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
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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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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OPPS ,
Outpatient Prospective Payment System (OPPS) ,
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Senate Committees ,
Technology ,
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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
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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
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Trump Administration
Welcome to what technically was supposed to be a congressional recess week in advance of the Fourth of July. The Fourth also has been Republicans’ internal deadline for having a reconciliation package on the president’s desk,...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 ,
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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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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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Senate Prepares to Take Up Reconciliation Bill. Discussions about the bill’s real-world implications continued during this week’s recess....more
Short Congressional Recess, Short Preview -
While Congress is in recess this week, we are still on reconciliation watch as consideration of the One Big Beautiful Bill Act moves to the Senate. We are on the lookout for a...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
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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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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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Trump Administration
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
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Presidential Nominations ,
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Senate Confirmation Hearings ,
Trump Administration
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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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
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Department of Health and Human Services (HHS) ,
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Healthcare ,
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Medicaid ,
Medicare ,
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Pharmacy Benefit Manager (PBM) ,
Technology Sector ,
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
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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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U.S. House
118th Congress Wraps Up -
Congress has five days to complete remaining business before the December 20 government funding deadline. It is still expected that the government will be funded via a short-term continuing...more
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
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