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President Trump will scrap subsidies to health insurance companies that help pay out-of-pocket costs of low-income people, the White House said late Thursday. His plans were disclosed hours after the president ordered potentially sweeping changes in the nation’s insurance system, including sales of cheaper policies with fewer benefits and fewer protections for consumers. The twin hits to the Affordable Care Act could unravel President Barack Obama’s signature domestic achievement, sending insurance premiums soaring and insurance companies fleeing from the health law’s online marketplaces. (Pear, Haberman and Abelson, 10/12)

The Department of Health and Human Services made the announcement in a statement late Thursday. "We will discontinue these payments immediately," said acting HHS Secretary Eric Hargan and Medicare administrator Seema Verma. In a separate statement, the White House said the government cannot legally continue to pay the so-called cost-sharing subsidies because they lack a formal authorization by Congress. However, the administration had been making the payments from month to month, even as Trump threated to cut them off to force Democrats to negotiate over health care. (10/13)

“We believe that the last Administration overstepped the legal boundaries drawn by our Constitution,” acting HHS Secretary Eric Hargan and Seema Verma, administrator of the Centers for Medicare & Medicaid Services, said in a joint statement. “Congress has not appropriated money for [the payments], and we will discontinue these payments immediately.” (Armour, 10/13)

The subsidies, which are worth an estimated $7 billion this year and are paid out in monthly installments, may stop almost immediately since Congress hasn’t appropriated funding for the program. (Dawsey and Demko, 10/12)

The decision ends speculation about whether the Trump administration would continue making the monthly payments to insurers. That money particularly helps people earning between 100 percent and 250 percent of the poverty level pay for the insurance and health care they get through the exchanges set up by the Affordable Care Act, also known as Obamacare. (Kurtzleben and Neuman, 10/12)

The decision is the most dramatic action Trump has taken yet to weaken the Affordable Care Act, President Barack Obama's signature healthcare law, which extended insurance to 20 million Americans. The move drew swift condemnation from Democrats and threats from state attorneys general in New York and California to file lawsuits. (10/13)

Trump has threatened for months to stop the payments, which go to insurers that are required by the law to help eligible consumers afford their deductibles and other out-of-pocket expenses. But he held off while other administration officials warned him such a move would cause an implosion of the ACA marketplaces that could be blamed on Republicans, according to two individuals briefed on the decision. (Goldstein and Eilperin, 10/13)

But many insurance leaders, state regulators and policy experts fear that Trump's order, depending on how it's implemented by federal agencies, could drive up premiums and make coverage less available in the regulated individual market, which helps people who need comprehensive benefits. That's because healthier customers likely would move into the cheaper, leaner plans, prompting insurers to raise rates for more comprehensive plans or exit the market entirely. (Meyer, 10/12)

Democratic leaders blasted the administration on Thursday night over President Trump's decision to end key payments to insurers offering ObamaCare coverage, calling the move "spiteful." “Sadly, instead of working to lower health costs for Americans, it seems President Trump will singlehandedly hike Americans’ health premiums," Senate Minority Leader Charles Schumer (D-N.Y.) and House Minority Leader Nancy Pelosi (D-Calif.) said in a joint statement. (Byrnes, 10/12)

House Speaker Paul Ryan backed the move. “Obamacare has proven itself to be a fatally flawed law, and the House will continue to work with the Trump administration to provide the American people a better system,” Ryan said in a statement. (Tracer, 10/12)

The move could put more pressure on Sens. Lamar Alexander, R-Tenn., and Patty Murray, D-Wash., who are negotiating a package that would provide funding for the payments and additional flexibility for states under the law. The duo still haven't reached an agreement, and many Republicans are opposed to simply funding the subsidies, which they say would be "bailing out" insurance companies. Rep. Mark Walker, chair of the Republican Study Committee, made it clear that House conservatives are not prepared to vote for a deal. "Under no circumstance should Congress attempt to expand Obamacare by cutting a check for President Obama’s bailout of insurance companies," Walker said in a statement. (McIntire, 10/12)

Attorneys��general��from California and New York say they are prepared to sue the Trump administration to protect health-care subsides that the White House said would be cut off. New York Attorney General Eric Schneiderman (D) said��in a statement that hundreds of thousands of New York families rely on ObamaCare's subsidies for their health care. (Savransky, 10/12)

