| Welcome to Wednesday's Overnight Health Care. The House today passed a funding package that provides money for the Pentagon, as well as the departments of Education, Labor and Health and Human Services. The package also includes more than $7 billion in disaster aid for victims of Hurricane Florence, which hit the Carolinas and parts of Virginia earlier this month. Meanwhile, we can expect to see lawmakers vote on a bill aimed at combating the opioid crisis soon. Let's start there... And if you don't' get our newsletter, CLICK HERE to subscribe.  Agreement reached on opioids bill Last night, the House and Senate last night agreed to a sweeping legislative opioids package. Fighting the crisis has been an area of bipartisan cooperation this year amid many fierce partisan battles raging with more publicity. The 660-page bill takes a wide variety of actions aimed at fighting the crisis: - It lifts some limits on Medicaid paying for care at treatment facilities, undoing part of a decades-old restriction that many lawmakers called outdated.
- It cracks down on illicit opioids being imported through the mail from other countries, fueling the epidemic.
- It encourages the development of nonaddictive painkillers as an alternative to opioids.
What isn't in it: In a major loss, the pharmaceutical industry failed despite an intense lobbying push to attach a provision to the bill that would ease their costs in Medicare. The change would have rolled back a provision from February's budget deal that raised drugmakers costs in Medicare's coverage gap, known as the donut hole. Victory for drug pricing advocates: Drug pricing groups and patient advocates quickly declared victory, calling it a battle of "David vs. Goliath." "Big Pharma lobbied aggressively –– and spent a lot of money –– in this brazen cash grab," said Ben Wakana, Executive Director of Patients For Affordable Drugs NOW. "But patients and their allies stood up and said 'enough.' And Congress listened." Read more about the opioids bill here. Wilkie vows no 'inappropriate influence' at VA Veterans Affairs Secretary Robert Wilkie on Wednesday vowed that there will be no "inappropriate" outside influence at the agency under his watch. Wilkie told a Senate panel that he is unaware of any ongoing contact between VA officials and a trio of high profile men known as the "Mar-a-Lago Crowd" who were reportedly helping to shape agency policy. "I met with them once for an hour in Palm Beach the first week I was acting. I've had no connection with them since then," Wilkie said in response to a question from Sen. Patty Murray (D-Wash.) during a Senate Veterans' Affairs Committee hearing. Read more here. CDC: 80K people in U.S. died from flu last winter The Centers for Disease Control and Prevention estimates that 80,000 people in the United States died of the flu and its complications last winter, the most in at least four decades, according to the Associated Press. "I'd like to see more people get vaccinated," CDC Director Robert Redfield told the AP in an interview. "We lost 80,000 people last year to the flu." The AP reports that in recent years the flu death total has been between 12,000 and 56,000. Read more here. The Hill Event Join us Thursday, Sept. 27, for "Evolution of Telehealth: Patient Awareness and Education," featuring Rep. Buddy Carter (R-Ga.), Sen. Bill Cassidy, M.D. (R-La.) and Rep. Doris Matsui (D-Calif.). Editor-in-Chief Bob Cusack will sit down with our speakers to discuss the growth of telemedicine, and how policymakers in Washington are responding to the shifting delivery of medical care. RSVP Here. What we're reading: Taken for a ride: After ATV crash, doctor gets $56,603 bill for air ambulance trip (NPR) The end of HIV transmission in the U.S.: A once-unthinkable goal up for discussion (STAT) State by state As federal Medicaid funding declines, states mull costs (Associated Press) Medicaid expansion legal battle to continue in Portland on Thursday (Maine Public Radio) For Gavin Newsom, a stealth run for California governor (New York Times) From The Hill's opinion page: America's opioid epidemic demands a long-term solution | 
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