On July 4, 2025, President Trump signed into law H.R. 1, "One Big Beautiful Bill Act" (the “Act” or “OBBBA”) a comprehensive bill that combines many of the President’s major policy initiatives he had promised during his...more
8/1/2025
/ Artificial Intelligence ,
Automated Decision Systems (ADS) ,
Energy Sector ,
Federal Funding ,
Intellectual Property Litigation ,
Litigation Funding ,
Medicaid ,
New Legislation ,
One Big Beautiful Bill Act ,
State and Local Government ,
Tax Credits ,
Tax Legislation ,
Trump Administration
To offset the cost of other provisions in the bill, the One Big Beautiful Bill Act (OBBBA) includes significant reforms to Medicaid, Medicare, and Affordable Care Act (ACA) premium tax credits that are expected to result in...more
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
/ Affordable Care Act ,
Cost-Sharing ,
Federal Budget ,
Gender Identity ,
Health Care Providers ,
Health Insurance ,
Healthcare Reform ,
Legislative Agendas ,
Medicaid ,
Medicaid Expansion ,
Medicaid Work Requirements ,
New Legislation ,
One Big Beautiful Bill Act ,
Rural Health Care Program ,
Trump Administration
On June 16, 2025, the U.S. Senate Finance Committee released draft legislative language for its version of the “One Big Beautiful Bill Act,” a comprehensive budget reconciliation proposal that includes significant changes to...more
On May 22, 2025, the House passed H.R. 1, the One Big Beautiful Bill Act (the Bill), its budget reconciliation legislation that upheld most of the Medicaid-related provisions originally approved by the House Energy and...more
6/6/2025
/ Budget Reconciliation ,
Centers for Medicare & Medicaid Services (CMS) ,
Federal Funding ,
Government Agencies ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Medicaid ,
New Legislation ,
Proposed Legislation ,
State and Local Government
Last week, the House Energy & Commerce Committee marked up legislation that would significantly affect the Medicaid program, including changes to state Medicaid financing mechanisms, state directed payment programs that...more
On March 16, 2023, CMS issued Change Request 12669, which contains instructions for Medicare Administrative Contractors (MACs) to begin the process of retroactively reimbursing DSH hospitals for inpatient days attributable to...more
On February 24, 2023, CMS issued a proposed rule that would modify the Medicare Disproportionate Share Hospital (DSH) payment regulation to limit the universe of Section 1115 demonstration beneficiaries who can be “regarded...more
In 2016, CMS issued a proposed rule to update the requirements that hospitals and critical access hospitals must meet to participate in Medicare and Medicaid programs....more
On March 8, 2017, the two House Committees responsible for healthcare policy related to the Affordable Care Act (ACA) held marathon-like deliberations to mark-up their respective portions of the Republicansponsored health...more