Month: June 2025

Reconciliation Update – Senate Republicans expect to pass the budget reconciliation package containing President Donald Trump’s domestic policy agenda sometime on Monday. The chamber voted 51-49 on Saturday to start debate on the legislation. Sens. Rand Paul (R-Ky.) and Thom Tillis (R-N.C.) joined Democrats in opposition to advancing the bill. Following the vote, Democrats requested Senate clerks to read the 940-page bill out loud. The chamber then began the process of offering amendments with a maximum of 20 hours of debate. After debate concludes, the Senate will begin a marathon voting process known as ‘vote-a-rama’ in which votes will take place on filed amendments. Under the Senate reconciliation process, senators are allowed to offer an unlimited number of amendments and there is no limit on time for completing the votes. Hundreds of amendments are expected to be filed by both Democrats and Republicans.

 

Republicans adjusted the legislative text to comply with the chamber’s rules for reconciliation. The latest version of the Senate’s One Big Beautiful Bill Act was released early Saturday morning. The bill includes a one-year Medicare physician payment fix to increase provider reimbursements by 2.5% in 2026. The bill would lower the state provider tax safe harbor from 6% to 3.5%, delaying implementation of the phasedown until 2028, while providing for the creation of a $25 billion stabilization fund in response to concerns about the impact of Medicaid cuts on financially vulnerable hospitals. The package restores a House-passed provision to expand the Medicare drug price negotiation program’s exemption for orphan drugs to include treatments for multiple rare diseases. The bill does not fund Affordable Care Act cost-sharing reduction payments, which Senate Parliamentarian Elizabeth MacDonough ruled ineligible for the budget reconciliation process.

 

Republicans can only lose three votes in either chamber and still pass the bill along party lines. Assuming Senate passage, the House of Representatives is expected to return to session early this week to vote on the revised bill. Congressional Republicans and the White House aim to have the package signed into law by July 4.

 

Tillis Announces Decision to Not Run for Reelection – Sen. Thom Tillis (R-N.C.) announced on Sunday that he will not seek reelection in 2026. “The choice is between spending another six years navigating the political theatre and partisan gridlock in Washington or spending that time with the love of my life Susan, our two children, three beautiful grandchildren, and the rest of our extended family back home,” Tillis said in a statement. “It’s not a hard choice, and I will not be seeking re-election.” The two-term senator currently serves on the Finance, Veterans’ Affairs, and Judiciary committees.

 

ACIP Convenes First Meeting Since RFK Jr. Overhaul – The Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices (ACIP) convened a two-day meeting last week. It was ACIP’s first meeting since U.S. Department of Health and Human Services Secretary Robert F. Kennedy Jr. fired all 17 members of the vaccine advisory panel and named a group of replacement members earlier this month. ACIP voted 5-2 to recommend Clesrovimab, a new monoclonal antibody for newborns and infants to protect against RSV, and voted 5-1 to recommend against flu vaccines containing the preservative thimerosal.

 

During the meeting, new ACIP Chair Martin Kulldorff announced plans for the committee to investigate the cumulative childhood and adolescent vaccine schedules. “In addition to studying and evaluating individual vaccines, it is important to evaluate the cumulative effect of the recommended vaccine schedule,” Kulldorff said. “This includes interaction effects between different vaccines, the total number of vaccines, cumulative amounts of vaccine ingredients and the relative timing of different vaccines.” ACIP will also establish a work group to examine immunizations that have not been studied in more than seven years.

 

The ACIP meeting proceeded as planned, despite a call from Senate Health, Education, Labor, and Pensions Committee Chair Bill Cassidy, MD for a delay. “Although the appointees to ACIP have scientific credentials, many do not have significant experience studying microbiology, epidemiology or immunology,” Sen. Cassidy posted on the social media platform X. He stated that the meeting should not proceed until ACIP is fully staffed with “more robust and balanced representation – as required by law – including those with more direct relevant expertise.”

 

House Appropriators Advance FDA Spending Bill – The House Appropriations Committee voted to advance its fiscal year (FY) 2026 Agriculture-Rural Development-Food and Drug Administration (FDA) spending bill last week in a 35-27 party line vote. The appropriations measure would provide $6.8 billion in total funding for the FDA, including $3.2 billion in taxpayer funds and $3.6 billion in user fees paid by drug and device makers. This funding level is 4.2% lower than currently enacted levels and mirrors the President’s budget request. During the markup, the panel adopted an amendment by Rep. Debbie Wasserman Schultz (D-Fla.) directing the FDA to continue to fund the youth anti-tobacco “The Real Cost” campaign at current levels. The bill now awaits a vote on the House floor.

 

The House of Representatives passed its first FY 2026 spending bill on Wednesday. The chamber voted 218-206 to adopt the Military Construction-Veterans Affairs appropriations measure. Congress faces an October 1 deadline to pass the 12 annual appropriations bills or extend federal funding via a continuing resolution to avoid a government shutdown at the end of the current fiscal year.

 

Ed Workforce Committee Advances Association Health Plan Legislation – The House Committee on Education and the Workforce advanced the Association Health Plans Act (H.R. 2528) last week in a party line vote. The bill would codify a first-term Trump administration standard that was rescinded by the Biden administration which expanded the availability of association health plans. Association health plans are made up of small businesses that coalesce under a single plan, and are not required to adhere to the Affordable Care Act’s essential health benefit requirements.

 

Supreme Court Limits Nationwide Injunctions, Potentially Impacting Federal Health Policy Challenges – On June 27, 2025, the Supreme Court ruled in Trump v. CASA, Inc. to limit the ability of lower courts to issue nationwide injunctions (orders that block federal policies across the entire country). The decision comes as several states and advocacy groups are challenging NIH and HHS actions on scientific integrity policies, reproductive health access, and grant funding. In many of these cases, district courts had issued nationwide injunctions to block enforcement while legal challenges proceed. While the decision will not retroactively affect these injunctions, it is expected to affect future litigation outcomes against federal health agencies. Writing for the majority, Justice Amy Coney Barrett emphasized that federal courts may only grant relief to the actual parties before them in a given suit.

 

Supreme Court Rejects Constitutional Challenge to Preventive Services Task Force – In the case of Kennedy v. Braidwood Management, Inc., the Supreme Court upheld the structure of the U.S. Preventive Services Task Force (USPSTF), ruling that its members do not require presidential nomination or Senate confirmation. The plaintiffs had (i) argued that the task force was unconstitutional because its members were not appointed in accordance with the Appointments Clause and (ii) sought to invalidate the Affordable Care Act’s (ACA) preventive services mandate. Writing for the majority, Justice Brett Kavanaugh emphasized that USPSTF members are “inferior officers” who operate under the supervision and control of the HHS Secretary, maintaining a constitutionally sufficient chain of accountability. The ruling aligns with arguments advanced by both the Biden and Trump administrations, which had defended the Secretary’s supervisory authority over the task force. It also effectively preserves the ACA’s requirement for insurers to cover preventive services—such as HIV prevention drugs like PrEP—at no cost to patients. Justice Clarence Thomas dissented, arguing that Congress had not clearly authorized the Secretary to appoint such influential officials without Senate approval.

 

Supreme Court Blocks Medicaid Patients from Suing Over Provider Bans – On June 26, 2025, the Supreme Court ruled in Medina v. Planned Parenthood South Atlantic that Medicaid recipients do not have a right to sue when states exclude providers like Planned Parenthood from the program. The case was brought as a result of South Carolina’s 2018 decision to remove Planned Parenthood from its Medicaid program due to its provision of abortion services. The decision is expected to limit patients’ ability to challenge state efforts to restrict access to reproductive and other preventive healthcare services under Medicaid. In dissent, Justice Ketanji Brown Jackson noted that the ruling undermines legal protections for low-income patients.

 

Upcoming Congressional Hearings and Markups

House Appropriations subcommittee markup of Fiscal Year 2026 Labor, Health and Human Services, Education, and Related Agencies Bill; 5:00 pm.; July 21

 

House Appropriations full committee markup of Fiscal Year 2026 Labor, Health and Human Services, Education, and Related Agencies Bill; 10:00 am.; July 24

 

Recently Introduced Health Legislation

H.R.4063 — To amend title 38, United States Code, to ensure that veterans in each of the 48 contiguous States are able to receive services in at least one full-service hospital of the Veterans Health Administration in the State or receive comparable services provided by contract in the State; Sponsor: Pappas, Chris [Rep.-D-NH-1]; Committees: House – Veterans’ Affairs

 

H.R.4056 — To amend title XVIII of the Social Security Act to permit a private cause of action for damages in the case of a group health plan which fails to provide for primary payment or appropriate reimbursement; Sponsor: Bilirakis, Gus M. [Rep.-R-FL-12]; Committees: House – Ways and Means; Energy and Commerce

 

H.R.4055 — To amend title XVIII of the Social Security Act to provide coverage and payment under such title for certain treatments for dialysis-related amyloidosis, and for other purposes; Sponsor: Babin, Brian [Rep.-R-TX-36]; Committees: House – Energy and Commerce; Ways and Means

 

H.Res.524 — Expressing support for the designation of June 19, 2025, as “World Sickle Cell Awareness Day” in order to increase public awareness across the United States and global community about sickle cell disease and the continued need for empirical research, early detection screenings, novel effective treatments leading to a cure, and preventative care programs with respect to complications from sickle cell anemia and conditions relating to sickle cell disease; Sponsor: Davis, Danny K. [Rep.-D-IL-7]; Committees: House – Energy and Commerce

 

H.Res.523 — Expressing support for the designation of June 21, 2025, as National ASK (Asking Saves Kids) Day to promote children’s health and secure storage of guns in the home; Sponsor: Crow, Jason [Rep.-D-CO-6]; Committees: House – Energy and Commerce

 

S.2145 —A bill to amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes; Sponsor: Warren, Elizabeth [Sen.-D-MA]; Committees: Senate – Veterans’ Affairs

 

H.Res.531 — Recognizing the contributions of academic medicine and observing Academic Medicine Week from June 23 through 27, 2025; Sponsor: Castor, Kathy [Rep.-D-FL-14]; Committees: House – Energy and Commerce

 

H.Res.532 — Supporting the designation of “Brain and Spine Metastasis Awareness Month”; Sponsor: Foushee, Valerie P. [Rep.-D-NC-4]; Committees: House – Energy and Commerce

 

H.R.4074 — To direct the Secretary of Health and Human Services to issue guidance on coverage under the Medicaid program under title XIX of the Social Security Act of certain pelvic health services furnished during the postpartum period, and for other purposes; Sponsor: Bacon, Don [Rep.-R-NE-2]; Committees: House – Energy and Commerce

 

H.R.4077 —To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes; Sponsor: Doggett, Lloyd [Rep.-D-TX-37]; Committees: House – Veterans’ Affairs; Ways and Means; Energy and Commerce

 

H.R.4084 — To amend the Public Health Service Act to establish certain duties for pharmacies to ensure provision of Food and Drug Administration-approved contraception and medication related to contraception, and for other purposes; Sponsor: Kelly, Robin L. [Rep.-D-IL-2]; Committees: House – Energy and Commerce

 

H.R.4086 — To authorize the Secretary of Health and Human Services, acting through the Administrator of the Health Resources and Services Administration, to award grants for providing evidence-based caregiver skills training to family caregivers of children with autism spectrum disorder or other developmental disabilities or delays, and for other purposes; Sponsor: Min, Dave [Rep.-D-CA-47]; Committees: House – Energy and Commerce

 

S.Res.299 — A resolution expressing support for the designation of July 2025 as “National Sarcoma Awareness Month;” Sponsor: Johnson, Ron [Sen.-R-WI]; Submitted in the Senate, considered, and agreed to without amendment and with a preamble by Unanimous Consent.

