
121 million live in states restricting contraceptive access
Why it matters: Contraception access has become a political flashpoint since the Supreme Court ended Roe v. Wade, with Democrats unsuccessfully pressing to codify nationwide contraceptive access and some patients concerned that conservative state legislatures could enact new curbs.
What they found: States on both coasts generally had policies aimed at ensuring access, such as requiring insurers to offer no-cost coverage and allowing nurse practitioners or pharmacists to prescribe birth control.
Nearly 35% of Americans, or 121 million people, currently live in a state that actively restricts access.
Of the 16 states the group identified in that cohort, the most restrictive including Kansas, Mississippi, Florida, Alabama and Wyoming.
The most protective included California, Washington, Connecticut, New York, New Mexico, Maryland and Oregon.
Another 18 states were considered a mix between the two.
"Reproductive health care access depends on where you live," said Cathryn Streifel, senior program director at PRB and co-author of the scorecard.

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CNN
13 minutes ago
- CNN
China fights mosquito-borne chikungunya virus with drones, fines and nets as thousands fall ill
Chinese authorities are using nets, spraying insecticide and even deploying drones to fight the mosquito-borne chikungunya virus, which has infected thousands of people. Authorities had reported more than 7,000 cases of the virus as of Wednesday, mostly in the southern Chinese manufacturing hub of Foshan, some 170 kilometers (105 miles) from Hong Kong. The number of new cases appears to be dropping slowly, according to authorities. It appears to be the largest chikungunya outbreak ever documented in China, according to Cesar Lopez-Camacho of the University of Oxford. The virus is transmitted by infected mosquitoes and can cause fever and joint pain. 'What makes this event notable is that chikungunya has never been established in mainland China before,' Lopez-Camacho said in a statement. 'This suggests that most of the population had no preexisting immunity, making it easier for the virus to spread quickly.' Chinese state television has shown workers spraying insecticide around city streets, residential areas, construction sites and other areas where people may come into contact with mosquitoes. Workers sprayed some places before entering office buildings. Unusually heavy rains and high temperatures have worsened the crisis in China, and authorities are using drones to try to find standing water, where mosquitoes lay eggs. Authorities also have threatened to fine people who don't empty water from outdoor receptacles. Residents can be subject to fines of up to 10,000 yuan ($1,400) and have their electricity cut off. Because of the virus, the US has issued a travel advisory suggesting that Americans take extra precautions when visiting China's Guangdong province, where Foshan is located, as well as Bolivia and some island nations in the Indian Ocean. Since the 2003 SARS outbreak, China has used strict measures to fight the spread of viruses, including hard-line tactics during the COVID-19 pandemic. This time, patients are being forced to stay in hospital in Foshan for at least one week and authorities briefly enforced a two-week home quarantine, which was dropped because the disease cannot be transmitted between people. Reports also have emerged of attempts to stop the spread of chikungunya with fish that eat mosquito larvae and even larger mosquitoes to eat the insects carrying the virus. Officials have held meetings and adopted protocols at the national level in a sign of China's determination to eliminate the outbreak and avoid public and international criticism.