“This shocking action is several steps beyond the sabotage of our health system, but more the equivalent of Trump swinging a baseball bat wildly in a china shop,” said Anthony Wright, head of Health Access California. “This decision is deliberately destructive and destabilizing for the coverage of millions of Americans.” (Levey, 10/12)

The Trump administration is hinting that it will continue to enforce the ObamaCare mandate requiring Americans to have health insurance coverage. An administration document obtained by The Hill that accompanies an executive order signed by President Trump Thursday states that "only Congress can change the law" when it comes to the mandate. (Sullivan, 10/12)

President Trump signed an executive order on Thursday that he said would begin “saving the American people from the nightmare of Obamacare.” There’s a lot that’s still uncertain about how the order will change the health law. Here’s what we know so far. (Sanger-Katz, 10/12)

President Donald Trump may be eager to dismantle the Affordable Care Act after months of failed GOP repeal efforts, but his promise to provide millions of Americans "with Obamacare relief" with the executive order he signed Thursday is sure to collide with the slow grind of the federal bureaucracy. Trump’s order directs a trio of federal agencies to rewrite regulations to encourage the rise of a raft of cheap, loosely regulated health insurance plans that don't have to comply with certain Obamacare consumer protections and benefit rules. They're expected to attract younger and healthier people — leaving older and sicker ones in the Obamacare markets facing higher and higher costs. (Cancryn, 10/12)

President Donald Trump, frustrated by the lack of action in Congress to roll back the 2010 health care law, used an executive order he signed Thursday to direct three agencies to draft rules that would loosen regulations on insurance. The changes would allow more groups to use association health plans, lengthen the time an individual can be covered by a short-term insurance policy and allow employers to set aside pre-tax dollars for their employees to use for monthly premiums. The administration hopes the new rules would lead to cheaper health care options. (McIntire, 10/12)

Thursday’s executive order paves the way for a proliferation of less-expensive insurance plans with fewer benefits for those who buy their insurance individually, rather than getting it through an employer. A range of next steps are on the table, but White House officials said no final decisions have been made. (Armour, 10/13)

"The competition will be staggering," Trump said. "Insurance companies will be fighting to get every single person signed up. And you will be, hopefully, negotiating, negotiating, negotiating. And you will get such low prices for such great care." (Horsley, 10/12)

The broadly worded order leaves many key elements of the new plans uncertain, however, subject to a lengthy administrative process, which means the order’s impact will remain unclear, and the new plans unavailable to consumers, for this year’s open enrollment season and many months to come. Trump avoided that point as he formally released the order at the White House, declaring that it would “provide millions of Americans with Obamacare relief” and would “increase competition, increase choice and increase access to lower-priced, high-quality healthcare options.” (Levey, 10/12)

Kaiser Health News: Trump’s Order Advances GOP Go-To Ideas To Broaden Insurance Choices, Curb Costs

The executive order directs many agencies, including the Department of Labor, to consider proposing rules or new guidance to loosen current restrictions on what are called “association health plans” and on selling low-cost, short-term insurance. ... Associations are generally membership groups based on a profession or business. Proponents say allowing consumers to buy insurance through these organizations gives them more clout with insurers than they’d have buying their own plan on the individual market — and results in lower premiums. But the real savings in premiums is likely to come because the policies could offer fewer benefits than more regulated ACA plans, and the associations would have more leeway to set premiums based on the health of the group. (Appleby, 10/12)

Kaiser Health News: Facebook Live: Things To Know About Trump’s Directive On Health Insurance

The executive order that President Donald Trump signed Thursday touches on a range of GOP policy approaches — such as association health plans and short-term health insurance policies, among other things. This live chat features KHN senior correspondent Julie Appleby answering questions about how implementing these ideas could alter the current health insurance marketplace. (10/12)

While the administration characterized the order as a way to drive down rising premiums and expand coverage to more Americans, critics said it would undermine existing markets by encouraging healthier people to buy skimpier plans. That would likely lead premiums for Obamacare plans, which offer more encompassing coverage regardless of a person’s health history, to surge. (Rausch, 10/12)

Democrats warn that the order is part of Trump’s larger plan to “sabotage” the health-care law and accomplish on his own what Congress could not. (Sullivan, 10/12)

Business groups praised the president's action, saying the ACA has made insurance too expensive, particularly for small employers, and imposed too many rules. A number of congressional Republicans agreed, with U.S. Rep. Jim Jordan, a conservative Ohioan, saying Trump "is doing what voters sent him here to do." (Koff, 10/12)

