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Editor’s Note: This copy of Free Morning Pulse is arise weekdays at 10 a.m. POLITICO Pro Bloom Affliction subscribers authority absolute aboriginal admission to the newsletter anniversary morning at 6 a.m. To apprentice added about POLITICO Pro’s absolute action intelligence coverage, action accoutrement and services, bang here.

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A pro-Obamacare accumulation weighs in on a North Dakota Senate race, and the Supreme Cloister resumes with nine associates today.

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But first: The latest action over the Trump administration’s bloom plans.

SENATE DEMOCRATS TAKE ON SHORT-TERM PLANS — All forty-nine Democrats, led by Sen. Tammy Baldwin, are ascent an absurd accomplishment to bang bottomward the Trump administration’s aphorism accretion short-term, bound continuance bloom plans. They’re aggravating to force a Senate vote on Wednesday to annul the new rule, which became able aftermost week.

The aphorism allows insurers to advertise concise affairs that aftermost for up to three years, rather than the three-month band-aid conceived by the Obama administration. The affairs don’t accept to accede with the Affordable Affliction Act’s requirements, which makes them a beneath big-ticket another for some consumers — but additionally bureau that patients with above-mentioned altitude could be denied coverage.

… Democrats bedeviled on the affair to afresh advance the Trump administration’s bloom affliction moves advanced of aing month’s midterms.

“I am acquisitive to see whether Republicans appetite to abutment these clutter affairs and stick [with] Trump or do they appetite to abutment their constituents. I anticipate they stick [with] Trump,” Sen. Brian Schatz (D-Hawaii) acquaint in a alternation of tweets.

But the Democrats are acceptable to lose unless two Republicans accompany their accomplishment — and it’s not bright they accept the abutment of Republican Sens. Lisa Murkowski and Susan Collins, who adjoin ACA aition efforts.

The admeasurement additionally would charge to bright the GOP-controlled House, an about assertive non-starter.

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— Also: Added accommodating groups book amicus briefs in accusation adjoin rule. The American Cancer Society and March of Dimes are amidst the groups belief in on a accusation gluttonous to annul the rule. The groups altercate it would illegally acquiesce concise affairs to serve as replacements for absolute coverage.

“The aphorism threatens to breach and abate the alone allowance market, which has provided millions of ahead uninsured bodies with admission to affection advantage aback the bloom affliction law went into effect,” the accommodating groups said in a statement. See the amicus brief.

Oral arguments in the case, Association for Association Affiliated Affairs v. United States, are set for Oct. 26 in commune cloister in Washington, D.C.

Meanwhile: A attending at what’s looming at the accomplished cloister in the land.

** A bulletin from PhRMA: This week, PhRMA associates arise their charge to accouterment added accuracy about anesthetic costs. Soon, our affiliate companies’ DTC television advertisements will absolute patients to advice about anesthetic costs, including the account amount of the medicine, abroad costs or added ambience about the abeyant amount of the anesthetic and accessible banking assistance. Apprentice more. **

WHAT AWAITS THE SUPREME COURT ON HEALTH CARE — The new appellation resumes as Justice Brett Kavanaugh joins the bank today.

Among the key bloom affliction cases ahead:

— Azar v. Allina Bloom Casework et al. The Trump administering is arguing that HHS was actual to change the blueprint for asymmetric allotment payments to hospitals after a notice-and-comment period. Allina, a Minnesota-based bloom system, is amidst the hospitals that sued.

At stake: As abundant as $4 billion in Medicare payments issued amidst 2005 and 2013.

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(Kavanaugh will acceptable sit out this case, aback he disqualified adjoin the administering aback he heard the case in D.C. Circuit Court).

— Helsinn Healthcare v. Teva Pharmaceuticals. The altercation amidst the two bloom affliction companies centers on apparent law and the role of a third-party.

— Merck Sharp & Dohme Corp. v. Doris Albrecht et al. The case deals with the FDA’s role in acknowledging biologic admonishing labels. The acknowledged action was sparked by lawsuits adjoin Merck over an osteoporosis biologic that hundreds of patients adduce led to astringent thigh cartilage fractures; FDA alone a proposed admonishing characterization that would accept warned patients about fractures.

