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The Trump administration has prepared an order that would impose a 100% tariff on imports of patented medications and their active ingredients, according to a draft obtained by STAT. (Payne, 4/1)

The FDA is continuing its quest to speed up drug approvals and make more drugs available over the counter (OTC), FDA Commissioner Marty Makary, MD, MPH, said Wednesday. "We want to challenge the assumption that it takes 10 to 12 years for a drug to come to market," Makary said during a press conference with reporters. "We believe it can be done faster without cutting any corners on safety. We'd like to modernize the agency with technology, while maintaining our gold-standard thresholds for approving drugs, devices, food, cosmetics, and tobacco." (Frieden, 4/1)

Food and Drug Administration Commissioner Marty Makary recounted his agency’s achievements and acknowledged a “challenging start” to his tenure in a speech to staff on Wednesday afternoon. (Lawrence, 4/1)

The Food and Drug Administration has often failed to share information on how it determines whether its advisory committee members have financial conflicts of interest and whether those individuals should participate in committee meetings, according to a review by the Government Accountability Office. (Silverman, 4/1)

President Donald Trump endorsed a plan Wednesday to end the nearly seven-week-old shutdown of the Department of Homeland Security by going around Democrats to fund parts of the agency. Trump urged Republicans to send him a party-line bill by June 1 to fund two agencies within the department — Immigration and Customs Enforcement and Border Patrol — using the reconciliation process. (Beggin and Meyer, 4/1)

The Supreme Court appeared poised Wednesday to uphold the legal principle that almost everyone born on U.S. soil is a citizen, as justices heard arguments in a major case that raises fundamental questions about who is considered American. The justices seemed ready to hand President Donald Trump a significant defeat in his push to end birthright citizenship, as the president sat watching the first part of the proceedings in the the public gallery — a historic first. Trump is the only sitting chief executive known to have attended arguments before the high court. (Jouvenal, 4/1)

The medical examiner in Buffalo has ruled that the death of a nearly blind man left alone by Border Patrol agents on a frigid night was a homicide, a finding that could lead to criminal charges. Nurul Amin Shah Alam, a Rohingya refugee from Myanmar, died in February after the agents dropped him off outside a closed Tim Hortons doughnut shop. His death triggered outrage in Buffalo and around the nation. (Ley, 4/1)

Laura stopped leaving her home weeks before she gave birth. She lived outside of Minneapolis, where many people had been taken by immigration officials. She thought of mothers separated from babies, of children taken to detention facilities. By the time she went into labor, her stress was so intense that her body had stopped producing sufficient oxytocin, her doctors told her. (Luthra, 3/31)