Science
Florida Seeks Drug Prescription Data With Names of Patients and Doctors
Florida’s insurance regulator has demanded an unusually intrusive trove of data on millions of prescription drugs filled in the state last year, including the names of patients taking the medications, their dates of birth and doctors they’ve seen.
The Florida Office of Insurance Regulation in January sought this information from pharmacy benefit managers like UnitedHealth’s Optum Rx and CVS Health’s Caremark, companies that oversee prescription drugs for employers and government programs.
It remained unclear why the state was ordering the submission of so much data. In a letter to one benefit manager reviewed by The New York Times, the regulator said the state required the data to review whether the benefit managers, known as P.B.M.s, were compliant with a 2023 state law aimed at lowering drug prices and reining in the managers.
But the demand is sparking concerns about government overreach and patient privacy.
“You don’t need such granular patient information for purposes of oversight,” said Sharona Hoffman, a health law and privacy expert at Case Western Reserve University. She added: “You have to worry: Is the government actually trying to get information about reproductive care or transgender care or mental health care?”
Florida’s six-week abortion ban, enacted by Gov. Ron DeSantis, a Republican, and the state’s Republican-dominated legislature, requires that doctors who prescribe abortion pills dispense them in person, not through the mail. Another Florida law banned transgender transition care for minors and made it harder for adults to seek such care. Last year, a judge struck down key parts of that law, though it is still being enforced while the legal fight makes its way through the courts.
The data requested by the state could, in theory, be used to determine whether physicians are complying with those laws.
It was also unclear whether any of the benefit managers had complied and turned over the information to the state.
Some benefit managers and the employers that hire them to handle prescription drug benefits for their workers have also criticized the state’s demand.
A group of large employers, the American Benefits Council, is asking the Florida regulator to withdraw its order to turn over the information. In a letter to the state, the council’s lawyers wrote that the “demand impermissibly violates the health privacy and security of millions of Floridians,” and that the state had not clearly outlined its authority or reasons for the action.
“We have a duty to employees and their data,” Katy Johnson, the president of the council, said in an interview.
Shiloh Elliott, a spokeswoman for Florida’s insurance regulator, said that objections to the state’s data request “are clearly from those who do not want to be regulated or have any oversight in their industry.” She said the office “will continue to request data in the best interest to protect consumers.”
Rosa Novo, the administrative benefits director for Miami-Dade County Public Schools, which provides health coverage to about 45,000 people, said in an interview that while she appreciated the state’s efforts to address drug prices, it was unclear why it would need this level of detailed information about patients and their medications.
“My doctor is the only one who should know that,” Ms. Novo said.
Federal privacy law allows benefit managers to hand over limited data about individual patients in certain circumstances, such as when regulators are conducting an audit. But, according to experts, Florida’s data request could violate the law because it is so broad and may go beyond what the regulator needs to conduct its review.
Experts said that another concern with Florida’s request is that when sensitive patient data is in multiple hands, it raises the risk of a breach in which the information may be stolen.
Ms. Elliott, the spokeswoman for the regulator, said those concerns “should be addressed to the actual health care insurance companies that have had countless data breaches exposing millions of Americans’ sensitive information.”
Florida’s data order was first reported by Bloomberg.
Like other states, Florida already has access to some of the data it is seeking, such as detailed information about prescriptions that are paid through Medicaid. But that data is generally strictly walled off, accessible only to staff members whose jobs require it.
Benefit managers often field requests from government regulators asking for slices of data to conduct audits or investigations. Such requests typically ask benefit managers to strip out patient names, and other identifying details, or ask for a small sample of patient claims.
By comparison, Florida’s data request was “pretty expansive and unprecedented,” said Joseph Shields, the president of a group of smaller benefit managers, Transparency-Rx.
Florida sought data not only on Florida residents, but also on patients who may have filled a prescription while visiting the state. Its request included patients covered through the federal Medicare program and commercial plans through employers that are regulated under federal law rather than state law, according to the regulator’s letter to one benefit manager reviewed by The Times.
