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2018年8月1日 星期三

Overnight Health Care: Trump officials move to expand non-ObamaCare plans | GOP fails to block DC individual mandate | Ebola returns to Congo

 
 
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Welcome to Wednesday's Overnight Health Care. Remember when the Senate was working through August? They finished voting today and won't be back until Aug. 17. But we're still here to bring you all the day's health news.

 

Confused about why an insurance plan that lasts for a full year, and can be renewed for up to three years, is considered "short term?" We are too. But that's what the Trump administration is calling those plans, and where we'll start today.

 

Trump move to expand non-ObamaCare short-term plans sparks debate.

The Trump administration on Wednesday made its long-awaited move to expand non-ObamaCare, short term plans.

The details: The plans will now be allowed to last up to 12 months, lifting limits of three months imposed under President Obama. They can also be renewed for up to 36 months.

The pro: The administration touts the plans as giving a cheaper option to people currently priced of ObamaCare coverage.

The con: The plans don't have to cover people with pre-existing conditions or certain health services, and could drive up ObamaCare premiums by siphoning off healthy people.

Reaction: Reaction in Congress fell along partisan lines, though many health groups also objected to the administration's move. A sampling:

  • Senate Democratic Leader Chuck Schumer: "Insurers across the country have already cited the prospect of this rule as a major reason for the premium increases that are coming up in 2019 – and who knows how much higher premiums will go now that the rule is final?"
  • Reps. Greg Walden (R-Ore.) and Michael Burgess (R-Texas): "Instead of trying to squeeze into one-size-fits-all plans under the so-called Affordable Care Act, patients will now have more choices when shopping for an insurance plan to meet their unique health needs."
  • Blue Cross Blue Shield Association: "The broader availability and longer duration of slimmed-down policies that do not provide comprehensive coverage has the potential to harm consumers, both by making comprehensive coverage more expensive and by leaving some consumers unaware of the risks of these policies."

The cost: Aviva Aron-Dine at the liberal Center for Budget and Policy Priorities notes that the administration projects the rule will cost about $30 billion over 10 years in increased ObamaCare subsidies after premiums rise. She argues that money could be better spent on expanding the number of people eligible for subsidies.

Read more here.

 

GOP fails to block D.C. individual mandate.

Washington, D.C.'s individual mandate lives on.

A Republican amendment that would have blocked the District from using federal money to implement its own individual health-care mandate failed on Wednesday. The amendment was tied to a spending bill that includes money for the departments of Agriculture, Transportation, Interior, Housing and Urban Development, and financial services.

House Republicans got a similar provision into their funding bill earlier this month, but with a 60-vote threshold in the Senate, there was little chance of the amendment being included if Republicans wanted Democratic support. The two bills will need to be worked out in a conference committee.

D.C. passed its individual health insurance requirement earlier this year. Similar to the federal mandate, most individuals will either have to have health insurance or pay a penalty.

Read more about the vote here.

 

Secretary Azar says he is not sabotaging ObamaCare

Secretary of Health and Human Services Alex Azar spoke to reporters Wednesday, mainly to tout the new short-term plans rule.

But he was also asked more broadly about Democratic attacks that he is "sabotaging" ObamaCare and destabilizing markets.

Azar said that not only is he not trying to destabilize markets, he doesn't think the short-term plans rule will have that effect. He said people who get subsidies will stay in ObamaCare plans, and the new plans will mainly appeal to people who are currently priced out.

"The Affordable Care Act is sabotaging itself by its own structure," he said.

He noted that premium increases for next year have not been as high so far as some people were "worriedly pontificating" that they would be.

 

Ebola hits Congo days after last outbreak ended.

We thought we had some good news on the Ebola outbreak in Congo ending, but it looks like it's back.

At least 20 people are dead amid a new outbreak of the Ebola virus in the Democratic Republic of the Congo, just days after the country's Ministry of Health declared the last outbreak officially over.

The Health Ministry said Wednesday that local officials in North Kivu Province had sounded warnings over the weekend when they discovered 26 cases of what appeared to be a hemorrhagic fever.

Health officials flew six blood samples to the capital of Kinshasa, where four tested positive for the Ebola virus.