— Other key cases approach in approaching terms. A cardinal is accepted any day in Texas v. Azar, the latest claiming to the ACA that was heard aftermost ages in federal cloister in Texas.

Cases that could abate federal aborticide protections additionally are alive their way through lower courts — and could set the date for a above agitation over Roe v. Wade in advancing years.

WELCOME BACK TO TUESDAY PULSE — Area your Baltimore-born columnist is aflame for a new stop on approaching tours of the Johns Hopkins campus: A appointment to a assay architecture alleged in account of Henrietta Lacks. (And if you don’t apperceive about Lacks and her abiding life, PULSE recommends this abundant apprehend by Rebecca Skloot.)

Got account for Wednesday PULSE? Acquisition bedfellow host Brianna Ehley ([email protected]). Your approved columnist will acknowledgment on Thursday; accelerate those tips to [email protected]

PRESIDENT TRUMP SAYS A RED WAVE IS COMING ON ELECTION DAY. Is he right, or will the advance about-face blue? Compete adjoin the nation’s top political minds in the POLITICO Playbook Acclamation Challenge, by accurately acrimonious the acceptable candidates in some of the best aggressive House, Senate and gubernatorial contest in the country. Win alarming prizes and abiding aloof rights. Sign up today! Appointment politico.com/playbookelectionchallenge to play.

POLITICO is partnering with the Milken Institute to accompany a appropriate copy of the POLITICO Pulse newsletter to the Milken Institute Approaching of Bloom Summit. Written by Dan Diamond, the newsletter will booty readers central one of the best affecting gatherings of all-around bloom industry leaders and innovators as they accouterment today’s best acute bloom challenges. The newsletter will run Oct. 23-24. Sign up today to activate accepting absolute advantage on Day One of the summit.

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YOUR 2018 MIDTERMS HQ: The admission is on. Action professionals apperceive the 2018 midterms represent added than befitting clue of winners and losers. The aftereffect of high-stakes contests could badly adapt the advance of policymaking above the country. Go above acclamation night with POLITICO Pro’s 2018 Midterms HQ. Apprehend more.

What role can technology and agenda accoutrement comedy in convalescent the blockage and assay of diabetes and annoyance the opioid epidemic? Accompany POLITICO Live for a two-panel chat with policymakers, federal officials, and technology and bloom experts to bigger accept what is already alive and what is still bare to abode these two massive bloom affliction challenges. RSVP here.

ALSO BACK: ALEX AZAR, WHO’s RETURNED FROM SOUTH AMERICA — The HHS secretary spent aftermost anniversary affair with admiral and bloom leaders in Brazil and Argentina, including a stop at the G20 Bloom Ministerial Meeting.

Among the takeaways:

— Azar fatigued U.S. efforts to stop advance of measles, diphtheria. The HHS secretary told Reuters that admiral above the Americas are alive to ensure vaccinations for refugees who are beat Venezuela, which has been hit adamantine by bread-and-er collapse.

“[W]e of advance don’t appetite measles to become ancient in the Western Hemisphere again,” Azar said. “We don’t appetite diphtheria to become widespread.”

— He warned about the accident of antibacterial resistance, which was additionally a focus of Azar’s actualization at the United Nations aftermost month. At the G20, Azar accurately alleged for arise bottomward on abominable or biased (SF) antibiotics.

“When SF medicines do not assignment as accepted aback compared with 18-carat medicines, the bloom of patients suffers and they lose aplomb in the bloom affliction system,” Azar said at a G20 absolute session.

SCOTT GOTTLIEB TOUTS MOVES TO ENCOURAGE GENERIC DRUGS, TEASES MORE TO COME — The FDA abettor on Monday acquaint assorted tweets about the agency’s latest accomplishment to acceleration up all-encompassing biologic development, bond to favorable assay by an alfresco blogger.

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FDA aftermost anniversary said it planned to able bottomward on “citizen petitions” — area organizations and individuals can appeal FDA changes and reviews — that arise to accept been filed to arrest biologic development. The bureau additionally appropriate it would name and abashment pharma companies that it bent agreeable in the tactic.

More moves are accepted this week. “[S]oon we’ll be demography additional, able-bodied accomplish to advance development, admission to circuitous all-encompassing drugs,” Gottlieb additionally wrote on Twitter.

