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POLITICO New York Health Care: Schumer's expanded role; NY abortion fight looms

11/14/2016 10:00 AM EDT

Good morning! You are reading a complimentary synopsis of the POLITICO New York Pro Health Care newsletter. Pro subscribers receive a premium version of this newsletter, which includes an enhanced look-ahead and robust analysis of the health care news driving the day, weekdays at 5:45 a.m. Contact us here to learn more.

written by Dan Goldberg

HOUSEKEEPING - I will be in Albany from Nov. 15 through Nov. 17 and, as always, would love to meet readers and discuss what stories we should focus on in 2017. On Thursday, I will be moderating a panel sponsored by the New York Health Plan Association. More information about that here: http://bit.ly/2fl1XUP Please stop by, and email me at dgoldberg@politico.com if you are interested in meeting up.

SCHUMER HAS BIG DECISION ON ACA REPEAL AND REPLACE - What becomes of Republican plans to replace the Affordable Care Act may well rest in the strategy laid out by New York's senior senator. Charles Schumer, almost certain to become Senate minority leader in 2017, will have enormous sway over whether his caucus chooses to work with President-elect Donald Trump and his allies, or takes a page out of the Republican playbook and obstructs for as long as possible. The question consuming the health care sector is whether there is any replacement plan that could plausibly bring along a meaningful number of Senate Democrats without alienating House Republicans. And even if House Speaker Paul Ryan and Senate Majority Leader Mitch McConnell were to move to the center while somehow keeping their own caucuses in line, might Schumer find Trump and the Republicans more useful as a foil than as friend, as McConnell dealt with Obama? Read my story here: http://politi.co/2fPBv8x

WHAT HAPPENED AND WHY IT MATTERS: For the past few weeks, we've been working on this new section where we go over some of last week's most important news and why we think it matters.

-TRUMP! - Donald Trump will be the 45th President of the United States. Why it matters: It's been a bad week for predictions so we will leave it at this. Every health care policy that the Obama administration has championed for eight years - from the Affordable Care Act to value-based payments - is going to be re-examined in the coming months.


-REPEALING OBAMACARE - Republicans are set on repealing the Affordable Care Act. The details of a replacement plan remain to be seen, though Trump said he'd like to keep parts of the law, including covering those with pre-existing conditions and keeping children on a parents plan until they are 26 years old. http://on.wsj.com/2g64Jkg Why it matters: It matters for lots of reasons but one especially important program for New York is the Essential Plan, a section of the Affordable Care Act that provides low-cost insurance to those who do not qualify for federal Medicaid dollars. On Thursday, we explained why repealing this provision would cost the state nearly $1 billion. http://politi.co/2g0if8P

-MEDICAID BLOCK GRANTS - Ryan and Trump have both endorsed Medicaid block grants. Why it matters: POLITICO New York's Addy Baird explains what impact that might have on a state like New York. http://politi.co/2g64khL

-RAJU OUT - Ram Raju, president of NYC Health + Hospitals, announced he is stepping down at the end of the month. Why it matters: His announcement got buried by the election news and we promise to have more on this in the coming days. Raju leaves at a time when the city's public hospital system, a critical access point for so many, is facing immense fiscal challenges. He earns an incomplete for his five-year plan to turn around the struggling system. His successor will have an immense challenge keeping Health + Hospitals financially viable. http://politi.co/2fVpeQt

-KINGS OF QUEENS - I took a look at how and why the city's large health systems are colonizing Queens. Why it matters: The investment in Queens health care is part of a trend toward delivering more care outside of the hospital and in the community. That's one of the few forces that seem immune to a change in administration. http://politi.co/2eOpUSL

SHARE ME: Like this newsletter? Please tell a friend to sign up. Give them this link: http://politi.co/25oHyoN

AND MAKE SURE YOU FOLLOW Josefa Velasquez and me on Twitter @J__Velasquez & @DanCGoldberg. And for all New Jersey health news, check out @katiedjennings

ABORTION IN NY TAKES ON NEW IMPORTANCE - With Donald Trump capturing the White House last week and Republicans retaining control of both houses of Congress, two New York lawmakers are renewing their call to update the state's abortion law to match the Supreme Court's Roe v. Wade decision.Trump said during a debate in October that overturning the landmark 1973 Supreme Court decision "will happen automatically" if he's elected president and gets to appoint justices. POLITICO New York's Josefa Velasquez has more: http://politi.co/2eRr93t

