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HHS Secretary Tom Price Resigns and the Search Begins for Replacement

Department of Health and Human Services (HHS) Secretary Tom Price resigned on September 29, following the collapse of Republicans' efforts to repeal-and-replace the Affordable Care Act (ACA) and revelations that he spent more...more

Federal Funding for CHIP Expires, Pending Congressional Reauthorization

Federal funding for the Children's Health Insurance Program (CHIP) – which covers nearly nine million children nationwide at a total cost of approximately $14 billion per year – expired on September 30 as congressional action...more

Trump Administration Broadens Employer Exemption from ACA's Contraceptive Coverage Requirements

On October 6, the Trump Administration issued two new interim final rules that significantly expand exemptions for employers to the ACA's requirements to provide free contraceptive coverage. The new regulations, effective...more

Trump Executive Order Expected to Expand Association Health Plans and Short-Term Coverage

President Trump is expected to issue an executive order in the coming days that would direct federal agencies to expand access to association health plans (AHPs), which would be exempt from the ACA's coverage requirements and...more

Graham-Cassidy Falters; Bipartisan Talks Restart on Market Stabilization

Following defections from Senators Rand Paul (R-KY), John McCain (R-AZ), and Susan Collins (R-ME), Senate Republican leaders announced on September 26 that they did not have the votes for the Graham-Cassidy plan – the last...more

Fate of Last-Minute Affordable Care Act Initiatives Uncertain

This week, the debate over the Affordable Care Act (ACA) gained new momentum in two separate, but connected channels. As the fiscal year (FY) budget reconciliation window enabling expedited passage of an ACA repeal draws to a...more

Congress Returns to Washington with a Packed Health Care Calendar

September is traditionally one of the busiest months in Washington, and this year is no exception. While much of the attention is focused on the debt ceiling debate, appropriations and the federal response to Hurricane...more

Senate Fails to Advance Health Care Reform Bill; Next Steps Remain Uncertain

After a late-night defeat, it appears that Senate Republicans' years-long push to repeal the Affordable Care Act (ACA) has stalled following deep divisions between moderate and conservative members over the goals and various...more

Trustees Predict Medicare Solvent Until 2029; IPAB Not Triggered Until 2021

On July 13, the Boards of Trustees for Medicare issued the annual Trustees Report to the Congress on the financial operations and actuarial status of the Medicare Program. The trustees estimate that the trust fund financing...more

Surprise Opposition Sinks the Better Care Reconciliation Act; New Vote on "Repeal-and-Delay" Uncertain to Advance

On Monday evening, July 17, Senators Mike Lee (R-UT) and Jerry Moran (R-KS) issued joint statements in opposition to the Better Care Reconciliation Act (BCRA), the Senate Republicans' companion bill to the House-passed...more

Washington, D.C. Update – June 2017

Having returned from its Memorial Day recess, Congress now enters one of the longest continuous work periods of the year and – with the exception of the week of the Fourth of July – will likely be in session until the end of...more

Senate Republican Health Care Working Group Releases Health Care Reform Bill Text

On June 22, Senate Republicans released a discussion draft of the Better Care Reconciliation Act (BCRA), their companion bill to the House-passed American Health Care Act (AHCA). The legislation, which reforms the Affordable...more

CBO/JCT/CMS Release Analyses of House-Passed AHCA; Senate Timeline Remains Unclear

On May 24, the Congressional Budget Office (CBO) and Joint Committee on Taxation (JCT) released much-anticipated analysis of the House-passed American Health Care Act (AHCA). Overall, CBO projected that the AHCA would reduce...more

Tax Reform Delayed Until Later This Summer

Tax reform, perennially among the GOP's top priorities, has taken a back seat to other, more pressing priorities since an initial burst of interest caused by the Trump Administration's release of a one-page outline in April....more

Washington, D.C. Update – May 2017

April saw the debate in Congress heat up as Justice Neil Gorsuch was confirmed for a seat on the Supreme Court, House Republicans suspended, restarted and then ultimately succeeded in their effort to repeal and replace the...more

FY18 Budget Negotiations Begin in the House and Senate

While the FY17 appropriations package dominated the headlines, the debate surrounding the FY18 budget has begun in the House and Senate Budget Committees. House Budget Chair Diane Black (R-TN) said the House Budget Committee...more

House Makes Good on Promise to Repeal and Replace Affordable Care Act

On May 4, 2017, the House of Representatives succeeded in passing legislation to repeal and replace the Affordable Care Act (ACA). The American Health Care Act (AHCA) now moves to the Senate where its passage is far from...more

HHS Finalizes Rule Aimed at Stabilizing ACA Individual Marketplace

On Thursday, April 13, the Department of Health and Human Services finalized a long-awaited regulation intended to stabilize the Affordable Care Act (ACA) individual health insurance marketplace. The final rule tracks closely...more

Washington, D.C. Update – April 2017

All of Washington was watching as House Republicans failed to meet a self-imposed deadline to repeal the Affordable Care Act (ACA). The House Republican replacement proposal, the American Health Care Act (AHCA), which had...more

After Failed Attempt at Repeal, Republicans Debate Next Steps on the ACA

On March 24, the AHCA, the House Republican plan to repeal and replace the ACA, was pulled from consideration at the last minute after Speaker Paul Ryan (R-WI) reportedly told President Trump the measure did not have the...more

AHCA Pulled From the House Floor Minutes before an Expected Vote

The American Health Care Act (AHCA), the House Republican plan to repeal and replace the Affordable Care Act (ACA), was pulled from consideration at the last minute after Speaker Paul Ryan (R-WI) reportedly told President...more

Republican ACA Replacement Passes House Committees on Party Line Votes

On Thursday, March 9, after two overnight markups (one lasting 18 hours and one more than 27 hours), the House Ways and Means Committee and House Energy and Commerce Committee voted 23 to 16 and 32 to 23, respectively, to...more

2017 Washington, D.C. Preview

With President Donald Trump in the White House and Republican majorities in both the House and Senate, 2017 will see Republicans looking to undo much of President Obama's legacy and advance longstanding policy priorities....more

At Long Last, Tax Reform

Long near the top of the priority list, congressional Republicans now have an opportunity to move forward with tax reform. In fact, Republican leaders have committed to utilizing one of this year's two budget reconciliation...more

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