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President Biden Announces He Will Not Seek Second Term
President Biden Announces He Will Not Seek Second Term-As Democratic calls grew louder to exit the race, President Joe Biden (D) announced that he has “decided not to accept the nomination and to focus all my energies on my duties as President for the remainder of my term.” He also announced his endorsement of Vice President Kamala Harris as the Democratic nominee for 2024. President Biden intends to address the nation later this week. With the Democratic National Convention beginning on August 19 in Chicago, IL, time is running short to choose a new nominee and the complicated process of doing so will need to be resolved by the Democratic delegates at the convention. While some elected Democrats are endorsing Vice-President Harris as the next nominee, with over 14 million Americans already having cast votes in favor of President Biden, the party’s convention rules and procedural processes-and their implications for the democratic process-are under close scrutiny. If Harris were to be automatically selected as the candidate, some may question the democratic process. Given the reasons for President Biden ending his campaign for re-election, Republicans are already asking if he is able to continue to serve for the remainder of his term.
Trump Selects Ohio Senator JD Vance as Running Mate-Republican presidential candidate Donald Trump tapped Sen. JD Vance (R-Ohio) as his running mate last week. Vance is a former venture capitalist who was first elected to the Senate in 2022. While Vance does not currently serve on any committees with health care jurisdiction, his legislative record on health issues includes introducing legislation to prohibit minors from receiving access to gender-affirming medical care (S. 2357), as well as to add childbirth as a protected reason for not returning to work under the Family and Medical Leave Act (S.3048). He is a cosponsor of the Affordable Insulin Now Act (S.954) to cap commercial insulin costs at $35, as well as legislation to exclude Deferred Action for Childhood Arrivals (DACA) recipients from accessing health insurance under the Affordable Care Act. Vance is also on the record in support of allowing Medicare to negotiate prescription drug prices and has previously called for allowing the importation of drugs from overseas. Vance is staunchly pro-life and supports a nationwide abortion ban at 15 weeks, with exceptions, while also agreeing with the Supreme Court’s decision to not restrict access to the abortion pill mifepristone.
Health care-related issues were largely absent from last week’s Republican National Convention in Milwaukee, WI. During his speech on Thursday night, former President Trump highlighted the success of the 2018 Right to Try law in saving lives by expanding access to experimental treatments for terminally ill individuals. The GOP’s 2024 platform that was ratified last week only touches briefly on the issue of health care, simply stating “Health care and prescription drug costs are out of control. Republicans will increase transparency, promote choice and competition, and expand access to new affordable health care and prescription drug options. We will protect Medicare, and ensure seniors receive the care they need without being burdened by excessive costs.”
HELP Schedules Vote to Subpoena CEO in Steward Health Care Investigation-Bipartisan leadership of the Senate Health, Education, Labor, and Pensions (HELP) Committee is launching an investigation into the bankruptcy of Steward Health Care. Steward is a Dallas-based hospital chain that operates 31 hospitals in eight states. Steward first acquired a failing hospital system run by the Archdiocese of Boston in 2010, and with the backing of private equity firm Cerberus Capital Management converted it into for-profit institutions before buying additional hospitals across the country. Steward filed for Chapter 11 bankruptcy protection earlier this year and is now seeking to sell all of its hospitals. The HELP Committee will vote on Thursday to issue a subpoena that would compel Steward CEO Ralph de la Torre to testify at a hearing before the panel on September 12. “Given the serious harm and uncertainty Steward’s bankruptcy and financial arrangements are having on hospitals, patients, and health care workers throughout the country, Dr. de la Torre has given us no choice but to compel him to testify at this hearing,” Chairman Bernie Sanders (I-Vt.) and Ranking Member Bill Cassidy (R-La.) said in a joint statement.
Senators Form Working Group to Assess Post-Chevron Legislative Landscape-A group of senators led by Sen. Eric Schmidt (R-Mo.) has launched a working group to assess the current policy landscape and discuss how the Senate can most effectively legislate following the Supreme Court’s decision to overturn the Chevron deference. The group plans to send letters to 101 federal agencies-including the U.S. Department of Health and Human Services (HHS) and the Food and Drug Administration-regarding more than 50 regulations that have been finalized since the year 2000. The working group will ask regulators for information about how ongoing rulemaking and civil enforcement actions and adjudications are affected by the recent Supreme Court decision.
Cassidy Pushes for Briefing on Proposed Marijuana Rescheduling-Senate HELP Committee Ranking Member Bill Cassidy (R-La.) has sent a letter to the Biden administration regarding its proposal to reschedule marijuana. Cassidy is requesting a briefing from White House officials by August 1 about its proposal to change marijuana from a Schedule I substance to a Schedule III substance. He states that HHS has “outright refused” to brief the Committee on the issue, while the Department of Justice has been nonresponsive to requests for a briefing. “Your agencies’ avoidance of the HELP Committee’s attempt to carry out its oversight responsibilities over a matter of critical importance to public health and safety is troubling,” Cassidy writes. “Refusing to engage with Congress on the merits of this policy furthers the perception that this change is driven by election-year politics, rather than the scientific evidence.”
Texas Congresswoman Jackson Lee Dies After Pancreatic Cancer Battle-Rep. Sheila Jackson Lee (D-Texas) passed away last week at the age of 74. Jackson Lee announced in June that she had been diagnosed with pancreatic cancer. She was first elected to represent Texas’ 18th Congressional District in 1994 and was a member of the Judiciary, Homeland Security, and Budget committees. At the time of her death Jackson Lee was also serving as a Democratic chief deputy whip. During her time in Congress Jackson Lee was a champion of civil rights, successfully working to reauthorize the Violence Against Women Act and establish Juneteenth as a federal holiday.
Menendez Found Guilty in Federal Corruption Trial-Sen. Bob Menendez (D-N.J.) was found guilty of corruption charges following a two-month trial on Tuesday. The judge has set a sentencing date for October 29. Menendez has faced calls to resign from his Senate colleagues following the conviction. “In light of this guilty verdict, Senator Menendez must now do what is right for his constituents, the Senate, and our country, and resign,” Senate Majority Leader Chuck Schumer (D-N.Y.) stated. New Jersey Gov. Phil Murphy (D) called on the Senate to vote to expel Menendez should he choose not to resign. Menendez has said he will appeal his conviction. If Menendez leaves office or is expelled, Gov. Murphy would name a replacement to serve until the end of the senator’s current term on January 3. Rep. Andy Kim (D) is heavily favored to win the full six-year term in the November election, in which Menendez has filed to run as an independent.
Congressional Retirements and Resignations –A running list of members of Congress who are retiring or seeking other office can be found below.
SENATE | |
Stabenow (D), MI | Braun (R), IN |
Cardin (D), MD | Romney (R), UT |
Carper (D), DE | |
Butler (D), CA | |
Manchin (D), WV | |
Sinema (I), AZ | |
HOUSE OF REPRESENTATIVES | |
Porter (D), CA | Mooney (R), WV |
Lee (D), CA | Banks (R), IN |
Gallego (D), AZ | Bishop (R), NC |
Schiff (D), CA | Lesko (R), AZ |
Slotkin (D), MI | Granger (R), TX |
Allred (D), TX | Burgess, MD (R), TX |
Trone (D), MD | Wenstrup, DPM (R), OH |
Blunt Rochester (D), DE | McHenry (R), NC |
Napolitano (D), CA | Johnson (R), OH (effective Jan. 21, 2024) |
Wexton (D), VA | Ferguson, IV, DMD, PC (R), GA |
Kim, Andy (D), NJ | Curtis (R), UT |
Jackson, Jeff (D), NC | Luetkemeyer (R), MO |
Sarbanes (D), MD | Lamborn (R), CO |
Blumenauer (D), OR | Bucshon, MD (R), IN |
Kilmer (D), WA | Pence (R), IN |
Spanberger (D), VA | Duncan (R), SC |
Kildee (D), MI | Armstrong (R), ND |
Phillips (D), MN | McMorris Rodgers (R), WA |
Cardenas (D), CA | Gallagher (R), WI (effective April 19, 2024) |
Eshoo (D), CA | LaTurner (R), KS |
Manning (D), NC | Graves (R), LA |
Nickel (D), NC | |
Ruppersberger (D), MD | |
Sablan (D), MP | |
Kuster (D), NH | |
Bowman (D), NY |
Upcoming Congressional Hearings and Markups
House Rules Committee meeting to consider the rule for H.R.9027, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2025; 4:00 p.m.; July 22
House Veterans’ Affairs Subcommittee on Technology Modernization hearing “Report Card: Assessing Electronic Health Record Modernization at the Captain James A. Lovell Federal Health Care Center;” 4:30 p.m.; July 22
House Oversight and Accountability Committee hearing “The Role of Pharmacy Benefit Managers in Prescription Drug Markets Part III: Transparency and Accountability;” 10:00 a.m.; July 23
House Energy and Commerce Subcommittee on Health hearing “Are CDC’s Priorities Restoring Public Trust and Improving the Health of the American People?” 10:30 a.m.; July 23
House Oversight and Accountability Subcommittee on Cybersecurity, Information Technology, and Government Innovation hearing “Enhancing Cybersecurity by Eliminating Inconsistent Regulations;” 9:00 a.m.; July 25
Senate HELP Committee executive session to authorize an investigation into the bankruptcy of Steward Health Care and a subpoena of Dr. Ralph de la Torre, Chairman and Chief Executive Officer, Steward Health Care Systems LLC; 10:00 a.m.; July 25
House Veterans’ Affairs Subcommittee on Health hearing “Life After Limb Loss: Examining VA Amputee Prosthetics Care;” 1:30 p.m.; July 30
Senate HELP Committee hearing “Why Is Novo Nordisk Charging Americans with Diabetes and Obesity Outrageously High Prices for Ozempic and Wegovy?” 10:00 a.m.; September 24
Recently Introduced Health Legislation
H.R.9039-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: Dingell, Debbie [Rep.-D-MI-6]; Committees: House-Veterans’ Affairs
H.R.9049-To amend title XIX of the Social Security Act to provide States with the option to provide coordinated care through a pregnancy medical home for high-risk pregnant women, and for other purposes; Sponsor: Nunn, Zachary [Rep.-R-IA-3]; Committees: House-Energy and Commerce
H.R.9050-To amend title 38, United States Code, to establish a grant program for the transportation of veterans who reside in highly rural areas to medical facilities; Sponsor: Peltola, Mary Sattler [Rep.-D-AK-At Large]; Committees: House – Veterans’ Affairs
H.R.9052-To extend the authority for the joint Department of Defense-Department of Veterans Affairs medical facility demonstration fund; Sponsor: Schneider, Bradley Scott [Rep.-D-IL-10]; Committees: House-Armed Services; Veterans’ Affairs
H.R.9067-To amend titles XVIII and XIX of the Social Security Act to establish a waiver of certain training and certification requirements for specified skilled nursing facilities and nursing facilities; Sponsor: Guthrie, Brett [Rep.-R-KY-2]; Committees: House-Ways and Means; Energy and Commerce
H.R.9070-To amend title 35, United States Code, to prohibit product hopping, and for other purposes; Sponsor: Issa, Darrell [Rep.-R-CA-48]; Committees: House-Judiciary; Ways and Means; Energy and Commerce
Health on the Hill Podcast: Joe Will Go Edition
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Senate Passes Legislation Aimed at Patent Thickets
Senate Passes Legislation Aimed at Patent Thickets-The Senate passed the Affordable Prescriptions for Patients Act (S.150) by unanimous consent last week. The legislation aims to prevent the creation of patent thickets by pharmaceutical manufacturers by limiting the number of patents a drugmaker can use in patent infringement litigation against biosimilar competition. The version of the bill passed by the Senate last week cut a previously included provision that would have also prohibited product hopping by brand name companies seeking to limit generic competition. The bill, introduced by Sens. Richard Blumenthal (D-Conn.) and John Cornyn (R-Texas), would save an estimated $1.8 billion in federal spending over the next decade. The savings created by the bill could be used as a potential pay-for in a year-end health care package.
Appropriations Update-The Senate Appropriations Committee approved its fiscal year (FY) 2025 Agriculture-Food and Drug Administration (FDA) spending bill in a 27-0 vote last week. The bill would fund the FDA at $6.87 billion, a $22 million increase over FY2024 discretionary spending levels. House appropriators also advanced their Agriculture-FDA spending bill last week, which would fund the FDA at $6.75 billion. The bill was passed on a party line vote of 29-26.
The House Appropriations Committee approved its FY2025 Labor-Health and Human Services-Education (LHHS) spending bill in a 31-25 vote. The $185.8 billion measure represents an 11% cut compared to current funding levels. The U.S. Department of Health and Human Services would receive $107 billion in funding, a 7% cut. The House LHHS spending bill would hold NIH funding at current levels while proposing significant restructuring. Budgets for the Advanced Research Projects Agency for Health (ARPA-H) and Centers for Disease Control and Prevention (CDC) would be severely reduced, and funding for the Agency for Healthcare Quality and Research (AHRQ) would be completely eliminated.
The FY2025 Legislative Branch spending bill was defeated on the House floor last week, with 10 Republicans joining Democrats in voting against the bill in opposition to a provision that would have extended a 15-year pay freeze for members of Congress. Senate appropriators advanced their Legislative Branch measure out of committee in a 27-0 vote on Thursday. The Senate bill also proposes to keep member pay at its current level.