The Trump administration continues to take action that could weaken the Affordable Care Act and curtail enrollment in coverage under the law. (Park, 10/12)

Here are all the ways the president is trying to dismantle the law without help from Congress. (Millman, 10/12)

The executive order on the health-care system signed Thursday by President Donald Trump ��will likely have a split effect on the health-insurance industry, creating new challenges for many companies but opportunities for others. The impact of the order will take months to become clear, as federal agencies move the changes through the regulatory process. But actuaries and industry officials said the shift could create problems for insurers that offer plans under the Affordable Care Act, both to individuals and small businesses. (Wilde Mathews, 10/12)

President Donald Trump on Thursday signed an executive order aiming to make it easier for Americans to buy skimpier and cheaper health insurance.��The order isn't as aggressive as��it might have been in undermining the ACA, but that's scant reassurance for insurers, who face an administration that seems actively hostile to a law it's supposed to enforce.��The order aims to let association health plans -- groups of small employers banding together to buy insurance -- offer coverage throughout the U.S.��Insurers consistently oppose selling health insurance across state lines because of varying regulations. (Nisen, 10/12)

Nearly 20 health��organizations warn that an executive order signed by President Trump on Thursday could weaken patient protections and destabilize the individual market. ...Trump’s order seeks to expand the ability of small businesses and other groups to band together to buy health insurance through what are known as association health plans. It also lifts limits on short-term health insurance plans. (Hellmann, 10/12)

The largest hospital��association warned that an executive order signed by President Trump on Thursday could destabilize insurance markets and make coverage unaffordable for people with pre-existing conditions.��"Today’s Executive Order will allow health insurance plans that cover fewer benefits and offer fewer consumer protections," said Tom Nickels, executive vice president of the American Hospital Association, in a statement. (Hellmann, 10/12)

President Donald Trump's plan to make it easier for small businesses to band together and buy stripped-down health insurance plans could violate a federal law governing employee benefit plans and will almost certainly be challenged in court, legal experts said. (Pierson and Raymond, 10/12)

Colorado’s top insurance regulator responded on Thursday to President Donald Trump’s health care executive order with concern, saying the policies endorsed could lead to flimsier coverage in the state and much higher costs for the sick. “The limited benefits, the focus on the healthy at the expense of those with pre-existing conditions, and lack of regulatory oversight will cause problems for the health insurance market as a whole,” said Marguerite Salazar, the state’s insurance commissioner. (Ingold, 10/12)

Some sounded an optimistic note in the Granite State while others warned of dire consequences for consumers after President Donald Trump on Thursday issued a sweeping executive order targeting the Affordable Care Act. The order aims to make it easier for individuals and businesses to buy cheaper health care plans that offer less coverage with fewer government protections. The president and his allies say the move will spur needed competition and give consumers more options. (Duffort and DeWitt, 10/12)

The Office of the Commissioner of Insurance estimates that premiums will increase an average of 36% statewide. But that’s an average of averages, and the actual increases will vary throughout the state and by health plan. The actual rates will become public on Nov. 1 when the marketplaces open. (Boulton, 10/12)

Still grappling with uncertainty about the future of national health policy, officials at Massachusetts’ health insurance exchange said Thursday they will shield consumers from unusually high rate increases in 2018. Rates will still rise for people who buy insurance through the state’s Health Connector, but less sharply than feared: 8.7 percent, on average. (Dayal McCluskey, 10/12)

With uncertainty around federal health care changes looming and the start of an open enrollment period less than three weeks away, the Health Connector and Division of Insurance prepared two sets of rates for 2018 to account for the possibility that the federal government will stop making monthly cost sharing reduction (CSR) payments. (Young, 10/12)

Insurance giant Anthem Blue Cross agreed to reduce two planned premium increases for 2018 after California regulators questioned the company’s rationale for raising rates by as much as it had initially proposed. The scaled-back rate hikes, in the individual and small-employer markets, will reduce premiums by $114 million, state officials said. (Terhune, 10/12)

Representative Chris Collins of New York may have violated federal law by sharing nonpublic information about a company on whose board he served, according to a report released Thursday by the Office of Congressional Ethics. The report also said Mr. Collins may have broken House ethics rules by meeting with the National Institutes of Health and asking for help with the design of a clinical trial being set up by the company, Innate Immunotherapeutics. Mr. Collins, a Republican whose district encompasses much of western New York, is also the company’s largest shareholder, reporting for the year 2016 that he held between $25 million and $50 million in the company. (Thomas and Kaplan, 10/12)