 

S.Res.300 — A resolution designating June 15, 2025, as “World Elder Abuse Awareness Day” and the month of June 2025 as “Elder Abuse Awareness Month;” Sponsor: Grassley, Chuck [Sen.-R-IA]; Submitted in the Senate, considered, and agreed to without amendment and with a preamble by Unanimous Consent.

 

S.2149 – A bill to expand access to health insurance coverage for immigrants and their families by removing legal and policy barriers to health insurance coverage, and for other purposes; Sponsor: Booker, Cory A. [Sen.-D-NJ]; Committees: Senate – Finance

 

S.2150 — A bill to protect a person’s ability to determine whether to continue or end a pregnancy, and to protect a health care provider’s ability to provide abortion services; Sponsor: Baldwin, Tammy [Sen.-D-WI]; Committees: Senate – Judiciary

 

H.Res.542 — Expressing support for the designation of the month of June 2025 as “National Post-Traumatic Stress Awareness Month” and June 27, 2025, as “National Post-Traumatic Stress Awareness Day”; Sponsor: Peters, Scott H. [Rep.-D-CA-50]; Committees: House – Armed Services; Veterans’ Affairs

 

H.R.4093 — To amend title XVIII of the Social Security Act to require the Secretary of Health and Human Services to publish information on expenditures under the Medicare program, and for other purposes; Sponsor: Bean, Aaron [Rep.-R-FL-4]; Committees: House – Ways and Means; Energy and Commerce

 

H.R.4101 — To amend the Employee Retirement Income Security Act of 1974 to require a group health plan (or health insurance coverage offered in connection with such a plan) to provide for cost-sharing for oral anticancer drugs on terms no less favorable than the cost-sharing provided for anticancer medications administered by a health care provider; Sponsor: Grothman, Glenn [Rep.-R-WI-6]; Committees: House – Education and Workforce

 

H.R.4104 — To expand access to health insurance coverage for immigrants and their families by removing legal and policy barriers to health insurance coverage, and for other purposes; Sponsor: Jayapal, Pramila [Rep.-D-WA-7]; Committees: House – Energy and Commerce; Ways and Means

 

H.R.4114 — To amend title 38, United States Code, to automatically enroll eligible veterans in the patient enrollment system of Department of Veterans Affairs, and for other purposes; Sponsor: Takano, Mark [Rep.-D-CA-39]; Committees: House – Veterans’ Affairs

 

H.Res.544 — Supporting the designation of the month of June 2025, as “National Men’s Health Month”; Sponsor: Carter, Troy A. [Rep.-D-LA-2]; Committees: House – Oversight and Government Reform

 

H.R.4121 — Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2026; Sponsor: Harris, Andy [Rep.-R-MD-1]; Committees: House – Appropriations

 

H.R.4122 —To permit nurse practitioners and physician assistants to furnish necessary services, appliances, and supplies to individuals receiving medical benefits for illnesses; Sponsor: Allen, Rick W. [Rep.-R-GA-12]; Committees: House – Judiciary; Education and Workforce

 

H.R.4132 — To provide for digital communication of prescribing information for drugs (including biological products), and for other purposes; Sponsor: Harshbarger, Diana [Rep.-R-TN-1]; Committees: House – Energy and Commerce

 

H.R.4139 — To amend title XVIII of the Social Security Act to provide for adjustments to the Medicare part D cost-sharing reductions for low-income individuals; Sponsor: McGarvey, Morgan [Rep.-D-KY-3]; Committees: House – Energy and Commerce; Ways and Means

 

H.R.4150 — To amend title XIX of the Social Security Act to provide a higher Federal matching rate for increased expenditures under Medicaid for maternal health care services; Sponsor: Williams, Nikema [Rep.-D-GA-5]; Committees: House – Energy and Commerce

 

S.2171 — A bill to amend title 38, United States Code, to prohibit smoking on the premises of any facility of the Veterans Health Administration, and for other purposes; Sponsor: Durbin, Richard J. [Sen.-D-IL]; Committees: Senate – Veterans’ Affairs

 

S.2169 — A bill to require the development of a comprehensive rural hospital cybersecurity workforce development strategy, and for other purposes; Sponsor: Hawley, Josh [Sen.-R-MO]; Committees: Senate – Health, Education, Labor, and Pensions

 

S.2167 —A bill to permit nurse practitioners and physician assistants to furnish necessary services, appliances, and supplies to individuals receiving medical benefits for illnesses; Sponsor: Hickenlooper, John W. [Sen.-D-CO]; Committees: Senate – Health, Education, Labor, and Pensions

 

S.2165 — A bill to amend chapter 44 of title 18, United States Code, to prohibit the distribution of 3D printer plans for the printing of firearms, and for other purposes; Sponsor: Markey, Edward J. [Sen.-D-MA]; Committees: Senate – Judiciary

 

S.Res.303 — A resolution expressing support for the designation of May 17, 2025, as “DIPG Pediatric Brain Cancer Awareness Day” to raise awareness of, and encourage research on, diffuse intrinsic pontine glioma tumors and pediatric cancers in general; Sponsor: Reed, Jack [Sen.-D-RI]; Submitted in the Senate, considered, and agreed to without amendment and with a preamble by Unanimous Consent.

 

S.2189 — A bill to amend the Internal Revenue Code of 1986 to treat certain assisted reproduction expenses as medical expenses of the taxpayer; Sponsor: Schiff, Adam B. [Sen.-D-CA]; Committees: Senate – Finance

 

H.R.4165 — To amend the Public Health Service Act to provide for the inclusion of a biological attribution strategy, and an early warning strategy and implementation plan, in the National Health Security Strategy, and for other purposes; Sponsor: Crenshaw, Dan [Rep.-R-TX-2]; Committees: House – Energy and Commerce

 

H.R.4184 — To amend the Internal Revenue Code of 1986 to exclude from gross income certain compensation to clinical trial participants, and for other purposes; Sponsor: Kelly, Mike [Rep.-R-PA-16]; Committees: House – Ways and Means

 

H.R.4185 — To amend title XVIII of the Social Security Act to revise the definition of the term clinical social worker services; Sponsor: Kiggans, Jennifer A. [Rep.-R-VA-2]; Committees: House – Energy and Commerce; Ways and Means

 

H.R.4186 — To authorize the Secretary of Education, in coordination with the Secretary of Health and Human Services, to award grants to eligible entities to support the mental and behavioral health of elementary and secondary school students, and for other purposes; Sponsor: Krishnamoorthi, Raja [Rep.-D-IL-8]; Committees: House – Education and Workforce; Energy and Commerce

 

H.R.4191 — To improve coordination of Federal efforts to identify and mitigate health and national security risks through maintaining a list of essential medicines, conducting a risk assessment of essential medicine supply chains, and creating a monitoring system to map essential medicine supply chains using data analytics; Sponsor: Matsui, Doris O. [Rep.-D-CA-7]; Committees: House – Energy and Commerce

 

H.R.4203 — To amend the Internal Revenue Code of 1986 to allow certain wearable devices to be purchased using health savings accounts and other spending arrangements and reimbursement accounts; Sponsor: Schweikert, David [Rep.-R-AZ-1]; Committees: House – Ways and Means

 

H.R.4204 — To amend title XVIII of the Social Security Act to allow Medicare beneficiaries to choose their physical and occupational therapists, speech-language pathologists, audiologists, and chiropractors; Sponsor: Smucker, Lloyd [Rep.-R-PA-11]; Committees: House – Ways and Means; Energy and Commerce

 

H.R.4206 —To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes; Sponsor: Thompson, Mike [Rep.-D-CA-4]; Committees: House – Energy and Commerce; Ways and Means

 

H.R.4207 — To require any convention, agreement, or other international instrument on pandemic prevention, preparedness, and response reached by the World Health Assembly to be subject to Senate ratification; Sponsor: Tiffany, Thomas P. [Rep.-R-WI-7]; Committees: House – Foreign Affairs

 

H.R.4209– To amend titles XIX and XXI of the Social Security Act to prohibit Federal financial participation under Medicaid and CHIP for individuals without verified citizenship, nationality, or satisfactory immigration status; Sponsor: Van Drew, Jefferson [Rep.-R-NJ-2]; Committees: House – Energy and Commerce

Reconciliation Update – The Senate Finance Committee unveiled its portion of the GOP’s budget reconciliation bill last week. Release of the bill language follows lengthy, closed-door negotiations amongst Senate Republicans about what revisions to make to the One Big Beautiful Bill Act (H.R. 1) passed by the House of Representatives on May 22. House leadership had urged senators to limit changes to the legislation given the narrow margin by which the bill was passed in a 215-214 vote.

 

The Senate package goes further than the House bill in limiting states’ ability to use medical provider taxes to help fund their share of the Medicaid program. The House proposed to set a moratorium on new or increased provider taxes, while the Senate’s version would gradually reduce the amount that Medicaid expansion states can tax their health care providers from the current 6% of net patient revenues to 3.5% in fiscal year 2031. The tax rates of non-expansion states would be frozen at their current level. Sen. Josh Hawley (R-Mo.), amongst others, has been outspoken in his concerns about the impact of these provisions on rural hospitals. Senate Republicans are reportedly working to draft language that would create a special relief fund for rural hospitals in response to such concerns.  The Senate bill’s provisions around Medicaid work requirements also diverge from the House-passed version. The Senate would subject parents with children aged 15 and older to work or community service requirements, while the House plan would exempt all people with dependents from proposed work requirements.

 

The Senate bill omits most of the House-passed policies related to pharmacy benefit manager industry reform as well as the Medicare physician reimbursement provision. It also drops a proposal to expand the Medicare drug price negotiation program’s exemption for orphan drugs to include treatments for multiple rare diseases. The package does not include reforms to the Medicare or Medicare Advantage program, an idea which was under discussion by Senate Republicans earlier this month.

 

The Senate reconciliation package would raise the debt ceiling by $5 trillion, compared to the $4 trillion contained in the House-passed measure. The Treasury Department has projected that the nation could hit its borrowing limit as early as mid-August, posing the risk of a U.S. default on its payment obligations at that time.

 

In addition to the ongoing negotiations around the impact of the bill on financially vulnerable hospitals, Republicans also still lack agreement on several other issues in the broader legislation, including the debt ceiling, SALT cap, and clean energy tax breaks. The reconciliation provisions are also being reviewed by the Senate parliamentarian to ensure they meet the chamber’s budgetary rules, with the Finance Committee provisions being adjudicated on Sunday. The Senate GOP aims to pass the reconciliation package this week and send it back to the House for final approval before the Fourth of July. Republicans can only lose three votes in either chamber and still pass the bill along party lines.

