Appropriations Update. On March 3, Congress released bill text for the CAA, 2024, which includes funding for six of the 12 appropriations bills: Agriculture-FDA, Military Construction-VA, Energy-Water, Transportation-HUD,...more
3/11/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Drug Pricing ,
Federal Trade Commission (FTC) ,
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Healthcare Reform ,
HELP Act ,
Legislative Agendas ,
Medicare ,
Medicare Advantage ,
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Prescription Drugs ,
Private Equity ,
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Senate Committees ,
U.S. House
Appropriations Update. As appropriators continue to finalize the 12 funding bills for fiscal year (FY) 2024 – which began on October 1, 2023 – a series of stopgap CRs have been needed to avoid a government shutdown. This...more
3/4/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Healthcare ,
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Payment Systems ,
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Prescription Drugs ,
SAMHSA ,
Senate Banking Committee ,
Senate Committees
IT’S SHUTDOWN WEEK . . . AGAIN -
Stop us if you’ve heard this one before. Congress returns to session this week, with precious little time to avert a looming partial government shutdown at midnight on Friday. After...more
2/27/2024
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U.S. House
Senate HELP Committee Releases HIPAA Modernization White Paper: Sen. Cassidy (R-LA), Ranking Member of the Senate Health, Education, Labor & Pensions (HELP) Committee, released a white paper entitled “Strengthening Health...more
2/26/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Data Privacy ,
Department of Health and Human Services (HHS) ,
GAO ,
Health Care Providers ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Healthcare ,
Healthcare Reform ,
HELP Act ,
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Proposed Legislation ,
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U.S. House
House Energy and Commerce Health Subcommittee Holds Legislative Hearing on 19 Bills. Lawmakers discussed 19 pieces of legislation designed to support patients and caregivers in the key areas of autism, heart defects,...more
2/19/2024
/ Ambulatory Surgery Centers ,
Caregivers ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Federal Trade Commission (FTC) ,
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MACs ,
Medicaid ,
Medicare ,
Medicare Advantage ,
Medicare Part D ,
Mental Health ,
Outpatient Prospective Payment System (OPPS) ,
Proposed Legislation ,
Request For Information ,
Senate Committees ,
U.S. House
House Energy and Commerce Committee Holds Hearing on Healthcare Costs. The hearing included discussion on what factors are causing cost increases for individuals, for the healthcare sector, and for federal health programs...more
2/2/2024
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Healthcare ,
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Medicare Part D ,
Mental Health ,
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Prescription Drugs ,
SAMHSA ,
Senate Committees ,
Substance Abuse ,
Telehealth ,
U.S. House
Senate Finance Chair Continues Inquiry into MA Marketing Techniques. Chairman Wyden (D-OR) sent letters to five third-party marketing organizations that participate in the MA enrollment period. The letters seek information on...more
1/29/2024
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U.S. House
On January 17, 2024, the Centers for Medicare & Medicaid Services (CMS) released a final rule that will require certain payers to automate their prior authorization processes and implement application program interfaces...more
Congress Passes CR and Averts Government Shutdown. As appropriators continue to draft the 12 funding bills for FY 2024, a new stopgap CR was needed to avoid a partial government shutdown on January 19. The Senate passed the...more
Congress Works to Meet Imminent Funding Deadlines. Speaker of the House Johnson (R-LA) and Senate Majority Leader Schumer (D-NY) announced an agreement on top-line spending levels to fund the government for the remainder of...more
1/15/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
