CNN: White House Seeks To Ease Americans' Medical Debt Burden
The White House is seeking to help lessen Americans’ medical debt burden, Vice President Kamala Harris announced Monday. In its latest effort to help people deal with increased costs amid skyrocketing inflation, the White House laid out a four-point plan to help protect consumers. It builds on President Joe Biden’s recent executive order on increasing access to affordable health care coverage. (Luhby, 4/11)

MarketWatch: White House Says It Wants To Make Medical Debt Less Of A Threat To Consumers’ Financial Health: 'The System Is Out To Get Them' 
The administration is asking federal agencies to erase medical debt as an underwriting factor in credit programs for certain consumer and small businesses whenever possible, the White House said Monday. For example, the rural housing loans that run through the U.S. Department of Agriculture are going to stop incorporating medical debt loads when devising borrower repayment plans, the White House said. Meanwhile, the Department of Veteran Affairs is looking at its guidelines after taking other steps to curb medical debt reporting. The Small Business Administration is reviewing its lending programs to spot ways to pull medical debt out of the equation when it comes to accessing capital, the White House said. (Keshner, 4/11)

Bloomberg: White House To Blunt Medical Debts For Veterans, U.S. Home Borrowers
Vice President Kamala Harris announced new steps designed to reduce the cost of federal home loans for Americans saddled with medical debt and make it easier for veterans to have health care bills forgiven during an event Monday at the White House. “I have met so many people in so many communities in our nation who are struggling with this burden, many of whom are managing an illness or an injury at the same time, and who stay up at night staring at the ceiling, wondering if they will ever be able to pay off their medical debt,” Harris said. “No one in our nation should have to endure that.” (Sink and Cook, 4/11)

PBS NewsHour: Federal Government To Act Against ‘Bad Actors’ In Medical Debt Collection, Harris Says
The federal government will be taking action against “bad actors” who break the law when attempting to collect medical debt, Vice President Kamala Harris said on Monday. “Our administration is also taking action against the bad actors. The folks who violate consumers rights to force people to pay medical debt,” Harris said during a speech announcing the new action to be taken by the Consumer Finance and Protection Bureau. (4/11)

Axios: Biden's Band-Aid On Medical Debt
But an increasing number of insured Americans can't afford deductibles, copayments or other out-of-pocket costs that are rising with the underlying cost of care. More than 40% of households don't have enough liquid assets to pay typical private plan cost-sharing, according to a recent KFF analysis. Taking some of the bite out of medical debt doesn't prevent it from accruing in the first place, and it could have unintended consequences. "Policymakers should be cognizant of potential unintended consequences that could undermine some of their goals. Lenders may find ways to proxy for the hidden medical debt or try to avoid consumers likely to have them," said the American Enterprise Institute's Ben Ippolito. (Owens, 4/12)

Also —

Modern Healthcare: HHS To Factor Medical Debt Practices Into Grant Decisions
The Health and Human Services Department will soon request data from more than 2,000 providers related to medical debt, the White House announced Monday. Providers may be asked to submit information on their medical bill collection practices, lawsuits against patients, financial assistance, financial product offerings and third-party contracting or debt-buying practices. HHS will use the information when making grantmaking decisions. The department also will make some of the data public and share potential violations with enforcement agencies. (Goldman, 4/11)

CBS Philly: Philadelphia Reinstating Indoor Mask Mandate After Moving Into Level 2 Of 4-Tiered COVID-19 Response System
Philadelphia has become the first major U.S. city to reimpose an indoor mask mandate. The city said Monday it’s reached the Level 2: Mask Precautions stage of its four-tiered COVID-19 response system, and that it will reimpose the mask mandate on April 18. Health Commissioner Dr. Cheryl Bettigole said the city will provide businesses with a one-week educational period before the mandate goes back into effect. (4/11)

In related news about mask mandates —

Axios: U.S. Universities Reinstate Mask Mandates Amid COVID Concerns
Universities nationwide are reinstating mask mandates amid an uptick in COVID-19 cases. The American University announced Monday it would reinstate its mask mandate in all Washington, D.C., campus buildings starting April 12. It joins Columbia, Georgetown, Johns Hopkins and Rice universities, which have also recently reinstated mask policies, according to the New York Times. The highly transmissible BA.2 subvariant of Omicron has sparked concerns about a possible surge. (Shapero, 4/11)

Axios: Biden Official: Mask Mandate For Airplanes Could Be Extended
Extending the federal transportation mask mandate that applies to airplanes, buses and trains is "absolutely on the table," Ashish Jha, the White House's new COVID-19 response coordinator, said Monday on the Today Show. The transportation mask mandate was extended last month but is currently set to expire on April 18. Jha stressed that the decision to extend the transportation mandate lies with Centers for Disease Control and Prevention director Rochelle Walensky. (Saric, 4/11)

In other updates on pandemic restrictions and relief —

The Hill: Biden Seeks To Resume Federal Worker Vaccine Mandate
The Biden administration on Monday asked a federal appeals court to clear a procedural hurdle that remained after a key legal victory last week and allow the administration to quickly resume enforcement of its COVID-19 vaccine mandate for federal employees.  The request to the U.S. Court of Appeals for the 5th Circuit, if granted, would effectively reinstate the public health policy after it was put on hold across the country in January by a federal judge in Texas. (Kruzel, 4/11)

Georgia Recorder: Georgia Rolls Back Precautions Two Years After COVID-19 Shut Down, Leaving Some Vulnerable
State Sen. Donzella James’ voice isn’t as strong as it used to be. In January 2021, James tested positive for COVID-19. She thought it was just her chronic bronchitis, but the next morning, she found herself in a crowded emergency room. After subsequent bouts of pneumonia and blood clots, she finally left the hospital in May. James, an Atlanta Democrat, remains vigilant about COVID-19 today. “I saw people every day dying all around me,” she said. “I am concerned because I know far well what that COVID can do to you.” (Voytek, 4/11)

