| Abstinence-only education makes comeback under Trump Abstinence-only education -- encouraging adolescents to wait until marriage for sex -- is making a comeback under President Trump. In a marked departure from the previous administration, conservatives at the Department of Health and Human Services (HHS) are putting an emphasis on abstinence to reduce teen pregnancy rates. "We definitely are seeing a shift," said Kelly Marcum, a government affairs legislative assistant at the Family Research Council in Washington, which supports abstinence-only education. "We're really excited to see that the administration is giving some tools back to us to keep pushing that fight." So far, the administration has encouraged organizations applying for Title X federal family planning funds to include in their programs a "meaningful emphasis" on "the benefits of avoiding sex" when communicating with adolescents and to use programs that don't "normalize sexual risk behaviors." The Trump administration also plans to release its first report early this summer as part of a $10 million research project looking at ways to improve sex education programs, with a focus on the impact of "sexual delay." And HHS officials last year cut short federal grants for organizations participating in former President Obama's Teen Pregnancy Prevention Program, which supporters of abstinence-only education have said is ineffective. Read more here. Study: ObamaCare premiums could increase 90 percent over three years for some states Some states could see ObamaCare premiums increase by 90 percent over the next three years, according to a new study released Wednesday. Every state could see premium increases because of changes the GOP Congress and Trump administration have made to the law, with states in the South and Midwest facing the highest jumps between 2019 and 2021. Beginning in 2019, premiums increases could range from 12 to 32 percent in the U.S. Cumulatively, states could see increases ranging from 35 to 90 percent from 2019 to 2021. The report, released by California's insurance marketplace, estimates that states like Wisconsin, Michigan and Texas could see cumulative increases of 90 percent by 2021. Read more here. Mississippi passes nation's most restrictive abortion law Mississippi lawmakers have passed a bill banning abortions after 15 weeks of pregnancy, a measure the governor is expected to sign. The Mississippi House on Thursday approved the measure in a 75-34 vote, according to The Associated Press. The bill, which if signed into law would be the nation's most restrictive abortion law, changes the state's current law prohibiting abortion after 20 weeks of pregnancy to 15 weeks. It includes exceptions if the woman's life or a "major bodily function" is threatened or if the fetus has a health problem that would mean it likely wouldn't survive outside the womb. It doesn't include exemptions in cases of rape or incest, according to the AP. Read more here. GOP lawmaker meets Ryan to push for drug pricing bill Rep. Tom Marino (R-Pa.) says he met with Speaker Paul Ryan (R-Wis.) on Wednesday to push for the inclusion of a measure to fight high drug prices in a coming government funding bill. The bill, called the Creates Act, has support from members of both parties but has faced strong lobbying opposition from the powerful pharmaceutical industry. "I'm pushing for it," said Marino, the lead sponsor of the bill. "We had a meeting and there are a couple of issues we need to work on." The measure is one of the few areas of possible action on high drug prices this year, an issue that both parties are increasingly highlighting, including President Trump. The bill is intended to allow more generic drugs, which are cheaper, onto the market by cracking down on delay tactics that pharmaceutical companies use to deter competition from generics. Read more here. Key Republican: GOP won't add protection for Planned Parenthood in funding bill A key Republican on the health-care spending subcommittee said the GOP is rejecting Democratic attempts to add protections for Planned Parenthood funding in the government spending bill. Rep. Tom Cole (R-Okla.), the chairman of the Appropriations health subcommittee, said Thursday that Democrats are trying to add language grandfathering in family planning grants to Planned Parenthood, essentially preventing the Trump administration from discretion over the grants and the ability to cut off the funds. "They don't want the Trump administration to be able to make the decision on these grants," Cole told reporters. "They're trying to grandfather in people that have gotten grants in the past." "We can't have Republicans voting, effectively, to fund Planned Parenthood," Cole added. Read more here. House Dems warn against Medicaid lifetime limits Democrats on the House Energy and Commerce Committee warned the Trump administration not to approve requests from states that want to put a lifetime cap on how long people can be enrolled in the Medicaid program. In a letter sent to Health and Human Services Secretary Alex Azar, the lawmakers said lifetime limits would harm patients and the agency doesn't even have the statutory authority to approve them. "Lifetime limits or caps on coverage would be an unspeakably cruel attack on Americans struggling to make ends meet," the Democrats, led by Rep. Joe Kennedy III (Mass.), wrote. "We ask that you swiftly make clear that any such proposals will be rejected." No state has ever put a limit on how long a person can receive Medicaid benefits. But given that the Trump administration has already shown a willingness to approve conservative policies like work requirements, premiums and lockout periods for Medicaid, many experts and advocates think lifetime limits could also win approval. Read more here. Cigna to buy Express Scripts in $67B deal Health insurer Cigna on Thursday announced it was acquiring pharmacy benefits manager Express Scripts in a $67 billion cash and stock deal. Express Scripts is the largest independent drug middleman in the country. The acquisition is the latest to shake up the health industry as it looks to lower the rising cost of care. The move follows a similar merger of insurer Aetna and the drug store chain CVS in December. The deal also comes a year after Cigna's bid to purchase Anthem was blocked by federal regulators Cigna is aiming to lower costs by putting health insurance and pharmacy claims under the same umbrella company and to give themselves more leverage in price negotiations with drugmakers. Read more here. | 
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