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 […]

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 […]

  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 ✅ […]

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 […]

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 […]

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 […]

WASHINGTON—Health and Human Services Secretary Robert F. Kennedy Jr. is set to significantly cut the size of the department he leads, reshaping the nation’s health agencies and closing regional offices, according to documents viewed by The Wall Street Journal. Kennedy is set to announce Thursday the planned changes, which include axing 10,000 full-time employees spread […]

House Energy and Commerce Chair Brett Guthrie is turning his attention to potential changes to Medicaid provider taxes and state-directed payments as a way to generate savings in reconciliation. Why it matters: Lawmakers are starting to look at less controversial options to overhaul the safety net program. But although these steps might not trigger coverage losses, […]

Trump health officials are defending the Biden administration’s decision to reject three drugmakers’ changes to how safety net providers can get discounts under the 340B drug program. Why it matters: A motion in U.S. District Court for the District of Columbia yesterday marked the first time the new administration has weighed in on the program, which covers more […]

A concise breakdown of key healthcare developments in Washington, DC this week.   Government Funding Update Shutdown Deadline: This Friday, March 14 at 11:59 PM ET House GOP Proposal: Speaker Mike Johnson introduced a seven-month continuing resolution (CR) through September 30, 2025 Key Health Provisions: Extends funding for Community Health Centers, National Health Service Corps, […]