The ministry said a team of 12 virus hunters would arrive in Beni, a city of about a quarter-million residents near the epicenter of the outbreak, by Thursday.

They said the fact that they had caught the virus so early showed that preparations for combatting the deadly disease had been effective.

Read more here.

 

California insurance commissioner urges DOJ to block Aetna-CVS merger

California Insurance Commissioner Dave Jones is urging the Justice Department to block a proposed merger between CVS and Aetna.

The $68 billion merger "would have significant anti-competitive impacts on American consumers and health care and health insurance markets," Jones said in a Wednesday letter to Attorney General Jeff Sessions.

Aetna isn't based in California, so Jones doesn't have any direct authority over the deal. However, his opinion could influence other state regulators.

Jones found that the proposed merger poses competitive concerns in the Medicare Part D market, where both companies currently compete, as well as in the highly concentrated market for pharmacy benefit manager (PBM) services, and in the retail pharmacy market.

The DOJ is examining the merger, and there were reports earlier this month that the agency would not intervene to block it. However, DOJ has not confirmed what it will do.

CVS response: The company strongly disagreed with Jones, and a spokeswoman touted the benefits of what the merger could do for consumers.

"We believe that competition within each of the business segments in which we operate – pharmacy benefit management, pharmacies and insurers – is fierce and will remain so," CVS said in a statement. "Further, the combination of our two companies would allow us to explore new benefit designs with $0 co-pays or reduced cost-sharing, passing on additional savings to consumers, including employers."

 

What we're reading

Letting Medicare negotiate drug prices could save nearly $3 billion: Democratic report (Washington Examiner)

Justice Department investigating claims that drug companies funded terrorism in Iraq (The New York Times)

To tame prescription prices, HHS dips a toe into drug importation stream (Kaiser Health News)

Medicare for All comes with a price tag -- and hard choices (The Washington Post -opinion)

 

State by state

Obamacare premiums to drop in Louisiana in 2019 after years of rate hikes (The Advocate)

Puerto Rico's wounded Medicaid program faces even deeper cuts (NPR)

 

From The Hill's opinion page

Opioid epidemic policies must be geared toward protecting children

 
 
 
 
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SearchCap: Google algorithm update, survey says SEO not popular, Bing guide & more

 


 
Featured story
 

Google confirms broad search algorithm update is rolling out

 

Aug 1, 2018 by Barry Schwartz

There is no "fix" if your website was hurt by this last Google update, Google says. But at least you know there was indeed a Google update that may have impacted your website in a good or bad way.

 
From Search Engine Land
 
The ultimate guide to using Bing Webmaster Tools — Part 1
  Aug 1, 2018 by Christi Olson

Contributor and Bing Chief Evangelist Christi Olson kicks off a multipart series on Bing webmaster tools. If you are new to Bing's webmaster toolset, this detailed guide will get you started and on your way to better rankings on Bing.

 
Survey: SEO rated the 'least popular digital marketing channel'
  Aug 1, 2018 by Greg Sterling

Only 44% of businesses said SEO was a part of their digital strategy.

 
Rebranding your local business? Don't start without reading these tips
  Aug 1, 2018 by Jamie Pitman

Rebranding an established business is not easy, says contributor Jamie Pitman, especially for small businesses. Here are 6 marketing and local search tips to help make the process a success.

 
Google Post Insights shows you how well your Google Posts are performing
  Aug 1, 2018 by Barry Schwartz

Now you can see how well, or poorly, your Google My Business Posts are doing in search and Google Maps.

 
Gerda Taro, first female war photographer, featured in film Google doodle
  Aug 1, 2018 by Barry Schwartz

Google honors "the little red fox" photographer with a special Google logo.

 
Merkle: Search ad spending growth slowed again across Google, Bing & Yahoo in Q2 2018
  Jul 31, 2018 by Ginny Marvin

Google CPC growth kept climbing, while Bing Ads and Yahoo Gemini saw a sharp drop in CPCs in Q2 2018.

From Marketing Land
 
Facebook cuts off access to API platform for 'hundreds of thousands' of inactive apps
  Aug 1, 2018 by Amy Gesenhues

Facebook has removed access to its API platform for inactive apps and is now queueing up active apps to make sure all undergo the new review process.

