First Edition: December 8, 2011

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In today's headlines, reports about the HHS decision on the Plan B morning after pill, as well as the latest progress reports from Capitol Hill on the payroll tax break extension and the doc fix. 

Kaiser Health News: Health Law May Accelerate Growth In Urgent Care Centers
Kaiser Health News staff writer Phil Galewitz, working in collaboration with USA Today, reports: "Across the country, an estimated 3 million patients visit these centers each week, according to the Urgent Care Association of America, a trade group based in Chicago. To meet increased demand, the number of facilities has steadily increased from 8,000 in 2008 to more than 9,200 this year, the association said. About 600 new urgent centers opened this year" (Galewitz, 12/7).

Kaiser Health News: Life Support For Ailing Hospitals
Kaiser Health News staff writer Jenny Gold, working in collaboration with NPR, reports: "In the ongoing deficit reduction talks, critical access hospitals have been singled out at least twice as a program ripe for cutting: in President Barack Obama's budget proposal and by the Congressional Budget Office" (Gold, 12/8).

Kaiser Health News: Capsules: Readmissions Not Just A Medicare Problem, Study Finds; CMS: States' Health Spending Gap Widens
Now on Kaiser Health News' blog, Jordan Rau reports: "Medicare has identified preventable hospital readmissions as a measure of the fragmentation of health care for the elderly, driving up health care costs. A new paper finds younger patients also fail to get needed follow-up care after a hospital stay" (12/8). In addition, Christian Torres reports: "A government report released Wednesday offers the first snapshot of state-by-state health-care spending since the recession, as well as a look at where provisions of the 2010 health law could have their greatest effect" (12/7). Check out what else is on the blog

The Associated Press/Washington Post: House Leaders Hope GOP Lawmakers Ready To Back Bill Renewing Payroll Tax Cut, Jobless Benefits
Top House Republicans hope to win rank-and-file GOP support for a measure renewing this year's Social Security payroll tax cut and extending benefits for the long-term unemployed. House GOP lawmakers were meeting privately Thursday to seek agreement on legislation that leaders want to bring to a vote next week. They would also include language heading off a 27 percent cut in Medicare reimbursements to doctors (12/8).

The Associated Press/Washington Post: GOP Faces Uphill Battle On Conservative Policy Issues Dotting Budget Bills
Conservative flashpoint issues from abortion and abstinence education to President Barack Obama's health care law are the biggest obstacles to Congress completing a massive year-end spending bill next week that would keep the government running until next year's election. Going into end-game negotiations this weekend on the $900-plus billion bill, Republicans expect to lose on most of the policy provisions, or "riders," they added to House versions of the must-do spending measures (12/8).

The Washington Post: In The Loop: White House Struggles To Spread The Word On Health-Care Law
And on Tuesday, more evidence of that struggle emerged: Senate staffers got an e-mail alerting them that the Office of Personnel Management -; essentially the federal government's very own human resources department -; had yet to update its own forms to reflect the reforms contained in the new health-care law (Heil, 12/7).

The Wall Street Journal: Access To Widen On Medicare Data
In an abrupt policy change, the Department of Health and Human Services will make its huge Medicare claims database more broadly available to the public, to help consumers and employers make better-informed decisions about medical care (Carreyou, 12/8).

The New York Times: Plan To Widen Availability Of Morning – After Pill Is Rejected
For the first time ever, the Health and Human Services secretary publicly overruled the Food and Drug Administration, refusing Wednesday to allow emergency contraceptives to be sold over the counter, including to young teenagers. The decision avoided what could have been a bruising political battle over parental control and contraception during a presidential election season (Harris, 12/7).

NPR: Women's Groups Outraged By Ruling On Morning-After Pill
Women's health advocates were quick to cry foul Wednesday when Health and Human Services Secretary Kathleen Sebelius overruled the opinion of the Food and Drug Administration that the popular "morning after" emergency contraceptive "Plan B One Step" should be allowed to be sold without a prescription -; and without age restriction (Rovner, 12/8).

The Wall Street Journal: Obama Health Chief Blocks FDA On 'Morning After' Pill
The move inserted the Obama administration into the long-running controversy over how much the federal government should restrict access to Plan B, a so-called morning-after pill that can stop pregnancy up to three days after intercourse. Allowing girls under age 17 to buy the $50 pill over the counter could have saddled the Obama administration with a political target as the 2012 presidential campaign moves into full swing (Dooren, 12/8).

Politico: Contraceptive Coverage May Threaten Obama
President Barack Obama is facing a decision that could threaten inroads he made in 2008 with Catholic voters and other religious voters. But this time, the issue isn't abortion. It's contraception (Feder, 12/7).

Los Angeles Times: California's Healthcare Spending Per Person Among Lowest In U.S.
For more evidence that the Golden State has lost some of its luster, consider this news from the federal government: California spends less per person on healthcare than all but eight states. New data show that total spending by insurers, government agencies and individuals amounted to $6,238 per resident in 2009, well below the national average of $6,815 (Helfand, 12/7).

Los Angeles Times: California Releases Plan For Overhaul Of Mental Health Programs
California mental health officials on Wednesday detailed plans for a new Department of State Hospitals, a streamlined agency that they said would improve treatment and reduce patient violence at the troubled psychiatric facilities -; as well as save money. The department, which will oversee the state's five mental hospitals and psychiatric programs at two of its prisons, is expected to replace the Department of Mental Health next year (Romney, 12/8).

The Associated Press/Washington Post: Md. Paid $426,000 In Medicaid Payments To 10 Dead People
A state legislative audit says Maryland paid $426,000 in Medicaid to 10 people who were dead. The audit, released Wednesday, also found that between January 2008 and August 2011, $2.5 million in erroneous payments were made for 323 people who may have already been dead (12/7).


http://www.kaiserhealthnews.orgThis article was reprinted from kaiserhealthnews.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente.

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