WUSF Public Media: Advocates Urge Congress To Extend Pandemic Relief That Provides Free School Meals To Kids 
Public health advocates are calling on Congress to extend a waiver program that was implemented early in the coronavirus pandemic to provides free meals to students, including millions of children in Florida. The waivers are set to expire at the end of this school year. The federal government gave schools more flexibility in how and where they could deliver meals and increased reimbursement rates to cover more kids and in some cases healthier food options. If the waivers expire at the end of June, children could lose out on an important source of nutrition, according to Jamie Bussel, senior program officer with the Robert Wood Johnson Foundation. (Colombini, 4/11)

ABC News: COVID-19 Cases Rising In Northeast, Partly Fueled By BA.2, Experts Say
As COVID-19 cases continue to tick up in the United States, the Northeast appears to be fueling the increase. Four of the five states with the highest seven-day case rates per 100,000 are in the Northeast. In the 10 states with the highest seven-day rates, seven are Northeastern, according to data from the Centers for Disease Control and Prevention. Rhode Island currently has the highest seven-day case rate at 172.4 cases per 100,000 people. (Kekatos, 4/11)

Bangor Daily News: Bangor Wastewater Has Among The Highest Levels Of COVID-19 In The Country
Wastewater testing shows a significant spike in COVID-19 in Bangor, with the city reporting among the highest virus concentrations among U.S. samples measured through the same testing method in the past six weeks. COVID-19 levels in the wastewater in Maine’s third-largest city are still lower than they were in January and early February during the winter omicron spike. But the rise is another indication that the virus may again be on the rise in Maine, as the state’s top public health official warned last week. It comes as the more contagious “stealth omicron” variant has become the dominant strain here over the past month. (Piper, 4/11)

Los Angeles Times: Coronavirus Cases On The Rise In L.A. County, Prompting Calls For Spring Break Caution
Coronavirus cases are once again on the rise in Los Angeles County, according to data released Monday, prompting officials to urge residents to keep up safety protocols as the spring break holiday season arrives. Data show that for the seven-day period that ended Monday, an average of 960 new cases were reported daily countywide, which equates to 67 cases a week for every 100,000 residents. That’s up 23% from the previous week, when L.A. County reported an average of 783 cases a day. (Money and Lin II, 4/11)

The Hill: Why The Latest Rise In COVID-19 Cases Is Being Treated Differently  
COVID-19 cases are showing signs of rising again, even as many Americans are eager to move on. ... While there are now upticks in the Northeast, there are not yet signs of the massive spike that hit over the winter. That omicron variant-fueled spike already infected many people, helping provide them some immunity against the current outbreak, in addition to the immunity provided by vaccines and booster shots. (Sullivan, 4/11)

But a poll finds most Americans aren't concerned —

Axios: Axios-Ipsos Poll: Most Americans Say COVID Is No Longer A Crisis
Less than one in 10 Americans now describe COVID-19 as a crisis — with about three in four calling it a manageable problem and one in six saying it's no problem at all — according to the latest installment of the Axios/Ipsos Coronavirus Index. These sentiments — and the public's growing desire to be done with mask mandates and other restrictions — raise significant challenges for public health officials in managing new surges, and could create real political headwinds ahead of the midterms. (Talev, 4/12)

And more on the spread of covid —

CIDRAP: Age Older Than 5, High Levels Of Ferritin Tied To Higher Risk For Severe MIS-C
Children older than 5 years and those with high concentrations of ferritin in the blood—an indicator of inflammation—were at highest risk for intensive care unit (ICU) admission for COVID-19–related multisystem inflammatory syndrome in children (MIS-C), finds a study today in the Canadian Medical Association Journal (CMAJ). (4/11)

NBC News: Seven Days, 18,000 Deaths: A Look At Omicron’s Deadliest Week
No week of the omicron wave saw more deaths than the week of Jan. 30 to Feb. 5. More than 18,400 deaths were recorded, according to NBC News’ tally, more deaths in a single week than in all of June and July 2021 combined. The death toll — which occurred two weeks after cases peaked across the United States — made the week the deadliest thus far of 2022 and one of the deadliest weeks of the pandemic. (Chiwaya, 4/7)

Cincinnati Enquirer: COVID Deaths: 5,000 In Cincinnati Area; 1 Million, Soon, In U.S.
Since the pandemic arrived in March of 2020, the COVID-19 virus has officially killed just more than 38,000 Ohioans. In Kentucky, the number is nearing 15,000. Cincinnati has recorded 565 deaths, with nearly 5,000 for the eight-county Greater Cincinnati region. Later this spring or early this summer, the national death toll, now just more than 980,000, will hit 1 million. It is likely to be a muted milestone. “People seem to have moved on and stopped paying attention," said Josh Nelson, a Kennedy Heights resident who works as a political and nonprofit consultant. (Gallagher Newberry, 4/12)

The Hill: Pelosi Tests Negative For COVID, Set To Exit Isolation 
Speaker Nancy Pelosi (D-Calif.) announced on Monday that she has tested negative for COVID-19 and will exit isolation on Tuesday. She tweeted: "Today, happily I tested negative for COVID. Tomorrow, I will be exiting isolation at the direction of the Capitol’s Attending Physician and consistent with CDC guidelines for asymptomatic individuals. Many thanks to everyone for their good wishes, chocolates and chicken soup." (Schnell, 4/11)

KHN: Colorado Moves Toward Statewide Coverage Of Wastewater Surveillance
On a Sunday morning in March 2020, right at the start of the pandemic, an article in Popular Mechanics caught engineer Pieter Van Ry’s eye. It had a catchy title: “How Poop Offers Hints About the Spread of Coronavirus.” “At the end of that article, it said, ‘If you have a wastewater facility and you’re interested in participating in this study, please contact us,’” he said. As a matter of fact, Van Ry did have a wastewater facility. He is the director of South Platte Renew, a wastewater treatment plant in Englewood, Colorado, that serves 300,000 people. He filled out the form, and South Platte joined the first facilities in the nation to start testing wastewater for covid-19. (Daley, 4/12)

