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The nation’s MAHA mom

February 26, 2026
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Washington Correspondent, D.C. Diagnosis Writer

"Yuge" news. There's now a MAHA pill, though the seller took some liberties with the acronym. Send news tips and male-enhancement suggestions to John.Wilkerson@statnews.com or John_Wilkerson.07 on Signal.

state of the union

An hour and 47 minutes

That's nearly how long President Trump's State of the Union address lasted. Chelsea Cirruzzo and I watched it, in case you missed it.

Health care came up, though it wasn't the centerpiece of the speech. Trump tried to sell congressional Republicans on codifying most-favored nation drug prices into law, though his pitch was at odds with the reasoning Dr. Oz gave last week when he tried to get the drug industry on board with that idea. Trump said he wants to give government subsidies directly to individuals by way of HSA-type accounts, instead of providing tax credits that lower insurance premiums. He also attacked transgender care and Minnesota, where child care fraud has been a problem.

Read more about what he said, and what he didn't mention.



medicare

Prioritizing prior auth reforms

The government hopes to rein in the insurance industry's use of prior authorizations soon, Center for Medicare Director Chris Klomp told doctors on Wednesday during an American Medical Association conference.

Chelsea was at the conference bright and early after staying up late for the State of the Union. She reports that Klomp, who also serves as an HHS senior counselor, said he'd like to see results "in double digit months," instead of years. There are double-digit months in a single year. No matter, he clearly meant that prior authorization reforms are a priority.

The insurance industry is on board with voluntarily cutting down on the number of medical codes that require prior authorization, which Klomp said will build trust with the public.

Read more.


surgeon general

The nation's MAHA mom

The surgeon general is often called the "nation's doctor." On Wednesday, the epitome of the MAHA mom interviewed for that position before the Senate committee with jurisdiction over her nomination. Elizabeth Cooney has the dispatch.

Casey Means's confirmation hearing was scheduled for last October, but she went into labor five hours before the session started.

That was a good setup for this week's hearing. Means invoked motherhood, "wholeness" in health, and tenets of the MAHA movement led by health secretary Robert F. Kennedy Jr. She also sparred with senators and faced some uncomfortable questions, including one about the little voice in her head that she heard while tripping on psychedelic mushrooms.

Read more about the bipartisan scrutiny that Means faced. And read this story about an eight-minute exchange on vaccines between Means and health committee Chair Bill Cassidy (R-La.).


drug prices

A peek at how drugmakers plan to beat Trump in court

The drug industry previewed the arguments that drugmakers might make in court against proposed experiments to lower drug prices in Medicare.

The president has struck voluntary deals with drugmakers to lower prices in Medicaid and for cash-paying consumers. Separately, the administration has proposed to test similar "most-favored nation" pricing schemes in two Medicare pilot programs.

In comments on those proposals, trade groups for drug and biotech companies outlined why they think the proposals are unconstitutional, exceed the CMS's authority, and violate appropriations law.

The proposed pilots would need to be finalized before drugmakers could sue over them. Read more about what might be in store if those lawsuits come to pass.


glp-1

Novo cuts list price of obesity drug

Elaine Chen looks into who will benefit from the lower list price of Novo's GLP-1s.

Coinsurance is based on list prices, so the new lower list price will benefit many people with insurance, especially those with high deductible plans.

But the price cut might not encourage more plans to cover Novo's semaglutide drugs, and it could even encourage some insurers to drop coverage. Read more for the explanation.


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What we're reading

  • A rare disease drug was approvable, then it wasn't. Inside a surprise rejection by the FDA, STAT
  • Is autism preventable in certain cases after all? Some scientists say yes, The Washington Post
  • Jeffrey Epstein's tissue samples ignited a furor in the Harvard lab of George Church, STAT
  • Opinion: Who's in Charge at the FDA?, The Wall Street Journal
  • 'I Genuinely Am Upset That Your Kids Are Vaccinated,' The Atlantic

Thanks for reading! More next time,


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