Over the next two weeks, the $72 billion budget reconciliation package to fund immigration enforcement and border patrol, as well as White House ballroom security, will be the top priority for Republicans as they try to meet President Trump’s June 1 deadline. Senate committee markups and floor action are expected next week. Senate Minority Leader Chuck Schumer (D-NY) announced in... Read More
Impact Health - Impact Weekly, May 4, 2026
Congress is in recess this week. Advancing the budget reconciliation package to fund immigration enforcement and border patrol by June 1 (President Trump’s deadline) will be Republicans’ top priority when they return next week. Time in their districts and states will be an opportunity for both parties to highlight their key messages ahead of the midterms. The House GOP’s... Read More
Impact Health - Impact Weekly, April 27, 2026
The House faces a busy week, with plans to vote on a reauthorization of Section 702 of the Foreign Intelligence Surveillance Act (set to expire on April 30), the Senate-passed FY 2026 budget resolution and DHS funding (with the exact sequencing still to be determined), as well as the farm bill. All of these bills must first go through the House Rules... Read More
Impact Health - Impact Weekly, April 20, 2026
The Senate Budget Committee is expected to unveil a budget resolution on Tuesday, with reconciliation instructions focused on funding Immigration and Customs Enforcement and parts of Customs and Border Protection. The measure is anticipated to include roughly $65 billion to $75 billion in funding, though it remains unclear whether it will include any pay-fors – potentially opening the door to health care provisions if the Senate Finance or HELP Committees receive the necessary instructions. Regardless, health care... Read More
Impact Health - Impact Weekly, April 13, 2026
Congress returns this week. Even as Republicans push to meet President Trump’s June 1 deadline for a budget reconciliation package narrowly focused on funding ICE and CBP, health care remains a focus in both chambers, with key committees holding hearings on health care innovation, prescription drug prices, and public health. There is a possibility that if reconciliation 2.0 only includes... Read More
Impact Health - Impact Weekly, April 6, 2026
Congress is still in recess and will return next Monday to a growing to-do list. It includes funding the Department of Homeland Security, negotiating a defense supplemental deal, confirming a new attorney general, holding hearings on the President’s FY 2027 budget, and starting the budget reconciliation process. President Trump wants a reconciliation bill on his desk by June 1. ... Read More
Impact Health - Impact Health Weekly, March 30, 2026
Congress is in a two-week recess, despite failing to fund the Department of Homeland Security. House Republicans passed their own continuing resolution rather than the bipartisan Senate bill that would have funded most DHS agencies (except Immigration and Customs Enforcement and Customs and Border Protection) through September. This means that congressional leaders will need to negotiate an agreement when they... Read More
Impact Health - Impact Weekly, March 23, 2026
Congress remains focused on the expired Department of Homeland Security (DHS) and the SAVE Act, which are increasingly becoming intertwined. While support is building for passing a DHS funding package that carves out Immigration and Customs Enforcement (ICE) funding, President Trump refuses to sign any DHS funding bill until the SAVE Act is passed. Republican leadership is also preparing for... Read More
Impact Health - Impact Weekly, March 16, 2026
The primary priorities for Congress remain the SAVE Act, the war in Iran, and continued lapsed funding for the Department of Homeland Security (DHS). The President has indicated that he will not sign any other legislation until the SAVE Act is passed, forcing Senate Majority Leader Thune (R-SD) to undergo the lengthy vote process this week, and possibly next. Beyond... Read More
Impact Health - Impact Weekly, March 9, 2026
The Senate is in session this week, while the House is in recess, with Republicans convening for its annual policy retreat. The caucus is likely to discuss its policy approach leading up to the midterm elections, including affordability for American families, the Department of Homeland Security (DHS) funding, the SAVE America Act, and the ongoing conflict in Iran. Some Republicans... Read More
Impact Health - Impact Weekly, March 2, 2026
This week, Congress will be focused on addressing President Trump’s Iran operation, with Congressional leaders being briefed today, a full Congressional briefing tomorrow, Senate war powers votes on Tuesday and the House vote planned for Thursday. In a lookback, below we recap health care takeaways from last week’s State of the Union Address: Affordable Care Act Subsidies: President Trump called... Read More
Impact Health - Weekly, February 23, 2026
Congress is back in session this week, pending member ability to travel to the Capitol amidst the snowstorm, and President Trump’s State of the Union Address is tomorrow night. While the speech is likely to focus on current issues such as the Supreme Court decision on tariffs, and Department of Homeland Security (DHS) funding, the President will also use the... Read More
Impact Health - Weekly, February 17, 2026
The House and Senate are both in recess this week, while the Department of Homeland Security remains shutdown as negotiations continue between Democrats and Republicans. Additional updates follow. DOGE Medicaid Data Set On Friday, the Department of Health and Human Services (HHS) Department of Government Efficiency (DOGE) released an open source Medicaid dataset, which includes aggregated, provider-level claims data for... Read More
Impact Health - Weekly, February 9, 2026
The House and Senate return this evening, with the primary focus being Department of Homeland Security funding, which expires on February 13th. As it stands now, Senate Republicans are preparing a second continuing resolution (CR) to allow additional time to negotiate a compromise between Republicans and Democrats. On the House side, Republican leadership is planning a vote on the SAVE... Read More
Impact Health - Weekly, February 2, 2026
Last Friday, the Senate passed a five-bill funding package and a separate two-week Department of Homeland Security (DHS) stopgap measure that funds the department through February 13th. Attention now turns to the House and whether Speaker Mike Johnson (R-LA) can pass the package along party lines, as House Minority Leader Hakeem Jeffries (D-NY) has indicated that he will not generate... Read More
Impact Health - Weekly, January 26, 2026
Last week, the House passed a minibus of fiscal year (FY) 2026 appropriations bills, including a bipartisan package of health care extenders (Impact Health summary), and the Senate appeared poised to passed the same package this week ahead of the January 30th continuing resolution (CR) deadline. However, given the unfortunate events that unfolded in Minnesota this weekend, Senate Minority Leader... Read More
Impact Health - Weekly, January 20, 2026
The Senate is in recess this week, while the House races to complete the fiscal year (FY) 2026 appropriations process. This morning, House appropriators released the final minibus package that includes funding for Labor-HHS-Education, Department of Defense, Department of Homeland Security, and Transportation-HUD. The bill provides $116.6 billion in discretionary funding for HHS, which mirrors what the Senate approved in... Read More
Impact Health - Weekly, January 12, 2026
Following the House passing a three-year extension of the lapsed enhanced premium tax credits (EPTCs) last week, in which 17 Republicans joined the Democrats, bipartisan Senators are planning to release their own plan to extend the EPTCs either Tuesday or Wednesday. Sen. Bernie Moreno (R-OH) is leading the Senate effort, which could feature a two-year extension with certain restrictions, with... Read More
Impact Health - Innovation Center Model Portfolio Overview
This past spring, the Center for Medicare and Medicaid Innovation (CMMI or Innovation Center) announced significant changes to its model portfolio, including the early termination of several models at the end of 2025, actions projected to save $750 million. The Innovation Center also abandoned the Medicare $2 Drug List and Accelerating Clinical Evidence models and signaled it would potentially scale-back the Integrated... Read More
Impact Health - Weekly, January 5, 2026
Happy New Year! The Senate is in session today, while the House will return tomorrow, and the primary focus will be addressing the fiscal year (FY) 2026 appropriations before the January 30th continuing resolution (CR) deadline. The House is planning a vote on a minibus that would include funding for Commerce, Justice, and Science, Interior and the Environment and Energy... Read More
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