Covid confusion slows workplace reopenings — How Biden’s patent play is reverberating abroad — CMS boosts pay for Covid treatments

From: POLITICO Pulse - Friday May 07,2021 02:03 pm
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Quick Fix

— Employers eager to bring their workers back into the office are still waiting on critical guidance from the Biden administration over how to encourage employees to get vaccinated.

President Joe Biden's decision to support waiving vaccine patents has not impressed some of the U.S.' European allies.

Medicare will pay providers more for administering Covid-19 treatments, a change that could encourage the use of monoclonal antibody therapies to combat the coronavirus.

WELCOME TO FRIDAY PULSE — where we can confirm: There are indeed only 12 true types of health policy papers. Tips to acancryn@politico.com and sowermohle@politico.com.

 

A message from PhRMA:

Americans don’t need another barrier to their medicines. We have to lower what patients pay for their medicines. We also have to make sure they are getting the medicines they need. H.R.3 forces a choice between one or the other, but there’s a way to do both. Get the facts at phrma.org/betterway.

 
Driving the Day

COVID CONFUSION IN THE WORKPLACE — The Department of Labor has yet to say how far businesses can go to incentivize the shots without tripping anti-discrimination laws, and whether certain perks amount to coercing employees into getting vaccinated or disclosing their vaccination status, POLITICO’s Rebecca Rainey reports.

That ambiguity has undermined Biden’s call for employers to offer paid time off for workers to recover from the shot, and heightened the scrutiny on the Occupational Safety and Health Administration, the agency responsible for issuing workplace guidelines.

OSHA is finalizing long-delayed safety rules that would last through November — and are expected to include mask requirements, among others. Yet the specifics are critical, and could determine whether businesses follow through with reopening or decide it’s not worth the hassle.

Particularly fraught is whether the OSHA rules allow for some relaxation of mask mandates or distancing requirements if enough employees are vaccinated, incentivizing businesses to suss out how much of their workforce is vaccinated while also not violating privacy laws.

HOW BIDEN’s PATENT PLAY IS REVERBERATING ABROAD — The White House’s surprise support for waiving coronavirus vaccine patents prompted some eye-rolls overseas, where it’s thrust the European Union into a tight diplomatic spot.

U.S. Trade Representative Katherine Tai’s announcement has also exposed the bloc’s own failures in aiding the global vaccination effort, POLITICO Europe’s Jakob Hanke Vela reports. In response, European leaders sought to downplay the U.S.’s action and shift the focus to Europe’s ongoing effort to ship doses to needy countries around the world.

Junior Europe Minister Clément Beaune, for example, dismissed the U.S.’s openness to patent waivers as a “very political move,” while noting the Biden administration has yet to send any significant amount of doses abroad. The White House has shared roughly 4 million shots with Mexico and Canada; it's committed to sending another 60 million abroad by July 4, but has yet to say where those will go.

And while European Commission President Usula von der Leyen allowed that the EU has not done nearly enough on the world stage, she also called for the U.S. to ramp up its vaccine exports.

But the chilliest response so far has come from Germany. The country’s government blasted the Biden administration for a position that it warned could undermine pharmaceutical innovation, arguing that “the limiting factor in vaccine manufacturing is production capacity and high quality standards, not patents.”

CMS BOOSTS PAY FOR COVID TREATMENTSCMS on Thursday set Medicare's national average payment rate for monoclonal antibody treatments at $450 for most health care settings, up from $310. The agency will pay even more when the treatment is done in a patient’s home, or in other “lodging” such as hotels, homeless shelters or aboard cruise ships — a move that could encourage greater use of antibody therapies to combat the virus.

There are currently few Covid therapies on the market, but those that are — such as Gilead’s remdesivir — can be complicated to administer, which has so far limited their use outside of hospitals.

 

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Coronavirus

FDA RULING IMMINENT ON PFIZER VACCINE IN KIDS — The agency is likely to authorize Pfizer’s Covid vaccine for children ages 12 to 15 within the next few days, after a CDC advisory panel scheduled a discussion on the anticipated decision for next Wednesday.

The FDA had already been widely expected to officially greenlight the shot for children in this age range by early next week, after spending weeks reviewing clinical trial data. But the Advisory Committee on Immunization Practices’ decision to slate a discussion of the Pfizer shot for its next meeting all but confirms that a verdict is imminent.

ACIP’s role, after an FDA authorization is granted, is to decide whether to formally advise the CDC to recommend the shot for use in 12- to 15-year-olds.

 

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Building the Biden Administration

MORE DETAILS EMERGE ON BIDEN SCIENCE PICK’S EPSTEIN CONNECTIONS — An account of Eric Lander’s 2012 meetings with the late sex offender Jeffrey Epstein asserts they spent 90 minutes together over the course of two separate encounters, POLITICO’s Cristiano Lima reports.

A document submitted to lawmakers by the White House, obtained by POLITICO, largely aligns with Lander’s prior descriptions of the meetings as brief interactions. The first occurred during an hourlong lunch with other scientists and potential donors, and the second came a month later during a reception.

Lander, who is Biden’s nominee to head the Office of Science and Technology Policy, has had his confirmation held up in part over his meetings with Epstein. He’s also faced accusations he downplayed female scientists’ contributions to his field.

 

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Industry Intel

AMBULANCE CREWS SEEK BILLIONS IN FEDERAL AID — An organization representing ambulance operators wants HHS to earmark roughly $10 billion in federal aid for its members, warning that emergency medical systems across the U.S. are “on the brink of collapse.”

The American Ambulance Association in a letter to HHS Secretary Xavier Becerra blamed the pandemic for slashing ambulance crews’ revenue and saddling them with higher costs, with operators in rural areas most affected.

“The cost of personal protection equipment (PPE) and decontamination of ambulances after each transport, overtime pay, and other expenses increased significantly,” the group wrote. “At the same time, we have seen a sharp decline in the normal response and transport volume as Americans stay at home and are reluctant to call 9-1-1 for non-COVID-19 emergencies.”

The ambulance group is asking HHS to funnel $8.5 billion allocated for rural health care providers to ambulance service providers and suppliers, as well as another $1.425 billion from the government’s Provider Relief Fund.

Meanwhile, hospitals want more time to spend their federal funds. The American Hospital Association is seeking an extension of the June 30 deadline to spend aid originally meant to prop up health systems during the height of the pandemic, arguing that hospitals are still facing elevated expenses tied to Covid.

 

A message from PhRMA:

Americans don’t need yet another barrier to their medicines. Especially now. Now is the time for us to rethink how we get the medicines we need. But there are right ways and wrong ways. While it may sound good on paper, H.R.3 would threaten patients’ access to treatments, put nearly a million American jobs at risk and jeopardize current and future medical innovation – all while failing to address the broader challenges facing America’s health care system.

We have to lower what patients pay for their medicines. We also have to make sure patients are getting the medicines they need. There’s a way to do both, but H.R.3 isn’t it. Get the facts at phrma.org/betterway.

 
What We're Reading

The bodies of hundreds of Covid victims are still sitting in refrigerated trucks in New York City, with no timetable for when they’ll be buried, The City’s Derek Kravitz reports.

After voting against Biden’s pandemic relief bill, several Republicans have gone on to tout its benefits, the Associated Press’ Steve Peoples writes.

The pandemic has left some of those who spent the last year covering it traumatized, burnt out and in need of support, Olivia Messer reports for the newsletter Study Hall.

 

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