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The House Republican plan to replace the Affordable Care Act would increase the number of people without health insurance by 24 million by 2026, while slicing $337 billion off federal budget deficits over that time, the nonpartisan Congressional Budget Office said Monday. (Kaplan and Pear, 3/13)

The report predicted that premiums would be 15 percent to 20 percent higher in the first year compared with those under the Affordable Care Act but 10 percent lower on average after 2026. By and large, older Americans would pay “substantially” more and younger Americans less. (Goldstein, Viebeck, Snell and DeBonis, 3/13)

Fourteen million more people would be uninsured next year, mostly 6 million who wouldn't get coverage on the individual market and 5 million fewer under Medicaid. The number of uninsured would rise to 24 million in 2026. Much of the increase would be from changes in Medicaid enrollment as states end Obama's expansions of eligibility. (3/14)

In addition, CBO estimates that the Republican bill would reduce the number of employers offering health insurance, in part because it repeals the employer mandate to provide insurance. The CBO also notes that the GOP plan's tax credits (available only to people who aren't offered insurance at their jobs) would be available to more people than under Obamacare. (Kurtzleben, 3/13)

Hardest hit in the long run will be lower-income Americans and those nearing retirement, according to the budget office, which estimates that over the next decade, the GOP legislation would cut about $1 trillion in federal healthcare assistance to low- and moderate-income Americans. (Levey and Mascaro, 3/13)

The House Republicans’ mechanism for persuading healthy Americans to stay insured would be largely ineffective, according to the new Congressional Budget Office analysis released Monday, and it would ultimately lead to about 2 million fewer Americans buying insurance each year. (Eilperin, 3/13)

The 2018 portrait is particularly awkward. About 14 million more people would be uninsured next year under House Speaker Paul Ryan’s health plan compared to Obamacare. Although the CBO said the measure would eventually reduce the deficit, the cost figures would still be rising through 2018, while premiums would also still be going up. (Edney, Tracer and Wasson, 3/13)

[Fifteen] percent of Planned Parenthood clinic patients would “lose access to care.” These patients generally live in areas without other sources of medical care for low-income people. (Rovner, 3/13)

A congressional plan to make Planned Parenthood ineligible for federal funding would leave many women without services to help them avoid pregnancy, resulting in thousands of additional births, according to a new federal budget analysis. (Somashekhar, 3/13)

CBO estimates that the bill would cut federal spending on Medicaid by $880 billion by 2026. (Williams and Mershon, 3/13)

The Republicans have cast themselves as hard-headed saviors of a broken system in which Americans are forced to buy coverage they don’t want and can’t afford. But the numbers CBO issued Monday won’t make for an easier sell. (Bettelheim and Millman, 3/13)

Here are the key findings from the report. (Park, Lai, Patel and Almukhtar, 3/13)

The nonpartisan Congressional Budget Office on Monday released its estimates of the cost and coverage of the American Health Care Act, the Republican plan to replace the Affordable Care Act. (3/13)

House Republican leaders plunged into damage control mode Monday after a brutal budgetary assessment of their Obamacare replacement threatened to upend Senate GOP support and armed their critics on the left. Speaker Paul Ryan’s team quickly pinpointed rosier elements of the report by the Congressional Budget Office, from cost savings to lower premiums. (Cheney, Everett and Pradhan, 3/13)

Leading House Republicans are fighting to defend their ObamaCare replacement bill in the face of a Congressional Budget Office (CBO) report that found the measure would result in millions of people becoming uninsured. Democrats are on the attack, hoping the findings — and the eye-popping estimate that 24 million additional people will be without coverage by 2026 — will stop ObamaCare repeal in its tracks. (Sullivan, 3/14)

Many Georgia Republicans scrambled to re-frame the health care conversation Monday on Capitol Hill after the release of a nonpartisan report that estimated that 24 million fewer people would be on the health insurance rolls by 2026 under GOP leaders’ Obamacare replacement plan compared to the current law. Several Republican members of the state’s congressional delegation emphasized the more flattering aspects of the Congressional Budget Office’s analysis of the GOP’s American Health Care Act and ignored the uglier ones in a bid to keep the proposal afloat. Others sought to return the spotlight to rising premiums under the Affordable Care Act. (Hallerman, 3/13)

The Trump administration on Monday slammed a Congressional Budget Office (CBO) estimate that millions of people would become uninsured under the Republicans' plan to repeal and replace ObamaCare...Price said the analysis released Monday afternoon does not take into account the entirety of the GOP plan to repeal and replace the Affordable Care Act, which he said would cover more people while lowering costs. The long-awaited report has roiled the debate over the GOP’s bid to overhaul the healthcare system, which would include repealing many elements of the Affordable Care Act and creating a new tax credit to help people buy insurance. (Fabian, 3/13)

Health and Human Services Secretary Tom Price said the projections of uninsured were too high and called them "just not believable." (Kelly, 3/13)

But Sen. Lindsey Graham (R., S.C.) said Republicans shouldn’t reject the CBO report because they don’t like every element of it. “Let’s say the CBO is half right—that should be cause for concern,” Mr. Graham told reporters. “The prudent thing for the party to do is to look at the CBO report and see if we can address some of the concerns raised.” (Armour and Peterson, 3/13)

CBO officials are often political punching bags, but vitriolic attacks from top White House officials in recent days have the potential to erode the agency’s standing at a time when its assessments of health-care policy, changes to the tax code and deficit projections will factor into whether Congress enacts key parts of the Trump administration’s agenda. (Paletta, 3/13)

