Senate HELP Committee advances legislation, examines healthcare affordability. The legislation would reauthorize expiring programs, including the Over-the-Counter Monograph Drug User Fee Program.
Senate Appropriations...more
CBO releases final scores for OBBBA. The Congressional Budget Office (CBO) estimates that the One Big Beautiful Bill Act (OBBBA) will increase the uninsurance rate by 10 million individuals over 10 years.
House Energy and...more
7/28/2025
/ Congressional Committees ,
Department of Health and Human Services (HHS) ,
Federal Funding ,
Healthcare ,
Healthcare Reform ,
Legislative Agendas ,
Medicaid ,
Medicare Advantage ,
New Legislation ,
Regulatory Agenda ,
Regulatory Reform ,
Trump Administration ,
Ways and Means Committee
THIS WEEK’S DOSE -
- OBBBA implementation begins. While the administration focuses on implementing the new law, some lawmakers are already discussing adjustments to health provisions in the One Big Beautiful Bill Act...more
7/21/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Fraud ,
GAO ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Legislative Agendas ,
Medicare ,
MIPS ,
New Legislation ,
OPPS ,
Outpatient Prospective Payment System (OPPS) ,
Proposed Legislation ,
Proposed Rules ,
Senate Committees ,
Technology ,
Telehealth ,
Trump Administration
THIS WEEK’S DOSE -
- President Trumps signs OBBBA into law. After months of debate, Congress passed and President Trump signed H.R. 1, the One Big Beautiful Bill Act (OBBBA), into law on July 4, 2025.
- Senate HELP...more
7/14/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Cybersecurity ,
Department of Health and Human Services (HHS) ,
ESRD ,
Executive Orders ,
Federal Budget ,
Healthcare ,
Healthcare Reform ,
HELP ,
Immigrants ,
Legislative Agendas ,
Medicaid ,
Medicare ,
New Legislation ,
Proposed Legislation ,
Public Health Emergency ,
SCOTUS ,
Senate Committees ,
Trump Administration
Many healthcare programs are extended for specific time periods, as short as one or two years or as long as 10, and are usually attached to a larger piece of must-pass legislation. Additionally, while traditional...more
THIS WEEK’S DOSE -
- Senate Finance Committee Releases Reconciliation Text. The language is subject to change as negotiations continue and the Byrd rule process plays out.
- CMS Releases MA Risk Adjustment Audit Methodology...more
6/19/2025
/ Affordable Care Act ,
Budget Reconciliation ,
Centers for Medicare & Medicaid Services (CMS) ,
Federal Funding ,
Government Agencies ,
Healthcare ,
Healthcare Reform ,
Legislative Agendas ,
Medicaid ,
Medicare ,
National Institute of Health (NIH) ,
New Legislation ,
Proposed Legislation ,
Senate Finance Committee
THIS WEEK’S DOSE -
- Reconciliation Moves Forward. Senate committees continue to release their reconciliation provisions.
- NIH Director Testifies on FY 2026 Budget. National Institutes of Health (NIH) Director Bhattacharya...more
6/16/2025
/ Biden Administration ,
Budget Reconciliation ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Executive Orders ,
Healthcare ,
Healthcare Reform ,
Legislative Agendas ,
Medicaid ,
Medicare ,
National Institute of Health (NIH) ,
New Legislation ,
Proposed Legislation ,
Trump Administration
Senate Prepares to Take Up Reconciliation Bill. Discussions about the bill’s real-world implications continued during this week’s recess....more
THIS WEEK’S DOSE -
- House Passes Reconciliation Package. The package now moves to the Senate, where substantive changes, including in healthcare, will likely be made.
- HHS Secretary Kennedy, FDA Commissioner Makary...more
5/27/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Drug Pricing ,
Executive Orders ,
Healthcare ,
Healthcare Reform ,
Inflation Reduction Act (IRA) ,
Medicaid ,
Medicare Advantage ,
New Legislation ,
Prescription Drugs ,
Senate Committees ,
U.S. House
THIS WEEK’S DOSE -
- Reconciliation Moves Forward with Senate Introduction of Concurrent Budget Resolution. This move initiates the next stage in the reconciliation process, which requires House and Senate passage of a...more
Senate Confirms FDA, NIH Nominations, Advances CMS Nomination. On March 25, 2025, the Senate confirmed Martin Makary, MD, as the next FDA commissioner by a 56 – 44 vote. Sens. Durbin (D-IL), Hassan (D-NH), and Shaheen (D-NH)...more
3/31/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Food and Drug Administration (FDA) ,
Government Agencies ,
Medicare Advantage ,
National Institute of Health (NIH) ,
New Legislation ,
Presidential Nominations ,
Proposed Legislation ,
Senate Confirmation Hearings ,
Trump Administration
House Passes Budget Resolution. On February 25, the House voted 217 – 215 to advance its version of a budget resolution to outline the reconciliation process. In a dramatic display of how quickly things can change, the vote...more
3/3/2025
/ Artificial Intelligence ,
Department of Health and Human Services (HHS) ,
Executive Orders ,
Federal Trade Commission (FTC) ,
Healthcare ,
Healthcare Reform ,
Legislative Agendas ,
Medicaid ,
Medicare ,
New Legislation ,
Pharmacy Benefit Manager (PBM) ,
Technology Sector ,
Trump Administration
Congress Continues Election Recess. Members are on the campaign trail and are scheduled to return for the lame duck session on November 12, 2024.
