Families denied Covid funeral assistance due to data problems — Becerra downplays kids’ ‘trauma’ at border shelters — What’s up with the Medicare trust fund?

From: POLITICO Pulse - Tuesday May 25,2021 02:03 pm
Presented by PhRMA: Delivered daily by 10 a.m., Pulse examines the latest news in health care politics and policy.
May 25, 2021 View in browser
 
POLITICO's Pulse newsletter logo

By Sarah Owermohle and Adam Cancryn

Presented by

PhRMA

With Susannah Luthi and Rachel Roubein

Editor’s Note: POLITICO Pulse is a free version of POLITICO Pro Health Care's morning newsletter, which is delivered to our s each morning at 6 a.m. The POLITICO Pro platform combines the news you need with tools you can use to take action on the day’s biggest stories. Act on the news with POLITICO Pro.

Quick Fix

— Some families of deceased Covid-19 patients can’t access federal funeral assistance funds because of a technicality.

— HHS Secretary Xavier Becerra has garnered criticism for dismissing suggestions that migrant children in emergency housing have been traumatized.

— A still-unreleased Treasury report has Republicans worrying about the pandemic’s effect on Medicare’s solvency.

WELCOME TO TUESDAY PULSE If your media diet (besides Pulse) includes YouTube make-up videos, we have great news for you. Send tips and good make-up tutorials to sowermohle@politico.com and Adam at acancryn@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 FUNERAL ASSISTANCE STUMBLES ON DATA PROBLEMS More than 200,000 people have sought federal assistance with funeral expenses for coronavirus victims in the their families, but many can’t collect because their family members’ death certificates do not list Covid-19, two senior administration officials with direct knowledge of the situation tell Erin Banco.

Eligibility under this FEMA program is limited to those who have death certificates stating that their family member’s death was caused by, “may have been caused by” or “was likely a result of” Covid-19 or Covid-19-like symptoms. That excludes thousands of Americans who died early in the pandemic, when doctors were still learning how to diagnose the disease and testing to confirm cases was limited.

FEMA rolled out the $2 billion pandemic funeral assistance program last month, modeling it on similar efforts after major hurricanes, earthquakes and other natural disasters. The funding came from a $2.3 trillion spending package that former President Donald Trump signed in December 2020, making it the largest funeral assistance program FEMA has ever handled.

“It’s not like I can go back and test them now,” Priya Banerjee, a forensic pathologist with experience handling Covid-19 cases, said of deceased Covid patients. “I wouldn’t amend [death certificates] unless I had proof.”

But such hesitancy from doctors and medical examiners will likely delay or significantly limit the ability of these early patients’ families to receive FEMA assistance, Erin writes — and it could also raise questions about how the agency will ensure people get the money they are entitled to while preventing fraud.

A FEMA spokesperson said that the agency’s current requirements for financial assistance amount to an “interim policy.”

BECERRA DOWNPLAYS MIGRANT KIDS’ ‘TRAUMA’ Becerra on Monday disputed recent reports of subpar conditions and depression among the thousands of unaccompanied migrant children now housed in emergency shelters, telling reporters while they may feel “stressed,” “I doubt that any of the children in these facilities would tell any one of us that what they’re experiencing now is any more traumatic than they experienced while trying to get here.”

“I’d love to see the kids that folks are saying are having traumatic experiences at any of these sites,” he added during the call, which he made after visiting several shelters.

Advocates for migrant children say that’s exactly what they’re seeing. Leecia Welch, who’s part of a team that’s interviewed more than 100 kids in emergency shelters, previously described reports of desperation and talk of self-harm. Rep. Veronica Escobar (D-Texas) said she had “great concern” about the mental health of kids held at an army base she toured last week. That shelter, Ft. Bliss near El Paso, Texas, has housed hundreds of children in soft-sided tents for more than a month.

Asked about Becerra’s comments, Welch told PULSE she was saddened by his efforts to “normalize” conditions that fall below those required for state-licensed facilities. “Our standard for these sites, which are getting hundreds of millions of dollars, cannot be that kids are better off than they were on their perilous journeys to our country,” she said.

Welch also questioned Becerra’s characterization elsewhere on the call that those in emergency shelters are “getting to sleep in a bed,” saying they’re more like flimsy bunk-style cots that she’d seen collapse in on each other.

REPUBLICANS RAMP UP MEDICARE TRUST FUND WATCH — Idaho Sen. Mike Crapo and Texas Rep. Kevin Brady , the top Republicans on the Senate Finance Committee and House Ways and Means Committee, respectively, turned up the heat on Treasury Secretary Janet Yellen on Monday over a delayed report on the health of Medicare’s trust fund, Susannah Luthi writes.