 
Facebook & Instagram introduce new user tools to track time spent on the apps
  Aug 1, 2018 by Amy Gesenhues

Both platforms are rolling out an activity dashboard and new features to help users manage how much time they spend looking at their phones.

 
You need 23 keywords in a blog post to rank well. Not.
  Aug 1, 2018 by Jessica Foster

Contributor Jessica Foster debunks keyword density myths and other SEO content misconceptions.

 
The ultimate guide to HTTP status codes and headers for SEO
  Aug 1, 2018 by Barry Adams

Do you understand how HTTP protocol works and the impact it has on crawling and indexing web pages? No? Here's a guide written by Contributor Barry Adams on HTTP status codes and headers that will make it easier to learn.


 
 

SMX East returns to NYC, better than ever: October 24-25, 2018

Search Engine Land's SMX East is coming to the Big Apple October 24-25. You'll get two laser-focused days of the SEO and SEM topics that matter most to you. Join us for actionable tactics, exceptional networking, top notch amenities, and demos from market-defining vendors. View rates and register today!

 

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Overnight Energy: Trump EPA to defend Obama smog rule | Wheeler gets warmer welcome before Senate | Animal rights groups sue Interior over pro-hunting council

 
 
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TRUMP EPA TO KEEP OBAMA SMOG RULE: The Trump administration has decided to keep the Obama administration's controversial 2015 smog regulation and defend it in court.

Justice Department attorneys representing the Environmental Protection Agency (EPA) told a federal court Wednesday that, after considering it for more than a year, the agency decided against pursuing revisions or a repeal to the 2015 rule that set a new standard for ground-level ozone, a component of smog.

In the brief, the attorneys said the Trump administration may have written the 2015 rule differently, considering factors like background levels of ozone that are outside of the control of states that are expected to comply with the standard.

"While EPA officials in the current administration may have supported making different judgments about the significance of background concentrations of ozone and how to judge what standards are requisite to protect public health and welfare, the agency at this time does not intend to revisit the 2015 rule," the attorneys wrote.

The rule set the allowable ozone level in ambient air at 70 parts per billion, down from 75.

Why it matters: The ozone rule was one of the most consequential and controversial regulations to come out of the Obama EPA.

The agency estimated it would prevent thousands of premature deaths and save billions of dollars of healthcare costs. But opponents in fossil fuels and other industries said the benefits were doubtful, and estimated a cost of more than $3 trillion.

Scott Pruitt, the EPA's administrator until last month, was a leading litigant trying to overturn the rule when he was Oklahoma's attorney general. Under Pruitt, the EPA tried to delay implementing the ozone rule, but backtracked.

What happens now: The lawsuit, brought by numerous states and business interests, was just revived by the Court of Appeals for the District of Columbia Circuit last month. Judges asked the parties to suggest schedules for what happens next.

Environmentalists have also sued to try to get a stronger rule, and that lawsuit was combined into the case.

On a separate track, the EPA has kicked off the process of considering whether to revise the ozone standard in 2020. Pruitt directed the agency to consider factors like background ozone levels and whether the costs of compliance could undo the health benefits.

Read more.

 

Happy Wednesday! Welcome to Overnight Energy, The Hill's roundup of the latest energy and environment news.

Please send tips and comments to Timothy Cama, tcama@thehill.com, and Miranda Green, mgreen@thehill.com. Follow us on Twitter: @Timothy_Cama, @mirandacgreen, @thehill.

 

WHEELER SURVIVES THE SENATE: Senators of both parties gave Wheeler a notably warmer welcome Wednesday compared with how they treated his predecessor.

While they pushed him on their policy differences with the Trump administration, senators on the Environment and Public Works Committee made it clear to Wheeler they were glad to have former administrator Scott Pruitt gone.

"I'm encouraged that there will be a number of differences between Mr. Wheeler and Mr. Pruitt and the way they approach this important leadership role," Sen. Tom Carper (Del.), the panel's top Democrat, said at the hearing.

"I don't expect to hear as much as a peep from Mr. Wheeler today about used mattress shopping, Chick-fil-A franchises or fancy moisturizers," Carper continued, eliciting laughs about the scandals that pushed Pruitt out less than a month ago.

