House Republicans are planning to vote this week on a short-term CR to extend government funding through November 20th, with CR text expected to be released as early as this morning. However, Democrat leaders, including Senate Minority Leader Chuck Schumer (D-NY) and House Minority Leader Hakeem Jefferies (D-NY), have indicated that they will note vote for a CR unless Republicans... Read More
Impact Health - Insights for Impact: Vaccine Policy Under RFK Jr.
Secretary Robert F. Kennedy Jr.’s statements and actions related to vaccines have been a lightning rod for controversy during his time at the helm of the Department of Health and Human Services (HHS). A long-time skeptic of vaccine safety and efficacy, the Secretary is using his new position to overhaul federal vaccine policy in alignment with his Make America Healthy... Read More
Impact Health - Weekly, September 8, 2025
With twenty-two days until government funding expires, two approaches for addressing fiscal year 2026 appropriations are forming. President Trump and Republican fiscal hawks are in favor of a continuing resolution (CR) to extend funding into the new year or longer, which aligns with OMB Director Russell Vought’s efforts to reduce government funding. On the other side, Republican appropriators and Democrats... Read More
Impact Health - Weekly, September 2, 2025
Congress is back in session and has until September 30 to address fiscal year 2026 appropriations and the expiring package of health care extenders. The House Appropriations Committee will mark up the Department of Health and Human Services (HHS) bill today, which includes a 6 percent budget cut ($7 billion decrease) for the Department, well below the President’s requested budget... Read More
Impact Health - Weekly, August 25, 2025
Congress is in recess until after Labor Day and will resume on September 2. During this period, Impact Health Policy Partners will provide a series of brief policy outlooks examining key priority areas likely to shape the health policy landscape this fall. This week, we are examining policies related to immigration, nutrition, and gender affirming care. Immigration Immigration Policy Changes... Read More
Impact Health - Summary of Bipartisan Marshall-Hickenlooper “Patients Deserve Price Tags Act” (S. 2355)
Sens. Roger Marshall (R-KS) and John Hickenlooper (D-CO), both members of the Senate Health, Education, Labor and Pensions (HELP) Committee, recently introduced the bipartisan Patients Deserve Price Tags Act (S. 2355), which would codify and strengthen hospital and insurer price transparency rules. Other cosponsors include Sens. Chuck Grassley (R-IA), Maggie Hassan (D-NH), Tim Sheehy (R-MT), and Joni Ernst (R-IA). ... Read More
Impact Health - Weekly, August 18, 2025
Congress is in recess until after Labor Day and will resume on September 2. During this period, Impact Health Policy Partners will provide a series of brief policy outlooks examining key priority areas likely to shape the health policy landscape this fall. This week, we are examining Medicaid and the Trump Administration’s Make American Health Again (MAHA) efforts. Medicaid The... Read More
Impact Health - Weekly, August 11, 2025
Congress is in recess until after Labor Day and will resume on September 2. During this period, Impact Health Policy Partners will provide a series of brief policy outlooks examining key priority areas likely to shape the health policy landscape this fall. This week, we are examining Medicare and the Affordable Care Act (ACA) marketplace. Medicare Payment: CY 2026 Proposals... Read More
Impact Health - Weekly, August 4, 2025
Congress is in recess until after Labor Day and will resume on September 2. During this period, Impact Health Policy Partners will provide a series of brief policy outlooks examining key priority areas likely to shape the health policy landscape this fall. This week, we are featuring pharmacy benefit manager (PBM) reform, Medicare Advantage, prescription drug pricing, and artificial intelligence... Read More
Impact Health - Weekly, July 28, 2025
This week, the House is in recess, while the Senate continues Senate Majority Leader John Thune’s goal to advance as many appropriations bills as possible before August recess. This includes attempting to put a minibus on the Senate floor to fund the departments of Commerce, Justice, Agriculture and Veterans Affairs, as well as the Senate Appropriations Committee markup of the... Read More