In addition to adopting top-line allocations for the 12 annual appropriations measures, Senate appropriators have also reached an agreement to increase the amount of FY 2025 emergency spending to $34.5 billion, with nondefense funding receiving $13.5 billion. Lawmakers have until September 30 to fund the federal government. Republican leadership in the House aim to pass all 12 annual appropriations bills on the House floor before the August recess, with Appropriations Chairman Tom Cole (R-Okla.) asserting that doing so will give the chamber a leg up on eventual government funding negotiations with the Senate. Cole has indicated that a continuing resolution will likely be necessary to keep the government open beyond the end of the fiscal year.
New FTC Report on PBM Industry-The Federal Trade Commission (FTC) released an interim staff report on pharmacy benefit managers (PBMs) last week. The report is a part of the agency’s ongoing inquiry into the role of prescription drug middlemen that was launched in 2022. FTC highlights the concentration and vertical integration that exists within the PBM services market, finding that the top three PBMs process nearly 80% of the approximately 6.6 billion prescriptions dispensed by U.S. pharmacies in 2023, and the top six PBMs process more than 90%. The report details how this consolidation allows PBMs to exercise significant influence over access to and affordability of prescription drugs, and outlines PBMs’ use self-preferencing, unfair contract terms, and efforts to limit access to low-cost competition. According to the Wall Street Journal, the FTC plans to sue Express Scripts, Caremark, and OptumRx for their negotiating tactics related to certain drugs, including insulin.
In response to the report, Senate Finance Committee Chair Ron Wyden (D-Ore.) highlighted his panel’s unanimous advancement of PBM reform legislation last November, stating he is “going to the mat to deliver that bill to the president’s desk this year.” Rep. Buddy Carter (R-Ga.), who has spearheaded legislative efforts to overhaul the PBM industry in the House, called on the FTC to “promptly complete its investigation and begin enforcement actions if-and when-it uncovers illegal and anticompetitive PBM practices.” It was reported last week that executives from CVS Caremark, Express Scripts, and OptumRx have agreed to testify before the House Oversight Committee in a hearing scheduled for July 23.
Speaker Johnson Promises September Vote on BIOSECURE-House Speaker Mike Johnson (R-La.) stated his intention to bring the BIOSECURE Act (H.R.8333) to the floor for a vote this September. The bill will be considered as a part of Johnson’s effort “to have a significant package of China-related legislation signed into law by the end of this year, this Congress.” The legislation would prohibit Chinese biotechnology companies of concern from receiving federal contracts, grants, or loans and is aimed at blocking foreign governments from accessing Americans’ health and genomic data. Both the House and Senate versions of the bill were advanced out of committee earlier this year.
GOP Committee Leaders Write Agencies in Wake of Chevron Decision-Republican committee leadership in the House of Representatives have written to more than two dozen federal agencies, including the U.S. Department of Health and Human Services, requesting a list of rules and adjudications that could be impacted by the Supreme Court’s recent decision to overturn the Chevron deference. The letters did not outline any specific regulations that the GOP intends to challenge, but did highlight the administration’s efforts around the climate, energy sector, and environmental, social, and governance (ESG) investing as based on “aggressive interpretations of statutes.” “We intend to ensure agencies are held accountable following the court’s ruling and observe the proper checks on their power,” House Majority Leader Steve Scalise (R-La.) said in a statement. Republicans request responses from federal agencies by the end of the month.
Rep. Garamendi Begins Treatment for Multiple Myeloma-Rep. John Garamendi (D-Calif.) has begun treatment for multiple myeloma. Garamendi stated that he expects to continue working but will limit travel to Washington and public events throughout the treatment process. “Today, I started my path to remission with chemo-immunotherapy as an outpatient at Kaiser Oncology in Sacramento,” Garamendi stated on Monday. “I’m grateful our President initiated the Cancer Moonshot and that California’s efforts in stem cell research and taxing cigarettes in the 1980s for cancer research have advanced therapies benefiting not only me, but every family dealing with cancer.”
AMA Releases New Survey Data on Physician Burnout-New survey data from the American Medical Association (AMA) show that U.S. physician burnout has fallen below 50% for the first time since 2020. Approximately 48% of physicians report feeling burnout last year, down from 53% in 2022 and from a record high rate of 63% in 2021. The AMA’s survey of more than 12,400 physicians from 81 organizations across 31 states requested input on six performance indicators: job satisfaction, job stress, burnout, intent to leave an organization, feeling valued by an organization, and total hours spent per week on work-related activities. The AMA found that between 2022 and 2023, physician job satisfaction improved, job stress decreased, and more physicians feel valued by their organizations.
Congressional Retirements and Resignations-A running list of members of Congress who are retiring or seeking other office can be found below.
SENATE | |
Stabenow (D), MI | Braun (R), IN |
Cardin (D), MD | Romney (R), UT |
Carper (D), DE | |
Butler (D), CA | |
Manchin (D), WV | |
Sinema (I), AZ | |
HOUSE OF REPRESENTATIVES | |
Porter (D), CA | Mooney (R), WV |
Lee (D), CA | Banks (R), IN |
Gallego (D), AZ | Bishop (R), NC |
Schiff (D), CA | Lesko (R), AZ |
Slotkin (D), MI | Granger (R), TX |
Allred (D), TX | Burgess, MD (R), TX |
Trone (D), MD | Wenstrup, DPM (R), OH |
Blunt Rochester (D), DE | McHenry (R), NC |
Napolitano (D), CA | Johnson (R), OH (effective Jan. 21, 2024) |
Wexton (D), VA | Ferguson, IV, DMD, PC (R), GA |
Kim, Andy (D), NJ | Curtis (R), UT |
Jackson, Jeff (D), NC | Luetkemeyer (R), MO |
Sarbanes (D), MD | Lamborn (R), CO |
Blumenauer (D), OR | Bucshon, MD (R), IN |
Kilmer (D), WA | Pence (R), IN |
Spanberger (D), VA | Duncan (R), SC |
Kildee (D), MI | Armstrong (R), ND |
Phillips (D), MN | McMorris Rodgers (R), WA |
Cardenas (D), CA | Gallagher (R), WI (effective April 19, 2024) |
Eshoo (D), CA | LaTurner (R), KS |
Manning (D), NC | Graves (R), LA |
Nickel (D), NC | |
Ruppersberger (D), MD | |
Sablan (D), MP | |
Kuster (D), NH | |
Bowman (D), NY |
Upcoming Congressional Hearings and Markups
House Veterans’ Affairs Subcommittee on Technology Modernization hearing “Report Card: Assessing Electronic Health Record Modernization at the Captain James A. Lovell Federal Health Care Center;” 4:30 p.m.; July 22
Senate HELP Committee hearing “Why Is Novo Nordisk Charging Americans with Diabetes and Obesity Outrageously High Prices for Ozempic and Wegovy?” 10:00 a.m.; September 24
Recently Introduced Health Legislation
S.4630-A bill to establish an interagency committee to harmonize regulatory regimes in the United States relating to cybersecurity, and for other purposes; Sponsor: Peters, Gary C. [Sen.-D-MI]; Committees: Senate-Homeland Security and Governmental Affairs
S.4635-A bill to require a report and updated guidance on continued risk management for pharmaceutical supply chains of Department of Defense; Sponsor: Peters, Gary C. [Sen.-D-MI]; Committees: Senate-Armed Services
H.R.8942-To amend the Indian Health Care Improvement Act to ensure that certain employees, providers, and volunteers associated with the Indian Health Service receive educational training in the history and culture of the Tribes served by such persons, and for other purposes; Sponsor: Hageman, Harriet M. [Rep.-R-WY-At Large]; Committees: House-Natural Resources; Energy and Commerce
H.R.8948-To amend title 18, United States Code, to limit the ability to assess a fee for health care services for prisoners, and for other purposes; Sponsor: Norton, Eleanor Holmes [Del.-D-DC-At Large]; Committees: House-Judiciary
S.Res.757-A resolution designating the week of May 5, 2024, through May 11, 2024, as “Tardive Dyskinesia Awareness Week”; Sponsor: Mullin, Markwayne [Sen.-R-OK]; Submitted in the Senate, considered, and agreed to without amendment and with a preamble by Unanimous Consent.
S.4641-A bill to provide for certain reforms pertaining to Chevron deference; Sponsor: Cotton, Tom [Sen.-R-AR]; Committees: Senate-Homeland Security and Governmental Affairs
H.R.8955-To amend the Indian Health Care Improvement Act to ensure that, whenever the Indian Health Service undertakes an investigation into the professional conduct of a licensee of a State, the Service notifies the relevant State medical board, and for other purposes; Sponsor: Johnson, Dusty [Rep.-R-SD-At Large]; Committees: House-Natural Resources; Energy and Commerce
H.R.8956-To amend the Indian Health Care Improvement Act for the development and implementation of a centralized system to credential licensed health professionals who seek to provide health care services at any Indian Health Service unit; Sponsor: Newhouse, Dan [Rep.-R-WA-4]; Committees: House-Natural Resources; Energy and Commerce
H.R.8964-To amend the HITECH Act to allow an individual to obtain a copy of such individual’s protected health information at no cost unless certain circumstances apply, and for other purposes; Sponsor: Foster, Bill [Rep.-D-IL-11]; Committees: House-Energy and Commerce
H.R.8966-To amend the Indian Health Care Improvement Act to improve the recruitment and retention of employees in the Indian Health Service, restore accountability in the Indian Health Service, improve health services, and for other purposes; Sponsor: Johnson, Dusty [Rep.-R-SD-At Large]; Committees: House-Natural Resources; Energy and Commerce; Ways and Means; Oversight and Accountability
S.Res.761-A resolution expressing support for the designation of the month of June 2024 as “National Post-Traumatic Stress Awareness Month” and June 27, 2024, as “National Post-Traumatic Stress Awareness Day”; Sponsor: Sullivan, Dan [Sen.-R-AK]; Submitted in the Senate, considered, and agreed to without amendment and with a preamble by Unanimous Consent.
S.4667-A bill to amend title 31, United States Code, to establish the Life Sciences Research Security Board, and for other purposes; Sponsor: Paul, Rand [Sen.-R-KY]; Committees: Senate-Homeland Security and Governmental Affairs
H.Res.1350-Expressing concern about the elevated levels of lead in one-third of the world’s children and the global causes of lead exposure, and calling for the inclusion of lead exposure prevention in global health, education, and environment programs abroad; Sponsor: Crow, Jason [Rep.-D-CO-6]; Committees: House-Foreign Affairs; Energy and Commerce
H.R.8977-To amend title XI of the Social Security Act to require the Center for Medicare and Medicaid Innovation to test an emergency medical services treatment-in-place model under the Medicare program; Sponsor: Carey, Mike [Rep.-R-OH-15]; Committees: House-Energy and Commerce; Ways and Means
H.R.8981-To amend the SUPPORT for Patients and Communities Act to improve trauma support services and mental health care for children and youth in educational settings, and for other purposes; Sponsor: Hayes, Jahana [Rep.-D-CT-5]; Committees: House-Education and the Workforce
H.R.8987-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 ensure cost sharing for a drug does not exceed the nationwide average of consumer purchase prices for such drug; Sponsor: Porter, Katie [Rep.-D-CA-47]; Committees: House-Energy and Commerce; Ways and Means; Education and the Workforce
S.Res.764-A resolution expressing support for the designation of July 2024 as “National Sarcoma Awareness Month”; Sponsor: Johnson, Ron [Sen.-R-WI]; Committees: Senate-Health, Education, Labor, and Pensions
S.4671-A bill to limit cost sharing for prescription drugs, and for other purposes; Sponsor: Casey, Robert P., Jr. [Sen.-D-PA]; Committees: Senate-Health, Education, Labor, and Pensions
S.4682-A bill to amend the Patient Protection and Affordable Care Act to establish a public health insurance option, and for other purposes; Sponsor: Whitehouse, Sheldon [Sen.-D-RI]; Committees: Senate-Health, Education, Labor, and Pensions
S.4684-A bill to ensure affordable health insurance coverage for low-income individuals in States that have not expanded Medicaid; Sponsor: Warnock, Raphael G. [Sen.-D-GA]; Committees: Senate-Finance
S.4690-An original bill making appropriations for Agriculture, Rural Development, Food and Drug Administration, and Related Agencies for the fiscal year ending September 30, 2025, and for other purposes; Sponsor: Heinrich, Martin [Sen.-D-NM]; Committees: Senate-Appropriations
S.4691-A bill to amend the Internal Revenue Code of 1986 to deny the deduction for advertising and promotional expenses for prescription drugs; Sponsor: Shaheen, Jeanne [Sen.-D-NH]; Committees: Senate-Finance
S.4697-A bill to enhance the cybersecurity of the Healthcare and Public Health Sector; Sponsor: Rosen, Jacky [Sen.-D-NV]; Committees: Senate-Homeland Security and Governmental Affairs
S.4717-A bill to include pregnancy and loss of pregnancy as qualifying life events under the TRICARE program and to require a study on maternal health in the military health system, and for other purposes; Sponsor: Rubio, Marco [Sen.-R-FL]; Committees: Senate-Armed Services
S.4724-A bill to amend title XXXIII of the Public Health Service Act with respect to flexibility and funding for the World Trade Center Health Program; Sponsor: Gillibrand, Kirsten E. [Sen.-D-NY]; Committees: Senate-Health, Education, Labor, and Pensions
H.Res.1356-Expressing support for the designation of October 9 through October 16, 2024, as “National Dyspraxia/Developmental Coordination Disorder (DCD) Awareness Week” and a commitment to raise awareness of dyspraxia/DCD in the United States; Sponsor: Lawler, Michael [Rep.-R-NY-17]; Committees: House-Energy and Commerce
H.J.Res.186-Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Federal Trade Commission entitled “Non-Compete Clause Rule”; Sponsor: Palmer, Gary J. [Rep.-R-AL-6]; Committees: House-Judiciary
H.R.8999-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.R.9001-To amend title XVIII of the Social Security Act to revise certain physician self-referral exemptions relating to physician-owned hospitals; Sponsor: Burgess, Michael C. [Rep.-R-TX-26]; Committees: House-Energy and Commerce; Ways and Means
H.R.9008-To amend the Public Health Service Act to require the Secretary to award grants, contracts, or cooperative agreements to eligible entities to establish, maintain, or improve activities related to the detection and monitoring of infectious diseases through wastewater for public health emergency preparedness and response purposes, and for other purposes; Sponsor: Garcia, Robert [Rep.-D-CA-42]; Committees: House-Energy and Commerce
H.R.9020-To amend the Patient Protection and Affordable Care Act to establish a public health insurance option, and for other purposes; Sponsor: Schakowsky, Janice D. [Rep.-D-IL-9]; Committees: House-Energy and Commerce
H.R.9021-To amend the Internal Revenue Code of 1986 to deny the deduction for advertising and promotional expenses for prescription drugs; Sponsor: Slotkin, Elissa [Rep.-D-MI-7]; Committees: House-Ways and Means
H.R.9022-To include pregnancy and loss of pregnancy as qualifying life events under the TRICARE program and to require a study on maternal health in the military heath system, and for other purposes; Sponsor: Stefanik, Elise M. [Rep.-R-NY-21]; Committees: House-Armed Services
President Signs Parkinson’s Bill into Law
President Signs Parkinson’s Bill into Law-The Dr. Emmanuel Bilirakis and Honorable Jennifer Wexton National Plan to End Parkinson’s Act (H.R.2365) was signed into law by President Biden last week. The bill requires the U.S. Department of Health and Human Services (HHS) to carry out a project to address Parkinson’s disease and other related conditions. HHS is charged with implementing a national plan to coordinate and guide efforts to prevent, diagnose, treat, and cure the disease. The legislation also establishes a council of federal and nonfederal stakeholders to advise and make recommendations on the prevention and treatment of Parkinson’s. The legislation is named in honor of Rep. Bilirakis’ (R-Fla.) brother, Dr. Emmanuel Bilirakis who passed away earlier this year after battling the disease, and Rep. Wexton (D-Va.) who last fall announced her diagnosis of Progressive Supra-nuclear Palsy, type-p (PSP-P), a form of Atypical Parkinsonism and plans to retire at the end of this Congress.
