Pelosi’s drug pricing plan stalled by centrist Democrats — Biden’s CMS pick faces key vote — No J&J doses for states this week

From: POLITICO Pulse - Wednesday May 12,2021 02:06 pm
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By Sarah Owermohle and Adam Cancryn

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With Rachel Roubein

Quick Fix

— House support for Speaker Nancy Pelosi’s drug pricing negotiation bill is fracturing after moderate Democrats aired their concerns Tuesday.

— President Joe Biden's pick to run CMS must clear another hurdle today to remain on track for confirmation.

— The federal government will not distribute any more doses of Johnson & Johnson's coronavirus vaccine to states next week, amid ongoing production issues.

WELCOME TO WEDNESDAY PULSE where we admit it: the running feud over the true heir to Italy's nonexistent crown doesn’t have much to do with health care, but this saga is too good not to make an exception.

PULSE is a health care and European royals newsletter now. Send tips to sowermohle@politico.com and Adam at acancryn@politico.com.

 

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Driving the Day

PELOSI's DRUG PLAN STALLED BY CENTRIST DEMOCRATS At least 10 Democrats are signaling opposition to the House’s sweeping drug price negotiation bill, Alice Miranda Ollstein and Susannah Luthi report. That’s more than enough votes to force Pelosi to drop her reforms from a relief package that leadership hope to pass along party lines.

In a letter to Pelosi obtained by POLITICO, the group called for more modest, bipartisan drug pricing reforms that would “preserve our invaluable innovation ecosystem.” Eight of those 10 House Democrats voted for the bill last Congress.

California Rep. Scott Peters, who hails from a biotech-heavy district in San Diego and led the letter, said he voted for Pelosi’s bill knowing it had no chance of becoming law at the time.

Now, he and other moderates want to stick to more incremental alternatives, like capping Medicare enrollees’ out-of-pocket drug costs, that have garnered some Republican support. Several of those House Democrats have been targeted by a recent $4 million campaign against Pelosi’s drug bill. On Tuesday, the conservative group behind it said it plans to spend another $1 million on the effort.

The divide could provide drugmakers’ their escape from a bill considered by the industry as a worst-case scenario. Though the drug negotiation measure always faced long odds in the Senate on its own, House leadership hoped that passing H.R. 3 would give Democrats leverage to keep pressure on the industry when the Senate takes up the next Covid relief package.

Pelosi spokesperson Henry Connelly pointed to polling that shows Americans across party lines want lower drug prices and argued that the bill would “protect genuine innovation into new cures” while curbing the industry from “charging Americans outrageous prices on medicines that were discovered a decade ago.”

FIRST IN PULSE: DEMOCRAT-ALIGNED GROUP LAUNCHES DRUG PRICING PUSH Just as Pelosi begins to face resistance within her caucus, the health care advocacy group Protect Our Care will debut a national TV and digital ad campaign calling for the passage of drug price legislation like H.R. 3 (117).

The seven-figure ad buy specifically advocates allowing Medicare to negotiate the cost of medicines — a measure that’s at the center of Pelosi’s drug bill.

TODAY: THE NEXT TEST FOR BIDEN’s CMS PICK The Senate will hold a procedural vote today on advancing Chiquita Brooks-LaSure’s nomination to head the massive Medicare and Medicaid agency, which oversees health care coverage for roughly 150 million people, POLITICO’s Rachel Roubein reports.

The Senate Finance Committee failed to advance Brooks-LaSure last month, , in the face of unified GOP opposition. Republicans on the panel at the time were protesting the administration’s decision to revoke a Trump-era extension of Texas’ Medicaid waiver.

Senate Majority Leader Chuck Schumer moved Tuesday night to bypass that opposition by discharging Brooks-LaSure’s nomination, setting up a full Senate vote at noon today that, if successful, would bring her one step closer to confirmation. An Obama administration veteran who would be vital to executing Biden’s health agenda, Brooks-LaSure’s nomination has now been in limbo for nearly three months.