The Office of Congressional Ethics also said Rep. Chris Collins may have shared nonpublic information about Innate Immunotherapeutics Ltd. with other investors. In a report released Thursday, the ethics office said it found “substantial reason” to believe both allegations and voted unanimously to send the case to the House Ethics Committee for further investigation. The office said the conduct may have violated federal law. (Tau, 10/12)

Collins’s attorneys have denied the allegations of wrongdoing in the report. “Rep. Collins has done nothing improper, and his cooperation and candor during the OCE review process confirm he has nothing to hide,” they wrote in an Aug. 14 letter released Thursday by the Ethics Committee. “There is nothing in the record to suggest, let alone support, the conclusion that Rep. Collins violated House rules, standards of conduct, or federal law.” (DeBonis, 10/12)

Collins — who has repeatedly denied any improper or unethical behavior — is on the board of Innate and is its biggest stockholder, having invested at least $6 million in the firm. His children own a block of Innate shares too. Collins has pushed the company's stock to former HHS Secretary and one-time House colleague Tom Price, other lawmakers and officials in Buffalo, N.Y. Collins was once overheard bragging on the phone in the House Speaker's Lobby about “how many millionaires I’ve made in Buffalo the past few months." Price made more than $225,000 in his Innate stock trades, according to public records. (Bresnahan and Cheney, 10/12)

A congressional watchdog is recommending the subpoena of former Health and Human Services Secretary Tom Price after he refused to cooperate in its probe of Rep. Chris Collins (R-N.Y.) related to stock sales of an Australian biotechnology firm. The Office of Congressional Ethics (OCE) on Thursday said Price was one of 10 individuals or entities that refused to cooperate with the investigation into��whether Collins improperly shared nonpublic information in the purchase of Innate Immunotherapeutics Limited stocks. (Weixel, 10/12)

Rep. Elizabeth Esty, who represents Newtown in Congress, on Thursday was the latest lawmaker to introduce a bill aimed at curbing gun deaths. Flanked by several House colleagues from Nevada, Esty on Thursday condemned congressional inaction at a press conference organized to introduce her legislation, called the Keep Americans Safe Act, which would limit high-capacity ammunition magazines. (Radelat, 10/12)

The House Committee on Oversight and Government Reform is investigating how HHS prepared for and responded to recent hurricanes that ravaged several states and territories in recent weeks. In a letter to HHS dated Wednesday, the committee specifically asked the agency how it provided aid to Puerto Rico and the U.S. Virgin Islands after hurricanes Irma and Maria. Some congressional lawmakers have worried that the territories received different treatment than Texas, Florida and other states in the South in the wake of the storms. The committee requested that HHS send any documents or communications related to threat assessments, mitigation measures, emergency preparedness or other contingency plans in the case of a hurricane striking Puerto Rico or the U.S. Virgin Islands from before Sept. 5. (Dickson, 10/12)

Federal funding for community health centers remains in limbo, and local centers say they are already having trouble retaining staff who are worried about potential cuts. The health centers’ funding expired on Sept. 30, along with funds for the Children’s Health Insurance Program and a host of other health programs. Without a funding renewal, community health centers stand to lose 70 percent of their federal grant money within months. (Raman, 10/13)

Members of Congress from Virginia say chronic late payments from the Department of Veterans Affairs to doctors are jeopardizing care for the state’s aging veteran population. The state’s two senators and 11 House members urged VA administrators to fix a system that can leave health-care providers waiting more than four months for payments they should have received within 30 days. The delays can damage credit, they said. (Portnoy, 10/12)

Staff and patients at a D.C. medical facility for homeless military veterans have endured noxious gas exposure for nearly two years as top hospital administrators, though aware of the problem, have failed to remedy it, according to interviews with staff and documents obtained by The Washington Post. At least eight clinical workers at the Department of Veterans Affairs Community Resource and Referral Center have tested positive for elevated levels of carbon monoxide, a March internal email said, describing a potentially dangerous condition that restricts oxygen circulation. As many as 30 employees, desperate to avoid further exposure, have sought reassignment or permission to work remotely. (Horton, 10/12)