 

Democrats Call for Investigations into Impact of HHS Secretary on Vaccine Access – House Energy and Commerce Committee Ranking Member Frank Pallone (D-N.J.) is requesting that Chairman Brett Guthrie (R-Ky.) open an investigation into recent changes made to the Advisory Committee on Immunization Practices (ACIP) by U.S. Department of Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. The Secretary fired all 17 members of ACIP earlier this month, after making a unilateral decision to change COVID-19 vaccine recommendations for pregnant women and children. “Not only do these actions break promises he made under oath during his Senate confirmation, but they appear to be further proof that he intends to use his position as HHS Secretary to continue to advance his dangerous pseudo-science agenda,” Rep. Pallone writes. Senate Health, Education, Labor, and Pensions (HELP) Committee Ranking Member Bernie Sanders (I-Vt.) sent a similar letter to HELP Committee Chair Bill Cassidy, MD (R-La.) earlier this month, arguing that RFK Jr.’s “reckless” decision to fire ACIP members and “replace them with ideologues with limited expertise and a history of undermining vaccines will not only endanger the lives of Americans of all ages, it directly contradicts a commitment he made to you before he was confirmed that he would not make any significant changes to this important Committee.” ACIP is next scheduled to meet on Wednesday and Thursday of this week. The Secretary is scheduled to appear before the Energy and Commerce Health Subcommittee to testify about the proposed HHS budget for fiscal year 2026 on Tuesday.

 

2025 Medicare Trustees Report – The Department of the Treasury released the annual Social Security and Medicare Trustees Reports on Wednesday. As in prior years, the Trustees found that the Medicare program continues to face significant financing issues. This year’s report projects that the Hospital Insurance Trust Fund will be able to pay 100% of total scheduled benefits until 2033, three years earlier than reported last year. At that point, that fund’s reserves will become depleted and continuing program income will be sufficient to pay 89% of total scheduled benefits. While the Supplementary Medical Insurance (SMI) Trust Fund is adequately financed into the indefinite future because its main financing sources (beneficiary premiums and federal contributions) are automatically adjusted each year, the Trustees note that SMI costs are rapidly rising and place increasing demands on beneficiaries and general taxpayers.

 

Upcoming Congressional Hearings and Markups

House Energy and Commerce Subcommittee on Health hearing “The Fiscal Year 2026 Department of Health and Human Services Budget;” 10:00 a.m.; June 24

 

House Ways and Means Subcommittee on Health hearing “Health at Your Fingertips: Harnessing the Power of Digital Health Data;” 9:00 a.m.; June 25

 

Senate HELP Committee hearing on the nomination of Susan Monarez to be Director of the Centers for Disease Control and Prevention, Department of Health and Human Services; 10:00 a.m.; June 25

 

House Oversight and Government Reform Subcommittee on Health Care and Financial Services hearing “Sacrificing Excellence for Ideology: The Real Cost of DEI;” 10:00 a.m.; June 25

 

Senate Special Committee on Aging hearing “Lessons from the Field: How Sports Medicine Can Improve Health Outcomes for Seniors;” 3:30 p.m.; June 25

 

House Appropriations subcommittee markup of Fiscal Year 2026 Labor, Health and Human Services, Education, and Related Agencies Bill; 5:00 pm.; July 21

 

House Appropriations full committee markup of Fiscal Year 2026 Labor, Health and Human Services, Education, and Related Agencies Bill; 10:00 am.; July 24

 

Recently Introduced Health Legislation

H.R.4011 — To amend the Public Health Service Act to authorize the Secretary of Health and Human Services to award grants to eligible entities to support community paramedicine programs carried out in rural areas, and for other purposes; Sponsor: Cleaver, Emanuel [Rep.-D-MO-5]; Committees: House – Energy and Commerce

 

S.2085 — Postpartum Lifeline Act – A bill to require 12-month continuous, full benefit coverage for pregnant individuals under Medicaid and CHIP, and for other purposes; Sponsor: Gallego, Ruben [Sen.-D-AZ]; Committees: Senate – Finance

 

S.Res.285 — A resolution designating July 16, 2025, as “Glioblastoma Awareness Day”; Sponsor: Graham, Lindsey [Sen.-R-SC]; Submitted in the Senate, considered, and agreed to without amendment and with a preamble by Unanimous Consent.

 

S.2086 — A bill to amend the Employee Retirement Income Security Act of 1974 to allow health marketplace pools to be deemed an employer under section 3(5) of such Act for purposes of offering a group health plan or group health insurance coverage, and for other purposes; Sponsor: Paul, Rand [Sen.-R-KY]; Committees: Senate – Health, Education, Labor, and Pensions

 

H.Res.522 — Recognizing that Adriana Smith and her family’s prolonged ordeal without their consent is the direct result of the Black maternal health crisis, the danger of laws that give rights to fetuses and take them away from pregnant people, and anti-abortion laws that continue to harm people who can become pregnant; Sponsor: Williams, Nikema [Rep.-D-GA-5]; Committees: House – Energy and Commerce; Judiciary

 

H.R.4019 — To amend the Omnibus Crime Control and Safe Streets Act of 1968 to establish a grant program for provide access to, and training on the administration of, epinephrine products for law enforcement officers, and for other purposes; Sponsor: Gillen, Laura [Rep.-D-NY-4]; Committees: House – Judiciary

 

H.R.4022 — To amend title XIX of the Social Security Act to remove the exclusion from medical assistance under the Medicaid Program of items and services for patients in an institution for mental diseases, and for other purposes; Sponsor: Carbajal, Salud O. [Rep.-D-CA-24]; Committees: House – Energy and Commerce

 

H.R.4028 — To amend titles XIX and XXI of the Social Security Act to provide for 12-month continuous enrollment of individuals under the Medicaid program and Children’s Health Insurance Program; Sponsor: Dingell, Debbie [Rep.-D-MI-6]; Committees: House – Energy and Commerce

 

H.R.4029 — To provide for an emergency increase in Federal funding to State Medicaid programs for expenditures on home and community-based services; Sponsor: Dingell, Debbie [Rep.-D-MI-6]; Committees: House – Energy and Commerce

 

H.R.4030 — To amend the Public Health Service Act to authorize the Secretary of Health and Human Services to address priority substance use disorder and serious mental illness treatment needs through long-acting injectable medications, and for other purposes; Sponsor: Dunn, Neal P. [Rep.-R-FL-2]; Committees: House – Energy and Commerce

 

H.R.4037 —To clarify coverage of occupational therapy under the Medicare program; Sponsor: Kennedy, Timothy M. [Rep.-D-NY-26]; Committees: House – Ways and Means; Energy and Commerce

 

S.Res.292 — A resolution expressing support for the designation of June 19, 2025, as “World Sickle Cell Awareness Day” in order to increase public awareness across the United States and global community about sickle cell disease and the continued need for empirical research, early detection screenings, novel effective treatments leading to a cure, and preventative care programs with respect to complications from sickle cell anemia and conditions relating to sickle cell disease; Sponsor: Booker, Cory A. [Sen.-D-NJ]; Committees: Senate – Foreign Relations

 

S.2112 — A bill to amend the Agricultural Marketing Act of 1946 to modify the definition of hemp, and for other purposes; Sponsor: Paul, Rand [Sen.-R-KY]; Committees: Senate – Agriculture, Nutrition, and Forestry

 

S.2121 — A bill to reauthorize certain programs that provide for opioid use disorder prevention, treatment, and recovery, and for other purposes; Sponsor: Cassidy, Bill [Sen.-R-LA]; Committees: Senate – Health, Education, Labor, and Pensions

 

S.2131 — A bill to require the Secretary of Health and Human Services to carry out a public awareness campaign to increase awareness of the importance of father inclusion and engagement in improving overall health outcomes during pregnancy, childbirth, and postpartum, and for other purposes; Sponsor: Warnock, Raphael G. [Sen.-D-GA]; Committees: Senate – Health, Education, Labor, and Pensions

 

S.2134 — A bill to amend title 38, United States Code, to ensure that veterans in each of the 48 contiguous States are able to receive services in at least one full-service hospital of the Veterans Health Administration in the State or receive comparable services provided by contract in the State; Sponsor: Shaheen, Jeanne [Sen.-D-NH]; Committees: Senate – Veterans’ Affairs

Reconciliation Update – The Senate continued its consideration of the GOP’s budget reconciliation package last week. The Health, Education, Labor, and Pensions (HELP) Committee released its portion of the legislative text on Tuesday, which primarily focused on student loans but also included a few health proposals related to Affordable Care Act subsidies and health plan abortion coverage. Legislative text from the Finance Committee has not yet been released but will contain the bill’s remaining health-related provisions, including any proposed changes to the version of the bill passed by the House of Representatives last month. Efforts are ongoing to ensure the One Big Beautiful Bill Act has enough support for passage and complies with the Byrd rule and the chamber’s requirements for budget reconciliation. Floor consideration is expected to begin the week of June 23, with the goal of enacting the bill before July 4.

 

It was reported last week that HELP Committee Chairman Bill Cassidy, MD (R-La.) is circulating a measure that would codify a most-favored-nation adjacent policy for inclusion in the budget reconciliation package. Cassidy’s proposal would allow the Medicare program to claw back money from pharmaceutical manufacturers that sell their products to other wealthy nations at a price lower than is available in the U.S. The policy would apply to the 50 drugs that cost Medicare the most money, to be evaluated every three years. The amount of money recouped would be based on the gross domestic product (GDP) of the other countries – those with a nominal GDP that is not less than 3% of the U.S. It remains unclear how much support Cassidy has garnered for his bill.

 

Thirty-eight House Republicans led by Budget Committee Vice Chair Lloyd Smucker (R-Pa.) sent a letter to Senate Majority Leader John Thune (R-S.D.) on Tuesday stating that any additional tax cuts added to the reconciliation bill by the Senate “must be matched dollar-for-dollar by real, enforceable spending reductions.” The letter warns against the use of “budget gimmicks” and accounting tactics like timing shifts to reduce the cost of the package. Republicans can only lose three votes in either chamber and still pass the bill along party lines.

 

House Republicans finalized and adopted revisions to H.R. 1 last week to keep the legislation in compliance with the Senate’s rules for budget reconciliation.  The changes were passed in a mostly party line 213-207 vote on Wednesday. They do not impact the health-related provisions of the measure.

 

House Passes Trump Administration’s Proposed Funding Rescissions – The House of Representatives cleared the White House’s $9.4 billion rescissions request last week in a 214-212 vote. Republicans Brian Fitzpatrick (Pa.), Mark Amodei (Nev.), Mike Turner (Ohio), and Nicole Malliotakis (N.Y.) voted against the bill. The rescissions package includes $900 million in previously approved congressional funding for global health programs. The bill would reduce funding for the President’s Emergency Plan for AIDS Relief (PEPFAR), in addition to cuts to other HIV/AIDS, family planning, and reproductive health initiatives. The legislation will now be sent to the Senate for consideration, where it will only require a simple majority vote for passage. Several Republican senators have raised concerns about the cut to PEPFAR, prompting conversations on Capitol Hill about the complicated process for amending the rescissions request. Congress must act on the request within 45 days before the administration would be required to spend the funds.