Republicans’ rollout of Obamacare repeal legislation has provoked one of the most brutal public beatings of the Congressional Budget Office in recent memory.The trigger? The release of a cost estimate of Republicans’ budget reconciliation legislation that would partially repeal and replace a major portion of the 2010 health care law ( PL 111-148 , PL 111-152 ).The common defense when grilled on what CBO would show? Slam the nonpartisan scorekeeper. But former CBO employees and directors said that doing so could have devastating consequences down the road. (Mejdrich, 3/14)

Bad news for the Republicans’ health-care plan looks like good news for the health-care industry. (Grant, 3/13)

Critics of GOP health care legislation got fresh ammunition from a report that estimates the bill would increase the ranks of the uninsured by 14 million people next year alone, and 24 million over a decade. (Werner, 3/14)

“The CBO’s estimate makes clear that TrumpCare will cause serious harm to millions of American families,” Senate Democratic Leader Charles Schumer (N.Y.) said in a statement. “Tens of millions will lose their coverage, and millions more, particularly seniors, will have to pay more for health care. The CBO score shows just how empty the president’s promises, that everyone will be covered and costs will go down, have been.” (Sullivan and Hellmann, 3/13)

“This is totally devastating,” said David Cutler, a pro-ACA health policy expert at Harvard University. “There's no way anyone can vote for this plan knowing that it will likely cause 24 million people to lose insurance coverage." “Adding more than 20 million-plus individuals to uninsured status is not an ideal way to reduce future budget deficits,” said Tom Miller, a conservative health policy expert at the American Enterprise Institute and an ACA critic. (Meyers and Dickson, 3/13)

Senator Elizabeth Warren said that Massachusetts residents “have every right to be worried” over the House GOP health care bill, railing against the plan Monday evening on Twitter. Warren sent out a series of tweets shortly after the nonpartisan Congressional Budget Office released a report projecting that 14 million Americans would lose coverage next year under the GOP plan — a number that would grow to 24 million by 2026. (Reiss, 3/13)

The House bill was already under attack from both very conservative members who wanted it to go further, as well as moderates worried about coverage erosion particularly in Medicaid. The CBO number made the task of passing it even more challenging. (Demko, 3/13)

The White House's internal analysis of the GOP's ObamaCare replacement plan reportedly projects more insurance losses than the report released Monday by the Congressional Budget Office (CBO). The White House document, obtained by Politico, projects that 26 million people would lose coverage over the next decade under the GOP's healthcare plan. It finds that 54 million people total would be uninsured in 2026. (Savransky, 3/13)

The health care bill proposed by House Republicans would disproportionately affect older and poorer Californians by shrinking federal assistance to hundreds of thousands of older people who buy plans on Covered California and by reducing federal funding to Medi-Cal, the insurance program for the poor, experts say. The American Health Care Act, the GOP proposal to replace the Affordable Care Act, includes two provisions that health care experts calculate would lead to lower-income Californians in their 50s and 60s paying more for health care. (Ho, 3/13)

Some Massachusetts residents would lose health insurance if the GOP’s health care proposal goes into effect — but possibly not as quickly as the rest of the country. ... most of the first reduction, in 2018, is attributed to the elimination of penalties for not getting insurance. The CBO projects that some people who had been buying insurance just to avoid the penalty will drop coverage once the penalty is gone. That may not be as big a factor in Massachusetts, because the state has its own law, with penalties, requiring that nearly everyone obtain health insurance. (Freyer, 3/13)

The House Republican proposal to replace the federal health law could cost the state $89 million to $539 million in 2020, the year many of the major provisions would take effect, according to an analysis released by Gov. Dannel P. Malloy’s administration Monday. The administration also estimated that 34,000 people who buy health plans through the state’s health insurance exchange would not renew their coverage for 2018 if the proposal becomes law. (Levin Becker, 3/13)

As soon as the Congressional Budget Office released its long-awaited report Monday afternoon on the impact of the GOP’s American Health Care Act, Connecticut Democrats joined party colleagues in saying the analysis proved the health plan should be scrapped. The CBO estimated the American Health Care Act would result in 24 million Americans losing their health insurance, but would lower the budget deficit by $337 billion over 10 years, largely as a result of reduced federal payments to Medicaid, the joint federal-state health program for the poor. (Radelat, 3/13)

Michigan is one of several states that expanded Medicaid coverage under the Affordable Care Act — also known as Obamacare — with an estimated 637,000 people qualifying under Gov. Rick Snyder’s Healthy Michigan program. If the plan severely scales back Medicaid payments, many Michiganders would be expected to ultimately lose or fail to qualify for coverage. Snyder — who has lobbied Republican leaders on Capitol Hill and the Trump administration for flexibility in continuing the Medicaid program — has remained mum on his opinion of the proposal since its unveiling last week. It faces an uncertain future in Congress, with Democrats and many more conservative Republican opposing it, though for different reasons. (Spangler, 3/13)

The Virginia Hospital & Healthcare Association has expressed concern about the American Health Care Act in letters it sent to Virginia’s representatives in Congress. Proposed last week as a replacement to the Affordable Care Act, if approved, the American Health Care Act would most drastically change the Medicaid program and how tax subsidies are doled out to help people afford health insurance. (Demeria, 3/14)

President Donald Trump sought to highlight complaints about the Obama health care law Monday, including a gripe of his own, that the law is "a disaster" but that the media makes it look "wonderful." (3/13)

Mr. Trump hosted people with complaints about the pricing and coverage of the current insurance system in the White House on Monday as he kicked off the second week of the administration’s make-or-break effort to overturn the 2010 health law and replace it with what he called a “thing of beauty.” (Radnofsky, 3/13)

Turns out Obamacare is a little bit like its namesake president: kind of popular. President Trump is in the midst of his pitch to the American public that it's time to throw out the Affordable Care Act, also known as “Obamacare,” and replace it with a new Republican bill, the American Health Care Act. The problem is, according to Trump, the press and the public have come down with something akin to seller's remorse. (Phillip, 3/13)

