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Monday, March 18, 2024


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HOME


TOP STORY


SENATE FINANCE LEADERS SEEK QUICK PASSAGE OF PBM REFORMS

Senate Finance Chair Ron Wyden (D-OR) and ranking Republican Mike Crapo (ID)
said Thursday they hope to get a key pharmacy benefit manager reform bill over
the finish line in the next few days, signaling it potentially could be included
in upcoming spending legislation that must be passed by March 22 to avoid a
partial government shutdown.


CBO SCORES E&C PBM BILL AFTER SUGGESTING DELINKING COULD SAVE LESS THAN
ANTICIPATED






CHANGE HEATHCARE NEWS


WYDEN BACKS PENALTIES FOR PROVIDERS THAT LACK CYBERSECURITY

Senate Finance Committee Chair Ron Wyden (D-OR) is backing HHS’ plan to slap
penalties on hospitals and providers starting in fiscal 2029 that do not have
cybersecurity procedures in place as a step to prevent future large-scale
cyberattacks -- like the Change Healthcare attack -- from crippling the health
care system.


OCR PROBES UHG FOR HIPAA COMPLIANCE, BUT REMINDS OTHERS TO FOLLOW RULES




AHIP BALKS AS HHS URGES PLANS TO PAUSE PRIOR AUTH DUE TO CHANGE ATTACK




AHA SEEKS LEGISLATIVE HELP WITH CHANGE ATTACK FALLOUT






LATEST NEWS

Docs Say MedPAC Rec Tying Pay to Half of MEI Still Insufficient

Doctors' lobbies say the congressional Medicare payment advisers’ recommendation
that lawmakers tie physician pay updates to half of the Medical Economic Index
fails to ensure that reimbursements will keep pace with costs and Congress must
enact legislation that links pay to the full MEI.


Patient Advocates Ask States To Enforce Co-Pay Accumulator Ruling

Patient advocates are calling for state insurance commissioners to enforce a
recent ruling by the U.S. District Court for the District of Columbia that copay
assistance for prescription drugs must be counted towards insurance cost
sharing.


Despite Concerns, Ad Comm Members Favor Expanded CAR-T Availability

Members of FDA’s Oncologic Drugs Advisory Committee (ODAC) voted Friday (March
15) to recommend the agency allow patients with multiple myeloma to access two
chimeric antigen receptor T-cell (CAR-T) therapies earlier in the course of
disease progression, despite FDA scientists’ concerns about the treatments
potentially contributing to early deaths and members’ ambivalence about some of
the data provided.





BIDEN'S BUDGET REQUEST

Biden Admin Rehashes Major Medicare Requests In 2025 Budget

The Biden administration requests $838.8 billion in Medicare mandatory outlays
for fiscal 2025 and also includes numerous nursing home, home and
community-based services (HCBS) and maternal health priorities from previous
budgets.

Lengthy Medicaid Wishlist Laid Out In Biden’s Budget Request

Biden’s Budget Hikes FDA Funding, But Becerra Says FDA Needs More

More news →


HOT TOPICS


HEALTH REFORM
Pallone, Wyden To CMS: Demand States Comply With Medicaid Eligibility &
Enrollment Law

Medicaid
CMS: Expect Guidance On MCOs Collecting Beneficiary Signatures

Health Equity
Biden Kicks Off SOTU Defending Abortion Rights, IVF

Medical Devices
Cassidy Joins House GOP In Seeking Alternatives To LDT Rule

Medicare
W&M Excited About Home-Based Care, But Lacks Urgency On Telehealth



INSIDE DRUG PRICING

NJ Judge Shows Skepticism Of Claims Against IRA Implementation
Sanders Asks Other Inhaler Makers To Follow Suit On BI’s OOP Cap



INSIDE TELEHEALTH

Group Counters Telehealth ‘Myths’ Spread At W&M Hearing
Telehealth Privacy Act Scored At Zero Cost To Government



INSIDE CMS

CMS Releases Best Practices For Money Follows The Person Demo
OCAN: Medicare Obesity Drug Coverage Would Have Ripple Effect



FDA WEEK

Califf Seeks Insurers’ Help On Gene Therapy Trials Amidst Funding Challenges
FDA Seeks Input On New Section In Medical Device Cybersecurity Guidance



HEALTH EXCHANGE ALERT

W&M Bipartisan Duo Introduce HDHP Telehealth Coverage Bill
Advocates Allege More States Violating ADA In Medicaid Renewal Processes



MORE TOP STORIES

FDA Launches New Plan To Regulate AI In Medical Devices

FDA laid out a near-term plan to wrangle its purview to regulate artificial
intelligence in medical devices by issuing new draft guidances on AI lifecycle
management and marketing submission recommendations, clarifying industry best
practices and launching efforts to fill gaps in AI knowledge and regulatory
science.

E&C GOP To Air Gripes With LDT Rule At Hearing Thursday

House Republicans will air their concerns with a controversial FDA plan to
assert jurisdiction over laboratory developed tests at a hearing next week,
coming as FDA seeks White House approval to quickly get the rule out to avoid it
becoming ensnared by GOP Congressional Review Act tactics.

EPA’s Final EtO Rule Adds Longer Time Frame, Predicts Limited Medical Device
Impact

The Environmental Protection Agency’s long-awaited final rule on ethylene oxide
sterilizers attempts to address some concerns raised by the medical device
industry by instituting a slightly less stringent emissions standard than
originally planned, a three-year period to come into compliance, and the
possibility of temporary exemptions for devices without sterilization
alternatives.

BIO Cuts Ties With Member Company After Congressional Scrutiny

The Biotechnology Innovation Organization announced Wednesday (March 13) that it
is cutting ties with the Chinese-owned biologics company Wuxi Apptec and
committing to backing a bill that would bar federal contracting with some
foreign-owned companies after facing political pressure from lawmakers who say
the company’s members was a cause for national security concern.




MORE NEWS

New FDA-Approved Indication For Wegovy ‘Good News’ For TROA
Recall Authority, Notification Requirements In FDA Legislative Asks
FDA Seeks More Authority To Regulate Supplements, Food
FDA Pushes Legislative Proposals To Boost Generic Competition
Jim Jones: FY 2024 Flat-Funding Imperils FDA’s Food Chemical Efforts

More news →




DOCUMENTS

Wyden, Crapo Call For Swift Passage Of Bipartisan PBM Reforms
FDA Releases Budget Justification, Legislative Proposals
House To Take Up Burgess’ Bill On CBO Scoring Of Health Prevention Under
Suspension Of The Rules
New Healthsperien Report Finds 340B Drug Discounts Are Small Share Of Drug
Companies’ Revenue
President's 2025 Budget Request

More documents →


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 * Rx Drugs
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 * The Courts
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 * User Fees
 * Waste and Fraud
 * 21st Century Cures

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