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From A Negative To A Positive: Dems Use Bloom Affliction To Hammer GOP In Ads

Democratic aldermanic hopefuls in the state’s accident districts say bloom affliction is a top acclamation affair and the GOP’s anemic point. They’re advancing out able with ads announcement their Republican opponents for voting to aition the Affordable Affliction Act aftermost year. (Ana B. Ibarra, 10/31)

Medi-Cal

Medi-Cal Paid $4 Billion For Bodies Who Were Possibly Ineligible, Analysis Finds

County workers are declared to actuate if addition is acceptable for bloom advantage beneath California’s Medicaid program, and again accelerate that advice to the state. But the annal don’t consistently bout up.

Los Angeles Times: California Spent $4 Billion On Medi-Cal For Bodies Who May Not Accept Been Eligible, Analysis Finds California spent $4 billion on Medi-Cal advantage amid 2014 and 2017 for bodies who may not accept been acceptable for the government-funded bloom plan, according to a accompaniment analysis appear Tuesday. Medi-Cal provides bloom advantage to 13.1 actor Californians, about one-third of the state’s population. To qualify, a distinct developed charge accomplish beneath than $16,754 annually. Canton workers about actuate whether addition is acceptable for bloom advantage beneath Medi-Cal, again accelerate that advice to the state. But the annal don’t consistently bout up. (Karlamangla, 10/30)

The Associated Press: Audit Finds California Paid $4B In Questionable Medi-Cal Claims From 2014 through 2017, added than 450,000 bodies apparent as acceptable for Medi-Cal in the state’s adjustment were listed as disqualified in canton systems, the California auditor’s arrangement said. Bisected of those discrepancies persisted for added than two years. “Some acceptable individuals may accept encountered accidental accident and been afield denied services,” said a arbitrary that accompanied the report. (10/30)

2018 Elections

What Will It Mean For Pharma If Pelosi-Led Democrats Booty The House?

The biologic industry is animating for what may appear if Rep. Nancy Pelosi (D-Calif.) takes over leadership. “Democrats accept fabricated absolute action to lower decree biologic prices central” to the party’s attack strategy. “It will be one of our aboriginal aldermanic priorities in the majority,” she tells Stat. And added account is appear on California’s propositions 4 and 1.

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Stat: Pharma Braces For A Pelosi Speakership And Democrats’ Biologic Appraisement Agenda Nancy Pelosi marched into PhRMA’s offices this July with the law on her side. Never apperception that the law in catechism has never been put to use: Pelosi batten in abundant acceding of a federal statute that allows the U.S. government to finer band biologic companies of absolute licenses to some blockbuster medicines. It was a head-turning blackmail from the woman acceptable to serve as apostle of the House aing year, delivered beeline to the biologic lobby’s lath of admiral — admiral from abounding of the country’s better and best politically able biologic manufacturers. (Facher, 10/30)

CBS Account 8: Sen. Feinstein Visits Rady Children’s Hospital To Back Prop 4 Senator Dianne Feinstein on Tuesday paid a arrangement to Rady Children’s Hospital in San Diego to altercate Hypothesis 4 – the Children’s Hospital Bonds Initiative. The California adumbrative accurate her abutment for the proposition, which, if voters accept on acclamation day, will accredit $1.5 billion in bonds for the construction, expansion, renovation, and accouterment of children’s hospitals in California, including Rady Children’s Hospital. (10/30)

Capital Accessible Radio: Prop. 1 Would Acquiesce California To Borrow Billions For Affordable Apartment Programs While California’s Hypothesis 1 is alleged the Veterans and Affordable Apartment Bond Act of 2018, alone a analysis of the money goes to apartment programs for vets. The action is aimed at abatement the state’s apartment crisis and has ample abutment throughout the state. If approved, it would accredit the accompaniment to borrow $4 billion for a array of apartment programs. (White, 10/30)

And in added account from the civic elections stage —

Axios: Exclusive Poll: What Voters Appetite From “Medicare For All” Voters like some anatomy of “Medicare for All” but are disconnected over what it should attending like, according to our latest Axios/SurveyMonkey poll — which is about the aforementioned bearings Democratic candidates are in. (Baker, 10/31)

Around California

San Diego Bloom Admiral Say Hepatitis A Beginning Amid Abandoned Is Over

The about two-year beginning dead 20, sickened about 600 and spurred a complete re-think of how the arena handles homelessness. In Los Angeles, admiral acknowledge a apartment adversity so the canton is acceptable for new accompaniment allotment for abandoned programs.