President Donald Trump said it could take several years for health insurance prices to start to drop under an Obamacare replacement plan he is promoting, creating a rocky transition period that could pose a risk for members of Congress up for re-election next year and Trump’s own bid for a second term in 2020. In a meeting at the White House Monday with a group of small business owners, doctors and individuals who said their plans were canceled or that they saw a spike in health-insurance costs since Obamacare was enacted, Trump offered reassurances but warned that any relief won’t be immediate. (Pettypiece, 3/13)

President Trump blamed the news media on Monday morning for “making Obamacare look so good” as he spoke at a listening session with nine people he characterized as “victims” of the health care law. Mr. Trump repeated his declaration that “Obamacare is a disaster” — a sentiment echoed more specifically by White House and cabinet officials in the past few days. (Qiu, 3/13)

President Donald Trump told Americans he'd do it all on health care: "insurance for everybody," better coverage and lower consumer costs. By the reckoning of nonpartisan budget analysts at Congress, that's not what will happen if the Republican bill he's backing becomes law. (3/14)

To get the Affordable Care Act passed, Democrats used a big-tent approach, convening health-care groups that did not normally talk to one another while cutting deals and strong-arming key industry players to build broad support for the plan. First, the drug companies got on board. Then came the hospitals and the doctors. (Johnson, 3/13)

To get their version of an Obamacare replacement through Congress and onto President Trump's desk, Republican leaders need only a simple majority in both chambers to approve it. But that could be difficult. (Phillips, 3/13)

Sen. Tom Cotton (R-Ark.) on Monday pushed back on Speaker Paul Ryan’s (R-Wis.) plan to repeal and replace ObamaCare in three phases, calling it “politicians’ talk.” In addition to passing the current GOP replacement measure in the Senate with the 50 votes required by budget reconciliation, Ryan has pointed to the Trump administration’s actions on its own as Phase 2. Additional legislation under a 60-vote threshold in the Senate would serve as Phase 3.  (Sullivan, 3/13)

Rep. Darrell Issa (R-Vista) said Monday he is "not prepared" to vote for Republican's health care bill. "I'm not prepared to vote for it [as it] is right now," the long-serving Republican congressman said Monday on "Fox and Friends." (Wire, 3/13)

In a bad sign for the prospects of a Republican bill to replace the 2010 Affordable Care Act, U.S. Rep. Rob Wittman, R-1st, announced late Monday that he’s opposed to the plan. Wittman issued a statement that said he still wants to repeal and replace Obamacare, but that the proposal on the table from congressional Republicans falls short. (Wilson, 3/14)

Activist groups that want conservative orthodoxy on Capitol Hill have aimed their fire previously at Republicans including House Speaker Paul D. Ryan and his predecessor, John A. Boehner. Now they have some new targets. Their focus has turned to three senators who’ve shown some willingness to challenge President Donald Trump: Susan Collins of Maine, Lisa Murkowski of Alaska and John McCain of Arizona. ... [Adam Brandon, president of FreedomWorks] also worries that McCain and Collins could defect if Republicans take up legislation to repeal the health care law, and he’s concerned that they could oppose the confirmation of Trump’s Supreme Court nominee, Judge Neil Gorsuch. (Zeller, 3/14)

President Donald Trump's White House is increasingly likely to support some conservative-backed changes to the House Obamacare alternative, two administration officials said Monday — a move that comes after a nonpartisan budgetary analysis showed 24 million people could lose insurance under the bill. (Dawsey, Bade and Palmeri, 3/13)

Planned Parenthood President Cecile Richards is putting pressure on Rep. Peter Roskam to vote against the Affordable Care Act replacement bill, which features language to “defund” the healthcare non-profit — urging constituents to let him know “women are watching” and will remember his votes come election time next year. Roskam has been under fire for not hosting in-person meetings about the Obamacare repeal. Last month the Wheaton Republican ducked out of a GOP organization event in Palatine as protesters — upset about his support of the Obamacare repeal — stood outside. He has hosted several “tele-townhalls” instead. He has since attended private meetings with constituents about the Republican replacement plan. The overhaul has prompted concerns among Republicans governors, such as Bruce Rauner and Massachusetts’ Charlie Baker. (Sfondeles, 3/13)

The two-lane Truman Bowling Alley isn't glamorous or grand, but as bowling alleys go, the location is mighty exclusive. It's in the basement of the Eisenhower Executive Office Building, inside the White House complex. And on Tuesday night it will be the latest backdrop for a high stakes sales pitch to a group of conservative House Republicans known as the Freedom Caucus. They are skeptical of what the president is selling: the American Health Care Act, or as Breitbart called it derisively, "Obamacare 2.0." (Keith, 3/13)

A Republican plan to repeal taxes set under Obamacare would benefit the wealthiest U.S. households at more than five times the rate for middle-income families, according to the nonpartisan Tax Policy Center. (Morgan, 3/13)

The head of the U.S. Department of Health and Human Services, Tom Price of Georgia, said Monday in a statement that a provision of the Affordable Care Act allows waivers “to modify existing laws or create something entirely new to meet the unique needs of their communities.” The ACA, also known as Obamacare, is the target of repeal efforts in Congress. But it remains in force, along with the waiver provision noted by Price. (Miller, 3/13)

Atul Gawande is a cancer surgeon at Brigham and Women's Hospital in Boston, Mass., and a staff writer at The New Yorker magazine. He has spoken out against the GOP bill, expressing concern that it would cause poor and sick people to lose health coverage. (Hersher, 3/13)

