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Harvey wreaks havoc for dialysis patients: People don’t often think about dialysis during a natural disaster, especially ahead of needs such as food, water and shelter. But Health and Human Services Secretary Tom Price noted that access to dialysis is a major issue that the federal government is working on in response to flooding from Harvey. “Folks require dialysis — usually if they have a renal failure — twice a week, usually Monday-Thursday, Tuesday-Friday,” Price said Tuesday aboard Air Force One as it headed back to Washington from Texas. “So we're in a time period now when folks were dialyzed last week. Their dialysis time comes back up and they may not have had the facility available to them.” Price said that by working with companies that provide the dialysis, rescue workers have been able to move people to places that can accommodate them.

Same goes for people on oxygen and other medical equipment: Price added that the same approach goes for people who have durable medical equipment such as an electric wheelchair or an oxygen machine. “What HHS does is identify where those people are or who they are, and then, in concert with the local government, let them know and so somebody can go out to the house or the apartment and make certain they’re doing alright,” he said.

Trump and congressional leader pow-wow set for Wednesday: President Trump is expected to meet with Congressional Democratic and Republican leaders on Wednesday to map out how to deal with a very busy fall. The meeting is expected to include House Speaker Paul Ryan, Senate Majority Leader Mitch McConnell, House Minority Leader Nancy Pelosi and Senate Minority Leader Chuck Schumer. Congress has a packed schedule when it returns next week, including funding the government and raising the debt ceiling by the end of the month. Some major health items have to be tackled, too, chiefly the reauthorization of the Children’s Health Insurance Program. But it remains highly unlikely that Republicans plan to add another stab at Obamacare repeal to their already full plate. The conservative House Freedom Caucus is pushing a discharge petition to force a vote on a 2015 straight repeal bill, which the Senate failed to pass late last month.

Welcome to Philip Klein’s Daily on Healthcare, compiled by Washington Examiner Managing Editor Philip Klein (@philipaklein), Senior Healthcare Writer Kimberly Leonard (@LeonardKL) and Healthcare Reporter Robert King (@rking_19).  Email for tips, suggestions, calendar items and anything else. If a friend sent this to you and you’d like to sign up, click here. If signing up doesn’t work, shoot us an email and we’ll add you to our list.

Opioid epidemic strains emergency care: A new study showed that hospitals are struggling  to handle the rising need for care after opioid overdoses. The study looked at adult admissions from 162 hospitals in 44 states from January 2009 to September 2015 and found that of the 22 million total admissions, about 4 million required care in the intensive care unit. The study found roughly 44 overdose admissions per 10,000 admissions to the ICU in 2009, which increased 34 percent to 59 per 10,000 admissions in 2015. The study was published in the journal Annals of the American Thoracic Society.

State-run Obamacare exchanges outline fixes: A group of 11 states and the District of Columbia that run their own Obamacare exchanges want more federal funding to stabilize exchanges facing higher premiums and insurer defections. The states wrote to leaders of the Senate Health, Education, Labor and Pensions Committee with their ideas on Tuesday. Those include guaranteeing insurer payments and establishing a permanent reinsurance fund to help insurers. The HELP committee has scheduled hearings next week on market stabilization in an effort to reach a bipartisan deal to prop up Obamacare's markets for next year. Chief among the states’ ideas is guaranteeing cost-sharing reduction payments to insurers that reimburse them for reducing co-pays and deductibles for low-income Obamacare enrollees. Another is to establish a permanent reinsurance program. Under the program, insurers with higher-cost enrollees would receive payments to help offset the cost and thus lower premiums.

Rep. Trent Franks op-ed: Life is a gift, Iceland, no matter what: “On the pro-life side, the logic of our position is easily discernible – an unborn child, even if they have Down syndrome, is a person, and person's life is valuable and should be cherished no matter what the attending challenges. Human life is an unspeakable gift and precious beyond understanding, regardless of whether that life is ‘wanted.’ Moreover, all life needs our collective protection if we are to survive intact as a human family….The moral defense for the murder of children with Down syndrome is a twisted evil, and it causes the certain question to occur: Will ‘moral defense’ one day include the ‘suffering’ of those with mental illness? Or dissenting religious beliefs? Or political ideologies?”


Reuters Harvey could hurt cash-strapped hospitals

Axios The odds are against a simple ACA stabilization bill

Bloomberg All-natural Cheetos gives snack giant a way into Whole Foods

Washington Post Trump says Obamacare will implode, but HHS isn’t necessarily hurting it

Kaiser Health News Five outside-the-box ideas for fixing the individual market

NPR Health issues stack up in Houston as Harvey evacuees seek shelter

Wall Street Journal Pressure grows to fund children’s health program

LA Times GOP health vote draws another challenger for Rep. Hunter

Politico Why hasn’t the White House declared a state of emergency over the opioid crisis

STAT News 4 takeaways from Nevada’s fight to preserve Obamacare coverage



9 a.m., Livestream, HHS and the Substance Abuse and Mental Health Services Administration holds a meeting of the Interdepartmental Serious Mental Illness Coordinating Committee on federal advances related to serious mental illnesses. Details.

7 p.m., Rockville, Md. Maryland Sen. Ben Cardin holds a town hall to discuss healthcare at Johns Hopkins University’s Rockville, Md., campus. 9601 Medical Drive.


8:15 a.m. Bethesda, Md., National Institutes of Health holds a meeting of the Council of Councils. Details.


10 a.m. 430 Dirksen. The Senate Health, Education, Labor and Pensions Committee will hold a hearing on stabilizing the Obamacare exchanges. State insurance commissioners will testify.


9 a.m. 430 Dirksen. The Senate Health, Education, Labor and Pensions Committee will hold a second hearing on stabilizing the Obamacare exchanges, with several governors testifying.