Welcome to Thursday’s Overnight Health Care.
The abortion debate is flaring up in Congress again, Bernie SandersBernie SandersYang: NYC should implement universal basic income Overnight Health Care: Nevada union won’t endorse before caucuses after ‘Medicaid for All’ scrap | McConnell tees up votes on two abortion bills | CDC confirms 15th US coronavirus case Trump reveals he would vote for a gay presidential candidate MORE is trying to smooth over tensions with a powerful Nevada union, and Health Secretary Alex Azar thinks it’s too early to be concerned about an ObamaCare replacement plan.
We’ll start with some 2020 news…
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Nevada’s Culinary Workers Union won’t endorse before primary
Nevada’s powerful Culinary Workers Union will not endorse a candidate in the presidential primary ahead of the state’s Feb. 22 caucuses, saying it will instead focus on turning out Democrats to vote President TrumpDonald John TrumpHillicon Valley: US hits Huawei with new charges | Judge orders Pentagon to halt ‘war cloud’ work amid Amazon challenge | IRS removes guidance on Fortnite game currency NASA astronaut reunites with dog after breaking record for longest space mission by a woman Trump says his ‘life would’ve been a lot easier’ if he picked Barr over Sessions MORE out of office in 2020.
The decision to stay neutral in the crowded Democratic primary comes after the union recently distributed literature to its members warning that Sen. Bernie Sanders’s (I-Vt.) “Medicare for All” plan would “end culinary health care” by replacing private plans with government-run insurance.
Sanders’s online supporters aggressively went after the union for bashing his health care plan, angering its leaders.
But speaking at a press conference on Thursday, union secretary-treasurer Geoconda Argüello-Kline said the group would focus on promoting its goals of expanding access to health care for its workers and promoting immigration reform, rather than playing in presidential politics.
“We will endorse our goals,” Argüello-Kline said. “We’re not going to endorse a political candidate. We respect every single political candidate right now.”
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Read more about the controversy here.
Wednesday, February 26: America’s Opioid Epidemic: Lessons Learned & A Way Forward
Join The Hill on Wednesday, February 26th in downtown Washington, D.C. as we host a conversation about expanding access to treatment and helping those battling opioid addiction begin the journey toward long-term recovery. We will be speaking with Nora Volkow, director of the National Institute on Drug Abuse, Rep. David JoyceDavid Patrick JoyceOvernight Health Care: Nevada union won’t endorse before caucuses after ‘Medicaid for All’ scrap | McConnell tees up votes on two abortion bills | CDC confirms 15th US coronavirus case The Hill’s Morning Report – Sanders surge triggers Dem angst Overnight Health Care: Rival surprise billing fix sails through House panel | Powerful Nevada union warns against Sanders health plan | Cruise ship denied entry over coronavirus fears to dock in Cambodia MORE (R-Ohio) and Rep. Paul TonkoPaul David TonkoOvernight Health Care: Nevada union won’t endorse before caucuses after ‘Medicaid for All’ scrap | McConnell tees up votes on two abortion bills | CDC confirms 15th US coronavirus case The Hill’s Morning Report – Sanders surge triggers Dem angst Overnight Health Care: Rival surprise billing fix sails through House panel | Powerful Nevada union warns against Sanders health plan | Cruise ship denied entry over coronavirus fears to dock in Cambodia MORE (D-N.Y.). RSVP today!
McConnell tees up votes on two abortion bills
Get ready for the abortion debate to reignite when the Senate returns after next week’s recess.
