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Morning Briefing

Summaries of health policy coverage from major news organizations

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Wednesday, Sep 23 2026 UPDATED 9:00 AM

KFF Health News Original Stories 2

  • Economic Frustration Tests Trump’s Standing With Rural Voters, New KFF-AP Poll Finds
  • Nursing Home Beds Are Becoming More Scarce

Coverage And Access 1

  • JD Vance's Fraud Task Force To Remove 760,000 ACA Enrollees

Health And Race 1

  • ICE Detainee With Type 1 Diabetes Dies At Louisiana Facility; Family Alleges Neglect

Outbreaks and Health Threats 1

  • Epidemiologists, CDC Rethinking What Should Qualify As A Measles Death

LGBTQ+ Health 1

  • Major Hospitals Make Deals With Administration To Stop Providing Gender-Affirming Care To Minors

Cancer 1

  • Cancer Mortality Rates For Americans Fell 35% Between 1991 And 2024, Report Shows

State Watch 1

  • Federal Judge To Texas: Air Condition All State Prisons Before 2030

Editorials And Opinions 1

  • Viewpoints: RFK Jr.'s Anti-Vaccine Damage Will Outlast His Time In Office; People With Mental Illness Are Capable Of Being Good Parents

From KFF Health News - Latest Stories:

KFF Health News Original Stories

Economic Frustration Tests Trump’s Standing With Rural Voters, New KFF-AP Poll Finds

Rural voters rank the cost of living and cost of healthcare as top issues they want to hear about from midterm candidates as they face a tightening pocketbook pinch. ( Sarah Jane Tribble and Ali Swenson, The Associated Press and Linley Sanders, The Associated Press , 9/23 )

Nursing Home Beds Are Becoming More Scarce

As the oldest baby boomers turn 80, researchers worry there won’t be enough room in nursing facilities for a rapidly graying nation. ( Paula Span , 9/23 )

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Here's today's health policy haiku:

A CALL FOR CARE

"Medicare for All."
Is it only a pipe dream?
Do better, Congress.

— Ross Burnett

If you have a health policy haiku to share, please Contact Us and let us know if we can include your name. Haikus follow the format of 5-7-5 syllables. We give extra brownie points if you link back to an original story.

Opinions expressed in haikus are solely the author's and do not reflect the opinions of KFF Health News or KFF.

Summaries Of The News:

Coverage And Access

JD Vance's Fraud Task Force To Remove 760,000 ACA Enrollees

The vice president said the cancellations are in part because the government was not checking whether people enrolled were eligible for subsidy payments. The Trump administration also announced a six-month suspension on new agents or brokers who sign up enrollees for healthcare coverage, AP reported.
AP: Trump Administration To Remove 760,000 ACA Enrollees Over Fraud Claims

Vice President JD Vance and other Trump administration officials said Tuesday they plan to remove 760,000 Affordable Care Act enrollees from public healthcare exchanges, alleging that the individuals were fraudulently enrolled in the program, or simply do not exist. Vance said the discovery and canceled subsidy payments for hundreds of thousands of people from the exchanges, part of an administration-wide crackdown on fraud, would result in $2.2 billion in cost savings. (Hussein and Price, 9/22)

On Medicaid and Medicare —

Fierce Healthcare: Hospitals Urge Minimal Disruption As CMS Trims Provider Taxes

Hospitals are urging the Trump administration to implement Medicaid provider taxes as outlined in last year’s One Big Beautiful Bill Act “with the least possible disruption,” with calls this week to more closely stick to statute and existing policy in order to limit administrative burden and uncertainty. The Centers for Medicare and Medicaid Services (CMS) in July shared its proposed rule addressing the process states use to draw healthcare funds from the federal government—namely a matched tax on providers and Medicaid managed care companies that’s later returned to providers. (Muoio, 9/22)

Modern Healthcare: Nebraska Started Work Requirements Early. Here’s How It’s Going

An early effort to implement Medicaid work requirements in Nebraska is causing confusion and anxiety, according to providers and patient advocates. Under President Donald Trump’s signature tax law, most adult Medicaid beneficiaries eligible under the Affordable Care Act of 2010 expansion and other expansions in a handful of states will be subject to work requirements nationwide in January. Nebraska went first and launched its program this May. Montana followed in July, while Arkansas started screening applicants and enrollees the same month but is not enforcing penalties until next year. Georgia had a different form of work requirements already in place. (Early, 9/22)

