KFF Updates Tracker on US America First Bilateral Global Health MOUs as of March 24

• A study analyzing electronic health records from nearly 4 million pediatric hospital admissions from 2016 to 2023 found that 18% of deaths among hospitalized children in the US were linked to sepsis. • Sepsis emerged as a leading cause of mortality in this large dataset, highlighting ongoing challenges in early detection and treatment in pediatric care. • The findings underscore the need for improved sepsis protocols in US hospitals to reduce preventable child deaths, as rates remain significant despite medical advances.

• The House Energy and Commerce Health Subcommittee held a hearing on March 18, 2026, focusing on healthcare providers amid ongoing policy debates. • Reported on March 25, the session examined provider challenges, potentially influencing upcoming health legislation in the US Congress. • This follows recent hearings on Medicare fraud, highlighting congressional scrutiny of healthcare delivery and costs.

• The Medicare Payment Advisory Commission released its March 2026 Report to Congress, recommending a 0.5% increase in physician payments above current levels. • This proposal aims to address payment updates for Medicare services amid ongoing discussions on healthcare financing sustainability. • The report influences federal policy decisions on Medicare reimbursement rates for physicians across the US.

• Woman’s Hospital in Louisiana launched as the first US site in Baymatob's Oli Study, enrolling over 130 patients to test a wearable sensor for early postpartum hemorrhage detection during labor. • The trial aims to enroll 1000 women across five US sites including University of Colorado, Columbia University, Ohio State, and UPMC Magee-Women’s, with FDA clearance submission planned by year-end. • Postpartum hemorrhage is the leading cause of preventable maternal death globally; pilot results showed promise for the Oli device.

• The US long winter COVID-19 wave is ending with all major metrics showing declines or plateaus in SARS-CoV-2 spread nationwide as of mid-March 2026. • COVID-19 test positivity dropped to 2.5% for the week ending March 14, the lowest since 2022, while emergency department visits for COVID reached just 0.4%. • Cases are declining or likely declining in 45 states per CDC forecasts as of March 17, with flu-like illness visits down 12% to 3.3% and RSV levels also falling.

• House Republicans announced an investigation into rampant hospice fraud in Southern California, alleging tens of millions in taxpayer funds lost to improper payments. • The House Oversight Committee sent a letter to Governor Gavin Newsom requesting documents on state oversight of federally funded hospice programs. • Fraud involves companies receiving payments for ineligible patients, prompting calls for stronger controls amid ongoing healthcare waste concerns.

• The House Energy and Commerce Subcommittee held a March 17 hearing on CMS fraud prevention, with Deputy Administrator Kimberly Brandt detailing data analytics and real-time monitoring shifts. • Republicans highlighted improper payments in hospice, home health and Medicaid, calling for stronger oversight; Democrats urged balancing enforcement with patient access. • Lawmakers addressed fraud risks in durable medical equipment amid calls to end 'pay-and-chase' models.

• Research analyzing U.S. Behavioral Risk Factor Surveillance System data found that 31.9% of adults reported social isolation and 8.2% reported physical isolation, with both often overlapping. • Isolation was strongly associated with material deprivation including food insecurity and trouble paying bills, with 82.1% of physically isolated adults experiencing financial hardship compared to 30.9% of those not physically isolated. • Both types of isolation were linked to lower odds of receiving preventive health services including COVID-19, flu, and pneumococcal vaccinations, as well as cancer screenings, though financial hardship partly explained these associations.

• A federal judge blocked sweeping changes to U.S. vaccine recommendations, including reductions in childhood immunizations and removal of COVID-19 guidance for certain groups, in a lawsuit brought by the American Academy of Pediatrics and other medical groups. • The ruling paused a reconstituted vaccine advisory committee and signals a forthcoming decision on broader legal questions, with the case expected to reach the U.S. Supreme Court soon. • Changes were driven by RFK's authority over federal vaccine policy, which critics argue lack scientific basis and threaten public health.

• North Carolina lawmakers introduced bills to scale back hospitals' property tax and sales tax exemptions, potentially shifting millions to state and local governments amid soaring medical costs. • The Joint Legislative Oversight Committee on Health and Human Services heard arguments on March 10, with a vote expected in April before advancing to full House and Senate. • Hospital groups like the North Carolina Healthcare Association warn of strained resources, especially for rural facilities operating on small margins, threatening patient access.

• UC Davis researchers created a new blood test to quickly detect the active, infectious form of tuberculosis, aiming to accelerate diagnosis and curb spread. • TB killed 1.23 million globally in 2024, with over 10,000 U.S. cases including 2,000 in California; the test targets high-burden areas like India. • Professor Imran H. Khan submitted trial data to India's ICMR for approval and co-founded AppGenex Diagnostics to commercialize it.