Cassidy Urges Agency Compliance with Chevron Decision-Senate Health, Education, Labor, and Pensions (HELP) Committee Ranking Member Bill Cassidy, M.D. (R-La.) has sent letters to federal agencies under his panel’s jurisdiction regarding their plans for complying with the Supreme Court’s overturning of the Chevron deference. “For too long, Chevron deference allowed unelected bureaucrats, insulated from political accountability to exercise power that exceeds their authority. Such unfettered power is a perversion of the Constitution,” Cassidy wrote. “The Supreme Court’s decision helps return the role of legislating back to the people’s elected representatives.” Cassidy specifically highlights the Food and Drug Administration’s (FDA) laboratory developed test rule, the U.S. Department of Health and Human Services’ (HHS) implementation of the No Surprises Act, and HHS’ proposed march-in rights framework as deserving further scrutiny in light of the high court’s recent decision. His letter to HHS can be found here and his letter to the FDA can be found here. He has requested the Agencies respond to his specific questions by July 19, 2024.
GOP Committee Chairs Investigate ACA Plan Fraud-Republican leadership of the House Energy and Commerce, Ways and Means, and Judiciary committees are asking that the HHS Office of the Inspector General and the Government Accountability Office investigate the scope of improper enrollment in the Affordable Care Act (ACA) marketplace as well as improperly paid subsidies. The request follows a new report from Paragon Health Institute estimating that four to five million people are improperly enrolled in fully subsidized ACA plans at a cost of $15 to $26 billion per year to taxpayers. “Runaway deficits and debt are threatening to breach historic levels in the next decade, and, by 2054, the cost of simply servicing our national debt will more than double relative to gross domestic product,” the lawmakers write. “Given this grave situation, it is critical that the federal government safeguard increasingly scarce resources to ensure that every dollar spent goes as far as possible to improve Americans’ wellbeing.”
Biden, Sanders Pen Drug Pricing Op-Ed-Senate HELP Committee Chairman Bernie Sanders (I-Vt.) joined President Biden last week in penning a USA Today op-ed calling on pharmaceutical companies to lower prescription drug prices. The piece specifically urges Novo Nordisk and Eli Lilly to reduce the “unconscionably high prices” of weight-loss and diabetes medications. Biden and Sanders highlight their ongoing work on legislation to increase the number of prescription drugs subject to the Inflation Reduction Act’s Medicare drug price negotiation program to at least 50 a year. “If Novo Nordisk and other pharmaceutical companies refuse to substantially lower prescription drug prices in our country and end their greed, we will do everything within our power to end it for them,” they write.
Judge Partially Blocks FTC’s Ban on Noncompete Agreements-A U.S. district court judge has temporarily restricted the Federal Trade Commission (FTC) from implementing a ban on employment contracts containing noncompete clauses. The regulation was set to go into effect in September prior to the federal judge’s decision that the agency lacks the appropriate authority for such a rule. The order only currently applies to the plaintiffs in the case-including tax services firm Ryan, the Business Roundtable, the U.S. Chamber of Commerce, and two Texas business groups-but Judge Ada E. Brown has stated her plans to issue a broader ruling by the end of August. In response, a spokesman for the agency stated that the FTC stands by its “clear authority, supported by statute and precedent, to issue this rule,” and that the agency “will keep fighting to free hardworking Americans from unlawful noncompetes, which reduce innovation, inhibit economic growth, trap workers, and undermine Americans’ economic liberty.”
Congressional Retirements and Resignations-The state of Virginia has certified the victory of former Navy SEAL John McGuire over incumbent Bob Good (R-Va.) in the primary race for the 5th congressional district by a margin of less than 400 votes. Good was first elected to Congress in 2020. He currently chairs the House Freedom Caucus and serves on the Budget and Education and Labor committees. Good has stated that he will seek a recount.
A running list of members of Congress who are retiring or seeking other office can be found below.
SENATE | |
Stabenow (D), MI | Braun (R), IN |
Cardin (D), MD | Romney (R), UT |
Carper (D), DE | |
Butler (D), CA | |
Manchin (D), WV | |
Sinema (I), AZ | |
HOUSE OF REPRESENTATIVES | |
Porter (D), CA | Mooney (R), WV |
Lee (D), CA | Banks (R), IN |
Gallego (D), AZ | Bishop (R), NC |
Schiff (D), CA | Lesko (R), AZ |
Slotkin (D), MI | Granger (R), TX |
Allred (D), TX | Buck (R), CO (effective March 22, 2024) |
Trone (D), MD | Burgess, MD (R), TX |
Blunt Rochester (D), DE | Wenstrup, DPM (R), OH |
Napolitano (D), CA | McHenry (R), NC |
Wexton (D), VA | Johnson (R), OH (effective Jan. 21, 2024) |
Kim, Andy (D), NJ | Ferguson, IV, DMD, PC (R), GA |
Jackson, Jeff (D), NC | Curtis (R), UT |
Sarbanes (D), MD | Luetkemeyer (R), MO |
Blumenauer (D), OR | Lamborn (R), CO |
Kilmer (D), WA | Bucshon, MD (R), IN |
Spanberger (D), VA | Pence (R), IN |
Kildee (D), MI | Duncan (R), SC |
Phillips (D), MN | Armstrong (R), ND |
Cardenas (D), CA | McMorris Rodgers (R), WA |
Eshoo (D), CA | Gallagher (R), WI (effective April 19, 2024) |
Manning (D), NC | LaTurner (R), KS |
Nickel (D), NC | Graves (R), LA |
Ruppersberger (D), MD | |
Sablan (D), MP | |
Kuster (D), NH | |
Bowman (D), NY |
Upcoming Congressional Hearings and Markups
House Appropriations Committee markup of FY 2025 Labor, Health and Human Services, Education, and Related Agencies Act; 9:00 a.m.; July 10
Senate Appropriations Committee markup of Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2025; Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025; and Legislative Branch Appropriations Act, 2025; 9:30 a.m.; July 11
Senate Health, Education, Labor, and Pensions Committee hearing “What Can Congress Do to End the Medical Debt Crisis in America?” 10:00 a.m.; July 11
Senate Special Committee on Aging hearing “Health Care Transparency: Lowering Costs and Empowering Patients;” 10:00 a.m.; July 11
Senate Commerce, Science, and Transportation Committee hearing to examine the need to protect American’s privacy and the AI Accelerant; 10:00 a.m.; July 11
Senate Homeland Security and Government Affairs hearing to examine the U.S. taxpayer funded high-risk virus research; 10:30 a.m.; July 11
House Ways and Means Committee field hearing “Access to Health Care in America: Unleashing Medical Innovation and Economic Prosperity;” Salt Lake City, UT; 10:00 a.m.; July 12
Senate HELP Committee hearing “Why Is Novo Nordisk Charging Americans with Diabetes and Obesity Outrageously High Prices for Ozempic and Wegovy?” 10:00 a.m.; September 24
Recently Introduced Health Legislation
H.Res.1330-Supporting the goals and ideals of Alzheimer’s and Brain Awareness Month; Sponsor: Barragan, Nanette Diaz [Rep.-D-CA-44]; Committees: House-Energy and Commerce
H.R.8881-To amend title 38, United States Code, to permanently authorize the performance of Department of Veterans Affairs disability examinations by non-Department physicians pursuant to contracts, and for other purposes. Sponsor: Ciscomani, Juan [Rep.-R-AZ-6]; Committees: House-Veterans’ Affairs
H.R.8882-To amend the Internal Revenue Code of 1986 to treat amounts paid for private umbilical cord blood, or umbilical cord tissue, banking services as medical care expenses; Sponsor: Arrington, Jodey C. [Rep.-R-TX-19]; Committees: House – Ways and Means
H.R.8889-To provide for the sunset of rules upheld based on Chevron deference; Sponsor: Green, Mark E. [Rep.-R-TN-7]; Committees: House-Judiciary; Oversight and Accountability; Rules
H.R.8901-To amend the Public Health Service Act to provide for the designation of institutions of higher education as Centers of Excellence in Cannabis Research, and for other purposes; Sponsor: Peters, Scott H. [Rep.-D-CA-50]; Committees: House-Energy and Commerce; Judiciary
H.R.8905-To direct the Secretary of Health and Human Services to conduct a study and submit to Congress a report on neonatal abstinence syndrome, and for other purposes; Sponsor: McMorris Rodgers, Cathy [Rep.-R-WA-5]; Committees: House-Energy and Commerce
H.J.Res.181-Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to “Definition of ‘Employer’-Association Health Plans”; Sponsor: Walberg, Tim [Rep.-R-MI-5]; Committees: House-Education and the Workforce
Health on the Hill Podcast: Good, Not Great Edition
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Supreme Court Overturns Chevron Doctrine
Supreme Court Overturns Chevron Doctrine-The Supreme Court struck down the four-decade old legal precedent known as the Chevron deference in a 6-3 ruling along ideological lines on Friday. The decision, which comes in response to litigation concerning fishing industry regulation, strips federal agencies of their ability to interpret ambiguous laws passed by Congress. Under the Chevron deference doctrine, judges would defer to regulators when congressional intent was ambiguous. Writing in the majority opinion, Chief Justice John Roberts states that courts may no longer “defer to an agency interpretation of the law simply because a statute is ambiguous.” Roberts argued that Chevron cannot be reconciled with the Administrative Procedure Act, which governs judicial review of agency actions. In her dissent, Justice Elena Kagan contends that the ruling will “flip the script,” so that courts, rather than federal agencies “will wield power when Congress has left an area of interpretive discretion.” However, the opinion makes clear that the Chevron doctrine was directed at questions of law and statute, but that the Administrative Procedure Act directs that courts provide deference to agencies in matters of policymaking and factfinding.
The Chevron decision will have significant implications for both federal agencies and the role of the court system in future federal regulations. While the high court stated that past decisions relying on the Chevron doctrine will remain intact, experts expect a wide range of recent regulations will now be challenged now that the Chevron doctrine is no longer in place, including but not limited to environmental regulations, like those related to auto pollution limits and power plant emissions, as well as regulations related to net neutrality, non-compete agreements, online privacy, and independent contractor status.
The Supreme Court ruling is also expected to result in a significant increase in litigation challenging health care related regulations. Because the Affordable Care Act’s (ACA) preventive health coverage requirements do not spell out specific services, and the Inflation Reduction Act’s Medicare drug price negotiations program does not specify certain processes, both may be prominent targets for litigation. Experts have also called into question the vulnerability of the National Institutes of Health’s (NIH) clinical trial regulations.
Justice Kagan’s dissent specifically warns of the impact this decision will have on federal agencies dealing with complex scientific questions, writing “When does an alpha amino acid polymer qualify as a ‘protein’? I don’t know many judges who would feel confident resolving that issue…But the FDA likely has scores of scientists on staff who can think intelligently about it, maybe collaborate with each other on its finer points, and arrive at a sensible answer.” While the Food and Drug Administration’s (FDA) authority over individual product approval decisions is based in statute-and thus will not be impacted by the high court’s Chevron decision-experts have warned that the agency’s overall decision-making process could slow, increasing the time it takes to bring new drugs and medical devices to market. The FDA’s recent laboratory-developed test regulation, along with its breakthrough device designation, have both been identified as rules that could be particularly vulnerable to legal challenge. On the whole, all agencies across federal government must now devote more time and resources to support the legal standing of any regulatory decisions being made.