NOW WE KNOW - Want to know why people feel such acute pain when the candidate of their choice doesn't win? Vox.com explains the psychology of a painful election night. http://bit.ly/2eRuFex

WE'D LOVE TO HEAR FROM YOU: This roundup is for you, so please tell us how we can make it even better. Send tips, news, ideas, calendar items, releases, promotions, job postings, birthdays, congratulations, criticisms and corrections to dgoldberg@politico.com

CLEAN NEEDLES - ACR Health is quadrupling the number of people who deliver clean needles to St. Lawrence County intravenous drug users through its peer-delivered syringe exchange program, according to North Country Now. http://bit.ly/2eRwsA0


IN CASE YOU MISSED IT - State Attorney General Eric Schneiderman filed Medicaid fraud and money laundering charges on Thursday against a lawyer who runs two outpatient substance-abuse programs in New York City and a couple who ran flophouses that forced residents to seek help from those programs, according to The New York Times. http://nyti.ms/2fqSjA1

PHARMA REPORT:

-PFIZER LOWERS PRICE - Pfizer lowered the price of its pneumococcal vaccine to non-governmental organizations that supply poor countries, according to STAT. http://bit.ly/2eRkQx3

-THE BUSINESS OF SAVING LIVES - Bloomberg profiled Narcan's growing business."In recent years, as drug overdoses have overtaken car accidents as the leading cause of accidental death in the U.S., sales of naloxone products have soared, from $21.3 million in 2011 to $81.9 million in 2015, according to QuintilesIMS." http://bloom.bg/2eRvbc8

WHAT WE'RE READING:

-MORE ON THE AFFORDABLE CARE ACT - Get ready to hear the following a lot: Repeal is easy; replace is hard. Nicholas Bagley at The Incidental Economist explains why: "For starters, I doubt that Republicans will be able to coalesce around an alternative to Obamacare. They've demonstrated time and again that they can't get past the white-paper stage. The reason is simple: health policy is hard. There are winners and losers and extending coverage to the uninsured costs a bunch of money." http://bit.ly/2eOr3d1

...Also, worth remembering, the Congressional Budget Office said repealing the law without a replacement plan would add $350 billion to the deficit by 2025. Modern Healthcare has more: http://bit.ly/2eRqBLc

-GOOD QUESTION - Modern Healthcare asks whether value-based payment models survive a Trump presidency. http://bit.ly/2eRwqIF

-BEGINNING TODAY - The Drug Enforcement Administration is set to ban U-47700, also known as "pink." STAT has more: http://bit.ly/2fHQx09

-SOMBER CDC - Employees at the Centers for Disease Control and Prevention, one of the largest federal agencies in Atlanta, said they're concerned about job safety, funding and new public health policies under Trump's presidency, according to NPR's Morning Edition. http://bit.ly/2eRswPN

-ETHICAL QUESTIONS - STAT examines the ethics surrounding clinical trials of unproven and potentially lifesaving drugs. http://bit.ly/2eRxc8t

-YOU KNOW THIS IS PREVENTABLE, RIGHT? - Measles still kills 350 children per day worldwide. That's according to a new report from the World Health Organization, Unicef and other organizations. http://bit.ly/2eRzT9Q

TODAY'S TIP - Comes from the Cleveland Clinic: "Be sure kids wash their hands regularly. Proper hand-washing hygiene is the best defense against infections."

STUDY THIS:

-COME ON AND CELEBREX - The New York Times writes about a surprising study showing Celebrex is no more dangerous than other pain alternatives. The results come more than a decade after Vioxx was found to increase the risk of heart attacks. The Food and Drug Administration asked Pfizer to find out if Celebrex was in the same boat. http://nyti.ms/2g8Owei

-GLOBE TROTTERS - STAT reports on a study that found a dangerous family of bacteria spreading among patients of cystic fibrosis clinics in many parts of the world. "The bugs, which are resistant to multiple antibiotics, seem to be spreading both within clinics and from clinic to clinic across the globe despite rigorous safeguards against infections, a team of international researchers reported Thursday in the journal Science." http://bit.ly/2fqZHLM

MISSED A ROUNDUP? Get caught up here: http://politico.pro/1Vxuqrf

To view online:
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