Solomon Center @ YLS

State Policies and Facility Practices of IV Hydration Spas in the US This mixed-methods study examines variation in US state-level policies regarding the oversight and regulation of intravenous hydration spas as well as their product offerings, claims, and practices.

🚨 Out now in @jamainternalmed.com! @solomonctryls.bsky.social faculty affiliate @thehowie.bsky.social and his co-authors found that state policies governing IV hydration spas vary widely, suggesting more oversight may be needed to protect public health. jamanetwork.com/journals/jam...

Clinical Characteristics of Adults at Risk of Medicaid Disenrollment Due to HR 1 Work Requirements This study uses the NHANES database to describe clinical characteristics of Medicaid beneficiaries at risk of disenrollment due to the One Big Beautiful Bill Act’s (HR 1) work requirements, stratified...

In a new study for @jama.com, @solomonctryls.bsky.social student research fellow @ashwinkchetty.bsky.social and his co-authors assess the clinical characteristics of patients at risk of losing Medicaid coverage due to the work requirements signed into law this year. jamanetwork.com/journals/jam...

Changes in Use, Cost, and Value of Breast Cancer Screening Among Older Women in the US - Journal of General Internal Medicine Background The clinical and economic impact of breast cancer screening varies based on the modality, frequency, and age of the screened population. Objective To characterize changes in use and cost of breast cancer screening for older women. Design Serial cross-sectional study using data from SEER-Medicare, 2009–2019. Participants Women 67 and older enrolled in Medicare fee-for-service. Main Measures Screening use and cost by age, frequency, and modality. We further categorized screening as cost-effective or cost-ineffective based on published economic analyses rather than guidelines. Cost-effective screening included biennial mammography among women < age 80, while cost-ineffective screening included annual mammography, addition of digital breast tomosynthesis (DBT), screening ultrasound, and any screening among women 80 and older. We estimated total annual spending on screening in Medicare fee-for-service, inflated to 2019 dollars. Key Results Our sample included a mean of 229,683 (range 222,400- 244,793) Medicare beneficiaries annually. Biennial screening was stable among women 65–79, at 11.2% (95% CI 11.0–11.4) in 2009 and 11.9% (95% CI 11.7–12.0) in 2019. Annual screening was also stable at 32.5% (95% CI 32.3–32.7) in 2009 and 30.0% (95% CI 29.8–30.2) in 2019. Among women 80 and older, screening (annual or biennial) declined from 19% (95% CI 18.8–19.3) to 12.9% (95% CI 12.7–13.2). Between 2009–2019, use of DBT rose from 0% to 70.3% of screened women. Total spending on cost-effective screening rose from $569 million per year to $735 million per year, a 29% increase. Spending on cost-ineffective screening rose from $548 million to $1.025 billion, an 87% increase. By 2019, spending on cost-ineffective screening accounted for 58% of total spending. Conclusions Screening costs for older women have risen, driven by expenditures on technologies that may not be cost-effective. Reducing use of low value screening could result in savings that could be reallocated toward high value screening and follow up testing.

⚕️ In a new publication, @solomonctryls.bsky.social faculty affiliate Cary Gross and his co-authors find that breast cancer screening costs for older women have risen, driven by spending on technologies that may not be cost-effective. link.springer.com/article/10.1...

Use of FDA Expedited Programs and Development Timelines for New Molecular Entity Drug and New Biologic Approvals by Sponsor Experience Industry reports indicate that small biopharmaceutical companies are increasingly launching their own new molecular entities, with first-time companies expected to represent the primary share of bloc...

👏 Congratulations to @solomonctryls.bsky.social student research fellow Kanhai Amin on his recent publication in @ascptclinpharm.bsky.social's flagship journal, which examines how first-time pharmaceutical companies navigate FDA regulatory processes. ascpt.onlinelibrary.wiley.com/doi/abs/10.1...

Thinking beyond the possible: How YSPH is shaping public health policy YSPH has developed two innovative approaches for studying public health and translating the school's research into community impact across Connecticut.

📜 Check out this profile of @solomonctryls.bsky.social faculty affiliate and @yalesph.bsky.social Professor Shelley Geballe’s pathbreaking work training generations of students to improve health policy in Connecticut! ysph.yale.edu/about-school...

States Take Action to ‘Immunize’ Vaccine Access As the CDC walks back vaccine recommendations, states are considering a broad set of strategies to ensure vaccine access.

In the latest #80million newsletter, @solomonctryls.bsky.social alums Julian Polaris and Elizabeth Dervan, along with former CDC Director and Solomon Center Fall 2025 kickoff speaker Mandy Cohen, discuss strategies to protect vaccine access. 80million.substack.com/p/states-tak...

🧪 In a new article for @natrevdrugdiscov.nature.com, @solomonctryls.bsky.social Distinguished Visitor @akesselheim.bsky.social and his co-authors discuss the evolution of breakthrough therapy designations in the US and China and how both countries can refine their regulatory frameworks.

Pro sports leagues should do away with injury reports NFL injury lists began after a high-rolling gambler learned five players on one team had the flu. It’s time to change the system.

