August 14, 2025
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Washington Correspondent, D.C. Diagnosis Writer

Season two of the hospital drama “The Pitt” will include storylines that envision how Medicaid cuts in Republicans’ One Big Beautiful Bill will impact hospitals. As someone who has struggled to write about work requirements, provider taxes, and state-directed payments in a way that is understandable and interesting, I’m looking forward to seeing how they handle it. Send your storyline suggestions and news tips to John.Wilkerson@statnews.com or John_Wilkerson.07 on Signal.

doctors

AMA speaks up

It’s tough out there for the American Medical Association. It risks drawing undo attention to doctors when speaking out forcefully against administration policies that diverge from medical consensus. But many AMA members fear that “quiet advocacy” isn’t working either, and it runs the risk of making doctors look complacent.

So the country’s largest doctor group is changing its approach and speaking up, Theresa Gaffney writes.  

In recent weeks, the AMA has issued a slew of public statements critical of decisions made by the administration. Theresa interviewed half a dozen members of the organization as well as its leadership to shed light on what led the AMA to bring its advocacy work out of the shadows. Read more to learn about the shift in lobbying tactics.


lobbying

Pharma's new lobbying group

There’s a new lobbying group in town. 

IRA Watchdog is a “coalition analyzing the impact of Medicare Drug Price Negotiation on patients,” according to the group’s lobbying registration. The group is housed at DLA Piper, and its two lobbyists were staffers for former Sen. Richard Burr (R-N.C.), who while in Congress championed the biotech sector that drives the economy of North Carolina. 

Burr is a senior policy adviser at DLA Piper and the chair of its health policy strategic consulting practice.

Read more about its members and goals.

 



ahrq

Functionally ‘incapacitated’

A small federal agency that studies how to improve the health care system has been functionally “incapacitated” after much of its staff was laid off or retired, Chelsea Cirruzzo reports

In April, half of the staff at the Agency for Healthcare Research and Quality was estimated to have been laid off during the initial round of job cuts that were part of a massive restructuring of HHS. The cuts didn’t stop there. Three people, including two former employees, tell Chelsea that close to 90% of workers are now gone, including people who took early retirement offers. 

But Congress is still proposing to fund AHRQ as though it exists in its previous form. Read more for how it’s all panning out.


hhs

RFK Jr.’s mounting challenges

The deadly shooting at the CDC’s campus in Atlanta tests the health secretary’s leadership at a time when fractures are emerging in his Make America Healthy Again movement, Chelsea and Daniel Payne report.

Some CDC employees blame the shooting in part on Robert F. Kennedy Jr.’s vilification of the agency. The gunman was reportedly motivated by  anti-vaccine beliefs. Kennedy said he is unaware of the gunman’s motivation. Kennedy waited until 11 a.m. the following day to comment on X about the shooting, after he posted about his fishing trip in Alaska, where he’d spent the week meeting with state and tribal leaders. 

The question now is whether a series of recent setbacks, capped by the shooting, could create longer-term turmoil for Kennedy and his MAHA movement. Read more for reactions from CDC employees to the tragedy.


vaccines

FDA vaccine surveillance official removed from his role

The FDA has removed the official in charge of analyzing vaccine adverse event data from his position, one current and two former FDA employees told Lizzy Lawrence. Vinay Prasad, the newly reinstated director of the FDA’s Center for Biologics Evaluation and Research, has assumed those duties, one of the people said. Endpoints first reported the news.

Richard Forshee was the acting director for CBER’s Office of Biostatistics and Pharmacovigilance, which assesses safety data for vaccines and other biologics products. Now he will serve in the Center for Drug Evaluation and Research’s Office of Surveillance and Epidemiology.

Forshee did not respond to a request for comment and HHS said it does not comment on personnel matters. It’s not clear why he was transferred from CBER. Kennedy, who oversees FDA as health secretary, has long talked about wanting to revamp the way the FDA assesses vaccine safety data.


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What we’re reading

  • Deconstructing RFK Jr.’s explanation for the cancellation of mRNA vaccine contracts, STAT
  • Playbook: Laura Loomer’s next target, Politico
  • As AI spreads through health care, is the technology degrading providers’ skills?, STAT
  • Exclusive: Medical journal rejects Kennedy's call for retraction of vaccine study, Reuters