By Dan Goldberg | 10/12/2017 10:00 AM EDT

OBAMACARE ENROLLMENT SEASON FIVE — New York State of Health, the online marketplace created by the Affordable Care Act, begins its fifth season on Nov. 1, and its first under President Donald Trump. In many ways, this year will be a case study in whether a state that runs its own exchange and that has a supportive governor can withstand a president intent on repealing and discrediting the law. Read my story here.

... POLITICO New York created a spreadsheet showing the premiums, deductibles and out-of-pocket maximums for an individual in 2015, 2016, 2017 and 2018. These rates are for New York City unless otherwise indicated, and for a single person.

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ZUCKER WARNING — The state health commissioner told the Trump administration on Wednesday that Congress' failure to renew the Children's Health Insurance Program could force Albany to end its participation, putting 350,000 New York children at risk of losing health insurance. "New York cannot continue the current program without federal funding," Commissioner Howard Zucker wrote in a letter to acting Health and Human Services Secretary Eric Hargan. "When the State determines there are insufficient funds to provide coverage for the next month, the State will notify [the Centers for Medicare and Medicaid Services] of its intent to no longer provide CHIP eligibility and services." The letter is here.

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NOW WE KNOW — Hockey may be killing you (especially if you are a Rangers fan), according to a study in the Canadian Journal of Cardiology, which found fans' heart rates increased 75 percent when watching on television and more than doubled while watching in person.

CHIP CLOCK — It's been 12 days since Congress let the Children's Health Insurance Program lapse.

DOH OFFERS FIRST PHHPC TWEAK — The state Public Health and Health Planning Council took a step Wednesday toward shaking up the Certificate of Need process for those seeking to build, renovate, buy or sell a health care facility. Read more here.

— In other business: the council approved the application to transfer ownership of a 320-bed residential health care facility in Brooklyn. The nonprofit facility's current operator, Center for Nursing & Rehabilitation Inc., agreed to sell the operating interests and real estate for a combined $65 million. The sale was prompted by competition from larger, for-profit operators and the need to help its parent, CenterLight Health System, recapitalize a program for seniors with complex needs..

... State officials also approved a merger between two hospitals in Chautauqua County, according to Buffalo Business First.

DON'T DO THAT— Attorney General Eric Schneiderman on Wednesday announced the sentencing of Channel Francis, 40, of Rosedale, for fraudulently obtaining and using the credit cards of three elderly residents of Parker Jewish Institute for Health Care and Rehabilitation in Queens. After pleading guilty in July, Francis was sentenced to serve two- to-four years in state prison.

BILL TRACKER — The Assembly sent 42 bills to Gov. Andrew Cuomo's desk on Wednesday.

Here are some health related items for your radar:

A6053A: Nolan (MS) — Relates to a sepsis awareness, prevention and education program.

A6371B: Simanowitz (MS) — Relates to authorizing pharmacists to refill certain prescriptions.

... The Senate followed suit, delivering 44 measures to Cuomo including:

S1206: CARLUCCI — Makes permanent the provisions of Lauren's law, providing for the election to or declining to elect to register in the donate life registry for organ and tissue donation.

S1703: PARKER — Relates to authorizing the creation of a lupus awareness license plate and to creating the lupus research and education fund.

S1704: PARKER — Relates to authorizing the creation of a sickle cell disease awareness license plate and to creating the sickle cell disease research and education fund.

S2543A: HANNON — Includes vaping in provisions restricting smoking in certain public areas.

S3867A: HANNON — Establishes the "newborn health and safe sleep pilot program"

S4557B: ORTT — Relates to Medicaid reimbursement for complex rehabilitation technology for patients with complex medical needs.

S6053: HANNON — Prohibits requiring prior authorization for the provision of coverage of services in a neonatal intensive care unit.

$30 MILLION FOR SUPPORTIVE HOUSING — Gov. Andrew Cuomo's office announced conditional awards with a combined worth up to $30 million to help fund 1,200 supportive housing units.

DIRTY BOMB PROTECTION — The New York Daily News reports: "In a move to protect New York against a dirty bomb attack, the city's hospitals and universities will get rid of machines that contain radiologic material powerful enough to be used to make a bomb."

FOLLOW THE LEAD — Crain's reports: "Unsafe lead levels are prevalent in the backyard soil of many Greenpoint, Brooklyn, homes, according to a graduate researcher from Columbia University."