Newsweek
2 hours ago
- Newsweek
Donald Trump Threatens 250% Tariff on Pharmaceuticals
Based on facts, either observed and verified firsthand by the reporter, or reported and verified from knowledgeable sources. Newsweek AI is in beta. Translations may contain inaccuracies—please refer to the original content. President Donald Trump has said that tariffs on pharmaceutical imports could eventually reach up to 250 percent, as his administration works to lower prescription prices for Americans. During an interview with CNBC on Tuesday, the president said he will initially impose a "small tariff on pharmaceuticals," which will rise to 150 percent "in one year, one and a half years maximum," before then eventually jumping to 250 percent. Newsweek reached out to the White House via email for comment. Why It Matters The United States imports a significant amount of pharmaceuticals each year—over $200 billion in 2024, according to the Observatory of Economic Complexity. Should Trump follow through on ramping up these duties, the highest he has threatened on the industry to date, experts believe this could result in significant increases to drug prices in the U.S. However, some health policy experts told Newsweek this could also help rebalance the global drug supply chain to better favor American customers. What To Know Trump said that the tariffs are intended to encourage pharmaceutical companies to move their operations to the U.S.—"because we want pharmaceuticals made in our country"—and to minimize reliance on Europe. He had previously threatened to place 200 percent tariffs on pharmaceuticals in July, but said he would give the industry time before this change came into effect. Trump's threats of pharmaceutical tariffs have raised concerns among experts that these could lead to increased costs and medication shortages in the U.S. In April, the UNC Center for the Business of Health published a report warning that these effects would be especially significant for generic drugs, which are more likely to be imported and operate on lower profit margins than brand-name medications. "A 250 percent tariff on pharmaceuticals would have a significant impact on drug prices," said health economist Jeromie Ballreich. Ballreich told Newsweek that, for branded pharmaceuticals, higher costs from the tariffs will be "passed on to consumers and most likely will be indirect through higher prescription drug insurance premiums." Major pharmaceutical companies across the world saw their shares fall on Wednesday following Trump's announcement. England-based AstraZeneca was down by 1.1 percent, Indiana-based Eli Lilly by 2.3 percent, and Germany-based Bayer AG by nearly 10 percent as of 11:20 ET. President Donald Trump speaks to reporters near Air Force One at Lehigh Valley International Airport on August 3, 2025. President Donald Trump speaks to reporters near Air Force One at Lehigh Valley International Airport on August 3, latest threat comes as the industry braces for the outcome of an ongoing probe by the Commerce Department into the national security implications of America's medicinal imports. The investigation was launched in April by Commerce Secretary Howard Lutnick under Section 232 of the 1962 Trade Expansion Act. Trump did not provide many specifics, such as whether certain classes of pharmaceuticals would be exempt, beyond stating that these tariffs are separate from the country-specific duties that came into effect last week. However, the announcement appears to contradict the terms of the European Union deal struck in July, which the European Commission president said placed a 15-percent tariff "ceiling" on multiple sectors, including pharmaceuticals. Experts had already warned that the 15 percent tariff outlined in the EU trade deal could end up costing the pharmaceutical industry billions. The cost implications could also be seen as conflicting with the administration's separate attempts to lower the price of prescription drugs. President of the European Commission Ursula von der Leyen meets with President Donald Trump in Turnberry, Scotland, on July 27, 2025. President of the European Commission Ursula von der Leyen meets with President Donald Trump in Turnberry, Scotland, on July 27, May, Trump signed an executive order directing the Secretary of Commerce and U.S. Trade Representative to "ensure foreign countries are not engaged in practices that purposefully and unfairly undercut market prices and drive price hikes in the United States." It also proposed that the U.S. be given Most-Favored-Nation (MFN) status, which would require drug companies to offer Americans the same lowest price that drugs are sold for in other countries. Trump followed this up by sending letters to 17 of the world's largest pharmaceutical companies on July 31, outlining steps they must take within 60 days to lower prescription prices for U.S. customers. These include extending MFN pricing to Medicaid, guaranteeing MFN pricing for new medications and negotiating "harder with foreign freeloading nations." The letters also call on the companies to expand direct-to-consumer distribution models to ensure customers "get the same low MFN prices that manufacturers already offer to third-party payers." "At face value, these tariffs are contradictory to his efforts to lower domestic prices," Ballreich told Newsweek. "However, if the tariffs are used as a threat to get drug companies to comply to his administration's [executive orders], including the recent letters to pharmaceutical CEOs, then I think we could see some changes to the pharmaceutical market, which will lower domestic drug prices." Several drugmakers, including Eli Lilly, AstraZeneca and Johnson & Johnson, have also pledged to expand their U.S. manufacturing presence. Prior to the letters being sent, but amid this pressure from the administration, a number had also announced they would be reducing some U.S. drug prices. Health policy analyst Mariana Socal warned that beyond potential cost implications, the tariffs could significantly disrupt the drug development pipeline, potentially jeopardizing the release of new medications. "Aside from the problem of added costs, the uncertainty introduced by tariff policies is detrimental in and of itself to the pharmaceutical market," she told Newsweek, noting that only around one in 10,000 investigated compounds make it to pharmacy shelves, and only do so after decades of work. "Any added uncertainty is likely to be detrimental to this industry, including disincentivizing investors from supporting this industry and pharmaceutical manufacturers from continuing to look for cures," she said. What People Are Saying Health economist Jeromie Ballreich told Newsweek: "This tariff could really disrupt the U.S. prescription drug market, especially the Medicare part D market, where the party plans will be on the hook for the higher price prices and result in significant premium increases to offset these higher prices. Given that, I don't think it's likely that this massive tariff will occur, but rather is a threat to force companies to find solutions based on the executive orders and his recent letters to pharmaceutical CEOs." Mariana Socal, an associate professor at the Johns Hopkins Bloomberg School of Public Health, told Newsweek: "It is critical to continue to identify solutions to lower drug prices in America and improve drug affordability for Americans. However, it is unclear how tariffs would advance affordability. On the opposite, tariffs can be understood as a hidden tax." "In the short term, the likelihood that added costs from tariffs will be passed through to consumers can be reduced by existing contractual agreements with supply chain participants such as distributors and group purchasing organizations, which can protect buyers from price increases for 1-3 years," she added. "However, even if the added cost of tariffs would not necessarily be passed-through to patients in the short term, it could raise costs in the long run." What Happens Next On Sunday, Trump said he would be announcing tariffs on the industry "within the next week or so."