 

RFK Jr. Fires Entire Vaccine Advisory Panel – U.S. Department of Health and Human Services Secretary (HHS) Robert F. Kennedy Jr. fired all 17 members of the Advisory Committee on Immunization Practices (ACIP) last week. ACIP is an independent panel responsible for advising the Centers for Disease Control and Prevention (CDC) on vaccines and making recommendations that determine insurance coverage of the shots. It is generally regarded as the most influential of the four external government bodies that advise federal agencies on vaccine policy.

 

“A clean sweep is needed to reestablish public confidence in vaccine science,” Kennedy said in an opinion piece published in the Wall Street Journal. The HHS Secretary has long accused ACIP members of having conflicts of interest and being too influenced by industry, but he pledged to maintain the panel without changes during his confirmation process to secure the vote of Sen. Bill Cassidy, MD (R-La.). “Of course, now the fear is that the ACIP will be filled up with people who know nothing about vaccines except suspicion,” Cassidy wrote in a post on X, stating that he would continue to talk with Secretary Kennedy to ensure this is not the case. Cassidy later clarified that the previous assurance he received from Kennedy was related to the ACIP process rather than who sits on the panel.

 

ACIP members, who are appointed to four-year terms, meet three times a year to review data on vaccines and vote on updates to the CDC’s vaccine schedule. While the CDC director has the authority to overrule ACIP recommendations, such occurrence is rare. ACIP is next scheduled to meet June 25-27; an HHS spokesperson stated that the meeting will continue as scheduled with new membership.  Kennedy has pledged to bring in “highly credentialed physicians” and “not anti-vaxxers” to fill the committee. He has so far announced the names of eight new ACIP members:

• Joseph R. Hibbeln, MD, psychiatrist and neuroscientist
• Martin Kulldorff, MD, PhD, biostatistician and epidemiologist
• Retsef Levi, PhD, Professor of Operations Management at the MIT Sloan School of Management
• Robert W. Malone, MD, physician-scientist and biochemist
• Cody Meissner, MD, Professor of Pediatrics at the Geisel School of Medicine at Dartmouth
• James Pagano, MD, emergency medicine physician
• Vicky Pebsworth, OP, PhD, RN, who holds a doctorate in public health and nursing
• Michael A. Ross, MD, Clinical Professor of Obstetrics and Gynecology at George Washington University and Virginia Commonwealth University

Concerns have been raised that the reconstituted panel already includes several vaccine critics, including people who have specifically questioned the safety of mRNA vaccines and the childhood vaccine schedule more broadly.

 

Grassley, Wyden Release Report on OPO Oversight – Senate Finance Committee member Chuck Grassley (R-Iowa) and Ranking Member Ron Wyden (D-Ore.) released a report titled Operation Transplant: Examining the Need for Oversight in the Organ Donation System last week. The report addresses two issues of long-standing concern to the committee related to the recovery of pancreata for research, which is counted toward an organ procurement organization’s (OPO) recertification, and the amount of oversight and transparency over conflicts of interest among OPO leaders and governing board members. The report details an 850% increase in the total number of pancreata recovered for research without reports of a clear corresponding research benefit, and recommends that the Centers for Medicare and Medicaid Services (CMS) further clarify the requirements and expectations of OPOs reporting pancreata to be counted toward certification or recertification. Regarding CMS’s conflicts of interest policy, the lawmakers suggest that the agency further clarify the requirements and expectations of OPOs to make clear that OPO governing boards and medical advisory boards, as well as CMS surveyors, should monitor actual and potential conflicts of interest.

 

GOP Rep. Mark Green, Emergency Physician, to Retire from Congress – Rep. Mark Green, MD (R-Tenn.), chair of the House Homeland Security Committee, plans to resign from Congress. He announced last week that he has accepted a position in the private sector. Green notified GOP leadership that he would vacate his seat after the next vote on the budget reconciliation package in the House of Representatives. Upon Green’s resignation, the chamber will have 219 Republicans and 212 Democrats. Tennessee Governor Bill Lee (R) is required to order a special election within 10 days of Green’s resignation, set a date for primary elections to occur within 55 to 60 days, and schedule a general election to take place within 100 to 107 days.

 

HHS No. 2 Sworn In – Jim O’Neill was sworn in as Deputy Secretary of the U.S. Department of Health and Human Services (HHS) last week. O’Neill served at HHS during the George W. Bush administration and is the former CEO of the Thiel Foundation. As the second-in-command at HHS, O’Neill will be responsible for managing the department’s day to day operations. The Senate is scheduled to vote on the nomination of Gary Andres to serve as Assistant Secretary of Health and Human Services on Monday.

 

MACPAC Releases June Report to Congress – The Medicaid and CHIP Payment and Access Committee released its June Report to Congress last week. MACPAC’s latest report makes recommendations on transitions from pediatric to adult care for Medicaid-covered children and youth with special health care needs, considers appropriate access to residential behavioral health treatment services for children, describes findings from the Commission’s analytic work on access to medications for opioid use disorder in Medicaid, provides an overview on the Program of All-Inclusive Care for the Elderly, and looks at self-direction for Medicaid home- and community-based services. The full report can be found here.

 

Upcoming Congressional Hearings and Markups

House Appropriations subcommittee markup of Fiscal Year 2026 Labor, Health and Human Services, Education, and Related Agencies Bill; 5:00 pm.; July 21

 

House Appropriations full committee markup of Fiscal Year 2026 Labor, Health and Human Services, Education, and Related Agencies Bill; 10:00 a.m.; July 24

 

Recently Introduced Health Legislation

H.R.3826 — To amend title XVIII of the Social Security Act to improve access to diabetes outpatient self-management training services, to require the Center for Medicare and Medicaid Innovation to test the provision of virtual diabetes outpatient self-management training services, and for other purposes; Sponsor: Schrier, Kim [Rep.-D-WA-8]; Committees: House – Energy and Commerce; Ways and Means

 

H.R.3823 — To prevent the illegal sale of firearms, and for other purposes; Sponsor: Quigley, Mike [Rep.-D-IL-5]; Committees: House – Judiciary

 

H.R.3821 — To amend the Federal Food, Drug, and Cosmetic Act to require the label of a drug intended for human use to identify each ingredient in such drug that is, or is derived directly or indirectly from, a major food allergen or a gluten-containing grain, and for other purposes; Sponsor: Morrison, Kelly [Rep.-D-MN-3]; Committees: House – Energy and Commerce

 

H.R.3812 — To amend title 38, United States Code, to prohibit the collection of a health care copayment by the Secretary of Veterans Affairs from a veteran under certain conditions attributable to a failure of the Department of Veterans Affairs to process certain information within applicable timeliness standards, and for other purposes; Sponsor: Gray, Adam [Rep.-D-CA-13]; Committees: House – Veterans’ Affairs

 

H.R.3808 — To amend title XVIII of the Social Security Act to improve access to mental health services under the Medicare program; Sponsor: Fitzpatrick, Brian K. [Rep.-R-PA-1]; Committees: House – Ways and Means; Energy and Commerce

 

H.R.3807 — To authorize the Secretary of Defense to procure software and data as a service to support the development of artificial intelligence systems, and for other purposes; Sponsor: Fallon, Pat [Rep.-R-TX-4]; Committees: House – Armed Services

 

H.Res.484 — Expressing support for the recognition of “Hidradenitis Suppurativa Awareness Week”; Sponsor: Dingell, Debbie [Rep.-D-MI-6]; Committees: House – Energy and Commerce

 

S.1989 — A bill to amend title XIX of the Social Security Act to increase transparency and expand coverage options with respect to home and community-based services, and for other purposes; Sponsor: Schmitt, Eric [Sen.-R-MO]; Committees: Senate – Finance

 

S.1996 — A bill to amend title XVIII of the Social Security Act to improve coverage of audiology services under the Medicare program, and for other purposes; Sponsor: Warren, Elizabeth [Sen.-D-MA]; Committees: Senate – Finance

 

H.R.3833 — To amend title 38, United States Code, to make certain improvements to the program of the Department of Veterans Affairs to provide comprehensive assistance for family caregivers of eligible veterans, and for other purposes; Sponsor: Barrett, Tom [Rep.-R-MI-7]; Committees: House – Veterans’ Affairs

 

H.R.3839 — To codify Executive Order 14155 (relating to withdrawing the United States from the World Health Organization); Sponsor: Burchett, Tim [Rep.-R-TN-2]; Committees: House – Foreign Affairs; Armed Services; Intelligence (Permanent Select); Energy and Commerce

 

H.R.3841 — To enhance the cybersecurity of the Healthcare and Public Health Sector; Sponsor: Crow, Jason [Rep.-D-CO-6]; Committees: House – Homeland Security; Energy and Commerce

 

S.Res.270 — A resolution designating June 6, 2025, as National Naloxone Awareness Day; Sponsor: Scott, Rick [Sen.-R-FL]; Submitted in the Senate, considered, and agreed to without amendment and with a preamble by Unanimous Consent.

 

S.2004 — A bill to require the Secretary of Health and Human Services to issue guidance on best practices for screening and treatment of congenital syphilis under Medicaid and the Children’s Health Insurance Program, and for other purposes; Sponsor: Heinrich, Martin [Sen.-D-NM]; Committees: Senate – Health, Education, Labor, and Pensions

 

S.2005 — A bill to improve the Institutional Development Award program of the National Institutes of Health; Sponsor: Hyde-Smith, Cindy [Sen.-R-MS]; Committees: Senate – Health, Education, Labor, and Pensions

 

S.2008 — A bill to amend title XIX of the Social Security Act to prohibit Medicaid and CHIP funding for gender transition procedures; Sponsor: Cornyn, John [Sen.-R-TX]; Committees: Senate – Finance

 

S.2011 — A bill to amend title XVIII of the Social Security Act to ensure coverage of mental and behavioral health services furnished through telehealth; Sponsor: Cassidy, Bill [Sen.-R-LA]; Committees: Senate – Finance

 

H.Res.495 — Supporting the designation of the week of June 9 through June 15, 2025, as “National Men’s Health Week”; Sponsor: Carter, Troy A. [Rep.-D-LA-2]; Committees: House – Oversight and Government Reform

 

H.R.3855 — To amend title 38, United States Code, to prohibit smoking on the premises of any facility of the Veterans Health Administration, and for other purposes; Sponsor: Dunn, Neal P. [Rep.-R-FL-2]; Committees: House – Veterans’ Affairs

 

H.R.3863 — To amend title 38, United States Code, to direct the Secretary of Veterans Affairs to furnish annual mental health consultations to certain veterans, and for other purposes; Sponsor: Budzinski, Nikki [Rep.-D-IL-13]; Committees: House – Veterans’ Affairs

 

H.R.3864 — To amend title XI of the Social Security Act to prohibit the use of quality-adjusted life years and similar measures in coverage and payment determinations under Federal health care programs; Sponsor: Cammack, Kat [Rep.-R-FL-3]; Committees: House – Energy and Commerce; Ways and Means

 

H.R.3866 — To require the Secretary of Health and Human Services to issue guidance on best practices for screening and treatment of congenital syphilis under Medicaid and the Children’s Health Insurance Program, and for other purposes; Sponsor: Ciscomani, Juan [Rep.-R-AZ-6]; Committees: House – Energy and Commerce; Natural Resources