Stat: UnitedHealth, CVS Push Back On Medicare Plan To Curb RPM 

Major insurers are pushing back on a Medicare proposal that would significantly disrupt how many doctors bill for tracking the health of patients using devices like connected blood pressure cuffs, scales, and blood glucose meters. These remote monitoring services help patients manage a range of medical conditions, including hypertension, diabetes, and heart failure. (Aguilar, 9/23)

More healthcare industry news —

Healthcare Dive: Texas Hospitals Sue Independence Blue Cross Over Denied Claims 

Five Texas hospitals are suing Pennsylvania insurer Independence Blue Cross, a local licensee of the Blue Cross Blue Shield Association, for failing to pay more than $345,000 in claims between 2022 and 2024. The hospitals, which are all affiliated with HCA Healthcare, argue that IBX wrongfully denied or underpaid claims for medically necessary services to eight of its members based on lack of authorization, lack of medical necessity and coding issues, even for emergency services. (LaPointe, 9/22)

Stat: Quorum’s Hospitals Are Going Nonprofit – And Adding 30% More Debt 

When Greg Kiser gave the mayor and county judge a heads up about a change underway at his hospital, they responded with sighs of relief. One of the town’s biggest employers wasn’t closing. (Bannow, 9/23)

The Baltimore Sun: St. Agnes Nurse Challenges Union Over Nonmembers’ Contract Voting Rights

A nurse at Ascension Health’s St. Agnes Hospital filed a complaint Tuesday with the National Labor Relations Board challenging a union tactic she alleges is designed to coerce workers into signing union membership and dues cards. (Castaneda, 9/23)

Cardinal News: State Program To Boost Virginia's Nursing Workforce Relaunches With $4.8 Million To Award

A program designed to bolster the state’s healthcare workforce by providing financial assistance to nursing programs has been restarted after the management of the program was shifted to the newly created Virginia Nursing Workforce Center. (Schabacker and Beyer, 9/23)

KFF Health News: Nursing Home Beds Are Becoming More Scarce

The San Vicente de Paúl Nursing Home in the South Bronx hasn’t admitted a patient since December 2024. ArchCare, which operates the facility, has reduced its capacity from 120 available beds to 53 and plans to shrink it further. Another ArchCare nursing home, on Staten Island, has shut down a full floor. North of the city, in Dutchess County, its Ferncliff Nursing Home has contracted from 309 available beds to 196. (Span, 9/23)

Health And Race

ICE Detainee With Type 1 Diabetes Dies At Louisiana Facility; Family Alleges Neglect

Three people close to Carlos Josue Marchena Marchena told AP that the Costa Rican man complained of missed meals, inadequate water access, and irregular insulin shots to control his Type 1 diabetes. Separately, in Texas, immigrant advocates are questioning whether Wilber Rafael Garces Perez has received proper medical treatment after he was shot during an ICE traffic stop.
AP: Costa Rican Man With Diabetes Dies In ICE Detention In Louisiana

A 36-year-old Costa Rican man whose family says he complained of missing insulin shots and meals to manage his diabetes is the third detainee to die in less than six months at a U.S. Immigration and Customs Enforcement facility in Louisiana. Carlos Josue Marchena Marchena was found unresponsive Sept. 18 at Winn Correctional Center in Winnfield, ICE said in a statement. It said staff began lifesaving measures before he was taken by ambulance to a hospital where he was later pronounced dead. (Brook and Pineda, 9/22)

The Texas Tribune: Quick Hospital Release Of Venezuelan Shot By ICE Raises Questions

About four hours after Wilber Rafael Garces Perez was admitted to an Austin hospital with a gunshot wound, the Venezuelan man was discharged Sunday and taken 135 miles south to an immigration detention center where some detainees have complained about inadequate medical care. (Garcia, Leggio and Nguyen, 9/22)

The Washington Post: ICE Officer In Texas Shooting Was Recruit Not Using A Body Camera

