AstraZeneca’s vaccine data do-over — HHS to drop $10B on vaccine equity — How the White House plans to overhaul Covid testing

From: POLITICO Pulse - Thursday Mar 25,2021 02:21 pm
Presented by PhRMA: Delivered daily by 10 a.m., Pulse examines the latest news in health care politics and policy.
Mar 25, 2021 View in browser
 
POLITICO's Pulse newsletter logo

By Adam Cancryn

Presented by

With Rachel Roubein and David Lim

Quick Fix

AstraZeneca has published new data on the effectiveness of its coronavirus vaccine after federal scientists questioned its results.

The Biden administration has announced a nearly $10 billion infusion to expand access to Covid vaccines and reduce hesitancy.

The White House wants to make regular Covid testing the norm in schools and offices.

WELCOME TO THURSDAY PULSE — where impressionist Dana Carvey is the closest one yet to nailing the ever-elusive President Joe Biden. But his Anthony Fauci could use a little work. Classic SNL clips and news tips to acancryn@politico.com.

 

A message from PhRMA:

Nearly 50% of total U.S. spending on brand medicines goes to entities other than the manufacturers who make medicines. By focusing on list prices, cross-country price comparisons ignore the close to $200 billion in rebates, discounts and savings negotiated by insurance companies, PBMs, the government and others in the complex U.S. pharmaceutical supply chain. Learn more.

 
Driving the Day

ASTRAZENECA’s VACCINE RESULTS, TAKE 2The drugmaker is now saying its vaccine is 76 percent effective against symptomatic Covid-19 infection, slightly lower than the figure it first released earlier this week, POLITICO’s Sarah Owermohle reports.

The new estimate comes two days after the Data and Safety Monitoring Board, an independent group overseeing vaccine trials, accused AstraZeneca of using stale data to promote the vaccine. AstraZeneca’s initial release had relied on information from a mid-February interim analysis, the board said.

— The new data still represents good news for the company’s vaccine. Its effectiveness is well above the bar set for FDA authorization, and the shots’ estimated efficacy for people older than 65 actually rose slightly from Monday’s figures, from 80 percent to 85 percent.

— But AstraZeneca may still struggle to restore the public’s trust in its shot. The confusion comes less than a week after unsubstantiated fears about the vaccine’s safety swept across Europe. AstraZeneca said it’s planning to seek authorization from the FDA by mid-April.

Meanwhile, Johnson & Johnson’s vaccine manufacturing capability is getting a much-needed boost. Catalent, a contract manufacturer helping produce Johnson & Johnson’s vaccine, has started delivering millions of doses after receiving FDA clearance late Tuesday. J&J’s other partner, Emergent BioSolutions, is still awaiting its own FDA authorization.

BIDEN TOUTS NEW TRANCHE OF FUNDING FOR VACCINATION CAMPAIGNA surge of funding from Democrats’ Covid aid package will soon land at HHS, much of it to be spent on efforts to ramp up vaccinations in hard-hit and underserved communities, POLITICO’s Rachel Roubein reports. Where the money will go:

— Community health centers will receive $6 billion to fund services like Covid-19 vaccinations, testing and preventative care;

— States, territories and large cities will get $3 billion to aid vaccine confidence campaigns and help increase access in the hardest-hit communities;

— And $330 million will go to jurisdictions to assist community health workers and improve coronavirus prevention and control efforts.

The White House is also urging health centers that provide vaccinations to expand eligibility for the shots to all essential workers and people with high-risk medical conditions, and it plans to create a new program that will send vaccines directly to dialysis centers.

— The backdrop: Biden has long promised equitable distribution of Covid shots, but CDC data still shows stark disparities in who’s getting vaccinated – with Black and Hispanic communities lagging far behind white Americans.

HOW BIDEN PLANS TO OVERHAUL COVID TESTINGThe White House is shifting the nation’s testing strategy from diagnosing people who suspect they’re infected to regularly screening millions of Americans at school and work, POLITICO’s David Lim reports.

Widespread and consistent testing will be vital to reopening classrooms and nonessential businesses, and as demand for Covid tests across the country has finally begun to dip, routinely testing schoolchildren is now possible without getting in the way of testing elsewhere. Last week the administration announced a $10 billion effort to amp up screening programs for K-12 students, and it’s also trying to speed up the manufacturing of rapid Covid tests for in-home use.

— Regular screenings will become even more important as the vaccination rate increases, by helping to catch new pockets of the virus. As the overall caseload drops, contact tracing will become easier, health experts said.

 

SUBSCRIBE TO "THE RECAST" TO JOIN AN IMPORTANT CONVERSATION : Power dynamics are shifting in Washington and across the country, and more people are demanding a seat at the table, insisting that all politics is personal and not all policy is equitable. "The Recast" is a new twice-weekly newsletter that breaks down how race and identity are recasting politics, policy, and power in America. Get fresh insights, scoops, and dispatches on this crucial intersection from across the country, and hear from new voices that challenge business as usual. Don't miss out on this new newsletter, SUBSCRIBE NOW . Thank you to our sponsor, Intel.

 
 
Building the Biden Administration

RACHEL LEVINE MAKES HISTORY — The new HHS assistant secretary for health is the first openly transgender government official to be confirmed by the Senate, POLITICO’s Alice Miranda Ollstein reports.

Levine’s nomination cleared the chamber Wednesday in a 52-48 vote, with GOP Sens. Susan Collins and Lisa Murkowski joining all Democrats and independents. The former head of Pennsylvania’s health department, Levine emphasized her work on opioid addiction, maternal mortality and rural health care.

Senate Majority Leader Chuck Schumer hailed the milestone ahead of the vote, calling Levine’s emergence as a national figure critical to “break[ing] down barriers of ignorance and fear.”

