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
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Federal Budget ,
Healthcare ,
Healthcare Reform ,
Medicaid ,
Medicare ,
Medicare Advantage ,
Medicare Payment Reform ,
MedPAC ,
Section 340B ,
Trump Administration
House Committees Organize, Senate Committees Begin Nomination Hearings. House healthcare committees held organizing meetings and announced subcommittee assignments, while Senate committees held nomination hearings for...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
/ Centers for Medicare & Medicaid Services (CMS) ,
Congressional Committees ,
Department of Health and Human Services (HHS) ,
Healthcare ,
Healthcare Reform ,
Legislative Agendas ,
Medicaid ,
Medicare ,
New Legislation ,
Senate Committees ,
Telehealth ,
Trump Administration ,
U.S. House
118th Congress Continues to Grapple with Contentious CR. With the collapse of Republican support for the negotiated continuing resolution (CR) package, as of the time of publication on Friday at 3:00 PM EST, Congress is still...more
12/23/2024
/ Artificial Intelligence ,
Centers for Medicare & Medicaid Services (CMS) ,
Congressional Committees ,
Department of Health and Human Services (HHS) ,
Health Care Providers ,
Healthcare ,
Healthcare Reform ,
Legislative Agendas ,
Machine Learning ,
Medicaid ,
Medicare ,
Pharmaceutical Industry ,
Prescription Drugs ,
Proposed Legislation ,
Regulatory Agenda ,
Technology ,
U.S. House
Senate Special Committee on Aging Holds Hearing on People with Disabilities. Senators and witnesses acknowledged the significant barriers that exist for Americans with disabilities and discussed current and proposed federal...more
12/16/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Disabilities ,
Federal Trade Commission (FTC) ,
Final Rules ,
GAO ,
Healthcare ,
Healthcare Reform ,
Home and Community Based Services (HCBS) ,
Legislative Agendas ,
Medicare Advantage Organizations (MAOs) ,
MedPAC ,
NDAA ,
OIG ,
Regulatory Agenda ,
Senate Committees ,
U.S. House ,
Veterans' Benefits
Congress Negotiates Healthcare Extenders, Continues to Plan for 2025. Lawmakers continue negotiations to wrap up the 118th Congress and pass remaining must-do policies, including government funding, likely through a...more
12/9/2024
/ Artificial Intelligence ,
Centers for Medicare & Medicaid Services (CMS) ,
Congressional Committees ,
Department of Health and Human Services (HHS) ,
Health Care Providers ,
Healthcare ,
Healthcare Reform ,
Legislative Agendas ,
Machine Learning ,
Medicaid ,
Medicare ,
Pharmaceutical Industry ,
Prescription Drugs ,
Proposed Legislation ,
Regulatory Agenda ,
Section 340B ,
Technology ,
U.S. House
Watchful Waiting: Three Weeks Left in Lame Duck -
Congress returns on Tuesday to begin the remaining three weeks of the lame duck session. Lawmakers have a packed agenda, and they have 18 days to pass a bill funding the...more
12/3/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Deadlines ,
Department of Health and Human Services (HHS) ,
Disaster Aid ,
Farm Bill ,
Food and Drug Administration (FDA) ,
Healthcare ,
Lame Duck Session ,
Medicare ,
NDAA ,
Telehealth
Congress Returns for Lame Duck Session. The House and Senate returned this week, kicking off the post-election lame duck session. The focus this week was not on legislating, but on organizing for the upcoming 119th Congress,...more
11/18/2024
/ Biden Administration ,
Centers for Medicare & Medicaid Services (CMS) ,
Congressional Committees ,
Department of Health and Human Services (HHS) ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Lame Duck Session ,
Legislative Agendas ,
Medicaid ,
Medicare ,
Members of Congress ,
Presidential Elections ,
Regulatory Agenda ,
Senate Committees ,
Trump Administration
Election Day 2024 has come and gone. Republicans have all but officially achieved a trifecta – control of the White House, Senate, and House of Representatives.