The U.S. Immigration and Customs Enforcement officer who shot a Venezuelan man in Austin over the weekend is a recruit who was issued a body camera but was not using it during the incident, according to two former Department of Homeland Security officials briefed on the matter. The officer had previously worked at another federal law enforcement agency and joined ICE during DHS’s hiring spree last year, said the officials, who spoke on the condition of anonymity to discuss internal matters. (Nakamura and Sacchetti, 9/22)

In other news from the federal government —

The Hill: Susan Collins Urges White House To Drop Plan For National Institutes Of Health Grant Oversight

Sen. Susan Collins (R-Maine), chair of the Senate Appropriations Committee, on Tuesday urged Trump administration officials to not proceed with an executive order that would give the White House political control over scientific grants at the National Institutes of Health (NIH). In a letter to Office of Management and Budget Director Russell Vought and NIH Director Jay Bhattacharya, Collins noted that the stopgap government funding bill passed earlier this month blocked a similar proposal that sought to give political appointees broader authority over approving federal research grants to ensure they meet the president’s priorities. (Weixel, 9/22)

AP: Sen. Bernie Sanders Unveils Bill To Ban Artificial Superintelligence

Two leading progressive lawmakers, Sen. Bernie Sanders and Rep. Greg Casar, are unveiling legislation Wednesday that would ban artificial superintelligence and create a federal agency to oversee advanced AI as some of the industry’s own leaders urge Congress to impose guardrails on the advancing technology. The bill, provided first to The Associated Press, would also pause advanced AI development until guidelines are implemented while creating the Department of Artificial Intelligence. Multiple employees at leading AI companies are endorsing the bill. (Cappelletti, 9/23)

Axios: Why Congress Can't Avoid Medicare Cuts To Docs

Congress may be going home to campaign — but not before laying the groundwork for possible changes to how Medicare pays doctors. Wary of yet another headache for patients and physicians, lawmakers are growing more receptive to addressing a long-running complaint about the way the program reimburses physicians. That would be a departure from Congress' perennial practice of passing short-term funding patches, or doc fixes, to offset scheduled cuts. (Bettelheim, 9/23)

KFF Health News: Economic Frustration Tests Trump’s Standing With Rural Voters, New KFF-AP Poll Finds

About half of rural American voters believe the economy is worse off now than when President Donald Trump returned to office, according to a new survey that points to economic frustration among a key group that has backed Trump and other Republicans in recent elections. The poll of more than 2,000 rural registered voters by The Associated Press in partnership with KFF found broadly negative views on the national and local economies, including from many Republicans. The costs of groceries, gas, and healthcare rank as top pain points for the rural voters, who were surveyed over two weeks starting in mid-August. (Tribble, Swenson and Sanders, 9/23)

Outbreaks and Health Threats

Epidemiologists, CDC Rethinking What Should Qualify As A Measles Death

The Council of State and Territorial Epidemiologists and the Centers for Disease Control and Prevention started work this summer "to develop a standardized case definition related to measles deaths." The effort, coming amid prolonged measles outbreaks, has raised concerns. "It's almost like the CDC wants to make it more difficult to count confirmed deaths," one CDC source told MedPage Today.
MedPage Today: CDC, Epidemiologists Work On Definition For Measles Deaths

The CDC is indeed working with the Council of State and Territorial Epidemiologists (CSTE) on a definition for measles deaths, but the initiative was launched earlier this year and it was not at the request of the CDC. That's according to CSTE spokesperson Amy Heldman, MPH, who explained that a CSTE workgroup was launched earlier this summer "to develop future guidance to inform measles epidemiology case investigations associated with deaths." (Fiore, 9/22)

San Francisco Chronicle: Amtrak Passenger With Measles Traveled On These California Trains

A detailed California itinerary of the person who may have exposed other Amtrak passengers to measles this month included train travel from Sacramento to Emeryville on Sept. 13, and a departure from Emeryville on Sept. 14, Alameda County health officials said Tuesday. The passenger, who was unvaccinated and later hospitalized with measles, had been traveling through six California counties on their way to Colorado, state health officials said last week. They originally arrived in Los Angeles on Sept. 10, by train from Chicago. (Ho, 9/22)

