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D.C. Diagnosis: Why is Kamala Harris headed to Texas?

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D.C. Diagnosis: Why is Kamala Harris headed to Texas?


You’re reading the web edition of D.C. Diagnosis, STAT’s twice-weekly newsletter about the politics and policy of health and medicine. Sign up here to receive it in your inbox on Tuesdays and Thursdays.

MAHA moment canceled — momentum still going 

President Trump canceled his plan Tuesday to talk with Robert F. Kennedy Jr. about chronic illnesses and their causes under the “Make America Healthy Again” banner. A spokesperson told STAT that it was due to scheduling conflicts. (Trump rallied Tuesday night in Greensboro, NC; the virtual town hall with RFK was slated for the afternoon).

But that doesn’t mean Trump’s throwing distance between himself and the MAHA world, to some former officials’ chagrin. The former president will tape an interview with Joe Rogan, host of the extremely popular “Joe Rogan Experience” podcast, on Friday. Rogan this month also interviewed Calley Means, one-half of a sibling duo that has risen as public voices of the MAHA movement.

At the HLTH conference in Las Vegas, STAT’s Nicholas St. Fleur moderated a panel on longevity featuring the other half of that duo, Casey Means. She’s the founder of the metabolic health tracking company Levels. On stage, St. Fleur asked Means about her connections with Kennedy, Trump, and MAHA.

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“I am so absolutely thrilled and heartened that at the presidential level — I don’t care who’s talking about it, Bobby Kennedy, Trump or Kamala — that these conversations are now making it into the mainstream,” Means said, praising in particular Kennedy’s views on regenerative agriculture, environmental toxins, PFAS, and phthalates.

After Kennedy halted his presidential campaign and moved to Trump’s team, he said that Casey and Calley Means are the type of people he would suggest putting in charge of the nation’s health agencies. When asked if she would take a Trump administration position, Casey said: “My greatest hope is…that we put chronic disease at the center of American health care policy. And if I can have a small part in that I’d be thrilled to do so.”

Harris heads to Texas. Why?

Vice President Harris will take the stage in Houston tomorrow night with Texas Senate candidate Colin Allred. It’s a state she’s projected to lose, though Allred is deadlocked with incumbent Sen. Ted Cruz. But it’s also a reminder of the stakes she wants to keep in front of voters: Abortion bans and the impact they’re having on health care.

This isn’t a last-ditch effort to turn Texas blue, but a bid at reigniting urgency in states she could actually swing, her surrogates say. (“We’re diverting out of the battlegrounds because we think it’ll help us in battlegrounds,” senior campaign adviser David Plouffe told AP).

There are already questions about how much Democrats’ reproductive rights arguments resonate with voters juggling the range of Harris’ and Trump’s political platforms. While many Americans seem to back abortion rights, they aren’t always voting for the Democrats championing them. Harris is clearly hoping to change that: Ahead of her Houston visit, she launched an ad Wednesday that tells the story of a Texas couple who lost their pregnancy at 16 weeks but were refused abortion care.

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What to expect in a Harris presidency 

So, what would a Harris presidency look like? DCD co-writer Rachel Cohrs Zhang delves into it with a breakdown of her platform on high drug costs, strengthening ACA, and broadening Medicaid coverage, to name a few.

In many ways, these are goals that Democrats couldn’t quite complete during President Biden’s tenure. But others — like canceling medical debt — are newer targets. Rachel expands on what Harris has said and how she might get it done here. (And expect a Trump edition soon!)

Health care issues to watch on Election Day 

With less than two weeks until Election Day, it’s no surprise that Vice President Harris and former President Trump’s policy stances are dominating the headlines. But there is a lengthy list of health care proposals and down-ballot races that could heavily shape health policy in the coming years.

More than a dozen states are voting on health care ballots and pivotal races for congressional control. I wrote a rundown of key ballot measures and races that could transform state and federal health care and ignite new debates, from what happens to 340B to more legal psychedelics.

Lame duck cheat sheet

A lot of what happens on health care policy during the lame duck and the next Congress depends on election outcomes. But that doesn’t mean you can’t prepare now by reading John Wilkerson’s cheat sheet on the health care policies to watch following the election. 