The New York Times: New Drug Slashed Deaths Among Patients With Severe Covid, Maker Claims 
An experimental drug halved the death rate among critically ill Covid patients who were receiving supplemental oxygen and were at high risk for serious lung disease and death, the drug’s developer announced on Monday. ... The new drug, sabizabulin, reduced deaths among hospitalized Covid-19 patients so drastically in a clinical trial that independent safety monitors recommended stopping it early, officials at Veru Inc., the drug’s maker, said. The trial was halted on Friday. The results of that trial have not been peer-reviewed or published in a medical journal. (Rabin, 4/11)

And Evusheld is going unused in some places —

Detroit Free Press: COVID-19 Treatments Are Being Left Unused In Michigan. Here's Why
Thousands of doses of COVID-19 therapeutics and preventive treatments sit unused in Michigan because doctors haven't been prescribing them, the state's top doctor told the Free Press last week. "The issue in the beginning had been that we thought demand would outpace supply and that didn't really happen in the state of Michigan or in most of the country," said Dr. Natasha Bagdasarian, the state's chief medical executive. "What we really saw was the clinicians were a little bit hesitant to prescribe it ... because they were still learning about it." (Jordan Shamus, 4/11)

In updates on the vaccine rollout —

AP: CVS, Feds Reach Agreement On Vaccine Portal Accessibility 
CVS Pharmacy has reached a settlement with federal prosecutors that will ensure the company’s online vaccination scheduling portal remains fully accessible to people with disabilities, officials said Monday. The U.S. attorney’s office in Rhode Island alleged the company, which operates nearly 10,000 retail pharmacies nationwide, was in violation of the Americans with Disabilities Act because the portal was not accessible to people who use screen reader software designed for the visually impaired, and to those who have difficulty using a mouse. (4/11)

The Boston Globe: COVID-19 Vaccines Prevented More Than 2.2 Million US Deaths, Study Says
How much worse could the US COVID-19 pandemic have been if vaccinations hadn’t arrived in the nick of time in December 2020? Unimaginably worse, according to a study released last week. The researchers estimated that vaccinations by the end of last month had averted more than 2.2 million deaths, more than 17 million hospitalizations, and more than 66 million infections.“ Our findings highlight the profound and ongoing impact of the vaccination program in reducing infections, hospitalizations, and deaths,” said the study released Friday by the Commonwealth Fund, a venerable nonprofit that focuses on improving health care, particularly for society’s most vulnerable. (Finucane, 4/11)

Pfizer and Moderna hire new CFOs —

The Wall Street Journal: Vaccine Makers Pfizer, Moderna Hire New CFOs
Vaccine makers Pfizer Inc. and Moderna Inc. named company outsiders as chief financial officers as they look to deploy some of the cash they have generated during the Covid-19 pandemic. New York-based Pfizer on Monday said David Denton will take over as CFO on May 2. Mr. Denton has served as finance chief of home-goods retailer Lowe’s Cos. since 2018. Before that, he led the finances of CVS Health Corp. , the Woonsocket, R.I.-based drugstore and health-services chain. (Broughton, 4/11)

Fortune: Pfizer's New CFO Is A Former CVS Health Finance Chief—And Will Oversee More Than Numbers
David M. Denton was named the next CFO and EVP at Pfizer, effective May 2. Prior to joining Lowe’s in 2018 as CFO, Denton served as CFO and EVP at CVS Health. He helped guide the transformation of CVS from a retail pharmacy to a health solutions provider and led the full integration of Caremark into CVS, according to Pfizer. Denton also negotiated the terms and financing for CVS’s acquisition of Aetna in December 2017. The $70 billion deal closed in November 2018. (Estrada, 4/11 )

Modern Healthcare: CMS Proposes Pay Decrease For Nursing Homes
Nursing homes may see a $320 million cut to their Medicare Part A payments in fiscal 2023 under a proposed rule the Centers for Medicare and Medicaid Services issued Monday. The proposed rule also seeks feedback on how to establish minimum staffing requirements for nursing homes, as directed by President Joe Biden, and includes a plan to add three measures to the Skilled Nursing Facility Value-Based Purchasing Program. (Goldman, 4/11)

In other news about Medicare  —

Stat: Will Biogen Sue Medicare Over Its Limits On The Alzheimer’s Drug Aduhelm?
Biogen and other drugmakers have already hinted they might sue Medicare over its decision to limit coverage for the controversial new drug, Aduhelm — a legal challenge that could have massive implications for patients and pharmaceutical companies that extend far beyond those focused on Alzheimer’s disease. Even before Medicare officials made their limits on the drug official last week, Biogen had said it didn’t believe such restrictions would hold up in court. Other drugmakers potentially impacted by the decision, like pharmaceutical giant Eli Lilly, raised similar objections. (Florko, 4/12)

Billings Gazette: State 'Evaluating' Patient Transfers From Mental Hospital Following Loss Of Funding
Patient advocates fear the Montana State Hospital could fall further into a tailspin as the state-run facility is poised to lose federal funding for services starting Tuesday because of repeated failures to maintain health and safety standards. In interviews Monday, mental health professionals gave a grim picture of the availability of beds elsewhere in the state for patients who may have to relocate from the state-run hospital due to the loss of funding. Because of the end of reimbursement for services by the federal Centers for Medicare and Medicaid for people covered by either of those insurance programs, state officials said Monday they are exploring transfers for some patients. CMS will continue making payments for 30 calendar days for patients admitted on or before April 11. (Larson, 4/12)

Becker's Hospital Review: US Hospitals With The Highest Share Of Patients On Medicare
Becker's calculated which U.S. hospitals have the highest share of their patients covered under Medicare. The 2019 data released April 5 is from the coverage, cost and value team at the National Academy for State Health Policy in collaboration with Houston-based Rice University's Baker Institute for Public Policy. (Emerson, 4/11)

And in news on Medicaid --

Fresh Take Florida: Deadline Passes For Sunshine State Health Plan To Challenge $9.1 Million Medicaid Fine 
The deadline set by Florida lapsed for its largest Medicaid payment vendor to challenge a nearly $9.1 million fine over the company’s failure for nearly three months to pay tens of thousands of health care claims for the state’s sickest and neediest children. Sunshine State Health Plan Inc. of Tampa had until 5 p.m. Thursday to dispute the large fine imposed last month by its government regulator, the Agency for Health Care Administration, leaving the company with only the option to concede to pay. “Sunshine waives any dispute not raised within 21 days,” the government had warned the company March 17. (Bausch, 4/11)