STLPR: Possible Measles Exposure At Busch Stadium, Other St. Louis Locations 

Health officials are warning of possible measles exposures this month at Busch Stadium and several bars and businesses in the St. Louis area. The Missouri Department of Health and Senior Services said Monday that people may have been exposed to measles at several locations between Sept. 12 and Sept. 14. (Edwards, 9/21)

In other outbreaks and health threats —

ABC News: LA County Sees Highest Number Of West Nile Virus Cases In Nearly A Decade

Los Angeles County is seeing the highest number of West Nile virus cases in nearly a decade, health officials said Monday. The county has reported 100 cases so far this year. This is the highest figure since 2017 when 268 cases were recorded for the entire season. The number of current cases is also greater than the five-year average during the same period, according to the Los Angeles County Department of Public Health (LA County DPH). (Benadjaoud and Kekatos, 9/22)

CIDRAP: Lyme Patients 4 Times More Likely To Have Antibodies To Other Tick-Borne Pathogens

People with laboratory evidence of Lyme disease were more than four times more likely as those without it to have antibodies to other tick-borne pathogens, according to a study published late last week in JAMA Network Open. Lyme disease is the most frequently reported tick-borne disease in the United States. It’s caused by the bacterium Borrelia burgdorferi, which is transmitted by infected blacklegged (deer) ticks (Ixodes scapularis). Blacklegged ticks can also carry other pathogens, including Anaplasma phagocytophilum, which causes anaplasmosis, and Babesia microti, which causes babesiosis. (Bergeson, 9/21)

The Washington Post: What To Know About Covid Vaccines — And If You Need One This Fall

If you haven’t given much thought to covid-19 lately, that’s understandable. The impact of the coronavirus has “substantially diminished” since the early pandemic years, said William Schaffner, a professor of infectious diseases at the Vanderbilt University Medical Center. As a result, “people are perhaps less attentive to covid.” That’s probably due in part to the fact that most people have had some prior protective exposure to covid-19, either through vaccination, infection or both. But covid-19 “hasn’t gone away,” said Schaffner. “It’s still apt to produce serious illness.” (Felton, 9/22)

CIDRAP: Data Reveal Higher Rates Of Severe RSV, Death In Medically Complex Kids Not Targeted For Immunization

Older children diagnosed as having complex critical conditions (CCCs) carry a greater burden of respiratory syncytial virus (RSV)–related serious illness and death, suggesting the need for preventive interventions, researchers write in JAMA Network Open. (Van Beusekom, 9/22)

Take heed if you eat clams or pasta —

CIDRAP: CDC Confirms 37-Case Multistate Hepatitis A Outbreak Linked To Frozen Clams

The Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) announced late last week that a multistate hepatitis A outbreak linked to frozen clams has sickened at least 37 people. So far cases have been identified in four states, Massachusetts (three cases), Minnesota (three), New York (27), and Pennsylvania (four). No deaths have been reported but 30 people have required hospitalization. Illness-onset dates range from July 30, 2025, to June 23, 2026. (Soucheray, 9/22)

The Hill: Walmart Recalls Pasta Due To Listeria Concerns

Pasta sold at Walmart locations nationwide is being recalled over possible listeria contamination, according to a notice posted by the Food and Drug Administration. New York-based Gias Foods said it is recalling two lots of bettergoods brand Authentic Italian Lemon Alfredo Fettuccine, distributed nationwide at Walmart Inc. stores. The product, which is frozen in 22-ounce packages with the UPC number 194346442706, has lot numbers L6079C or L6080C and expiration dates of Sept. 19, 2027, or Sept. 20, 2027. (Swaim, 9/22)

LGBTQ+ Health

Major Hospitals Make Deals With Administration To Stop Providing Gender-Affirming Care To Minors

At least six major hospitals have made agreements to refuse care and pay the government. The New York University Langone Hospitals and the University of Pittsburgh Medical Centers have agreed to stop providing puberty blockers, hormones, or gender-affirming surgery to those under age 19, AP reported.
AP: Hospitals Agree Not To Offer Care For Transgender Minors