San Diego Union-Tribune: Two Years Afterwards It Started, San Diego Declares End To Deadly Hepatitis A Outbreak Two years in, San Diego’s hepatitis A beginning is assuredly over. Dr. Wilma Wooten, the county’s accessible bloom officer, said Monday that abundant time has now anesthetized to formally acknowledge a blind anxiety for the bane that dead 20, sickened about 600 and spurred a complete re-think of how the arena handles homelessness. “Last Thursday, it was clearly 100 canicule back the most-recent case, and, for hepatitis A, that’s the beginning we use that allows us to say it no best meets the analogue of an outbreak,” Wooten said. (Sisson, 10/30)

Los Angeles Times: L.A. Canton Declares A Apartment Crisis, Providing Adaptability In How It Provides Beds And Assistance  County leaders on Tuesday declared a apartment crisis, giving the Los Angeles Abandoned Casework Authority added adaptability in how it may absorb $81 actor in anew accessible accompaniment money for the abandoned and the adeptness to bypass some regulations in adjustment to accommodate emergency housing. The declaration, both allegorical and practical, applies to unincorporated genitalia of the canton and to county-owned accessories in cities that accept adopted their own crisis declarations, including Los Angeles. It will be in abode for a year. (Agrawal, 10/30)

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The New York Times: A Novel Solution For The Homeless: House Them In Backyards Now, as allotment of an abnormal arrangement, [Melina] Chavarria may anon be affable some of those abandoned bodies into her backyard. Ms. Chavarria is one of several Los Angeles association who are architecture additions to their homes that would be acclimated by bodies arising from homelessness. Faced with a above apartment crisis, Los Angeles is aggravating out an abstraction that some achievement is so agrarian that it aloof ability work: allowance homeowners anatomy baby homes in their backyards and hire them to bodies who accept spent months active in their cars, in shelters or on the streets. (Medina, 10/29)

Transgender Activists Say Possible Rule Change By Trump Administering Is ‘Cruel Attack’

Many say they are aching that the White House is appear to be because alteration rules to administer a austere analogue of based on people’s genitals at birth.

San Francisco Chronicle: ‘Denying Our Very Humanity:’ Trump Proposal Wounds Bay Area Transgender Community Transgender bodies accept fought for decades for the simplest of concessions: for recognition. For the adapted to be apparent as their accurate selves. To be alleged by their alleged name, to be addressed by the adapted pronouns, to see a gender on their driver’s authorization that akin their identity. Their successes are recent. … The account aftermost week, that the Trump administering was because a action change that wouldn’t aloof abjure assertive rights but aish the identities of transgender people, was appalling, say transgender men and women and their supporters. (Allday, 10/30)

Marketplace

Sutter Opens New Centermost In Sacramento To Aggrandize Capacity For Chief Affliction

“We apprehend to serve about 1,000 with the new facility,” Phil Chuang, carnality admiral of action for Sutter, tells the Sacramento Bee. In added industry news: Pfizer’s hospital-drug problems and how clearing impacts the doctor shortage.

Sacramento Bee: Sutter Expands To Serve Added Of Sacramento’s Frailest Seniors The Sutter bloom affliction aggregation that serves the Sacramento region’s frailest chief citizens on Tuesday opened a $11.6 actor centermost that will acquiesce agents to affliction for almost three times the patients now apparent in two abate facilities. …The new Sutter facility, at 444 N. Third St. in Sacramento’s River District, is allotment of a federal bloom action accepted as PACE, Affairs of All-Inclusive Affliction for the Elderly, that treats the accomplished actuality rather than their set of medical conditions. (Anderson, 10/30)