Christie Popp, who is pregnant with her third child, is hoping hard that the maternity coverage she has through the Affordable Care Act doesn’t go away. That coverage is written into the health law as a requirement for every plan sold on the individual market. But that could change if Republicans get their way to repeal the ACA and remake health care. (Rovner, 3/14)

Health savings accounts are poised for a major expansion by Republicans in Washington, D.C., and that could mean millions more customers — and fees — flowing to a handful of companies. Investors are betting on it, bidding up shares of HSA provider HealthEquity by about 35 percent since the November election. It’s one of the best performing stocks on Wall Street since Donald Trump won the White House. (Terhune and Appleby, 3/14)

Republicans are in a hurry to get their “repeal and replace” health care bill to the House floor. In just the week since it was introduced, two committees have approved the “American Health Care Act,” and a floor vote is planned before month’s end. But in the rush to legislate, some facts surrounding the bill have gotten, if not lost, a little buried. Here are five things that are commonly confused about the health overhaul effort. (Rovner, 3/13)

The House Budget Committee announced Monday evening that it had rescheduled its markup of the GOP’s healthcare bill because of inclement weather expected in D.C. The markup was originally scheduled for Tuesday, but the committee announced Monday evening that it will now take place on Thursday. (Master, 3/13)

The Senate on Monday confirmed Seema Verma, a health policy expert from Indiana, to lead efforts by the Trump administration to transform Medicaid and upend the Affordable Care Act. (Pear, 3/13)

Indiana health care consultant Seema Verma, a protégé of Vice President Mike Pence, was approved by a 55-43 vote, largely along party lines. She'll head the Centers for Medicare and Medicaid Services, a $1 trillion agency that oversees health insurance programs for more than 130 million people, from elderly nursing home residents to newborns. It's part of the Department of Health and Human Services. (Alonso-Zaldivar, 3/13)

Verma will take the helm with a clear goal of making it easier for states to try new approaches in aiding low-income and disabled people. Democrats criticized Verma's positions on the future direction of Medicaid. The giant state-federal health program served 68.6 million people in December, according to CMS — more than 20 percent of the U.S. population. Verma gained the support of only three Democrats: Joe Donnelly of Indiana, Heidi Heitkamp of North Dakota and Joe Manchin III of West Virginia, as well as Angus King, an independent who caucuses with the minority party. (Young, 3/13)

Verma is believed to have more Medicaid experience than any other administrator in the agency's history, having helped craft expansion plans in Indiana, Iowa, Kentucky and Ohio. Verma, and Brian Neale, the newly selected director of the Center for Medicaid and CHIP Services are expected to push Medicaid in a more conservative direction in which states could apply for and receive waivers to impose work search requirements and lifetime caps on Medicaid enrollment. The Obama administration refused to implement such proposals. (Dickson, 3/13)

Ms. Verma, a health policy consultant, made a name for herself as the architect of Indiana’s Medicaid expansion program under then-Gov. Mike Pence, which that state administered through a federal waiver. Ms. Verma struck a deal with the Obama administration allowing Indiana to charge enrollees under the expansion monthly premiums. (Hackman, 3/13)

The U.S. Justice Department and several states on Monday urged a federal appeals court not to overturn a decision blocking Anthem and Cigna's proposed $54 billion merger. In a brief to the U.S. Court of Appeals for the District of Columbia Circuit, the Trump administration Justice Department said there was “overwhelming evidence” showing the blocked merger would never create any of the proposed efficiencies that Anthem touted. (Teichert, 3/13)

Anthem Blue Cross and Blue Shield is likely to notify state regulators this summer that it will withdraw from Connecticut’s individual market next year – even though the company has not yet decided whether to sell plans in 2018, the company’s president told the head of the state’s health insurance exchange. Companies seeking to withdraw from the market must notify the state six months in advance – a deadline that falls before the likely resolution of “uncertainties” affecting whether Anthem could sell coverage through the individual market, Anthem President Jill R. Hummel wrote. (Levin Becker, 3/12)

Canadians with cystic fibrosis survive about 10 years longer than Americans with the same genetic disease, according to startling new research that raises questions about how to improve care. (3/13)

The study’s researchers said they don’t know what accounts for the disparity, but a higher rate of lung transplants among Canadian patients and the country’s widely accessible health-care system may be among the factors. (Walker, 3/13)

As deaths from painkillers and heroin abuse spiked and street crimes increased, the mayor of Everett took major steps to tackle the opioid epidemic devastating this working-class city north of Seattle. (Le, 3/14)

With fatal drug overdoses at alarming levels in New York City, particularly from opiates like heroin, Mayor Bill de Blasio on Monday vowed to reverse the tide and reduce the number of deaths by 35 percent over five years through a combination of outreach, treatment and law enforcement. (Goodman and Southall, 3/13)

Women who are considering trying to become pregnant with semen from sperm banks in the Miami-Dade County area of Florida should consider the possibility that sperm collected as far back as mid-June might be infected with the Zika virus, federal health officials said Monday. (Belluck, 3/13)

President Trump’s top health official suggested that there would be “significant concerns” with a House bill that would allow companies to require employees to undergo genetic testing, but said the administration had not yet examined the issue. Tom Price, the secretary of Health and Human Services, was asked about the bill on NBC’s “Meet the Press” over the weekend. “I’m not familiar with the bill, but it sounds like there would be some significant concerns about it,” Price said. “If the department’s asked to evaluate it, or if it’s coming through the department, we’ll be glad to take a look at it.” (Joseph, 3/13)

Dr. Christian Thurstone, a pediatric addiction psychiatrist at Denver Health Medical Center who treats teens and works with Ingram and other counselors in six local high schools, sees a link between growing addiction to marijuana among teens and the state’s decision to make it legal — even though there are no indications more Colorado teens are using it. Since the state allowed private companies to market and sell medical marijuana in 2010, the number of adolescents coming to Denver Health seeking treatment for marijuana dependence has doubled, he said. (Vestal, 3/13)

