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The Nevada Senate, after emotional floor debate, approved a bill...allowing terminally ill patients to request life-ending medication from their physicians...Senate Bill 261 passed on an 11-10 vote and now goes to the Assembly...Supporters said it would provide the sick and dying the right to end their suffering at a time of their own choosing...Sen. Ben Kieckhefer, R-Reno, was a sponsor of the bill but voted against it. Kieckhefer said he became "increasingly uncomfortable" with the bill and what he called a "significant lack of clarity."..."I don’t necessarily trust doctors to tell me when I’m going to die,"...He also shared concerns raised by critics that the sick, frail and disabled could be pressured to end their lives by family members or caregivers...Under the measure, mentally competent patients over the age of 18 could request a prescription for life-ending drugs. Two doctors would have to confirm the terminal diagnosis and a life expectancy of six months of less. Doctors, pharmacists and health care facilities would not have to participate...

A bid in Nevada to force America’s three insulin manufacturers to turn over information on the...prices of...hormone treatment for people with diabetes advanced with bipartisan support...The Democratic (Democrat) proposal has transitioned from a first-of-its-kind price control to a measure focused on pricing transparency...it retains what would be some of the toughest regulations on pharmaceutical companies in the nation...It would require drugmakers to annually publish the list prices they set and profits they make on insulin, as well as the total amount of insulin discounts they give market middlemen — specific data points currently largely kept confidential...Some pharmaceutical companies, including insulin-maker Sanofi SA, have voluntarily released recent data on their price increases...Market experts say transparency alone won’t lower patient costs...

Secretary of Health and Human Services...Tom Price is continuing to push the Senate to further increase the industry fees paid to the US Food and Drug Administration...which would upend the agreed-to amounts negotiated by FDA and industry for the next five years, and allow for further cuts to the agency’s congressional appropriations...the Senate Health, Education, Labor & Pensions committee advanced a bill reauthorizing the user fee programs for prescription drug, medical device, generic drug and biosimilar industries without the additional fees that President Donald Trump requested in his budget blueprint for the next fiscal year...The fees included in the bill were what both sides negotiated for PDUFA VI, MDUFA IV, GDUFA II and BsUFA II...Price wrote in a letter...to Sen. Patty Murray, the ranking member of the HELP committee: "To ensure the FDA has the critical resources needed to keep pace with this field, the President's Budget Blueprint proposes to increase and restructure the medical product user fee programs at FDA to be 100 percent user fee supported programs, with no funding triggers that require budget authority financing."...

Laura Joszt, assistant managing editor at The American Journal of Managed Care. Welcome to This Week in Managed Care from the Managed Markets News Network

A jury...convicted Binh "Ben" Chung, a Las Vegas doctor accused of drugging and raping patients, of sexual assault and kidnapping charges...Prosecutors claimed Chung, 43, had videotaped sex acts with three unconscious women and a teenage girl who also had been drugged...Chung told jurors that he had an ongoing consensual affair with one of the women, and that she was awake in the videos jurors watched, playing a role in his "Sleeping Beauty" fantasy...He said he had somnophilia, a fetish for having sex with someone who is unconscious. He also testified that the teenager prosecutors said he molested in another video was actually the woman with whom he claimed he had an affair...Jurors deliberated the case for more than eight hours, including roughly four hours Friday, before convicting Chung of 11 of the 14 counts, including use of a minor in the production of pornography, kidnapping, battery with intent to commit sexual assault, and four counts of sexual assault...

Even before European officials present the groundwork for relocating the bloc’s drug regulator, a fight has emerged between countries vying for the economic lift and status that come with hosting the authority, using perks like child care as ammo...Some 20 countries in Europe hope to host the European Medicines Agency after the U.K.’s vote to leave the union last summer...And even though the EU hasn’t announced its official criteria for the move, the countries aren’t hesitating to make their case by showcasing local lifestyle perks and more...Countries in Europe are offering language lessons, local scenery and child care as they push to win the EMA, according to the news service. They’re seeking to attract an agency that could bring an economic lift worth an estimated €1 billion and employs about 900 experts.

New medicines that win U.S. marketing approval without conclusive evidence of their effectiveness aren't always proven to work after they go on sale, a recent research review suggests...Researchers focused on medicines approved for sale based on single pivotal trials or based on what's known as "surrogate markers," such as lab tests and signs of risk for disease such as cholesterol levels instead of true clinical outcomes like heart attacks or deaths. Many times no follow-up studies were published after these medicines went on sale, and when studies were published they often continued to rely on surrogate markers to suggest potential effectiveness...speeding up the approval process increases our collective uncertainty about drugs' benefits and safety...This exposes patients to risks - the risk that they are spending their resources on therapies that do not work as well as expected as well as the possibility that they are taking drugs that have underlying safety risks that have not yet been figured out… researchers examined published studies of 117 medicines approved for treating 123 medical conditions by the U.S. Food and Drug Administration...based on either a single pivotal trial or on trials that relied on surrogate endpoints...no follow-up studies were published for 43 of the 123 approved indications, or 35 percent...

After running afoul of the state licensing board, an Alabama internist had a chance to turn his life around. Instead, he took to running a pill mill and sold drugs to addicted patients, including at least one who died of a methadone overdose just days after receiving a prescription from the doctor...Robert M. Ritchea, M.D, a 54-year-old doctor who practiced in Phenix City, was sentenced earlier this month to serve 10 years in prison for operating a pill mill through his medical practice and for money laundering…former patients testified that they made cash payments to Ritchea of at least $150 each month in exchange for office visits at his family medical practice and prescriptions to maintain their drug addiction...he wrote prescriptions for controlled substances...knowing that his patients did not actually need the drugs prescribed. He then laundered the proceeds of his drug dealing to essentially run his own pharmacy, buying hydromorphone and hydrocodone directly from a drug manufacturer and distributing the pills from his medical practice…

The 340B Drug Pricing Program’s explosive growth continues...discounted sales hit $16.2 billion in 2016. That’s a 34% increase over the 2015 figure. Consequently, the 340B program accounted for 5.0% of the total U.S. drug market in 2016...Covered entities are generating billions in untraceable profits from this fast-growing program. Hospitals, which make up the vast majority of 340B purchases, should be required to account clearly for the billions the program provides them...Some hospitals have published high-level descriptions of how they spend 340B funds, but none of the articles fully accounts for the billions of dollars in 340B profits. Much more transparency is required, because the dollars are very large and growing very quickly…Given the program's rapid growth and its channel distortions, Congress urgently needs to refocus the program on genuine safety-net providers and financially needy patients.

Health ministers of the G20 leading economies…agreed to work together to tackle issues such as a growing resistance to antibiotics and to start implementing national action plans by the end of 2018...Germany...said it was an "important breakthrough" that all nations had agreed to address the problem and work towards obligatory prescriptions for antibiotics...Saying that globalisation caused infectious diseases to spread more quickly than previously, the 20 nations also pledged to strengthen health systems and improve their ability to react to pandemics and other health risks..."By putting global health on the agenda of the G20 we affirm our role in strengthening the political support for existing initiatives and working to address the economic aspects of global health issues,"...