Axios: FDA Mulls Drug Importation With States
The FDA has started discussions with states over creating a way to import drugs from Canada — a policy the Biden and Trump administrations both embraced to bring down health costs but which experts regard as having limited impact. With President Biden's drug pricing agenda stalled, importation could allow states to take advantage of lower drug prices abroad without the need for direct action to limit prices in the U.S. Under one pathway, states, wholesalers and pharmacies submit importation proposals to HHS, which would be subject to safety and cost conditions. (Bettelheim, 4/12)

And more FDA news —

Politico: Lawmakers Demand Answers From FDA After Investigation On Food Failures 
The chairs of two powerful committees in the House and Senate that oversee FDA are demanding answers in response to a POLITICO investigation into the agency’s failure to act on a slew of pressing food safety and nutrition issues. Sen. Patty Murray (D-Wa.), who leads the Senate Committee on Health, Education, Labor and Pensions, sent a strongly-worded letter to FDA Commissioner Robert Califf Monday afternoon seeking “immediate action to ensure the FDA is doing all it can to fulfill all aspects of its mission to protect the health and safety of the American people.” (Evich, 4/11)

Stat: FDA Scolds Bausch Health For Misleading Claims About A Psoriasis Cream
The U.S. Food and Drug Administration has scolded Bausch Health for a video and webpage that made misleading claims about a plaque psoriasis treatment, the second time this year the agency has tagged a big drugmaker for overlooking the risks and benefits of a medicine in promotional materials. In a March 22 letter, the FDA wrote that a Bausch video failed to say that its Duobrii topical cream can cause birth defects. The video, which had been visible on YouTube but has since been taken down, failed to note that women should get a pregnancy test before applying the cream and should use contraception. The video, which can still be seen here, also lacked warnings about photosensitivity and the risk of sunburn. (Silverman, 4/11)

In updates on insulin pricing —

Stat: New Bipartisan Insulin Policy Aims To Entice Drugmakers To Lower Prices
A bipartisan group of four key lawmakers unveiled a long-shot policy that aims to alleviate one of the American health care industry’s most embarrassing problems: mind-bogglingly high prices for insulin, a drug millions of Americans need to survive. The policy outline released Monday is a reboot of a three-year-old bill introduced by Sens. Jeanne Shaheen (D-N.H.) and Susan Collins (R-Maine). It would dangle a carrot for drugmakers to lower their list prices. Insurers and middlemen wouldn’t get to keep fees for diabetes drugs — but only if drugmakers lower list prices for drugs back to 2006 levels. It would also make sure patients with Medicare or private insurance don’t pay more than $35 per month for their insulin, though it would not offer the same protection to the uninsured. (Cohrs, 4/11)

Stat: Human Rights Watch Says Unaffordable U.S. Insulin Is A Human Rights Abuse
Insulin prices are sky high. High enough, now, that Human Rights Watch is declaring that insulin’s price tag contributes to human rights abuse. The international advocacy organization best known for investigating war crimes, genocides and dictatorships is out with a new report that argues that the human rights of people with diabetes are being violated when they’re unable to afford their insulin. That makes insulin makers, who set those high prices, complicit in human rights abuses, according to Matt McConnell, the lead author. “Drug companies’ drug pricing practices  … are contributing to human rights abuses,” he told STAT. (Florko, 4/12)

In other pharmaceutical industry news —

San Francisco Chronicle: Johnson & Johnson Must Pay $302 Million For Deceptive Marketing Of Pelvic Mesh Implants, Court Rules
Johnson & Johnson must pay $302 million in penalties to the state for many years of deceptive marketing to doctors and female patients about pelvic mesh implants that could cause serious vaginal pain and physical damage, a state appeals court ruled Monday. A San Diego County judge had assessed $344 million in penalties against Johnson & Johnson subsidiary Ethicon in January 2020, finding after a non-jury trial that the company had made misleading and potentially harmful statements in hundreds of thousands of advertisements and instructional brochures for nearly 20 years. The Fourth District Court of Appeal said $42 million of that amount, penalties for the company’s spoken sales pitches to doctors, was unjustified because the state had no evidence of what the sales representatives had actually said. (Egelko, 4/11)

AP: Efforts To Make Protective Medical Gear In US Falling Flat
When the coronavirus pandemic first hit the U.S., sales of window coverings at Halcyon Shades quickly went dark. So the suburban St. Louis business did what hundreds of other small manufacturers did: It pivoted to make protective supplies, with help from an $870,000 government grant. But things haven’t worked out as planned. The company quit making face shields because it wasn’t profitable. It still hasn’t sold a single N95 mask because of struggles to get equipment, materials and regulatory approval. (Lieb, 4/11)

Stat: Black Health-Equity Advocate Named JAMA Editor-In-Chief 
A year after the prestigious medical journal JAMA was embroiled in controversy over a podcast seen as racist by critics, the American Medical Association has appointed a prominent health-equity researcher as the publication’s new editor-in-chief — the first person of color to hold the position. Kirsten Bibbins-Domingo, a Black internist, epidemiologist, and health-equity researcher from the University of California, San Francisco, who has been a leading voice for equitable health care during the Covid-19 pandemic, will lead the Journal of the American Medical Association and the JAMA network of journals, the AMA announced Monday. (McFarling, 4/11)

Crain's Chicago Business: AMA Hires Dr. Kirsten Bibbins-Domingo As Editor-In-Chief Of JAMA
Dr. Kirsten Bibbins-Domingo, a physician-scholar from the University of California, San Francisco, has been named the next editor-in-chief of the Journal of the American Medical Association. She is the first person of color to lead the medical journal and only the second woman to serve as editor-in-chief, AMA Chief Communications Officer Rodrigo Sierra said during a press conference today. Bibbins-Domingo will take the reins on July 1. The last permanent editor, Howard Bauchner, left the position following a controversy over a podcast and associated tweet that called into question the existence of systemic racism in the medical profession. Dr. Phil Fontanarosa has served as interim editor-in-chief since March 2021. (Asplund, 4/11)