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Employee Definition ,
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Final Rules ,
Food and Drug Administration (FDA) ,
Healthcare ,
Healthcare Reform ,
Independent Contractors ,
Mental Health ,
OCR ,
Religious Discrimination ,
SAMHSA ,
Senate Committees
Congress Returns Next Week to Face Imminent Funding Deadlines. The Senate will return to session on January 8, and the House will return on January 9. Lawmakers face an immediate time crunch on FY 2024 appropriations, as the...more
1/8/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Children's Health Insurance Program (CHIP) ,
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Enrollment ,
GAO ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Medical Devices ,
Medicare ,
OMB ,
Physician Fee Schedule
House Passes Healthcare Legislation. The House brought two key bipartisan healthcare bills to the floor this week. The Lower Costs, More Transparency Act (H.R. 5378) was approved by a vote of 320–71, and the Support for...more
12/18/2023
/ Artificial Intelligence ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Drug Pricing ,
GAO ,
Healthcare ,
Healthcare Reform ,
HELP ,
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Medicare ,
New Legislation ,
Pharmaceutical Industry ,
Prescription Drugs ,
Privacy Laws ,
Proposed Legislation ,
Senate Committees ,
Technology Sector ,
U.S. House
CONGRESS -
House Energy & Commerce Health Subcommittee Examines AI. The hearing explored the transformative potential of AI in healthcare, acknowledging its promise in enhancing efficiency, improving patient care and...more
12/4/2023
/ Affordable Care Act ,
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U.S. House
Congress Passes Two-Tiered CR to Fund Government into Early 2024. In the absence of final passage of any of the 12 annual appropriations bills for FY 2024, Speaker Johnson (R-LA) unveiled a short-term CR, H.R. 6363, the...more
CONGRESS -
Senate Finance Committee Holds Markup on Better Mental Health Care, Lower-Cost Drugs, and Extenders Act. The bipartisan package includes Medicare and Medicaid extenders, provisions to expand the mental health...more
11/10/2023
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Health Care Providers ,
Healthcare ,
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Hospitals ,
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Medicare ,
Mental Health ,
National Institute of Health (NIH) ,
Outpatient Prospective Payment System (OPPS) ,
Pharmaceutical Industry ,
Pharmacy Benefit Manager (PBM) ,
Physician Fee Schedule ,
Prescription Drugs ,
Regulatory Agenda ,
Senate Committees ,
Telehealth ,
U.S. House
CONGRESS -
House Ways & Means Chair Smith, House Energy & Commerce Chair Rodgers and Senate Finance Ranking Member Crapo Call for Withdrawal of Nurse Staffing Mandate. Rep. Smith (R-MO), Rep. Rodgers (R-WA) and Sen. Crapo...more
11/6/2023
/ Artificial Intelligence ,
Biden Administration ,
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Congressional Committees ,
Department of Health and Human Services (HHS) ,
Dispute Resolution ,
ESRD ,
Executive Orders ,
Final Rules ,
Hospitals ,
Medicaid ,
Medicare Advantage ,
OIG ,
Outpatient Prospective Payment System (OPPS)
CONGRESS -
House Republicans Elect New Speaker. After weeks of turmoil, the House elected Rep. Mike Johnson (R-LA) as the new Speaker of the House on Wednesday with 220 votes secured on the floor. The House is now able to...more
10/30/2023
/ Affordable Care Act ,
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Department of Health and Human Services (HHS) ,
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Healthcare Reform ,
HELP Act ,
Inflation Reduction Act (IRA) ,
Legislative Agendas ,
National Institute of Health (NIH) ,
Proposed Legislation ,
Senate Committees ,
U.S. House
THIS WEEK’S DOSE -
Uncharted Territory in the House: The House voted to remove Rep. McCarthy (R-CA) as Speaker of the House, then recessed until at least October 11, when the House is slated to reconvene to elect a new...more
10/9/2023
/ Centers for Medicare & Medicaid Services (CMS) ,
Congressional Committees ,
Department of Health and Human Services (HHS) ,
Department of Labor (DOL) ,
Extensions ,
Food and Drug Administration (FDA) ,
Healthcare ,