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Health care policies that could be in play during the lame duck include telehealth, Chinese biotech restrictions, Medicare payments for hospitals, and PBM reforms.

No matter what happens, or doesn’t happen, before newly elected officials take office in January, expect a major fight next year over expanded Affordable Care Act premium subsidies and Trump’s 2017 tax cuts, both of which expire at the end of 2025. 

State Medicaid programs coming around on GLP-1s

Most state Medicaid programs don’t cover the new class of drugs for obesity — but half of those holdouts are considering it, per a new KFF report

The potential for expanded coverage of Wegovy and Zepbound under Medicaid comes as private plans are starting to aggressively crack down on covering the medications for obesity. Medicare prohibits coverage of the drugs for that indication, Tara Bannow writes.

Currently, just 13 state Medicaid programs cover GLP-1s for obesity; most others cite the drugs’ high cost. The report notes increased spending on the class of drugs starting in 2021. Dive into the findings.

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Meet the new CDRH director

It’s official: Michelle Tarver will be the new leader of the FDA’s medical devices center, STAT’s Lizzy Lawrence scooped this week.

Tarver has temporarily served in the role since veteran devices head Jeffrey Shuren announced his departure in July. The agency conducted a nationwide search for Shuren’s replacement, but Tarver quickly seemed to be the top pick, shadowing Shuren at conferences and town halls, Lizzy writes.

Tarver joined the center in 2009, eventually becoming the director of the Office of Transformation and helping to launch the agency’s patient engagement advisory committee. Read more.

Jill Biden calls on industry to support women’s health

Addressing a packed main stage hall on the last day of the HLTH conference, Jill Biden touted her husband’s track record on womens’ health — and called on industry to investigate and fund key gaps in medical knowledge about womens’ health care.

“The potential in this space is too great to ignore,” Biden said.

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As of Wednesday, Joe Biden-founded health agency ARPA-H has awarded $110 million — more than it had originally pledged — to a few dozen projects, the White House announced in conjunction with HLTH.

What we’re reading

  • Frustrated with Change Healthcare breach, senators propose removing limits on HIPAA fines, STAT
  • “Not Medically Necessary”: Inside the company helping America’s biggest health insurers deny coverage for care, ProPublica
  • Opinion: Primary care physicians should receive abortion training, STAT
  • CDC told McDonald’s about potential E. coli outbreak late last week, CNBC

 





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Texas needs at least $174 billion to avoid water crisis, state says

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Texas needs at least 4 billion to avoid water crisis, state says


AUSTIN (Texas Tribune) — Texas communities will need to spend $174 billion in the next 50 years to avert a severe water crisis, a new state analysis revealed Thursday. That’s more than double the $80 billion projected four years ago, when the Texas Water Development Board last passed a state water plan.

The three-member board presiding over the agency authorized the highly anticipated draft blueprint Thursday, the first administrative step toward adopting the water development board’s plans for the next 50 years. The plan, released every five years, encompasses the projects that 16 regional water planning groups in Texas said are the most urgent, water development board officials said. 

The board’s latest estimates come as the state’s water supply faces numerous threats. Growing communities across Texas are scrambling to secure water, keep up with construction costs and cope with a yearslong drought. This week, Corpus Christi officials said the city may be just months away from declaring a water emergency. Meanwhile, other rural cities by the Coastal Bend are rapidly drilling wells to avoid a crisis. Residents in North Texas have also been bracing for groundwater shortages.

In an effort to restrain the crisis, lawmakers last year called an election in which voters approved a $20 billion boost for communities to use on water-related expenses. The water development board’s estimate shows that what lawmakers proposed on the ballot falls dramatically short of the needed cash, experts said.

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“What this number tells me at the end of the day is if we don’t get serious about (funding water projects), there are going to be serious consequences for Texas,” said Perry Fowler, executive director of the Texas Water Infrastructure Network. “Even with the billion-dollar-a-year plan kicking in, it’s not going to be enough to offset the costs of the projects that are going to have to be executed.”