A recent rise in suicides in Massachusetts -- an increase of 40 percent from 2004 to 2014 — is driven by a rise in middle-aged men taking their own lives, according the Massachusetts Department of Public Health. In fact, 40 percent of all people who die by suicide in the United States are men between the ages of 35 and 64. It’s a staggering number, especially since this demographic represents only 19 percent of the nation’s total population. (Reed, 3/14)

This small village of mud-brick homes in West Africa might seem the least likely place for an experiment at the frontier of biology. Yet scientists here are engaged in what could be the most promising, and perhaps one of the most frightening, biological experiments of our time. They are preparing for the possible release of swarms of mosquitoes that, until now, have been locked away in a research lab behind double metal doors and guarded 24/7. The goal: to nearly eradicate the population of one species of mosquito, and with it, the heavy burden of malaria across Africa. (Swetlitz, 3/14)

Sometimes — a lot of times — it feels as if being a parent is shaving years off your life, but a new study suggests that’s not the case. In fact, just the opposite may be true. (Netburn, 3/13)

Global consumer-goods makers reduced ingredients such as sugar and salt in about 20 percent of their products in 2016 as shoppers shift toward healthier brands. A survey of 102 companies, including Nestle SA and Procter & Gamble Co., found that 180,000 products were reformulated in 2016, according to a report from the Consumer Goods Forum. That was about double the previous year...The biggest producers are losing share to smaller, localized brands which are capitalizing on shoppers’ growing preference for healthier and more sustainable products. Organic growth for global consumer companies has fallen to less than 3 percent for the last three years, according to Credit Suisse analysts. Kraft Heinz Co.’s $143 billion approach for Unilever underscored the pressure building on companies to breakout from the sector’s malaise. (Chambers, 3/13)

What if your psychiatrist prescribed yogurt and vegetables as an antidepressant? It may sound like alternative medicine, but researchers at the intersection of psychiatry and biochemistry think that adding certain beneficial bacteria to a person’s intestines could be the future for treating anxiety and depression. (Cantrell, 3/13)

A Johns Hopkins study published earlier this month found that, as Americans age, more of them are expected to suffer from hearing loss. Researchers from Johns Hopkins Medicine in Baltimore predict that 44 million — or 15 percent of U.S. adults — will have some hearing loss by 2020. That will increase to 23 percent of all adults 20 and older by 2060. (Veciana-Suarez, 3/13)

Baby boomers are buying more absorbent hygiene products than ever, helping a beleaguered paper industry that has seen its fortunes plummet as information grows increasingly digital and paperless. U.S. retail sales for incontinence products are projected to increase 9 percent in 2017 and 8 percent in 2018, according to Svetlana Uduslivaia, the head of industry research at Euromonitor International. In 2016 sales adult incontinence products racked up almost $2 billion. (Veciana-Suarez, 3/13)

The Minnesota House on Monday approved plowing hundreds of millions dollars into a new program meant to tamp down health insurance costs and ensure plans are offered after years of instability and skyrocketing premiums. (3/13)

Democratic Lt. Gov. Gavin Newsom is drafting a health care plan for California that he plans to unveil as a core component of his gubernatorial run, based in part on the universal health care program he signed into law when he was mayor of San Francisco. Newsom, seen as a strong contender in the increasingly crowded field of candidates vying to succeed Gov. Jerry Brown in 2018, is staking out an ambitious plan to rein in rising health care costs, expand universal access to people across the state regardless of income or immigration status, and preserve coverage for the estimated 5 million Californians who risk losing their insurance under President Donald Trump’s changes. (Hart, 3/13)

A plan to spend taxpayer money to try to produce a cheaper, more stable health insurance market is moving forward in the Minnesota Legislature. The Republican-controlled House of Representatives voted largely on party lines Monday to pass a “reinsurance” proposal, and a similar measure is moving forward in the Senate...The 78-53 vote saw four members of the Democratic-Farmer-Labor Party join most Republicans to support the package, with the rest of the DFLers and two Republicans voting no. Neither the House bill nor the Senate version is likely to become law in its current form. Instead, they’ll head to a conference committee where lawmakers will try to get a bill that DFL Gov. Mark Dayton will sign. (Montgomery, 3/13)

Members of the House Finance Committee got an earful from nursing home operators, representatives of the developmentally disabled and counselors on the front lines of the opioid crisis in the third and final public hearing on the state budget, this one held in Representatives Hall at the State House. The testimony on Monday was similar to what lawmakers heard in Derry last week, as one speaker after another took the microphone to urge generous funding for alcohol and drug rehabilitation, services for the developmentally disabled and mental health treatment. (Solomon, 3/14)

A Kansas senator who compared Planned Parenthood to Dachau doubled down on his statement and called Planned Parenthood worse than Nazi concentration camps. Sen. Steve Fitzgerald, Republican of Leavenworth, told KCUR on Monday that he saw nothing wrong with the comparison, which he made in a letter to Planned Parenthood after a woman made a donation to the organization in his name. Asked if he thought Planned Parenthood was akin to a Nazi concentration camp, he replied, “Worse. Much worse, much worse, much worse." (Margolies, 3/13)

The number of new HIV infections in Minnesota — 300 annually — has remained stubbornly unchanged for the last 15 years, prompting a bipartisan group of legislators to call for the first-ever statewide strategy to tackle the ongoing HIV epidemic and reduce infections to virtually zero. If approved, the legislation would require the state health department to report to the Legislature next year, explaining how Minnesota can reduce new infections and provide care for the estimated 8,200 people living with HIV or AIDS in the state. (Lopez, 3/13)

