Democrats weigh axing Medicare expansion

From: POLITICO Pulse - Monday Oct 25,2021 02:08 pm
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Quick Fix

As Democrats near (another) reconciliation deadline, they weigh a huge move that could lop off major health priorities.

FDA says kids could benefit from Covid-19 vaccines but cautioned that it depends on the state of the pandemic and adverse health risks.

Biden could be inching closer to an FDA pick after a meeting with former commissioner Robert Califf on Friday.

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Driving the Day

DOES MEDICARE EXPANSION GO? — Lawmakers, staffers, advocates and lobbyists said that a plan to expand Medicare with dental, vision and hearing benefits for tens of millions of seniors — as well as a pitch to guarantee paid family and medical leave to all U.S. workers — are now in danger of getting cut from the $1 trillion-plus reconciliation package entirely.

Democrats are haggling over whether to drop two of the most popular elements of their social spending bill as negotiations reach the final hours, Heather Caygle, Alice Miranda Ollstein, Eleanor Mueller and Marianne LeVine report based on conversations with a half-dozen sources close to the discussions.

The scramble comes as President Joe Biden seeks to sway moderate Democrats himself. Biden invited West Virginia Sen. Joe Manchin to Delaware on Sunday to strike some agreements on the package.

It was a “productive discussion,” the White House said in a late Sunday statement. “They continued to make progress, will have their staffs work on follow-ups from the meeting, and agreed to stay in close touch with each other and the wide range of members who have worked hard on these negotiations.”

But while leaders are racing to lock in Manchin and Kyrsten Sinema (D-Ariz.), they don’t want to alienate other major players, including Medicare expansion proponent Sen. Bernie Sanders (I-Vt.), Heather, Alice, Eleanor and Marianne write.

The clock is ticking. House Speaker Nancy Pelosi and Senate Majority Leader Chuck Schumer have said they want a deal by the end of this week, though Manchin and the White House still don’t see eye to eye on a topline number for the bill; Manchin's consistently said he supports $1.5 trillion.

The boosted Medicare benefits have always been vulnerable, given their $350 billion price tag. In recent weeks, Biden had pitched lawmakers on converting the dental benefit — by far the most expensive and logistically challenging of the three Medicare expansions eyed for the bill — into an $800 annual voucher for care.

Even those scaled-back versions have yet to garner enough support from centrist holdouts in the Senate, bolstering projections that the entire Medicare-expansion plank could get axed.

Sanders insisted to POLITICO on Saturday that the benefits are “not coming out.”

Read more: What is left in the sweeping package, and where does it go from here? Check out this breakdown of the key measures and their prospects from Jennifer Scholtes, Marianne and Alice.

 

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FDA SUGGESTS KIDS BENEFIT FROM COVID SHOTS — You’d be forgiven for thinking FDA’s late-night Friday release of its first analysis of Covid-19 vaccines for children was an attempt to hide bad news. But the document on Pfizer and BioNTech's vaccine data for kids 5 to 11 largely found that the benefits of immunizing outweigh the risks, POLITICO's Lauren Gardner writes.

Still, the agency suggested that, if case numbers dropped to levels seen in June, the case for vaccination could be harder to make if myocarditis is seen as an adverse reaction among children that age. There were no cases of heart inflammation reported in Pfizer’s pediatric trial, but the company acknowledged something our Prescription Pulse colleagues have noted for months — the trial size, which was doubled at FDA’s request, wasn’t large enough to identify myocarditis as a safety concern.

BIDEN NEARS FDA PICKThe president on Friday met privately with Robert Califf, in the clearest sign yet that he’s preparing to nominate the former Food and Drug Administration commissioner to a return to the agency's top job, two people with knowledge of the matter told Adam and David Lim.

The meeting comes after Califf emerged in recent weeks as a leading candidate to run the FDA, and amid a drawn-out search for Biden's first permanent commissioner. The White House also spent the last several weeks vetting Califf, who led the FDA for a year under President Barack Obama.

Neither the White House nor Califf responded to requests for comment.

Califf won broad bipartisan support during his first stint as commissioner in 2016, winning Senate confirmation by an 89-4 margin. Yet among his skeptics were Manchin, instrumental earlier this year in marshaling opposition to the potential nomination of acting Commissioner Janet Woodcock as the permanent chief. Sanders also questioned Califf’s work with the industry when he was nominated by Obama — such as consulting for different drug and device makers — but ultimately voted for the nominee.

CDC CHIEF: ‘ENJOY YOUR TRICK OR TREATING’ — CDC Director Rochelle Walensky on Sunday said families can still celebrate Halloween and other holidays amid the pandemic but urged “prevention strategies.”

“I would say put on those costumes, stay outside and enjoy your trick-or-treating,” she said to “Fox News Sunday” host Chris Wallace. But she added caveats: “I wouldn't gather in large settings outside and do screaming like you are seeing in those football games, if you are unvaccinated, those kids that are unvaccinated,“ Walensky said, “but if you are spread out doing your doing or trick-or-treating, that should be very safe for your children.”

The CDC director made another plea for people to get vaccinated so they could spend the upcoming holidays — beyond Halloween — safely.

ROCKEFELLER FUNDS PANDEMIC PREP GROUP — The Rockefeller Foundation will put up to $150 million toward the Pandemic Prevention Institute, a new effort led by former Biomedical Advanced Research and Development Authority Director Rick Bright, who will take over as PPI’s CEO when it launches.

Rockefeller is investing the funds through RF Catalytic Capital, which is incubating the initiative until its launch, but the group also has backing from the World Health Organization and United Kingdom’s Global Pandemic Radar, among others . Rockefeller originally put $20 million toward the effort this summer.

Bright said in a panel with global officials this weekend that the group is creating a new headquarters in D.C. and has hired 18 people so far.

 

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Names in the News

— Gillian Schmitz is the new president for the American College of Emergency Physicians during its 2021-2022 term. Schmitz is an associate professor at the Uniformed Services University of the Health Sciences and vice chair of education at Brooke Army Medical Center.

— BGR Group's Dan Farmer has been named co-lead of the Health and Life Sciences Practice's access and reimbursement working group.

 

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What We're Reading

Rep. Alexandria Ocasio-Cortez (D-N.Y.) joined Mercy Hospital workers on the picket line this weekend, where employees on strike are rallying for better benefits, higher wages and improved staffing, WIVB staff report.

Americans in other countries have struggled to find coronavirus vaccines even as millions in the U.S. get boosters, The Washington Post’s Dan Diamond writes.

More than 600 Boston city employees remain on unpaid leave under the coronavirus vaccine mandate, with more enforcements coming this week, The Boston Herald’s Sean Philip Cotter writes.

 

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The racial health disparity crisis in the U.S. is unconscionable and unacceptable. That’s why Blue Cross and Blue Shield companies are working to reduce disparities in maternal health by 50% in 5 years – part of our multi-year commitment to promote health equity.

 
 

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