Trump officials gear up to face their Covid legacy — Abortion rights groups stay out of filibuster fight — Senate passes new freeze on Medicare cuts

From: POLITICO Pulse - Friday Mar 26,2021 02:04 pm
Presented by PhRMA: Delivered daily by 10 a.m., Pulse examines the latest news in health care politics and policy.
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By Susannah Luthi

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Quick Fix

— Former President Donald Trump's health officials are preparing to defend their Covid-19 legacy ahead of a blitz of exposés.

Abortion rights groups are sitting out the debate over the Senate filibuster, breaking with the progressive groups gunning to end it.

— The Senate extended a freeze on Medicare cuts before its expiration date, teeing up another House vote.

WELCOME TO FRIDAY PULSE — where this morning we’re all entitled to vodka on the rocks with our toast to honor Jessica Walter. Your author would cry, but she can’t spare the moisture. More great Lucille Bluth moments and tips to sluthi@politico.com.

 

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Americans have access to more medicines than people in other countries because the United States has a system that values innovation and supports broad access to medicines. Cross-country price comparisons paint a misleading picture and ignore the consequences of government setting the price of medicines. Learn more.

 
Driving the Day

TRUMP OFFICIALS PREP FOR BATTLE OVER COVID LEGACYA small group of top Trump health officials have been meeting to organize their accounts and shape the narrative of the administration’s rocky Covid response, amid fears they’ll be publicly scapegoated by old colleagues — including former HHS Secretary Alex Azar, POLITICO’s Adam Cancryn reports.

—The battle lines: Former FDA chief Stephen Hahn, former CDC Director Robert Redfield, former CMS head Seema Verma and former White House Covid coordinator Deborah Birx have swapped notes and compared recollections, continuing an alliance that stood in the way of Trump's attempts to reopen the country without first controlling the virus.

Most of the members of that group also feuded with Azar at various points, and they have also discussed how to counter efforts by Azar to orchestrate coverage that pins blame on them.

— Case in point: Sunday's CNN special. The two-hour program will feature extensive interviews with Hahn, Redfield, Birx and three others, and HHS alumni have been speculating about it will reveal — and who will be blamed for the administration’s missteps.

— Among the other projects in the works: Former senior HHS official Paul Mango, an Azar ally, is mulling writing a tell-all book. Trump’s first FDA commissioner, Scott Gottlieb, is releasing a book in July. And Andy Slavitt, who’s now on President Joe Biden’s Covid response team, interviewed a range of top officials for his own play-by-play of the pandemic response that's due out in July.

WHY ABORTION RIGHTS GROUPS ARE SITTING OUT THE FILIBUSTER FIGHTProgressives have mostly closed ranks around the push to abolish the Senate filibuster — but not abortion rights advocates, who instead fear the maneuver could backfire when Republicans are back in charge of Congress, POLITICO's Alice Miranda Ollstein reports.

— A 'double-edged sword': That’s how Sen. Mazie Hirono (D-Hawaii) describes the dilemma for groups like Planned Parenthood and NARAL. Without the filibuster, such groups might have a shot at getting abortion guarantees on the books under unified Democratic government — but they know Republicans could also impose new bans when it’s their turn.

It’s a practical calculation, experts say, even if it puts them at odds with unions and social justice groups eager to get their priorities through the 50-50 Senate.

“If you’re Planned Parenthood or another progressive group, the possibility of getting federal pro-choice legislation passed is fairly remote," said Florida State University College law professor Mary Ziegler. "Keeping the filibuster for a rainy day when Republicans are controlling Congress makes sense for them.”

— Abortion foes are also doing all they can to preserve the filibuster, for much the same reason as abortion rights proponents. They’ve ramped up advocacy with radio ads, billboards and rallies urging anti-abortion Democrat Sen. Joe Manchin (D-W.Va.) to hold the line.

PULSE thought bubble: Now that the filibuster is topping the hot Beltway news, a reminder: There’s ALWAYS a health care angle.

SENATE COALESCES TO KEEP THE FREEZE ON MEDICARE CUTS — The Senate's extension of Congress’ temporary pandemic-era freeze on Medicare cuts is a major win for hospitals, guaranteeing them billions of dollars through the end of the year.