Senate Majority Leader Mitch McConnellAddison (Mitch) Mitchell McConnellOvernight Health Care: Nevada union won’t endorse before caucuses after ‘Medicaid for All’ scrap | McConnell tees up votes on two abortion bills | CDC confirms 15th US coronavirus case Overnight Defense: Senate votes to rein in Trump war powers on Iran | Pentagon shifting .8B to border wall | US, Taliban negotiate seven-day ‘reduction in violence’ McConnell: Trump ‘ought to listen to’ Barr’s advice on DOJ tweets MORE (R-Ky.) set up two votes:
- The first is on a bill from Sen. Lindsey GrahamLindsey Olin GrahamOvernight Health Care: Nevada union won’t endorse before caucuses after ‘Medicaid for All’ scrap | McConnell tees up votes on two abortion bills | CDC confirms 15th US coronavirus case Biden on Graham’s push for investigation: ‘I don’t know what happened’ to him McConnell tees up votes on two abortion bills MORE (R-S.C.), which would ban abortions after 20 weeks with exceptions for the life of the mother and for victims of rape or incest. Doctors who violate the bill could face up to five years in prison.
- The second bill, from Sen. Ben SasseBenjamin (Ben) Eric SasseOvernight Health Care: Nevada union won’t endorse before caucuses after ‘Medicaid for All’ scrap | McConnell tees up votes on two abortion bills | CDC confirms 15th US coronavirus case McConnell tees up votes on two abortion bills Behind the scenes of McConnell’s impeachment drama MORE (R-Neb.), would penalize doctors who fail to “exercise the proper degree of care in the case of a child who survives an abortion or attempted abortion.”
The politics: Both bills would require 60 votes to overcome an initial procedural hurdle. With Republicans controlling 53 seats, neither are expected to get it, but the votes could force Democratic Senate candidates and White House hopefuls to go on record on the issue. Both bills failed in 2019 and 2018, but Republicans still used those votes to hit Democrats as “extreme” on abortion.
From the Susan B. Anthony List, an anti-abortion group: “Democrats are proving to be completely out of step with their base on abortion, and they are feeling it,” said Marjorie Dannenfelser, president of the group.
“It’s time they see that consensus is necessary to move forward on this debate in a way that honors American opinion. This is not only the right thing to do but the politically smart thing to do.”
Read more here.
CDC confirms 15th case of coronavirus
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The Centers for Disease Control and Prevention (CDC) has confirmed the 15th case of the coronavirus in the U.S.
The patient is among a group of Americans who had been evacuated from Wuhan, China and quarantined at a military base in Texas.
The CDC said the patient is the first person under quarantine at that location that has tested positive for the coronavirus. The patient is being isolated and receiving medical care at a nearby hospital.
Nearly all of the confirmed coronavirus cases in the U.S. have been individuals who had recently traveled in China.
The U.S. has evacuated and quarantined more than 800 Americans from Wuhan since the outbreak started last month.
Read more here.
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Democrats press Trump official for answers on ObamaCare replacement plan
Democrats are seething at President Trump’s top health official Thursday for not having a backup plan in case the Affordable Care Act (ACA) is overturned in a pending lawsuit supported by the Department of Justice (DOJ).
Health and Human Services (HHS) Secretary Alex Azar told senators during a hearing Thursday a plan is not needed until the “final judgment” is made in the lawsuit.
“I don’t know what you’re waiting for. If you have a better idea show us, but I have yet to see one plan that the administration has put forward,” Sen. Bob MenendezRobert (Bob) MenendezMenendez calls for ‘Marie Yovanovitch bill’ to protect foreign service employees Senators condemn UN ‘blacklisting’ of US companies in Israeli settlements Media’s selective outrage exposed in McSally-Raju kerfuffle MORE (D-N.J.) told Azar during a Senate Finance Committee hearing on the HHS budget request.
“We would wait until there’s a final judgment in the final court of authority — in this case, it would obviously be the Supreme Court,” Azar responded.
The DOJ has refused to defend the ACA against a lawsuit, brought by attorneys general in Texas and other Republican-led states, that seeks to overturn the law that expanded health care to 20 million Americans.
A district court judge sided with the plaintiffs in 2018, ruling ObamaCare cannot stand without the individual mandate penalty, which was repealed by a tax-reform law passed by Congress in 2017.
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After appeal, the 5th Circuit Court of Appeals agreed the individual mandate was unconstitutional but sent the case back to the lower court to determine which parts of the law could stand.
