First Edition: Aug. 16, 2022


Today’s early morning highlights from the major news organizations.


KHN:
Buy And Bust: Collapse Of Private Equity-Backed Rural Hospitals Mired Employees In Medical Bills 


The first unexpected bill arrived in December, just weeks before Tara Lovell’s husband of 40 years died from bladder cancer. Lovell worked as an ultrasound technologist at the local Audrain Community Hospital, in Mexico, Missouri, and was paying more than $400 a month for health insurance through her job. The town’s struggling hospital, the sole health care provider and major employer, had changed ownership in recent years, selling in March 2021 to Noble Health, a private equity-backed startup whose managers had never run a hospital. (Tribble, 8/16)


KHN:
After Wiping Out $6.7 Billion In Medical Debt, This Nonprofit Is Just Getting Started


Soon after giving birth to a daughter two months premature, Terri Logan received a bill from the hospital. She recoiled from the string of numbers separated by commas. Logan, who was a high school math teacher in Georgia, shoved it aside and ignored subsequent bills. She was a single mom who knew she had no way to pay. “I avoided it like the plague,” she said, but avoidance didn’t keep the bills out of mind. (Noguchi, 8/16)


KHN:
On The Wisconsin-Illinois Border: Clinics In Neighboring States Team Up On Abortion Care


Around two days a week, Natalee Hartwig leaves her home in Madison, Wisconsin, before her son wakes up to travel across the border into Illinois. “Luckily it’s summer,” said Hartwig, a nurse midwife at Planned Parenthood of Wisconsin. “For now, he can sleep in. But any getting ready that has to happen will be on my spouse.” She drives at least two hours each way, immersed in audiobooks and podcasts as she heads back and forth from a clinic in this northern Illinois suburb. She spends her days in the recovery room, caring for patients who have had abortions and checking their vitals before they go home. (Schorsch, 8/16)


The Hill:
Biden To Sign Health And Climate Bill On Tuesday 


President Biden will sign into law the sweeping climate, health care and tax legislation that has been Democrats’ priority for more than a year during a ceremony at the White House on Tuesday.  The signing will represent a major milestone for Biden and his domestic economic agenda. The prospects of his climate proposal appeared hopeless a month ago but were dramatically revived in an agreement between Senate Majority Leader Charles Schumer (D-N.Y.) and Sen. Joe Manchin (D-W.Va.) at the end of July. (Chalfant, 8/15)


AP:
Biden To Sign Massive Climate, Health Care Legislation


Biden is set to sign the bill during a small ceremony in the State Dining Room of the White House, sandwiched between his return from a six-day beachside vacation in South Carolina and his departure for his home in Wilmington, Delaware. He plans to hold a larger “celebration” for the legislation on Sept. 6 once lawmakers return to Washington. (Miller, 8/16)


CNBC:
UK Becomes First Country To Approve Moderna’s Dual Covid-19 Vaccine


Britain on Monday became the first country in the world to approve a dual Covid-19 vaccine, which tackles both the original virus and the newer omicron variant. The updated Moderna vaccine — known as a bivalent because it targets two variants — is expected to be available to adults as a booster jab from the fall after receiving the go-ahead from the U.K.’s Medicines and Healthcare products Regulatory Agency on Monday. (Gilchrist, 8/15)


The Hill:
UK Becomes First Country To Approve Updated Moderna Vaccine Targeting Omicron 


The United States is also working on updated vaccines for a possible fall booster campaign, though the shots might be slightly different. The vaccine approved by the U.K. targets the first version of the omicron variant, known as BA.1, while the U.S. Food and Drug Administration has instructed vaccine makers to target the more recent subvariants of omicron, known as BA.4 and BA.5.  (Sullivan, 8/15)


The New York Times:
U.K. Approves Covid Booster Vaccine That Targets Two Variants


In the United States, Moderna said in late July that the government had secured 66 million doses of a vaccine it was developing that targets the virus that circulated in 2020 and the Omicron BA.4 and BA.5 subvariants. The Biden administration expects to begin a Covid-19 booster campaign next month with updated vaccines from Pfizer and Moderna targeting new variants, according to people familiar with the deliberations. (Gross, 8/15)


