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
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
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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Department of Health and Human Services (HHS) ,
Federal Funding ,
Healthcare ,
Healthcare Reform ,
Legislative Agendas ,
Medicare ,
Pharmaceutical Industry ,
Pharmacy Benefit Manager (PBM) ,
Presidential Nominations ,
Senate Committees ,
Telehealth ,
Trump Administration
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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Health Insurance ,
Healthcare ,
Healthcare Reform ,
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MIPS ,
New Legislation ,
OPPS ,
Outpatient Prospective Payment System (OPPS) ,
Proposed Legislation ,
Proposed Rules ,
Senate Committees ,
Technology ,
Telehealth ,
Trump Administration
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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Federal Budget ,
Federal Funding ,
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Medicare ,
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Regulatory Agenda ,
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) ,
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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
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
/ Centers for Medicare & Medicaid Services (CMS) ,
Federal Funding ,
Food and Drug Administration (FDA) ,
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Healthcare Reform ,
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Proposed Rules ,
Regulatory Agenda ,
Trump Administration
Senate Reconciliation Process Continues. Republicans are adjusting language to comply with Senate rules and appease various wings of the party....more
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
/ Affordable Care Act ,
Budget Reconciliation ,
Centers for Medicare & Medicaid Services (CMS) ,
Federal Funding ,
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Healthcare ,
Healthcare Reform ,
Legislative Agendas ,
Medicaid ,
Medicare ,
National Institute of Health (NIH) ,
New Legislation ,
Proposed Legislation ,
Senate Finance Committee
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
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Budget Reconciliation ,
Congressional Committees ,
Healthcare ,
Healthcare Reform ,
Medicaid ,
Medicare ,
New Legislation ,
Proposed Legislation ,
Regulatory Agenda ,
Regulatory Reform ,
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
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Budget Reconciliation ,
Centers for Medicare & Medicaid Services (CMS) ,
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Executive Orders ,
Healthcare ,
Healthcare Reform ,
Legislative Agendas ,
Medicaid ,
Medicare ,
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New Legislation ,
Proposed Legislation ,
Trump Administration
UPDATE: On June 4, 2025, the Congressional Budget Office (CBO) released updated cost estimates of H.R. 1, the One Big Beautiful Bill Act. We have updated our summary of the bill’s health provisions to reflect these new CBO...more
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
Congress is back from recess this week, and focus is on the Senate’s consideration of the House-passed reconciliation bill. Much of this work – for example, ensuring that provisions are consistent with the Byrd Rule – will be...more
Senate Prepares to Take Up Reconciliation Bill. Discussions about the bill’s real-world implications continued during this week’s recess....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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Department of Health and Human Services (HHS) ,
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Healthcare ,
Healthcare Reform ,
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Medicaid ,
Medicare ,
New Legislation ,
Proposed Legislation ,
Senate Committees ,
U.S. House
THIS WEEK’S DOSE -
- Key House Health Committees Advance Reconciliation, Bill Held Up in Budget Committee. The Energy and Commerce Committee and Ways and Means Committee passed their recommendations for reconciliation out of...more
5/19/2025
/ Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Drug Pricing ,
Executive Orders ,
Healthcare Reform ,
Medicaid ,
Medicare ,
Pharmacy Benefit Manager (PBM) ,
Proposed Legislation ,
Proposed Rules ,
Senate Judiciary Committee ,
Trump Administration
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
/ Centers for Medicare & Medicaid Services (CMS) ,
Congressional Committees ,
Drug Pricing ,
Executive Orders ,
Healthcare Reform ,
Legislative Agendas ,
Medicaid ,
Medicare ,
New Legislation ,
Pharmacy Benefit Manager (PBM) ,
Prescription Drugs ,
Proposed Legislation ,
Trump Administration
THIS WEEK’S DOSE -
- Republicans Advance Reconciliation Debate. Work continued behind the scenes among Republicans to reach consensus on Medicaid policies, with a House Energy and Commerce Committee markup announced for May...more
THIS WEEK’S DOSE -
- House Committees Begin Reconciliation Markups. Non-health-related committees moved forward this week, with the House Energy and Commerce Committee tentatively scheduled to mark up its legislative text in...more
After a two-week recess, lawmakers are back on Capitol Hill to begin marking up their budget reconciliation legislation. The budget resolution that passed in early April instructs committees to spend or save a certain amount....more
HELP Committee Releases 340B Report. Health, Education, Labor, and Pensions (HELP) Chair Cassidy (R-LA) released findings from his investigation and laid out potential reforms to the 340B Drug Pricing Program....more
On April 11, 2025, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2026 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) Prospective Payment...more