The new estimate accounts for 3,000 projects, from regional infrastructure upgrades to smaller endeavors such as drilling new water wells. Texas’ water supplies are expected to drop by roughly 10% between 2030 and 2080, according to the water plan. In that same time frame, the maximum amount of water communities can draw is also expected to decline by 9%.

The 80-page plan notes approximately 6,700 recommended strategies that would add water to the state’s dwindling portfolio. The recommendations — which are not accounted for in the cost — include developing new supplies from aquifer storage and recovery, brackish groundwater, desalination and recycled water. It also calls for water conservation.

The report suggested that if Texas does not implement the plans and recommendations, the state is one severe drought away from an estimated $91 billion in economic damages in 2030.

The state’s plan attributes a variety of reasons for the bigger price tag, such as higher costs of construction due to inflation, impacts of the COVID-19 pandemic on supply chains, and a growing backlog of water supply projects.

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“There’s a plan that can meet our needs,” said Matt Nelson, deputy executive administrator for the Office of Planning at the water development board, adding that they take their cues from the regional planning groups. “These are local projects that folks need to implement; they’re needed regardless of how they’re funded. It’s important to remember these are not top-down projects or state projects.”

Experts told The Texas Tribune that the board’s estimate is only a fraction of what Texas communities will need to ensure they have water in 50 years’ time, saying growth and development are outpacing the state’s ability to keep up.

“This is a bigger water plan in terms of volume strategies and capital costs compared to anything we’ve ever seen before,” said Jeremy Mazur, the director of infrastructure and natural resources policy at think tank Texas 2036.

Mazur suggested that the $174 billion only covers water supply projects and does not account for updating aging infrastructure, adding that the actual price could amount to a quarter of a trillion dollars.

“There’s a substantial magnitude with regard to the capital investment needed to both fix our aging and current systems and potentially develop the water infrastructure, water supply projects that we need.“

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The report largely confirmed what many water experts have warned regarding threats to the state’s water supply, said Sarah Kirkle, director of policy at the Texas Water Association.

“Population growth, extreme weather, and economic development needs are all increasing demands on our infrastructure, and the state is going to need more water, sooner,” Kirkle said. “This is all while water projects are becoming more costly and complex because the easiest and cheapest local projects have already been developed.”

Fowler, with the infrastructure network, said he expects the Texas Legislature to take up the issue next year, when lawmakers meet for the 90th legislative session. He said the state should take a bigger role in ensuring that communities can afford their respective water projects.

“It’s going to have to be a top-down priority, there’s no way around it,” he said. “The challenges are so immense that it’s going to take all hands on deck.”

Texas residents have until the end of May to comment on the proposal. Water development board officials must adopt it by January 2027.

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Alejandra Martinez contributed to this story.

This article originally appeared in The Texas Tribune at www.texastribune.org. The Texas Tribune is a nonprofit, nonpartisan media organization that informs Texans – and engages with them – about public policy, politics, government and statewide issues.



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Co‑worker confesses to killing missing North Texas man and stealing his car, police say

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Co‑worker confesses to killing missing North Texas man and stealing his car, police say



A North Texas man reported missing earlier this week was found dead Friday, and police say a co‑worker has confessed to fatally shooting him and stealing his car.

The suspect, Gregory D. Lewis, 34, remains in custody and faces a forthcoming capital murder charge, according to the Fort Worth Police Department. 

Lewis is accused of killing 31‑year‑old Thomas King, who had been last seen in his Taco Casa work uniform. King was reported missing on Tuesday after failing to return home Monday from the fast‑food restaurant in the 1100 block of Bridgewood Drive.

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Car found at Arlington motel 

Police said King’s car was found at the Quality Inn on I‑20 in Arlington, and surveillance video showed Lewis arriving in King’s vehicle shortly after King left work. 

Detectives identified the man in the video and arrested him on unrelated charges.

  Gregory D. Lewis, 34

Tarrant County Jail

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Body discovered on Fort Worth’s East Side 

King’s body was located on Friday in an open field on Fort Worth’s East Side, authorities said. 

According to police, Lewis confessed to shooting the victim and stealing his car. 

Medical examiner review pending 

The Tarrant County Medical Examiner will determine the cause of death. 

CBS News Texas has reached out to Taco Casa for comment.