🏈 Writing for @statnews.com, @solomonctryls.bsky.social Student Research Fellow Trevan Klug and 2023–25 Senior Academic Fellow Yaron Covo argue that sports leagues should do away with injury reports to better protect athletes’ private health information. www.statnews.com/2025/09/21/n...

4.8 Million People Will Lose Coverage in 2026 If Enhanced Premium Tax Credits Expire In this brief, we estimate the impact on coverage of the expiration of enhanced PTCs that would occur in 2026 without action by Congress. Our estimates inclu…

📈 In a new @urbaninstitute.bsky.social report, @solomonctryls.bsky.social Senior Fellow @jasonlevitis.bsky.social and his co-authors project that millions more people will be uninsured if Congress lets enhanced premium tax credits for ACA Marketplace plans expire. www.urban.org/research/pub...

Why American Leaders Are Rethinking The Fight Against Elder Abuse America's go-to response for combating elder abuse and exploitation may even put older adults at further risk. Here is how communities can shift strategies.

📰 In her latest article for @forbes.com, @solomonctryls.bsky.social Distinguished Scholar in Elder Law @ninakohn.bsky.social explains how mandatory elder abuse reporting laws fall short and calls for systems tailored to improving outcomes for elder abuse victims. www.forbes.com/sites/ninako...

Yale Medical-Legal Partnership Students Help Families Prepare In Case of Deportation Yale Law School students, through a Solomon Center collaboration, helped prepare a guide for families to prepare for immigration enforcement.

Under the supervision of @solomonctryls.bsky.social MLP Legal Director James Bhandary-Alexander, Yale/Yale New Haven Medical-Legal Partnership (MLP) students have played a lead role in helping parents ensure their children are cared for in the event of deportation. law.yale.edu/yls-today/ne...

In a new article for the @ameracadpeds.bsky.social journal Pediatrics, @solomonctryls.bsky.social faculty affiliate Shelli Feder and her co-authors explore how to alleviate parents’ psychological symptoms after their child’s death from cancer.
publications.aap.org/pediatrics/a...

Announcing UW Law’s New Faculty | UW School of Law The University of Washington School of Law welcomes new members of our faculty in the 2025–2026 academic year.

Congratulations to @solomonctryls.bsky.social Visiting Senior Fellow Rose Carmen Goldberg on her appointment as the new Director of the Veterans Clinic at the University of Washington School of Law! www.law.uw.edu/news-events/...

Screening for postpartum depression at well child visits: evaluating the impact of Michigan’s statewide initiative - Health Economics Review Objective To examine a 2018 rule change allowing pediatric providers to bill the child’s Medicaid ID for post-partum depression (PPD) screening of mothers conducted during well-child visits, and docum...

💡 In a study published by the Health Economics Review, @solomonctryls.bsky.social faculty affiliate Janet Currie finds that screening for post-partum depression at well child visits may reduce infant hospitalizations only if paired with expanded treatment access. link.springer.com/article/10.1...

Former CDC Director Mandy Cohen Speaks About the Changing Public Health Landscape Cohen spoke about the challenges and opportunities for public health and health care in a period of major policy change.

On September 4th, @solomonctryls.bsky.social and @yalesph.bsky.social hosted former CDC Director Mandy Cohen for a conversation with YSPH Dean @meganranney.bsky.social and Solomon Center Faculty Director @abbegluck.bsky.social on the changing landscape of public health. law.yale.edu/yls-today/ne...

Solomon Center Researchers Join Connecticut Pediatric Palliative Care Working Group Joining a state advisory committee, Solomon Center researchers offer bold solutions to improve health outcomes for children with serious illnesses.

@solomonctryls.bsky.social researchers are playing a leading role in helping Connecticut find ways to expand health care coverage and services for children with serious illnesses and their families. Read more about their groundbreaking academic and policy work here! law.yale.edu/yls-today/ne...

AgeTech Is Transforming Eldercare But Risks Abusive Surveillance AgeTech is enabling older adults to live at home for longer than ever before. But there's a hidden cost: unprecedented surveillance, including by their own families

📣 Hot off the presses! Writing for @forbes.com, @solomonctryls.bsky.social Distinguished Scholar in Elder Law @ninakohn.bsky.social discusses how AgeTech allows older adults to live independently for longer and how reforms can prevent tech-facilitated elder abuse. www.forbes.com/sites/ninako...

To learn more about the Solomon Center and @capcpalliative.bsky.social's Palliative Care Law and Policy GPS tool, visit: law.yale.edu/solomon-cent...

Solomon Center White Paper Outlines Options to Expand Health Care for Children Living with Serious Illness Researchers at the Solomon Center for Health Law and Policy recommend ways that access to palliative care can be improved for Connecticut’s estimated 7,000+ children living with serious illnesses.

To learn more about the policy proposals detailed in the commentary, visit: law.yale.edu/yls-today/ne...