The decision is also likely to have a significant impact on legislative advocacy. The deference afforded to agencies via the Chevron doctrine was only applicable when Congressional intent was not clear and “the statute is silent or ambiguous with respect to the specific issue.” The ruling now places greater emphasis on both more precise text as well as more express delegations of agency authority where Constitutionally permissible.
Appropriations Update-Appropriators in the House of Representatives advanced their fiscal year (FY) 2025 Labor-Health and Human Services spending bill out of subcommittee last week. The $185.8 billion measure amounts to an 11% cut to currently enacted funding levels. The bill includes $8.5 billion for the U.S. Department of Health and Human Services (HHS), a 7% cut. The Centers for Disease Control and Prevention would receive $1.7 billion, a 22% decrease. While funding for the NIH would remain flat at $48 billion, the bill proposes to restructure the research agency, reducing the number of centers from 27 to 15 while increasing congressional oversight of NIH operations. The bill includes anti-abortion measures like the Hyde Amendment, as well as a prohibition on funding for the Title X family planning program and gender affirming care. It also contains provisions to defund climate change, sex education, and gun violence programs. Full committee markup of the bill is scheduled for July 10, with Ranking Member Rosa DeLauro (D-Conn.) stating that Democrats will “accept nothing less” than a 1% increase in spending. A summary of the bill is availablehere. Bill text is availablehere.
The House Appropriations Committee also advanced the FY2025 Interior, Environment, and Related Agencies bill out of subcommittee. The spending measure totals $38.5 billion, $72 million below currently enacted levels, and includes significant cuts to the Environmental Protection Agency’s budget. It would also bar funding for several Biden administration climate change and environmental justice initiatives. The FY2025 Commerce-Justice-Science spending bill and Energy and Water Development spending bill were also advanced out of subcommittee.
The full House passed its FY2025 State, Foreign Operations, and Related Programs appropriations bill (H.R. 8771) on Friday in a 212-200 vote. The bill reduces funding for the State Department and the U.S. Agency for International Development by 11%. The legislation would eliminate funding for the World Health Organization and other United Nations’ entities. It also includes a provision barring funding for any global health organizations that promote or perform abortions, even if they use outside resources for such activities. The House also passed its FY2025 funding bill for the Department of Homeland Security (H.R.8752) and the Department of Defense (H.R.8774) last week.
Despite the absence of a bipartisan agreement on topline spending levels, Senate Appropriations Chair Patty Murray (D-Wash.) has confirmed that her panel will begin moving ahead with their spending bills after the Fourth of July recess. Republican leadership in the House aim to pass all 12 annual appropriations bills on the House floor before the August recess. Lawmakers have until September 30 to fund the federal government, with senators seeking a slight increase in nondefense funding, while House Republicans are pushing for a 6% cut in spending. House Appropriations Chairman Tom Cole (R-Okla.) has indicated that a continuing resolution will likely be necessary to keep the government open beyond the end of the fiscal year.
Ways and Means Advances Four Health Bills-The House Ways and Means Committee favorably reported four health care related bills to the full House of Representatives last week.
- R.2407,Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act, was advanced 38-0.
- R.8816,American Medical Innovation and Investment Act, was advanced 40-0.
- R.1691,Ensuring Patient Access to Critical Breakthrough Products Act, was advanced 36-5. The Democrats voting in opposition to the bill raised concerns about device safety and restricting the Centers for Medicare and Medicaid Services’ authority to set coverage guardrails.
- R.4818,Treat and Reduce Obesity Act, was advanced 36-4. The Democrats who voted no expressed their disappointment in the limited scope of the legislation, which had been scaled back in an effort to lower the cost of the measure.
E&C Cancels Markup of Health Legislation –The House Energy and Commerce Committee canceled its scheduled markup last week. The panel had planned to consider 11 bills, including four health care related measures: H.R.7188, Shandra Eisenga Human Cell and Tissue Product Safety Act; H.R.3433, Give Kids a Chance Act of 2024; H.R.670, Think Differently Database Act; and H.R.7623, Telehealth Modernization Act of 2024. Committee leadership scrapped the markup after House Republican leadership expressed opposition to H.R.8818, American Privacy Rights Act of 2024. The data privacy legislation is considered a career legacy effort for retiring Energy and Commerce Committee Chair Cathy McMorris Rodgers (R-Wash.), who is retiring from Congress at the end of the year.
Lawmakers Urge Oversight of AI in Medicare Advantage-A bicameral group of lawmakers led by Sen. Elizabeth Warren (D-Mass.) and Reps. Judy Chu (D-Calif.) and Jerrold Nadler (D-N.Y.) are calling on the Centers for Medicare and Medicaid Services (CMS) to reign in the use of AI for prior authorization and coverage decisions by Medicare Advantage (MA) plans. The letter, also signed by 48 House and Senate Democrats and Senator Mike Braun (R-Ind.), highlights the need for more detailed guidance to protect access to care for Medicare beneficiaries and improve clarity for providers. The lawmakers specifically recommend that CMS:
- Clarify the specific elements that must be contained in denial notices.
- Establish an approval process to review AI and algorithmic tools and their inputs to ensure the integrity of their use and conduct a review of algorithm and AI tools currently being used.
- Prohibit the use of AI/algorithmic tools and software from use in coverage denials until a systematic review of their use can be completed.
- Clarify how CMS distinguishes between uses of algorithms or software that account for individual circumstances and those that do not, specify what criteria, methods, or data will be used to determine this distinction, and clarify how this requirement will be enforced and communicated to plans.
- Clarify when MA organizations are able to use internal coverage criteria when making medical necessity determinations for basic Medicare benefits.
- Impose a minimum time period during which MA plans cannot issue a termination notice after their prior termination decision has been reversed by a Medicare contractor.
BIOSECURE Receives Favorable CBO Score-The Congressional Budget Office (CBO) has released its score of the BIOSECURE Act (H.R.8333), finding that the legislation would not have a significant impact on federal spending. The legislation would prohibit Chinese biotechnology companies of concern from receiving federal contracts, grants, or loans and is aimed at blocking foreign governments from accessing Americans’ health and genomic data. Both the House and Senate versions of the bill were advanced out of committee earlier this year.
Analysts Score Impact of Making Permanent Enhanced Affordable Care Act Tax Credits-CBO and the Joint Committee on Taxation (JCT) estimate that making permanent expanded tax credits under the ACA would increase the federal budget deficit by $336 billion over the next decade, and result in the coverage of nearly seven million additional individuals through ACA marketplace plans during the same time period. According to CBO and the JCT, such a change would also result in a 3.5 million-person decrease in employer-based coverage. The analysis was requested by Republicans on the House Budget and Ways and Means committees who oppose the Biden administration’s proposal to make permanent the enhanced refundable premium tax credits to purchase health insurance through the ACA marketplaces, which are currently set to expire at the end of 2025. In their letter to lawmakers, the analysts also estimate that a recent CMS regulation from making Deferred Action for Childhood Arrivals recipients eligible for the ACA marketplace will increase the deficit by $7 billion over the next decade.
CMS Issues Proposed Rule on Suspect Billing Activity and ACO Reconciliation-The Biden administration is proposing a new regulation to shield health care providers from the impact of suspicious Medicare billing activity. The rule follows a major increase in spending on urinary catheters last year. The HHS Office of the Inspector General has reported on a fraud scheme involving scammers contacting Medicare enrollees, offering free services, and using the individual’s enrollment information to bill the Medicare program for catheters. The proposed rule from CMS would exclude payments for two urinary catheter codes from the calculation of accountable care organizations’ (ACO) 2023 financial performance.
Supreme Court Allows Emergency Abortions in Idaho, For Now-The Supreme Court has dismissed a pair of abortion related cases, Moyle v. United States and Idaho v. United States, as “improvidently”- or mistakenly granted, without ruling on the merits of the dispute. The move reinstates the August 2022 district court preliminary injunction of an Idaho law that called into question physicians’ ability to provide stabilizing care, including abortion, in an emergency setting. Idaho’s law banned abortion except in cases to save the life of a pregnant woman. The federal Emergency Medical Treatment and Labor Act (EMTALA) requires treatment to stabilize patients with emergency medical conditions. The district court concluded that, under the Constitution, EMTALA preempts state law. The Supreme Court’s dismissal of Idaho’s challenge does not answer questions about whether doctors can provide emergency abortions elsewhere in the nation.
Durbin Recovering Hip Replacement Surgery-Sen. Dick Durbin (D-Ill.), 79, underwent hip replacement surgery on Thursday and will remain in his home state until cleared by his physician to return to Capitol Hill. Durbin was first elected to the Senate in 1996. He was reelected to a fifth term in 2020, and currently serves as chairman of the Senate Judiciary Committee.
Congressional Retirements and Resignations-Rep. Jamaal Bowman (D-N.Y.) lost the Democratic primary for New York’s 16th congressional district last week. Bowman, who currently sits on the Education and Workforce and Science, Space, and Technology committees, was first elected to Congress in 2020 and is a member of the progressive group of Democrats known as “the squad.” His more centrist challenger was George Latimer, a Westchester County Executive.
A running list of members of Congress who are retiring or seeking other office can be found below.
SENATE | |
Stabenow (D), MI | Braun (R), IN |
Cardin (D), MD | Romney (R), UT |
Carper (D), DE | |
Butler (D), CA | |
Manchin (D), WV | |
Sinema (I), AZ | |
HOUSE OF REPRESENTATIVES | |
Porter (D), CA | Mooney (R), WV |
Lee (D), CA | Banks (R), IN |
Gallego (D), AZ | Bishop (R), NC |
Schiff (D), CA | Lesko (R), AZ |
Slotkin (D), MI | Granger (R), TX |
Allred (D), TX | Buck (R), CO (effective March 22, 2024) |
Trone (D), MD | Burgess, MD (R), TX |
Blunt Rochester (D), DE | Wenstrup, DPM (R), OH |
Napolitano (D), CA | McHenry (R), NC |
Wexton (D), VA | Johnson (R), OH (effective Jan. 21, 2024) |
Kim, Andy (D), NJ | Ferguson, IV, DMD, PC (R), GA |
Jackson, Jeff (D), NC | Curtis (R), UT |
Sarbanes (D), MD | Luetkemeyer (R), MO |
Blumenauer (D), OR | Lamborn (R), CO |
Kilmer (D), WA | Bucshon, MD (R), IN |
Spanberger (D), VA | Pence (R), IN |
Kildee (D), MI | Duncan (R), SC |
Phillips (D), MN | Armstrong (R), ND |
Cardenas (D), CA | McMorris Rodgers (R), WA |
Eshoo (D), CA | Gallagher (R), WI (effective April 19, 2024) |
Manning (D), NC | LaTurner (R), KS |
Nickel (D), NC | Graves (R), LA |
Ruppersberger (D), MD | |
Sablan (D), MP | |
Kuster (D), NH | |
Bowman (D), NY |
Upcoming Congressional Hearings and Markups
Senate Health, Education, Labor, and Pensions Committee hearing “Why Is Novo Nordisk Charging Americans with Diabetes and Obesity Outrageously High Prices for Ozempic and Wegovy?” 10:00 a.m.; September 24
Recently Introduced Health Legislation
H.R.8798-To amend subpart 2 of part B of the Social Security Act to promote community-based prevention services, and for other purposes; Sponsor: Carey, Mike [Rep.-R-OH-15]; Committees: House-Ways and Means
H.R.8801-To amend the Public Health Service Act to provide more opportunities for mothers to succeed, and for other purposes; Sponsor: Fischbach, Michelle [Rep.-R-MN-7]; Committees: House-Ways and Means; Energy and Commerce
H.R.8806-To direct the Comptroller General of the United States to carry out a study relating to the resiliency of Social Security and Medicare; Sponsor: Nunn, Zachary [Rep.-R-IA-3]; Committees: House-Ways and Means; Energy and Commerce
H.R.8816-To amend title XVIII of the Social Security Act to provide for a cognitive impairment detection benefit under the Medicare program, and for other purposes; Sponsor: Buchanan, Vern [Rep.-R-FL-16]; Committees: House-Energy and Commerce; Ways and Means
H.R.8817-To improve data collection and reporting for youth in residential treatment programs; Sponsor: Steube, W. Gregory [Rep.-R-FL-17]; Committees: House-Ways and Means
H.R.8818-To provide Americans with foundational data privacy rights, create strong oversight mechanisms, and establish meaningful enforcement, and for other purposes; Sponsor: McMorris Rodgers, Cathy [Rep.-R-WA-5]; Committees: House-Energy and Commerce
H.R.8819-To amend the Internal Revenue Code of 1986 to provide for a credit against tax, or refund of tax, for certain Federal insurance taxes for employees who are members of religious faiths which oppose participation in such insurance; Sponsor: Balderson, Troy [Rep.-R-OH-12]; Committees: House-Ways and Means
H.R.8820-To amend the Internal Revenue Code of 1986 to provide an above-the-line deduction for long-term care insurance premiums and to reduce certain tax credits; Sponsor: Burlison, Eric [Rep.-R-MO-7]; Committees: House-Ways and Means
H.R.8821-To ensure coverage for the treatment of infertility for certain conditions; Sponsor: Chavez-DeRemer, Lori [Rep.-R-OR-5]; Committees: House-Education and the Workforce
H.R.8832-To direct the Secretary of Health and Human Services to issue guidance on payment under the Medicare program for certain items involving artificial intelligence; Sponsor: Schweikert, David [Rep.-R-AZ-1]; Committees: House-Energy and Commerce; Ways and Means
H.R.8834-To establish a Supply Chain Fraud and Theft Task Force; Sponsor: Valadao, David G. [Rep.-R-CA-22]; Committees: House-Judiciary
H.R.8839-To require the Secretary of Health and Human Services to issue guidance to States on best practices for screening and treatment of congenital syphilis under Medicaid and the Children’s Health Insurance Program; Sponsor: Caraveo, Yadira [Rep.-D-CO-8]; Committees: House-Energy and Commerce
H.R.8848-To amend the Federal Food, Drug, and Cosmetic Act to allow for the importation of affordable and safe drugs by wholesale distributors, pharmacies, and individuals; Sponsor: Schakowsky, Janice D. [Rep.-D-IL-9]; Committees: House-Energy and Commerce
H.R.8849-To amend title XVIII of the Social Security Act to improve the national and local coverage determination processes under the Medicare program; Sponsor: Smucker, Lloyd [Rep.-R-PA-11]; Committees: House-Ways and Means; Energy and Commerce
H.Res.1325-Supporting the designation of the month of June 2024, as “National Men’s Health Month”; Sponsor: Carter, Troy A. [Rep.-D-LA-2]; Committees: House-Oversight and Accountability
H.R.8857-To amend the Public Health Service Act to prohibit discrimination against health care entities that do not participate in abortion, and to strengthen implementation and enforcement of Federal conscience laws; Sponsor: Banks, Jim [Rep.-R-IN-3]; Committees: House-Energy and Commerce
H.R.8860-To amend the Internal Revenue Code of 1986 to enhance the paid family and medical leave credit, and for other purposes; Sponsor: Feenstra, Randy [Rep.-R-IA-4]; Committees: House-Ways and Means
H.R.8861-To amend the Federal Food, Drug, and Cosmetic Act to extend the destruction authority of the Secretary of Health and Human Services to articles that present a significant public health concern, and for other purposes; Sponsor: Higgins, Clay [Rep.-R-LA-3]; Committees: House-Energy and Commerce
H.R.8869-To amend title XIX of the Social Security Act to require, as a condition of receiving Federal Medicaid funding, that States do not prohibit in vitro fertilization (IVF) services, and for other purposes; Sponsor: Perry, Scott [Rep.-R-PA-10]; Committees: House-Energy and Commerce
Health on the Hill Podcast: Elect to Defer Edition
Listen and subscribe to this week’s episode of the Health on the Hill podcast:
Senate Appropriations Timing Announced, Murray Pushes for Increase in Nondefense Spending
Senate Appropriations Timing Announced, Murray Pushes for Increase in Nondefense Spending-Senate appropriators will begin the process of marking up fiscal year 2025 government funding bills the week of July 8, according to an announcement from Appropriations Chair Patty Murray (D-Wash.) last week. Murray delivered a floor speech on Tuesday calling for an increase in nondefense discretionary funding beyond the 1% increase agreed upon in the 2023 debt limit deal. Murray specifically discussed the impact of a 1% increase on medical research, arguing that “One percent means we are blunting momentum for lifesaving biomedical breakthroughs. The National Institutes of Health (NIH) is looking at a $280 million shortfall as Cures Act funding tapers off. That absolutely cannot be filled with a 1% bump. And that’s on top of the $678 million in NIH Cures Act funding that already expired last year-that we couldn’t make up for because of the caps. There are countless patients who would be devastated to hear that totally arbitrary spending caps are stifling research that could save their life.”