Impact Health - Weekly, July 21, 2025
Congress is beginning to reach its final sessions days before August recess, with the House planning to depart on Thursday, while the Senate’s last scheduled day is July 31. This week, both chambers will continue their work on the FY appropriations process. The House Appropriations Committee has a full week of markups scheduled, and the Senate has teed up a... Read More
Impact Health - Weekly, July 14, 2025
Both chambers are in session for a busy week. The Senate has until the end of the week to pass the White House-requested and House-approved recissions package (H.R. 4), while the House of Representatives is expected to send bipartisan legislation establishing federal crypto policy to President Trump’s desk. Meanwhile, both the Senate and House Appropriations Committees will continue their work... Read More
Impact Health - Changes to ACA Premium Tax Credit Policy in 2026 and Beyond
Starting in 2026, the expiration of enhancements – along with policies in the One Big Beautiful Bill Act (OBBBA, P.L. 119-21) and the 2025 Marketplace Integrity and Affordability Final Rule (2025 Final Rule) – will significantly alter major aspects of the Affordable Care Act’s premium tax credits (PTCs). These changes will affect who is eligible for PTCs, who receives them,... Read More
Impact Health - Weekly, July 7, 2025
On the 4th of July, President Trump signed the One Big Bill Act (H.R. 1) into law (Impact Summary). The law features the following significant health policy changes: Medicaid: Work requirements no later than December 31, 2026, new restrictions on provider taxes and state directed payments, and more frequent eligibility determinations ACA Marketplace: New verification requirements and restrictions on premium tax credit eligibility, and... Read More
Impact Health - Weekly, June 30, 2025
This morning at 9:00 am, the Senate kicked-off its vote-a-rama for the One Big Beautiful Bill Act (updated text and CBO score as of June 28), where the Senators have filed close to 300 amendments to the bill, most of which are offered by Democrat Senators. Senate Finance Committee Ranking Member Wyden (D-OR) will offer a Motion to Commit to strike... Read More
Impact Health - Weekly, June 23, 2025
Senate Republicans are aiming to pass the budget reconciliation bill by the end of the week, with floor action set to begin on Wednesday. It is expected that the Senate Finance Committee members will meet with the Senate Parliamentarian to review its portion of the bill (Impact Summary). Senate Democrats are looking to challenge approximately 60 provisions of the Committee’s... Read More
Impact Health - Weekly, June 16, 2025
Senate Republicans are working to meet President Trump’s July 4 deadline to deliver a budget reconciliation bill for his signature. The Senate Finance Committee is expected to release its legislative text today, including revisions to House-passed Medicaid provisions and other policy changes. However, some sections are anticipated to contain placeholders that will be updated at a later time. Prospects for... Read More
Impact Health - Weekly, June 9, 2025
As Senate Republicans enter the second week of closed-door negotiations over the One Big Beautiful Bill (H.R. 1), the debate has sharpened with new Congressional Budget Office (CBO) projections highlighting the bill’s health care implications, and with pressure building from both moderates and budget hawks within the GOP. The latest CBO estimate finds that if the House-passed reconciliation bill were enacted, 10.9... Read More
Impact Health - Weekly, June 2, 2025
The Senate is back in session this evening and will attempt to put its mark on the House-approved One Big Beautiful Bill (H.R. 1). Most of the Senate’s deliberations will take place behind closed doors, and Senate Majority Leader John Thune (R-SD) will have to manage the competing priorities of the Medicaid moderates, Sens. Josh Hawley (R-MO), Lisa Murkowski (R-AK),... Read More
Impact Health - Weekly, May 27, 2025
The House and Senate are in recess, and Senate leadership plans on holding preliminary discussions this week to consider any changes to the House-passed version of the budget reconciliation package, the One Big Beautiful Bill Act (H.R. 1), as well as begin vetting the package against the Byrd Rule. This follows President Trump indicating that he expects the Senate to... Read More
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