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Exclusive | Mexican mayor urged relatives in US to vote for Texas Dem for Congress who would ‘take care’ of their city

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Exclusive | Mexican mayor urged relatives in US to vote for Texas Dem for Congress who would ‘take care’ of their city


WASHINGTON — A Mexican mayor earlier this month urged her constituents to get their relatives in Texas to vote for House Democratic candidate Bobby Pulido because he would “take care” of their city if elected to Congress.

“We need to get out the vote for him,” said Patricia Frinee Cantú Garza, mayor of General Bravo in Nuevo León, less than two hours from the US border, in a recent Spanish-speaking Facebook reel,which The Post reviewed and translated.

“Talk to your families in the United States. Make sure they go vote,” Garza added, noting that she would be presenting the keys to the city to Pulido, a two-time Latin Grammy winner, on April 3.

A Mexican mayor earlier this month urged residents of her municipality to get their relatives in Texas to vote for House Democratic candidate Bobby Pulido because he would “take care” of their city if elected to Congress. Politigranja/ Facebook

“When he becomes a congressman,” she also said, “we want him to take care of Bravo.”

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The city ceremony celebrating Pulido in General Bravo never received enough funding and was cancelled, the Mexican outlet El Norte reported.

Pulido has headlined concerts in General Bravo as recently as November 2023. Local officials promoted the show and the current mayor and her husband, then-mayor Edgar Cantu Fernandez, appeared.

“Bobby doesn’t know the mayor and has never met her,” a Pulido campaign spokesperson said in a statement. “He declined the invitation, didn’t attend the event, and isn’t responsible for unsolicited comments made by other people.”

Bradley Smith, a former chairman of the Federal Election Commission, said the statements wouldn’t pose legal or ethical issues for Pulido — but that the remarks may have a political cost, given the focus on foreign involvement in US elections in recent years.

“Bobby doesn’t know the mayor and has never met her,” a Pulido campaign spokesperson said in a statement. Bobby Pulido for Texas

“If you were making financial contributions, that would be a different thing, but just to exhort people to vote,” Smith said, “I don’t think that’s going to be a problem for them.”

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Jessica Furst Johnson, a partner at the Republican-aligned campaign finance and election law firm Lex Politica, noted that event appeared to function as an in-kind contribution to Pulido’s campaign but it would be difficult to determine without “more details.”

Congressional Republicans have thus far failed to pass a bill this session aimed at beefing up identification requirements for voters when registering, though many have said laws as currently written are too lax and could lead to non-citizens casting ballots.

State investigations and audits have shown in recent years that thousands of non-citizens ended up being registered, but few have ever illegally voted. Those who have are federally prosecuted.

Pulido has headlined concerts in General Bravo in the city as recently as November 2023, which local officials promoted and where the now-mayor and her husband, then-mayor Edgar Cantu Fernandez appeared. Obtained by NY Post
Pulido is challenging incumbent GOP Rep. Monica De La Cruz in the Texas district this November and has faced questions from the press about his ties to Mexico, where he has said he maintains a home for parts of the year. CQ-Roll Call, Inc via Getty Images

Pulido is challenging incumbent GOP Rep. Monica De La Cruz in the Texas district this November and has faced questions from the press about his ties to Mexico, where he has said he maintains a home for parts of the year.

The Latino music star admitted to splitting time with his family between there and Texas just two years before launching his campaign, telling a YouTube show in a 2023 interview that he’s a “summer Mexican” but “winter Texan.”

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“We live on the border,” he has also said. “My wife and I have a house in Mexico. So, we travel there, and we spend time over there.”

“Bobby lives in his family home in Edinburg, Texas, where he was born, raised, and is raising his own family,” the Pulido campaign rep noted. Getty Images

There was no indication of a current mortgage on a property either there or in the US, according to financial disclosures that Pulido filed April 15 with the House. Those filings also revealed he holds a checking account at a Mexican bank.

“Bobby lives in his family home in Edinburg, Texas, where he was born, raised, and is raising his own family,” the Pulido campaign rep noted. “He is in complete compliance with all House disclosure rules — the property you are referencing is not his primary residence so is not required to be listed.”



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