Julie Rovner

When the Senate voted Tuesday to make Marilyn Tavenner the official administrator of the Centers for Medicare and Medicaid Services, it was the first time the world's greatest deliberative body had approved someone to head the huge health agency since 2004.

That's right, you have to go way back to the Bush administration to find Dr. Mark McClellan, the last person to be officially put in the post.

The news that U.S. scientists have successfully cloned a human embryo seems almost certain to rekindle a political fight that has raged, on and off, since the announcement of the creation of Dolly the sheep in 1997.

The murder conviction in Philadelphia of abortion provider Dr. Kermit Gosnell in the deaths of three babies and one of his female patients is likely to further inflame the already heated abortion debate.

Both sides of the abortion divide have been gearing up for what comes next for some time now.

Transcript

STEVE INSKEEP, HOST:

Now, the murder conviction of Kermit Gosnell is likely to bring more sparks to the already heated abortion debate in Washington and across the nation. Those on both sides of the divide have been gearing up for what comes next. Here's NPR's Julie Rovner.

The U.S. District Court judge who last month ordered the Food and Drug Administration to make the most popular forms of the emergency contraceptive pill available over-the-counter with no age restrictions has denied the government's request to stay his ruling while it's on appeal.

So you know all that talk about how the boatload of money going to health care will bankrupt the nation if something isn't done soon?

Well, it turns out that while politicians were bickering, the problem started taking care of itself. Well, a little bit.

The administration's actions this week on emergency contraception have left many women's health groups sputtering with anger.

But what really has some of the President Obama's usual allies irritated is the fact that the moves are in direct contrast to speeches he made in just the past week.

Two years ago, a landmark study found that having Medicaid health insurance makes a positive difference in people's lives.

Backers of the program have pointed to that study time and again in their push to encourage states to expand the program as part of the federal health law.

In an effort to find a compromise for a politically fraught issue, the Food and Drug Administration has approved a proposal to make the emergency contraceptive pill Plan B more available to some younger teens without a prescription and to older women by moving the medication out from behind the pharmacy counter.

One of the more popular provisions of the federal health law requires that women be given much freer access to prescription methods of birth control. That includes not only the pill, but implants and IUDs as well.

But what happens if there are not enough doctors to prescribe those contraceptives?

That's exactly what worries some reproductive health advocates, as efforts are underway to rewrite rules governing the training of the nation's family doctors.

This is the sixth week of the trial of Dr. Kermit Gosnell, the physician charged with five counts of murder in the deaths of a woman and infants at the Philadelphia abortion clinic he owned and operated.

OK, the conventional wisdom about the budget President Obama sent to Congress yesterday is that's irrelevant.

It's two months late, after all, and the House and Senate have already approved their own spending blueprints for fiscal 2014.

But here's why it matters when it comes to health.

The budget President Obama will send to Congress Wednesday is expected to include some $400 billion in reductions to Medicare and other health programs.

And if the word around Washington is correct, it may also include a proposal aimed at winning some bipartisan backing — by changing the way Medicare patients pay for their care.

A federal judge ordered Friday what women's groups have failed to accomplish politically for a dozen years. He ruled that Plan B, the most commonly used morning-after birth control pill, be sold without a prescription or other restrictions to women of all ages.

The Obama administration is delaying the start of a key piece of the Affordable Care Act. Workers in small businesses will have to wait an additional year to be able to choose from more than one plan in the marketplaces that start next January.