The 2 percent cut is technically due to resume next week, but the House likely won’t take up the measure until after recess, according to a senior Democratic aide.

Still, hospitals are breathing easy now the Senate's work is done. Republicans in the upper chamber had rejected the House Democrats’ original version of the extension bill, which also waived “pay-as-you-go” rules. In a statement welcoming the Senate's action, American Hospital Association CEO Rick Pollack stressed that the Covid pandemic isn't over yet and said that "it is in everyone’s interest to keep hospitals strong."

 

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In Congress

WAYS AND MEANS REPUBLICANS PROBE NURSING HOME DEATH DATA — The House panel’s top Republicans want HHS to send them reports on nursing home coronavirus case data from five Democratic states, in light of embattled New York Gov. Andrew Cuomo’s scandal over obscuring Covid-19 deaths in the facilities, Rachel Roubein reports.

They’re asking HHS for the CDC's monthly reports, in which the agency summarized nursing home data from New York, Pennsylvania, Michigan, New Jersey and California. All of those states had policies that forced nursing homes to accept coronavirus patients.

— Committee Republicans, including those representing Pennsylvania, also sent a separate letter to Pennsylvania’s attorney general asking him to investigate why the state’s publicly reported database is allegedly missing death data from dozens of nursing homes.

A spokesperson for Pennsylvania’s health department said that the issue has “been raised and resolved,” and that it is working with nursing homes to make sure they report fatalities “in a timely manner.” An attorney general’s office spokesperson pointed to a letter sent to lawmakers last month that noted it’s the state inspector general’s office, and not the AG’s office, that has jurisdiction over the request.

A spokesperson for Michigan Gov. Gretchen Whitmer, a Democrat, said the state has consistently publicly reported the number of nursing home deaths, including those who died after being transferred to a hospital or other facility.

Ways and Means Republicans earlier this month met with officials from two federal health agencies on how to improve the tracking of nursing home deaths.

Nursing homes were also front and center in a Ways and Means Oversight Subcommittee hearing on private equity’s track record in health care on Thursday. Subcommittee chair Bill Pascrell highlighted nursing home Covid-19 infections and fatalities in his home state of New Jersey, saying residents at private equity-owned facilities had disproportionately high numbers of both.

 

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Medicaid

WYOMING GOV. DOESN’T CLOSE DOOR ON MEDICAID EXPANSION — Gov. Mark Gordon, a Republican, wants the Senate to debate a bill to expand Medicaid to roughly 24,000 of the state’s poorest residents, Rachel reports.

The Republican-controlled state House passed a Medicaid expansion bill earlier this week, just days after the Senate had killed a similar bill. But the Senate can still take up the House’s legislation, and Gordon wants the chamber to debate the bill “out of consideration for the work the House did,” spokesperson Michael Pearlman wrote in an email. Pearlman declined to say whether the governor would sign Medicaid expansion legislation.

Coronavirus

FIRST IN PULSE: SENATORS ASK VA TO FIGHT VACCINE HESITANCY — Sens. Amy Klobuchar (D-Minn.), Rob Portman (R-Ohio) and other senators urged Secretary of Veterans Affairs Denis McDonough to use CARES Act funding to educate veterans about the safety and efficacy of Covid-19 shots, citing a recent poll that found high levels of vaccine hesitancy among veteran families.

“It is crucial that veterans receive clear and accurate information about the vaccine and your agency can play a major role in helping them identify false information and recognize the safety and efficacy of the vaccines,” the senators wrote in a letter dated Thursday.

 

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

The president of a pharmaceutical company with links to Cuomo received special access to Covid-19 tests last year when the pandemic first raged in the state, J. David Goodman, Luis Ferré-Sadurní and Jesse McKinley report for the New York Times.

A respected Ontario doctor secretly ran an after-hours fentanyl business: Toronto Life's Brett Popplewell has the story.

The Mississippi Health Department is rewriting its script for over-the-phone vaccine appointments after a professor complained that a scheduler discredited the Moderna jab, the AP reports.

Novavax is slow-walking a contract to supply its Covid-19 vaccine to the European Union over worries about sourcing some raw materials, Reuters’ Francesco Guarascio and Carl O’Donnell report.

 

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.

 
 
 

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