Starting this month, California hospitals must comply with a new federal law that requires them to notify patients when they are in observation care and explain why they are not officially admitted even if they are staying a few nights. That’s on top of a state notice law that took effect in January. In the past, California seniors often were unaware they had not been admitted until they received surprise bills for the services Medicare doesn’t cover for observation care patients, including some drugs and — more importantly — expensive nursing home stays. (Jaffe, 3/14)

The Johns Hopkins University School of Nursing has won a $2 million grant from the France-Merrick Foundation that school leaders say will mean not only an expansion and renovation of their East Baltimore building but extra volunteer commitments in the surrounding community. The nursing school is expected to produce 30 percent more graduates annually by 2021 after the project is completed in 2020. Currently, there are 1,100 students enrolled, up about 500 from when the building was completed in 1998. (Cohn, 3/13)

Hamilton is proposing legislation that would curtail the ability of pharmacy benefit managers, or PBMs, to change a patient's drug treatments in an attempt to protect the relationship between doctor and patient. Thus far, he has been unable to get a hearing on the bill from his House GOP colleagues. (Collican, 3/13)

The $577.9 billion national defense bill passed by the U.S. House of Representatives earlier this week includes a provision for money that would go to a University of Central Florida clinic that treats veterans and first responders for post-traumatic stress disorder. UCF RESTORES uses virtual reality as a key part of treatment. The funding for the clinic would come from a defense budget devoted to advanced concepts and simulation. (Sago, 3/13)

A judge says California is legally authorized to label the main ingredient in Monsanto’s Roundup, the nation’s most widely used herbicide, as a potential cause of cancer. A state environmental agency announced plans in late 2015 to add the chemical, glyphosate, to California’s list of potential cancer-causing chemicals based on a World Health Organization research agency’s findings that it was a probable human carcinogen. (Egelko, 3/13)

It’s become common in the health-care industry for nurses to work three 12-hour shifts, for a total of 36 hours, and remain eligible for the full employee benefit package. With the demand for nurses far exceeding the supply, flexible scheduling has become a popular incentive, according to hospital administrators. But the state can’t compete on those terms, at least not under the current contract with the State Employees Association. (Solomon, 3/13)

Last week, Sutter Medical Center in Sacramento showed off its first-ever “germ-zapping” robot, a wheeled machine that emits pulsating ultraviolet light that’s been shown to kill off infection-causing bacteria. It’s even got a name, chosen by hospital staffers: Xhaiden, an American baby name said to mean “beam of cleansing light.” (Buck, 3/13)

Advocates for marijuana reform waited up to 10 hours to testify Monday night at the Texas Capitol in support of a bill that would dramatically reduce criminal penalties for marijuana possession. HB 81, the last of 11 bills heard by the House Criminal Jurisprudence Committee on Monday, would eliminate any jail time or threat of arrest for possessing an ounce or less of marijuana and the offense would be punishable with a fine of $250. (Mejia Lutz, 3/13)

Georgia Tech researchers have found it's not just car emissions sending people to emergency rooms in Atlanta, but all that dust coming off brakepads and tires. Last year, researchers suspended monitors near I-75 in Atlanta to measure air pollution including the acidity in the air. (Shamma, 3/13)

Last week, the council revised how marijuana businesses will be regulated, writing legislation faster than a waitress taking orders at a crowded all-night diner. Before the revisions, half of the city’s cannabis permits were reserved for residents who were jailed on marijuana convictions in Oakland within the past decade or had lived for at least two years within six police beats in East Oakland with a high volume of marijuana arrests, convictions and jail sentences. The beats were in districts represented by Councilwoman Desley Brooks, the architect of Oakland’s equity permits, and council President Larry Reid. (Taylor Jr., 3/13)

The Congressional Budget Office report on Trumpcare is out, and it’s devastating: 14 million people losing insurance in the first year, 24 million over time, with premiums soaring for older, lower-income Americans — in many cases, the very people who went strongly for President Trump. The C.B.O. thinks it would reduce the deficit, but only marginally, around $30 billion a year in a $19 trillion economy. (Paul Krugman, 3/13)

For anyone believing in the principle that the goal of government healthcare reform should be decreasing the ranks of the uninsured, this report looks devastating. The American Health Care Act, which is the GOP’s moniker for its repeal plan, would reduce insurance coverage sharply and drive up costs. Although the CBO says premiums would moderate after a few years, it explains that would happen only because insurance benefits would shrink and deductibles and co-pays would rise. (Michael Hiltzik, 3/13)

Here are the findings that I found most revealing and relevant from the Congressional Budget Office’s score of the Republicans’ health care bill, followed by some brief thoughts on the policy and politics. (Jared Bernstein, 3/13)

So much for President Trump’s pledge of “insurance for everybody.” The Congressional Budget Office said on Monday that next year 14 million fewer Americans will have insurance if the Affordable Care Act, or Obamacare, is repealed and replaced on the terms the president is seeking. That tally would rise to 21 million in 2020 and 24 million in 2026. By then, the total number of uninsured Americans would reach 52 million. (3/13)

When it comes to understanding the Republican obsession to undo Obamacare, this number is about all you need to know: 24 million. That is how many people would lose coverage under the GOP’s supposedly choice-enhancing, access-increasing replacement plan. What possible justification can there be? (3/13)

The analysis of the new House GOP bill was written by the Congressional Budget Office with help from the staff of the Joint Committee on Taxation. And though a top Trump administration official blasted the report as “just not believable,” some of its findings should actually help House leaders sell the bill to skeptical conservatives. In particular, Republicans will welcome estimates that the measure would reduce federal deficits by $337 billion over 10 years and, after initially driving up insurance premiums faster than current law, would lead to slower increases in later years. (Jon Healey, 3/13)

