Big Picture. Congress is back and the lame duck session begins under significantly different political circumstances. Democrats have secured control of both chambers for the 120th Congress, leaving Republicans with a narrow window to advance their remaining priorities before turning over control in January. Republicans will attempt to balance their broader legislative agenda, including defense authorization, the Farm Bill, remaining... Read More
Impact Health - State Artificial Intelligence Health Care Pilots and Regulatory Sandboxes
At least six states, including Arizona, Connecticut, Delaware, Kansas, Texas, and Utah, have enacted legislation establishing or directing the development of regulatory sandboxes that can be used to test artificial intelligence (AI) in health care. While these states are at different stages of implementation, Utah has moved furthest in applying the sandbox model to direct clinical care. Its pilots are... Read More
Impact Health - Impact Weekly, November 2, 2026
Big. Picture. Tomorrow is election day. Congress will then return on Monday, November 9, with a full slate of objectives before the 119th Congress comes to an end. Lawmakers will have a little more than a month to address the appropriations continuing resolution (CR), which expires on December 11. Whether or not Congress pursues an omnibus or another short-term CR... Read More
Impact Health - Impact Weekly, October 26, 2026
Big. Picture. With just over a week until Election Day on November 3, the midterms are shaping up as a referendum on the economy, President Trump, and the direction of the country. Democrats hold a lead in the national House ballot: the latest CNN polling average puts them ahead 53 percent to 45 percent in the October 21–23 CBS/YouGov poll... Read More
Impact Health - Status of the Standalone Prescription Drug Plan Market and Outlook for Reform
While the Inflation Reduction Act (IRA) made the Part D benefit substantially more generous for beneficiaries, it also significantly shifted plan economics and bidding operations to accommodate the new changes. The result was significantly higher bids from standalone prescription drug plan (PDP) sponsors, including an 180 percent increase in 2025, an additional 33 percent increase in 2026, and a subsequent... Read More
Impact Health - Impact Weekly, October 19, 2026
Trump Administration continues to implement H.R. 1 and the CAA of 2026: Last week, the IRS issued a proposed rule to implement changes to premium tax credits in H.R. 1 (Impact summary), and CMS released a proposed rule to implement Medicare Advantage and Part D provisions of the Consolidated Appropriations Act of 2026 (Impact summary). Comments are due November 29... Read More
Impact Health - Impact Weekly, October 13, 2026
Health Policy to Watch. FDA Pushes Mifepristone Review to March 2027: On October 7, in a status update filed in Louisiana v. FDA, the FDA informed the court that its ongoing review of mifepristone will not be completed until March 2027, effectively postponing any potential changes to the drug’s availability or prescribing rules until after the review. The agency... Read More
Impact Health - Impact Weekly, October 5, 2026
Big Picture. Congress has concluded legislative business until after the November 3 midterm elections, shifting the focus to health care’s role on the campaign trail and the administration’s ongoing policy agenda. This week, MedPAC meets to examine Medicare Advantage networks, physician and laboratory payment accuracy, clinician quality initiatives, and post-acute care payment systems. Health Policy to Watch. CMS finalized the... Read More
Impact Health - Impact Weekly, September 28, 2026
Big Picture. The Senate returns today for what is expected to be its final week of legislative business before the midterm elections. The Senate is expected to vote on Name, Image, Likeness (NIL) in college athletics today, and may take up legislation on data centers. Beyond these efforts, the Senate will look to confirm nominations, including several HHS nominations. Health... Read More
Impact Health - Impact Weekly, September 21, 2026
Big Picture. The House is in recess until after the midterm elections and the Senate is aiming to recess by the end of the week. Before recessing, the Senate will attempt to pass legislation related to permitting reform and college athletics, while Artificial Intelligence (AI) regulation remains a topic of interest. Several Republican Senators are urging leadership to take up... Read More
Impact Health - Impact Weekly, September 14, 2026
Big Picture. Congress is back in session, but only for a short period before it recesses again for the midterm election break. The House is scheduled to recess by Friday, while the Senate is scheduled to recess by October 2, but may recess sooner. During this time, the House is focused on advancing legislation related to Russia sanctions, data centers,... Read More
Impact Health - Policy Menu for Potential Health Care Package
With a health care package potentially on the horizon, the Impact Health team has created a tool to help you map the full landscape of bills on the table and assess where the opportunities and risks lie for your priorities. Health Policy Menu The Health Policy Menu is a comprehensive spreadsheet cataloguing bills currently in play that could be included... Read More
Impact Health - Impact Weekly, September 8, 2026
Big Picture. Congress returns on September 14, but the House has cancelled votes for the weeks of September 21 and 28, leaving four legislative days before the chamber recesses for the midterm election break. Conversely, the Senate is currently scheduled to be in session until September 30th, and may use this time to advance nominations and other legislative priorities. Health... Read More
Impact Health - Impact Weekly, August 31, 2026
Health Policy to Watch. The House returns today and is likely to take up the Senate’s continuing resolution (CR) for fiscal year (FY) 2027 appropriations before recessing next week. The full Congress will then be back in session on September 14. During this August period, Impact Health Policy Partners is providing a series of brief policy outlooks examining key priority... Read More
Impact Health - Impact Weekly, August 24, 2026
Health Policy to Watch. Congress is in recess, with the House returning on August 31 and the Senate returning September 14. During this August period, Impact Health Policy Partners will provide a series of brief policy outlooks examining key priority areas likely to shape the health policy landscape this fall. This week, we are examining artificial intelligence (AI) and LGBTQ+... Read More
Impact Health - Impact Weekly, August 17, 2026
Health Policy to Watch. Congress is in recess, with the House returning on August 31 and the Senate returning September 14. During this August period, Impact Health Policy Partners will provide a series of brief policy outlooks examining key priority areas likely to shape the health policy landscape this fall. This week, we are examining transparency efforts and Make America... Read More
Impact Health - Impact Weekly, August 10, 2026
Health Policy to Watch. Congress is officially in recess, with the House returning on August 31 and the Senate returning September 14. During this August period, Impact Health Policy Partners will provide a series of brief policy outlooks examining key priority areas likely to shape the health policy landscape this fall. This week, we are examining Medicare. Medicare Physician Payment... Read More
Impact Health - Impact Weekly, August 3, 2026
Big Picture. The House is in recess until August 31, while the Senate is scheduled to depart at the end of this week and return on September 7. Before recessing, the Senate will attempt to pass a continuing resolution (CR) (text, section-by-section) that funds the government through December 11. The Senate is scheduled to vote on the CR today. The... Read More
Impact Health - Impact Weekly, July 20, 2026
Big Picture. Last week, the House Budget Committee advanced the budget resolution for a third reconciliation package. This features $73 billion for defense, $12 billion for agriculture, and $10 billion for a fund for voting restrictions, but notably excludes any health care instructions. Speaker Johnson is aiming for the House to advance the resolution this week, for the Senate to... Read More
Impact Health - 2026 Regulatory Outlook
The Trump administration recently released its 2026 Unified Agenda, which outlines regulatory plans for federal agencies over the coming year. The Unified Agenda reflects the administration’s priority on policies addressing health. In our regulatory outlook, we highlight rulemaking on coverage and payment, prescription drug prices, health IT, mental and behavioral health, workforce, public health, and more... Read More
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