cancers into chronic conditions. Unfortunately, these advances have also made it possible for more of us to live long enough to show symptoms of dementia. Roughly 90 percent of Medicare dollars are spent on seniors with chronic conditions. Those profound changes require a model of care that fully integrates medical treatment with personal assistance and social supports. (Howard Gleckman, 7/13)

Stat: What The Fading Ebola Epidemic Can Teach Us About The Looming Zika Crisis
As the world’s worst Ebola epidemic fades in the rearview mirror of history, it’s worth remembering what happened and the key lessons learned. ... Quick action taken by Congress to provide desperately needed funding and other resources was critical to CDC’s ability to stop Ebola and build safeguards needed to prevent an Ebola resurgence. Yet no such action has yet been taken on Zika, despite the dire threat the virus poses to pregnant women and their developing fetuses. (Thomas R. Frieden, 7/13)

Los Angeles Times: The Zika Crisis: How Congress Abandoned Its Duty To Govern
We can probably admit that the spectacle of a totally dysfunctional Congress has its entertaining aspects ... But the point comes when Congress needs to act in an emergency. Then the fun’s over. That point is now, and the emergency is the spread of the Zika virus. (Michael Hiltzik, 7/13)

Stat: Stop Using The Zika Virus To Attack Planned Parenthood
Imagine a virus for which there is no vaccine that can be sexually transmitted and lead to devastating birth defects. Imagine also that a powerful tool is available to combat it. You would expect — even demand — that policymakers immediately make that tool as widely available as possible. That virus, the Zika virus, is here today. But Republicans in Congress are ignoring medical science by trying to restrict access to family planning, a proven form of protection from Zika’s harms, as part of their ongoing and dangerous crusade against women’s health care providers. (Dawn Laguens, 7/14)

Bloomberg: Utah's Ban On Planned Parenthood Funding Deserved To Be Reversed
A federal appeals court has ordered Utah Governor Gary Herbert to reinstate contracts with the state's Planned Parenthood chapter. Herbert had unilaterally suspended the funds after the release last summer of misleading videos that purported to show unrelated Planned Parenthood officers discussing the sale of fetal tissue. The court said Herbert had likely violated the Utah chapter’s free association rights and the right to abortion itself. The decision, reversing a federal district court judge based in Utah, is a useful reminder of why regional appeals courts are so valuable. (Noah Feldman, 7/13)

St. Louis Post-Dispatch: Jeopardizing Women's Health Care To Score Political Points
Republican legislators in Missouri think they can punish abortion providers, mainly Planned Parenthood, by rejecting $8.3 million in federal funding for women’s health clinics. The result, however, is to punish low-income women by endangering their health care access. (7/13)

The Conversation: Americans Want A Say In What Happens To Their Donated Blood And Tissue In Biobanks
Precision medicine, a promising new approach to treating and preventing disease, will require thousands, or even millions, of us to provide samples for genetic research. So how much privacy are we willing to give up in the name of cutting-edge science? And do we care about the kinds of research that will be done with our donations? (Raymond G. De Vries and Tom Tomlinson, 7/13)

The New England Journal of Medicine: Beyond Bathrooms — Meeting The Health Needs Of Transgender People
Visibility of transgender people and support for transgender rights have increased dramatically in recent years. ... Despite these shifts, transgender people still face substantial discrimination. ... The 2008–2009 U.S. National Transgender Discrimination Survey revealed that 28% of transgender adults experienced harassment in medical settings, 19% reported being refused care, and 28% postponed care because of discrimination; 50% of those who received care reported having to teach their clinicians about transgender care. Transgender people need clinicians who can provide proper health care. (Mark A. Schuster, Sari L. Reisner and Sarah E. Onorato, 7/14)

JAMA Psychiatry: Mental Illness And Firearms Background Checks—Combatting Violence Without Inhibiting Care
[T]he US Department of Health and Human Services (HHS) recently published a final regulation that amends the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule to enable disclosures to the federal background check system under specified circumstances .... [It authorizes] certain disclosures [but] tailored the permission in recognition of the importance of encouraging individuals to seek psychiatric care. Notably, the rule limits: (1) who can make such disclosures ... (2) to whom the disclosures may be made ... and (3) what may be disclosed .... The rule balances important values, including the public safety function of the NICS and the confidentiality of care, on which patients’ willingness to undergo psychiatric treatment often hinges. (Charles G. Kels, Jennifer A. Bernstein and Y. Tony Yang, 7/13)

The Dallas Morning News: Mental Health Bill Could Help Millions Receive Help
Faced with an issue as important as revamping the nation's mental health system, Congress has largely failed to get those struggling with mental health issues the help they require. Last week marked a sea change in our nation's mental health debate. In one of those rare moments when bipartisanship defeats political inertia, the House voted 422-2 for HR 2646, the Helping Families in Mental Health Crisis Act. (7/13)

The Witchita Eagle: Kansas Mental Health Centers Take Hits
Some legislative incumbents and candidates act as if the governor’s budget-balancing is just responsible fiscal management, without pain or other consequences. Those on the front line of community mental health in Kansas have a different view ... The Brownback administration’s 4 percent cut to Medicaid reimbursements as of July 1 is among the causes for concern. But the state also ended a short-lived “health homes” pilot program that had coordinated care for some mentally ill people with chronic medical problems, and a Medicaid mental health screening program (objected to by federal officials) that aimed to guide some patients into community-based rather than inpatient treatment. (Rhonda Holman, 7/13)

Deseret News: Why Not Expanding Medicaid Was The Right Choice For Utah
For those of us in the Utah Legislature who have opposed Medicaid expansion, the biggest stumbling block has always been the potential burden it places on our state and our taxpayers. There is no budget certainty with such an arrangement, and the danger becomes even greater when we realize that once we commit, we are obligated to pay whatever the costs may be, but the federal government can, at any time, change the rules as it has done over and over since the implementation of the ACA. (Utah House Speaker Greg Hughes, 7/13)

Sacramento Bee: Shady Union-Hospital Deal Is Double-Crossing Voters
California voters have been duped, defrauded and double-crossed twice, and now they’re being fed an outrageously disingenuous lie to cover it up. Earlier this month, a judge blocked an attempt by Oakland-based Service Employees International Union-United Healthcare Workers West to place on the November ballot an initiative to limit the pay of nonprofit hospital executives. Why did the judge block it? (Sal Rosselli, 7/13)

Georgia Health News: Summer Is Not A Time Off For ADHD Treatment
It is a common misperception that once school is out for the summer, psychiatrists who treat attention-deficit/ hyperactivity disorder can slow down a bit. In fact, the summer months are a critically important time for ADHD treatment and shouldn’t be overlooked. We all believe that summer for kids should be filled with time at the beach, camping and other fun activities. But for a child coping with ADHD, the symptoms don’t just disappear when the last bell of the school year rings. These kids continue to have problems paying attention and controlling their behavior. (Mary Burns, 7/13)