Ahead of anticipated Congressional deliberations resuming on legislation to overhaul and extend the Veterans Choice Program (VCP), we have prepared a side-by-side comparing key legislative proposals. The chart includes an analysis of the VA’s draft proposal issued last fall, as well as House and Senate VCP reform legislation – including nuanced competing proposals in the upper chamber. Following a failed attempt... Read More
Impact Health - Chart: Legislative Opioids Measures Considered at March 21-22 Energy & Commerce Hearing
On March 21 and 22, 2018 the House Energy & Commerce Subcommittee on Health held a two-day hearing titled, “Combating the Opioid Crisis: Prevention and Public Health Solutions.” The hearing included 19 witnesses divided across four panels and addressed 22 pieces of proposed or pending opioid-related legislation. For quick reference, we have consolidated the most relevant information about each bill... Read More
Impact Health - Issue Brief: An Examination of Key Healthcare Issues in the FY 2019 White House Budget Request
The White House released a $4.4 trillion Fiscal Year (FY) 2019 Budget Request titled, “An American Budget.” To account for the recently-enacted two-year agreement to raise the budget caps, the Administration also issued an addendum accompanying the President’s Budget Request. The Budget would provide $68.4 billion in funding for the Department of Health and Human Services (HHS) – a roughly... Read More
Impact Health - Issue Brief: Health Provisions of the Budget Deal
Wynne Health Group has prepared an Issue Brief summarizing the Health and Human Services provisions of the bipartisan budget deal that extends government funding until March 23 and raises budget caps for two years, allowing the omnibus appropriations process to proceed. Early on Friday, February 9, the House passed the legislation 240-186 several hours after the Senate voting 71-28 to... Read More
Impact Health - Legislative and Regulatory Outlook 2018
Wynne Health Group has released its Legislative and Regulatory Outlook document for 2018. The document, updated for calendar year (CY) 2018, reflects a compendium of the significant healthcare regulations expected, as well as key Congressional dates and Administration-driven deadlines... Read More
Impact Health - Overview of Key Tax Reform Provisions
This slide deck covers the key components of tax reform of interest to health care organizations, tax-exempt entities, and basic elements of broader corporate and household tax reform... Read More
Impact Health - Issue Brief: Section 1115 Medicaid Waivers: The Current Landscape and the Waivers to Watch in 2018
Section 1115 of the Social Security Act grants states the authority to design and implement experimental, pilot, or demonstration projects to test new approaches in Medicaid which deviate from current federal program rules and regulations. Since the Medicaid program began in 1965, these waivers have enabled states to expand coverage, change delivery systems, implement managed care, alter benefits and cost... Read More
Impact Health - Tax Conference Preview: An Updated Look at the House and Senate Tax Reform Proposals
As a part of TRP Health Policy’s ongoing analysis of tax reform, we have updated our chart to reflect notable provisions in the tax reform bills passed by the respective chambers of Congress, including changes that have been made throughout the legislative process. Now that both chambers have passed their versions of The Tax Cuts and Jobs Act (TCJA), lawmakers... Read More
Impact Health - Side-by-Side of House and Senate Tax Reform Proposals
It’s another crucial week for Congressional Republicans, as the majority party tries to expedite its major tax overhaul through both chambers of Congress in an effort to reform the tax code by the end of the year. Last week, the House Ways and Means Committee passed the Tax Cuts and Jobs Act (TCJA) (H.R. 1) out of committee on a... Read More
Impact Health - Issue Brief: Section 1332 Waiver Activity in 2017 and Potential Legislative Reforms
Effective January 1, 2017, Section 1332 of the Affordable Care Act (ACA) permitted states to waive certain provisions of the law in order to pursue alternate strategies for providing access to health insurance in the individual and small group markets. However, potential changes to the Section 1332 waiver statute have been a central focus of the 2017 health reform debate,... Read More
Impact Health - Status Update on the Children’s Health Insurance Program
