Infrastructure and Budget Reconciliation House Democrats will soon face a hard deadline to pass the bipartisan Infrastructure Investment and Jobs Act. The 30-day surface transportation funding extension (P.L. 117-44) expires on October 31. Absent congressional action, the Department of Transportation would be forced to furlough thousands of workers. House Speaker Nancy Pelosi (D-CA) plans to hold a vote of the... Read More
WHG - Issue Brief: Health Equity Implications of Potential Telehealth Reform under Medicare
The COVID-19 pandemic has reshaped the role of telehealth in the U.S. health care system. While the Medicare telehealth benefit remained largely unutilized prior to the pandemic, the need for health care amidst the COVID-19 shutdowns rendered telehealth the only viable option for many beneficiaries to access care. To make access to telehealth available to all Medicare beneficiaries, the federal... Read More
WHG - Weekly, October 18-22
As Democrats seek to shrink their budget reconciliation package, their strategy on how to trim the health care measures is unclear. The question for Democrats remains: include fewer things with longer authorizations or vice versa? The size of the package will also depend on the savings generated from lowering prescription drug prices. Medicare and Medicaid We will see the debate... Read More
WHG - Side-by-Side of Live Drug Pricing Proposals Under Consideration for Reconciliation
Amid ongoing reconciliation deliberations, the Wynne Health Group presents a side-by-side of the most pertinent drug pricing proposal provisions currently under consideration for inclusion in the final reconciliation package. The chart presents provisions from the following: The Energy & Commerce and Ways & Means reconciliation recommendations; The House Moderate Democrats Reduced Costs and Continued Cures Act; The 2020 Senate Finance... Read More
WHG - Weekly, October 12-15
Today, the House is expected to pass the Senate-approved measure increasing the debt ceiling, giving lawmakers until early December to reach a longer-term deal or pass another short-term fix. December 3 is when the U.S. is projected to hit the debt ceiling and when the continuing resolution funding the federal government for fiscal year 2022 expires. As for infrastructure, October... Read More
WHG - Weekly, October 4-8
Over the weekend, President Biden signed a 30-day extension to funding for surface transportation programs (H.R. 5434) – effectively buying Democrats more time to reach a consensus on the topline number and policies of the Build Back Better Act (budget reconciliation package). October 31st is the new deadline for the House to pass the Senate-approved bipartisan Infrastructure Investment and Jobs... Read More
WHG - Weekly, September 27-October 1
A remarkably busy week lies ahead, and the stakes are high – possible government shutdown on Friday, potential debt default in October, and 2022 midterm elections. Government funding for fiscal year (FY) 2022 and the debt ceiling – Today, the Senate will vote on a procedural motion to move to a floor vote of the House-passed continuing resolution (R. 5305)... Read More
WHG - Weekly, September 20-24
Continuing Resolution This week, the House is slated to vote on a continuing resolution to avoid an October 1 government shutdown. The duration of the stopgap measure has not yet been announced, but Democratic leaders are eyeing early December – possibly December 3 or 10 – just before the scheduled holiday recess. The potential end-of-year package could also serve as... Read More
WHG - Weekly, September 13-17
This week, the House continues to mark up their legislative recommendations for the $3.5 trillion budget reconciliation package. Recommendations are due this Wednesday, September 15, but that date is non-binding. House and Senate Democrats intend to pre-conference their bill before floor votes to help move the process along. However, the timing of the votes remains unclear given a slew of... Read More
WHG - Weekly, September 7-10
With Congress in recess this week, we recap lawmakers’ jam-packed to-do list for this month: Budget Reconciliation (September 15) – Committees are drafting and marking up legislative language in response to the reconciliation instructions in the fiscal year (FY) 2022 budget resolution (Con.Res. 14), with a soft deadline of September 15. The $3.5 trillion package is chock full of major... Read More
WHG - Weekly, August 30-September 3