There are a lot of unpleasant numbers for Republicans in the Congressional Budget Office’s assessment of their health care bill. But congressional leadership found one to cheer: The report says that the bill will eventually cut the average insurance premiums for people who buy their own insurance by 10 percent. (Margot Sanger-Katz, 3/14)

The white smoke rose Monday afternoon from the Congressional Budget Office as the fiscal forecasters published their cost-and-coverage estimates of the GOP health-care reform bill. Awaiting such predictions—and then investing them with supposed clairvoyance—are Beltway rituals. (3/13)

The Congressional Budget Office analysis of the Republican health-care bill did not disappoint. Republicans feared it would be catastrophic. It is. Instead of "better health care for more people at a lesser cost," as President Donald Trump promised, the nonpartisan CBO report released Monday said the Republican plan would drop 24 million from the insurance rolls by the end of the next decade -- and 14 million by 2018. (Francis Wilkinson, 3/15)

The early reviews of the American Health Care Act (AHCA) have been disastrous, with doctors, hospitals, and liberal and conservative experts alike panning the House majority’s legislation. On Monday, the non-partisan Congressional Budget Office added its official score to the pile-on, projecting that 24 million Americans would lose health care coverage by 2026 if the bill was enacted. (Thomas Huelskoetter, 3/14)

The House GOP measure would greatly curtail the financial incentives for individuals to buy insurance on state exchanges while all but eliminating the penalties for not doing so. It would also scale back on Medicaid, the principal form of insurance for those on the bottom rungs of the income ladder. (3/13)

This report confirms that the American Health Care Act will lower premiums (starting in 2020) and improve access to quality, affordable care. CBO also finds that this legislation will provide massive tax relief, dramatically reduce the deficit, and make the most fundamental entitlement reform in more than a generation. (House Speaker Paul Ryan, 3/13)

The Congressional Budget Office weighed in Monday on the profound impact of the House Republicans' ambitious Obamacare fix. There's fuel here for both proponents and critics of the bill known as the American Health Care Act. CBO says 24 million fewer Americans would have health insurance by 2026. Why? Some would choose not to have insurance because the bill ends the mandate that people buy insurance or pay a penalty. Others would forgo insurance because of rising premiums. And many would lose coverage because of dramatic changes to Medicaid. (3/13)

Congressional Republicans need to put an immediate halt to their rush to repeal and replace the Affordable Care Act, also known as Obamacare. An analysis by the nonpartisan Congressional Budget Office has given the Trump administration and House Republicans all the warning they need that they are inviting disaster if they charge ahead with a health care overhaul that would cause 24 million Americans to lose insurance in a decade — and raise premiums for those who are covered in individual markets. (3/13)

Congress faces a daunting legislative agenda: Health care is “complicated,” as President Trump recently discovered. So are tax reform and spending bills that reflect campaign promises without escalating debt. There are deep divisions over many of the Trump administration’s proposals — including within the president’s own party — and there will be serious disputes about the costs of many proposals and their effects. Congress needs all the help it can get from the team of neutral experts it created for just these moments: the Congressional Budget Office. (Alice M. Rivlin, 3/13)

Grant County, Nebraska is one of the most pro-Trump places in America. In this rural community of about 700, the President won over 93 percent of the vote in the last election. But Grant County is also a place that has benefited hugely from the Affordable Care Act. In 2016, the law provided more than a quarter of its residents with tax credits to help them purchase health insurance. (Jeff Guo, 3/13)

For as many as 24 million Americans whose health care coverage already is on life support, the Republican plan would pull the plug.This is according to the nonpartisan Congressional Budget Office. These are the numbers-crunchers whose job it is to take the politics out of a debate and let us know what a piece of legislation will cost. Good or bad. The projections with the Republican replacement for the Affordable Care Act projects that 14 million people will lose coverage by 2018 and 24 million would lose coverage by 2026. (EJ Montini, 3/13)

Just in time for the 2018 elections, the non-partisan Congressional Budget Office has come up with its estimate of the impact of the Republicans’ replacement for Obamacare, the American Health Care Act... That’s going to leave a mark. Especially in Arizona, where nearly 400,000 adults and another 73,000 children now enjoy health care coverage as a result of Medicaid expansion. Where the hospital industry is now thriving, thanks to fewer uninsured people flocking to emergency rooms. (Laurie Roberts, 3/13)

From the right, center and left, reaction to the proposed legislation from health care experts has been swift and consistent: This is not the health care reform we were looking for. Instead, the proposal put forth by the commander-in-chief and his enabler-in-chief, Mr. Ryan, amounts to little more than a massive series of tax giveaways to those at the top and the health insurance industry, thinly disguised as “health care reform.” (John Grabel, 3/13)

Republicans House leaders, who went so far as to hide drafts of their misbegotten plan from their own colleagues, sprung it on the public last week — after almost eight years of scorching the Earth in their quest to scuttle Obamacare and seeming incapable of coming up with a better plan. (3/13)

You hear it from Republicans, pundits and even some Democrats. It’s often said in a tone of regret: I wish Obama had done health reform in a bipartisan way, rather than jamming through a partisan bill. The lament seems to have the ring of truth, given that not a single Republican in Congress voted for Obamacare. Yet it is false —demonstrably so. That it’s nonetheless stuck helps explain how the Republicans have landed in such a mess on health care. The Congressional Budget Office released a jaw-dropping report Monday estimating that the Republican health plan would take insurance from 24 million people, many of them Republican voters, and raise medical costs for others. The bill effectively rescinds benefits for the elderly, poor, sick and middle class, and funnels the money to the rich, via tax cuts. (David Leonhardt, 3/14)

