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Missouri has imposed sweeping rules to limit health care for trans adults. Other states have banned Medicaid coverage or introduced bills outlawing care for young adults.
The state awarded a $50 million contract to produce less costly treatments, but moves by major suppliers might undercut the initiative before any new product emerges.
The agency wants Congress to intervene, saying it does not have adequate oversight powers to ensure the safety of the myriad cannabidiol products derived from hemp.
The case, brought by GenBioPro, a company that makes one of two abortion drugs, argues that it is unconstitutional for a state to bar access to a medication approved by the federal government.
The state is taking action against three major drug companies and the big pharmacy benefit managers in an effort to temper costs for people with diabetes.