 

H.R.3873 — To increase funding for cancer research by the National Cancer Institute to be more in proportion to the mortality rates of cancer; Sponsor: Fitzpatrick, Brian K. [Rep.-R-PA-1]; Committees: House – Appropriations; Energy and Commerce

 

H.R.3878 — To amend title XVIII of the Social Security Act to ensure adequate coverage of annual wellness visits at rural health clinics under the Medicare program; Sponsor: Hinson, Ashley [Rep.-R-IA-2]; Committees: House – Energy and Commerce; Ways and Means

 

H.R.3884 — To amend title XVIII of the Social Security Act to ensure coverage of mental and behavioral health services furnished through telehealth; Sponsor: Matsui, Doris O. [Rep.-D-CA-7]; Committees: House – Energy and Commerce; Ways and Means

 

H.R.3885 — To amend the Public Health Service Act to provide community-based training opportunities for medical students in rural areas and medically underserved communities, and for other purposes; Sponsor: Miller, Carol D. [Rep.-R-WV-1]; Committees: House – Energy and Commerce

 

H.R.3886 — To direct the Secretary of Veterans Affairs to conduct a study to determine whether RNA sequencing can be used to effectively diagnose PTSD in veterans; Sponsor: Murphy, Gregory F. [Rep.-R-NC-3]; Committees: House – Veterans’ Affairs

 

H.R.3890 — To amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes; Sponsor: Sewell, Terri A. [Rep.-D-AL-7]; Committees: House – Energy and Commerce; Ways and Means

 

S.2024 — A bill to amend the Patient Protection and Affordable Care Act to provide for additional requirements with respect to the navigator program, and for other purposes; Sponsor: Baldwin, Tammy [Sen.-D-WI]; Committees: Senate – Health, Education, Labor, and Pensions

 

S.2027 — A bill to provide for digital communication of prescribing information for drugs (including biological products), and for other purposes; Sponsor: Mullin, Markwayne [Sen.-R-OK]; Committees: Senate – Health, Education, Labor, and Pensions

 

S.2029 — A bill to protect the privacy of personal reproductive or sexual health information, and for other purposes; Sponsor: Hirono, Mazie K. [Sen.-D-HI]; Committees: Senate – Commerce, Science, and Transportation

 

S.2031 — A bill to prohibit certain noncompete agreements, and for other purposes; Sponsor: Murphy, Christopher [Sen.-D-CT]; Committees: Senate – Health, Education, Labor, and Pensions

 

S.2032 — A bill to provide for the establishment of Medicare part E public health plans, and for other purposes; Sponsor: Merkley, Jeff [Sen.-D-OR]; Committees: Senate – Finance

 

S.2035 — A bill to establish statutory rights to choose to receive, provide, and cover fertility treatments, and for other purposes; Sponsor: Duckworth, Tammy [Sen.-D-IL]; Committees: Senate – Health, Education, Labor, and Pensions

 

H.Res.502 — Of inquiry requesting the President and directing the Secretaries of the Treasury, Labor, and Health and Human Services to transmit, respectively, certain documents to the House of Representatives relating to the development of a centralized database by the Federal government and Palantir Technologies Inc. that compiles American citizens’ personal information across Federal agencies and departments, including confidential taxpayer, identity, wage, child support, bank account, student loan, health, medical, financial, or other information; Sponsor: Doggett, Lloyd [Rep.-D-TX-37]; Committees: House – Oversight and Government Reform

 

H.R.3906 — To amend the Full-Year Continuing Appropriations and Extensions Act, 2025 to restore amounts available for Defense Health Agency research, development, test, and evaluation, including Congressionally Directed Medical Research Programs; Sponsor: Carson, André [Rep.-D-IN-7]; Committees: House – Appropriations

 

H.R.3907 — To amend the Patient Protection and Affordable Care Act to provide for additional requirements with respect to the navigator program, and for other purposes; Sponsor: Castor, Kathy [Rep.-D-FL-14]; Committees: House – Energy and Commerce

 

H.R.3910 — To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to allow parental choice in the selection of primary health insurance coverage or primary coverage under a group health plan for certain dependent children; Sponsor: Davids, Sharice [Rep.-D-KS-3]; Committees: House – Energy and Commerce; Ways and Means; Education and Workforce

 

H.R.3911 — To provide for the establishment of Medicare part E public health plans, and for other purposes; Sponsor: Gomez, Jimmy [Rep.-D-CA-34]; Committees: House – Energy and Commerce; Ways and Means; Education and Workforce

 

H.R.3916 — To protect the privacy of personal reproductive or sexual health information, and for other purposes; Sponsor: Jacobs, Sara [Rep.-D-CA-51]; Committees: House – Energy and Commerce

 

S.2050 — A bill to amend the Social Security Act to provide for an increased Federal medical assistance percentage for State expenditures on certain behavioral health services furnished under the Medicaid program, and for other purposes; Sponsor: Warnock, Raphael G. [Sen.-D-GA]; Committees: Senate – Finance

 

S.2055 — A bill to amend title 38, United States Code, to make certain improvements to the program of the Department of Veterans Affairs to provide comprehensive assistance for family caregivers of eligible veterans, and for other purposes; Sponsor: Banks, Jim [Sen.-R-IN]; Committees: Senate – Veterans’ Affairs

 

S.2057 — A bill to streamline enrollment in health insurance affordability programs and minimum essential coverage, and for other purposes; Sponsor: Van Hollen, Chris [Sen.-D-MD]; Committees: Senate – Finance

 

S.2059 — A bill to amend titles XIX and XXI of the Social Security Act to enhance financial support for rural and safety net hospitals providing maternity, labor, and delivery services to vulnerable populations, and for other purposes; Sponsor: Wyden, Ron [Sen.-D-OR]; Committees: Senate – Finance

 

S.2061 — A bill to require the Interagency Working Group on Toxic Exposure to conduct research on the diagnosis and treatment of health conditions of descendants of individuals exposed to toxic substances while serving as members of the Armed Forces, and for other purposes; Sponsor: Blumenthal, Richard [Sen.-D-CT]; Committees: Senate – Veterans’ Affairs

 

S.2062 — A bill to improve supply chain resiliency for critical drug products with vulnerable supply chains and ensure that reserves of critical drugs and active pharmaceutical ingredients are maintained to prevent supply disruptions in the event of drug shortages or public health emergencies; Sponsor: Peters, Gary C. [Sen.-D-MI]; Committees: Senate – Health, Education, Labor, and Pensions

 

S.2064 — A bill to amend title XIX and XXI of the Social Security Act to provide coverage of comprehensive tobacco cessation services under such titles, and for other purposes; Sponsor: Blunt Rochester, Lisa [Sen.-D-DE]; Committees: Senate – Finance

 

S.2066 — A bill to amend title XI of the Social Security Act to establish a pilot program for testing the use of a predictive risk-scoring algorithm to provide oversight of payments for durable medical equipment and clinical diagnostic laboratory tests under the Medicare program; Sponsor: Sheehy, Tim [Sen.-R-MT]; Committees: Senate – Finance

 

S.2068 — A bill to ban drug manufacturers from using direct-to-consumer advertising, including social media, to promote their products; Sponsor: Sanders, Bernard [Sen.-I-VT]; Committees: Senate – Health, Education, Labor, and Pensions

 

S.2069 — A bill to amend title XIX and XXI of the Social Security Act to provide for 12-month continuous enrollment of individuals under the Medicaid program and Children’s Health Insurance Program; Sponsor: Whitehouse, Sheldon [Sen.-D-RI]; Committees: Senate – Finance

 

S.2072 — A bill to promote affordable access to evidence-based opioid treatments under the Medicare program and require coverage of medication assisted treatment for opioid use disorders, opioid overdose reversal medications, and recovery support services by health plans without cost-sharing requirements; Sponsor: Blumenthal, Richard [Sen.-D-CT]; Committees: Senate – Finance

 

S.2073 — A bill to establish a State public option through Medicaid to provide Americans with the choice of a high-quality, low-cost health insurance plan; Sponsor: Schatz, Brian [Sen.-D-HI]; Committees: Senate – Finance

 

S.2076 — A bill to provide for an emergency increase in Federal funding to State Medicaid programs for expenditures on home and community-based services; Sponsor: Luján, Ben Ray [Sen.-D-NM]; Committees: Senate – Finance

 

S.2077 — A bill to amend title XIX of the Social Security Act to ensure health insurance coverage continuity for former foster youth; Sponsor: Welch, Peter [Sen.-D-VT]; Committees: Senate – Finance

 

S.2084 — A bill to amend titles XVIII and XIX of the Social Security Act to provide for coverage of dental and oral health services, vision services, and hearing services under the Medicare and Medicaid programs; Sponsor: Alsobrooks, Angela D. [Sen.-D-MD]; Committees: Senate – Finance

 

H.Res.507 — Expressing support for the designation of June 10 as “FSGS Awareness Day”; Sponsor: Bilirakis, Gus M. [Rep.-R-FL-12]; Committees: House – Energy and Commerce

 

H.Res.510 — Recognizing the 20th anniversary of the Children’s Hospital Association’s Family Advocacy Day and honoring the contributions of children’s hospitals and their patients and families; Sponsor: Castor, Kathy [Rep.-D-FL-14]; Committees: House – Energy and Commerce

 

H.R.3942 — To amend titles XIX and XXI of the Social Security Act to enhance financial support for rural and safety net hospitals providing maternity, labor, and delivery services to vulnerable populations, and for other purposes; Sponsor: Bonamici, Suzanne [Rep.-D-OR-1]; Committees: House – Energy and Commerce; Ways and Means

 

H.R.3947 — To streamline enrollment in health insurance affordability programs and minimum essential coverage, and for other purposes; Sponsor: Bera, Ami [Rep.-D-CA-6]; Committees: House – Energy and Commerce; Ways and Means

 

H.R.3951 — To amend the Veterans’ Benefits Improvements Act of 1996 and the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020 to improve the temporary licensure requirements for contract health care professionals who perform medical disability examinations for the Department of Veterans Affairs, and for other purposes; Sponsor: Ciscomani, Juan [Rep.-R-AZ-6]; Committees: House – Veterans’ Affairs

 

H.R.3954 — To amend title XVIII of the Social Security Act to count a period of receipt of outpatient observation services in a hospital toward satisfying the 3-day inpatient hospital stay requirement for coverage of skilled nursing facility services under Medicare, and for other purposes; Sponsor: Courtney, Joe [Rep.-D-CT-2]; Committees: House – Ways and Means; Energy and Commerce

 

H.R.3955 — To improve supply chain resiliency for critical drug products with vulnerable supply chains and ensure that reserves of critical drugs and active pharmaceutical ingredients are maintained to prevent supply disruptions in the event of drug shortages or public health emergencies; Sponsor: Craig, Angie [Rep.-D-MN-2]; Committees: House – Energy and Commerce

 

H.R.3980 — To authorize the Secretary of Health and Human Services, acting through the Administrator of the Health Resources and Services Administration, to award grants for expanding, modernizing, or streamlining emergency department operations; Sponsor: Lawler, Michael [Rep.-R-NY-17]; Committees: House – Energy and Commerce

