June 16 - Iowa latest state to target PBMs | Democrats warn of hospital closures from Medicaid cuts

Hundreds of rural hospitals at risk if Medicaid cuts pass, Democrats say; FDA to miss approval deadline for Kalvista drug due to ‘resource constraints’; Could the FDA take an indirect approach to regulate LDTs?

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June 16, 2025 | Today’s news and insights for healthcare leaders

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Iowa passes law imposing tighter restrictions on PBMs

Last week, Iowa Gov. Kim Reynolds signed a law seeking to control rising prescription drug costs and protect rural pharmacies by targeting some of the drug middlemens’ most controversial practices.

Hundreds of rural hospitals at risk if Medicaid cuts pass, Democrats say

The data released by a group of Democrat lawmakers found 338 rural hospitals were at risk of closure, conversion or service cutbacks if Republicans’ reconciliation bill becomes law.

FDA to miss approval deadline for Kalvista drug due to ‘resource constraints’

A “heavy workload” and “limited resources” have left the agency unable to meet a June 17 deadline to approve a therapy Kalvista has been developing for hereditary angioedema.

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Could the FDA take an indirect approach to regulate LDTs?

Attorneys said many questions remain about the regulation of laboratory developed tests after the FDA lost its legal fight. A recent warning letter could be a clue to future enforcement.

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