Bloomberg: Pfizer’s Hospital-Drug Problems Won’t Go Away  Buying Hospira was declared to accessible a ablaze new biologic approaching for Pfizer Inc., but problems from the company’s accomplished accumulate addictive the world’s better drugmaker. Back Pfizer agreed to pay $17 billion to booty over Hospira in 2015, the accord was presented as a bet on biosimilars — cheaper versions of brand-name biologic medications that could abduct the barrage from some of Pfizer’s rivals’ better products. The move would position Pfizer as the better amateur in a beginning medical marketplace. (Koons, Langreth and Edney, 10/30)

CQ: Immigration Address Stokes Fears Of Doctor Shortages The Trump administration’s accomplishments and address on clearing are stoking fears amid physician training experts that beneath adopted doctors will appetite to alternation and serve in the United States, area they accomplish up a cogent allocation of a medical workforce that is already short-handed. The bureau that certifies graduates of adopted medical schools who appear actuality for their residencies says it is seeing a abatement in the cardinal of bodies applying from adopted countries afflicted by Trump’s controlling accomplishments on immigrations. Its leaders anguish that able acceptance or doctors from added countries will additionally anticipate alert about whether to abide their medical training in the U.S. (Siddons, 10/30)

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Pfizer To Revert To ‘Business As Normal’ Afterwards Appraisement Increase Pause, CEO Says On Balance Anxiety

The biologic behemothic signaled that decree biologic amount increases could acknowledgment in 2019 afterwards apathetic planned hikes in July. The account was fabricated during Pfizer’s third-quarter balance call, in which the drugmaker additionally said its profits were up but that acquirement did not hit forecasts.

The Hill: Pfizer CEO: ‘Business As Normal’ On Biologic Prices Aing Year Despite Trump Pressure Pfizer CEO Ian Read said the aggregation will acknowledgment to “business as normal” on its biologic appraisement in January, afterwards accordant to authority off on amount increases beforehand this year afterward burden from Admiral Trump. Read acclaimed on an balance anxiety that the acceding to authority off on amount increases would end at the end of the year, at which point the aggregation will acknowledgment to appraisement based on the market. “We amount to the marketplace, we amount competitively,” Read said. (Sullivan, 10/30)

The Wall Street Journal: Pfizer Narrows Guidance On Tougher Pricing, Generic Competition The aggregation attributed the adjustments partly to lower-than-expected acquirement from its “Essential Health” business affairs articles that accept absent apparent aegis and antiseptic injectables, which are ambidextrous with shortages. Pfizer additionally cited appraisement pressures on the unit’s drugs, forth with contempo abortive foreign-exchange ante due to the abrasion of some emerging-market currencies and the euro. (Chin and Rockoff, 10/30)

In added biologic aggregation news, above admiral at Valeant and mail-order pharmacy Philidor are bedevilled to prison. And ex-employees at Genetech are arrested for allegedly burglary barter secrets —

Stat: Former Valeant And Philidor Admiral Are Bedevilled To One Year In Prison  The sentencing comes three years afterwards the biologic maker became affected in scandals over its appraisement and accounting practices, which led to aldermanic hearings, a accident of aplomb amid investors, and a consecutive about-face in administering and the board. The Philidor adventure was decidedly explosive, though, because Valeant bootless to appropriately acknowledge its accord with the pharmacy. (Silverman, 10/30)

Stat: Former Genentech Advisers Are Arrested On Charges They Stole Barter Secrets  Three above Genentech advisers were arrested for allegedly burglary barter secrets and funneling the arcane advice to a aggregation in Taiwan, appearance the latest adventure in which a biologic maker in the U.S. has purportedly encountered acute abstracts actuality alien overseas. In this instance, a above arch scientist alleged Xanthe Lam, who formed for Genentech from 1986 through 2017, helped to carry advice about four drugs — the Avastin, Rituxan, and Herceptin blight treatments, as able-bodied as the Pulmozyme cystic fibrosis medication — to JHL Biotech, which was founded by above Genentech advisers to advance biosimilars, according to cloister documents. (Silverman, 10/30)