In other health industry news —

Modern Healthcare: Cedars-Sinai Workers Authorize Potential Strike Amid Contract Talks
The action by Service Employees Union International-United Healthcare Workers West members comes after their contract with the not-for-profit hospital ended March 31. Contract bargaining began March 21, according to the union. Workers are demanding the hospital negotiate in "good faith" over staffing levels, patient and employee safety, and wages, a news release said. Ninety-three percent of the employees voted in favor of approving a three-day strike if talks don't progress, the union announced Monday. (Christ, 4/11)

The Boston Globe: Telehealth Reimbursement Rules Pit Insurers Against Doctors
When Governor Charlie Baker signed legislation in January 2021 mandating insurance coverage for telehealth appointments, the move seemed to resolve years of debate about how to pay for and adopt 21st-century health care technology. But delays in releasing regulations for that law have thrown insurers and doctors back into debate about which visits should be fully covered, and some say the resulting uncertainty could undo gains the industry has made in adopting telehealth over the course of the pandemic. “It makes it much more difficult at a practice level to make sure you are getting care to people in the way that they need it,” said Dr. Chris Garofalo, a co-owner of a private family medicine practice in North Attleborough and Attleboro. (Bartlett, 4/11)

AP: Vermont Regulators Deny 10% Rate Hike For 2 Hospitals 
Vermont regulators have rejected a 10% mid-year rate increase for two hospitals, including the state’s largest, that administrators sought to cover what they called historic inflationary pressures. Regulators instead approved much smaller increases for the University of Vermont Medical Center in Burlington and Central Vermont Medical Center in Berlin. The Green Mountain Care Board approved a rate increase of 2.5% for the UVM Medical Center and 2.7% for Central Vermont in a 3-2 vote on Friday, Vermont Public Radio reported. (4/11)

The Bakersfield Californian: Hall Ambulance To Honor Emergency Medical Dispatchers 
Hall Ambulance will honor its emergency medial dispatchers during National Public Safety Telecommunicators Week, which begins Sunday and runs through Saturday. “When someone falls victim to sudden illness or injury, these dispatchers are there to answer the call,” Lavonne C. Hall, president and CEO of Hall Ambulance, said in a statement. “We are grateful for their dedication and commitment to the communities we serve.” (4/9)

Also —

Fortune: Why Delta Air Lines Is Making Its Chief Health Officer Role Permanent 
When Delta Air Lines created the chief health officer role in 2021, it was facing an acute, existential threat to its business and still reeling from COVID-19. Fast-forward to 2022; though the pandemic is on its way to becoming endemic, the airline is immortalizing the CHO role to navigate future health crises and workplace challenges that will inevitably emerge long after the pandemic has receded. (Wahba, 4/11)

AP: Trial Opens In Florida Opioid Lawsuit Case Against Walgreens 
In Florida, the state’s case hinges on accusations that as Walgreens dispensed more than 4.3 billion total opioid pills in Florida from May 2006 to June 2021, more than half contained one or more easily recognized red flags for abuse, fraud and addiction that the company should have noticed and acted upon. “The evidence will show Walgreens knowingly profited from the opioid crisis,” said attorney Jim Webster for the state in an opening statement, which was attended by Florida Attorney General Ashley Moody. “Walgreens wasn’t just greedy. It was fueling the opioid crisis that was killing people.” (Anderson, 4/11)

Reuters: Walgreens Flooded Florida With Addictive Opioids, Lawyer Tells Jury 
Walgreens Boots Alliance Inc. supplied billions of opioid pills to drug addicts and criminals, contributing to an addiction epidemic in Florida, a lawyer for the state said on Monday in a civil trial against the pharmacy chain. Walgreens filled one in four opioid prescriptions in Florida between 1999 and 2020, and failed to investigate red flags that could have prevented drugs from being diverted for illegal use, the state's lawyer Jim Webster said as jurors heard opening statements in the trial held in New Port Richey. (Knauth, 4/11)

AP: EXPLAINER: Where Do US Opioid Trials, Settlements Stand? 
The effort to hold drug companies, pharmacies and distributors accountable for their role in the opioid crisis has led to a whirlwind of legal activity around the U.S. that can be difficult keep tabs on. Three trials are underway now, in Florida, West Virginia and Washington state. New legal settlements are being reached practically every week to provide governments money to fight the crisis and in some cases funds for medicines to reverse overdoses or to help with treatment. (Mulvihill, 4/12)

In updates from Ohio —

CNN: William Husel: Defense Asks For Mistrial In Case Of Ohio Doctor Accused Of Multiple Murders Related To Alleged Overprescribing Of Pain Medication 
The defense attorney for an Ohio doctor accused of overprescribing pain medication to multiple patients near death asked for a mistrial in the case Monday, saying certain remarks from prosecutors during closing arguments implied the defense has to meet a burden of proof. Defense attorney Jose Baez argued prosecutors have the burden to prove guilt and the defense doesn't have to prove anything. The defendant, William Husel, faces 14 counts of murder related to the allegations he prescribed the opioid fentanyl in doses "designed to hasten the death of the patients that were being treated," prosecutors said when Husel was indicted in June 2019. He was initially indicted on 25 counts of murder, but in January -- about a month before the trial began -- 11 of the 25 counts against him were dismissed. Husel has pleaded not guilty. (Casarez, 4/12)

NBC News: Fate Of Ex-Ohio Doctor On Trial In Alleged Fentanyl Deaths To Go To Jury
A former Ohio hospital physician on trial in the deaths of critically ill patients was portrayed Monday in closing arguments as a "terrible doctor" with no medically justifiable reason for his actions and as a "caring man" easing the pain of those dying. The jury, which was expected to begin deliberations Tuesday, is tasked with determining whether William Husel, 46, committed murder by purposefully hastening 14 patients' deaths when, prosecutors say, he ordered excessive doses of fentanyl, a powerful opioid used to blunt pain, while he was employed at Mount Carmel Health System in Columbus. (Ortiz, 4/11)

