NC's Secretary of the Department of Health and Human Services on proposed cuts to Medicaid and SNAP
One of North Carolina Gov. Josh Stein's first acts upon assuming office earlier this year was to name a new Secretary of the state Department of Health and Human Services, and from the looks of things thus far, the person to whom he turned, Dr. Dev Sangvai, was a winning selection.
Since taking office, Sangvai — a family medicine practitioner and Duke University professor – has quickly hit the ground running and emerged as forceful voice for commonsense in the often rancorous world of health care policy.
Most recently Sangvai has spoken out publicly and energetically in opposition to the massive Medicaid and SNAP food assistance cuts working their way through Congress. And as Sangvai reminded NC Newsline, his concerns about the cuts are about more than mere empathy for struggling families – they're also based on hard data which show the devastating ripple effects the cuts will have on North Carolina's overall health and economic wellbeing.
Click here to listen to the full interview with NCDHHS Secretary Dr. Dev Sangvai.
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Indianapolis Star
10 hours ago
- Indianapolis Star
Texas AG sues Eli Lilly for allegedly bribing medical providers to prescribe Lilly drugs
Texas Attorney General Ken Paxton is suing Eli Lilly, alleging the Indianapolis pharmaceutical company offered kickbacks to medical providers in exchange for prescribing more than a dozen of the company's drugs, including blockbuster GLP-1 weight loss drugs Mounjaro and Zepbound. Eli Lilly offered illegal incentives to Texas medical providers, including a "free nurse" program and reimbursement support services, to steer providers to provide the company's drugs, Paxton alleges in a lawsuit filed August 11 in a Texas district court. Lilly, one of the world's largest pharmaceutical companies, denied the allegations in an August 12 statement to IndyStar. The Lilly programs mentioned in the suit offered free trainings for nurses and medical providers, which helped Lilly market their drugs when they launched, the suit says. According to Paxton's office, many Texas residents prescribed these drugs were on state Medicaid, so these actions violated the Texas Health Care Program Fraud Prevention Act. 'Big Pharma compromised medical decision-making by engaging in an illegal kickback scheme,' Paxton said in a news release. 'Eli Lilly fraudulently sought to maximize profits at taxpayer expense and put corporate greed over people's health. I will not stand by while corporations unlawfully manipulate our healthcare system to line their own pockets.' A spokesperson for Eli Lilly said the company denies the allegations and plans to defend against them in court. It's not the first time Paxton has taken a stab at Lilly in the courts. In October, Paxton sued insulin manufacturers and pharmacy benefit managers, including Lilly, Express Scripts and CVS, for allegedly concocting a conspiracy to increase insulin prices. Health Choice Alliance LLC, a New Jersey based company, joined Texas as a plaintiff. Health Choice has sued Lilly in the past, alleging the company engages in kickbacks. 'Multiple courts and the federal government have rejected claims by this same corporate relator against Lilly as meritless," a Lilly spokesperson said in a statement. "In fact, the United States government determined that 'the relators' allegations lack sufficient factual and legal support' in a prior case, explaining that 'federal healthcare programs have a strong interest in ensuring that, after a physician has appropriately prescribed a medication, patients have access to basic product support relating to their medication.' We intend to vigorously defend against these allegations.' At the heart of the Texas lawsuit is a class of drugs named GLP-1s prescribed for diabetes and weight loss. Named for the gut hormone receptor the drug targets, injectable GLP-1s have exploded in popularity since Zepbound hit the market in late 2023. Weight loss drugs: Eli Lilly closer to breakthrough weight loss drug; shares tumble as some question results The kickback lawsuit against Lilly is one way Paxton is protecting Texas patients "from corporate schemes that undermine the integrity of the healthcare system," according to his office.