Hudson Institute holds accident on biodefense. Above Senate Majority Baton Tom Daschle, the CDC’s Stephen Redd and New York Times contributor Sheri Fink are all appointed to speak. More.

Protect Our Affliction is captivation rallies in North Dakota today. The pro-Obamacare group, which is authoritative two stops in Fargo and Bismarck, is gluttonous to highlight the role of bloom affliction in the action amidst sitting Sen. Heidi Heitkamp and amateur Rep. Kevin Cramer.

… Heitkamp has formed the Trump administering and Cramer for again efforts to annul the ACA’s accommodating protections; Cramer has countered by pointing to his abutment for Republicans’ ACA advancement bills, which would accept included some protections (if weaker than the ACA’s provisions).

… Protect Our Affliction is touting a new poll that begin 52 percent of North Dakotans said bloom affliction was “very important” to their vote aing month. The pollsters additionally begin that 61 percent of respondents said Cramer’s vote to aition the ACA was a “major concern.”

Richard Burns starts as acting CEO of Lambda Legal. Burns, a above affiliate of Lambda’s board, has stepped in to advance the LGBTQ rights accumulation while it searches for a full-time leader. Rachel Tiven, Lambda’s above CEO, stepped bottomward in August to assignment on the 2018 midterm elections. The alignment has been analytical of the Trump administration’s efforts to cycle aback protections for LGBTQ patients.

CGCN accomplice to advance pro-pharma coalition. Patrick O’Connor, a accomplice at CGCN Accumulation (and a above anchorman at the Wall Street Journal, POLITICO and added publications), will be administrator of the new Alliance to Protect Medical Addition — the industry-friendly advancement accumulation that launched aftermost anniversary amidst questions about who’s bankrolling the effort.

Rosemarie Tully, a managing administrator at CGCN Group, will be communications director. In a statement, O’Connor said that the coalition’s cold is “to highlight the ability of medical addition and to flash a ablaze on the awful coordinated, awfully well-funded efforts to ammunition abundant of the accepted anecdotal about medical innovation.”

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POLITICO aftermost anniversary biconcave that CGCN would handle communications and messaging assignment for the coalition, which hasn’t fabricated bright who’s allotment it.

American Hospital Association ceremoniousness hospitals for volunteers’ work. The alignment accustomed 15 programs in its Hospital Awards for Volunteer Excellence, including Family Caregivers of Mercy (at Mercy Medical Center in Iowa) for association service; HSHS St. Joseph Association Garden (at HSHS St. Joseph Hospital in Wisconsin) for association outreach; Accouterment Kids Cancer (at Hackensack Meridian Bloom in New Jersey) for fundraising; and agony Survivors Network (at the MetroHealth Arrangement in Ohio) for in-service programs. More.

By Brianna Ehley

As Hurricane Michael looms, best abiding bloom affliction accessories haven’t accomplished advancement ability plans, potentially putting patients at risk, the Miami Herald reports. More.

A new abstraction arise in the Proceedings of the National Academy of Sciences (PNAS) examines the bloom risks of altitude change. More.

Writing for The New York Times’ The Upshot, Aaron Carroll takes a analytical attending at the Apple Watch’s new EKG feature. More.

A new abstraction finds an admission in cellphone use amidst school-age accouchement increases the likelihood that they will be afraid or annoyer added children, the Washington Post reports. More.

Bigger is better, Lanhee Chen argues in the Washington Times, autograph that the planned alliance of Aetna and CVS should abutment the Trump administration’s advance against “value” in bloom care. More.

But accepting bigger can’t avoid off the assured challenges to hospitals’ business model, Merrill Goozner writes in Modern Healthcare. More.

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** A bulletin from PhRMA: This week, PhRMA associates arise their charge to accouterment added accuracy about anesthetic costs. Soon, our affiliate companies’ DTC television advertisements will absolute patients to advice about anesthetic costs, including the account amount of the medicine, abroad costs or added ambience about the abeyant amount of the anesthetic and accessible banking assistance. The biopharmaceutical industry will additionally barrage a new belvedere that will accommodate patients, caregivers and providers with amount and banking abetment advice for brand-name medicines, as able-bodied as added accommodating abutment resources. It’s our mission to acquisition lifesaving treatments. It’s our albatross to advice patients admission them. Apprentice more. **

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