Pennsylvania lawmakers are expected to pass a bill outlawing sites that "knowingly" allow supervised drug consumption, in today's bite-sized hospital and health industry news from Missouri, Pennsylvania, and Utah.

• Missouri: On Monday, a Missouri state court issued a temporary stay on an order made by Missouri Attorney General Andrew Bailey (R) that restricts gender-affirming care for transgender youth and adults. Under Bailey's order, Missouri would be among the first states to target gender-affirming care for adults, with most legislation focused on restricting access to minors. In the emergency rules, which were issued in April, Bailey argued that gender-affirming treatments are "experimental." In addition, they state that a trans person must show an "intense pattern" of gender dysphoria for at least three years before they can access these treatments. Trans patients would also have to undergo a "full psychological or psychiatric assessment" consisting of at least 15 sessions over an 18-month period. Meanwhile, health providers must ensure that patients have been screened for autism and determine whether minors have a "social media addiction or compulsion." The order, which was supposed to go into effect last week, has been stayed until May 15. (González, Axios, 5/1)
• Pennsylvania: Pennsylvania lawmakers are expected to pass a bill outlawing sites that "knowingly" allow supervised drug consumption. On Tuesday, a committee passed the legislation by a wide margin, causing it to advance to a full state Senate vote, where it is expected to pass. In addition, Gov. Josh Shapiro (D), who has voiced opposition to supervised injection sites, is expected to sign the measure. Advocates for supervised consumption argue that these sites prevent overdoses, reduce disease transmission, and potentially expand access to addiction treatment. However, local lawmakers noted that the bill mirrors their constituents' opposition to sanctioned drug consumption sites. "I see the pain and suffering addiction causes every day in my district," said State Senator Christine Tartaglione (D). "I believe it is imperative that Pennsylvania be in the business of helping people access recovery, not empower addiction." If enacted, the legislation would mark the latest move in a long-running national debate over harm reduction, which aims to mitigate the consequences of substance use, including death and disease, while recognizing that instant abstinence is typically not realistic. (Facher, STAT+ [subscription required], 4/28)
• Utah: CommonSpirit Health on Monday finalized its acquisition of  Steward Health Care's Utah locations. The deal includes five hospitals and over 35 clinics, imaging, and urgent care centers. Under the deal, CommonSpirit acquired  Davis Hospital and Medical Center, Jordan Valley Medical Center, Jordan Valley Medical Center-West Valley Campus, Mountain Point Medical Center, and  Salt Lake Regional Medical Center. While the companies did not disclose the terms of the deal, they announced that Colorado-based Centura Health will manage the operations. (Hudson, Modern Healthcare, 5/1)