NBC News
11 hours ago
- NBC News
CDC director tells staff ‘misinformation can be dangerous' in agency meeting
The Centers for Disease Control and Prevention Director Susan Monarez warned staffers about the dangers of misinformation during an agencywide meeting, the first since last week's shooting at CDC's headquarters in Atlanta that left one police officer dead, according to a transcript of her remarks obtained by NBC News. Monarez conducted Tuesday's staff meeting virtually, joined by Jim O'Neill, the deputy secretary of the Department of Health and Human Services, and Jeff Williams, director of the CDC's Office of Safety, Security and Asset Management, in an effort to reassure the people who work at the Atlanta campus about their safety. She noted that the agency has taken steps to bolster security and expand mental health sources for employees. 'Public health should never be under attack,' Monarez said, echoing an earlier social media post from Health Secretary Robert F. Kennedy Jr. 'We know that misinformation can be dangerous,' Monarez told staffers. 'Not only to health, but to those that trust us and those we want to trust. We need to rebuild the trust together.' Monarez said the agency can rebuild that trust with 'rational, evidence-based discourse' communicated with 'compassion and understanding.' The suspected shooter, Patrick White, 30, fired close to 200 rounds that struck six buildings at the CDC's campus, law enforcement officials said at a separate press conference Tuesday. A total of five firearms, including rifles and a shotgun, were recovered at the scene. On Tuesday's call, Williams, the head of CDC's security, said the campus buildings 'sustained excessive damage,' adding that it will take time for cleanup and repairs. Nearly 100 children at the childcare center located within CDC's campus were reunited with their parents Friday night after the shooting. Because CDC employees have been working remotely since the attack, Monarez expressed regret that they couldn't meet in person. She said that as staffers return to campus in the coming weeks, it will be 'different' and 'unsettling, in many ways, for some time to come.' White's motive remains under investigation, although officials said they found documents at his home in Kennesaw, Georgia, expressing his discontent with the Covid vaccines. One police officer, David Rose, was killed while responding to the gunfire. In the wake of the attack on the CDC, staffers have been voicing frustration over Kennedy's past vaccine comments, which they said has fueled growing hostility toward public health officials. When asked if Kennedy planned to address vaccine misinformation, Andrew Nixon, a spokesperson for the Department of Health and Human Services, which oversees the CDC, said Monarez and CDC leadership 'remain focused on supporting staff during an extraordinarily difficult time as evidenced by their continued direct engagement.' 'This is a time to stand in solidarity with our public health workforce and we hope the media will respect the moment rather than exploiting a tragedy and further exacerbating an already harrowing experience by the dedicated CDC staff,' Nixon said in the statement to NBC News. 'The irony is her boss is the biggest spreader of misinformation,' said Dr. Paul Offit, the director of the Vaccine Education Center at Children's Hospital of Pennsylvania, referring to Kennedy. Offit, also vaccine advisor for the FDA, said the staff at CDC aren't responsible for the misinformation. 'These people, they're hardworking public health folks, who care deeply about getting it right,' he said. In a statement released Tuesday, Joseph Kanter, the CEO of The Association of State and Territorial Health Officials, a group that represents state public health agencies, said 'in this time of heated rhetoric and polarization, we implore everyone to help dampen inflammatory slander undeservingly aimed at public health professionals.' On Monday, Kennedy visited CDC's headquarters, where security led him through campus, pointing out shattered windows across multiple buildings, according to statement released by HHS. Later, Kennedy met with the widow of the killed police officer. The HHS statement also said the agency "continues to support CDC personnel and their families.' Over the weekend, Kennedy sent an email to staff, saying the agency is 'standing together' in the wake of the shooting. Kennedy has been active in opposing use of the Covid vaccines. He filed a citizens' petition in 2021 requesting that the Food and Drug Administration revoke the authorization of the Covid vaccines. The same year, he described the Covid shot as the 'deadliest vaccine ever made.' He has also taken steps the limit use of the updated Covid vaccines for the fall, restricting its use to older adults and those with underlying health conditions. Last week, Kennedy terminated nearly two dozen contracts focused on developing mRNA vaccines — the same technology used to develop Pfizer's and Moderna's Covid shots. Kennedy hasn't yet spoken publicly about vaccine misinformation that may have contributed to the shooting. During the Tuesday meeting, the head of CDC security tried to ease worries about returning to the agency's campus. 'All indications are that this was an isolated event involving one individual,' Williams said.


