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Senate leaders want to pass their major tax bill this week, but they’re still negotiating some of the trickiest provisions, leaving rank-and-file members to question how quickly they can finish work. Senate Majority Leader John Thune (R-S.D.) told reporters members are “on schedule” to vote by the end of the week, Lillianna Byington reports. But members were […]

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HHS submitted 340B rebate guidance this week to the Office of Management and Budget, in a sign the Trump administration is considering further changes to the drug pricing program. Why it matters: Drugmakers, safety net providers and other stakeholders are awaiting more guidance on whether manufacturers could implement a rebate system as an alternative to upfront discounts on covered […]

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Senate GOP holdouts are signaling they are on board with Medicaid work requirements in the House-passed reconciliation package but have concerns over the provider tax provisions and their possible impact on rural hospitals. Why it matters: To win enough votes in the Senate, Republicans will have to address how states can tax providers to help pay for […]

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The contours of the House Republican Medicaid package are becoming clearer — and they’re more likely to be more moderate-friendly now that Speaker Mike Johnson has appeared to rule out two of the more controversial options for reconciliation savings. Why it matters: Last night’s meeting gave moderates the upper hand, at least for now — but […]

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Republican budget cutters are targeting state taxes on hospitals and nursing homes that raise federal Medicaid spending. An obscure set of state taxes on hospitals and other health providers is in the crosshairs of congressional budget cutters because the levies can lead to higher federal spending on Medicaid. Known as provider taxes because states impose […]

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  Proposed state legislation on 340B in 2025 As of April 15, 2025; Legislation enacted State Prohibits special arrangements 340B reporting requirements Reimbursement cost related California ✅     Colorado ✅ ✅   Connecticut ✅     Idaho   ✅   Indiana   ✅   Kentucky ✅ ✅   Maine ✅     Missouri ✅ […]

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Senate Republicans unveiled their new budget blueprint Wednesday as they race to advance President Trump’s “one big, beautiful bill” to enact his domestic agenda. The resolution text was released by Senate Budget Committee Chair Lindsey Graham, who called it “one of the most important steps toward ensuring the Republican majority fulfills its promise” to secure […]

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Policy Intelligence: Decoded. Filtered. Precise. CONGRESS Senate Senate Republicans are expected to vote on a unified budget resolution as early as this week, with a bifurcated approach to reconciliation between the House and Senate. The Senate budget proposal seeks to reduce Medicaid cut requirements compared to the House GOP plan, potentially setting minimum savings targets […]

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President Donald Trump has rapidly and significantly shaken up the federal healthcare infrastructure, putting providers on unsteady footing. Hospitals, health systems and other providers are struggling to maintain business as usual amid a cavalcade of executive actions, including a huge restructuring the Health and Human Services Department commenced under Secretary Robert F. Kennedy Jr. last […]

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