Drug Patent Bill Receives Favorable CBO Score-The Affordable Prescriptions for Patients Act (S.150) which would reform the drug patent system and increase generic competition is estimated to save $3 billion over the next decade, according to the bill’s new score from the Congressional Budget Office (CBO). Supporters of the bipartisan legislation, introduced by Sen. John Cornyn (R-Texas) and Richard Blumenthal (D-Conn.), are pushing for its inclusion in a year-end health care package. The bill specifically aims to curtail the use of product hopping and patent thickets. The latest CBO savings projection is three times higher than the agency’s 2022 estimate. The legislation was advanced by the Senate Judiciary Committee in a bipartisan vote last year.
Wyden, Senate Dems Release Bill to Address Labor and Delivery Unit Closures-Senate Finance Committee Chairman Ron Wyden (D-Ore.) released draft legislation last week that aims to prevent additional closures of hospital labor and delivery units in rural and underserved areas. The Keep Obstetrics Local Act would increase Medicaid payments for labor and delivery care, provide standby payments to support low-volume hospitals, and require Medicaid coverage of 12 months of postpartum care nationwide. Wyden was joined by fifteen Senate Democrats in releasing the proposal. A summary and section by section of the draft bill can be found here. Legislative text can be found here.
Democrats Push Administration to Improve Transparency of ERISA Plan Benefit Denials-House Education and the Workforce Committee Ranking Member Bobby Scott (D-Va.) and Health, Employment, Labor, and Pensions Subcommittee Ranking Member Mark DeSaulnier (D-Calif.) have sent a letter to the Department of Labor raising concerns about benefit denials by employer-based health plans. The letter highlights recent media investigations into systemic denials of health benefits by insurers and third-party administrators that prevent workers and their families from accessing needed health care services. Health plans subject to the Employee Retirement Income Security Act (ERISA), which cover more than 130 million Americans, are required to submit an annual report known as Form 5500 to the Department of Labor with information about their financial status and operations. Scott and DeSaulnier urge the Department to improve Form 5500 to ensure that necessary data regarding benefit denials is collected and to close loopholes that currently exempt millions of ERISA-covered plans from compliance with disclosure requirements.
CBO Releases Updated Data on 340B Spending-The Congressional Budget Office (CBO) has released new data on 340B drug discount program spending. CBO’s analysis found that spending on cancer treatments, immunosuppressants, and anti-infective agents comprised 70% of total program spending in 2021, up from 58% in 2010. The analysis also found that 88% of the growth in program spending stems from drugs prescribed by hospitals and their affiliated clinics. CBO notes that only a portion of the growth in 340B spending can be explained by market wide trends or by disproportionate growth in spending on certain classes of drugs; other factors that may have contributed to the growth in 340B spending include integration of hospitals and clinics, expanded facility participation due to the Affordable Care Act; and expanded use of contract pharmacies.
CMS to Discontinue Change Accelerated Payment Program-The Centers for Medicare and Medicaid Services (CMS) has announced that it will discontinue the Change Healthcare/Optum Payment Disruption program on July 12. The program was initiated following the February cyberattack on Change Healthcare to support providers experiencing cash flow disruptions. CMS has ultimately issued more than $2.55 billion in accelerated payments to more than 4,200 Medicare Part A providers, and more than $717.18 million in accelerated payments to 4,722 Part B suppliers. More than 96% of the payments made through the program have already been recovered.
FDA Releases Draft Interchangeability Guidance-The Food and Drug Administration (FDA) released a draft guidance on Friday that proposes to eliminate study requirements for demonstrating that biosimilar drugs are interchangeable with their FDA-licensed reference product. The agency asserts that since the publication of their 2019 interchangeability guidance, experience has demonstrated that the safety or diminished efficacy risk following a switch between a reference product and biosimilar is insignificant. “Health care professionals and patients can be confident in the safety and effectiveness of a biosimilar product, whether or not it has also been approved as an interchangeable biosimilar, just as they would be for an originator biologic,” the FDA said in a statement. Comments on the draft guidance are due August 20.
Congressional Retirements and Resignations-A running list of members of Congress who are retiring or seeking other office can be found below.
SENATE | |
Stabenow (D), MI | Braun (R), IN |
Cardin (D), MD | Romney (R), UT |
Carper (D), DE | |
Butler (D), CA | |
Manchin (D), WV | |
Sinema (I), AZ | |
HOUSE OF REPRESENTATIVES | |
Porter (D), CA | Mooney (R), WV |
Lee (D), CA | Banks (R), IN |
Gallego (D), AZ | Bishop (R), NC |
Schiff (D), CA | Lesko (R), AZ |
Slotkin (D), MI | Granger (R), TX |
Allred (D), TX | Buck (R), CO (effective March 22, 2024) |
Trone (D), MD | Burgess, MD (R), TX |
Blunt Rochester (D), DE | Wenstrup, DPM (R), OH |
Napolitano (D), CA | McHenry (R), NC |
Wexton (D), VA | Johnson (R), OH (effective Jan. 21, 2024) |
Kim, Andy (D), NJ | Ferguson, IV, DMD, PC (R), GA |
Jackson, Jeff (D), NC | Curtis (R), UT |
Sarbanes (D), MD | Luetkemeyer (R), MO |
Blumenauer (D), OR | Lamborn (R), CO |
Kilmer (D), WA | Bucshon, MD (R), IN |
Spanberger (D), VA | Pence (R), IN |
Kildee (D), MI | Duncan (R), SC |
Phillips (D), MN | Armstrong (R), ND |
Cardenas (D), CA | McMorris Rodgers (R), WA |
Eshoo (D), CA | Gallagher (R), WI (effective April 19, 2024) |
Manning (D), NC | LaTurner (R), KS |
Nickel (D), NC | Graves (R), LA |
Ruppersberger (D), MD | |
Sablan (D), MP | |
Kuster (D), NH |
Upcoming Congressional Hearings and Markups
House Judiciary Subcommittee on Administrative State, Regulatory Reform, and Antitrust hearing “Follow the Science?: Oversight of the Biden COVID-19 Administrative State Response;” 10:00 a.m.; June 26
House Veterans’ Affairs Subcommittee on Health hearing “The Continuity of Care: Assessing the Structure of VA’s Healthcare Network;” 2:15 p.m.; June 26
House Ways and Means Subcommittee on Health hearing “Improving Value-Based Care for Patients and Providers;” 3:00 p.m.; June 26
House Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies markup of FY 2025 Labor, Health and Human Services, Education, and Related Agencies bill; 8:00 a.m.; June 27
House Energy and Commerce markup of the American Privacy Rights Act; 10:00 a.m.; June 27
Recently Introduced Health Legislation
H.Res.1301-Expressing support for the inaugural Heart Recovery Awareness Day on February 20, 2025; Sponsor: Moulton, Seth [Rep.-D-MA-6]; Committees: House-Energy and Commerce
H.R.8749-To amend title XVIII of the Social Security Act to promote preparedness and Medicare beneficiary access to safer, more accurate sterile intravenous drug preparations through automated hospital infrastructure; Sponsor: Kelly, Mike [Rep.-R-PA-16]; Committees: House-Ways and Means
H.R.8756-To establish the Chief Artificial Intelligence Officers Council, Chief Artificial Intelligence Officers, and Artificial Intelligence Coordination Boards, and for other purposes; Sponsor: Connolly, Gerald E. [Rep.-D-VA-11]; Committees: House-Oversight and Accountability; Science, Space, and Technology
H.R.8763-To provide grants to States to encourage the implementation and maintenance of firearms licensing requirements, and for other purposes; Sponsor: Pressley, Ayanna [Rep.-D-MA-7]; Committees: House-Judiciary
H.R.8764-To require the Attorney General to make publicly available a list of federally licensed firearms dealers with a high number of short time-to-crime firearm traces, and to prohibit Federal departments and agencies from contracting with such dealers; Sponsor: Raskin, Jamie [Rep.-D-MD-8]; Committees: House-Judiciary; Oversight and Accountability
H.R.8767-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; Sponsor: Thanedar, Shri [Rep.-D-MI-13]; Committees: House-Energy and Commerce
H.R.8768-To authorize the Attorney General to make grants available to support State, Tribal, and local firearm destruction activities, and for other purposes; Sponsor: Tokuda, Jill N. [Rep.-D-HI-2]; Committees: House-Judiciary
H.R.8771-Making appropriations for the Department of State, foreign operations, and related programs for the fiscal year ending September 30, 2025, and for other purposes; Sponsor: Diaz-Balart, Mario [Rep.-R-FL-26]; Committees: House-Appropriations
S.4554-A bill to express support for protecting access to reproductive health care after the Dobbs v. Jackson decision on June 24, 2022; Sponsor: Murray, Patty [Sen.-D-WA]; Latest Action: Introduced in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time
S.4556-A bill to amend title 38, United States Code, to establish the Office of Falls Prevention of the Department of Veterans Affairs, and for other purposes; Sponsor: King, Angus S., Jr. [Sen.-I-ME]; Committees: Senate-Veterans’ Affairs
S.Res.738-A resolution expressing support for the designation of June 19, 2024, 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.4575-A bill to amend the Older Americans Act of 1965 to require the Assistant Secretary for Aging to make available to States, area agencies on aging, and service providers information and technical assistance to support the provision of evidence-informed practices that are likely to improve health outcomes, and for other purposes; Sponsor: Braun, Mike [Sen.-R-IN]; Committees: Senate-Health, Education, Labor, and Pensions
S.4577-A bill to amend the Older Americans Act of 1965 to require the Assistant Secretary for Aging to publish on an online portal information on national resource centers authorized or supported under such Act, and for other purposes; Sponsor: Braun, Mike [Sen.-R-IN]; Committees: Senate-Health, Education, Labor, and Pensions
S.4578-A bill to amend the Older Americans Act of 1965 to require reports to Congress on State Long-Term Care Ombudsman Programs, and for other purposes; Sponsor: Braun, Mike [Sen.-R-IN]; Committees: Senate-Health, Education, Labor, and Pensions
S.4581-A bill to require the Secretary of State, in coordination with the Secretary of Health and Human Services, the Administrator of the United States Agency for International Development, and such other heads of departments and agencies as the Secretary of State considers appropriate, to formulate a strategy for the Federal Government to secure support from foreign countries, multilateral organizations, and other appropriate entities to facilitate the development and commercialization of qualified pandemic or epidemic products, and for other purposes; Sponsor: Kelly, Mark [Sen.-D-AZ]; Committees: Senate-Foreign Relations
S.4583-A bill to amend the Federal Food, Drug, and Cosmetic Act to extend the authority of the Secretary of Health and Human Services to issue priority review vouchers to encourage treatments for rare pediatric diseases; Sponsor: Casey, Robert P., Jr. [Sen.-D-PA]; Committees: Senate-Health, Education, Labor, and Pensions
S.4587-A bill to amend the Public Health Service Act to include rural emergency hospitals in the definition of a covered entity for purposes of the drug discount program under section 340B of such Act; Sponsor: Peters, Gary C. [Sen.-D-MI]; Committees: Senate-Health, Education, Labor, and Pensions
S.4592-A bill to amend the Public Health Service Act to authorize the Secretary of Health and Human Services, acting through the Deputy Assistant Secretary for Minority Health, to award grants to faith- or community-based organizations to address persistent health inequities and chronic disease challenges; Sponsor: Gillibrand, Kirsten E. [Sen.-D-NY]; Committees: Senate-Health, Education, Labor, and Pensions
H.Res.1304-Expressing support for the designation of June 19, 2024, 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.1306-Expressing support for the designation of June 21, 2024, as National ASK (Asking Saves Kids) Day to promote children’s health and safe storage of guns in the home; Sponsor: Crow, Jason [Rep.-D-CO-6]; Committees: House-Energy and Commerce
H.Res.1307-Expressing support for the designation of June 20, 2024, as “World FSHD Day”; Sponsor: Dingell, Debbie [Rep.-D-MI-6]; Committees: House-Energy and Commerce
H.Res.1310-Expressing support for the designation of the month of June 2024 as “National Post-Traumatic Stress Awareness Month” and June 27, 2024, as “National Post-Traumatic Stress Awareness Day”; Sponsor: Peters, Scott H. [Rep.-D-CA-50]; Committees: House-Armed Services; Veterans’ Affairs
H.R.8776-To amend the Internal Revenue Code of 1986 to treat membership in a health care sharing ministry as a medical expense, and for other purposes; Sponsor: Kelly, Mike [Rep.-R-PA-16]; Committees: House-Ways and Means
S.4612-A bill to ensure that the background check system used for firearms purchases denies a firearm to a person prohibited from possessing a firearm by a lawful court order governing the pretrial release of the person; Sponsor: Booker, Cory A. [Sen.-D-NJ]; Committees: Senate-Judiciary
S.4614-A bill to direct the Secretary of Health and Human Services and the Secretary of Education to coordinate and distribute educational materials and resources regarding artificial intelligence and social media platform impact, and for other purposes; Sponsor: Markey, Edward J. [Sen.-D-MA]; Committees: Senate-Health, Education, Labor, and Pensions
S.4616-A bill to establish a public health plan; Sponsor: Bennet, Michael F. [Sen.-D-CO]; Committees: Senate-Finance
Health on the Hill Podcast: C-340B-0 Edition
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House Passes NDAA
House Passes NDAA-The House of Representatives passed its $895 billion defense authorization bill last week in a party line vote. The chamber’s latest National Defense Authorization Act (NDAA) passed in a 217-199 vote over Democratic opposition to partisan policy riders that would curb military members’ access to abortion and gender affirming care. Such provisions are unlikely to remain in whatever final must-pass package is negotiated with the Senate’s Democratic majority. The House ultimately voted on 350 amendments out of more than 1,300 proposed. A push to include the BIOSECURE Act (H.R.8333), which would prohibit Chinese biotechnology companies of concern from receiving federal contracts, grants, or loans, was unsuccessful in the House Rules Committee’s amendment process.