CMS Releases Proposed NBPP for 2026. The proposed Notice of Benefit and...more
10/14/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Congressional Committees ,
Department of Health and Human Services (HHS) ,
GAO ,
Healthcare ,
Healthcare Reform ,
Legislative Agendas ,
New Legislation ,
Pharmaceutical Industry ,
Proposed Legislation ,
Regulatory Agenda ,
U.S. House
Congress Votes on CR, Health-Related Legislation. After reaching a deal over the weekend, both chambers passed a CR to avoid a government shutdown and fund the federal government through December 20, 2024. This tees up a push...more
9/30/2024
/ Abortion ,
Centers for Medicare & Medicaid Services (CMS) ,
Congressional Committees ,
Cybersecurity ,
Department of Health and Human Services (HHS) ,
Final Rules ,
Healthcare ,
Healthcare Reform ,
HELP ,
HRSA ,
Legislative Agendas ,
Medicaid Drug Rebate Program ,
New Legislation ,
Pharmaceutical Industry ,
Pharmacy Benefit Manager (PBM) ,
Proposed Legislation ,
State Bans ,
Telehealth ,
Telemedicine
House Education & the Workforce Health, Employment, Labor, and Pensions Subcommittee Holds Hearing on ERISA’s 50th Anniversary. Members and witnesses assessed how the Employee Retirement Income Security Act of 1974 (ERISA)...more
9/16/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Congressional Committees ,
Department of Health and Human Services (HHS) ,
Employee Retirement Income Security Act (ERISA) ,
Final Rules ,
GAO ,
Healthcare Reform ,
HRSA ,
Legislative Agendas ,
Medicare ,
Mental Health ,
Mental Health Parity Rule ,
MHPAEA ,
New Legislation ,
NQTLs ,
Pharmaceutical Industry ,
Pharmacy Benefit Manager (PBM) ,
Regulatory Agenda ,
Regulatory Reform ,
U.S. House
CMS Finalizes New TCET Pathway. The final procedural notice, effective immediately, creates a new pathway that uses existing national coverage determination and coverage with evidence development (CED) processes to expedite...more
Senate HELP Committee Marks Up Public Health Program Reauthorizations. The bills would reauthorize several programs related to older adults, individuals with developmental disabilities and individuals with traumatic brain...more
Senate HELP Committee Holds Hearing on Medical Debt. The hearing examined the negative impacts of medical debt and explored potential solutions to address the growing issue. Senators and witnesses highlighted the disparity...more
7/15/2024
/ Artificial Intelligence ,
Centers for Medicare & Medicaid Services (CMS) ,
Congressional Committees ,
Data Privacy ,
Healthcare ,
Healthcare Reform ,
HELP ,
Legislative Agendas ,
New Legislation ,
ONC ,
Outpatient Prospective Payment System (OPPS) ,
Pharmaceutical Industry ,
Physician Fee Schedule ,
Proposed Legislation ,
Senate Committees ,
U.S. House
House Ways & Means Health Subcommittee Holds Hearing on Value-Based Care. The hearing examined the challenges and opportunities associated with delivering better health outcomes and Medicare savings through value-based care....more
7/1/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Congressional Committees ,
Department of Health and Human Services (HHS) ,
Healthcare ,
Healthcare Reform ,
Legislative Agendas ,
New Legislation ,
Proposed Legislation ,
Senate Committees ,
Telehealth ,
U.S. House
House Oversight Subcommittee Hearing with Fauci. The hearing aimed to gather more information on the response to the COVID-19 pandemic by Anthony Fauci, MD, former National Institute of Allergy and Infectious Diseases...more
6/7/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Healthcare ,
Healthcare Reform ,
HELP ,
Legislative Agendas ,
Medicaid ,
Medicare ,
New Legislation ,
Pharmaceutical Industry ,
Proposed Legislation ,
Section 340B ,
Senate Committees ,
U.S. House
House Energy & Commerce Committee Hearing on FDA. The hearing examined the US Food & Drug Administration’s (FDA’s) regulation of drugs, biologics and devices.
House Budget Committee Hearing on Healthcare Monopolies. The...more
House Energy & Commerce Health Subcommittee Holds Legislative Hearing on Improving Medicaid Access. Daniel Tsai, deputy administrator and director of the Center for Medicaid and CHIP Services (CMCS), testified. Members...more
5/6/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Children's Health Insurance Program (CHIP) ,
DACA ,
Department of Health and Human Services (HHS) ,
Department of Labor (DOL) ,
Final Rules ,
Food and Drug Administration (FDA) ,
Health Care Providers ,
Healthcare Reform ,
Legislative Agendas ,
Medicaid ,
Medicare ,
New Legislation ,
New Regulations ,
Regulatory Agenda ,
Senate Committees ,
U.S. House
Senate HELP Committee Holds Field Hearing on Private Equity. In the hearing, held at the Massachusetts State House, members discussed the impact of private equity ownership on patients, providers, quality of care and...more
4/8/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Congressional Committees ,
Final Rules ,
Healthcare ,
Healthcare Reform ,
Legislative Agendas ,
Medicaid ,
Medicare ,
New Legislation ,
Payment Systems ,
Proposed Legislation ,
U.S. House
Appropriations Update. On March 20, Congress released bill text for the second (and final) tranche of fiscal year (FY) 2024 appropriations bills, which include: Defense, Financial Services, Homeland Security, Labor-HHS,...more
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
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Health Care Providers ,
Healthcare ,
Healthcare Reform ,
Legislative Agendas ,
Long-Term Care ,
Medicare Advantage ,
New Legislation ,
New Regulations ,
Proposed Legislation ,
Senate Committees ,
U.S. House