The Prescription Drug Reform Act, the Florida law the regulator used to justify the data request, imposed new reporting requirements on the benefit managers but said nothing about a mandate requiring them to turn over such detailed patient information. Benefit managers have fiercely fought efforts to scrutinize their business practices.
Patricia Mazzei contributed reporting from Florida.
Science
Tarantula mating season is in full swing. Not everyone comes out alive
It’s a crisp night in the rugged mountains above Los Angeles following the first rains of fall.
This is the night of the lustful tarantula — and it’s filled with peril.
Every year, male tarantulas strike out from their burrows in search of a lover. Finding one can be fatal, whether she’s in the mood or not. Females are known to snack on their suitors.
“If the female is not receptive, you better run,” said Rodrigo Monjaraz Ruedas, assistant curator of entomology for the Natural History Museum of L.A. County. “Even if the female is receptive and they mate — after they mate, the male needs to be really fast and sneaky because otherwise the female can also eat the male as well.”
In California, October is typically a prime mating month for the bulky, hirsute spiders. Natural cues are key, with autumn’s initial precipitation generally triggering the march. Experts suspect males are following pheromones to hunkered-down females.
While the arachnids inhabit areas such as the Angeles National Forest and Santa Monica Mountains year-round, mating season — when the males are on the move — offers the best opportunity to spot one. It runs from about July through November, and nighttime just after a rain is an ideal time to scout for the eight-legged critters.
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All is fair in love and war
A tarantula love act begins with a courtship ritual. That might entail the male tapping on the ground or the female’s web and — if she’s receptive — she’ll respond in kind.
Because of the risk involved, male tarantulas use hook-like structures on their first pair of legs to hold the female during coitus, according to Monjaraz Ruedas. Another set of appendages, called pedipalps, are used to transfer sperm.
A single act can produce hundreds of baby tarantulas — adorably called spiderlings — though many don’t survive in the wild.
Meet your local spiders
There are 10 species of tarantulas roaming the Golden State, including at least two that can be found in L.A. County.
The county’s most common variety is the California ebony tarantula, or Aphonopelma eutylenum, which can range from light beige to their namesake color. The female’s leg span can reach up to five inches.
There’s also the desert-dwelling Aphonopelma iodius, often found in the Mojave.
California is home to more than 1,300 species of spiders, and about 40% of all of the nation’s spiders live in the state. As Monjaraz Ruedas put it, “that’s a lot of species.”
What about those fangs?
Flip around a tarantula so it’s belly up and you’ll be met with sizable fangs.
Like almost all spiders, tarantulas have venom. They use it to eat. However, it doesn’t pose a threat to humans, according to Monjaraz Ruedas, who likened it to the strength of bee venom.
Typically, a spooked tarantula will try to run and hide, said Lisa Gonzalez, program manager of invertebrate living collections at the county Natural History Museum.
“They’re really not very bitey animals,” she said. “And I can say this with confidence because I’ve been working with spiders since I was a little girl.”
But there is another defense mechanism. A spider can flick off irritating hairs from the backside of its abdomen, which feel like fiberglass or minute cactus spines.
A tarantula at the museum named Taco, recently brought out for educational purposes, initiated the behavior after gamely posing for the cameras for a while.
In contrast, some parts of the tarantula feel almost like sable fur.
“They’re soft like kitties,” Gonzalez said.
Pitfalls of city living
A male tarantula crosses a gravel road late in the evening on the Southern Plains Land Trust Heartland Ranch Nature Preserve near Lamar, Colo.
(Helen H. Richardson /MediaNews Group / The Denver Post via Getty Images)
Urbanization poses dangers for local tarantulas during mating season, according to Monjaraz Ruedas. On their quest to find mates, males can drown in backyard pools or get flattened on busy roads.
“But in general mountains represent good habitat for them,” he said, “so they can survive really well in those areas.”
Hankering to see the real deal?
Tarantulas can be spotted in the wild — or, for now, at the Natural History Museum.
Through November, the museum features an open-air spider pavilion, a ticketed exhibit that allows visitors to walk amid hundreds of spiders known as orb weavers and their intricate webs. There are also enclosed habitats with species including tarantulas.