A shortage of anesthesiologists at Denver’s veterans hospital – despite salary offers reaching as high as $400,000 a year – has forced a delay in dozens of surgeries just months after the institution was tagged with some of the nation’s worst waiting lists for care.��Though the hospital employs eight anesthesiologists and eight nurse anesthetists, they’re short of the complement needed to meet surgery demands that run about 380 operations a month, a spokeswoman said, noting some staff has left for other jobs as well as taken paternity and maternity leaves. (Migoya, 10/12)

The National Institutes of Health on Thursday announced a $215 million public-private partnership with 11 pharmaceutical companies in what the agency bills as a significant next step in its cancer moonshot. The Partnership for Accelerating Cancer Therapies, or PACT, is a five-year agreement to push ahead with research that seeks to “identify, develop and validate robust biomarkers — standardized biological markers of disease and treatment response — to advance new immunotherapy treatments that harness the immune system to attack cancer,” the agency said. (Facher, 10/12)

A new public-private research collaboration launched Thursday in an effort to increase the number of therapies aimed at attacking cancer. The National Institutes of Health (NIH) is partnering with 11 biopharmaceutical companies to form the Partnership for Accelerating Cancer Therapies (PACT), a five-year, $215 million initiative. It’s part of the Cancer Moonshot, an effort pushed by former Vice President Joe Biden after he lost his son to brain cancer in 2015. (Roubein, 10/12)

But the children who develop these rare tumors in their retinas have never benefited from that wave of precision diagnostics and therapies. That’s largely because doctors haven’t been able to biopsy the tumors for genetic information that could guide treatment, without removing the very eyes clinicians are trying so hard to save. Now, because a young oncologist at Children’s Hospital Los Angeles followed a hunch, there may be a safe, non-invasive way to biopsy retinoblastoma tumors — using fluid that’s removed from the eye during chemotherapy and typically discarded. A small study published Thursday in JAMA Ophthalmology showed that DNA found in the fluid matched the DNA found in tumors — a discovery that could lead to a new liquid biopsy. (McFarling, 10/12)

If you can’t beat ’em, manage ’em. Millions of patients live by that rule every day — patients with chronic conditions that can’t be cured but can be kept under control with the right combination of medication, diet and lifestyle choices. (Ravn, 10/12)

We all want to avoid cancer. That’s a given. But when cancer risk seems to lurk everywhere, it’s hard to know what you really need to do to protect yourself. The stakes are high. As many as 40% of cancer cases, and about half of all cancer deaths, could be prevented with a healthy lifestyle, according to a study by Harvard researchers published in the journal JAMA Oncology. (Woolston, 10/12)

Bin McLaurin was lucky. Doctors detected his prostate cancer early, and he successfully completed the surgery, radiation and hormone therapy he needed to keep the disease at bay. But two years out from his 2014 diagnosis, McLaurin didn't feel so great. He had gained 60 pounds during treatment, and the hormones he was taking sapped his energy and drive. (Brown, 10/12)

Cancer screening could save your life. Then again, it could give you a false alarm or lull you into a false sense of security. Screening is a science, but it’s not an exact science. “Sometimes people think it’s better than it actually is,” says Dr. Otis Brawley, chief medical officer for the American Cancer Society. (Ravn, 10/12)

The Food and Drug Administration should consider banning “ultra-high-dosage” painkillers from the market, and law enforcement must step up efforts to curb the flow of heroin and fentanyl into the United States if the nation hopes to come to grips with the opioid epidemic, two authorities on the crisis said Thursday. (Bernstein, 10/12)

A Democratic and Republican senator are questioning why President Trump hasn’t officially declared the opioid epidemic a national emergency, despite saying his administration was drafting the paperwork to do so two months ago. “We applaud your stated commitment to addressing opioid addiction and agree with you that the crisis is a ‘serious problem’ deserving of increased federal resources,” Sens. Elizabeth Warren (D-Mass.) and Lisa Murkowski (R-Alaska) wrote in a letter to Trump, referring to comments he made on Aug. 10. (Roubein, 10/12)

Police in Ohio say hospital workers used three doses of the overdose drug naloxone to revive a 1½-year-old boy who tested positive for opioids. The child’s mother tells police in Toledo that her older son saw the toddler put a bag in his mouth that he found at a neighborhood park. (10/12)

An appeals court says a Pennsylvania judge was justified in denying parole to a pregnant addict to safeguard her unborn child from her drug abuse. A Superior Court panel on Tuesday agreed Lehigh County Judge James Anthony was right to deny parole to Britnee Becker last year. (10/12)