Health Line
12 hours ago
- Health Line
6 Ways Trump's 'Big Beautiful Bill' Could Limit Healthcare Access
The tax and spending bill approved by Congress last month will cut $1 trillion from health-related programs over the next decade. The 'One Big Beautiful Bill' will hit Medicaid hardest with $790 million chopped from its budget. Experts say these reductions will greatly impact health programs across the country, particularly those serving rural communities, children, and lower-income households. The so-called One Big Beautiful Bill Act (OBBBA), signed by President Donald Trump in early July, will impact virtually every health-related program in the United States. The bill, officially known as House Resolution 1, is expected to reduce federal spending on health-related programs by $1 trillion between now and 2034. It's estimated that those cuts will cause at least 10 million people to lose health insurance coverage during the next nine years. It calls for a reduction in funding for food assistance programs and rural hospitals, as well as reduced funding for Planned Parenthood services, which have been temporarily blocked by a federal judge. Some of these impacts will take years to be felt. Other provisions, however, could directly affect people's lives in the next year or two. 'It is the biggest cut to our social safety net in history,' Liz Fowler, PhD, a distinguished scholar in Health Policy and Management at the Bloomberg School of Public Health at Johns Hopkins University in Maryland, said in a news release from the college. Here's a look at six key areas affected by spending reductions outlined in President Trump's 'Big Beautiful Bill.' Medicaid bears the brunt of the cuts Federal funding for Medicaid is expected to be reduced by more than $790 billion over the next decade. More than 70 million people currently receive Medicaid benefits, but various factors could significantly reduce this estimate. Work requirements will mandate that most 'able-bodied' recipients between the ages of 19 and 64 will be required to work, receive work training, volunteer, or be in school for at least 80 hours per month while receiving benefits. The new work requirements take effect on January 1, 2027. As many as 5 million people could lose health insurance due to this requirement, according to the Kaiser Family Foundation (KFF). More frequent eligibility checks will require states to verify beneficiaries' eligibility for Medicaid more often, causing some recipients to be removed from the program. Immigration restrictions will reduce the number of foreign-born residents receiving benefits. The cuts may also affect hospitals, as Medicaid is responsible for 20% of revenue at these medical facilities nationwide. Experts also point out that people who are no longer on Medicaid will not seek preventive care and end up in hospital emergency rooms due to more serious medical issues. 'Cutting Medicaid means millions lose access to basic care, leading to sicker patients, overwhelmed ERs, and rising costs for everyone,' said Kanwar Kelley, MD, a specialist in otolaryngology, head and neck surgery, obesity medicine, and lifestyle medicine as well as the co-founder and chief executive officer of Side Health. 'Lack of access to preventive care leads to a sicker population, which leads to more medical expenses,' Kelley told Healthline. Impacts to Medicare Medicare is a federal program founded in 1965 that provides health insurance coverage to people 65 years and older. About 66 million Americans are enrolled. Trump's bill does not directly mention Medicare cuts, but there are measures that could impact recipients. Under a 2010 budget mechanism law known as PAYGO, the Congressional Budget Office estimates the Trump bill could trigger more than $500 billion in Medicare cuts between 2026 and 2034, KFF reports. The Center for Medicare Advocacy notes the bill will also reduce the number of people eligible for Medicare. They say some non-citizens who meet Medicare eligibility requirements through work history or residency length will no longer be covered. In addition, the bill imposes a nine-year ban on implementing improvements to Medicare Savings Programs that help lower-income Medicare beneficiaries pay for premiums and out-of-pocket costs. Older adults who are enrolled in both Medicaid and Medicare could hit with a double impact. 'The [bill] will affect this [older] age range by reducing access to care,' Kelley said. 