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340B Hospitals Score a Win With The U.S. Supreme Court

On Wednesday, June 15, 2022, in a unanimous decision, the U.S. Supreme Court decided in favor of the American Hospital Association in the case of American Hospital Association vs. Becerra, that the nearly 30 percent cuts in...more

The Post-Emergency Declarations Horizon

After two years, a multitude of factors are pointing toward the end of the formal public health emergency declaration, related emergency declarations, and associated waivers in connection with COVID-19, including declining...more

Key Health Provisions in the American Rescue Plan Legislation

On March 11, 2021, President Biden signed into law the American Rescue Plan Act, a $1.9 trillion package to provide relief related to the COVID-19 public health emergency. The final legislation, which passed with support from...more

Key Health Care Provisions in New COVID-19 Stimulus Legislation

On December 21, 2020, the House and Senate passed fiscal year (FY) 2021 federal omnibus appropriations legislation that included the fifth measure passed by Congress to address the COVID-19 pandemic. In addition to providing...more

Overview of President-Elect Biden's Policies

Below is a broad overview of policies for which President-Elect Biden has indicated support (PDF). It is important to note that, while some of these policies fall under the President's executive power, many will require...more

HHS Pays $30 Billion in CARES Act Emergency Relief Payments to Health Care Providers

Health care providers are beginning to receive payments from the Department of Health and Human Services (HHS) to address expenses and revenue losses related to coronavirus (COVID-19). On April 10, 2020, HHS announced the...more

Surprise Medical Billing Gains Momentum in Washington

Over the last few weeks, President Trump and lawmakers in both the House and Senate have taken several steps to protect patients from surprise medical bills, the latest signs of bipartisan momentum to address the issue this...more

President Trump's Budget: Key Takeaways for Health Care

President Trump's fiscal year 2020 (FY20) budget proposal for the Department of Health and Human Services (HHS) reflects the Trump Administration's priorities to repeal and replace the Affordable Care Act (ACA), implement...more

2019: What to Expect in Health Care Policy

Health care issues will remain a central focus in Washington throughout 2019. Having gained control of the House following the 2018 mid-term elections, Democrats now have the ability to block President Trump's legislative...more

After the Midterm Elections: Next Steps in Congress in 2019

The 2018 midterm elections resulted in Democrats regaining the House, Republicans expanding their Senate majority, and both parties positioning themselves for the 2020 presidential election. These factors will have a major...more

Azar Targets Drug Rebates and Medicare Part B for Drug Pricing Policy Changes

Health and Human Services (HHS) Secretary Alex Azar has continued to promote and expand on the Trump Administration's new Drug Pricing Blueprint through media appearances and congressional testimonies over the past several...more

Key Health Care Provisions of Bipartisan Budget Act of 2018

The wide-reaching Bipartisan Budget Act of 2018 (BBA), passed by Congress and signed by the President on February 9, 2018, extends and modifies dozens of health care programs, including extending funding for two years for...more

President's Budget on Health Care: Entitlement Reform, Opioid Funding, and Cuts to Health Programs

Note: All fiscal estimates cited over a ten-year budget window refer to the Fiscal Year 2019-2028 budget window. The President's fiscal year 2019 (FY19) budget proposal for the Department of Health and Human Services (HHS)...more

Bipartisan Budget Act of 2018: Major Impacts on Health Care

After a brief federal government shutdown overnight, Congress passed and the President signed into law the Bipartisan Budget Act of 2018 on February 9, 2018. The Senate voted 71-28 and the House voted 240-186 to approve the...more

Medicare Extenders Included in House-Passed Continuing Resolution

On February 6, 2018, the House voted 242-182 to pass a Continuing Resolution (CR) to extend government funding until March 23, 2018 (H.R. Res 128). The CR includes provisions to extend funding for a number of Medicare...more

Future of Medicare: Funding for Extenders and Payment Policy Priorities

Health care stakeholders are increasing pressure on Congress to continue funding for a series of Medicare "extenders" – Medicare program and payment policies that expired at the end of 2017. Some examples of the extenders...more

CMS Releases Final 2018 Medicare Payment Regulations

On November 1 and 2, the Centers for Medicare and Medicaid Services (CMS) released the final 2018 Medicare Payment Regulations for the Physician Fee Schedule, Hospital Outpatient Prospective Payment System and Ambulatory...more

MACRA Final Rule Continues Gradual Transition and Provider Flexibility for 2018

On November 2, the Centers for Medicare and Medicaid Services (CMS) released the final rule implementing policies for Year 2 (2018) of the Quality Payment Program established under the Medicare Access and CHIP Reauthorization...more

House Ways and Means Committee Announces Bipartisan Medicare Extenders Package

On November 15, House Ways and Means Committee Chairman Kevin Brady (R-TX) and Ranking Member Richard Neal (D-MA) announced a bipartisan agreement on Medicare "extenders," Medicare programs and payment policies that have...more

Don't Forget Medicare and Other Extenders

There are numerous Medicare programs (referred to as Medicare "extenders") that have already expired or will expire later this year, prompting congressional action. If Congress were to reauthorize all provisions for another...more

Final Medicare Payment Regulations Expected for Physician Providers, Hospitals and Home Health Agencies in Fall 2017

The Centers for Medicare & Medicaid Services (CMS) released several annual Medicare proposed payment rules over the summer that are expected to be finalized this fall for 2018. On July 13, CMS released the proposed 2018...more

Trustees Predict Medicare Solvent Until 2029; IPAB Not Triggered Until 2021

On July 13, the Boards of Trustees for Medicare issued the annual Trustees Report to the Congress on the financial operations and actuarial status of the Medicare Program. The trustees estimate that the trust fund financing...more

CMS Releases Proposed 2018 Medicare Payment Regulations

On July 13, the Centers for Medicare and Medicaid Services (CMS) released the proposed 2018 Physician Fee Schedule that would update payment policies, payment rates and quality provisions for physicians and other medical...more

Washington, D.C. Update – June 2017

Having returned from its Memorial Day recess, Congress now enters one of the longest continuous work periods of the year and – with the exception of the week of the Fourth of July – will likely be in session until the end of...more

Senate Finance Committee Advances Bipartisan CHRONIC Care Act

On May 18, the Senate Finance Committee unanimously approved the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 (S. 870). The bipartisan bill aims to modernize care...more

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