Opinion: Connecticut needs broad access to pediatric palliative care By easing pain, anxiety, and other symptoms, palliative care allows children to participate in family activities, school, and favorite pursuits to a much greater degree than would otherwise be poss…

🩺 In a new commentary for the Hartford Courant, @solomonctryls.bsky.social Deputy Director Elle Rothermich and Senior Academic Fellow Eugene Rusyn make a bold case for Connecticut to expand health care coverage and services for children living with serious illnesses. www.courant.com/2025/08/30/o...

Claudia E. Haupt Named Faculty Co-Director of Northeastern Law’s Center for Health Policy and Law - School of Law - Professor Claudia E. Haupt, a nationally recognized expert on First Amendment law whose current work is situated at the intersection of free speech, health and technology, has been named faculty co-di...

👏 Congratulations to @solomonctryls.bsky.social Senior Visiting Research Scholar and 2017–18 Solomon Center Research Fellow @cehaupt.bsky.social on being named Faculty Co-Director of the @nusl.bsky.social Center for Health Policy and Law! law.northeastern.edu/haupt-named-...

Contributor: Why psychiatric holds don’t stop people from buying guns Last month's Manhattan tower shooter was subject to multiple emergency holds after he was deemed to be dangerous to himself and others. So why was he able to own a gun?

📰 Writing in the @latimes.com, @solomonctryls.bsky.social faculty affiliate and Yale Law School Prof. Ian Ayres argues that states should prohibit people who have been subject to emergency psychiatric holds from purchasing or possessing firearms for at least one year. www.latimes.com/opinion/stor...

Addressing In-Hospital Substance Use From a National Delphi Consensus Process This survey study including substance use disorder experts used a Delphi consensus process to develop best-practice recommendations for addressing patients’ in-hospital substance use.

📖 In the new issue of @jamanetworkopen.com, @solomonctryls.bsky.social MLP Legal Director James Bhandary-Alexander, @yaleschoolofmed.bsky.social Professor Lisa Puglisi, and their co-authors outline expert recommendations to address in-hospital substance use. jamanetwork.com/journals/jam...

John V. Jacobi, Disability and Mental Health Law Expert, Joins Solomon Center Disability and mental health law expert John V. Jacobi will join the Solomon Center for Health Law and Policy at Yale Law School as visiting professor of law and distinguished scholar in disability la...

We are thrilled to welcome @jvjshu.bsky.social ‬as a @solomonctryls.bsky.social Distinguished Scholar in Disability Law and Yale Law School Visiting Professor of Law this fall! law.yale.edu/yls-today/ne...

📚 In a new commentary for @jlme-journal.bsky.social‬, @solomonctryls.bsky.social faculty affiliate Lori Bruce urges stakeholders to promote safe access to psychedelics to avoid harmful patient outcomes and across-the-board restrictions on their use. www.cambridge.org/core/journal...

Stop Relying On Urine Drug Testing As A Basis For Probation And Parole Revocation | Health Affairs Forefront Best practice ensures the use of confirmatory tests for every presumptive positive urine drug test and that results are interpreted by trained professionals only.

💡 In Health Affairs Forefront, @solomonctryls.bsky.social student fellow Dylan Balter, @seicheyale.bsky.social physician leader Lisa Puglisi, and others argue that basing parole and probation revocation on UDTs is unreliable and deepens health inequities. www.healthaffairs.org/content/fore...

Opinion | The Debate Over Defining Death

📰 @solomonctryls.bsky.social ‬Distinguished Scholar and @weillcornell.bsky.social Chief of Medical Ethics Joseph J. Fins argues in the @nytimes.com that including “hopelessly comatose” patients in a new definition of death would violate disability and civil rights. www.nytimes.com/2025/08/17/o...

Integration, negotiation, patient costs — What happens when hospitals integrate independent physician practices? A study quantifies effects of less market competition across the nation as hospitals integrated doctors’ offices into their systems.

🎙️ In an interview with @medicaleconomics.bsky.social released this week, @solomonctryls.bsky.social faculty affiliate Zack Cooper discussed his new study showing that patient prices go up as hospitals take over physician practices and competition decreases. www.medicaleconomics.com/view/integra...

Disparate data retention standards in biomedical research The acquisition and retention of primary research data is fundamental to the reliability of and public trust in biomedical research. However, researchers are often unaware of or confused by applica...

🚨 New publication! In an article for @accountabilityair.bsky.social, @solomonctryls.bsky.social Visiting Lecturer Mark Barnes, student fellowship alumna Carolyn Lye, and their co-authors explore how agencies can clarify biomedical data retention standards. www.tandfonline.com/doi/full/10.... ‬

Representation of Women, Older Adults, and Racial and Ethnic Minoritized Patients in Pivotal Trials for US Food and Drug Administration Novel Oncology Therapeutic Approvals, 2012-2021: Bright Spot Tri... PURPOSETo examine trends over time in clinical trial diversity for oncology therapeutics, identify bright spot trials adequately representing Black or Latino patients, and examine their associations w...

Writing in JCO Oncology Practice, @solomonctryls.bsky.social faculty affiliate @carygross.bsky.social, ‬@yalecrrit.bsky.social co-Director Joseph Ross, and their co-authors find that representation in oncology trials by older age, race, and ethnicity remains inadequate. ascopubs.org/doi/10.1200/...