Florida's anti-mask crusade is faltering — Covid returns to the Senate — Kaiser: Patients back on the hook for Covid treatment costs

From: POLITICO Pulse - Friday Aug 20,2021 02:03 pm
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By Adam Cancryn and Sarah Owermohle

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Quick Fix

— Florida Gov. Ron DeSantis' high-profile effort to lead the charge against school mask mandates is falling apart.

— Three senators have tested positive for Covid-19, in the latest breakthrough cases to hit Capitol Hill.

— A majority of health insurance plans have stopped waiving out-of-pocket costs for patients hospitalized with Covid-19.

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Driving the Day

FLORIDA GOV’s SCHOOL MASK CRUSADE FALTERS — Republican Gov. Ron DeSantis’ vocal campaign against school mask requirements is crumbling, as the state’s Covid-19 caseload rises and more districts opt to defy his orders.

Three weeks after DeSantis vowed that “we don’t have mandates and we won’t,” more than 1 million Florida students now live in school districts where masks are required, POLITICO’s Matt Dixon and Andrew Atterbury report.

That’s equal to more than a third of the entire state’s enrollment, after Palm Beach County instituted a comprehensive mask mandate. The county — which is the state’s fifth largest — joined other high-population districts like Miami-Dade, Broward and Hillsborough in shrugging off DeSantis’ threats.

The million-student milestone further undermines DeSantis’ attempt to position himself as a leading adversary of the Biden administration ahead of a potential 2024 presidential run. President Joe Biden has already committed to covering any funding cuts DeSantis imposes on local officials taking public-health precautions, and on Wednesday warned of legal action against states that try to ban mask mandates.

In the meantime, Florida’s cases are skyrocketing. In Hillsborough County alone, more than 10,000 students are quarantined or isolated due to Covid-19. New cases for the state overall have shot up to more than 20,000 a day.

And late Thursday, DeSantis was dealt another blow — this time from the courts. A Florida judge rejected an attempt to throw out a lawsuit challenging his ban on school mask mandates, allowing the case to go forward.

Parents from counties across Florida had filed the lawsuit over claims that blocking local mask policies puts children’s safety at risk.

COVID RETURNS TO THE SENATEThree senators have tested positive for Covid-19, according to separate announcements made within hours of each other on Thursday.

Sens. Roger Wicker, Angus King and John Hickenlooper were all vaccinated, making these the latest breakthrough cases on the Hill, POLITICO’s Maeve Sheehy writes. Sen. Lindsey Graham said earlier this month he’d been infected.

King and Hickenlooper both said they’re suffering mild symptoms. And with the Senate out until next month, their quarantining won’t affect the chamber’s business. But the senators seized on the news to push people to get vaccinated. “While I am not feeling great, I’m definitely feeling much better than I would have without the vaccine,” King said.

Indeed, the cases are in one way reinforcement of the vaccines’ promise: That even for older Americans (all three are over 65) most at risk of getting hit hard by the virus, the shots help fight off severe disease that could lead to hospitalization or death.

They’re also a reminder of the perils of letting Covid-19 continue to circulate. The more virus that’s present, the greater odds that even the vaccinated will get infected and potentially pass it on to others — especially when it comes to lawmakers whose jobs involve constant travel.

KAISER: PATIENTS BACK ON THE HOOK FOR COVID TREATMENT COSTSThe vast majority of health insurance plans have stopped waiving out-of-pocket costs for Covid-19 treatments — meaning people hospitalized with the disease could once again be responsible for big bills tied to their illness.

A Kaiser Family Foundation survey found that 72 percent of the nation’s largest health plans dropped pandemic-era cost-sharing waivers in August, with another 10 percent phasing out their waiver policies by the end of October.

That’s a significant shift from earlier in the public health crisis, when most privately insured Americans would have had any out-of-pocket expenses tied to a Covid-19 hospitalization waived.

“Insurers may have also wanted to be sympathetic toward COVID-19 patients, and some may have also feared the possibility of a federal mandate to provide care free-of-charge to COVID-19 patients, so they voluntarily waived these costs,” the survey’s authors wrote. “In the last few months, the environment has shifted with safe and highly effective vaccines now widely available.”

 

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Industry Intel

CERNER NABS FORMER GOOGLE EXEC AS NEW CEO — David Feinberg is the new CEO of Cerner, the electronic records firm deeply involved in government health care, POLITICO’s Darius Tahir reports.

Feinberg joins the company on Oct. 1 from Google, where he led its Google Health business. He was also once the head of integrated health system Geisinger Health.

The appointment comes as Cerner is mired in a lengthy effort to overhaul the Veterans Affairs Department’s EHR system — a project that is under review amid concerns it will run past deadline and over budget. A recent test of the system Spokane, Wash., ended with staff panning it as unreliable and unhelpful.

In addition to the VA, Cerner is also implementing records systems at the Defense Department and for the Coast Guard.

J&J CEO TO RESIGN — Johnson & Johnson CEO Alex Gorsky is stepping down at the end of the year, after nearly a decade atop the drug maker responsible for one of the nation’s three authorized Covid-19 vaccines.

Gorsky will become J&J’s executive chair on Jan. 3, and be replaced as CEO by Joaquin Duato, who once led the company’s pharmaceuticals business. Gorsky told The Wall Street Journal that health issues in his family spurred the decision.

The changeover comes as more than 13 million Americans have taken J&J’s Covid-19 shot. But the one-dose vaccine once seen as a key part of the pandemic response has instead run into various obstacles, including contamination issues at one of J&J’s contract manufacturing plants and concerns about rare side effects.

In the States

TEXAS OBJECTS TO CMS’ MEDICAID FUNDING OFFER — The state is refusing a Biden administration offer that would continue funding for its Medicaid providers until the federal government provides more information about the proposed extension, Texas’ Medicaid director wrote on Thursday.

The letter to CMS comes after federal officials rejected Texas’ bid to implement a new, expanded payment structure for safety-net providers — saying instead that it would be willing to simply keep the current program in place for another year.

That counter-offer would also blunt a broader Texas lawsuit over the administration’s rescission of its Trump-era Medicaid waiver by ensuring safety net providers would still get paid even absent the waiver.

But Texas Medicaid Director Stephanie Stephens wrote that the state will not decide until it gets more information from CMS about the agency’s concerns and the specifics of its proposal.

 

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What We're Reading

The Africa director for the World Health Organization criticized Biden's booster shot plan as making a "mockery vaccine equity," the Associated Press' Cara Anna reports.

Arizona Gov. Doug Ducey is creating new grant programs to incentivize families and school districts to reject mask mandates, the Arizona Republic's Yana Kunichoff writes.

For the New Yorker, Yasmine Al-Sayyad writes about a retiree and a county commissioner who have gone door to door to convince their Alabama community of 400 people to get vaccinated.

 

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