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2018年1月9日 星期二

Overnight Health Care: Dems press HHS pick on drug prices | Alexander, Trump discuss ObamaCare fix | Senate Dems seek $25B to fight opioids | Maryland eyes ObamaCare mandate replacement — Presented by the Association of American Medical Colleges

 
 
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Dems press Trump HHS nominee on drug pricing

Drug prices took center stage at the confirmation hearing for President Trump's nominee to lead the Department of Health and Human Services (HHS) as Democrats expressed concerns over the former pharmaceutical executive's background.

Democrats said that Alex Azar -- who previously held top positions at HHS -- served at Lilly USA during a time when several drugs saw price increases. Republicans countered that Azar's experience at the pharmaceutical company is an asset.

"Mr. Azar's work in the pharmaceutical industry will give him important insights regarding the impact of policies designed and implemented by HHS," Senate Finance Committee Chairman Orrin Hatch (R-Utah) said at the panel's nomination hearing Tuesday.

The panel's top Democrat, Sen. Ron Wyden (Ore.), though, laid out the Democratic argument against Azar in his opening remarks. Wyden pointed to four different drugs, including ones for heart disease and ADHD, saying they more than doubled during Azar's tenure at the company.

"This morning the committee will likely hear that this is just the way things work -- it's the system that's to be blamed," Wyden said. "My view is, there's a lot of validity in that. The system is broken. Mr. Azar was a part of that system."

In the hearing, Azar said his work in the drug industry would help him quickly jump into the issue of lowering drug pricing, if confirmed, saying the learning curve on this complex issue would be high for someone without prior knowledge of the industry.

If confirmed, Azar would be tasked with overseeing many facets of the health care system, including disease control, drug approvals, Medicare and Medicaid.

Azar wouldn't be new to the HHS building, having previously served as general counsel from 2001 to 2005 at HHS under President George W. Bush. He then became the department's deputy secretary for two years.

His former colleagues say he has a deep understanding of the regulatory process, which could come in handy as it appears unlikely Republicans will return to ObamaCare repeal and, instead, Trump could look to change the health care law administratively.

Read more here.

 
 
 
 

Maryland state lawmakers propose replacement for repealed ObamaCare mandate

State lawmakers in Maryland are looking to replace ObamaCare's individual mandate, which was repealed by Republicans in Congress last month.

A proposal in the state would require people to pay a penalty for not having insurance. The money, though, could be used as a down payment for a health insurance plan.

People would also have the option to pay the penalty and get nothing in return.

If approved, the proposal would take effect in 2020.

The fine would be 2.5 percent of a person's income or a flat rate of $696 -- whichever is more. The proposal would also automatically enroll uninsured residents who are eligible for Medicaid in the program.

Read more here

 

Alexander, Trump discussed ObamaCare fix in Nashville

Sen. Lamar Alexander (R-Tenn.) says he spoke to President Trump on Monday about a bipartisan bill aimed at stabilizing ObamaCare markets and that Trump again expressed his support for the measure.

Alexander told reporters Tuesday that Trump asked about the bill when the two appeared together at an event in Tennessee on Monday. Alexander said he told the president he would get back to him after meeting with Sens. Patty Murray (D-Wash.) and Susan Collins (R-Maine) this week.

"He's for it," Alexander said.

Backers of the measure, known as Alexander-Murray, had planned to attach it to a government funding bill last month, but had to punt after Congress opted for a slimmed-down, short-term spending measure instead.

They are now hoping to pass the bill when Congress acts on a long-term funding package in the coming weeks, but they still face opposition from House conservatives who say the measure is simply throwing more money at ObamaCare.

Alexander-Murray would fund for two years key payments to insurers that reimburse them for giving discounts to low-income ObamaCare enrollees. Trump cut off those payments last year.

Read more here.

 

Senate Dems seek $25B in opioid funding

Senate Democrats are pushing for an extra $25 billion to be included in any final budget agreement to combat the opioid epidemic.

Sens. Jeanne Shaheen and Maggie Hassan, the New Hampshire Democrats who are leading the effort, said during a press conference Tuesday that the federal response to the crisis has been insufficient and negotiations over a long-term spending deal are an opportunity to change that.