Senate Republicans Block Vote on IVF Bill-Last week, the Senate GOP blocked consideration of legislation (S.4445) that would have codified the right to obtain fertility treatments, including in vitro fertilization (IVF), and expanded insurance coverage of such services. The bill failed on a 48-47 procedural vote, with 60 votes necessary for advancement. Congressional Democrats are attempting to put Republicans on the record on issues related to reproductive rights ahead of the November elections. Republicans in the chamber characterized the measure as overly broad, and countered with an open letter signed by the entire caucus expressing support for protecting access to IVF.
FY 2025 Appropriations Update-The House Appropriations Committee approved its fiscal year (FY) 2025 State-Foreign Operations funding bill last week. The package, which represents an 11% funding cut for the State Department, U.S. Agency for International Development, and foreign aid programs, was advanced in a 31-26 vote. The bill would cut all funding to the World Health Organization and the United Nations Population Fund. It also contains a provision to prohibit groups that receive global health funding from promoting or performing abortion. Republican leadership hope to pass the spending bill on the House floor by the end of the month.
The Agriculture-Rural Development-Food and Drug Administration (FDA) Subcommittee advanced its FY 2025 spending bill by voice vote last week. The package includes $25.9 billion in discretionary funding-$355 million below FY 2024 levels-with $6.75 billion for the FDA to be supplemented by the agency’s user fees. The bill would block the U.S. Department of Health and Human Services from rulemaking that would prohibit menthol in cigarettes or characterizing flavor in all cigars. The full committee is scheduled to consider the proposal on July 10.
Lawmakers have until September 30 to fund the federal government. House Appropriations Chairman Tom Cole (R-Okla.) has indicated that a continuing resolution will likely be necessary to keep the government open beyond the end of the fiscal year. Senate appropriators have yet to announce their top-line spending limits or a markup schedule.
E&C Advances 13 Health Bills-On Wednesday, the House Energy and Commerce Committee advanced the following health related bills with unanimous support:
- R. 6020, Honor Our Living Donors Act
- R. 455, To amend the Controlled Substances Act to fix a technical error in the definitions
- R. 4534, Women and Lung Cancer Research and Preventive Services Act of 2023
- R. 5012, Stillbirth Health Improvement and Education (SHINE) for Autumn Act of 2023
- R. 7213, Autism Collaboration, Accountability, Research, Education, and Support (CARES) Act of 2024
- R. 8084, LIVE Beneficiaries Act
- R. 8089, Medicare and Medicaid Fraud Prevention Act of 2024
- R. 8111, To amend title XIX of the Social Security Act to ensure the reliability of address information provided under the Medicaid program
- R. 8112, To amend title XIX of the Social Security Act to further require certain additional provider screening under the Medicaid program
- R. 4758, Accelerating Kids’ Access to Care Act
- R. 5526, Seniors’ Access to Critical Medications Act
- R. 6033, Supporting Patient Education And Knowledge (SPEAK) Act of 2023
- R. 7858, Telehealth Enhancement for Mental Health Act of 2024
During the markup, Chair Cathy McMorris Rodgers (R-Wash.) confirmed that the panel continues to work on a fully paid for package to extend COVID-era telehealth flexibilities and include additional priorities on diabetic and cardiac care stating that she is optimistic that the Committee will be able to move a package before the August recess.
E&C Solicits Feedback on Proposed NIH Reforms-On Friday, House Energy and Commerce Committee Chair Cathy McMorris Rodgers (R-Wash.) released a framework for reforming the National Institutes of Health (NIH). The framework contains policy options for ensuring that NIH’s mission and leadership are accountable, integrated, and agile; funding mechanisms are clear, responsible, and reflective of congressional intent; and that grant research protects against national security risks and threats, and be independent, innovative, responsive, and transparent. Stakeholders who wish to submit feedback on the framework can do so by emailing [email protected] by August 16, 2024.
Earlier in the week, Republicans on Energy and Commerce released an interim staff report calling for changes to how the NIH approves certain kinds of research. The report is a part of the panel’s investigation into potentially risky viral research approved by the NIH that may have involved manipulation of the mpox virus. The lawmakers criticize the “deliberate, prolonged effort to deceive the Committee” as “unacceptable and potentially criminal,” and note that the NIH has yet to provide any evidence that the mpox research in question was not conducted.
Novo Nordisk Executive Agrees to Testify Before HELP-The Senate Health, Education, Labor, and Pensions (HELP) Committee has canceled its plans to subpoena the CEO of Novo Nordisk after the company’s executive vice president Doug Langa agreed to testify before the panel. Chairman Bernie Sanders (I-Vt.) had previously announced a vote on the subpoena after the company “repeatedly denied” requests to appear. Langa is now expected to testify before the committee in a September hearing as a part of Sanders’ investigation into the price of Novo Nordisk’s semaglutide products Ozempic and Wegovy.
MedPAC, MACPAC Release June Reports to Congress-The Medicare Payment Advisory Commission (MedPAC) has released its June report to Congress. The report discusses approaches for updating clinician payments and incentivizing participation in alternative payment models, provider networks and prior authorization in Medicare Advantage (MA), assessing data sources for measuring health care utilization by MA enrollees, paying for software technologies in Medicare, ways to lower Medicare payments for certain conditions in inpatient rehabilitation facilities, and Medicare’s Acute Hospital Care at Home. The Medicaid and CHIP Payment and Access Commission (MACPAC) also released its June report last week. The report includes four chapters highlighting: (1) recommendations for increased transparency in Medicaid and the State Children’s Health Insurance Program financing, (2) tools that states can use to optimize state Medicaid agency contracts, (3) enrollment trends in Medicare Savings Programs, and (4) improvements to demographic data collection in Medicaid.
DEA Telemedicine Regulation Under OMB Review-The Drug Enforcement Administration’s (DEA) proposed regulations on the prescribing of controlled substances via telemedicine are now under review at the Office of Management and Budget (OMB). The forthcoming regulations are expected to determine the status of requirements that a patient see a doctor in-person before being prescribed certain controlled substances like Adderall, Buprenorphine, and Oxycodone. These requirements have been waived since the start of the COVID-19 pandemic. White House review of the rules is a final step prior to publication in the Federal Register and the public comment period. The DEA aims to finalize the rules by this fall, before the flexibilities are set to expire at the end of 2024.
Congressional Retirements and Resignations-Rep. Garret Graves (R-La.) has announced that he will not run for reelection this November. Graves has served in the House of Representatives since 2015. He currently chairs the House Transportation and Infrastructure Subcommittee on Aviation and is a member of the House Natural Resources Committee.
Ohio state senator Michael Rulli won the special election last week to fill the remainder of Rep. Bill Johnson’s (R) term in the House of Representatives. Rulli is also the party’s nominee for the November election to serve a full-term in the chamber. Once Rulli is sworn in, the GOP will hold a 219-213 majority.
A running list of members of Congress who are retiring or seeking other office can be found below.