At least six major hospitals have agreed to refuse gender-affirming hormones and surgery for transgender young people and agreed to make payments to the federal government, according to deals with the Department of Justice. The most recent agreements came last week. Most of the hospitals had already stopped offering the treatments because of state bans or previous pressure from President Donald Trump’s administration. (Mulvihill, 9/22)

The Colorado Sun: Judge Says Children’s Hospital Not In Contempt In Gender-Affirming Care Case

A Denver judge Tuesday night sided with Children’s Hospital Colorado after attorneys for young transgender patients had sought to hold the hospital in contempt of court. (Ingold, 9/22)

In reproductive health news —

NBC News: Supreme Court Declines To Intervene In Custody Case Involving Newborn With Heart Condition

Justice Elena Kagan on Tuesday rejected a request for the Supreme Court to get involved in the case of a surrogate enmeshed in a multistate custody battle with California parents who at one point asked her to abort the fetus because of a heart defect. McKenna West gave birth to the couple’s baby in Texas last month and argued in court there that California denied her due process when it awarded custody of the child, whom she named Gabriel, to his genetic parents. (Gregorian, 9/22)

San Francisco Chronicle: Bill Sought To Shore Up Newsom's Abortion Access Plan; He Vetoed It

One of Gov. Gavin Newsom’s most reliable allies, abortion rights advocacy groups, are issuing a rare rebuke of the governor after he vetoed a bill that would have extended California’s abortion shield laws and expanded legal protections for gender-affirming care. Assembly Bill 2164 by Assembly Member Rebecca Bauer-Kahan, D-Orinda, aimed to codify the state’s landmark protections for medical professionals providing abortion health care to out-of-state patients. (Palmer, 9/22)

The 19th: How The Algorithm Traps New Moms Into Overspending On Baby Products

The madness unfolded in a familiar pattern: Ellen FitzGerald would wake in the dead of night to nurse her baby for about a half hour, then hand him off to Dad to rock another half hour. Carefully, ever so gently, Dad would lay little Rowan back in his bassinet. Instantly, Rowan’s body would stiffen, his mouth splitting open in a roar that restarted the rocking process. (Carrazana, 9/22)

In autism research —

Newsweek: Scientists Tracked 3.7 Million Births—One Rare Factor Was Linked To Autism

Children exposed to rare infections in the womb may face a higher risk of autism and intellectual disability, according to a major new study. Researchers from Sweden's Karolinska Institutet found that babies born with congenital TORCH infections were about three times more likely to later be diagnosed with autism compared with children who were not infected. (Gray, 9/23)

More health and wellness news —

MedPage Today: Pediatric Acute Kidney Injury Cases Increased Tenfold Over Past 25 Years

Hospitalizations complicated by acute kidney injury (AKI) surged among patients in pediatric units or children's hospitals over the past 25 years, a large retrospective study indicated. (Monaco, 9/22)

The New York Times: New Hope For Diagnosing C.T.E. In Brain Injured Patients

Scientists are developing imaging techniques and blood tests that one day may enable doctors to identify the disease definitively in living patients. (Jacobs, 9/22)

CBS News: Even The Smallest Joys Can Help Prevent Suicide, Researchers Say

New research is shedding light on suicide prevention strategies, highlighting that even the smallest joys can help during crisis. Professor Philip Resnik, of the University of Maryland's Institute of Advanced Computer Studies, said their research started with a public Reddit post. A user had asked "formerly suicidal" people to share what kept them alive and helped them through dark times, and thousands of people responded. (Brand, 9/22)

The Washington Post: The Unexpected Toll Of Searching Endlessly For A New Job

A prolonged job search doesn’t just sap job seekers of time, money and energy — for many, the hunt takes a devastating toll on their mental health. Although unemployment rates in the United States have been historically low, the Bureau of Labor Statistics reports that more than a quarter of jobless people qualify as “long-term unemployed,” meaning they have been hunting for 27 weeks or more. (Carpenter, 9/22)

If you need help —

Dial 988 for 24/7 support from the Suicide & Crisis Lifeline. It's free and confidential.