Wayne and Oakland county executives announced a joint lawsuit today against several drug manufacturers and distributors, alleging the "deceptive marketing and sale of opioids" including OxyContin and Fentanyl. Wayne County Executive Warren Evans called the opioid-related addictions and deaths—which have claimed 817 lives in his county in 2016, up from 506 in 2015 — a "full-blown health crisis from which the drug companies have made billions," in a joint news release. (Dudar, 10/12)

Americans’ obesity rates have reached a new high-water mark. Again. In 2015 and 2016, just short of 4 in 10 American adults had a body mass index that put them in obese territory. In addition, just under 2 in 10 American children — those between 2 and 19 years of age — are now considered obese as well. (Healy, 10/12)

Condoms get a bad rap for being a bad wrap. Men often complain of discomfort, diminished sensation and poor fit. A recent federal study found only a third of American men use them. Now, changes by the Food and Drug Administration and industry-standards groups have opened the door to the condom equivalent of bespoke suits. A Boston-based company has begun selling custom-fit condoms in 60 sizes, in combinations of 10 lengths and nine circumferences. (Belluck, 10/12)

Dr. Uzma Samadani developed an eye-tracking system that detects concussions based on patients’ eye movements as they watch music videos, and has studied how variations in brain scans and blood tests reveal brain injuries as well. Now she wants to apply this diagnostic technology to NFL players and their families: Comparing the brains of athletes who suffered concussions with their genetically similar siblings could yield clues to why some people suffer more symptoms and complications than others. (Olson, 10/12)

Federal regulators on Thursday said they are cutting off Medicare, a crucial financial lifeline, to the Hollywood Hills nursing home where residents died from sweltering heat after Hurricane Irma knocked out power to the facility’s air conditioning and forced an emergency evacuation in September. The Centers for Medicare and Medicaid Services, or CMS, also imposed a penalty of $20,965 a day for the three days that the Rehabilitation Center at Hollywood Hills lost power to its air conditioning unit, from Sept. 10 — when Irma made landfall in Florida — to Sept. 13, when the facility was evacuated as its residents wilted. (Chang, 10/12)

The state previously banned the center from the Medicaid program. Company officials later announced they were closing permanently. A spokeswoman for the home says they'll appeal and look forward to showing evidence that their actions were consistent with all state and federal rules. (10/12)

U.S. Sen. Marco Rubio said Thursday the Senate committee with jurisdiction over Medicare and Medicaid should investigate what led to the deaths of 14 residents of a Hollywood nursing home in the aftermath of Hurricane Irma. U.S. Sen. Bill Nelson asked the Senate Finance Committee two weeks ago to investigate what happened at the Rehabilitation Center at Hollywood Hills. (Man, 10/12)

The deadly Northern California fires — by forcing the evacuation of several hospitals and clinics and destroying the homes of many doctors and nurses — have put a strain on available medical services. The Petaluma Health Center canceled all scheduled appointments this week to make time for people requiring urgent care. They’ve treated asthmatics struggling to breathe amid some of the most unhealthy air in Bay Area history, as well as people who sprained their ankles or forgot to grab their medications as they raced from burning homes in nearby Santa Rosa, clinic chief administrative officer Pedro Toledo said. (Karlamangla, 10/12)

Air pollution in counties of the San Francisco Bay Area this week has been the worst since 1999 when officials began collecting data. "The pollution is so high it's comparable to high pollution days in China," says Lisa Fasano at the Bay Area Air Quality Management District. (McClurg, 10/12)

They were asleep when the fire reached their home. Charles Rippey, 100, and his wife, Sara, 98, had been married 75 years. They died together, after a caregiver struggled to save them but couldn’t get them out in time. A 27-year-old woman had spina bifida and used a wheelchair. In the hours after the fires broke out, her relatives frantically sought information about her whereabouts. When a fire inspector visited her home, he found her body. (Feder Ostrov, 10/13)

A Michigan mother said she's��had a “rough few days” after��serving nearly a week in jail��for��defying��a��court��order to have her 9-year-old son vaccinated and then learning that��he��received several immunizations after��she was locked up behind bars. Rebecca Bredow, from the Detroit area,��was sentenced last week for��contempt of court��nearly a year after an Oakland County judge ordered her to have her son vaccinated. (Bever and Phillips, 10/12)

Anthem Inc. announced Thursday that it had signed a lease to develop the 21-story building with Portman Holdings. ...Anthem said the building would be home to about 3,000 IT professionals “dedicated to creating new capabilities that will enhance the consumer health care experience, help improve quality of care, and lower health care costs.” (Miller, 10/12)

