Reconciliation Byrd Rulings and Potential Floor Vote -
This week will be busy as Republicans race to try to get the reconciliation package to President Trump’s desk by July 4. Last week, the Senate Finance Committee, which...more
The House is out this week for the Juneteenth holiday, but the Senate will be in town through Wednesday. We expect these three days to be significant because the Senate Finance Committee has announced that it intends to...more
6/17/2025
/ Affordable Care Act ,
Budget Reconciliation ,
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Healthcare Reform ,
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Medicare ,
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Regulatory Agenda ,
Regulatory Reform ,
Senate Finance Committee
Senate Continues Reconciliation Consideration -
This week, Senate consideration of the reconciliation package will continue, and more text will be made public as the process begins to move out from behind closed doors....more
MAHA and More Medicaid -
Late Sunday night, May 18, 2025, the House Budget Committee voted to advance the reconciliation package drafted by the Energy and Commerce Committee and Ways and Means Committee last week. The four...more
5/20/2025
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Senate Committees ,
U.S. House
Reconciliation Text Is Here -
Late Sunday night, May 11, 2025, the House Committee on Energy and Commerce released the much-anticipated budget reconciliation bill text ahead of its scheduled markup on May 13,...more
5/13/2025
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New Legislation ,
Pharmacy Benefit Manager (PBM) ,
Prescription Drugs ,
Proposed Legislation ,
Trump Administration
Reconciliation Hits a Speedbump -
As of May 6, 2025, it will not be what was anticipated on Capitol Hill. Multiple committees, including the House Energy and Commerce Committee, reportedly had planned to spend this week...more
5/7/2025
/ Budget Reconciliation ,
Congressional Committees ,
Department of Health and Human Services (HHS) ,
Federal Budget ,
Healthcare ,
Healthcare Reform ,
Legislative Agendas ,
Medicaid ,
Proposed Legislation ,
Senate Committees ,
Trump Administration
Final Week Before Easter Recess -
Focus this week on Capitol Hill will remain on reconciliation, as Republicans aim to pass the unified budget resolution in the House before leaving on Thursday for the two-week Easter...more
4/8/2025
/ Budget Reconciliation ,
Congressional Committees ,
Healthcare ,
Healthcare Reform ,
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Medicaid ,
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Physician Fee Schedule ,
Proposed Legislation ,
Senate Committees ,
Trump Administration
Reconciliation Watch -
Reports indicate that the Senate will move as soon as Wednesday to begin advancing a unified budget plan. The Senate hopes to be able to advance the budget resolution by having the two chambers...more
4/1/2025
/ Affordable Care Act ,
Budget Reconciliation ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Drug Pricing ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Medicaid ,
Medicare ,
Prescription Drugs ,
Proposed Legislation ,
Senate Committees ,
Trump Administration
Lawmakers are back in Washington, DC, after a week-long recess. Both chambers will be in town for three weeks before a two-week Easter recess in mid-April. With the government funded through the end of this fiscal year, focus...more
Attention Turns to Government Funding -
Last week, after some drama on the floor, the House passed its version of a budget resolution in a 217 – 215 vote, a week after the Senate passed its “skinny” resolution. For the...more
3/4/2025
/ Department of Health and Human Services (HHS) ,
Executive Orders ,
Federal Budget ,
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Healthcare ,
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Legislative Agendas ,
Medicaid ,
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New Legislation ,
New Regulations ,
Regulatory Agenda ,
Telehealth ,
Trump Administration
Can the House Pass a Budget Resolution This Week?
The House is back from recess, so both chambers of Congress are in session this week (although the House is out again on Friday).
