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Understanding the Rural Health Transformation Program

On July 4, President Donald Trump signed into law H.R. 1, commonly known as the “One Big Beautiful Bill,” or OBBB. The bill is a sweeping package that includes an estimated $1 trillion in cuts to Medicaid. These cuts include...more

Final Health Care Provisions in the “One Big Beautiful Bill Act”

On July 4, President Donald Trump signed into law the Republican budget reconciliation package, also referred to as the One Big Beautiful Bill (OBBB) Act. The legislation enacts sweeping changes to tax, immigration, energy,...more

Key Differences in Provisions Between Draft Senate and House-Passed Reconciliation Bill

Over the last week, the Senate Finance Committee and Senate Agriculture Committee released their portions of reconciliation text, which includes most of the Medicaid and food insecurity provisions. The Senate committees will...more

Summary of Health Care Provisions in the “One Big Beautiful Bill Act”

On May 22, the U.S. House of Representatives passed the One Big Beautiful Bill Act (H.R. 1), an extensive budget reconciliation package that advances President Trump’s plan to enact his economic agenda. After a series of...more

Navigating the Health Care Impacts of President Trump's First Executive Actions

Since taking office for his second term on Jan. 20, 2025, President Donald Trump has issued a series of executive orders (EOs) aimed at undoing several health care policies implemented by the Biden administration, indicating...more

Trump’s Alliance with RFK Jr. Indicates Realignment of Priorities for HHS in Second Term

As former President Donald Trump has clinched a second term with a victory, his health care priorities will differ somewhat from his first term, which focused heavily on repealing and replacing the Affordable Care Act (ACA)....more

Health Care Policy Positions: Expectations for a Harris or Trump White House

With less than one month until the presidential election, health care policy issues are at the forefront of voters’ minds, including issues around drug pricing, federal research funding and reproductive rights....more

End-of-Year Health Care Congressional Activities

Congress has concluded a flurry of activity ahead of the August recess, which includes considering dozens of key public health programs that expire on Sept. 30, including Community Health Centers, the Pandemic Preparedness...more

Breaking Down the Health Care Impact of the Fiscal Responsibility Act

The Fiscal Responsibility Act, the product of intense negotiations between the White House and House Republican leadership, suspends the debt limit and outlines government spending cuts....more

Summary of Health Care Provisions in the Inflation Reduction Act

After more than a year of negotiations, the House and Senate Democrats have advanced some of President Joe Biden’s highest policy priorities. The landmark legislation, entitled the Inflation Reduction Act of 2022 (IRA), makes...more

Likely Directions for the Biden Administration Health Care Regulatory Agenda

With President Biden’s legislative agenda likely stalled for the time being, along with the upcoming midterm elections possibly shifting Congress to Republican control, it is likely that the administration will turn to...more

Health Care Provisions in House Budget Reconciliation Bill

Last week, four committees in the House of Representatives approved health care-related legislation as part of the $1.9 trillion COVID-19 relief bill proposed by Democrats. This bill is modeled on President Joe Biden’s...more

Will Severability Rescue the Affordable Care Act? If Not, What Comes Next?

Health care policy and business face consequential times ahead, with Election Day Nov. 3 and a challenge to the Affordable Care Act (ACA) being heard before the Supreme Court on Nov. 10. In February 2018, two months after...more

End-of-Year Spending and Health Care Extenders Package Overview

House and Senate lawmakers came to a bipartisan agreement on an end-of-year spending deal that will fund the government for FY 2020. The $1.37 trillion package includes a total of $738 billion in funding for the military and...more

Health Extenders Overview and Outlook

On Friday, Sept. 27, President Trump signed a continuing resolution (CR) to fund the government at current levels until Nov. 21. This extended funding for the 20 health care programs that were set to expire at the end of the...more

#WheresThePrice: Proposed Rule Sneaks in Questions about Publishing Payer-Negotiated Rates

The most recent proposal in a series of efforts by the Trump administration to increase price transparency in health care is one that may eventually require hospitals and providers to publicly disclose the payer-negotiated...more

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