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NOT FOR SALE — Walgreens won’t dispense abortion pills in some states without bans, acting out of an abundance of caution amid a shifting policy landscape, threats from state officials and pressure from anti-abortion activists, POLITICO’s Alice Miranda Ollstein reports.

Nearly two dozen Republican state attorneys general wrote to Walgreens in February, threatening legal action if the company distributes the drugs, which have become the nation’s most popular method for ending a pregnancy.

The company told POLITICO that it has since responded to all the officials, assuring them they won’t dispense abortion pills by mail or at their brick-and-mortar locations in those states.

The list includes several states where abortion — including medications for abortion — remains legal, such as Alaska, Iowa, Kansas and Montana. Kansas’ law that patients can get abortion pills from only a doctor is blocked in court.

“There is currently complexity around this issue in Kansas and elsewhere,” said Fraser Engerman, Walgreens’ senior director of external relations.

Walgreens said it is not yet distributing the pills anywhere in the country but is working to obtain certification to do so in some states, though the company declined to say which.

“In my letter to Walgreens, we made clear that Kansas will not hesitate to enforce the laws against mailing and dispensing abortion pills, including bringing a RICO action to enforce the federal law prohibiting the mailing of abortion pills,” Kansas Attorney General Kris Kobach said in a statement. “Evidently, Walgreens understood that my office was serious about this. I’m grateful that Walgreens responded quickly and reasonably and intends to comply with the relevant laws.”

WELCOME TO FRIDAY PULSE, where we recently learned the raccoon puppet nicknamed Raccacoonie from Everything Everywhere All at Once sold at auction for $90,000.

Do you like raccoons — or have movie props? Send us a scoop: [email protected] and [email protected].

TODAY ON OUR PULSE CHECK PODCAST, your host Krista talks with Ruth Reader about online therapy company BetterHelp’s settlement with the FTC for allegedly sharing customers’ sensitive health data with third parties and why it's another health data warning shot from the FTC.

FIRST IN PULSE: NEW OPIOID RULES PROPOSED — Reps. David Trone (D-Md.) and Dan Meuser (R-Pa.) plan to introduce a bill that would strengthen the FDA’s ability to regulate opioids.

If passed, the bill would allow the FDA to deny approvals of new opioids unless the drug is clinically superior to existing offerings.

Called the Ensuring the FDA Fully Examines Clinical Trial Impact and Vitalness before Endorsement (EFFECTIVE) Act, the legislation has a companion bill in the Senate led by Sens. Joe Manchin (D-W.Va.) and Mike Braun (R-Ind.).

FOCUS ON 340B — Several members of the Senate HELP Committee chimed in on the 340B program, which requires drugmakers to sell their products at a discount to health providers that serve low-income communities, during a Thursday hearing on community health centers, Daniel reports. The comments offer hints of what Congress might have in store for the program this year.

“This is an issue for a separate hearing,” said Sen. Roger Marshall (R-Kan.), adding he believes it to be a “successful program.”

Others on the committee agreed, like Sen. Tammy Baldwin (D-Wis.), who called herself a supporter of the program.

Some senators — and witnesses representing community health centers — blamed pharmacy benefit managers for profiting off the program. The suggestion of reforms to 340B was mentioned briefly, with at least one provider representative saying they’re open to it.

Other senators were more general when talking about who might be misusing the program.

“There are a lot of abuses of that program,” Sen. Bill Cassidy (R-La.) said, offering a hypothetical of a hospital using it to boost profits but also noting that he believed some providers use it to serve patients well.

HSAs FOR DIRECT PRIMARY CARE? A bill introduced by Sens. Cassidy, Jeanne Shaheen (D-N.H.), Tim Scott (R-S.C.) and Mark Kelly (D-Ariz.) would allow health savings accounts to be used to pay for direct primary care.

The Primary Care Enhancement Act would lower costs and expand access, its supporters say, adding it would allow less reliance on specialists and hospital referrals.

LOOKALIKES — Researchers are concerned about new “menthol-like” cigarettes for sale in markets where menthol cigarettes are banned, POLITICO’s Katherine Ellen Foley reports from San Antonio.

Carol McGruder, co-chair of the African American Tobacco Control Leadership Council, asked FDA Center for Tobacco Products officials how products like Camel Crush, Camel Crisp and Newport Non-Menthol cigarettes are for sale in California despite the state’s recent ban on most flavored tobacco products, including menthol cigarettes.

Many smoking cessation experts have championed the ban on menthol cigarettes, which are easier to inhale because of menthol’s cooling effect on the throat. California’s ban on menthol cigarettes went into effect in December, just a few months after the menthol-like cigarettes began appearing in stores.

YOU HAVE A DEAL — North Carolina Republicans have reached an agreement to expand Medicaid, potentially ending a near-decade-long negotiation, House Speaker Tim Moore and Senate leader Phil Berger said Thursday.

POLITICO’s Dan Goldberg reports that the deal, which could provide health insurance to up to 600,000 people, represents a win for Gov. Roy Cooper, the term-limited Democrat who campaigned in 2016 on expanding the low-income government program.

Though a deal seemed within reach at several points over the past seven years, it always fell victim to last-minute snags. But the path was smoothed this time, partly because of the federal Healthcare Access and Stabilization Program — a new reimbursement program for hospitals that helps defray North Carolina’s portion of Medicaid expenses.

WYOMING’S PRESCRIPTION BAN — On Thursday, Wyoming lawmakers passed legislation that threatens any doctor who prescribes abortion pills with up to six months in prison and a $9,000 fine.

Abortion remains legal in Wyoming, while a case that blocked the state’s trigger ban last year is ongoing. But because the state currently has no abortion clinics, the ban on medication abortions will act as a de facto ban on all abortions.

The most recent available state data shows that 98 abortions took place in the state in 2021, and all were nonsurgical medical abortions, done with pills.

SETTLING ON PRIVACY — The Federal Trade Commission reached a settlement with online therapy company BetterHelp over allegations it shared customers’ sensitive health data with third parties for advertising purposes, POLITICO’s Josh Sisco and Ruth Reader report.

The Teladoc-owned company has agreed to pay $7.8 million and change a variety of its business practices to resolve allegations that it shared consumer data with third parties despite telling customers it wouldn’t, according to the documents. The commission voted 4-0 to approve the settlement, according to an FTC official granted anonymity to speak about a confidential matter.

Physicians for Human Rights has added Saman Zia-Zarifi as executive director and Gareth Crawford as COO. Zia-Zarifi previously was secretary-general of the International Commission of Jurists. Crawford previously was president and CEO of the Carey Institute for Global Good.

Melissa Bartlett has been appointed senior vice president for health policy by the ERISA Industry Committee.

STAT reports on how coverage can change — even under the same insurer for the same drug for the same patient.

KHN writes about states sometimes seeking repayments from the estates of people on Medicaid after they die.