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
Impact Health - Weekly, December 15, 2025
On Friday, House Republican leadership released the Lower Health Care Premiums for All Americans Act, as their proposed solution to the expiring enhanced premium tax credits (EPTCs)(press release). Impact Health is currently working on a full summary of the bill, which features the following provisions: Expands the rules regarding who can form Association Health Plans; Clarifies that stop-loss insurance is... Read More
Impact Health - Impact Weekly, December 8, 2025
With two legislative weeks to go before the end of the year, the fate of the enhanced premium tax credits remains unclear. The Senate is likely to vote on a clean three-year extension on Thursday, pursuant to Senate Majority Leader John Thune’s (R-SD) promise to Democrat when reopening the government, but the unified Republican alternative option has yet to emerge... Read More
Impact Health - Impact Health Vaccine Policy Tracker
As policies surrounding vaccine research, authorization, recommendation, coverage, and injury continue to change under the leadership of Department of Health and Human Services (HHS) Secretary Robert F. Kennedy Jr., Impact Health compiled a log of relevant developments in 2025. The Vaccine Policy Tracker includes HHS vaccine updates and their implications, major congressional updates, and important responses from outside stakeholders and states... Read More
Impact Health - Weekly, December 1, 2025
Last week, President Trump indicated that the White House was preparing a proposal to extend the enhanced premium tax credits (EPTCs) for two years that also featured: 1) limiting subsidies to individuals up to 700 percent of the federal poverty level (FPL); 2) implementing a minimum premium for enrollees, and; 3) allowing enrollees to contribute some of their subsidy to... Read More
Impact Health - Weekly, November 17, 2025
With the government finally reopened, Congress is now bustling again across a variety of fronts. Most timely and at the top of the list are addressing the expiration of the enhanced premium tax credits (EPTCs) and completing the fiscal year (FY) 2026 appropriations process before the new January 30th deadline. More details on the EPTCs follow: EPTC State of Play... Read More
Impact Health - Weekly, November 10, 2025
For the first time since the government shut down began, there is off ramp in sight to reopen the government. Over the weekend, the Senate approved a procedural vote to move forward with a continuing resolution (CR) to fund the government through January 30, 2026 coupled with a minibus for fiscal year 2026 appropriations bills for Military Construction, Veterans Affairs,... Read More
Impact Health - Weekly, November 3, 2025
As Affordable Care Act (ACA) marketplace open enrollment begins and Supplemental Nutrition Assistance Program (SNAP) funding lapsed, bipartisan talks are underway on the fiscal year (FY) 2026 appropriations bills, in hopes that an agreement on funding will lead to a reopening of the government. However, President Trump remains adamant that no health care “fix” will be pursued until the Democrats... Read More
Impact Health - Weekly, October 27, 2025
As the impacts of the government shutdown intensify, the Senate is planning votes on several bills this week, including a Sen. Cruz (R-TX) bill to pay air traffic controllers, a Sen. Sullivan (R-AK) bill to pay the military, and a compromise bill between Sen. Johnson (R-WI) and Sen. Van Hollen (D-MD) to pay federal workers and active-duty military. This comes... Read More
Impact Health - Weekly, October 20, 2025
It is day 20 of the government shutdown and a compromise to reopen the government remains out of sight. The Senate will convene its eleventh vote on the House-approved continuing resolution tonight, which will fail, and will vote later this week on a bill to pay federal workers, including the military, who have been working without pay, which is also... Read More
Impact Health - Weekly, October 14, 2025
The White House is taking steps to ensure that the shutdown lasts as long as needed for Republicans to emerge “the victor”, including the Office of Management and Budget finding ways to provide paychecks to federal law enforcement and active-duty military, and using tariff revenue to fund Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Additionally, the Trump... Read More
Impact Health - Weekly, October 6, 2025
Today is day six of the government shutdown and both parties have not changed course on their shutdown strategy. Democrats want an “iron-clad” commitment to address health care, including extending the enhanced premium tax credits, and Republican will not negotiate on such an extension until Democrats support the continuing resolution (CR). The Senate is scheduled to vote for the fifth... Read More
Impact Health - Government Shutdown Risks and Implications
Following a failed meeting with President Trump in which a bipartisan compromise was not achieved, government funding will expire at midnight, and a shutdown will ensue. This is the culmination of Republicans forging ahead on a continuing resolution (CR) without any Democrat input, and Democrats refusing to support the package without a Republican commitment to addressing the health crisis caused... Read More
Impact Health - Weekly, September 29, 2025
Tomorrow at midnight government funding expires and a government shutdown will begin. Last week, Office of Management and Budget (OMB) Director Russ Vought threatened to permanently terminate federal jobs during the potential shutdown if Democrats do not agree to the Republican continuing resolution (CR). However, Democrats are remaining steadfast with House Minority Leader Hakeem Jefferies (D) indicating that they will... Read More
Impact Health - Weekly, September 22, 2025
Shutdown watch is on, as both House and Senate departed for recess on Friday with no appropriations agreement in sight. On Friday, the House of Representatives passed a “clean” continuing resolution (CR) to fund the government through November 21, 2025 by a vote of 217-212, but the measure failed in the Senate as Democrats are demanding the CR include an... Read More
Impact Health - Spring 2025 Regulatory Outlook
The Trump administration recently released its Spring 2025 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, mental and behavioral health, prescription drug prices, health IT, public health and safety, and more. What... Read More
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