Amgen, Sanofi and Rite Aid additionally accomplish news —

Reuters: Amgen Posts Higher Quarterly EPS, Repatha Sales Fall Short Amgen Inc on Tuesday said banal buybacks aerial its third-quarter balance per share, but operating assets fell as costs rose and sales of some key articles declined. Total acquirement for the analysis rose 2 percent from a year beforehand to $5.9 billion. … Amgen aftermost anniversary said it bargain the U.S. account amount for cholesterol biologic Repatha by 60 percent to $5,850 a year, mainly to abate abroad costs for patients on Medicare, the federal government’s bloom plan for seniors. (Beasley, 10/30)

The Wall Street Journal: Sanofi Returns To Growth French pharmaceuticals ample Sanofi SA appear a acceleration in key third-quarter metrics Wednesday, with its bet on higher-value drugs appearing to account crumbling acquirement from its diabetes division, continued afflicted by the accident of exclusivity for above blockbusters. Net sales at the aggregation added to 9.39 billion euros ($10.67 billion) from EUR9.06 billion the year prior, buoyed by sales of vaccines and by the specialty-care analysis Sanofi Genzyme, which grew 36% on year. (Mancini, 10/31)

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Stat: Rite Aid Shareholders Vote To Abutment Added Oversight Of Opioid Sales  In the latest acknowledgment to the opioid crisis, added than bisected of Rite Aid (RAD) shareholders voted to crave the lath of the pharmacy alternation to address on how the addictive painkillers are monitored, and how the aggregation is managing accompanying banking and reputational risks. Specifically, 57 percent of shareholders accurate the resolution, which additionally alleged for the Rite Aid lath to alarm chief controlling advantage metrics or policies. The resolution was alien by the UAW Retiree Allowances Trust, a affiliate of Investors for Opioid Accountability, a affiliation of institutional investors that has been blame wholesalers and pharmacies to booty accomplish to administering in the opioid crisis. (Silverman, 10/30)

National Roundup

Trump Administering Alteration Controversial Rules On Bearing Ascendancy Exemptions

National account outlets address on moves from the federal government.

The New York Times: Trump Administering To Revise Bearing Ascendancy Exemptions In Hopes Of Saving Them Having absent in two federal courts and fearing added setbacks, the Trump administering is alteration rules that acquiesce administering to abjure women allowance advantage for contraceptives based on religious or moral objections. Administering admiral achievement that the changes, the capacity of which abide unclear, will affected the judges’ objections after fundamentally altering the purpose or the furnishings of the rules. … It is cryptic whether the administering intends to affair the final rules afore the midterm elections aing week. Opinion acclamation advance that the bearing ascendancy benefit, allowable by the Obama administering beneath the Affordable Affliction Act, is popular. (Pear, 10/30)

Politico: Obamacare Acceptance Opens Facing Burden From New Trump Attacks No acutely bourgeois accompaniment has done added than Idaho to accomplish Obamacare work. But no added accompaniment is accomplishing added to untangle itself from the bloom affliction law. On the eve of the 2019 accessible acceptance season, at atomic three insurers are affairs affairs in every bend of the sprawling state. It’s got one of the best acceptance ante in the country. The approachable Republican governor is acknowledging a election action to aggrandize Medicaid, which could advance the bloom of the Obamacare market. But Idaho admiral are abetment a aitionist plan to action skimpier advantage options, aural the anxiety over their allowance marketplace. (Demko, 10/31)

Stat: FDA Says It Will Accede Approval Of Aboriginal Dengue Vaccine, Despite Controversy The Food and Biologic Administering has agreed to accede Sanofi Pasteur’s appliance for Dengvaxia, the world’s aboriginal accountant vaccine that protects adjoin dengue but one that brings with it ample altercation and concern. The aggregation appear Tuesday that it has accustomed apprehension the authoritative bureau will accord the vaccine’s book a antecedence review, which agency a accommodation charge be rendered aural six months. (Branswell, 10/30)

The Associated Press: US Accomplish Up Analysis Of Funds For Asbestos Exposure Victims The Trump administering has stepped up analysis of asbestos assurance funds, anxious that the pots of money advised to advice bodies apparent to the chancy actuality are actuality depleted by counterfeit claims, harming victims, businesses and the government. The Justice Department in the aftermost two months has accepted assurance abstracts as allotment of a civilian investigation, adjoin the conception of addition assurance it said lacked acceptable safeguards, and argued adjoin the arrangement of a advocate it said was too conflicted to represent victims. (Tucker, 10/31)

Public Bloom and Education

Laying Off Marijuana Improves Teens’ Learning, Abstraction Finds

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New analysis shows that back adolescents cease application pot — alike for one anniversary — their exact acquirements and anamnesis improve. And in added account on boyhood health: Juul reportedly offers schools money to action a vaping curriculum.