Reuters:
Novavax Seeks U.S. Authorization For COVID Vaccine Booster 


Novavax Inc said on Monday it had filed for U.S. authorization for use of its COVID-19 vaccine as a booster dose in people who had either received its shots or a different vaccine. … [Novavax] is a protein-based vaccine that uses purified pieces of the virus to spur an immune response, a technology that has been used to combat diseases including hepatitis B and influenza. (8/15)


The Boston Globe:
100-Year-Old Tuberculosis Vaccine May Protect Against COVID


A small study from researchers at Massachusetts General Hospital suggests that a widely used, 100-year-old vaccine for tuberculosis also may offer protection from COVID-19. The findings, published in Cell Reports Medicine on Monday and conducted in volunteers with type 1 diabetes, found that the BCG (Bacillus Calmette-Guerin) vaccine was 92 percent effective versus a placebo in protecting against infections. (Bartlett, 8/15)


AP:
Judge Refuses To Immediately Block Georgia Abortion Ban


A state judge refused Monday to immediately stop enforcement of Georgia’s restrictive abortion law, which took effect last month and bans most abortions once fetal cardiac activity is present. Fulton County Superior Court Judge Robert McBurney ruled he did not have the authority to issue a preliminary injunction and block the law at this stage of the lawsuit. (8/15)


AP:
Judge: Legislature Can Intervene A Little In Abortion Case 


A federal judge says the Idaho Legislature can intervene in the U.S. Department of Justice’s lawsuit targeting Idaho’s total abortion ban, but only to present evidence about emergency abortions performed in Medicaid-funded emergency rooms. In the written ruling handed down Saturday, U.S. District Judge B. Lynn Winmill said the Legislature’s interests are already well-represented by the Idaho Attorney General’s office and Gov. Brad Little, so there’s no legitimate reason to add another party to the lawsuit. (Boone, 8/15)


AP:
WVa Governor: Voters Shouldn’t Decide Abortion Access Issue 


West Virginia Gov. Jim Justice scoffed Monday at a suggestion by Democratic lawmakers to let voters decide whether abortion should continue to be allowed in the state. The Republican governor said the state’s abortion law falls under the scrutiny of the Legislature and the attorney general. (Raby, 8/15)


The Washington Post:
Post-Roe, More Americans Want Their Tubes Tied. It Isn’t Easy.


Frances Vermillion showed up to their consultation for a tubal ligation prepared for the worst. Expecting resistance from their gynecologist, the 24-year-old from Ames, Iowa, carefully assembled a binder containing information about sterilization, including their reasons for wanting to get their tubes tied. When they arrived at the initial consultation in late July, Vermillion said their doctor “didn’t even look at the binder” and instead pressed them on why they wanted the procedure, suggesting they were too young and might change their mind later. (Venkataramanan, 8/15)


Stat:
Once Routine, Pre-Surgical Pregnancy Testing Now Is Anything But 


Monica da Silva, a critical care and cardiac anesthesiologist at the University of Alabama at Birmingham, was counseling a patient who had been in a car accident. Just before they headed to the operating room, however, the patient’s pregnancy test came back unexpectedly positive. (Pasricha, 8/16)


AP:
US Offers More Monkeypox Vaccine To States And Cities


U.S. officials said they are able to ship out more monkeypox vaccine doses than previously planned — because of a strategy shift that allows more shots to be drawn from each vial. The U.S. Department of Health and Human Services had previously anticipated allowing 221,000 doses to be ordered starting Monday. But officials said they would release 442,000 doses for order by state, local and territorial health departments. (Stobbe, 8/15)


Reuters:
Abortion Bans Limit Training Options For Some Future U.S. Physicians


University of Oklahoma medical student Ian Peake spent four years shadowing doctors at a Tulsa abortion clinic because his school didn’t offer courses on abortion or provide any training. But the Tulsa Women’s Clinic stopped abortion services in May when Oklahoma enacted a near-total ban, and the provider closed for good after the U.S. Supreme Court ended constitutional abortion protections in June. Peake, 33, now had no local options to learn about abortion. (Horowitch, 8/15)


ABC News:
7th Child In US Tests Positive For Monkeypox


A child in Martin County, Florida, has tested positive for monkeypox, state health data shows. Across the U.S., at least seven children have now tested positive for monkeypox. The child in Florida is between the ages of 0 and 4 years old, according to the state health data. (Mitropoulos, 8/16)