... Brooklyn Borough President Eric Adams said: "I am particularly concerned by the statistics that found local children are four times more likely to have lead poisoning than others in the city, with one in 20 kids having lead levels requiring immediate action. Lead exposure is known to cause brain damage in some children, and an increased risk of lifelong problems such as lower IQ scores, developmental delays, and behavioral issues. We must do better for Brooklyn's children and create safeguards to protect them from environmental pollutants that are in our air, soil, and water."

GRANT LAND — The Robert Wood Johnson Foundation awarded the NYU Langone Department of Population Health $800,000 to establish the Office for Enhancing Hospitals' Role in Improving Community Health, which will explore and assess how hospitals and healthcare systems currently use resources to effect change beyond their walls. More here.

MAKING ROUNDS — The Journal-News reports: "Hospital for Special Surgery is opening a $20 million regional center in White Plains as the Manhattan-based network strengthens its foothold in the highly competitive Westchester County."

ALSO MAKING ROUNDS — Dr. Diana Shineman has been appointed vice president of research and medical programs at the Tourette Association of America. More here.


REPUBLICANS TIE 340B PROGRAM TO PROVIDER CONSOLIDATION — A pair of Republicans pressed hospital executives about whether the 340B Drug Discount Program is driving them to snap up more off-site cancer clinics, suggesting that the acquisitions are primarily a way to wring more money from the 340B program. Reps. Buddy Carter (R-Ga.) and Chris Collins (R-N.Y.) both floated the possibility during a House hearing on the drug program, with Collins arguing that the hospitals are using the clinics to prescribe more 340B drugs and boost their profits. "The minute the [disproportionate share] hospital acquires that practice, all of the sudden these 25 to 50 percent discounts float to the bottom line," he said. "It's legal, but I call that a loophole."

PENNSYLVANIA APPROVES RIGHT-TO-TRY — Pennsylvania Gov. Tom Wolf signed right-to-try legislation that allows terminally ill patients to try unapproved experimental drugs that could potentially save or extend their lives. More here.


AMAZING STORY — STAT's Erin Mershon reports: "If House Speaker Paul Ryan comes down with the flu this winter, he and his security detail won't be screeching off toward the closest CVS for his Tamiflu. Instead, he can just walk downstairs and pick up the pills, part of a little-known perk open to every member of Congress, from Ryan and Majority Leader Mitch McConnell down to the newest freshman Democrat."

OBAMACARE LATEST — President Donald Trump is trying to do with the stroke of a pen what Republicans in Congress could not — bring about the end of the Obamacare markets. Trump is expected to sign an executive order today directing an overhaul of major federal regulations that would encourage the rise of a raft of cheap, loosely regulated health insurance plans that don't have to comply with certain Obamacare consumer protections and benefit rules. Read more from The Hill.

GOP LAWMAKERS PUSH TO ELIMINATE MEDICAID RESTRICTIONS ON ADDICTION TREATMENT — Republican Rep. Tom MacArthur (N.J.), co-chair of the Bipartisan Task Force to Combat the Heroin Epidemic, on Wednesday urged Congress to eliminate Medicaid payment restrictions on certain inpatient facilities for substance abuse treatment in response to the opioid crisis. During an Energy and Commerce health subcommittee hearing on the drug epidemic, MacArthur called the so-called IMD exclusion a "primary barrier preventing access to substance abuse treatment," and touted a bill sponsored by Rep. Brian Fitzpatrick (R-Pa.), the vice chair of the task force, that lifts the IMD exclusion for addiction treatment.

IN CASE YOU MISSED — Salt Lake City police fired one police officer and disciplined another for the July arrest of a nurse who was just trying to do her job, reports The Salt Lake Tribune's Luke Ramseth. More.

TODAY'S TIP — Comes from the stated Department of Health: "Use your head and wear a helmet when heading out for your next fall ride."


OBESITY — STAT reports: "More children worldwide are moderately or severely underweight than are obese — but if trends in childhood obesity continue, that could change in the next five years, according to new research published in the Lancet."

GO FOR IT — Surgical patients who receive antibiotics before certain types of low-risk operations are not at an increased risk for antibiotic-resistant infections after their procedures, according to a study from Columbia University Medical Center.

BABY WEIGHT — Mice born by Caesarian section gained on average 33 percent more weight in the 15 weeks after weaning than mice born vaginally, with females gaining 70 percent more weight, according to a study published by NYU School of Medicine in Science Advances. More here.

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