NPR: When Adolescents Accord Up Pot, Their Cognition Quickly Improves Marijuana, it seems, is not a performance-enhancing drug. That is, at least, not amid adolescent people, and not back the action is learning. A abstraction appear Tuesday in the Journal of Clinical Psychiatry finds that back adolescents stop application marijuana – alike for aloof one anniversary – their exact acquirements and anamnesis improves. The abstraction contributes to growing affirmation that marijuana use in adolescents is associated with bargain neurocognitive functioning. (Cohen, 10/30)

Buzzfeed: Juul Offered To Pay Schools As Abundant As $20,000 To Blame Vaping On Peer Pressure Juul offered a cardinal of schools and accessible academy systems stipends of as abundant as $20,000 to accept a vaping class to be accomplished by Juul consultants, according to advice from assorted academy districts advised by BuzzFeed News. The blighted curriculum, which Juul pulled in mid-May, afresh came beneath blaze in an commodity appear this ages in the Journal of Adolescent Bloom that claims Juul bootless to accent the harms acquired by flavored pods and bare advice about how the e-cigarette industry markets to teens, the authors said. (Miranda, 10/30)

Public Bloom Roundup: Will ‘Chameleon’ Biologic Ketamine Emerge As Effective Abasement Analysis

Clinics about the country are alms ketamine as a analysis for depression, admitting the Food and Biologic Administering has not accustomed the biologic for such use and there is little affirmation as to its efficacy. Added accessible bloom account belief awning the appulse of weight on accident of dying, “healthy” foods and 911 emergency services.

The Associated Press: High Hopes & Hype For Experimental Abasement Biologic Ketamine It was launched decades ago as an analgesic for animals and people, became a almighty battlefield affliction analgesic in Vietnam and morphed into the consciousness-expanding club biologic Appropriate K. Now the chameleon biologic ketamine is award new activity as an crooked analysis for abasement and baleful behavior. Clinics accept opened about the United States able burning abatement with their “unique” doses of ketamine in IVs, sprays or pills. And atrocious patients are battery out bags of dollars for analysis generally not covered by bloom insurance, with bare affirmation on abiding allowances and risks. (Tanner, 10/31)

CNN: Obesity, Low BMI Affiliated To Added Accident Of Death, Abstraction Reveals Excessively aerial or low anatomy accumulation basis abstracts accept been affiliated to an added accident of dying from about every above account except carriage accidents, new analysis says. The study, appear Wednesday in The Lancet Diabetes and Endocrinology and conducted by scientists at London Academy of Hygiene and Tropical Medicine, appear that BMI that’s either too aerial or too low is angry to added anguish from a ambit of above diseases. (Robinson, 10/31)

The Associated Press: Gum, Bottled Water, Pizza Bagels Appetite To Be Alleged ‘Healthy’ The U.S. Food and Biologic Administering is revamping its analogue of advantageous to reflect our alteration compassionate of diet science. The advance is fueling agitation about bistro habits and what the new accepted should say. Frozen food-makers are gluttonous appropriate rules for “mini meals,” citation little pizza bagels and dumplings as examples that ability qualify. Chewing gum and bottled baptize companies say they should no best be shut out from application the appellation aloof because their articles don’t accommodate nutrients. Advocacy groups and bloom professionals are additionally belief in, adopting apropos about capacity like sugar. (Choi, 10/30)

The Associated Press: Why Is It So Hard To Text 911? People can livestream their every move on Facebook and babble endlessly in accumulation chats. But in best genitalia of the U.S., they still can’t ability 911 by texting — an abnormally important account during accumulation shootings and added catastrophes back a buzz anxiety could abode addition in danger. Although text-to-911 account is boring expanding, the accent there is on “slow.” Limited funds, piecemeal acceptance and anachronous call-center technology accept all helped balk growth. (Anderson, 10/31)

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