The Boston Globe:
Schools Move Away From Masks As Studies Suggest They Are Effective


Heading into a third fall of living with COVID-19, many schools and colleges are ditching mask mandates and telling students that face coverings are optional. The Massachusetts Department of Elementary and Secondary Education on Monday made it official, releasing fall guidelines that informed families “there is no longer any statewide masking mandate in schools (other than school health offices) and there is no testing requirement for schools.” (Lazar, 8/15)


AP:
WVa Providing Free COVID Tests, Vaccines At Schools 


West Virginia’s health agency has bought 16 vans to provide free COVID-19 testing and vaccines at school and community events, officials said. … Schools that are interested in having a van come to an event should contact their local health department, the statement said. (8/16)


AP:
Defense Secretary Austin Positive For COVID For Second Time


Defense Secretary Lloyd Austin said Monday he has tested positive for COVID-19, is experiencing mild symptoms and will quarantine at home. It’s the second time Austin has gotten the coronavirus. In a statement, Austin, 69, said he is fully vaccinated and has received two boosters. He said he’ll quarantine for the next five days in accordance with CDC guidelines and “will retain all authorities and plan to maintain my normal work schedule virtually from home.” (8/15)


Modern Healthcare:
Kaiser Permanente Mental Health Workers On Strike


Mental health workers at Kaiser Permanente locations throughout Northern California walked off the job Monday after a year of contract negotiations. The more than 2,000 therapists, chemical dependency counselors and social workers represented by the National Union of Healthcare Workers have been working without a contract since September. Bargaining started in July 2021. (Christ, 8/15)


USA Today:
Nurses Of Color Await Action After American Nurses Association Apology


In a recent statement, the American Nurses Association apologized to nurses of color, saying in the coming months it will launch a multi-phase project of “accountability, healing, and reconciliation. ”The “racial reckoning” statement is a “starting point for an overdue journey toward the future. “ANA intends to take full accountability for its actions,” the association wrote, promising “historic action.” (Hassanein, 8/16)


Axios:
Few Cancer Centers Have Price Transparency


Less than a third of the 63 National Cancer Institute-designated cancer centers in the U.S. are fully complying with federal price transparency rules, according to an analysis in JAMA Surgery. (Reed, 8/15)


Billings Gazette:
Montana Hospitals Facing Unprecedented Financial Crisis


Record high hospitalizations during surges of COVID-19 infections led to burnout among nurses and front-line workers, resulting in an exodus from the field. To backfill, hospital administrators have turned to traveling or contracted staff, whose wages, agency fees and housing cost at least three times more than the wages of permanent employees. (Schabacker, 8/14)


Detroit Free Press:
Boil Water Advisory To Continue For 2 Weeks As Repairs Begin


Seven communities, approximately 133,000 people, will remain under a boil water advisory for two weeks while the Great Lakes Water Authority (GLWA) investigates what caused the Saturday morning break. A new section of the 120-inch pipe arrived Monday, beginning the repair process that’s anticipated to take a week to complete. (Marini, 8/15)


Los Angeles Times:
Free For All California Students: At Least Two Meals A Day


California is the first state to enact free school meals for students served by public school districts, county offices of education and charter schools, whether or not they’re eligible for the National School Lunch Program’s free or reduced-price meals. The state started a universal meal effort last year, with the federal government picking up most of the tab … (Garcia and Healey, 8/15)


Newsweek:
Millions Of Baby Swings, Rockers Recalled After Child Strangled And Killed


More than 2 million infant swings have been recalled for “entanglement and strangulation hazards” after one child died and another was injured. The 4moms MamaRoo Baby Swing and RockaRoo Baby Rocker were recalled Monday because the dangling restraint strap pose a strangulation hazard to crawling infants, according to the U.S. Consumer Product Safety Commission (CPSC). (Giella, 8/15)


The Washington Post:
In A World First, Scotland Offers Tampons And Pads For Free


Scotland is offering tampons and other period products free to anyone who needs them — the first nation in the world to do so — as part of a push to end “period poverty.” From this week, menstrual products will be available free in public spaces such as community centers, pharmacies and youth clubs, in line with legislation initially approved by lawmakers in 2020. (Pannett, 8/16)


This is part of the KHN Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.



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