 

H.R.3990 — To provide Medicaid assistance to individuals and families affected by a disaster or emergency, and for other purposes; Sponsor: Panetta, Jimmy [Rep.-D-CA-19]; Committees: House – Energy and Commerce; Ways and Means

 

H.R.3995 — To establish a State public option through Medicaid to provide Americans with the choice of a high-quality, low-cost health insurance plan; Sponsor: Schrier, Kim [Rep.-D-WA-8]; Committees: House – Energy and Commerce; Ways and Means

 

H.R.3996 — To amend title XI of the Social Security Act to establish a pilot program for testing the use of a predictive risk-scoring algorithm to provide oversight of payments for durable medical equipment and clinical diagnostic laboratory tests under the Medicare program; Sponsor: Schweikert, David [Rep.-R-AZ-1]; Committees: House – Energy and Commerce; Ways and Means

 

H.R.4002 — To repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals; Sponsor: Van Duyne, Beth [Rep.-R-TX-24]; Committees: House – Energy and Commerce; Ways and Means

 

H.R.4007 — To unfreeze and release funding for grant agreements of the National Institutes of Health, prohibit termination of such agreements for active and ongoing research, require the inclusion of termination clauses in such agreements, and prohibit termination of such agreements for no longer effectuating program goals or agency priorities; Sponsor: Watson Coleman, Bonnie [Rep.-D-NJ-12]; Committees: House – Energy and Commerce

Reconciliation Update – Congress returned to session last week, and work is ongoing in the Senate to advance the One Big Beautiful Bill Act (H.R. 1), the GOP’s House-passed budget reconciliation package containing President Donald Trump’s domestic policy priorities.  Republicans have convened multiple closed-door strategy sessions to address issues raised by a number of internal factions who have expressed an interest in making changes to the legislation. The GOP can only afford to lose three Republican senators on the expected party-line vote, with Vice President JD Vance available to serve as the tiebreaker if needed.  Several Republicans, including Sens. Josh Hawley (R-Mo.), Susan Collins (R-Maine), and Lisa Murkowski (R-Alaska), have raised concerns about the bill’s Medicaid-related provisions. The lawmakers have expressed an openness to the Medicaid work requirements proposed by the House of Representatives, but the bill’s freeze on provider taxes appears to be of significant concern. Additionally, Sen. Rand Paul (R-Ky.) recently stated that he will not vote to pass the reconciliation package if it includes an increase to the cap on the federal government’s borrowing authority. The President has also weighed in on this issue, saying the debt limit should be “entirely scrapped.”

 

Democrats remain unified in opposition to the bill, but being in the minority do not have the votes to stop the bill from advancing. They are nevertheless working to challenge aspects of the measure with the Senate parliamentarian – Elizabeth MacDonough – as H.R. 1 undergoes the “Byrd bath” process. The Byrd Rule requires that only policies that affect federal spending, revenue, or the debt limit can be passed via reconciliation. The nonpartisan Senate parliamentarian determines whether the requirements governing the Senate’s budget reconciliation process are being followed, and it is rare for the majority party to ignore or overrule the parliamentarian’s decisions.

 

The nonpartisan Congressional Budget Office (CBO) released its full score of the House-passed reconciliation package on Wednesday. The CBO estimates that the measure will increase the federal deficit by $2.4 trillion over the next decade, while the number of uninsured individuals would increase by 10.9 million.  House Speaker Mike Johnson (R-La.) rejected the CBO’s estimate, simply stating that the budget agency’s claims are wrong. Assuming the Senate makes changes to the package, the CBO will eventually need to complete a score of the new version of the bill as well.

 

It was reported last week that Senate Republicans are considering possible Medicare provisions to offset the cost of the reconciliation package. Senate Majority Leader John Thune (R-S.D.) confirmed that any proposals aimed at waste, fraud, and abuse are on the table for consideration. One potential option under consideration is billing reforms to address up-coding by insurers in the Medicare Advantage program such as the No UPCODE Act (S. 1105) introduced by Sens. Bill Cassidy, MD (R-La.) and Jeff Merkley (D-Ore.).  If the Senate amends the reconciliation legislation, the House will need to vote on the amended legislation, or the package would need to be reconciled via the conference committee process. Republicans are aiming to send the reconciliation package to President Donald Trump for his signature before the July 4 recess.

 

House Passes SUPPORT Act Reauthorization – The House of Representatives passed the SUPPORT for Patients and Communities Reauthorization Act of 2025 (H.R. 2483) last week in a 366-57 bipartisan vote. The bill would reauthorize billions of dollars in funding for substance abuse prevention, treatment, and recovery programs created by the landmark SUPPORT Act, which was passed with widespread bipartisan support in 2018. H.R. 2483 would extend until 2030 initiatives that support first responder access to naloxone, enhanced substance use disorder treatment options for pregnant and postpartum women, state prescription drug monitoring programs, workforce participation by individuals in recovery, and Comprehensive Opioid Recovery Centers. Thirty Democrats were joined by 27 Republicans in voting against the legislation. Several Democrats, including House Energy and Commerce Committee Ranking Member Frank Pallone (D-N.J.), cited concerns about the Trump administration’s undermining of SUPPORT and the Substance Abuse and Mental Health Services Administration (SAMHSA) more broadly as their reason for voting against the bill. The White House proposed eliminating certain SUPPORT Act initiatives in the President’s fiscal year 2026 budget. Energy and Commerce Chair Brett Guthrie (R-Ky.) has countered that recent staffing cuts and reorganization efforts at SAMHSA have not impacted the SUPPORT Act’s implementation. H.R. 2483 will now be sent to the Senate for consideration.

 

Senate Passes Military Aviator Cancer Bill – The Senate passed the Aviator Cancer Examination Study (ACES) Act (S. 201) last week by unanimous consent. The legislation directs the Department of Veterans Affairs to work with the National Academies of Sciences, Engineering, and Medicine to study the prevalence and mortality of cancer among individuals who served as active-duty aircrew of a fixed-wing aircraft in the U.S. Armed Forces. Companion legislation was previously passed by the House of Representatives. The Senate-passed bill will now return to the House for final passage.

 

FY 2026 Ag-FDA Appropriations Bill Advances – The appropriations process is underway in the House of Representatives, where the fiscal year (FY) 2026 Agriculture-Rural Development-Food and Drug Administration (FDA) annual appropriations bill was advanced out of subcommittee on Thursday in a 9-7 party line vote. The spending measure would provide $6.8 billion in total funding for the FDA – in line with the President’s proposed budget and $271 million, or 3.9%, lower than currently enacted levels. This includes $3.5 billion in discretionary spending – $409 million, or 11.4%, lower than FY 2025. The bill would prohibit covered agencies from using funding to create new programs, eliminate existing activities, reorganize offices, or contract out functions unless approved by congressional appropriators. It would also require the FDA to spend at least $200 million on e-cigarette enforcement, and restrict funds from being spent on communications related to mis-, dis-, or mal-information or to censor constitutionally protected speech. The full Appropriations panel is scheduled to markup the bill on June 11. The Appropriations Committee plans to complete committee work on its bills by the end of July, with the potential for floor votes on bills before August recess. On the other side of the Capitol, Majority Leader John Thune (R-S.D.) has stated his plans to “consider as many appropriations bills as possible under regular order.” Lawmakers have until September 30 to pass the 12 annual appropriations measures or clear a stopgap government funding bill to avoid a federal government shutdown at the end of the fiscal year.

 

White House Proposes Global Health Funding Rescissions – The Trump administration submitted a $9.4 billion rescissions request to Congress last week that proposes to claw back $900 million in previously approved congressional funding for global health programs. In addition to cuts to HIV/AIDS, family planning, and reproductive health initiatives, the White House proposes to reduce funding for the President’s Emergency Plan for AIDS Relief (PEPFAR) by $400 million. Senate Appropriations Chair Susan Collins (R-Maine) has stated that she will not support the proposed cut to PEPFAR, which she characterized as a program “that has saved literally millions of lives and has been extremely effective and well run.” The House of Representatives is expected to vote on the rescissions package this week before it is considered by the Senate, where it will only require a simple majority vote for passage.  Congress must act on the recessions request within 45 days before the administration would be required to spend the funds.

 

Senate Confirms HHS Deputy Secretary – The Senate confirmed Jim O’Neill to serve as Deputy Secretary of the U.S. Department of Health and Human Services (HHS) in a 52-43 vote on Thursday. O’Neill served at HHS during the George W. Bush administration and is the former CEO of the Thiel Foundation. As the second-in-command at HHS, O’Neill will be responsible for managing the department’s day to day operations.

 

Upcoming Congressional Hearings and Markups

Senate Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies hearing “A Review of the President’s Fiscal Year 2026 Budget Request for the National Institutes of Health;” 10:00 a.m.; June 10

 

House Appropriations full committee markup of Fiscal Year 2026 Military Construction, Veterans Affairs, and Related Agencies Bill, Subcommittee Allocations; 2:00 p.m.; June 10

 

House Appropriations full committee markup of Fiscal Year 2026 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Bill; 10:00 a.m.; June 11

 

House Energy and Commerce Subcommittee on Health hearing “Made in America: Strengthening Domestic Manufacturing and Our Health Care Supply Chain;” 10:15 a.m.; June 11

 

House Veterans’ Affairs Subcommittee on Oversight and Investigations legislative hearing including H.R. 3482, Veterans Community Care Scheduling Improvement Act; H.R. 3494, VA Hospital Inventory Management System Authorization Act; Discussion Draft, To authorize the Secretary of Veterans Affairs to carry out a program to modernize the electronic health record system of the Department of Veterans Affairs; Discussion Draft, To amend title 38, United States Code, to prohibit the collection of a health care copayment by the Secretary of Veterans Affairs from a veteran after a two-year period if the delay in collection is attributable to a failure of an employee, official, or information system of the Department of Veterans Affairs to process certain information within applicable timeliness standards established by the Secretary; 2:15 p.m.; June 11

 

House Veterans’ Affairs Subcommittee on Health legislative hearing including H.R. 785, The Representing Our Seniors at VA Act; H.R. 2068, The Veterans Patient Advocacy Act; H.R. 2605, The Service Dogs Assisting Veterans (SAVES) Act; H.R. 3400, The Territorial Response and Access to Veterans’ Essential Lifecare (TRAVEL) Act; Discussion Draft: To amend title 38, United States Code, to prohibit smoking on the premises of any facility of the Veterans Health Administration; H.R. 3643, The VA Data Transparency and Trust Act; Discussion Draft: To direct the Secretary of Veterans Affairs to conduct a study to determine whether RNA sequencing can be used to effectively diagnose PTSD in veterans; Discussion Draft: The Health Professionals Scholarship Program Improvement Act; H.R. 3726, The Fisher House Availability Act; H.R. 1404, The CHAMPVA Children’s Care Protection Act; H.R. 2148, The Veteran Caregiver Reeducation, Reemployment, and Retirement Act; Discussion Draft: The VA Mental Health Outreach and Engagement Act; 2:15 p.m.; June 12

 