In news about marijuana and psilocybin —

The New York Times: Legal Marijuana Sales Expected To Start Within Weeks In New Jersey 
A year and a half after New Jersey residents voted to legalize cannabis, the state on Monday gave seven medical-marijuana companies approval to start selling their products to all adults, opening the door to the first legal marijuana sales in the New York City region within a month. In a meeting held by videoconference, the five-member Cannabis Regulatory Commission ushered in a seismic cultural change, making New Jersey the second state on the East Coast to fully authorize sales of cannabis to all adults. (Tully, 4/11)

AP: Legalizing Medical Marijuana Gets First Public Hearing 
A Republican-authored bill to legalize medical marijuana in Wisconsin will be getting its first public hearing next week, achieving one goal of backers and the latest sign of progress for those who want to loosen the state’s laws. The bill won’t become law this year because Legislature has adjourned and won’t be back until 2023. But the April 20 Senate committee hearing on the medical marijuana bill will give supporters their highest profile chance to make the case for loosening Wisconsin’s marijuana laws. (Bauer, 4/11)

The New York Times: Psilocybin Helps Alleviate Depression Symptoms, Small Study Says 
Psychedelic compounds like LSD, Ecstasy and psilocybin mushrooms have shown significant promise in treating a range of mental health disorders, with participants in clinical studies often describing tremendous progress taming the demons of post-traumatic stress disorder, or finding unexpected calm and clarity as they face a terminal illness. But exactly how psychedelics might therapeutically rewire the mind remains an enigma. (Jacobs, 4/11)

Bloomberg: Psilocybin: Effect Of Magic Mushroom Psychedelics May Help To Treat Depression
Magic mushrooms connect regions of the brain that are more segregated in people with depression, paving the way to treat the condition differently than with conventional medications. Psilocybin, a hallucinogenic compound present in fungi, helped “open up” and improve communication within the brain for up to three weeks, researchers from Imperial College London found. The result was a liberating effect not seen with the traditional antidepressant Lexapro, according to the study published in the journal Nature Medicine. (Hernanz Lizarraga, 4/11)

AP: National Urban League Finds State Of Black America Is Grim 
The National Urban League released its annual report on the State of Black America on Tuesday, and its findings are grim. This year’s Equality Index shows Black people still get only 73.9 percent of the American pie white people enjoy. ... Among dozens of health measures, one stands out: Life expectancy has declined slightly for African Americans, so a Black child born today can expect to live to 74.7, four years less than a white baby. And lifelong inequities loom: Black women are 59% more likely to die as a result of bearing a child, and 31% more likely to die of breast cancer. Black men are 52% more likely to die of prostate cancer. (Warren, 4/12)

In environmental health news —

The Washington Post: Pregnancy Becomes A More Vulnerable Time With Climate Change 
In the western United States, where massive wildfires have fouled the air with smoke and hazardous levels of pollutants, Santosh Pandipati, an obstetrician in California, counsels pregnant patients to always check air quality before they venture outside to exercise. “You need to plan your outdoor activities when the air quality is better,” he tells them. In other parts of the country, where hurricanes and floods have displaced pregnant residents, obstetrician Nathaniel DeNicola has advised patients, including those he saw in New Orleans, to pack a preparedness kit. (Kam,m 4/11)

KCUR: Known To Be Toxic For A Century, Lead Still Poisons Thousands Of Midwestern Kids 
When the pediatrician recommended Lisa Pascoe have her then-toddler tested for lead poisoning, she thought there was no way he could be at risk. Everything in her South St. Louis home had been remodeled. But then the nurse called to say her son's blood lead level was dangerously high — five times the level federal health officials then deemed elevated. Pascoe said she was "completely shocked." "After you hang up on the phone, you kind of go through this process of 'Oh my gosh, my kid is lead poisoned. What does that mean? What do I do?'" she said. (Kite and Savage, 4/11)

NBC News: Microplastics In The Human Body: What We Know And Don't Know
What recent research makes clear so far is that microplastics are ubiquitous, that these particles enter peoples’ bodies regularly during inhalation or through consumption of food or drinks, and that they find their way into vital body systems. Some studies of laboratory animals and cells grown outside the body suggest that there are reasons for concern about how these minuscule pieces of plastics affect our physiology. (Bush, 4/11)

In mental health news —

The Atlantic: Why American Teens Are So Sad
The United States is experiencing an extreme teenage mental-health crisis. From 2009 to 2021, the share of American high-school students who say they feel “persistent feelings of sadness or hopelessness” rose from 26 percent to 44 percent, according to a new CDC study. This is the highest level of teenage sadness ever recorded. The government survey of almost 8,000 high-school students, which was conducted in the first six months of 2021, found a great deal of variation in mental health among different groups. More than one in four girls reported that they had seriously contemplated attempting suicide during the pandemic, which was twice the rate of boys. Nearly half of LGBTQ teens said they had contemplated suicide during the pandemic, compared with 14 percent of their heterosexual peers. Sadness among white teens seems to be rising faster than among other groups. (Thompson, 4/11)

Columbus Dispatch: Mental Health Crisis: Many Low-Income Children Are Struggling
Educators working in low-income schools reported that 53% of students struggle with mental health issues, a problem that was worsened by the COVID-19 pandemic, according to a new survey from educational nonprofit First Book and Nationwide Children’s Hospital’s On Our Sleeves alliance. Yet only 20% of the 967 educators surveyed feel prepared to support those struggling students, the study found. By assessing the severity of the COVID-19 pandemic's impact on students and providing guidance for educators, the two organizations hope to address what they say is an urgent need for mental health support in low-income schools, said Becki Last, First Book's chief programming officer. (Wright, 4/11)

Appleton Post-Crescent: Mindfulness App Reduces Anxiety In Kids, Teens, Lawrence Study Finds
Doing regular mindfulness exercises on a mobile app helped a group of Fox Valley adolescents banish stubborn negative thoughts, new research from a Lawrence University professor has found. The results add to a field with little prior examination and can help shed light on which kinds of tools help teens feel better, said Lori Hilt, an associate professor of psychology at Lawrence who led the study. "We don't have very much research on mindfulness interventions for kids, especially mobile apps," Hilt said. "So I think this study is really important as kind of a proof of concept that these things can work." (Hilton and Heim, 4/11)