In obituaries —

The New York Times: David George Gordon, Apostle For Bugs On The Dinner Plate, Dies At 76 

David George Gordon, a science writer who elevated the culinary profile of insects with “The Eat-a-Bug Cookbook,” a guide to deep-frying tarantulas and sautéing crickets, and with boisterous, squirm-inducing cooking demonstrations on late-night television, died on Aug. 4 in Tacoma, Wash. He was 76. His death, in a hospital, was caused by complications of a fall, his daughter Julia Mullen Gordon said. (Rosenwald, 9/21)

Cancer

Cancer Mortality Rates For Americans Fell 35% Between 1991 And 2024, Report Shows

This year's Cancer Progress Report from the American Association for Cancer Research (AACR) showed that decreased smoking rates and advances in early detection and treatment drove the decline in cancer deaths, MedPage Today reported. However, the AACR warned that proposed rules threaten advances in cancer research, and turmoil in federal health agencies endangers patients' continued progress.
MedPage Today: U.S. Cancer Mortality Declined 35% Since 1991, AACR Report Shows

The overall cancer mortality rate in the U.S. declined by 35% between 1991 and 2024, resulting in almost 5 million cancer deaths averted, according to the 2026 American Association for Cancer Research (AACR) Cancer Progress Report. That decline was largely driven by decreased smoking rates and an ensuing decline in lung cancer deaths, a trend that accelerated due to advances in early detection and treatment. (Bassett, 9/22)

CIDRAP: Drug Shortages Disrupt Care At Leading US Cancer Centers

All 31 leading cancer centers responding to a new survey reported shortages of at least one cancer drug, and nearly two-thirds said they resorted to mitigation strategies to keep patients on their recommended treatments. But in many cases, those mitigation strategies weren’t enough. Ninety percent of centers reported that treatment plans had to be modified because of drug shortages, creating additional insurance hurdles that may have delayed care. (Bergeson, 9/22)

Modern Healthcare: Health Systems Expand Theranostics Programs For Cancer Treatment

Medicine typically offers surgery, chemotherapy, radiotherapy and immunotherapy to treat cancer. Now, more providers are offering theranostics, an emerging targeted treatment approach. Major academic medical centers like Mayo Clinic, the University of Texas MD Anderson Cancer Center and UChicago Medicine have established theranostics programs, and community hospitals and outpatient cancer clinics are getting on board too. (Dubinsky, 9/22)

MPR News: In Minnesota’s Governor Race, Breast Cancer Creates ‘A Sisterhood’ Among Rivals

Lisa Demuth was shopping for some final Christmas gifts for her daughters in 2009 when she got a call that changed her life. As she prepared for a Senate vote in 2021, Amy Klobuchar fielded a similar call. Both women said they were stunned by the news of a breast cancer diagnosis. (Ferguson, 9/23)

More pharma and tech developments —

Stat: FDA, NIH Unveil New Rules To Reduce Animal Testing In Drug Development 

For the second time this year, the Department of Health and Human Services announced a new set of strategies to speed a shift toward human-based research methods and reduce the use of animals in medical testing. (Silverman, 9/22)

The New York Times: Many Americans Use GLP-1 Drugs Without A Medical Reason, Study Shows

A large new study confirms what many people have long suspected: A sizable number of people taking drugs like Ozempic have no medical reason to do so. The study, an analysis of the medical records of more than 92 million U.S. adults, identified more than 1.1 million who were taking GLP-1 medications, without any record of an issue that would make them eligible, like obesity or diabetes. While the researchers didn’t examine why people took these medications, doctors said many people are probably using them simply to shed some pounds or in the hope they might deliver other, buzzy potential benefits. (Blum, 9/22)

Modern Healthcare: Epic Systems Pauses Product Development To Focus On Cybersecurity

Epic Systems has paused most of its technology development while it ensures its systems are secure and not vulnerable to cyberattacks. The move involves hundreds of projects, company founder and CEO Judy Faulkner said while speaking at Modern Healthcare’s Leadership Summit Tuesday. Faulkner said the decision was a “shame,” although she suspects work is continuing in some development areas. (Famakinwa, 9/22)