"Make no mistake: This is a national public health emergency, and we still don't see a robust federal response," Shaheen said.

While Democrats have repeatedly said additional funding for the opioid epidemic is a priority, Republicans haven't matched their rhetoric, making it unclear if additional dollars will come in a spending package.

Read more here

 

CDC rejects censorship reports: No 'banned' words

The director of the Centers for Disease Control and Prevention (CDC) says the agency "has not banned, prohibited, or forbidden" the use of certain words, in a response to concerns from Senate Democrats.

Democrats had questions on whether "the Trump Administration is yet again prioritizing ideology over science" after reports that agencies within the Department of Health and Human Services (HHS) had banned employees from using words including "fetus," "vulnerable" and "science-based."

CDC Director Brenda Fitzgerald told Sen. Brian Schatz (D-Hawaii) in a letter released Tuesday that "There are absolutely no 'banned' words. These are merely suggestions of what terms to use and what often overused words should be avoided."

As examples, she said the HHS style guide recommends avoiding the use of "vulnerable," "diversity," and "entitlement."

But Schatz and other Senate Democrats said even the suggestion to avoid certain words sends a politically charged message.

Read more here.

 

Hospital groups to appeal dismissed case against Trump administration

Three hospital groups will appeal a district court ruling that dismissed a lawsuit over the Trump administration's cuts to a discount drug program.

The American Hospital Association, the Association of American Medical Colleges and America's Essential Hospitals formally notified the court Tuesday of their intent to appeal the district court's Dec. 29 decision.

The groups initially sued the administration last year over a rule that will result in $1.6 billion in cuts to hospitals participating in the 340B drug discount program.

The program requires drug companies to give eligible hospitals serving a large number of low-income patients steep discounts for some drugs.

Read more here.

 
 
 
 
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What we're reading

Oprah 2020: Science is not her secret (Stat)

Oprah's long history with junk science (Vox)

Rural hospitals rely on Medicaid expansion to stay open, study shows (PBS)

More than 10,000 organs donated in 2017, making a record (NBC)

 

State by state

Planned Parenthood criticizes cuts proposed by Nebraska governor (Lincoln Journal-Star)

4,700 now enrolled under NH's medical marijuana law (New Hampshire public radio)

Taxes, schools, health care and his legacy shape Idaho governor's final State of the State (Idaho Statesman)

 

From the Hill's op-ed pages:

Health care for the poor at brink of expiration

 
 

Send tips and comments to Jessie Hellmann, jhellmann@thehill.com; Peter Sullivan, psullivan@thehill.com; Rachel Roubein, rroubein@thehill.com; and Nathaniel Weixel, nweixel@thehill.com.

Follow us on Twitter: @thehill@jessiehellmann@PeterSullivan4@rachel_roubein, and @NateWeixel.

 
 
 
 
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Overnight Cybersecurity: Feinstein shocks by releasing Fusion GPS testimony | House passes bill to boost oversight of cyber vulnerabilities | FBI director calls encryption 'public safety issue'

 
 
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Welcome to OVERNIGHT CYBERSECURITY, your daily rundown of the biggest news in the world of hacking and data privacy. We're here to connect the dots as leaders in government, policy and industry try to counter the rise in cyber threats. What lies ahead for Congress, the administration and the latest company under siege? Whether you're a consumer, a techie or a D.C. lifer, we're here to give you ...

 

THE BIG STORIES:

--FEINSTEIN POSTS FUSION GPS TESTIMONY: Sen. Dianne Feinstein (D-Calif.) on Tuesday posted the entire transcript of the closed-door testimony that Fusion GPS co-founder Glenn Simpson made to the Senate Judiciary Committee as part of its investigation into Russian election interference. Fusion GPS last week demanded that the full transcript be released, sparking a fight with Judiciary Chairman Chuck Grassley (R-Iowa) over who was standing in the way of the document being released. Simpson has emerged as a central figure in the probes into Russian election interference after his firm helped assemble a controversial dossier tying President Trump to Russia. Former British intelligence officer Christopher Steele compiled the document, which includes unverified allegations against Trump and his links to Moscow.

