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The shutdown nears a record as food aid cutoff looms

October 30, 2025
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Washington Correspondent, D.C. Diagnosis Writer

This photo for the new HHS rapid response account on X scares me a little. I've heard it called "Dark Bobby" and compared to a college-athlete promo video. Send your thoughts and news tips to John.Wilkerson@statnews.com or John_Wilkerson.07 on Signal.

congress

Pressure mounts with start of ACA enrollment, SNAP cuts

This Saturday, enrollment opens for ACA-plan shoppers, and premium payments will be much more expensive for next year, according to KFF. The Trump administration has updated healthcare.gov with a preview of next year's plan costs in about 30 states, and states that run their own marketplaces have been sending out notices of premium hikes since earlier this month.

Also on Saturday, millions of Americans are set to lose government financial assistance for food due to the shutdown. 

Then on Tuesday, a handful of off-year elections take place that could provide some indication of voter mood. Those include gubernatorial elections in Virginia and New Jersey and mayoral races in New York and Minneapolis.  

If the shutdown lasts until Nov. 5, it'll be the longest on record. The next federal employee payday is Nov. 7, and air traffic controllers could begin calling in sick more frequently. Military personnel are supposed to be paid Oct. 31, and the status of those paychecks is being worked out.

It's not clear what all these developments will add up to, but they'll increase the pressure on Congress to reopen the government.


drug prices

Biden set up Trump for success on drug prices

President Trump likes to say he's a better dealmaker than President Biden, and Biden's signature law, the IRA, might help Trump back up that boasting.

The Trump administration is expected to announce, some time soon, the second round of drug prices that Medicare has negotiated.

The announcement will be closely watched for two big reasons. Medicare is negotiating the price of the blockbuster diabetes and weight-loss drugs Ozempic and Wegovy. And Trump has bragged that he'll strike better deals than Biden's team, even as he's criticized the law and weakened it by exempting or delaying negotiations on certain drugs.

The number and composition of drugs in the second cohort up for price negotiation create the opportunity for bigger savings, experts say. Read more.



fda

Relaxing standards for biosimilars

The FDA on Wednesday announced plans to speed development of cheaper versions of brand biologics by lowering approval standards, Daniel Payne reports.

It was touted as a major announcement aimed at lowering drug costs. An expert tells me the policy is in line with how the FDA has been regulating biosimilars. Health secretary Robert F. Kennedy Jr. made the announcement from HHS headquarters with the heads of the FDA and the Centers for Medicare and Medicaid Services by his side. The announcement was for a draft framework for guidance that the FDA plans to release in three to six months.

Read more for FDA Commissioner Marty Makary's vision for biosimilar competition.


marketing

When a brand name becomes a generic term

In the latest episode of STATus Report, host Alex Hogan hit the mean streets of Cambridge, Mass., to quiz passers-by on their knowledge of GLP-1 brand names, shred some gnar, and learn the meaning of genericide. 

It's an entertaining video — Alex really does do some tricks on his Rollerblades (sans helmet, I noticed) — but he also talks about a serious subject.

Ozempic has become synonymous with weight loss drugs. But Ozempic is approved for Type 2 diabetes, not obesity. When a brand name becomes the generic term for a category of product, the company is at risk of losing its trademark. Watch the video for in-line skating moves and to learn about the law.


medical debt

Weakening medical debt protections

New Trump administration guidance threatens to weaken protections for people with medical debt, KFF Health News' Noam Levey reports.

More than a dozen states have passed laws preventing medical debt from affecting consumers' credit, and many others are considering following suit.

But the Consumer Financial Protection Bureau asserts that federal law bars states from restricting medical debts from credit reports. Read more.


More around STAT
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What we're reading

    • Opinion: Doctors need to ask patients about chatbots, STAT
    • Citing Trump order on "biological truth," VA makes it harder for male veterans with breast cancer to get coverage, ProPublica
    • Scientists had to change more than 700 grant titles to receive NIH funding. Health disparities researchers fear what's next, STAT
    • US fires health official who opposed widely used Covid shots, Bloomberg

Thanks for reading! More next time,


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