ICYMI: The Senate confirmed Andrea Palm as HHS deputy secretary. As its No. 2 official, Palm will manage the department’s daily operations. She also served in the Obama administration and was most recently Wisconsin’s top health official.

TONIGHT: HEALTH OFFICIALS MAKE PRIME-TIME VACCINE APPEAL — Three top Biden health officials are headlining a town hall aimed at promoting the administration’s pandemic response and combating vaccine hesitancy.

The event, featuring HHS Secretary Xavier Becerra, Surgeon General Vivek Murthy and chief medical adviser Anthony Fauci, will follow a taped one-on-one MSNBC interview with Biden focused on the vaccination campaign.

— Biden will also give a separate speech this afternoon on the administration’s vaccine strategy. And Becerra will testify this morning in front of the Energy and Commerce Committee, where he’ll defend the White House’s budget proposal.

Coronavirus

STATES WON’T GET ANY J&J VACCINES NEXT WEEK White House officials broke the news about J&J’s single-dose shot to state governors on a private call Tuesday, POLITICO's Rachel Roubein reports. It wasn’t immediately clear whether the federal government would ship out J&J doses through its own channels, such as those to pharmacy chains and community health centers, four sources told Rachel.

It’s just the latest of many setbacks for J&J. Last month, Biden administration officials even downplayed the importance of the J&J vaccine in reaching the White House’s broad vaccination goals.

States have received less than 1.5 million J&J doses since the administration lifted a pause on that shot’s use late last month. The FDA hasn’t yet cleared contractor Emergent BioSolutions to release its stockpiled vaccines, after a mix-up at its plant contaminated millions of J&J doses and an FDA inspection report revealed serious lapses in safety and hygiene. If the agency does give Emergent the OK, it’s expected that more J&J doses will become available.

DEMOCRATS SEEK REVERSAL OF TRUMP TEST POLICY A trio of senior House Democrats want HHS to throw out a Trump-era policy that limited the FDA’s ability to regulate certain medical tests, POLITICO’s David Lim reports.

The policy, issued last year, asserted that the FDA did not have the authority to require review of tests designed, manufactured and used in a single lab — a decision made by HHS that came over the objections of top FDA officials.

In a letter to Becerra on Tuesday, the three lawmakers argued that decision could leave certain Covid-19 tests with too little oversight.

“Only FDA has the legal responsibility, as well as the experience and expertise, to evaluate the accuracy and reliability of diagnostic tests,” Energy and Commerce Chair Frank Pallone (D-N.J.), health subcommittee chair Anna Eshoo (D-Calif.) and oversight and investigations subcommittee chair Diana DeGette (D-Colo.) wrote.

PFIZER CEO TO PEN PANDEMIC BOOK Executive Albert Bourla will publish a “behind-the-scenes story” of Pfizer’s vaccine development race this fall, HarperCollins imprint Harper Business announced. The book, titled “Moonshot: Inside Pfizer’s Nine-Month Race to Make the Impossible Possible,” will hit shelves in early November.

 

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Names in the News

NIH COVID VACCINE DEVELOPER JOINING HARVARD Kizzmekia Corbett, the NIH immunologist who helped design one of the first Covid vaccines, is leaving government for a position at Harvard.

Corbett will be an assistant professor in the Harvard T.H. Chan School of Public Health’s immunology and infectious diseases department and a professor at the Harvard Radcliffe Institute. The university said she’ll also head a new lab focused on coronavirus and other emerging infectious diseases.

Corbett spent six years at NIH, gaining prominence as a lead researcher into what would eventually become Moderna’s Covid vaccine.

What We're Reading

A Wyoming committee has revived the debate over whether to expand Medicaid to roughly 24,000 people, and the proposal will now come up again in a July special session or a February budget session, The Casper Star Tribune’s Morgan Hughes reports.

India’s laboratories are struggling to keep up with the latest Covid surge and the pressure of tracking new variants, writes Wall Street Journal’s Saeed Shah.

Pediatric researchers are investigating whether Covid variants are leading to more severe illness in children, Bloomberg News’ Anna Edney reports.

 

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