CMS Projects U.S. Health Spending to Reach 20% of GDP by 2033 After $5.3 Trillion in 2024

• Democrats laying groundwork for major U.S. health care reforms amid political shifts in Washington. • NIH's Bhattacharya commits to full budget spending; top FDA official announces exit. • Moves signal potential policy battles over research funding and regulatory changes.

• Heartland Forward-commissioned research released March 19 reveals broad U.S. consensus on maternal health priorities and actionable steps forward. • Conducted in Bentonville, Ark., the poll finds Americans ready to address maternal care gaps nationwide. • Results point to unified public support for policy and community interventions to boost outcomes.

• Researchers using AI analyzed death certificates and estimated 155,000 additional unrecognized COVID-19 deaths outside hospitals in 2020-2021, raising the official toll of 840,000 by 16%. • The study compared symptomology of hospital deaths with those outside care, highlighting dramatic disparities in uncounted fatalities nationwide. • This undercounting underscores ongoing challenges in pandemic mortality tracking and public health surveillance across the U.S.

• Johnson & Johnson has received FDA approval for a new psoriasis treatment pill, expanding therapeutic options for patients with the chronic skin condition. • The United States smoking rate has quietly reached a historical low, reflecting decades of public health efforts and tobacco control policies. • These developments represent significant milestones in pharmaceutical innovation and public health outcomes across different therapeutic areas.

• A STAT national survey reveals NIH funding interruptions are causing layoffs, lab closures, and driving early-career scientists away from research careers due to federal budget and priority changes. • Harvard researcher Josiemer Mattei had her diabetes prevention trial in Puerto Rico terminated in May 2025 when the administration cut over $2.8 billion in grants across the university, forcing her to scramble to relocate the study to avoid losing patients and data. • The NIH remains committed to fully spending its 2026 budget but lags significantly behind prior years in grant awards and disbursements, with researchers reporting taking 95% pay cuts to avoid staff layoffs.

• State officials are warning that spring break 2026 travel season could facilitate the spread of measles across the United States as travelers move between regions with varying vaccination rates. • Health authorities are concerned about potential measles transmission during the high-travel period, with implications for public health preparedness and disease surveillance. • The warning underscores ongoing challenges in maintaining herd immunity and controlling vaccine-preventable diseases during major travel seasons.

• A federal judge on Monday blocked HHS from implementing vaccine policy changes made by RFK Jr.'s revamped CDC Advisory Committee on Immunization Practices (ACIP), reversing all recent decisions. • The ruling leaves unresolved the status of the RSV vaccine for infants, potentially making it no longer free for children who need it, as its inclusion was authorized by the current advisers. • Public health experts are scrambling to understand ramifications, with health groups concerned about unintended harms and weakened vaccination recommendations for hepatitis B and COVID-19.

• Susie Wiles, White House chief of staff for President Donald Trump, announced on Monday her diagnosis of early-stage breast cancer, caught early with no plans for leave. • She will undergo several weeks of treatment in Washington, D.C., while remaining full-time at the White House. • President Trump stated, 'She will soon be better than ever!' highlighting her continued role amid health challenges.

• Trump 2.0 policies terminated or overhauled HHS advisory committees, including ACIP with all members replaced in January 2026 by RFK Jr., leading to weakened hepatitis B and COVID-19 vaccine recommendations. • NIH advisory councils have not met, with the director's committee disbanded for over a year; USPSTF has not met since March 2025. • Senator Murray criticized leadership for prohibiting NIH grant processes; new ACIP includes controversial figures like an Alzheimer's patient from the withdrawn aducanumab trial.

• Researchers from Carnegie Mellon and Northwestern Universities conclude insurer consolidation boosts health insurance premiums in US markets. • About 238 million Americans, or 78% of those insured, rely on private health insurance, increasingly concentrated with examples in Medicare Advantage drawing antitrust attention. • The analysis urges regulation and oversight to address market imperfections from asymmetric information and market power.

• Health workers in Massachusetts lobby for bill making assaults on staff felonies, approved by House last November awaiting Senate vote by July 31. • Violence surged post-COVID per surveys; bill mandates hospitals assess risks and implement ongoing safety policies. • "Health care workers don't feel supported," says Cambridge Health Alliance nursing officer; Sen. Joan Lovely optimistic for passage to reduce assaults.