House Appropriations subcommittee markup of Fiscal Year 2026 Labor, Health and Human Services, Education, and Related Agencies Bill; 5:00 pm.; July 21

 

House Appropriations full committee markup of Fiscal Year 2026 Labor, Health and Human Services, Education, and Related Agencies Bill; 10:00 a.m.; July 24

 

Recently Introduced Health Legislation

S.Res.260 — A resolution expressing support for the designation of June 6, 2025, as “National Gun Violence Awareness Day” and June 2025 as “National Gun Violence Awareness Month”; Sponsor: Durbin, Richard J. [Sen.-D-IL]; Committees: Senate – Judiciary

 

S.1924 — A bill to add suicide prevention resources to school identification cards; Sponsor: Kennedy, John [Sen.-R-LA]; Committees: Senate – Health, Education, Labor, and Pensions

 

S.1925 — A bill to amend title XVIII of the Social Security Act to improve access to diabetes outpatient self-management training services, to require the Center for Medicare and Medicaid Innovation to test the provision of virtual diabetes outpatient self-management training services, and for other purposes; Sponsor: Shaheen, Jeanne [Sen.-D-NH]; Committees: Senate – Finance

 

H.Res.457 — Expressing support for the designation of June 6, 2025, as “National Gun Violence Awareness Day” and June 2025 as “National Gun Violence Awareness Month”; Sponsor: Kelly, Robin L. [Rep.-D-IL-2]; Committees: House – Judiciary

 

H.R.3670 — To amend the Indian Health Care Improvement Act to establish within the Indian Health Service an Office of Graduate Medical Education Programs, and for other purposes; Sponsor: Stansbury, Melanie A. [Rep.-D-NM-1]; Committees: House – Natural Resources; Energy and Commerce

 

S.1928 — A bill to require the Comptroller General of the United States to submit to Congress a report on esophageal cancer with respect to the Federal Employees Health Benefits Program, and for other purposes; Sponsor: Warner, Mark R. [Sen.-D-VA]; Committees: Senate – Homeland Security and Governmental Affairs

 

S.1929 — A bill to establish programs to reduce rates of sepsis; Sponsor: Schumer, Charles E. [Sen.-D-NY]; Committees: Senate – Health, Education, Labor, and Pensions

 

S.1930 — A bill to amend title XI of the Social Security Act to establish a research and development-intensive small biotech manufacturer exemption the Medicare drug price negotiation program; Sponsor: Cassidy, Bill [Sen.-R-LA]; Committees: Senate – Finance

 

S.1935 —A bill to amend title XI of the Social Security Act to provide for the testing of a community-based palliative care model; Sponsor: Rosen, Jacky [Sen.-D-NV]; Committees: Senate – Finance

 

S.1936 — A bill to require the Center for Medicare and Medicaid Innovation to test allowing blood transfusions to be paid separately from the Medicare hospice all-inclusive per diem payment; Sponsor: Rosen, Jacky [Sen.-D-NV]; Committees: Senate – Finance

 

H.Res.465 — Expressing the sense of the House of Representatives that the Congress should enact the Older Americans Bill of Rights to establish that older Americans should have the right to live with dignity and with independence; Sponsor: Schakowsky, Janice D. [Rep.-D-IL-9]; Committees: House – Education and Workforce; Energy and Commerce; Ways and Means

 

H.Res.466 — Expressing support for the designation of the first Tuesday in June as “National Cancer Survivor Beauty and Support Day”; Sponsor: Schneider, Bradley Scott [Rep.-D-IL-10]; Committees: House – Oversight and Government Reform

 

H.R.3674 — To authorize United States participation in the Davos Alzheimer’s Collaborative; Sponsor: Bera, Ami [Rep.-D-CA-6]; Committees: House – Foreign Affairs

 

H.R.3676 — To codify Executive Order 14293, relating to regulatory relief to promote domestic production of critical medicines; Sponsor: Burchett, Tim [Rep.-R-TN-2]; Committees: House – Energy and Commerce; Transportation and Infrastructure

 

H.R.3677 — To codify Executive Order 14292 relating to Improving the Safety and Security of Biological Research; Sponsor: Burchett, Tim [Rep.-R-TN-2]; Committees: House – Energy and Commerce; Science, Space, and Technology

 

H.R.3684 —To amend titles XVIII and XIX of the Social Security Act to provide for enhanced payments to rural health care providers under the Medicare and Medicaid programs, and for other purposes; Sponsor: Graves, Sam [Rep.-R-MO-6]; Committees: House – Ways and Means; Energy and Commerce; Budget

 

H.R.3686 — To amend the Federal Food, Drug, and Cosmetic Act to improve the regulatory review process to determine the safety and effectiveness of nonprescription sunscreen active ingredients, and for other purposes; Sponsor: Joyce, John [Rep.-R-PA-13]; Committees: House – Energy and Commerce

 

H.R.3688 — To amend chapter 110 of title 18, United States Code, to prohibit gender transition procedures on minors, and for other purposes; Sponsor: LaMalfa, Doug [Rep.-R-CA-1]; Committees: House – Judiciary

 

H.R.3689 — To amend the SUPPORT for Patients and Communities Act to reauthorize a youth prevention and recovery initiative; Sponsor: Lee, Susie [Rep.-D-NV-3]; Committees: House – Energy and Commerce; Education and Workforce

 

H.R.3698 — To amend the Internal Revenue Code of 1986 to provide a refundable credit to individuals who donate certain life-saving organs; Sponsor: Wilson, Joe [Rep.-R-SC-2]; Committees: House – Ways and Means; Energy and Commerce

 

S.1941 — A bill to require the Secretary of Health and Human Services to carry out activities to eliminate hepatitis C virus in the United States; Sponsor: Cassidy, Bill [Sen.-R-LA]; Committees: Senate – Health, Education, Labor, and Pensions

 

S.1944 — A bill to amend the Internal Revenue Code of 1986 to clarify that individuals who have access to certain healthcare services through a worksite health clinic are eligible to make pre-tax contributions to a health savings account; Sponsor: Scott, Tim [Sen.-R-SC]; Committees: Senate – Finance

 

S.1951 — A bill to ensure the preservation and operational integrity of the aeromedical evacuation capabilities of the Department of the Army within the Medical Service Corps and to maintain the role of the Medical Service Corps as the primary joint service provider for intra-theater aeromedical evacuation, and for other purposes; Sponsor: Cruz, Ted [Sen.-R-TX]; Committees: Senate – Armed Services

 

S.1954 —A bill to improve the requirements for making a determination of interchangeability of a biological product and its reference product; Sponsor: Lee, Mike [Sen.-R-UT]; Committees: Senate – Health, Education, Labor, and Pensions

 

H.R.3701 — To amend the Public Health Service Act to codify the Advisory Committee on Immunization Practices, and for other purposes; Sponsor: Pallone, Frank [Rep.-D-NJ-6]; Committees: House – Energy and Commerce

 

H.R.3704 —To reduce the health risks of heat by establishing the National Integrated Heat Health Information System within the National Oceanic and Atmospheric Administration and the National Integrated Heat Health Information System Interagency Committee to improve extreme heat preparedness, planning, and response, and for other purposes; Sponsor: Ansari, Yassamin [Rep.-D-AZ-3]; Committees: House – Energy and Commerce; Science, Space, and Technology

 

H.R.3731 —To amend title XI of the Social Security Act to establish a research and development-intensive small biotech manufacturer exception from the Medicare drug price negotiation program; Sponsor: Pfluger, August [Rep.-R-TX-11]; Committees: House – Energy and Commerce; Ways and Means

 

H.R.3743 —To amend the Child Nutrition Act of 1966 to support women, infants, and children impacted by substance use disorder, and for other purposes; Sponsor: Vindman, Eugene Simon [Rep.-D-VA-7]; Committees: House – Education and Workforce

 

S.Res.266 — A resolution designating May 2025 as “ALS Awareness Month”; Sponsor: Murkowski, Lisa [Sen.-R-AK]; Submitted in the Senate, considered, and agreed to without amendment and with a preamble by Unanimous Consent.

 

S.1960 —A bill to amend title XVIII of the Social Security Act to provide for the continued designation of hospitals that met mountainous terrain or secondary roads distance requirement as critical access hospitals and to modify distance requirements for ambulance services furnished by critical access hospitals; Sponsor: Capito, Shelley Moore [Sen.-R-WV]; Committees: Senate – Finance

 

S.1971 — A bill to amend title XVIII of the Social Security Act to provide coverage of medical nutrition therapy services for individuals with eating disorders under the Medicare program; Sponsor: Hassan, Margaret Wood [Sen.-D-NH]; Committees: Senate – Finance

 

S.1973 —A bill to amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes; Sponsor: Cassidy, Bill [Sen.-R-LA]; Committees: Senate – Finance

 

S.1974 — A bill to amend the Public Health Service Act to allow certain public health data modernization grants to be used to track hospital bed capacity, and for other purposes; Sponsor: Coons, Christopher A. [Sen.-D-DE]; Committees: Senate – Health, Education, Labor, and Pensions

 

S.1983 — A bill to require any convention, agreement, or other international instrument on pandemic prevention, preparedness, and response reached by the World Health Assembly to be subject to Senate ratification; Sponsor: Johnson, Ron [Sen.-R-WI]; Committees: Senate – Foreign Relations

 

S.1984 — A bill to prohibit an employer from terminating the coverage of an employee under a group health plan while the employer is engaged in a lock-out or while the employee is engaged in a lawful strike, and for other purposes; Sponsor: Baldwin, Tammy [Sen.-D-WI]; Committees: Senate – Health, Education, Labor, and Pensions

 

H.R.3747 — To amend the Public Health Service Act to reauthorize the Project ECHO Grant Program, to establish grants under such program to disseminate knowledge and build capacity to address Alzheimer’s disease and other dementias, and for other purposes; Sponsor: Balderson, Troy [Rep.-R-OH-12]; Committees: House – Energy and Commerce

 

H.R.3749 —To direct the Secretary of Health and Human Services to award grants for research, investigation, and awareness of the effect of personal care products containing endocrine-disrupting chemicals on the female reproductive system, and for other purposes; Sponsor: Brown, Shontel M. [Rep.-D-OH-11]; Committees: House – Energy and Commerce

 

H.R.3750 — To direct the Secretary of Defense to carry out a pilot program to provide certain members of the Armed Forces with continuous glucose monitoring technology; Sponsor: Buchanan, Vern [Rep.-R-FL-16]; Committees: House – Armed Services

 

H.R.3752 — To amend title 38, United States Code, to provide for a presumption of service connection for glioblastoma multiforme for veterans who served in certain locations during the Vietnam era; Sponsor: Cherfilus-McCormick, Sheila [Rep.-D-FL-20]; Committees: House – Veterans’ Affairs

 

H.R.3757 — To amend title V of the Public Health Service Act to ensure protections for lesbian, gay, bisexual, and transgender youth and their families; Sponsor: Davids, Sharice [Rep.-D-KS-3]; Committees: House – Energy and Commerce

 

H.R.3758 — To amend the Employee Retirement Income Security Act of 1974 to establish parity in the treatment of behavioral health and physical health conditions under disability benefit plans; Sponsor: DeSaulnier, Mark [Rep.-D-CA-10]; Committees: House – Education and Workforce