SENATE | |
Stabenow (D), MI | Braun (R), IN |
Cardin (D), MD | Romney (R), UT |
Carper (D), DE | |
Butler (D), CA | |
Manchin (D), WV | |
Sinema (I), AZ | |
HOUSE OF REPRESENTATIVES | |
Porter (D), CA | Mooney (R), WV |
Lee (D), CA | Banks (R), IN |
Gallego (D), AZ | Bishop (R), NC |
Schiff (D), CA | Lesko (R), AZ |
Slotkin (D), MI | Granger (R), TX |
Allred (D), TX | Buck (R), CO (effective March 22, 2024) |
Trone (D), MD | Burgess, MD (R), TX |
Blunt Rochester (D), DE | Wenstrup, DPM (R), OH |
Napolitano (D), CA | McHenry (R), NC |
Wexton (D), VA | Johnson (R), OH (effective Jan. 21, 2024) |
Kim, Andy (D), NJ | Ferguson, IV, DMD, PC (R), GA |
Jackson, Jeff (D), NC | Curtis (R), UT |
Sarbanes (D), MD | Luetkemeyer (R), MO |
Blumenauer (D), OR | Lamborn (R), CO |
Kilmer (D), WA | Bucshon, MD (R), IN |
Spanberger (D), VA | Pence (R), IN |
Kildee (D), MI | Duncan (R), SC |
Phillips (D), MN | Armstrong (R), ND |
Cardenas (D), CA | McMorris Rodgers (R), WA |
Eshoo (D), CA | Gallagher (R), WI (effective April 19, 2024) |
Manning (D), NC | LaTurner (R), KS |
Nickel (D), NC | Graves (R), LA |
Ruppersberger (D), MD | |
Sablan (D), MP | |
Kuster (D), NH |
Upcoming Congressional Hearings and Markups
Senate Homeland Security and Governmental Affairs Committee hearing “Origins of COVID-19: An Examination of Available Evidence;” 10:00 a.m.; June 18
House Veterans’ Affairs Subcommittee on Health hearing “The Continuity of Care: Assessing the Structure of VA’s Healthcare Network;” 2:15 p.m.; June 26
Recently Introduced Health Legislation
H.Res.1283-Supporting the designation of June 6, 2024, as National Naloxone Awareness Day; Sponsor: McClain, Lisa C. [Rep.-R-MI-9]; Committees: House-Energy and Commerce
H.Res.1285-Condemning the pro-abortion policies of the Biden administration; Sponsor: Moran, Nathaniel [Rep.-R-TX-1]; Committees: House-Energy and Commerce
H.R.8657-To require the Secretary of Commerce to produce a report that provides recommendations to improve the effectiveness, efficiency, and impact of Department of Commerce programs related to supply chain resilience and manufacturing and industrial innovation, and for other purposes; Sponsor: Higgins, Clay [Rep.-R-LA-3]; Committees: House-Energy and Commerce
H.R.8659-To allow women greater access to safe and effective oral contraceptive drugs intended for routine use, and to direct the Comptroller General of the United States to conduct a study on Federal funding of contraceptive methods; Sponsor: Hinson, Ashley [Rep.-R-IA-2]; Committees: House-Energy and Commerce; Ways and Means; Natural Resources; Armed Services
H.R.8667-To rename the community-based outpatient clinic of the Department of Veterans Affairs in Cadillac, Michigan, as the “Duane E. Dewey VA Clinic”; Sponsor: Moolenaar, John R. [Rep.-R-MI-2]; Committees: House-Veterans’ Affairs
H.R.8669-To direct the Secretary of Labor to issue nonmandatory guidance on reducing the threat of violence in the workplace, and for other purposes; Sponsor: Neguse, Joe [Rep.-D-CO-2]; Committees: House-Education and the Workforce
S.4503-A bill to prevent exploitative private equity practices, and for other purposes; Sponsor: Warren, Elizabeth [Sen.-D-MA]; Committees: Senate-Finance
S.4504-A bill to amend the Public Health Service Act to provide for a public awareness campaign with respect to screening for type 1 diabetes, and for other purposes; Sponsor: Shaheen, Jeanne [Sen.-D-NH]; Committees: Senate-Health, Education, Labor, and Pensions
S.4510-A bill to amend the American Taxpayer Relief Act of 2012 to delay implementation of the inclusion of oral-only ESRD-related drugs in the Medicare ESRD prospective payment system; Sponsor: Blackburn, Marsha [Sen.-R-TN]; Committees: Senate-Finance
H.Res.1286-Supporting the role of the United States in helping save the lives of children and protecting the health of people in low-income countries with vaccines and immunization through Gavi, the Vaccine Alliance (“Gavi”); Sponsor: Kean, Thomas H. [Rep.-R-NJ-7]; Committees: House-Foreign Affairs
H.Res.1289-Recognizing the contributions of academic medicine and observing Academic Medicine Week from June 10 through 14, 2024; Sponsor: Castor, Kathy [Rep.-D-FL-14]; Committees: House-Energy and Commerce
H.R.8680-To authorize the Secretary of Health and Human Services, acting through the Assistant Secretary for Mental Health and Substance Use, to award grants to train community mental wellness workers; Sponsor: Espaillat, Adriano [Rep.-D-NY-13]; Committees: House-Energy and Commerce
H.R.8681-To ensure that hospitals are considered an eligible entity when awarding health profession opportunity grants under section 2008 of the Social Security Act; Sponsor: Horsford, Steven [Rep.-D-NV-4]; Committees: House-Ways and Means
H.R.8697-To direct the Secretary of Health and Human Services to conduct a demonstration project to test the impact of a guaranteed monthly income on the health of individuals enrolled for medical assistance under the Medicaid program; Sponsor: Schiff, Adam B. [Rep.-D-CA-30]; Committees: House-Ways and Means
H.R.8698-To amend the Public Health Service Act to provide for a public awareness campaign with respect to screening for type 1 diabetes, and for other purposes; Sponsor: Schrier, Kim [Rep.-D-WA-8]; Committees: House-Energy and Commerce
S.4518-A bill to amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans; Sponsor: Marshall, Roger [Sen.-R-KS]; Committees: Senate-Finance
S.4522-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.4524-A bill to amend the Public Health Service Act to prohibit discrimination against health care entities that do not participate in abortion, and to strengthen implementation and enforcement of Federal conscience laws; Sponsor: Lankford, James [Sen.-R-OK]; Committees: Senate-Health, Education, Labor, and Pensions
H.R.8702-To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans; Sponsor: Kelly, Mike [Rep.-R-PA-16]; Committees: House-Ways and Means; Energy and Commerce
H.R.8703-To amend the Public Health Service Act to ensure the primary recipient of a grant has access to all information related to the research funded by such grant, and for other purposes; Sponsor: Carter, Earl L. “Buddy” [Rep.-R-GA-1]; Committees: House-Energy and Commerce
H.R.8711-To amend title II of the Public Health Service Act to include as an additional right or privilege of commissioned officers of the Public Health Service (and their beneficiaries) certain leave provided under title 10, United States Code to commissioned officers of the Army (or their beneficiaries); Sponsor: Houlahan, Chrissy [Rep.-D-PA-6]; Committees: House-Energy and Commerce
H.R.8715-To direct the Secretary of Health and Human Services to establish a pilot program under which the Secretary enters into public-private partnerships with eligible entities to distribute to mothers of newborn infants newborn supply kits, and for other purposes; Sponsor: Letlow, Julia [Rep.-R-LA-5]; Committees: House-Energy and Commerce
S.Res.734-A resolution recognizing 30 years since the International Conference on Population and Development in Cairo, Egypt, and reaffirming the goals and ideals of the International Conference on Population and Development Programme of Action, including comprehensive sexual and reproductive health and rights; Sponsor: Shaheen, Jeanne [Sen.-D-NH]; Committees: Senate-Foreign Relations
S.Res.735-A resolution designating July 17, 2024, 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.4532-A bill to amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans; Sponsor: Marshall, Roger [Sen.-R-KS]; Committees: Senate-Finance
S.4533-A bill 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: Hyde-Smith, Cindy [Sen.-R-MS]; Committees: Senate-Health, Education, Labor, and Pensions
H.Res.1299-Reaffirming the goals and ideals of the 1994 International Conference on Population and Development Programme of Action in Cairo, Egypt, including comprehensive sexual and reproductive health and rights; Sponsor: Lee, Barbara [Rep.-D-CA-12]; Committees: House-Foreign Affairs
H.R.8725-Increasing Medication Access for Seniors Act – To require the Secretary of Health and Human Services to submit to Congress a report on the option to elect to pay cost-sharing under a prescription drug plan or MA-PD plan in monthly capped amounts; Sponsor: Caraveo, Yadira [Rep.-D-CO-8]; Committees: House-Energy and Commerce; Ways and Means
H.R.8736-To require the President to notify Congress of each instance the President takes certain drugs relating to cognitive function, and for other purposes; Sponsor: Ogles, Andrew [Rep.-R-TN-5]; Committees: House-Oversight and Accountability
H.R.8738-To amend the Internal Revenue Code of 1986 to provide a credit against tax for certain health professionals providing clinical supervision to students in rural health professional shortage areas; Sponsor: Pettersen, Brittany [Rep.-D-CO-7]; Committees: House-Ways and Means
Health on the Hill Podcast: Cradle to Graves Edition
Listen and subscribe to this week’s episode of the Health on the Hill podcast:
Biden Administration Key Policy and Health Policy Personnel
House Passes First FY 2025 Appropriations Bill
House Passes First FY 2025 Appropriations Bill-The House of Representatives passed the first of the 12 annual appropriations measures last week. The fiscal year (FY) 2025 Military Construction-Veterans Affairs (VA) appropriations bill (H.R.5850) passed in a 209-197 vote. The House adopted an amendment to the bill from Rep. Brian Mast (R-Fla.) to end restrictions that currently prevent VA staff from recommending medical marijuana as a treatment option in states where it is legal to do so. While the White House has stated that the President would veto the legislation, which contains limits on federal diversity programs and cuts for military construction, the bill will serve as the starting point for House Republicans in bicameral government funding negotiations later this year. The Senate has not yet announced its FY 2025 appropriations plans. Congress has until the end of the fiscal year on September 30 to pass appropriations legislation or agree on a stopgap spending bill to keep the federal government open. Lawmakers will be in session only a limited number of weeks between now and the November election-both chambers are scheduled to recess for all of August and October, and for two weeks in July for the July 4th holiday and Republicans’ national convention.
Senate Republicans Block Vote on Contraception Bill-Republicans in the Senate blocked consideration of legislation (S.4381) that would codify Americans’ right to access contraception last week. Sens. Lisa Murkowski (R-Alaska) and Susan Collins (R-Maine) were the only Republicans to vote in favor of the Right to Contraception Act. The bill failed on a 51-39 procedural vote, with 60 votes necessary for advancement. Congressional Democrats are attempting to put Republicans on the record on issues related to reproductive rights ahead of the November elections. Republicans argued that the measure is unnecessary and stated that Democrats are “fearmongering on this important issue to score cheap points.” Senate Democrats plan to bring up legislation (S.4445) that would create a federal right to in vitro fertilization services for a vote this week. The bill would require employer-sponsored insurance plans to cover fertility treatments.
Wyden Urges HHS to Strengthen Health Sector Cybersecurity-Senate Finance Committee Chairman Ron Wyden (D-Ore.) is urging the U.S. Department of Health and Human Services (HHS) to take immediate, enforceable steps to require large health care companies to improve their cybersecurity practices. Wyden argues that HHS’ failure to regulate the cybersecurity practices of major health care providers like UnitedHealth Group resulted in what has been described as the worst cyberattack against the sector in U.S. history-the February cyberattack against Change Healthcare. Wyden specifically suggests that HHS: (1) require minimum, mandatory technical cybersecurity standards for systemically important entities (SIEs); (2) require SIEs to meet resiliency requirements; (3) conduct periodic cybersecurity audits of covered entities and business associates as part of the audits required by Section 13411 of the HITECH Act; and (4) provide technical assistance on cybersecurity to health care providers.
Democrats Press for Release of Mental Health Parity Final Rule-A group of Senate Democrats have sent a letter to the White House urging administration officials to finalize regulations aimed at improving enforcement of statutory mental health parity requirements. The lawmakers highlight evidence of how insurers are failing to meet the requirements of the Mental Health Parity and Addiction Equity Act of 2008 and how this failure has impacted the nation’s ongoing mental health and substance use disorder crisis. They argue that the proposed regulations issued by the Biden administration last summer “will close existing loopholes in the law, expand narrow networks, and prohibit restrictive practices that prevent families from accessing care…These commonsense parity rules will help Americans suffering from mental health conditions or substance use disorder, reduce costs for taxpayers, and save lives.” The letter was led by Sen. Chris Murphy (D-Conn.) and signed by Sens. Peter Welch (D-Vt.), Alex Padilla (D-Calif.), Ed Markey (D-Mass.), Amy Klobuchar (D-Minn.), and Ben Ray Lujan (D-N.M.). The Treasury Department has indicated that it aims to finalize the rules sometime this month.
GAO Provides Status Update on HHS Recommendations-The Government Accountability Office (GAO) released a letter it sent to the U.S. Department of Health and Human Services (HHS) highlighting the 35 open recommendations for the department that the GAO has identified as high priority. The recommendations cover the following seven areas: public health emergency preparedness, public health and human services program oversight, Food and Drug Administration oversight, the Medicaid program, the Medicare program, improper payments in Medicaid and Medicare, and health care infrastructure, information technology, and cybersecurity. The agency highlights that since May 2023, HHS has implemented seven recommendations identified as high priority-including strengthening domestic production of medical supplies and incorporating expert feedback on COVID-19 data collection-while five recommendations have been closed due to no longer being valid.
Texas Congresswoman Announces Cancer Diagnosis-Rep. Sheila Jackson Lee (D-Texas) announced that she has been diagnosed with pancreatic cancer. The Congresswoman is currently undergoing treatment. While she expects to be occasionally absent from Congress, Jackson Lee stated that she will work with congressional leadership to be present for any critical votes in the House of Representatives.
Menendez Files to Run as Independent-Sen. Bob Menendez (N.J.) has filed to run for reelection to the Senate as an independent. Menendez is currently on trial for federal bribery charges in New York, and had announced earlier this year that he would not seek the Democratic nomination to pursue a fourth term in the Senate. Menendez clarified that his decision to run as an independent does not mean that he is changing political parties. U.S. Representative Andy Kim (D-N.J.) won the state’s Democratic primary election last Tuesday.
Congressional Retirements and Resignations-A running list of members of Congress who are retiring or seeking other office can be found below.
SENATE | |
Stabenow (D), MI | Braun (R), IN |
Cardin (D), MD | Romney (R), UT |
Carper (D), DE | |
Butler (D), CA | |
Manchin (D), WV | |
Sinema (I), AZ | |
HOUSE OF REPRESENTATIVES | |
Porter (D), CA | Mooney (R), WV |
Lee (D), CA | Banks (R), IN |
Gallego (D), AZ | Bishop (R), NC |
Schiff (D), CA | Lesko (R), AZ |
Slotkin (D), MI | Granger (R), TX |
Allred (D), TX | Buck (R), CO (effective March 22, 2024) |
Trone (D), MD | Burgess, MD (R), TX |
Blunt Rochester (D), DE | Wenstrup, DPM (R), OH |
Napolitano (D), CA | McHenry (R), NC |
Wexton (D), VA | Johnson (R), OH (effective Jan. 21, 2024) |
Kim, Andy (D), NJ | Ferguson, IV, DMD, PC (R), GA |
Jackson, Jeff (D), NC | Curtis (R), UT |
Sarbanes (D), MD | Luetkemeyer (R), MO |
Blumenauer (D), OR | Lamborn (R), CO |
Kilmer (D), WA | Bucshon, MD (R), IN |
Spanberger (D), VA | Pence (R), IN |
Kildee (D), MI | Duncan (R), SC |
Phillips (D), MN | Armstrong (R), ND |
Cardenas (D), CA | McMorris Rodgers (R), WA |
Eshoo (D), CA | Gallagher (R), WI (effective April 19, 2024) |
Manning (D), NC | LaTurner (R), KS |
Nickel (D), NC | |
Ruppersberger (D), MD | |
Sablan (D), MP | |
Kuster (D), NH |
Upcoming Congressional Hearings and Markups
House Appropriations Subcommittee on Agriculture, Rural Development, Food and Drug Administration, and Related Agencies markup; 6:00 p.m.; June 11
House Appropriations Committee markup of FY 2025 State, Foreign Operations, and Related Programs and Homeland Security bills; 9:00 a.m.; June 12
Senate Judiciary Committee “Combatting the Youth Vaping Epidemic by Enhancing Enforcement Against Illegal E-Cigarettes;” 10:00 a.m.; June 12
Senate Finance Committee “Youth Residential Treatment Facilities: Examining Failures and Evaluating Solutions;” 10:00 a.m.; June 12
House Veterans’ Affairs Committee “A Call to Action: Meeting the Needs of the Spinal Cord Injury and Disorders (SCI/D) Veteran Community;” 9:30 a.m.; June 13
House Budget Committee “Medicare and Social Security: Examining Solvency and Impacts to the Federal Budget;” 10:00 a.m.; June 13
House Energy and Commerce Subcommittee on Health “Checking-In on CMMI: Assessing the Transition to Value-Based Care;” 10:00 a.m.; June 13
Recently Introduced Health Legislation
S.Res.716-A resolution expressing support for the designation of June 7, 2024, as “National Gun Violence Awareness Day” and June 2024 as “National Gun Violence Awareness Month”; Sponsor: Durbin, Richard J. [Sen.-D-IL]; Committees: Senate-Judiciary
S.4436-A bill to improve the safety of infant formula through testing of infant formula for microorganisms and toxic elements, and for other purposes; Sponsor: Peters, Gary C. [Sen.-D-MI]; Committees: Senate-Health, Education, Labor, and Pensions
S.4437-A bill to require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs; Sponsor: Moran, Jerry [Sen.-R-KS]; Committees: Senate – Veterans’ Affairs
S.4445-A bill to protect and expand nationwide access to fertility treatment, including in vitro fertilization; Sponsor: Duckworth, Tammy [Sen.-D-IL]; Introduced in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time.