Under the Republicans’ proposed American Health Care Act, there would be no such requirement to have health insurance. That would not bring an end to shared medical expenses, however. It would only mean returning to a system in which many people’s health costs are paid with tax dollars. Republicans have argued that the government shouldn’t be able to force people to purchase something they don’t want. That may be true for many things people might buy, but health insurance is different, because the costs incurred by people without it will still be borne by everyone else. Keep in mind, the U.S. has a history of requiring all citizens to fund many essential services, such as education and security. (3/13)

House Speaker Paul Ryan defended the Republican healthcare-reform plan by saying it’s not necessarily a bad thing that it will cover fewer people than Obamacare. (David Lazarus, 3/14)

The precision of the figure — 20.0 million, not 20.1 or 19.9 — suggests a level of certitude that the report doesn’t actually deliver. Its authors analyzed a blend of data from the government’s National Health Interview Survey, or NHIS, and the private Gallup Healthways survey. They concluded that 17.7 million nonelderly adults gained coverage between January 2014 and February 2016. The agency also estimated that 2.3 million young adults had gained private coverage between 2010 and 2013 because the ACA required employers to cover dependent “children” until their 26th birthdays. (Doug Badger, 3/14)

Republicans will have to do something eventually, but they will be in a better position to do that something if they wait. If the exchanges survive, they will have time to come up with a plan and sell it to the public. If they don’t survive, then Republicans will be in an even better position, because they will no longer be contending with loss aversion. People hate losing anything they already have. Most interest groups are organized to make darned sure they never lose an existing benefit. Once the exchanges have collapsed, and you are no longer taking something away from people, you have a lot more freedom to design alternatives. (Megan McArdle, 3/13)

Watching administration officials play cat and mouse with Sunday talk show hosts is a hoary Washington tradition. But yesterday, Trump spokesmen offered a remarkably large number of flat out untruths as they attempted to defend the Republican health care plan. (Steven Rattner, 3/13)

Benjamin does not walk or talk, he can’t see and is partially deaf. He will need full-time care for the rest of his life, and thanks to Medicaid I know someone will be there when my parents, sister or I can’t be. But now that safety net is under attack. Overlooked in the Republican bill to repeal the Affordable Care Act (ACA) is a drastic change to traditional Medicaid funding that threatens services for more than 10 million people with disabilities. (Alyssa Roberts, 3/13)

To respond to the growing challenge of antibiotic resistance, the WHO launched in 2015 a global action plan on antimicrobial resistance, with specific global objectives and recommendations. ... To help governments, researchers, and industry focus their efforts on antibiotic resistance, the WHO recently published a priority list of 12 antibiotic-resistant bacteria. Through this list, the WHO aims to guide the development of new antibiotics to fight microbes that have never before been high priorities for this work at a global level, but which are emerging as serious risks to patients and communities around the world. (Marie-Paule Kieny, 3/13)

The World Health Organization — the world’s most influential health agency — published its first-ever global priority list of antibiotic-resistant bacteria. It is a catalog of the 12 families of bacteria that the WHO says “pose the greatest threat to human health — and for which new antibiotics are urgently needed.” ... While the list is welcome, it contains an enormous flaw that requires immediate correction. The experts compiling the list failed to include Mycobacterium tuberculosis, the bacteria that cause tuberculosis (TB), even though TB kills more people than any other infectious disease and has developed such extensive resistance to antibiotics that WHO itself labels it “a crisis.” (José Luis Castro, 3/13)

As anyone who follows medical education knows, the group that sets rules for trainee doctors has just ruled that interns can again work up to 28-hour shifts. This move came after years of limiting intern shifts to 16 hours in order to improve patient safety....This controversy is completely unsurprising. That's because these long shifts are both a good and a bad thing, and whenever there are mixed results from a decision, you're bound to find fervent supporters of both sides. (Paul E. Sax, 3/13)

The Food and Drug Administration is the nation’s most ubiquitous regulatory agency, overseeing everything from syringes and CT scanners to drugs, vaccines and most foods. These products account for more than $1 trillion annually, or about a quarter of U.S. consumer spending. One reform Scott Gottlieb, President Trump’s nominee to lead the agency, will likely embrace is “right to try”—that is, giving terminally ill patients access to unapproved medicines. ... The right to try unapproved drugs has the potential to be compassionate and sound public policy—but there are dangers. (Henry I. Miller, 3/13)

Of course there’s no way for those without autism to actually understand the autistic experience. I grew up with a severely autistic older brother named Joshua, and after observing him closely for more than 40 years, find his emotional and cognitive process as fundamentally mysterious as ever. The impenetrability of autism, with its seemingly endless variants and its essential “otherness,” is its hallmark. All this renders Jordan’s testimony that much more useful and intriguing. He is a reporter at a hinge-point of consciousness, able to inhabit his condition while describing it for us — whether we are “neurotypicals” or lodged somewhere on the spectrum — with remarkable precision and insight. (Eli Gottlieb, 3/14)

You’ve all experienced it: There’s a problem with your health care bill, or you have difficulty getting coverage for the care you need. Your doctor or hospital tells you to talk to your insurer. Your insurer tells you to talk to your doctor or hospital. You’re stuck in an endless runaround. (Austin Frakt, 3/13)

The state Legislature recently approved a bill that would give parents the ability to try a drug derived from marijuana to help children with severe seizures. It’s a good and important measure that got the support it deserved. It was approved unanimously in the Assembly and with only one no vote in the Senate (Duey Stroebel). Legislators justifiably patted themselves on the back with Assembly Speaker Robin Vos (R-Rochester) proclaiming that “Today is a day that I could not be prouder.” But – and this is a pretty big but – although it’s fine to possess the drug, you can’t actually legally obtain it in Wisconsin. (Ernst-Ulrich Franzen, 3/13)