Both the House and Senate return today for the lame duck...more
11/13/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Congressional Committees ,
Department of Health and Human Services (HHS) ,
Donald Trump ,
Election Results ,
Healthcare ,
Healthcare Reform ,
Lame Duck Session ,
Legislative Agendas ,
Members of Congress ,
Presidential Elections ,
Regulatory Agenda ,
Senate Committees ,
Trump Administration
Republicans Win Control of White House and Senate, Seem Poised to Maintain Control of House. Former President Donald Trump will return to the White House, and Republicans also gained control of the Senate. Some toss-up House...more
11/11/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Donald Trump ,
Drug Pricing ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Legislative Agendas ,
Medicare ,
Medicare Advantage ,
Outpatient Prospective Payment System (OPPS) ,
Physician Fee Schedule ,
Presidential Elections ,
Proposed Rules ,
Senate Committees ,
Senate Judiciary Committee ,
U.S. House
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
/ Centers for Medicare & Medicaid Services (CMS) ,
Congressional Committees ,
Department of Health and Human Services (HHS) ,
GAO ,
Healthcare ,
Healthcare Reform ,
Legislative Agendas ,
New Legislation ,
Pharmaceutical Industry ,
Proposed Legislation ,
Regulatory Agenda ,
U.S. House
Congress Votes on CR, Health-Related Legislation. After reaching a deal over the weekend, both chambers passed a CR to avoid a government shutdown and fund the federal government through December 20, 2024. This tees up a push...more
9/30/2024
/ Abortion ,
Centers for Medicare & Medicaid Services (CMS) ,
Congressional Committees ,
Cybersecurity ,
Department of Health and Human Services (HHS) ,
Final Rules ,
Healthcare ,
Healthcare Reform ,
HELP ,
HRSA ,
Legislative Agendas ,
Medicaid Drug Rebate Program ,
New Legislation ,
Pharmaceutical Industry ,
Pharmacy Benefit Manager (PBM) ,
Proposed Legislation ,
State Bans ,
Telehealth ,
Telemedicine
One More Week Until Election Recess -
The House and Senate are in Washington, DC, for one more week before leaving until after election day. Over the weekend, congressional leaders struck a deal on a continuing resolution...more
Senate Judiciary Human Rights and the Law Subcommittee Holds Hearing on Georgia Abortion Ban. The field hearing examined how Georgia’s abortion ban impacts women’s health, and featured patient and physician witnesses....more
9/23/2024
/ Abortion ,
Artificial Intelligence ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Food and Drug Administration (FDA) ,
Georgia ,
HRSA ,
Human Rights ,
Inflation Reduction Act (IRA) ,
Medicaid ,
Medicare ,
Medicare Part D ,
Proposed Legislation ,
Proposed Regulation ,
State Bans ,
Telehealth
House Education & the Workforce Health, Employment, Labor, and Pensions Subcommittee Holds Hearing on ERISA’s 50th Anniversary. Members and witnesses assessed how the Employee Retirement Income Security Act of 1974 (ERISA)...more
9/16/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Congressional Committees ,
Department of Health and Human Services (HHS) ,
Employee Retirement Income Security Act (ERISA) ,
Final Rules ,
GAO ,
Healthcare Reform ,
HRSA ,
Legislative Agendas ,
Medicare ,
Mental Health ,
Mental Health Parity Rule ,
MHPAEA ,
New Legislation ,
NQTLs ,
Pharmaceutical Industry ,
Pharmacy Benefit Manager (PBM) ,
Regulatory Agenda ,
Regulatory Reform ,
U.S. House
CMS Finalizes New TCET Pathway. The final procedural notice, effective immediately, creates a new pathway that uses existing national coverage determination and coverage with evidence development (CED) processes to expedite...more
Senate HELP Committee Marks Up Public Health Program Reauthorizations. The bills would reauthorize several programs related to older adults, individuals with developmental disabilities and individuals with traumatic brain...more
Senate Staying Busy The House has started its August recess, so members are out until September 9, 2024. The Senate is in session, before joining the House in recess next week. The Senate Committee on Health, Education, Labor...more
House Oversight and Accountability Committee Holds Hearing on PBMs. Republicans and Democrats shared concerns about the role and practices of PBMs. While generally supportive of free market principles, Republicans criticized...more
Senate HELP Committee Holds Hearing on Medical Debt. The hearing examined the negative impacts of medical debt and explored potential solutions to address the growing issue. Senators and witnesses highlighted the disparity...more
7/15/2024
/ Artificial Intelligence ,
Centers for Medicare & Medicaid Services (CMS) ,
Congressional Committees ,
Data Privacy ,
Healthcare ,
Healthcare Reform ,
HELP ,
Legislative Agendas ,
New Legislation ,
ONC ,
Outpatient Prospective Payment System (OPPS) ,
Pharmaceutical Industry ,
Physician Fee Schedule ,
Proposed Legislation ,
Senate Committees ,
U.S. House
House Ways & Means Health Subcommittee Holds Hearing on Value-Based Care. The hearing examined the challenges and opportunities associated with delivering better health outcomes and Medicare savings through value-based care....more
7/1/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Congressional Committees ,
Department of Health and Human Services (HHS) ,
Healthcare ,
Healthcare Reform ,
Legislative Agendas ,
New Legislation ,
Proposed Legislation ,
Senate Committees ,
Telehealth ,
U.S. House
Senate Finance Committee Holds Hearing on Disability Benefits. The hearing discussed ways to improve work incentives for those on Social Security disability programs. Senators and witnesses noted that there are currently...more
House Energy & Commerce Committee Advances 13 Health Bills. The bipartisan legislation dealt with public health, Medicaid fraud and some small telehealth bills, but not the Medicare extension legislation that the committee is...more
Congress Tackles Defense, Reproductive Health in Busy Week Ahead Congress is in session Tuesday through Friday of this week, and it is sure to be a politically charged few days. The House is bringing forth the 2025 National...more
6/11/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Congressional Committees ,
Health Care Providers ,
Healthcare ,
Healthcare Reform ,
Legislative Agendas ,
NDAA ,
New Legislation ,
Proposed Legislation ,
Reproductive Healthcare Issues ,
Senate Committees
House Oversight Subcommittee Hearing with Fauci. The hearing aimed to gather more information on the response to the COVID-19 pandemic by Anthony Fauci, MD, former National Institute of Allergy and Infectious Diseases...more
6/7/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Healthcare ,
Healthcare Reform ,
HELP ,
Legislative Agendas ,
Medicaid ,
Medicare ,
New Legislation ,
Pharmaceutical Industry ,
Proposed Legislation ,
Section 340B ,
Senate Committees ,
U.S. House