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‘Reckless’ scrap yard with history of endangering a Watts high school is shuttered
A Los Angeles County judge ordered the owners of a troubled metal recycling facility to pay $2 million in penalties and permanently cease operations next door to a Watts high school, ending decades-long fears over industrial pollution and dangerous mishaps.
S&W Atlas Iron & Metal had processed scrap metal in Watts since 1949, shredding and baling aluminum cans, steel rims and copper wire. Over that time, students and staff at Jordan High School complained that the facility’s operations coated their campus in toxic dust, occasionally pelted outdoor areas with shrapnel and disrupted classes with explosions.
Atlas, along with its father-and-son owners Gary and Matthew Weisenberg, were arraigned two years ago on numerous criminal charges in connection with illegal dumping and handling of hazardous waste from July 2020 and August 2022. A little more than a year later, a compressed gas canister ignited at the scrap yard, causing a fiery explosion on the first day of school, after which the district attorney’s office filed additional charges against the defendants.
The company and the Weisenbergs eventually pleaded no contest to several charges.
During sentencing on Oct. 21, L.A. County Superior Court Judge Terry Bork directed the company to shut down the scrap yard for good and sign a land covenant that would prohibit future recycling on the site. The owners were also placed on two years of probation and must perform 200 hours of community service.
Bork also ordered Atlas to pay $2 million in fines and penalties, including $1 million in restitution to Los Angeles Unified School District. In addition, Atlas will be required to give the school district and city of L.A. the first opportunity to purchase the property, if it decides to sell.
“This sentencing delivers long-overdue justice to a community that has lived in the shadow of this dangerous facility for generations,” L.A. County Dist. Atty. Nathan Hochman said in a statement. “For too long, children at Jordan High School and families in Watts were put at risk by a company that placed profits over safety. My office will continue to hold accountable any business that endangers our children or our communities.”
An attorney and public relations firm representing the Weisenbergs did not respond to a request for comment.
The sentence concludes a long-running saga of dangerous mishaps and close calls in and around school grounds.
In 2002, in perhaps one of the most ignominious episodes, the recycling center was dismantling Navy artillery shells — that were supposedly inert — when one exploded and a chunk of metal launched onto Jordan High’s campus. No one at the school was hurt, but one person visiting the Atlas yard suffered a minor injury.
L.A. Unified School officials urged the court to impose “a strong and appropriate” sentence that would deter future environmental hazards.
“For decades, Jordan High School students and educators have borne the consequences of Atlas’ reckless disregard for safety,” an L.A. Unified School District spokesperson said in a statement. Accountability is essential to ensure this community is not subjected to any further harm.”
Earlier this week, Supt. Alberto Carlvaho echoed those sentiments.
“For far too long, our students and educators in Watts have carried the burden of others’ negligence, yet they have met every challenge with strength, grace and unity,” Carvalho said in a statement on social media. “Schools must always be sanctuaries, free from environmental harm. Environmental justice is educational justice, and Los Angeles Unified remains unwavering in our commitment to a safer, healthier future for every student.”
As an additional requirement of the sentence, Atlas must conduct an environmental cleanup of the site as mandated by the Department of Toxic Substances Control. School district officials expect the grounds to contain elevated levels of lead, which can cause permanent cognitive impairments in children.
Timothy Watkins, president of Watts Labor Community Action Committee, had mixed emotions when hearing of the court decision. On one hand, he said, he’s glad that Atlas is finally closing. But, he worries the devastating effects of lead from Atlas may have inflicted a lasting harm to generations of children that cannot be undone.
“Atlas Metal created a wound in the community, and salt goes into that wound every day it remains contaminated,” Watkins said. “Who says they are going to clean it to the extent that it needs to be clean? And even if they do, they still have profited from the exploitation of our community.”
For the last several months, the neighborhood has been much quieter. The scrap yard ceased operating in May. Atlas workers dismantled a makeshift wall of shipping containers between the scrap yard and school, which was intended to prevent sharp metal shards and other debris from flying onto the school yard.
Watkins said the community will continue to be involved until the environmental risks are gone.
“We’re not done,” he said. “By no means are we finished.”
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