Modern Healthcare: Anthropic, OpenAI Warnings Test Healthcare AI Plans

Former Anthropic researcher Jacob Coxon made waves this month with his high-profile resignation from the artificial intelligence company over what he called the technology’s threat to humanity. Now, the healthcare sector is mulling over what his warning means for the industry and its significant investments in AI. In a series of posts on X, Coxon, who is also a former OpenAI researcher, said both companies were not acting responsibly as they compete to develop self-improving models. He warned the public not to underestimate the power of the technology, and wrote AI developers believe “it could kill us all by the end of the decade.” (Famakinwa, 9/22)

Bloomberg: Apple Developing New Fitness Tracker Aimed At Rivaling Whoop

Apple Inc. is developing a screenless health and fitness tracker similar to Whoop Inc.’s wrist-worn device, part of an effort to rethink its smartwatch lineup and add new wearable technologies. The company has been exploring the category for several months and is now developing prototypes, according to people with knowledge of the matter. The effort has support from top executives, but Apple hasn’t decided whether to release the product, said the people, who asked not to be identified because the work is confidential. (Gurman, 9/22)

State Watch

Federal Judge To Texas: Air Condition All State Prisons Before 2030

U.S. District Judge Robert Pitman found in his ruling that conditions in Texas prisons without air conditioning violate the Eighth Amendment, which protects against cruel and unusual punishment, the Texas Tribune reported. Also in news from across the states: a settlement in the toxic water case at Camp Lejeune, progress in greenhouse gas emissions in Illinois, and more.
The Texas Tribune: Texas Ordered To Air Condition All Prisons By The End Of 2029

A federal judge has ordered Texas to air condition all of the state’s lockups, which the prison agency said could cost $1.5 billion, by the end of 2029. (Nguyen, 9/22)

The New York Times: Camp Mystic Owners Face Criminal Inquiry Over Deadly Flood, Warrants Show

Investigators in Texas executed search warrants last week against the family that runs Camp Mystic as part of a criminal inquiry into the 28 deaths there during last year’s flooding, according to documents obtained by The New York Times. The documents outlined why Texas state police investigators believe the camp may be criminally liable for the actions of its leadership, including for manslaughter, criminally negligent homicide and child abandonment. (Goodman and Rasekh, 9/22)

Roll Call: Settlement Of Camp Lejeune Case Shows Dilemma Facing Many Victims 

Among the thousands of victims of contaminated drinking water at Marine Corps Base Camp Lejeune was a woman with the ironic name of Mary Freshwater, who was raising her family at the North Carolina base in the late 1970s and early 1980s, when toxins in the water were at their peak. (Magner, 9/22)

AP: Illinois EPA Releases Plan To Reach ‘Net Zero’ Emissions

A new report says Illinois has made significant strides in reducing greenhouse gas emissions from power plants such as Illinois has made substantial progress in reducing greenhouse gas emissions in recent years, but it is not yet on track to meet its goal of reaching net-zero emissions by 2050. That’s the conclusion of a new Comprehensive Climate Action Plan released this month by the Illinois Environmental Protection Agency. (Hancock, 9/22)

Bloomberg: MTA Seeks Higher Health Insurance Contributions From NYC Transit Workers

New York City’s transit system wants its subway and bus workers to pay a greater share of health insurance costs, as the parties negotiate a new wage agreement. The contract between the Metropolitan Transportation Authority, which oversees the city’s subway, buses and commuter rails, and the Transport Workers Union Local 100, representing about 40,000 MTA transit employees, expired in May. The MTA is seeking to limit increases in labor expenses as the nation’s largest transit system already faces an estimated $900 million budget deficit by 2030. (Kaske, 9/22)

AP: Foster Kids Now Have An Alternative To Staying In State Offices

Foster children without placements are no longer sleeping in government offices or hotels thanks in part to a new residential program launched by the Department of Human Services last month to help temporarily house and rehabilitate the most difficult-to-place youth. The issue of kids sleeping in offices and hotels has plagued the department for years and even sparked the creation last year of an internal task force aimed at finding alternative solutions after Civil Beat wrote about it for a second time. (Valera, 9/22)

On substance abuse and treatment —

The New York Times: Hayden Panettiere Died From Toxic Effects of Fentanyl and Other Drugs

