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This CDC conference was always open to the public. Until now. 

April 21, 2026
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Morning Rounds Writer and Reporter

Good morning. I have a confession: Yesterday was the first time I ever logged into my patient portal to check my medical records. Seeing this in a clinical note from a few years ago made me chuckle: "Lives alone with cat."

policy

Excitement, anxiety over Trump’s psychedelics order

Julia Demaree Nikhins/AP

Over the weekend, President Trump signed an executive order that aims to loosen restrictions on psychedelic drugs as mental health treatments. The announcement was largely applauded by advocates, but some worry it risks politicizing the sometimes-troubled field and undermining the credibility of the research. (Podcaster Joe Rogan claims the order originated from a text he sent to Trump.)

“There’s been a dramatic shift in the overall zeitgeist around psychedelics, from them being drugs of abuse and gateway drugs … to now they are this panacea,” one academic told STAT’s Elaine Chen. Read more on the details of the order and how experts are reacting. And two psychedelic practitioners have a related First Opinion essay on what they see as the contradiction at the heart of Republicans’ embrace of psychedelics.


politics

A scaled-back CDC conference ... with no public access 

Every spring, the CDC’s famed Epidemic Intelligence Service holds a conference where members of the two-year program present data generated by the outbreak investigations and research projects conducted. These events are typically held in an Atlanta hotel, which allows former CDC employees and interested members of the public to attend.

Not this year.

Organizers were denied the budget needed to hold this year’s conference, the 75th, in a hotel. Instead the event, which starts today and runs through Friday, is taking place on the CDC’s main campus, which only people with security clearance can access. Asked why, an HHS official said the decision was made to save taxpayers money.

First up on the agenda: a study showing that getting a flu shot during pregnancy helps protect newborns in their first 6 months of life, when they are too young to be vaccinated. — Helen Branswell


courts

Federal judge rules against Kennedy’s gender declaration

A U.S. district judge in Oregon has officially ruled against health secretary Robert F. Kennedy Jr.’s declaration that gender-affirming care does not meet medical standards of care. “Unserious leaders are unsafe,” Judge Mustafa T. Kasubhai wrote. “Tragically, this case is one of a long list of examples of how a leader’s wanton disregard for the rule of law causes very real harm to very real people.”

During last month’s oral arguments, Kasubhai indicated he would rule in favor of the states that challenged Kennedy on the declaration. He concluded that Kennedy did not have the authority to issue such a sweeping assertion, calling it unlawful and prohibiting “any materially similar policy” that supersedes the plaintiff states’ standards of care.

The declaration was released in December alongside proposed rules that would leverage federal funding to stop gender-affirming care. But this decision doesn’t necessarily mean that those rules are dead on arrival. Unlike the declaration, those were proposed through more standard procedures, though Kasubhai’s decision will likely be cited in challenges to the rules once they’re finalized. 



first opinion

A chief executive without executive function?

AdobeStock_73055193-1600x900Adobe

Within the brain, executive functions include skills like behavioral self-control, attention, mental flexibility, and working memory. But the term has also become a business metaphor for the work of a CEO. “The CEO could be the head of a university, a private corporation, or a nation state,” two doctors write in a new First Opinion essay. “The same principles of higher-order mental processing, prioritization, and behavior apply.”

But what happens when a chief executive loses their ability to perform executive functions? The challenges become immediately apparent, the essay authors write. Read more. And as the authors note, “any similarity to real people, living or dead, is unintentional.”


food

When food insecure families don’t qualify for SNAP

Around the country, eligibility for public food assistance programs is tied to household income, with 200% of the federal poverty level or lower being the most common criteria. But in a study published yesterday in JAMA Pediatrics, researchers found that 2% of children who live in households with higher incomes still experience food insecurity. Black, Hispanic or Latino, Spanish-speaking, and publicly insured families were more likely than their peers to be struggling. About half of the kids experiencing food insecurity above 200% were living in families with incomes 201% to 250% of the federal poverty line.

The researchers used self-reported data on more than 33 million children from the 2024 National Survey of Children’s Health, conducted by HHS. That 2% translates to 658,704 hungry kids whose families are ineligible for SNAP. The authors argue that policymakers should advocate for an expansion of SNAP income eligibility, but predict that changes made under the One Big Beautiful Bill Act will instead tighten requirements — and access.


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