NBC News
2 hours ago
- NBC News
HEPA air purifiers can help lower blood pressure, study finds
People whose homes are near busy highways may be able to reduce their blood pressure by running an air purifier with a HEPA filter, a study found. Just a month of air filter use cut systolic blood pressure by nearly 3 points in healthy adults who had slightly elevated blood pressure, according to the report published Wednesday in the Journal of the American College of Cardiology. Doug Brugge, the study's lead author and professor and chair of the department of public health sciences at UConn Health in Farmington, acknowledged that 3 points may sound like a small reduction. 'But the medical literature shows that even at that magnitude there can be a meaningful benefit in terms of reducing the risk of serious cardiovascular outcomes, such as heart attack and stroke,' he said. Nearly a quarter of Americans live near busy roadways, according to the new research. People may not realize they're being exposed to traffic-related air pollution because it's invisible, odorless and can be easily missed, Brugge said. Yet high levels of the tiniest particles found in traffic-related air pollution are known risk factors for developing high blood pressure and heart disease. Blood pressure is measured with two numbers: systolic pressure (the top number) and diastolic pressure (the bottom number). A reading of less than 120/80 mm Hg is considered normal. Almost half, or about 119.9 million, of adults in the U.S. have hypertension, or high blood pressure, according to 2023 estimates from the Centers for Disease Control and Prevention. To determine whether simply installing two portable, commercially available air purifiers with HEPA filters could improve heart health, Brugge and his colleagues sought healthy volunteers whose homes were near roadways that would expose them to elevated levels of the tiny particles from vehicle emissions, as well as particles associated with tires and brakes. The researchers randomly assigned 154 volunteers to two groups. One would have two HEPA filters in the most commonly used rooms in their homes — one in the living room and the other in the bedroom. The other would be given sham filters. Then the groups would be switched. After a month of living with HEPA filters, volunteers who had slightly elevated blood pressure at the beginning of the study saw a 2.8-point drop in systolic blood pressure, the top number that the American Heart Association considers the strongest predictor of future heart problems. In contrast, those living with the sham filters saw a 0.2-point drop. People with normal blood pressure did not see an effect from HEPA use. The type of air filters used in the study were comparable to ones consumers can easily purchase in a store or online, Brugge said. The new study is 'intriguing,' said Dr. Matthew Alexander, an assistant professor of medicine in the division of cardiovascular medicine at the Vanderbilt University Medical Center in Nashville, Tennessee. Not everyone's blood pressure changed, just those with systolic pressures over 120 at the outset, Alexander said. 'It was a modest effect, but a clinically significant one,' he added. 'And it would correspond to about a 6% reduction in the risk of adverse cardiac events, such as heart attacks, strokes or cardiovascular death.' Alexander would like to see more studies, ones with more participants and a wider range of blood pressures. As would Steven Chillrud, a pollution expert and a research professor at Columbia University's Lamont-Doherty Earth Observatory in Palisades, New York. It's likely that filtering would help even people who don't live near roadways since traffic isn't the only source of air pollution, Chillrud said.