Medicare The highly anticipated and long overdue 2021 Medicare Trustees Report is expected to be released tomorrow, August 31. With Medicare reform a major component of Democrats’ $3.5 trillion budget reconciliation package – in terms of both generating savings through drug pricing reform and spending for vision, hearing, and dental benefits – the projected insolvency date of the Hospital Insurance... Read More
WHG - Weekly, August 23-27
The House returns for a two-day session to adopt the Senate-approved $3.5 trillion budget resolution (S. Con. Res. 14) needed to begin the reconciliation process for enacting many of President Biden and congressional Democrats’ legislative priorities. However, with the group of nine moderate Democrats still opposed to the planned sequence of votes (budget resolution first, bipartisan infrastructure package second), House... Read More
WHG - Weekly, August 16-20
Infrastructure and Budget Reconciliation Lawmakers are back home on recess this week. The Senate will be in session on September 13 and the House will return next week to vote on the $3.5 trillion budget resolution for fiscal year (FY) 2022, unlocking the partisan path for President Biden and congressional Democrats to advance their legislative agenda. Whether the House will... Read More
WHG - Weekly, August 9-13
Budget Reconciliation This morning, Sen. Bernie Sanders (I-VT), Chairman of the Senate Budget Committee, introduced the fiscal year (FY) 2022 budget resolution, which includes $3.5 trillion in reconciliation instructions. The Senate is expected to consider the budget resolution after passage of the bipartisan Infrastructure Investment and Jobs Act, which could happen as soon as early Tuesday. House Speaker Nancy Pelosi... Read More
WHG - Weekly, August 2-6
Infrastructure The Senate pushes to wrap up infrastructure this week before adjourning for summer recess. A vote on final passage of the nearly $1 trillion bipartisan infrastructure package (including $550 billion in new spending) has not yet been scheduled but is expected in the coming days. In the legislative text released last night, the health-related pay-fors are: Extending the Medicare... Read More
WHG - Side by Side of Medicaid Expansion Gap Bills
Senate Majority Leader Chuck Schumer (D-NY), Senate Budget Committee Chair Bernie Sanders (I-VT), and other Senate Democrats have asserted that their forthcoming $3.5 trillion budget reconciliation package will include provisions addressing the Medicaid expansion coverage gap. Obstinate refusal by holdout states to expand Medicaid, despite the availability of new financial incentives provided by the American Rescue Plan Act of 2021... Read More
WHG - Weekly, July 26-30
With only two weeks left before the scheduled August recess, senators are racing to finalize the legislative text of the $579 billion bipartisan infrastructure agreement as soon as today. The pay-fors are among the issues still being debated. At the moment, lawmakers are considering the following health-related pay-fors: Repurposing unallocated CARES Act Provider Relief Fund (PRF). Up to $43.7 billion... Read More
WHG - Weekly, July 19-23
With only two weeks until the August recess, Senate Majority Leader Chuck Schumer (D-NY) is pushing for significant progress on the two tracks of infrastructure legislation. Today, Majority Leader Schumer is expected to file cloture on the legislative vehicle for the bipartisan infrastructure bill, upping the pressure on the bipartisan group to deliver legislative text for their $974 billion infrastructure... Read More
WHG - Side-by-Side of Health Technology Assessment Models
In light of the growing interest in drug-value assessment agencies in the Administration and Congress, the Wynne Health Group presents a side-by-side of the most relevant health-technology assessment (HTA) models and proposed policies. While H.R. 3 negotiations relies on international reference prices to set an upper payment limit, Senate Finance Chair Ron Wyden (D-OR) has expressed interest in substituting domestic... Read More
WHG - Weekly, July 12-16
The trifecta of legislative priorities – traditional infrastructure, budget reconciliation (a catchall for human infrastructure and health care items), and fiscal year (FY) 2022 appropriations – continues to take shape this week. As the group of bipartisan senators transform their framework for nearly $1 trillion for traditional infrastructure into legislation, Senate Democrats are crafting the FY 2022 budget resolution that... Read More
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