It’s not clear when this year’s report will come out. It’s due by April each year, although government actuaries haven’t made that deadline in more than a decade.

In a letter , Crapo and Brady channeled the concerns of some in Washington that the trust fund could be running dangerously low and become insolvent before 2026, and demanded that Yellen release a projection “as soon as possible.”

The Medicare fund has worried health care experts for months. Last year’s report didn’t account for the coronavirus, but warned that the pandemic could accelerate the fund’s depletion. The Trump administration also drew from the fund to give billions to hard-hit doctors and hospitals early in the pandemic, Susannah writes.

 

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

 
 
In Congress

CONFIRMATION OF BIDEN’S CMS PICK EXPECTED TODAY The Senate will take its final vote on the nomination of Chiquita Brooks-LaSure to spearhead the trillion-dollar Medicare and Medicaid agency. She’s expected to be confirmed, and as the head of CMS, Brooks-LaSure would be charged with overseeing President Joe Biden’s pledge to expand Obamacare and reverse Trump-era regulations, among other key parts of his agenda.

On Monday, the Senate voted 52-43 to get her nomination past the final procedural hurdle before the real vote, with Republican Sens. Susan Collins of Maine, Roy Blunt of Missouri and Lisa Murkowski of Alaska joining Democrats. Republicans have largely voted against her nomination in opposition to the Biden administration’s decision to scrap an extension of a Trump-era Texas Medicaid waiver.

FIRST IN PULSE: BIPARTISAN PAIR ROLLS OUT SENATE BILL TO BOOST TELEHEALTH Sens. Tom Carper (D-Del.) and John Cornyn (R-Tex.) on Tuesday introduced legislation aimed at expanding telehealth access for low-income children.

The Telehealth Improvement for Kids’ Essential Services Act of 2021 would lay out strategies for states to implement more telehealth options and research how to boost access for enrollees in Medicaid and CHIP, the children’s insurance program.

“Telehealth services have allowed many Americans to receive timely, safe medical care from the comfort of their homes during this pandemic, but not all patients have had adequate access to this form of care,” Carper said in a statement.

 

Advertisement Image

 
Public Health

TUNE IN THIS MORNING TO TALK MATERNAL HEALTH DISPARITIES POLITICO hosts an event at 11 a.m. on the country’s maternal health crisis and racial disparities in care. Join our Renuka Rayasam, who will talk with Rep. Robin Kelly (D-Ill.); Illinois Department of Health Director Ngozi Ezike; University of Chicago maternal health expert Sarosh Rana and Alliance Chicago research director Lisa Masinter.

Names in the News

PULSE EXCLUSIVE: OBAMA ADVISOR JOINS PRIVATE EQUITY GROUP Adaeze Enekwechi, who headed health programs at the White House Office of Management and Budget under former President Barack Obama, is starting at Welsh, Carson, Anderson & Stowe as a partner focused on the health and technology industries. She also will join the Health Management Academy, a WCAS partner focused on health systems.

Enekwechi previously worked at IMPAQ, a health research company acquired last year by American Institutes for Research.

“Having just led a company through its acquisition, I am sensitive to the role private equity investors could play in helping shape an organization, or even an industry,” she said in a statement to PULSE.

Erik Komendant is now senior vice president for government affairs at the Association for Accessible Medicines, a promotion to the top lobbyist role. The generic lobby also hired Steven Selde as director of its Biosimilars Council. Selde was previously a lobbyist for the Ambulatory Surgery Center Association.

Luke Lindberg is now head of global strategy and executive director of Innovation and World Clinic at Sanford Health . He most recently was chief of staff and chief strategy officer at the Export-Import Bank.

 

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

Laura Kusisto lays out harrowing post-pregnancy risks and the gap in U.S. postpartum care in recounting her experience in the Wall Street Journal.

Novelist Saikat Majumdar provides devastating details on how the caste system and Covid-19 clash in India on Literary Hub.

An increasing number of health literacy projects are seeking to cut down the medical jargon that leaves room for crucial information to be dangerously misunderstood, especially by people who speak little English, writes NPR’s Fran Kritz.

 

SUBSCRIBE TO WEST WING PLAYBOOK: Add West Wing Playbook to keep up with the power players, latest policy developments and intriguing whispers percolating inside the West Wing and across the highest levels of the Cabinet. For buzzy nuggets and details you won't find anywhere else, subscribe today.

 
 
 

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

Rachel Roubein @rachel_roubein

Darius Tahir @dariustahir

Erin Banco @ErinBanco

Lauren Gardner @Gardner_LM

Katherine Ellen Foley @katherineefoley

 

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