A doctor in northern Florida is under criminal investigation after he was seen on video shouting at a patient to “get the hell out” of an urgent-care clinic, then apparently grabbing her daughter's cellphone, which was recording the incident. Peter Gallogly, a physician at��Gainesville After-Hours Clinic, was captured on video Monday arguing with a patient who��was scolding him for a��long wait time. (Bever, 10/12)

National conversations around healthcare reform and mental health make now more than ever the time to put a renewed focus on mental illness in the community, say leaders at The Centers for Families and Children. (Christ, 10/12)

A mosquito tested positive for West Nile virus in the Westlake area, Austin Public Health officials confirmed Thursday. This is the first positive test for West Nile virus in Austin this year, officials said. (Hall, 10/12)

We examined the impact of California’s early Medicaid expansion under the Affordable Care Act on the use of payday loans, a form of high-interest borrowing used by low- and middle-income Americans. ...The early Medicaid expansion was associated with an 11��percent reduction in the number of loans taken out each month. It also reduced the number of unique borrowers each month and the amount of payday loan debt. (Allen, Swanson, Wang et. al., 10/1)

Are the rates of severe hypoglycemia and diabetic ketoacidosis lower with insulin pump therapy than with insulin injection therapy in young patients with type 1 diabetes? ...Insulin pump therapy was associated with reduced risks of short-term diabetes complications and with better glycemic control compared with injection therapy. (Karges, Schwandt, Heidtmann et. al., 10/10)

Many frequent emergency department (ED) users do not sustain high use over time, which makes it difficult to create targeted interventions to address their health needs. ...A small but nontrivial population (16.5��percent, 5.7��percent, and 1.9��percent) exhibited persistent frequent use for three, six, and eleven consecutive years, respectively. The strongest predictor of persistent frequent ED use was the intensity of ED use in the baseline study year. (Kanzaria, Niedzwiecki, Montoy et. al., 10/1)

Do patients’ and families’ experiences with communication-and-resolution programs suggest aspects of institutional responses to injury that could better promote reconciliation after medical injuries? This interview study of 40 patients, family members, and hospital staff found that patients have a strong need to be heard after medical injury that is often unmet. ...Opportunities are available to provide institutional responses to medical injuries that are more patient centered. (Moore, Bismark, Mello, et. al., 10/9)

Fed up with failed attempts in Congress to repeal the Affordable Care Act, President Trump on Thursday took matters into his own hands, signing an executive order that could significantly damage the health insurance market and harm millions of people. Mr. Trump directed his administration to effectively create an alternative health insurance system that does not include the safeguards of the A.C.A. and could sabotage that 2010 law, one of his predecessor’s biggest accomplishments. (10/12)

His latest executive order, signed Thursday, will cause premiums to fall drastically for “millions of Americans,” Trump said. What he didn’t mention is that these potential savings would accrue only to people healthy enough to gamble on skimpy insurance coverage. Sicker people, left stranded in a deteriorating risk pool, would see their premiums rise. In other words: The changes would shift costs, not save money, for the health-care system. (11/12)

President Trump on Thursday signed an executive order directing his administration to ramp up its sabotage campaign against the Affordable Care Act, also known as Obamacare, also known as the health-care law without which millions of needy people would lack coverage. The only good news is that the order merely instructs executive agencies to draw up some new, looser regulations, rather than immediately eroding Obamacare’s protections. The bad news is that those looser regulations may nevertheless come soon, and they could devastate the ACA’s carefully regulated marketplaces. Much depends on how reckless the leaders of agencies such as the Labor Department decide to be. (10/12)

Republicans are still trying to defuse the ticking Obama Care bomb without blowing themselves up, and on Thursday the GOP cut the first wire: President Trump signed an executive order that could begin to revive private insurance markets. More to the point, Americans may start to have more choices at a lower cost. (10/12)

President Trump has made a lot of promises on health care. Somehow, though, I don’t remember him promising stadiums of cheering fans that he’d take away protections for preexisting conditions, increase deductibles, spike premiums, eliminate basic coverage requirements and, more generally, destabilize the individual health-insurance market.��But that is what he said he’d do Thursday, when he signed an��executive order��on health care. (Catherine Rampell, 10/12)

An executive order signed by Trump on Thursday authorizes changes to Affordable Care Act regulations that are designed to create less expensive, less comprehensive health insurance plans. Health care experts predict that changing the ACA formula in that way drives younger people — who are typically healthier — to the cheaper products. (10/13)