San Diego Union-Tribune: El Cajon Will Try Sending Some 911 Calls To Nurses, Not Hospitals
Several years ago in the nation’s capital, a few hundred people who dialed 911 were not taken to a hospital. The next year, nearly 2,900 calls didn’t lead to an emergency room. The year after, it was more than 7,000, according to city data. Since 2018, more than 16,000 calls that once might have resulted in trips to the hospital were instead transferred to nurses, who could still help people find doctors or schedule rides to urgent cares. (Nelson, 4/11)

In other health news from across the U.S. —

The CT Mirror: Thousands Of CT Children Go Without Enough To Eat, Report Shows
About 125,000 Connecticut kids didn’t have enough to eat in the fall of 2021, according to a new statewide report on the financial hardships faced by families with children. The report, conducted through a partnership between Connecticut United Way and United for ALICE, examines a group of people referred to as ALICE — the acronym for Asset Limited, Income Constrained, Employed. The people designated to be in this group earn enough to put them above the federal poverty level but not enough to make ends meet. ALICE is often comprised of people who work lower-paying hourly jobs, such as cashiers, for example. (Monk, 4/11)

The CT Mirror: Bill To Help Terminally Ill End Their Lives Won't Advance This Session
A bill that would allow terminally ill patients to access life-ending medication won’t advance beyond the legislature’s Judiciary Committee this year, and proponents said they don’t expect the measure to pass this legislative session. Senators on the committee voted 5-4 against the bill Monday after members asked for a divided vote. Because the bill failed to win enough support among senators, House members on the committee did not take a vote. (Carlesso, 4/11)

Las Vegas Review-Journal: Sierra Health Loses $200M Verdict To Family Of Las Vegas Man
The family of a Las Vegas man who was denied health insurance coverage for a specific type of lung cancer treatment, then later died, has won a $200 million civil verdict against his health insurance provider, according to court records. The family of William George “Bill” Eskew sued Sierra Health and Life Insurance in 2019. A jury trial led to an initial $40 million verdict a week ago, along with another $160 million in punitive damages against Sierra Health in the courtroom of District Judge Nadia Krall. Sierra Health is a UnitedHealthcare company, which is owned by UnitedHealth Group. The company plans to appeal, a spokeswoman said. “We are disappointed by the jury’s verdict,” United HealthCare spokeswoman Maria Gordon Shydlo said in an email to the Las Vegas Review-Journal. (Puit, 4/11)

Indianapolis Star: Indiana Hospitals, Insurers Offer No Easy Answers To Reduce Costs
Indiana’s hospitals and insurers are assuring state lawmakers they are taking steps to reduce Indiana's health care costs, which are among the highest in the nation, but some business leaders say they have yet to create a plan to do so. Several industry leaders and executives laid out their ideas in letters to lawmakers last week. They were sent in response to a December directive from the Statehouse telling the two industries to bring Indiana’s health care costs in line with the national average. (Rudavsky, 4/12)

Stateline: Voters With Disabilities Face New Ballot Restrictions Ahead Of Midterms
As voters went to the polls last month in the Texas primary, the voting rights hotline lit up at the nonprofit advocacy agency Disability Rights Texas. Molly Broadway, the group’s training and technical support specialist, heard from some frustrated voters with disabilities who had not received their mail-in ballots on time. Others had their ballots rejected several times because of signature and personal identification requirements or fretted that new rules banning ballot assistance could make criminals out of their friends and loved ones. (Vasilogambros, 4/12)

KHN: California Sees Dramatic Decline In Child Homicide Victims. What’s Changed? 
The stunning climb in homicide rates in recent years in California and big cities across the nation obscures a remarkably good-news trend involving young children: The number of child homicide victims fell dramatically in California over the past decade, the latest death certificate data shows, a pattern mirrored to a lesser extent nationwide. In 1991, California’s coroners officially classified 133 deaths of children ages 9 and younger as homicides. By 2011, that figure had fallen to 81.In 2020, it stood at 40. (Reese, 4/12)

CNBC: U.S. State Department Orders All Non-Emergency Government Staff In Shanghai To Leave As Covid Surges
The U.S. State Department has ordered all non-emergency government staff and their family members in Shanghai to leave as Covid surges and told U.S. citizens to reconsider travel to China, according to an announcement dated April 11. “Reconsider travel to the People’s Republic of China (PRC) due to arbitrary enforcement of local laws and COVID-19-related restrictions,” the State Department said. “Do not travel to the PRC’s Hong Kong Special Administrative Region (SAR), Jilin province, and Shanghai municipality due to COVID-19-related restrictions, including the risk of parents and children being separated,” the statement said. “Reconsider travel to the PRC’s Hong Kong SAR due to arbitrary enforcement of local laws.” (Cheng, 4/11)

Fortune: South African Scientists Have Discovered 2 New Omicrons—And They’re Already In Germany, Denmark And The U.K.
South African scientists have discovered two new sublineages of the Omicron coronavirus variant, said Tulio de Oliveira, who runs gene-sequencing institutions in the country. The lineages have been named BA.4 and BA.5, he said by text message and in a series of tweets. Still, de Oliveira said, the lineages have not caused a spike in infections in South Africa and have been found in samples from a number of countries. (Sguazzin, 4/12)

AP: UN Official Urges Acceleration In Coronavirus Vaccinations
The U.N. official spearheading global vaccination efforts against the coronavirus said Monday the number of countries where 10% or less of the population has been vaccinated dropped from 34 to 18 since January and called for accelerated progress to end the pandemic. Assistant Secretary-General Ted Chaiban told the U.N. Security Council that with over 6 million lives lost to COVID-19 and just over 1 million new coronavirus infections reported to the World Health Organization in the last 24 hours, it is urgent to increase vaccinations in countries where it wasn’t possible to boost rates in 2021. (Lederer, 4/12)

