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
Impact Health - 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
Impact Health - 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
Impact Health - 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
Impact Health - 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
Impact Health - 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
Impact Health - 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
Impact Health - 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
Impact Health - 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
Impact Health - 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
Impact Health - 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
Impact Health - 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
Impact Health - 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
Impact Health - 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
Impact Health - 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
Impact Health - 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
Impact Health - 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
Impact Health - Updated 2021 Legislative and Regulatory Outlook
WHG has prepared its Updated Legislative and Regulatory Outlook for 2021, based largely on changes reflected in the Administration’s recently released Spring 2021 Unified Agenda. As in previous versions of our annual outlook, we provide a comprehensive line-up of key federal health care policy developments we expect to see throughout the course of the coming year and their approximate timing... Read More
Impact Health - Weekly, July 5-9
Congress is in recess this week and returns next Monday, July 12, after which a busy three weeks will follow for lawmakers to work on infrastructure, budget reconciliation, and fiscal year (FY) 2022 appropriations. A brief recap on where things stand with these three legislative priorities follows. Traditional Infrastructure The House passed Democrats’ INVEST in America Act (H.R. 3684) last... Read More
Impact Health - Weekly, June 28-July 2
Infrastructure The “two-track” strategy for infrastructure will continue to take shape this week. The Senate will transform the $973 billion bipartisan framework for traditional infrastructure endorsed by President Biden into legislation. The House will take up Democrats’ INVEST in America Act (H.R. 3684), a $715 billion package that would reauthorize surface transportation programs expiring September 30 and provide funding for... Read More
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