— Happening today: Vivek Murthy's swearing in. He'll officially become surgeon general in a ceremony set for 9 a.m. ET.

TODAY: BIDEN’s FIRST FORMAL PRESSER — The president is slated for his first solo news conference this afternoon, where he’ll likely be pressed on his handling of the surge of unaccompanied immigrant children. During a Wednesday meeting with HHS Secretary Xavier Becerra and other officials, Biden tapped Vice President Kamala Harris to be his point person on the crisis.

Biden will also likely face scrutiny on a pair of other health policy questions: his new vaccination goal, which he promised earlier this week to soon unveil; and whether he wants Congress to pursue drug pricing measures or a public insurance option as part of its next stimulus bill.

FIRST IN PULSE: WHITE HOUSE BULKS UP ITS COVID COMMS — Biden’s Covid response team has added former Obama HHS official Subhan Cheema as a strategic communications adviser. Cheema worked on the Biden campaign in North Carolina, and prior to that did stints as communications director for Rep. Pramila Jayapal (D-Wash.) and Sen. Richard Blumenthal (D-Conn.).

 

Advertisement Image

 
Medicaid

WYOMING’s GOP-LED HOUSE PASSES MEDICAID EXPANSION — The Republican-controlled chamber approved legislation expanding Medicaid on Wednesday, marking the first time it’s ever agreed to expand coverage, Rachel reports.

Weeks after the passage of Biden’s Covid aid bill, which offered the nation’s remaining holdout states new incentives to expand their Medicaid programs, roughly 24,000 of Wyoming’s poorest residents are a step closer to having access to health coverage.

— But the expansion effort still faces a difficult path. The Senate, which can now consider the bill, let similar legislation die earlier this week. And GOP Gov. Mark Gordon hasn’t committed to signing an expansion bill if one lands on his desk.

A spokesperson for Gordon told Rachel earlier this week that he’ll “continue to monitor this bill but remains concerned about what the state’s future financial obligations could be under expansion.”

— PULSE thought bubble: Even if it ultimately falls short, the bill’s initial passage is notable given the GOP dominance in the Wyoming state House — of 60 lawmakers, 51 are Republicans. It’s the latest expansion of how the politics of Medicaid expansion have shifted in the 11 years since Obamacare’s passage.

 

STEP INSIDE THE WEST WING : The Biden administration is more than halfway through its first 100 days and is now facing a growing crisis at the border and escalating violence against Asian Americans, while navigating the pandemic and ongoing economic challenges. Add Transition Playbook to your daily reads to find out what actions are being considered, as well the internal state of play inside the West Wing and across the administration. Track the people, policies, and emerging power centers of the Biden administration. Don't miss out. Subscribe today.

 
 
Coronavirus

ROCKEFELLER DEBUTS INDUSTRY-BACKED SCHOOL TESTING PLAN — The Rockefeller Foundation is out this morning with a blueprint for implementing Covid screening programs in schools that would return results within a day or less, David writes.

The initiative – dubbed the National Testing Action Program – was developed alongside 21 health companies, including Abbott, Quest Diagnostics, UnitedHealth Group and Color.

FIRST IN PULSE: ROSEN, COLLINS BILL WOULD FREE UP MOBILE CLINIC FUNDING — Collins and Sen. Jacky Rosen (D-Nev.) said today they are introducing legislation that would make health centers and part-time mobile clinics — both of which Biden has promoted as key to getting members of underserved communities vaccinated — eligible for funding under an HHS grant program key to reaching underserved communities.

 

A message from PhRMA:

Looking at differences in medicine prices between the United States and other countries can be misleading, often ignoring complexities in the U.S. system and the repercussions of other countries’ reliance on government price setting policies. As the discussion unfolds, here are a few often overlooked facts:

• Americans have the most robust access to lifesaving medicines in the world.
• Americans benefit from robust generic competition.
• The world benefits from U.S. global leadership in biomedical innovation.
• Negotiations between pharmaceutical companies and payers drive down prices, but patients don’t always pay less.
• We need smart, patient-centered solutions for lowering drug costs.

Learn more.

 
What We're Reading

New York Gov. Andrew Cuomo’s family members got priority access to Covid testing early on in the pandemic, the Albany Times Union’s Brendan Lyons reports.

Covid hospitalizations in Michigan among people 40 to 49 years old surged 800 percent in March, the Detroit Free Press’ Christina Hall and Kristen Jordan Shamus report.

A top executive of Chicago’s Loretto Hospital resigned after giving early vaccinations to people at three businesses he had close ties to, Block Club’s Kelly Bauer reports.

 

Follow us on Twitter

Joanne Kenen @joannekenen

Adriel Bettelheim @abettel

Jason Millman @jasonmillman

Lauren Morello @lmorello_dc

Sara Smith @sarasmarley

Adam Cancryn @adamcancryn

Tucker Doherty @tucker_doherty

Dan Goldberg @dancgoldberg

David Lim @davidalim

Susannah Luthi @SusannahLuthi

Alice Miranda Ollstein @aliceollstein

Sarah Owermohle @owermohle

Carmen Paun @carmenpaun

Mohana Ravindranath @ravindranize

Rachel Roubein @rachel_roubein

Darius Tahir @dariustahir

Erin Banco @ErinBanco

 

Follow us

Follow us on Facebook Follow us on Twitter Follow us on Instagram Listen on Apple Podcast
 

To change your alert settings, please log in at https://www.politico.com/_login?base=https%3A%2F%2Fwww.politico.com/settings

This email was sent to by: POLITICO, LLC 1000 Wilson Blvd. Arlington, VA, 22209, USA

Please click here and follow the steps to .

More emails from POLITICO Pulse