FiercePharma: Moderna Recalls Vaccine Batch After Foreign Substance Found In CDMO-Made Vial—Again 
The specter of particulates has forced another recall—this time on Moderna’s massively successful COVID-19 vaccine Spikevax—and the latest pull isn’t contract manufacturer Rovi’s first brush with contamination, either. Moderna on Friday said it was recalling one Spikevax lot in Europe. The batch contains 764,900 doses made by CDMO Rovi that were deployed across Norway, Poland, Portugal, Spain and Sweden between Jan. 13 and Jan. 14. Moderna yanked the shots because of a “foreign body” found in one vial of the batch made at Rovi’s site in Spain, the partners said in a release. (Kansteiner, 4/11)

AP: Germany May Have To Junk 3 Million COVID Shots By Late June
Germany’s health ministry said Monday that the country may have to discard 3 million doses of expired COVID-19 vaccine by the end of June. Ministry spokesman Hanno Kautz told reporters in Berlin that “not many doses” have been destroyed so far, though he couldn’t give an exact figure. (4/11)

The Baltimore Sun: Maryland’s Choice To Back Women’s Reproductive Rights — And Medical Science 
The essential question raised by the Abortion Care Access Act, the controversial legislation enacted by the Maryland General Assembly last Saturday with House (90-46) and Senate (29-15) votes to override Gov. Larry Hogan’s veto, was this: Should abortions be performed by “qualified” health care providers who are not physicians? Opponents of the bill would have Marylanders believe that standard pregnancy termination could not safely be conducted by, for example, a nurse practitioner or a physician assistant who has been specially trained in this procedure. This would be news to the medical community. It was none other than the American College of Obstetricians and Gynecologists that found non-physicians can be trained to conduct this procedure. And when did the organization that represents 90% of the nation’s board-certified ob-gyns first make that determination? (4/11)

The Star Tribune: Responding To Rising PTSD Claims 
A growing number of police officers in Minnesota have been diagnosed with post-traumatic stress disorder (PTSD) during the past two years and are receiving millions in payments through workers' compensation settlements and state disability pensions. Though Minneapolis has the largest portion of cases from public safety workers, mostly police, with 43%, St. Paul has 9% and about 48% come from elsewhere in the state, according to the Public Employees Retirement Association (PERA). In addition to the high cost for state and local governments, the current system doesn't offer training or treatment options. (4/11)

Seattle Times: Safeguard Federal Family-Planning Funds 
Affordable reproductive health and family planning resources shouldn’t be controversial, but in recent years these vital services have become collateral damage in the culture wars. That’s why U.S. Sen. Patty Murray’s effort to restore federal Title X family planning funding is so important. Until abortion opponents tire of using the grant program as proxy in their fight against safe, legal abortion, it will take champions like Murray to protect funding for low-income women’s access to contraception, testing and treatment for sexually transmitted infections, cancer screenings and other care. (4/11)

The Washington Post: What I Wish I’d Known When I Was 19 And Had Sex Reassignment Surgery 
When I was 19, I had surgery for sex reassignment, or what is now called gender affirmation surgery. The callow young man who was obsessed with transitioning to womanhood could not have imagined reaching middle age. But now I’m closer to 50, keeping a watchful eye on my 401(k), and dieting and exercising in the hope that I’ll have a healthy retirement. (Corinna Cohn, 4/11)

The CT Mirror: Connecticut Cannot Afford Costly Carceral Health Disparities
Over the past 14 years I have been either incarcerated, on parole, or under community supervision. In 2019,  just prior to COVID-19 pandemic, I transitioned back into the community, where I struggled with finding a job, acclimating to “real life,” and addressing my mental and physical health. Although given an overall clean bill of health, I learned that my egg quality was severely deteriorated, and I could never carry a baby to term. Studies show that vitamin D deficiency, a common occurrence among incarcerated people who have irregular access to sunlight, causes fertility issues and depression among women. I always thought that I would have a chance to be a mother. Unfortunately, that is no longer the case. I consider myself lucky that this is the only health problem I bear from my time in prison. Some people are left with life-altering complications and others did not even survive. (Marisol Garcia, 4/11)

On covid —

The New York Times: The Unbelievable Stupidity Of Ending Global Covid Aid 
America’s attempt to vaccinate the world against Covid is about to come to an end. “We are at a point now where without additional funding we are going to have to start winding down our programming,” said Jeremy Konyndyk, the leader of the United States Agency for International Development’s Covid-19 task force. Such funding does not appear to be forthcoming. Our gruesomely dysfunctional politics are going to lead to more illness and death across the globe, and we’re increasing the odds that a new viral mutation will once again upend American life. If it does, we might call it the filibuster variant. (Michelle Goldberg, 4/11)

Stat: The 'Bot Holiday' And Why Clinicians Can't Tackle Disinformation Alone 
The war in Ukraine has had an unexpected side effect noted by many health care workers on Twitter: “a bot holiday” — the sudden decline of social media accounts espousing anti-vaccine views and attacking health care workers and scientists trying to correct their disinformation. While disinformation campaigns are not new, they were once spread through rather primitive vehicles, ranging from door-to-door snake oil peddlers or mass printing of propaganda leaflets. The advent of the internet and social media have transformed the battlefield for disinformation. The army of bots deployed on social media enables false information to be deliberately and widely spread around the world at the speed of light. While there is global consensus from the World Health Organization, the U.S. Surgeon General, and others that disinformation is a problem, how to best solve it remains uncertain. (Shikha Jain, Vineet Arora and Eve Bloomgarden, 4/10)

Chicago Tribune: The Dangerous Thread Connecting Avian Flu, COVID-19 And The War In Ukraine 
As former elected officials from Midwestern states, we are heartsick watching farmers across the region destroy millions of chickens infected with highly pathogenic avian influenza because, frankly, they have no other choice. The last time this disease struck the United States in 2015, our country detected infections in 21 states, spent $879 million to respond to the epidemic and depopulated more than 50 million birds on 232 farms. (Tom Daschle And Susan Brooks, 4/11)