"But what we do need to hear from Mr. Wheeler today is how he plans to differentiate himself from Mr. Pruitt across a range of environmental policies that are far more consequential."

Carper offered Wheeler a gift: a bottle of Diet Coke from the Senate cafeteria with the name "Wheeler" on it. Wheeler collects Coca-Cola memorabilia.

Sen. John Barrasso (R-Wyo.), the committee's chairman, was so happy with Wheeler that he called on Trump to nominate him for confirmation to the post.

"I would encourage President Trump to nominate Mr. Wheeler to be administrator of the Environmental Protection Agency. Mr. Wheeler is very qualified for that position," Barrasso said.

Read more.

 

Protesters bring 'Pruitt Puppet' signs: A group of protestors attending the hearing likened the newly appointed acting administrator to his predecessor.

During Wheeler's opening statement at the hearing, a group of protestors silently held up signs calling him a "Pruitt puppet." They were promptly asked to leave without incident.

The design of the signs mirrors ones that protesters similarly brought to hearings with Pruitt earlier this year, declaring him "Mr. Corruption" and pushing Trump to "Fire Him."

Read more.

Wheeler says car rule rollback will yield $500B in savings: Wheeler was mostly tight-lipped about the forthcoming proposal from the EPA and the National Highway Traffic Safety Administration to roll back fuel economy and greenhouse gas emissions standards for model-years 2020 through 2026.

But he did give some hints about it, including that the Trump administration estimates the rollback will save $500 billion.

The revelation came in questioning from Sen. Ed Markey (D-Mass.), who asked him to confirm that the change would increase oil consumption.

"I believe the analysis shows that more oil would be consumed," Wheeler said. "But it also will save 12,000 lives and $500 billion."

Supporters of the Obama rule disagree and say that any easing of it would increase fuel costs.

Read more.

 

ANIMAL RIGHTS GROUPS SUE TRUMP OVER CONTROVERSIAL PRO-HUNTING GROUP: A group of conservationists and animal rights activists sued the Trump administration on Wednesday over its establishment of a pro-hunting international council.

The Humane Society, the Center for Biological Diversity and the Natural Resources Defense Council (NRDC) were among the organizations that filed the lawsuit, saying the International Wildlife Conservation Council (IWCC) is illegal.

The groups said federal law requires all government advisory panels have a balanced mix of contributors, whereas the IWCC council consists primarily of pro-hunting industry representatives and recreational hunters. Other individuals on the 16-person council include Steven Chancellor, a top donor to President Trump.

"This case concerns Defendants' decision to reward a small band of trophy hunting enthusiasts and politically-connected donors by granting those individuals an outsized opportunity to craft federal wildlife policy," the group wrote in its suit.

Interior Secretary Ryan Zinke created the council in November. That same week, the administration announced it would be rolling back an Obama-era policy banning the importation of elephant and lion trophies from key countries in Africa.

That announcement was largely criticized and was later walked back by the administration. In March, the Interior Department said it would consider trophy imports on a case-by-case basis.

Read more here.

 

OUTSIDE THE BELTWAY:

The United Kingdom's government will let farmers take more water from rivers to alleviate drought impacts, The Guardian reports.

Australian Prime Minister Malcolm Turnbull is being pressed to explain why a group funded by mining companies got a massive government donation related to the Great Barrier Reef, the Australian reports.

July was the worst month for oil prices in two years, CNBC reports.

 

IN CASE YOU MISSED IT:

Check out Wednesday's stories ...

-Trump EPA to keep and defend Obama smog rule

-Conservationists, animal rights groups sue administration over pro-hunting council

-Senate clears $154B 'minibus' spending measure

-EPA chief: Obama car rule rollback would save consumers $500B

-EPA's Wheeler gets warmer welcome at Senate hearing

-White House nominating new science adviser with extreme-weather background

-Climate change could increase heat wave deaths 2,000 percent by 2080: study

-Protestors at Wheeler's first hearing call him a 'Pruitt puppet'

-Death Valley breaks own record for hottest month ever recorded on Earth: report

-New EPA chief faces first test on Capitol Hill

 
 
 
 
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