'Creating restrictions based on work requirements and new regulations for exemptions will exclude many in this age group from qualifying. Those in this age range will have a harder time re-entering the workforce to continue their coverage.' Fewer people enrolled in Obamacare The bill will make it more difficult for people to join or remain in programs offered by the Affordable Care Act (ACA), also known as Obamacare. This difficulty will be due to several changes. They include: Requiring enrollees to update their information regularly. This may include updating income, immigration status, and other details each year. Requiring individuals to manually reenroll every year during open enrollment. Last year, 10 million people were automatically reenrolled. Shortening the open enrollment period by a month. That period will now end on December 15 rather than January 15. For the current plan year, 40% of people signed up after December 15. Some immigrants will also no longer be eligible for ACA coverage. In addition, financial assistance that helps people afford insurance in ACA marketplaces will be allowed to expire at the end of this year. The Bloomberg School of Public Health at Johns Hopkins University predicts these changes will cause ACA premiums to rise by 75% next year. Kelley agrees that premiums will likely go up, causing a cascade of events. 'Removing or cutting these subsidies will lead to more expensive plans offered on the marketplace. By raising these prices, many will choose to live without health insurance and risk catastrophic medical debt,' he said. 'Making access to healthcare harder for individuals creates gaps in care for patients, which is crucial in screening for life-altering illnesses.' Strains on rural hospitals The bill does provide rural hospitals with $50 billion over the next five years to help reduce the effects from the cuts in Medicaid spending. However, the Center for American Progress reports that funding will not be nearly enough to make up the difference. The organization states that slightly more than 2,000 rural hospitals receive $12 billion per year in net revenue from Medicaid. At some rural hospitals, Medicaid represents 40–50% of their revenue. The organization added that children, non-elderly adults, and people with disabilities would be the people in rural areas most affected. Kelley agreed that the effects could be far-reaching. 'This loss of funding will hit rural hospitals hard, leading to closures and increasing healthcare disparities in marginalized neighborhoods,' he said. The Center for American Progress also notes that rural hospitals have low operating margins. They project that more than 300 rural hospitals could be at risk of closure. 'Rural communities already face challenges with adequate staffing and medically necessary equipment as they usually operate on tight margins with the subsidies,' Kelley said. 'Reducing the number of providers will lead to closures, which forces those in the community to travel farther for their regular and emergency care.' Fewer families will receive food assistance The bill would cut $120 billion from the Supplemental Nutrition Assistance Program (Supplemental Nutrition Assistance Program (SNAP) over the next decade, according to estimates. About 40 million people currently receive assistance from the SNAP program. The League of Women Voters projects the cuts could impact 22 million families. Kelley said the impact is beyond just food. 'Food insecurity leads to bad health outcomes,' he said. 'Cutting programs directed at addressing hunger will lead to increased rates of obesity, diabetes, and poor nutrition in kids.' 'Hunger in children leads to poor educational outcomes. Cutting SNAP and other food programs will lead to children going to school hungry, seniors skipping meals, and families making decisions between food and other necessities, including health,' Kelley added. Cuts to Planned Parenthood The bill impacts Planned Parenthood operations by banning people from using Medicaid at healthcare non-profit facilities that provide abortion services outside of cases of rape, incest, or when the pregnant person's life is in danger. Planned Parenthood estimates that the new law could close nearly 200 of its facilities. About 60% of those centers are in medically underserved communities. In addition, the organization states that more than 1 million people could lose access to afford healthcare services such as STI testing and birth control. Miller Morris, MA, MPH, is a women's health researcher and founder of Comma, a service focusing on menstrual health. She notes that a court injunction has temporarily blocked the bill's ban on Medicaid use at reproductive health clinics like Planned Parenthood. However, she said if the provisions are eventually upheld, they could have far-ranging effects. 'If the court's injunction were to be lifted, the defunding of Planned Parenthood would mean fewer resources for all the preventative and primary care services they offer, leading to reduced access for millions of women, especially those in low-income and rural communities,' Morris told Healthline. 'This reduction in Medicaid funding will see catastrophic consequences for the millions of women who rely on Planned Parenthood and similar low-cost organizations for vital, life saving care,' she added.