 

H.R.3762 —To prevent cost-sharing requirements for prenatal, childbirth, neonatal, perinatal, or postpartum health care; Sponsor: Golden, Jared F. [Rep.-D-ME-2]; Committees: House – Energy and Commerce; Ways and Means; Education and Workforce

 

H.R.3767 — To amend title 38, United States Code, to provide for a time frame for the employment in the Department of Veterans Affairs of participants in the Health Professionals Scholarship Program, and for other purposes; Sponsor: Hamadeh, Abraham J. [Rep.-R-AZ-8]; Committees: House – Veterans’ Affairs

 

H.R.3778 —To amend title XVIII of the Social Security Act to update the fee schedule for ambulance services provided by critical access hospitals; Sponsor: Miller, Carol D. [Rep.-R-WV-1]; Committees: House – Ways and Means; Energy and Commerce

 

H.R.3789 —To amend title XI of the Social Security Act to require that direct-to-consumer advertisements for prescription drugs and biological products include an appropriate disclosure of pricing information; Sponsor: Taylor, David J. [Rep.-R-OH-2]; Committees: House – Energy and Commerce; Ways and Means

 

H.R.3791 — To require the Secretary of Labor to revise the Standard Occupational Classification System to accurately count the number of emergency medical services practitioners in the United States; Sponsor: Thompson, Glenn [Rep.-R-PA-15]; Committees: House – Education and Workforce

 

H.R.3792 — To amend title XI of the Social Security Act to prohibit providers participating in the Medicare program and State health care programs from requesting on intake forms information regarding the gender identity or sexual preference of minors; Sponsor: Van Drew, Jefferson [Rep.-R-NJ-2]; Committees: House – Energy and Commerce; Ways and Means

New HHS Budget Details – Executive agencies began sending their “budget in brief” documents to Congress on Friday, expanding on the skinny budget released by the Trump administration last month. The White House is seeking non-defense budget cuts of more than 22%, along with a flat military budget, in the coming fiscal year. The U.S. Department of Health and Human Services (HHS) would receive $94.7 billion in discretionary funding under the President’s proposal. The budget would consolidate the National Institutes of Health (NIH) from 27 to 8 institutes, while reducing NIH funding by nearly 40% – from $48.5 billion to $27.5 billion. Funding for the Centers for Disease Control and Prevention would be reduced from more than $9 billion to just over $4 billion. Funding for the Food and Drug Administration (FDA) would be reduced from $7 billion to approximately $6.5 billion. The newly established Administration for Healthy America, under which several existing agencies would be consolidated – including the Substance Abuse and Mental Health Services Administration and the Health Resources and Services Administration – would receive $14 billion in funding. Further details on the HHS FY 2026 budget in brief can be found here. Appropriators in the House of Representatives will begin marking up their own fiscal year 2026 funding bills this week, starting with the Military Construction-Veterans Affairs and Agriculture-FDA bills. The panel aims to consider all 12 annual appropriations measures by the end of July.

 

Senate Begins Work on House-Passed Reconciliation Bill – Congress returns to session this week with the Senate preparing to take up the GOP’s budget reconciliation package. House Speaker Mike Johnson (R-La.) has urged the chamber to not make significant changes to the One Big Beautiful Bill Act (H.R. 1), citing the narrow margin by which the bill was passed by the House of Representatives on May 22. Several Republican senators, however, have expressed concerns with the Medicaid-related provisions of the House package, making it likely that the health portions of the bill will be revised before final passage. The legislation must also still undergo the “Byrd Bath” to ensure compliance with the rules of reconciliation in the Senate. Republicans are aiming to send the reconciliation package to President Donald Trump for his signature before the July 4 recess.

 

Ways and Means Republicans Write Administration on Pharmaceutical Tariffs – Twenty Republican members of the House Ways and Means Committee have written to the Department of Commerce on the issue of pharmaceutical tariffs. The lawmakers warn that instituting broad tariffs could lead to drug shortages and price increases that create a barrier to access for American patients. The letter, which was led by Reps. Nicole Malliotakis (R-N.Y.) and Greg Murphy, M.D. (R-N.C.), urges the administration to “concentrate on the most significant threat to America’s health and national security — namely, the People’s Republic of China and its efforts to dominate the supply chain for critical drugs.” The only GOP members of the committee who did not sign the letter were Chair Jason Smith (R-Mo.) and Reps. Jodey Arrington (R-Texas), Kevin Hern (R-Okla.), David Kustoff (R-Tenn.), Greg Steube (R-Fla.), and Beth Van Duyne (R-Texas). While the administration has not indicated what specific size or target of pharmaceutical tariffs it is considering, the President has stated that duties could be anywhere from 25% to 200%.

 

GAO Recommends Increased Oversight of NIH External Research – The Government Accountability Office (GAO) has released a new report recommending that the NIH strengthen its oversight of ongoing research grants awarded to outside entities. The GAO found that NIH staff responsible for reviewing grantees’ financial and progress reports did not consistently take action when such reports were late, nor are unused funds consistently tracked by the agency. Recipients are required to file final reports within a year of a project’s end. As of August 2024, nearly 1,000 final reports – 0.2% of awards made from fiscal 2014 through fiscal 2024 – were missing. GAO recommends that the agency identify the cause of the missing reports, analyze how to manage unused balances for projects at the end of the funding period, and require tracking of unused balances across NIH  institutes, centers, and offices.

 

Upcoming Congressional Hearings and Markups

House Rules Committee markup of H.R. 2483 – SUPPORT for Patients and Communities Reauthorization Act of 2025; 4:00 p.m.; June 3

 

Senate Health, Education, Labor, and Pensions Committee hearing “Reauthorization of the Over-the-Counter Monograph Drug User Fee Program;” 10:00 a.m.; June 4

 

House Appropriations subcommittee markup of Fiscal Year 2026 Military Construction, Veterans Affairs, and Related Agencies Bill; 10:00 a.m.; June 5

 

House Appropriations subcommittee markup of Fiscal Year 2026 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Bill; 10:30 a.m.; June 5

 

House Appropriations full committee markup of Fiscal Year 2026 Military Construction, Veterans Affairs, and Related Agencies Bill, Subcommittee Allocations; 2:00 p.m.; June 10

 

House Appropriations full committee markup of Fiscal Year 2026 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Bill; 10:00 a.m.; June 11

 

House Appropriations subcommittee markup of Fiscal Year 2026 Labor, Health and Human Services, Education, and Related Agencies Bill; 5:00 pm.; July 21

 

House Appropriations full committee markup of Fiscal Year 2026 Labor, Health and Human Services, Education, and Related Agencies Bill; 10:00 am.; July 24

 

Recently Introduced Health Legislation

H.R.3580 — Oversight of Medicare Billing Code Cost Act – To increase oversight and transparency with respect to Medicare billing codes; Sponsor: Ciscomani, Juan [Rep.-R-AZ-6]; Committees: House – Ways and Means; Energy and Commerce

 

H.R.3581 — To amend title XIX of the Social Security Act to delay certain disproportionate share hospital payment reductions under the Medicaid program; Sponsor: Crenshaw, Dan [Rep.-R-TX-2]; Committees: House – Energy and Commerce

 

H.R.3589 — To expand and promote research and data collection on reproductive health conditions, to provide training opportunities for medical professionals to learn how to diagnose and treat reproductive health conditions, and for other purposes; Sponsor: Harshbarger, Diana [Rep.-R-TN-1]; Committees: House – Energy and Commerce

 

H.R.3593 — To amend the Public Health Service Act to reauthorize certain nursing workforce development programs, and for other purposes; Sponsor: Joyce, David P. [Rep.-R-OH-14]; Committees: House – Energy and Commerce

 

H.R.3594 — To amend title 10, United States Code, to expand the health care benefits available for Gold Star surviving spouses; Sponsor: Kaptur, Marcy [Rep.-D-OH-9]; Committees: House – Armed Services

 

H.R.3595 — To amend the Public Health Service Act to provide for the disclosure of certain records relating to substance use disorder medications to State prescription drug monitoring programs, and for other purposes; Sponsor: Kennedy, Mike [Rep.-R-UT-3]; Committees: House – Energy and Commerce

 

H.Res.449 — Supports the designation of “ALS Awareness Month”; Sponsor: Crow, Jason [Rep.-D-CO-6]; Committees: House – Energy and Commerce

 

H.Res.456 — Expressing support for the designation of the month of May 2025 as “Progressive Supranuclear Palsy Awareness Month”; Sponsor: Subramanyam, Suhas [Rep.-D-VA-10]; Committees: House – Energy and Commerce

 

H.R.3627 — To amend title 38, United States Code, to direct the Secretary of Veterans Affairs to submit an annual report that contains data and information on the causes of deaths among veterans, and for other purposes; Sponsor: Edwards, Chuck [Rep.-R-NC-11]; Committees: House – Veterans’ Affairs

 

H.R.3631 — To criminalize fraudulent statements made with respect to clinical vaccine trials; Sponsor: Green, Mark E. [Rep.-R-TN-7]; Committees: House – Energy and Commerce; Judiciary

 

H.R.3636 — To amend title 10, United States Code, to improve the process by which the Secretary of Defense verifies that health care professionals of the military departments are appropriately licensed; Sponsor: Kiggans, Jennifer A. [Rep.-R-VA-2]; Committees: House – Armed Services

 

H.R.3639 — To amend title 38, United States Code, to furnish hospital care and medical services to veterans and dependents who were stationed at military installations at which the veterans and dependents were exposed to perfluorooctanoic acid or other per- and polyfluoroalkyl substances, to provide for a presumption of service connection for certain veterans who were stationed at military installations at which the veterans were exposed to such substances, and for other purposes; Sponsor: Lawler, Michael [Rep.-R-NY-17]; Committees: House – Veterans’ Affairs

 

H.R.3643 — To amend title 38, United States Code, to improve the annual reports submitted to Congress with respect to the Veterans Benefits Administration and the Veterans Health Administration, and for other purposes; Sponsor: McGuire, John J. [Rep.-R-VA-5]; Committees: House – Veterans’ Affairs

 

H.R.3655 — To amend the Public Health Service Act to establish the Substance Use Disorder Treatment and Behavioral and Mental Health Workforce Scholarship Program, and for other purposes; Sponsor: Salinas, Andrea [Rep.-D-OR-6]; Committees: House – Energy and Commerce; Ways and Means

 

H.R.3658 — To authorize the Secretary of Health and Human Services, acting through the Assistant Secretary for Mental Health and Substance Use, to award grants to States, territories, political subdivisions of States and territories, Tribal Governments, and consortia of Tribal Governments to establish an unarmed mobile crisis response program, and for other purposes; Sponsor: Smith, Adam [Rep.-D-WA-9]; Committees: House – Energy and Commerce

 

H.R.3665 — To amend title XVIII of the Social Security Act to limit the penalty for late enrollment under part B of the Medicare Program to 15 percent and twice the period of no enrollment, and to exclude periods of COBRA, retiree, and VA coverage from such late enrollment penalty; Sponsor: Williams, Nikema [Rep.-D-GA-5]; Committees: House – Energy and Commerce; Ways and Means