The actress Hayden Panettiere died from a toxic mixture of the powerful opioid fentanyl, antipsychotic and anti-anxiety drugs and muscle relaxants, the Greenville County Coroner’s Office said on Tuesday, adding that her death was ruled an accident. An autopsy showed no signs of trauma that would have contributed to the death, the coroner’s statement said. According to Dr. Kevin Simon, an assistant professor of psychiatry at Harvard Medical School, the drugs found in Ms. Panettiere’s system represented a potentially “deadly combination.” (Taylor, 9/22)

NBC News: Sober Home Where Presley Gerber Died Is Not Required To Be Licensed Like Rehab Facilities

The Southern California facility where the 27-year-old son of supermodel Cindy Crawford died Sunday following a suspected overdose appeared to operate as a sober living home and was not required to be licensed by the state agency that regulates substance-use treatment centers. (Burke, Deverson and Madani, 9/22)

NBC News: Kratom Found At Locations Where Two Ole Miss Students Were Discovered Dead

Two University of Mississippi students died this week and packaged kratom was found during the separate death investigations, law enforcement officials said Tuesday. Authorities said they have not confirmed that kratom or any other substance was a contributing factor in either death. (Helsel, Arcodia and Solis, 9/22)

Stat: Kratom Withdrawal A Growing Problem For Addiction Clinics

Addiction clinics around the country are seeing a growing number of cases related to gas station products made from the kratom leaf and its derivatives. At the telehealth addiction clinic Boulder Care, for example, people who report using kratom products constituted 3% of all new patients in September 2025. By July 2026, that number was 8%, and in August, it jumped to 14%. (Gaffney, 9/21)

Cardinal News: Psychedelics As Treatment For Cocaine Addiction? A Roanoke Doctor Won A Federal Grant To Study The Possibilities. 

Could there be magic in some mushrooms? Carilion Clinic researchers are studying whether psilocybin — the psychoactive ingredient in “magic mushrooms” — could help people with addiction. (Schabacker, 9/23)

MPR News: Minneapolis' Mobile Medical Unit Is On The Move 

For the past year, a mobile medical unit has been delivering healthcare and substance use treatment directly to Minneapolis residents in underserved communities, reaching people who often face some of the greatest barriers to care. The Minneapolis Mobile Medical Unit, funded by over $1 million in opioid settlement dollars, operates from a specially equipped RV that contains two exam rooms and is staffed by three nurses. (Zurek, 9/22)

Editorials And Opinions

Viewpoints: RFK Jr.'s Anti-Vaccine Damage Will Outlast His Time In Office; People With Mental Illness Are Capable Of Being Good Parents

Opinion writers examine these public health topics.
The New York Times: Kennedy’s Anti-Vaccine Legacy Will Outlast This Administration

Four are dead in Pennsylvania’s measles outbreak. But the C.D.C. isn’t yet convinced. (Jessica Grose, 9/23)

Stat: Mentally Ill Women Deserve To Become Parents 

A friend once told me approvingly that someone she knew had talked his schizophrenic adult son into having a vasectomy. Though I read “talked into” as “coerced,” I didn’t say anything. Oh my god, I thought instead, maybe I shouldn’t be a mother. I’d had a break with reality after stopping my antipsychotic 10 years before, frustrated with weight gain. I had returned to taking medication and my mental health had stabilized long before this conversation. But I was now pursuing pregnancy. (Meg LeDuc, 9/23)

Stat: Why Heidi Overton Has The Right Experience For FDA Commissioner 

Heidi Overton has been nominated to lead the Food and Drug Administration at a moment of significant opportunity, but also big challenges. Innovation in medicine has never moved faster, providing more ways for Americans to improve their health and for the United States to advance the health of its population. But the institutions that carry that progress forward are under strain. (Scott Gottlieb and Mark B. McClellan, 9/22)

The Washington Post: Why Melinda French Gates’s Philanthropy Is Shifting Toward Menopause 

The philanthropist is investing in care for women in their midlife. (Leana S. Wen, 9/22)

Katie Couric Media: What Nobody Tells You When Your Spouse Is In A Coma 

Sometimes humor is the only thing that allows you to reenter ordinary life, if only for 30 seconds. There is an expectation that catastrophe transforms you into a different species. The Wife of the Man in the Coma should presumably become grave, wise, and interested in meditation. (Juana Libedinsky, 9/22)

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