Senate Steers Toward Summer Break -
With the House already on August recess, the Senate will consider several of President Trump’s nominees, including Gustav Chiarello III to be an assistant secretary of the US Department of...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
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Two long weeks until August recess -
This is the last week with both chambers in session until September, and things are relatively slow as lawmakers count down the days to the month-long August recess. With reconciliation...more
7/22/2025
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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
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Rescissions rescissions -
Congressional focus this week is on the rescissions package and appropriations. The rescissions bill has a July 18 deadline to reach the president’s desk for signature.
The bill is pending in the...more
7/15/2025
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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
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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
Reconciliation aftermath -
Last week, President Trump signed H.R. 1, the One Big Beautiful Bill Act, into law after months of work on the reconciliation package. This week, things will slightly cool down in Washington, DC....more
7/8/2025
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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
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
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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
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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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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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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
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THIS WEEK’S DOSE -
House Passes Concurrent Budget Resolution for Reconciliation Process. Passage of the resolution didn’t resolve the policy differences between the House and the Senate. Those still need to be addressed as...more
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
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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
THIS WEEK’S DOSE -
- Congress Debates Government Funding. A continuing resolution (CR) to fund the government through September passed the House and may pass the Senate today.
- Senate HELP Committee Advances NIH, FDA...more
3/17/2025
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Government Funding Deadline, Healthcare Program Expirations Approach. Following recent House and Senate passage of their competing budget resolutions, Congress’ attention has now turned to the March 14, 2025, government...more
3/10/2025
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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
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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
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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
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RFK Jr. Confirmed as HHS Secretary. In a 52 – 48 Senate vote, Robert F. Kennedy (RFK) Jr. was confirmed as the next HHS secretary. All Democrats voted no, and Sen. McConnell (R-KY) was the only Republican to join them. He...more
2/14/2025
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