--GRASSLEY BLASTS RELEASE: A spokesman for Senate Judiciary Committee Chairman Chuck Grassley (R-Iowa) on Tuesday blasted Sen. Dianne Feinstein's (D-Calif.) release of the transcribed interview with the co-founder of the firm behind a controversial dossier on the Trump campaign's ties to Russia, calling the move "confounding." In a statement, the spokesman, Taylor Foy, said that Feinstein's decision to release the transcript without first consulting Grassley compromises the Judiciary Committee's ability to conduct its investigation into Russian meddling in the 2016 presidential election. "Her action undermines the integrity of the committee's oversight work and jeopardizes its ability to secure candid voluntary testimony relating to the independent recollections of future witnesses," Foy said.

--AMONG THE REVELATIONS from the testimony is that Simpson told Senate investigators in August that the FBI had "other intelligence" backing up claims in the dossier and that law enforcement officials had already been investigating the president's team before the dossier was completed. In more than 300 pages of testimony released Tuesday Simpson told investigators that the former spy who compiled the dossier told him that the FBI had an informant in the Trump campaign. But a source close to Fusion GPS told The Hill on Tuesday that Simpson misspoke, mischaracterizing a tip that an Australian diplomat gave the bureau related to Trump campaign aide George Papadopoulos. "Essentially what [former MI6 agent Christopher Steele] told me was they had other intelligence about this matter from an internal Trump campaign source and that -- that they -- my understanding was that they believed Chris at this point -- that they believed Chris's information might be credible because they had other intelligence that indicated the same thing and one of those pieces of intelligence was a human source from inside the Trump organization," Simpson said.

To read the rest of our coverage, click herehere, and here. To read the entire testimony transcript, click here.

 

A LEGISLATIVE UPDATE: 

HOUSE APPROVES BILL REQUIRING DHS TO REPORT ON VULNERABILITIES DISCLOSURE: House lawmakers on Tuesday approved legislation aimed at boosting oversight of the way that the U.S. government discloses cyber vulnerabilities to the private sector.

The legislation was introduced before the Trump administration issued a first-ever charter outlining the secretive method, known as the vulnerability equities process (VEP), by which the executive branch determines whether to disclose what are called "zero day" vulnerabilities to affected vendors.

The legislation passed Tuesday would specifically require the Department of Homeland Security, which is now known to have a seat at the table in VEP, to report to Congress on the policies and procedures by which previously unknown vulnerabilities are disclosed to the private sector.

Lawmakers passed the bill in a voice vote Tuesday afternoon.   

The charter issued by the White House in November laid out the principles and aims of the process, and also identified the specific agencies involved in the decisionmaking, which turned out to be a much longer list than expected. The administration is also expected to issue an annual public report documenting the number of vulnerabilities discovered that were kept secret.

The move came in response to calls from lawmakers, public advocacy groups and private sector companies who have pushed for more transparency around the process, which was first acknowledged by the Obama administration in 2014. Critics have warned the government against "stockpiling" vulnerabilities for intelligence purposes, citing the risk that hackers may discover and leverage them.

The effort has been widely viewed as a step forward for transparency.

The legislation approved Tuesday was introduced by Rep. Sheila Jackson Lee (D-Texas) and would require Homeland Security to submit a report to Congress containing "a description of the policies and procedures developed for coordinating cyber vulnerability disclosures."

It also says the report should "to the extent possible" include an annex with information on instances when these procedures were used to disclose vulnerabilities and the degree to which stakeholders acted on the information.

The bill cleared the House Homeland Security Committee last July, roughly three months before the White House issued the VEP charter.

To read the rest of our piece, click here.

 

A LIGHTER CLICK: 

2018 is already spawning some super cool gadgets. (Wired)

 

A SURVEY IN FOCUS: 

Half of women serving in science, technology, engineering, or math (STEM) jobs report experiencing gender discrimination in the workplace, according to a survey released by Pew Research Center on Tuesday.

This compares to a much smaller figure--19 percent--of men in STEM jobs who also report experiencing gender discrimination on the job.

