On the afternoon of July 4, President Trump signed into law H.R. 1, the One Big Beautiful Bill Act – comprehensive budget reconciliation legislation that represents the core of President’s second-term domestic agenda and...more
7/14/2025
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Republicans have swept the 2024 elections, returning Donald Trump to the White House as the 47th President and flipping the Senate to a Republican majority. Having narrowly maintained control of the House of Representatives,...more
12/11/2024
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House Passage and President Biden’s Signature Expected This Week -
On Sunday, August 7, following an all-night voting session, the Senate approved the Inflation Reduction Act (IRA) by a vote of 51-50. The IRA was...more
8/11/2022
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Last week, President Biden presented an outline of a $1.75 trillion Build Back Better (BBB) social spending reconciliation framework resulting from months of negotiations with House and Senate Democrats. Congressional...more
11/3/2021
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On Saturday, March 6, 2021, by a vote of 50-49, the Senate amended and approved the American Rescue Plan Act of 2021, which is reconciliation legislation to provide $1.9 trillion in COVID-19 relief. The House of...more
3/11/2021
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Last week, three House Committees held hearings about protecting the Affordable Care Act (ACA), receiving testimony from patient advocates, researchers, and ACA supporters. Members of both parties supported preserving...more
United States District Court Judge Reed O’Connor of the Northern District of Texas issued a ruling on Friday, December 14, 2018, declaring the Patient Protection and Affordable Care Act (ACA) unconstitutional in its entirety....more
Last week, Senate Health, Education, Labor, and Pensions Committee Chairman Lamar Alexander (R-TN) and Ranking Member Patty Murray (D-WA) announced they had reached an agreement on a short-term, bipartisan health insurance...more
On October 12, 2017, the White House press office announced that the Trump Administration would no longer make cost-sharing reduction (CSR) payments to insurers, which it referred to as a “bailout of insurance companies...more
Last week, Senate Republicans scrapped plans to vote on the ACA repeal and replace bill authored by Senators Lindsey Graham (R-SC) and Bill Cassidy (R-LA). Senate Republicans had planned to use the budget reconciliation...more
With the Fiscal Year 2017 budget reconciliation instructions expiring on Saturday, September 30, the Senate is making one last push to consider Affordable Care Act (ACA) repeal-and-replace legislation drafted by Senators...more
While enthusiasm for pursing another vote on ACA repeal and replace in the Senate appears to have dimmed, hopes for repeal have not yet been extinguished. At the same time, a bipartisan group of Senators is working on a...more
Congress returns to Washington today, September 5, 2017, and faces a formidable to-do list for the month: Acting on the Administration’s $14.55 billion emergency funding request for disaster assistance for Hurricane Harvey,...more
Congress is on recess until September 5, and the outlook for Affordable Care Act (ACA) repeal and replace legislation remains unclear. Moderate Democrats and Republicans want to work together to shore up the ACA insurance...more
Last week, the Senate debated and voted upon legislation (1) to repeal-and-replace the Affordable Care Act (ACA); (2) to repeal the ACA without a replacement; and (3) to repeal-and-replace the ACA in a more limited—or...more
Following a week in which Senate Republican healthcare reform plans shifted from Affordable Care Act (ACA) repeal and replace, to repeal only, to uncertain, the Senate is expected to vote tomorrow, July 25, 2017, on a motion...more
On July 13, 2017, the Senate released its revised Affordable Care Act (ACA) repeal and replace bill, the Better Care Reconciliation Act of 2017 (BCRA), along with updated summaries (Titles I and II, and Title III) of the...more
The Senate returns today from its July Fourth recess and will be in session for the next three weeks. Over the recess, the number of senators stating that they could not support the current draft of the Better Care...more
On June 27, 2017, Senate Republican leaders postponed a planned vote on the motion to proceed to debate on the Better Care Reconciliation Act of 2017 (BCRA), legislation to repeal and replace the Affordable Care Act, until...more
On June 22, the Senate Budget Committee posted the discussion draft, available here, of its Affordable Care Act (ACA) repeal and replace legislation, the Better Care Reconciliation Act of 2017 (BCRA). Similar in structure to...more
On May 24, the Congressional Budget Office (CBO) released its analysis - or “score” - of H.R. 1628, the American Health Care Act (AHCA), as passed by the House on May 4, 2017. The CBO score projects that the AHCA would...more
Senate Republicans have been meeting in private to find a path to 50 votes to support legislation to repeal and replace the Affordable Care Act (ACA), following the House passage of the AHCA on May 4. Senate Majority Leader...more
Yesterday, by a vote of 217 to 213, the U.S. House of Representatives approved H.R. 1628, the American Health Care Act (AHCA), to repeal and replace the Patient Protection and Affordable Care Act (ACA). The House action...more
Last week, prior to departing Washington, D.C. for a two week congressional recess, House Republicans and the Trump Administration worked to come to an agreement on the American Health Care Act (AHCA), legislation to repeal...more
Following a week of amendments and last-minute deal making, and after postponing a scheduled March 23 vote, the House leadership cancelled a vote on H.R. 1628, the American Health Care Act (AHCA), legislation to repeal and...more