This past Saturday marked three weeks since federal funding for the Children’s Health Insurance Program (CHIP) expired. In recent weeks, committees of jurisdiction in both the House and the Senate have advanced legislation to reauthorize the program for five years, though the process has stalled, primarily in the House, over partisan disagreement on how the package should be paid for... Read More
Impact Health - Health Policy: Update on Graham-Cassidy
With the House and Senate now in recess and Graham-Cassidy not yet dead, we thought it important to provide an update on the outlook for this and other healthcare legislation. Because the Graham-Cassidy “bubble” has not yet popped, we believe stakeholders have no choice but to address the process head on and express their positions on the legislation to lawmakers... Read More
Impact Health - Special Report: Lawmakers Scramble on Health Care Amid Failure of 'Skinny' Repeal
The Senate’s floor consideration on healthcare came to an abrupt end when three Republicans — Sens. Susan Collins (R-ME), Lisa Murkowski (R-AK), and John McCain (R-AZ) — joined all 48 Democrats in opposing a vote to adopt a “skinny” Affordable Care Act (ACA) repeal bill. While many lawmakers responded with a renewed call for bipartisanship, key conservatives continue to seek... Read More
Impact Health - TRP Special Report: What Could Happen Next Week on ACA Repeal?
Following a week of high-level negotiations among GOP senators, Republican leadership is planning a vote onTuesday on a motion to proceed to the House-passed American Health Care Act (AHCA). The process has been shrouded in confusion and uncertainty, as it remains unclear what bill Senate leaders ultimately hope to move forward. Knowing what the Republican health care bill will be... Read More
Impact Health - Side-by-Side Comparison of House-Passed AHCA and Senate Discussion Draft
TRP Health Policy has prepared a side-by-side comparison of the House-passed American Health Care Act and the Senate’s discussion draft, known as the Better Care Reconciliation Act. The chart compares the two bills and illustrates where they align and diverge... Read More
Impact Health - Trump's Drug Pricing Executive Order May be 'Industry-Friendly'
The Trump administration is a considering issuing an executive order to address to rising costs of prescription drugs which is likely to be “industry-friendly,” as reported by Kaiser Health News (KHN) and Politico. Notably, the order will not allow the government to negotiate drug prices or allow importing of drugs from other countries, both solutions Trump proposed during his campaign... Read More
Impact Health - TRP Special Report: Senate Eyes Late-June Vote on AHCA
While significant uncertainty remains as to the Senate’s efforts to repeal and replace the Affordable Care Act (ACA), we’re learning more this week about Republican leadership’s anticipated plans for passage. Majority Leader Mitch McConnell (R-KY) fast-tracked the House bill (H.R. 1628) today, placing it on the Senate calendar and allowing it, as had been expected, to skip over the committee... Read More
Impact Health - White House Unveils $4.1 Trillion Budget Proposal
The Trump Administration unveiled its $4.1 trillion budget for the 2018 fiscal year (FY), dubbed “A Foundation for American Greatness.” Though the Budget aims to balance the budget over the customary 10-year window, the Administration’s underlying economic grown assumptions have been questioned by critics. Increased investments in national defense and infrastructure, as well as enhanced border security and immigration policies, come... Read More
Impact Health - Senate GOP Considering Auto-Enrollment Policy in AHCA
Senate Republicans spent significant time last week discussing their plans to amend or rewrite the American Health Care Act (AHCA), and one emerging idea has shown some potential to take hold: automatically enrolling people in a basic health plan. The policy could vastly reduce the number individuals expected to lose coverage under the House-passed version of the bill (an estimated... Read More
Impact Health - TRP Health Policy: Mock Byrd Rule Review of the AHCA
TRP Health Policy has prepared a section-by-section chart that provides a brief synopsis of each provision of the American Health Care Act (AHCA) and assesses their probability of surviving Byrd Rule review in the Senate. We indicate in green, yellow, or red the likelihood each section will satisfy the Byrd Rule’s criteria for budget reconciliation measures – and avoid being... Read More
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