Healthcare Reform ,
Laboratory Developed Tests ,
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Medicare ,
New Legislation ,
Over The Counter Drugs (OTC) ,
Pharmaceutical Industry ,
Preventive Health Care ,
Proposed Legislation ,
Proposed Rules ,
Regulatory Requirements ,
Request For Information ,
Telehealth ,
Telemedicine ,
Temporary Regulations ,
U.S. Treasury
Passing the 12 annual appropriations bills that fund the federal government for the next fiscal year (which starts on October 1), or enacting a stopgap continuing resolution in the interim, seems to come down to the wire...more
9/28/2023
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Department of Health and Human Services (HHS) ,
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Government Shutdown ,
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OMB ,
Payment Systems ,
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CONGRESS -
Senators Sanders and Marshall Release Bipartisan Primary Care and Health Workforce Act. Released on September 14, the legislation would reauthorize funding for a number of healthcare workforce programs that are...more
9/20/2023
/ Centers for Disease Control and Prevention (CDC) ,
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Congressional Investigations & Hearings ,
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DEA ,
Department of Health and Human Services (HHS) ,
Food and Drug Administration (FDA) ,
GAO ,
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CONGRESS -
House Republicans Release Healthcare Package. On September 6, House Republicans unveiled the Lower Costs, More Transparency Act, a draft package of healthcare transparency provisions, pharmacy benefit manager...more
9/11/2023
/ Artificial Intelligence ,
Centers for Medicare & Medicaid Services (CMS) ,
CMMI ,
Congressional Committees ,
Department of Health and Human Services (HHS) ,
Department of Labor (DOL) ,
Disability Discrimination ,
Drug Pricing ,
Fair Labor Standards Act (FLSA) ,
Healthcare ,
Healthcare Reform ,
HELP ,
Legislative Agendas ,
Long Term Care Facilities ,
Long-Term Care ,
New Legislation ,
Over-Time ,
Pharmaceutical Industry ,
Prescription Drugs ,
Proposed Legislation ,
Proposed Rules ,
Request For Information ,
Rural Health Care Program ,
Transparency
Congress is officially in recess for the month of August and will return after Labor Day. On the regulatory front, the Centers for Medicare & Medicaid Services (CMS) released the final fiscal year (FY) 2024 Inpatient...more
8/4/2023
/ Acute Facilities ,
Billing ,
Centers for Medicare & Medicaid Services (CMS) ,
Coronavirus/COVID-19 ,
Final Rules ,
Health Care Providers ,
Healthcare ,
Hospitals ,
Inpatient Prospective Payment System (IPPS) ,
Long Term Care Facilities ,
Medicare ,
Medicare Part D ,
No Surprises Act (NSA) ,
Patient Prospective Payment System ,
Payment Systems
On August 1, 2023, the Centers for Medicare & Medicaid Services (CMS) released the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) final rule. The rule updates Medicare payment policies and quality reporting...more
The House and Senate were both in session this week, with healthcare activity at the committee level. The House Ways and Means Committee held a markup focused on healthcare transparency and consolidation legislation. The...more
7/28/2023
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Healthcare ,
Healthcare Reform ,
Inpatient Rehab Facilities ,
Legislative Agendas ,
Medical Bills ,
Pharmacy Benefit Manager (PBM) ,
Senate Committees ,
Senate Finance Committee ,
Transparency ,
U.S. House
The House and Senate were both in session this week, with healthcare activity at the committee level. The House Energy and Commerce Committee held a hearing on innovation and a markup of 15 healthcare bills. The Senate...more
7/24/2023
/ Billing ,
Centers for Disease Control and Prevention (CDC) ,
Centers for Medicare & Medicaid Services (CMS) ,
Coronavirus/COVID-19 ,
Department of Health and Human Services (HHS) ,
Federal Trade Commission (FTC) ,
Health Care Providers ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Healthcare ,
Healthcare Reform ,
HELP Act ,
Legislative Agendas ,
MCOs ,
Medicare ,
Proposed Legislation ,
SAMHSA ,
Senate Committees ,
Technology ,
Telehealth ,
U.S. House ,
Vaccinations