More on ObamaCare here.
Azar urges action on drug pricing
When senators weren’t asking Azar about the ACA, they were asking about drug pricing.
Mostly, senators who support a bill sponsored by Sens. Chuck GrassleyCharles (Chuck) Ernest GrassleyOvernight Health Care: Nevada union won’t endorse before caucuses after ‘Medicaid for All’ scrap | McConnell tees up votes on two abortion bills | CDC confirms 15th US coronavirus case Mnuchin defends Treasury regulations on GOP tax law Wyden, Mnuchin clash over Trump tax returns, Hunter Biden probe MORE (R-Iowa) and Ron WydenRonald (Ron) Lee WydenOvernight Health Care: Nevada union won’t endorse before caucuses after ‘Medicaid for All’ scrap | McConnell tees up votes on two abortion bills | CDC confirms 15th US coronavirus case Harris, Castro introduce resolution condemning Trump aide Stephen Miller MIT researchers find vulnerabilities in voting app used in multiple states MORE (D-Ore.) used their time to subtly try to get their other colleagues to support it.
Sen. Tom CarperThomas (Tom) Richard CarperOvernight Health Care: Nevada union won’t endorse before caucuses after ‘Medicaid for All’ scrap | McConnell tees up votes on two abortion bills | CDC confirms 15th US coronavirus case Overnight Energy: Experts criticize changes to EPA lead, copper rule | House panel looks into plan to limit powers of EPA science advisers | Senate bill aims for net-zero carbon emissions by 2050 Senate bill requires US to reach net-zero carbon emissions by 2050 MORE (D-Del.) noted that some Republicans think the bill, which limits annual price increases drug companies take, is a form of “price setting.”
“As a former CEO… of a major drug company, do you agree with these concerns?” Carper asked.
Azar replied: “I fundamentally disagree with the notion that the inflation penalty provisions… are price controls.”
“We want to get this or some other comparable bipartisan bill through,” Azar said, referring to the Grassley-Wyden bill.
Some new figures from CBO on surprise billing
The competing surprise billing proposals going through Congress are being scrutinized down to the smallest changes in wording, which can have a big effect on the budget impact and for the various industries jockeying over legislation.
The bill from the House Ways and Means Committee, which advanced on Wednesday, uses an outside arbiter to determine how much the insurer pays the doctor once the patient is taken out of the middle and protected from getting surprise bills.
The latest: Right now the bill directs the arbiter to consider the median rate paid for a particular service. The Congressional Budget Office told a congressional office that if the arbiter could also looks at “commercially reasonable” rates, a phrase more favored by doctor and hospital groups, than the savings would fall from $18 billion to $5 billion over 10 years.
Legislation from Sen. Bill CassidyWilliam (Bill) Morgan CassidyOvernight Health Care: Nevada union won’t endorse before caucuses after ‘Medicaid for All’ scrap | McConnell tees up votes on two abortion bills | CDC confirms 15th US coronavirus case Overnight Defense: Senate votes to rein in Trump war powers on Iran | Pentagon shifting .8B to border wall | US, Taliban negotiate seven-day ‘reduction in violence’ The 8 Republicans who voted to curb Trump’s Iran war powers MORE (R-La.) in the Senate also uses that phrase, but it has higher savings, of $17 billion, because it has an interim payment based on the median rate that doctors are paid in the meantime before having the option of entering arbitration. The CBO assumes many doctors would accept that payment and would therefore never enter arbitration in the first place.
What we’re reading
When Your Doctor Is Also A Lobbyist: Inside The War Over Surprise Medical Bills (Kaiser Health News)
Why Bernie Sanders’s fight with a Nevada union really matters (Washington Post opinion)
Americans Agree Health Care System Needs Fixing, New Survey Finds (WBUR)
State by state
Florida Medicaid director says new rule would be ‘crippling’ (News 4 Jax)
No quick fix: Missouri finds managing pain without opioids isn’t fast or easy (KMOV)