Donald Trump has a new way to get rid of Obamacare. This one comes without the humiliating defeats previous repeal efforts have suffered in Congress. It also might dodge the political outcry that preceded those defeats. It’s a bad idea, however, and not only because Trump’s new idea would do the same thing as Republicans’ old ideas – destabilize insurance markets and cost millions of Americans benefits and coverage. It’s a bad idea because one man shouldn’t solely decide significant domestic policy. (10/11)

President Donald Trump issued a sweeping executive order on Thursday that may help lower costs and create more options for many Americans who struggle to find health insurance. At the same time, the order could be another nail in Obamacare’s coffin. Nobody will know for weeks if not months how the order will pan out: Trump’s edict depends on federal agencies’ regulations to enact it. We hope the rules prompt insurers to offer new policies that attract consumers. (11/12)

Iowans are in big trouble if politicians adopt the philosophy of Jeff Kaufmann, chairman of the Republican Party of Iowa. He issued a statement this month in response to reports about Iowa’s “stopgap” plan — a proposal from the state insurance commissioner to stabilize the private health insurance market for Iowans who buy coverage on their own. The plan needs federal approval to move forward, but President Donald Trump told a top human-services administrator in August to reject it, according to the Washington Post. Iowa officials say they haven't heard that their proposal is dead, and Gov. Kim Reynolds has asked to speak with Trump about it. (10/12)

President Donald Trump took health care reform into his own hands on Thursday, signing an executive order after months of failed attempts at legislation by Republicans in Congress. The executive order aims to make lower-premium health care plans available to more Americans. (Abby Hamblin, 10/12)

In the burst of enthusiasm that followed passage of the Affordable Care Act in 2010, Massachusetts expanded its Medicaid program to cover tens of thousands of able-bodied adults with no children. Cooler heads warned that the bonus federal funding promised by the law would not last forever. Many also warned that supporters were wildly underestimating the increase in state costs .... Along with the Bay State, 30 others and the District of Columbia ignored these warnings. Now the birthplace of Romneycare is trying to move people off Medicaid to stave off fiscal disaster. So, yes, we told you so. (Akash Chougule, 10/11)

“We’ll be talking about gun laws as time goes by,” President Trump promised all too casually after the Las Vegas gunman took 58 lives in a rapid-fire slaughter. Time is indeed going by, and the silence is alarming as the Republican Congress and Mr. Trump, the devoted candidate of the National Rifle Association, duck their responsibility to confront the public health crisis of gun deaths. (10/13)

Should Americans be allowed to edit their DNA to prevent genetic diseases in their children? That question, which once might have sounded like science fiction, is stirring debate as breakthroughs bring the idea closer to reality. Bioethicists and activists, worried about falling down the slippery slope to genetically modified Olympic athletes, are calling for more regulation. (Henry I. Miller, 10/12)

There was no map for this recovery, no compass to point the way. I had no advocate, no guide to ensure that I received necessary treatments. How was I supposed to find my way? How was I supposed to heal? Would I ever be able to return to my work as a college math professor? Could I be a good mom again? Or would I be lost, a perpetual victim to my symptoms, forever struggling with dizziness, balance, short-term memory, sensory overload, emotional meltdowns — and even with thinking itself? (Deb Brandon, 10/12)

As Ohio struggles under the crushing burden of an opioid-abuse crisis, flaws in state policy have the potential to make the problem dramatically worse. A mushrooming new business — standalone clinics where addicts can get prescriptions for Suboxone, another highly addictive opioid meant to help them get off of heroin — threatens to spawn a new generation of “pill mills.” (10/13)

[B]elow those high-volatility positions work layers of appointees who are far enough from the president to be somewhat insulated from the chaos, but sufficiently high up to make a major difference in how the government works. The FDA commissioner is one of those appointees, and Gottlieb represents a much-needed countervailing force against the agency’s tendency to prize caution over speed. He has forcefully and persuasively articulated a vision of an FDA that better weighs the costs of risk aversion against the costs of bad side effects. (Megan McArdle, 10/12)

Well-run organizations keep track of their work. If a project runs late by weeks or months, managers ask questions, problem-solve and demand results. Suppose that assignment involves a new state law with potentially life-or-death consequences for babies. How long before officials get impatient with delays and sound the alarm? Six days? Six weeks? Six long months? (11/12)