With 18 days left to pass a budget before...more
After the Presidents Day long weekend, the House is out of session this week. The Senate is in session, with a continued focus on nominations and potential floor action on the budget resolution that the Senate Budget...more
2/19/2025
/ Department of Health and Human Services (HHS) ,
Executive Orders ,
Federal Funding ,
Healthcare ,
Legislative Agendas ,
Medicaid ,
Medicare ,
New Legislation ,
Regulatory Agenda ,
Senate Committees ,
Trump Administration
Budget Reconciliation Process Begins -
The Senate Budget Committee will hold a two-day markup on its budget resolution, officially kickstarting the reconciliation process. The resolution includes directions for committee...more
RFK Nomination Hearing Week -
Robert F. Kennedy Jr. (RFK), nominated for Secretary of Health and Human Services (HHS), has a busy week with two Senate nomination hearings. He will testify in front of the Senate Finance...more
1/28/2025
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Biden Administration ,
Department of Health and Human Services (HHS) ,
Executive Orders ,
Healthcare ,
Healthcare Reform ,
Medicaid ,
Medicare ,
Regulatory Reform ,
Reproductive Healthcare Issues ,
Senate Confirmation Hearings ,
Senate Finance Committee ,
Trump Administration ,
U.S. House
The Trump Administration and 119th Congress will likely be targeting trillions of dollars in savings in the year ahead. Healthcare makes up a significant portion of mandatory spending and therefore likely will be a large part...more
1/24/2025
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Medicare Payment Reform ,
MedPAC ,
Section 340B ,
Trump Administration
During the Biden Administration’s final week, congressional Republicans are moving full steam ahead with Senate confirmation hearings for Trump-nominated officials and with ongoing budget reconciliation discussions....more
A lot has happened in the last three weeks, so here’s a high-level recap:
Congress successfully, albeit rockily, passed a continuing resolution that will fund the government through March 14, 2025. That legislation...more
1/7/2025
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New Legislation ,
Senate Committees ,
Telehealth ,
Trump Administration ,
U.S. House
Medicaid Regs Part 2! Last week, Regs & Eggs took a deep dive into the Ensuring Access to Medicaid Services final reg, one of two regs that the Centers for Medicare & Medicaid Services (CMS) released to add new requirements...more
5/3/2024
/ Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Children's Health Insurance Program (CHIP) ,
Fee-for-Service ,
Health Care Providers ,
Health Insurance ,
Health Insurance Exchanges ,
Healthcare ,
Managed Care Contracts ,
MCOs ,
Medicaid ,
Price Transparency ,
Proposed Regulation
On April 22, 2024, the Centers for Medicare & Medicaid Services (CMS) published the Medicaid and Children’s Health Insurance Program Managed Care Access, Finance, and Quality final rule. CMS finalized several substantial...more
Congress is back in session this week, with the House in today and the Senate returning tomorrow. They are back for a four-week stretch until the Memorial Day recess break. Congress has already moved many of the major bills...more
4/30/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
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Final Rules ,
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Home and Community Based Services (HCBS) ,
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Senate Committees ,
U.S. House
On April 22, 2024 the Centers for Medicare & Medicaid Services (CMS) published the Medicaid Program; Ensuring Access to Medicaid Services final rule. The rule has a particular focus on home- and community-based services...more
Earlier this week, the Centers for Medicare & Medicaid Services (CMS) released two final regulations that added new requirements for states when operating their Medicaid programs. Medicaid is currently the largest health...more
While congressional debate and action will focus on aid to Israel this week, committees will continue to move forward their health agendas via hearings. The House Energy and Commerce Committee hearing on the Change Healthcare...more
4/16/2024
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Coronavirus/COVID-19 ,
Cyber Attacks ,
Cybersecurity ,
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Long-Term Care ,
Medicaid ,
Medicare
A key element of the Medicaid Redesign Team 1115 Waiver amendment is the Medicaid Hospital Global Budget Initiative (GBI), a reimbursement model tied very closely to the States Advancing All-Payer Health Equity Approaches and...more
On January 9, 2024, the Centers for Medicare and Medicaid Services (CMS) approved the New York State (NY) 1115 Medicaid waiver “Medicaid Redesign Team” (MRT). The MRT is a long-standing waiver in NY that has continuously...more