One-fifth of women in these science and tech-related positions say that their gender has made it more difficult to succeed at work, compared with only 7 percent of men.

The survey comes as claims of sexual harassment and gender issues continue to receive attention in and outside of Washington.

 

WHAT'S IN THE SPOTLIGHT: 

ENCRYPTION: FBI Director Christopher Wray stated Tuesday that the inability of law enforcement agencies to surpass the strong encryptions on electronic devices poses an "urgent public safety issue."

Wray said that during the last fiscal year, the FBI failed to break through the powerful protective coding of 7,775 devices, even though they had advanced tools at their disposal and the legal right to access the contents, Reuters reported.

He said the inability to access cellphone data that is "going dark" would impact FBI investigations across the board including counterterrorism, counterintelligence, human trafficking and organized crime.

Wray made the remarks during a speech at the International Conference on Cyber Security in New York on Tuesday morning.

Wray, who took over as the head of the FBI in August, emphasized that the bureau's inability to overcome the obstacle of encryption is a "public safety issue."

To read the rest of our piece, click here.

 

IN CASE YOU MISSED IT:

Links from our blog, The Hill, and around the Web.

Twitter misses deadline to provide Senate info on Russia meddling. (The Hill)

House Dems accuse Republicans of stalling Russia probe to protect Trump. (The Hill)

OP-ED: 2018 will be the year of the 'bots.' (The Hill)

Senate bill to preserve net neutrality wins first GOP backer. (The Hill)

Microsoft suspends some AMD patches for Meltdown and Spectre. (The Hill)

The European Union is facing pressure to fight back against cyberattacks. (Euronews)

The contenders who could replace NSA Director Mike Rogers. (CyberScoop)

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SearchCap: Alexa & Google Assistant, AMP URLs & link building

 
 
Featured story
 

Google announces solution to longstanding AMP cache URL display problem

 

Jan 8, 2018 by Michelle Robbins
Later this year, the Google AMP cache will finally display publisher URLs instead of Google URLs in the search results.

 
From Search Engine Land
 
It's Google Home vs. Amazon Alexa at CES in the battle for the voice ecosystem
  Jan 8, 2018 by Greg Sterling

Google and Amazon both announce new device partnerships; the Google Assistant will be on new "smart display" devices, more TVs, speakers and in cars.

 
Split testing Google Shopping campaigns
  Jan 9, 2018 by Digital Marketing Depot

Many retailers and marketers want to review the performance of their Google Shopping campaigns with split testing, whether it's to establish if a tool will offer more efficiency than manual implementation or to compare two tools against each other.

 
5 content distribution strategies for 2018
  Jan 9, 2018 by Sherry Bonelli

So, you've created tons of content, but you still aren't gaining any traction. What gives? Columnist Sherry Bonelli explains how doing more with your existing content can help it reach its full potential.

 
Best practices for qualifying your link opportunities
  Jan 9, 2018 by Ryan Shelley

So, you've got a list of potential linking partners, but how do you qualify them? Columnist Ryan Shelley shares his process.

 
Har Gobind Khorana Google doodle celebrates first chemist to construct a synthetic gene
  Jan 9, 2018 by Amy Gesenhues

Born in Raipur, Pakistan, Dr. Khorana received the Nobel Prize while doing research at the University of Wisconsin in 1968.

From Marketing Land
 
Report shows Snapchat's newer features falling flat but messaging more popular than ever
  Jan 9, 2018 by Greg Finn

Data points to challenges in getting users to engage beyond Snapping.

 
The top 10 things I learned about online advertising in 2017
  Jan 9, 2018 by David Rodnitzky

Columnist David Rodnitzky starts off the new year with a look back at the changes that have impacted digital advertising and how they'll continue to evolve in 2018.

 
So, what's it like to be a CMO of a marketing-focused business?
  Jan 8, 2018 by Scott Vaughan

What happens when your role is the same as your target customer's? Columnist Scott Vaughan shares insights into how to use this situation to your advantage.


 
 

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Attend SMX West for actionable tactics to drive your SEO and SEM campaigns. If you're obsessed with SEO and SEM, don't miss this opportunity to learn from the experts. View pass options and register today!

 

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