January 29, 2026
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Morning Rounds Writer and Reporter

Good morning. After O. Rose Broderick reported that some members of a federal autism advisory committee had met in secret, HHS announced yesterday the addition of 21 members to the group. Once again, Rose has all the details

politics

Vaccine critics head toward statehouses
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Jon Cherry/Getty Images
 The Trump administration’s abrupt overhaul of the federal vaccine schedule earlier this month has sent shockwaves through American health care. But as STAT’s Daniel Payne and Isabella Cueto report, the biggest impacts are likely to come in the weeks and months ahead, as activists attempt to use the momentum to loosen state-level vaccine requirements. 

Many people believe that state-level changes to vaccine law could be more meaningful than federal ones. One group with the goal of getting bills to roll back vaccine requirements in every statehouse in the country is already working with representatives in nearly a dozen states. Read more on who’s doing this work and what the consequences could be.


priorities

Health care tops the list of household worries, per poll

Americans are most worried about health care costs compared to other household expenses like food, rent, and utilities, according to a new KFF poll. Sixty-six percent of poll respondents are at least somewhat worried about being able to afford health care for themselves and their family, and 55% say those costs have gone up in the past year. Other takeaways from the poll of more than 1,400 people:

  • The cost of health care will have a major impact on how 44% of respondents vote in this fall’s midterm elections. Health care will have no impact at all for 25%, and a minor impact for 31%. 
  • A majority of respondents (67%) say Congress did the “wrong thing” by not yet extending the ACA enhanced premium tax credits, though judgement fell largely across party lines. While 89% of Democrats agreed with that statement, most (63%) Republicans said Congress did the “right thing” by letting the subsidies expire.

public health

A new approach to challenging state abortion bans

Four women and a doctor have filed the first legal challenge to a near-total abortion ban in Arkansas, a law that had been on the books for three years before the Dobbs decision made it enforceable in 2022. The challenge, filed yesterday, rests on the state’s robust constitutional protections of “inherent and inalienable rights” including those “of pursuing their own happiness.”

It’s also the first case for Amplify Legal, the abortion-focused group representing the plaintiffs. Molly Duane, the group’s litigation director, noted at a press conference that Arkansas, like Kansas, North Dakota, and other states, has expanded constitutional protections far beyond the federal government. It’s within state constitutions that Amplify Legal intends to find arguments against more bans, similar to a recent case in Wyoming that struck down a ban based on a state constitutional right “to make his or her own health care decisions.” Amplify Legal expects to announce “several more” cases in the coming weeks and months, Duane said.

Theresa Van, one of the plaintiffs, wanted a second child, but learned partway through her pregnancy that the baby would not survive. Still, for seven more weeks, she carried the pregnancy to term because she didn’t have the money to leave the state for an abortion, on top of being scared of criminal penalties. “I wish that more people would understand that what happened to me is not rare,” Van said at the press conference. She described the experience as a lasting trauma: “It doesn’t end when you leave the hospital.”



addiction

How one overdose antidote went bust

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Illustration: Camille MacMillin/STAT; Photo: Indivior via AP
 Just two years ago, data indicated that Opvee was going to be a “best-in-class” medication to resuscitate people experiencing an overdose — more powerful than Narcan. But as STAT’s Lev Facher reports, there was one major problem: The people the drug was designed to help didn’t want it. 

At first, people saw the medication as potentially unnecessary, especially given the severe withdrawal it could cause. Then, New York’s attorney general launched an investigation into the company’s sales tactics. Last fall, it stopped marketing the drug altogether. Read more from Lev on how the company failed, and why harm reduction advocates are logging a victory.


mental health

The factors contributing to adolescent depression

Two studies published yesterday investigated how certain exposures at home might affect young people’s mental health:

The first, published in JAMA Network Open, asked if exposure to lead during childhood was associated with mental health later on. More than 200 kids had their blood tested from age 1 to 12 for lead levels, which were connected with self- and parent-reported depression or anxiety symptoms at 12. Researchers found that higher blood lead concentrations correlated with more depressive symptoms, particularly for adolescents whose exposure to lead occurred later in childhood. The association was also more specific to behavioral symptoms of depression versus its cognitive-emotional dimensions. There were no similar associations with anxiety symptoms. The paper expands on previous research that measured lead levels just once. 

In the New England Journal of Medicine, researchers analyzed how young people’s mental health changes after a parent suffers a firearm injury. Using commercial health insurance claims data, the researchers found that such injuries were associated with more than 8 additional psychiatric diagnoses per 1,000 young people (ages 1 to 19) compared to the control group, as well as 23 more mental health visits per 1,000 young people per year. There were no changes in rates of non-psychiatric diagnoses, medical encounters, or services.


first opinion

(A couple) questions for 2026, answered

Two First Opinion essays published today answer pertinent questions in today’s health care landscape: 

What happens when you share your health information with ChatGPT Health? Liz Salmi, a patient-turned-researcher, turned her records over the tool. And she’s got plenty of records after being diagnosed with a malignant brain tumor nearly two decades ago. The biggest potential for ChatGPT Health, she writes, is how it can access recent data across different health systems. “Referrals come and go, and no single system holds my entire story — except my brain,” Salmi writes. “And now, partially, in these GPTs.” Read more on how the tool served her. 

Do pediatricians get rich off vaccines? Three scientists — including, yes, two pediatricians — conducted a six-month investigation into this question. The short answer? “No.” The long answer? “The truth is far more complicated than the false profit narrative suggests.” Read more about the messy economics, what the profit narrative misses, and what we should actually be worried about.


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