H.Res.1270-Supporting the designation of June, as “Brain and Spine Metastasis Awareness Month”; Sponsor: Foushee, Valerie P. [Rep.-D-NC-4]; Committees: House-Energy and Commerce
H.Res.1271-Expressing support for the designation of June 7, 2024, as “National Gun Violence Awareness Day” and June 2024 as “National Gun Violence Awareness Month”; Sponsor: Kelly, Robin L. [Rep.-D-IL-2]; Committees: House-Judiciary
H.Res.1273-Designating a day in May 2024, as “Disability Reproductive Equity Day”; Sponsor: Pressley, Ayanna [Rep.-D-MA-7]; Committees: House-Energy and Commerce
H.R.8599-To amend the Internal Revenue Code of 1986 to include over-the-counter oral healthcare products as qualified medical expenses which can be purchased with HSA and FSA funds; Sponsor: Van Drew, Jefferson [Rep.-R-NJ-2]; Committees: House-Ways and Means
H.R.8601-To amend the Public Health Service Act to provide for and support liver illness visibility, education, and research, and for other purposes; Sponsor: Velazquez, Nydia M. [Rep.-D-NY-7]; Committees: House-Energy and Commerce
S.Res.718-A resolution expressing the sense of the Senate that the United States Government should immediately place a moratorium on all federally funded gain-of-function research given the increased safety concerns; Sponsor: Marshall, Roger [Sen.-R-KS]; Committees: Senate-Health, Education, Labor, and Pensions
S.Res.724-A resolution designating May 2024 as “National Brain Tumor Awareness Month”; Sponsor: Daines, Steve [Sen.-R-MT]; Submitted in the Senate, considered, and agreed to without amendment and with a preamble by Unanimous Consent.
S.J.Res.91-A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to “Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting”; Sponsor: Lankford, James [Sen.-R-OK]; Committees: Senate-Finance
S.4447-A bill to allow women greater access to safe and effective oral contraceptive drugs intended for routine use, and to direct the Comptroller General of the United States to conduct a study on Federal funding of contraceptive methods; Sponsor: Ernst, Joni [Sen.-R-IA]; Introduced in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time.
H.R.8614-To authorize the National Academies of Sciences, Engineering, and Medicine to carry out a study to examine the potential relationship between increased health risks and living in proximity to sites that have been or are being mined for surface coal deposits, and the potential human health effects of surface coal mining operations in Central Appalachia, and for other purposes; Sponsor: McGarvey, Morgan [Rep.-D-KY-3]; Committees: House-Natural Resources
S.Res.725-A resolution affirming the legal status of contraception following the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization, 597 U.S. 215 (2022); Sponsor: Blackburn, Marsha [Sen.-R-TN]; Committees: Senate-Judiciary
S.Res.726-A resolution designating June 6, 2024, 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.4469-A bill to improve the understanding of, and promote access to treatment for, chronic kidney disease, and for other purposes; Sponsor: Cardin, Benjamin L. [Sen.-D-MD]; Committees: Senate-Finance
H.R.8633-To amend title 10, United States Code, to direct the Secretary of Defense to limit copayments for outpatient visits for mental health or behavioral health under the TRICARE program, and for other purposes; Sponsor: Houlahan, Chrissy [Rep.-D-PA-6]; Committees: House-Armed Services
Health on the Hill Podcast: Contraception Objection Edition
Listen and subscribe to this week’s episode of the Health on the Hill podcast:
Bipartisan Working Group Releases GME Proposal
Bipartisan Working Group Releases GME Proposal-Senate Finance Committee Chairman Ron Wyden (D-Ore.), along with seven members of the Bipartisan Medicare Graduate Medical Education (GME) Working Group, released a policy outline last week aimed at strengthening the Medicare GME program and addressing physician workforce shortages. The framework focuses particularly on shortages in primary care and psychiatry, and on how the distribution of physicians across the nation can be improved to better care for rural and underserved communities. The paper was released with the support of Sens. John Cornyn (R-Texas), Robert Menendez (D-N.J.), Bill Cassidy (R-La.), Michael Bennet (D-Colo.), Thom Tillis (R-N.C.), Catherine Cortez Masto (D-Nev.), and Marsha Blackburn (R-Tenn.). The lawmakers are requesting feedback be submitted by June 24.
Finance, HELP Leaders Request Briefing From MultiPlan-Senate Finance Committee Chairman Ron Wyden (D-Ore.) and Health, Education, Labor, and Pensions (HELP) Committee Chairman Bernie Sanders (I-Vt.) have sent a letter to the CEO of MultiPlan, a health care data analytics firm, about the operation of the company’s business model. A recent report from the New York Times revealed MultiPlan’s role in helping health insurers determine medical payments for out-of-network claims and raised questions about possible price fixing. “We are concerned that your company’s Data iSight product improperly drives up patient health care costs and, further, that the financial incentives built into the fee for the use of the Data iSight product result in an improper conflict of interest between determining a plan’s liability for out-of-network claims and the plan’s duty to provide promised benefits pursuant to ERISA,” the letter states. The chairmen request that MultiPlan meet with committee staff on the allegations contained in the New York Times investigation published on April 7th.
Number of Health Care Data Breaches Increasing-There were 226 health care data breaches in the first quarter of 2024, a 44% increase over the same time period last year, according to the latest data from the U.S. Department of Health and Human Services’ Office for Civil Rights (OCR). The breaches compromised the data of 17.6 million patients. OCR’s data does not include the Change Healthcare attack that took place in February, which UnitedHealth Group has estimated may have impacted a third of Americans. In related news, Sen. Ron Wyden (D-Ore.) is asking the Federal Trade Commission and the Securities and Exchange Commission to further investigate cybersecurity and technology failures by UnitedHealth Group to determine whether any laws were broken in the events leading up to the hack of Change Healthcare. The hack “caused substantial harm to consumers, investors, the health-care industry and US national security,” Wyden writes in the letter, and the breach was “completely preventable and the direct result of corporate negligence.”
E&C Members Introduce 340B Reform Legislation-Reps. Larry Bucshon, MD (R-Ind.), Buddy Carter, BSPharm (R-Ga.), and Diana Harshbarger, PharmD (R-Tenn.) introduced legislation last week aimed at ensuring access and transparency in the 340B drug pricing program. The 340B ACCESS Act (H.R. 8574) would clarify the intent of the 340B program “to provide for manufacturer price reductions that enable covered entities, whose mission is to serve underserved or otherwise vulnerable communities, to increase access to affordable drugs and health services for these communities.” The bill also contains provisions to:
- Ensure 340B prescriptions are offered to patients at a discount.
- Update the 340B patient definition with strong safeguards.
- Establish clear criteria for 340B contract pharmacy arrangements to improve access.
- Prevent middlemen and for-profit entities from profiting off the 340B program.
- Update and strengthen 340B hospital eligibility requirements.
- Address standards for 340B child sites and subgrantee eligibility.
- Create a neutral 340B claims data clearinghouse.
- Facilitate public reporting on 340B program data.
- Establish enforceable rules and enhance federal administration and oversight of the 340B program.
The bill’s sponsors all serve on the House Energy and Commerce Committee, the committee of jurisdiction. The Subcommittee on Oversight and Investigation will hold a hearing on Tuesday, June 4 titled “Oversight of 340B Drug Pricing Program.”
GAO Issues Report on Medicaid MCOs Use of Prior Authorization-The Government Accountability Office (GAO) issued a report last week warning that Medicaid managed care organizations (MCOs) may be denying children access to early screening tests to which they are entitled. The report, which was requested by House Energy and Commerce Committee Ranking Member Frank Pallone (D-N.J.), attests that the Centers for Medicare and Medicaid Services’ (CMS) requirements around plans’ use of prior authorization are not clearly defined. GAO recommends that CMS provide written expectations for state monitoring of plans’ prior authorization decisions and claims denials, and to more clearly define when plans can mandate prior authorization for screening, diagnostic, and treatment services when it is not required by the state. Pallone stated that GAO’s findings will be used to inform Democrats’ ongoing investigation into the use of prior authorization and its impact on access to care.
Manchin Registers as Independent-Sen. Joe Manchin announced his decision leave the Democratic Party last week. Manchin officially filed as an independent on Friday. “My commitment to do everything I can to bring out country together has led me to register as an independent with no party affiliation,” Manchin posted on the social platform X. Manchin has served in the Senate since 2010 and announced in November that he would not be running for reelection later this year. However, there is some speculation that his announcement could lead to a decision to run as an Independent for the US Senate which has a filing deadline of August 1.
Congressional Retirements and Resignations-Oregon state representative Maxine Dexter, MD has won the Democratic primary in the race to replace retiring Rep. Earl Blumenauer (D-Ore.). Dexter is a pulmonologist and critical care medicine specialist. She is expected to win November’s general election to represent Oregon’s heavily Democratic 3rdcongressional district in the House of Representatives.
A running list of members of Congress who are retiring or seeking other office can be found below.
SENATE | |
Stabenow (D), MI | Braun (R), IN |
Cardin (D), MD | Romney (R), UT |
Carper (D), DE | |
Butler (D), CA | |
Manchin (I), WV | |
Sinema (I), AZ | |
HOUSE OF REPRESENTATIVES | |
Porter (D), CA | Mooney (R), WV |
Lee (D), CA | Banks (R), IN |
Gallego (D), AZ | Bishop (R), NC |
Schiff (D), CA | Lesko (R), AZ |
Slotkin (D), MI | Granger (R), TX |
Allred (D), TX | Buck (R), CO (effective March 22, 2024) |
Trone (D), MD | Burgess, MD (R), TX |
Blunt Rochester (D), DE | Wenstrup, DPM (R), OH |
Napolitano (D), CA | McHenry (R), NC |
Wexton (D), VA | McCarthy (R), CA (effective Dec. 31, 2023) |
Kim, Andy (D), NJ | Johnson (R), OH (effective Jan. 21, 2024) |
Jackson, Jeff (D), NC | Ferguson, IV, DMD, PC (R), GA |
Sarbanes (D), MD | Curtis (R), UT |
Blumenauer (D), OR | Luetkemeyer (R), MO |
Kilmer (D), WA | Lamborn (R), CO |
Spanberger (D), VA | Bucshon, MD (R), IN |
Kildee (D), MI | Pence (R), IN |
Phillips (D), MN | Duncan (R), SC |
Cardenas (D), CA | Armstrong (R), ND |
Eshoo (D), CA | McMorris Rodgers (R), WA |
Manning (D), NC | Gallagher (R), WI (effective April 19, 2024) |
Higgins (D), NY (effective Feb. 2, 2024) | LaTurner (R), KS |
Nickel (D), NC | |
Ruppersberger (D), MD | |
Sablan (D), MP | |
Kuster (D), NH |
Upcoming Congressional Hearings and Markups
House Oversight and Accountability Select Subcommittee on the Coronavirus Pandemic hearing with Dr. Anthony Fauci; 10:00 a.m.; June 3
Senate Health, Education, Labor, and Pensions Committee hearing “The Assault on Women’s Freedoms: How Abortion Bans Have Created a Health Care Nightmare Across America;” 10:00 a.m.; June 4
House Energy and Commerce Subcommittee on Oversight and Investigations hearing “Oversight of the 340B Drug Pricing Program;” 10:30 a.m.; June 4
House Natural Resources Subcommittee on Energy and Mineral Resources legislative hearing on H.R. 6395, Recognizing the Importance of Critical Minerals in Healthcare Act of 2023; 10:30 a.m.; June 4
Senate Special Committee on Aging and Veterans’ Affairs Committee “Heroes at Home: Improving Services for Veterans and their Caregivers;” 10:00 a.m.; June 5
Recently Introduced Health Legislation
H.R.8570-To establish a pharmacy program to award grants for safe in-home drug disposal and practical medication safety education, and for other purposes; Sponsor: Hudson, Richard [Rep.-R-NC-9]; Committees: House-Energy and Commerce
H.R.8571-To require the Attorney General to establish a grant program to assist with the medical expenses of qualified working dogs, and for other purposes; Sponsor: James, John [Rep.-R-MI-10]; Committees: House-Judiciary; Armed Services; Veterans’ Affairs
H.Res.1264-Expressing support for the designation of May 2024 as “National Brain Tumor Awareness Month”; Sponsor: Quigley, Mike [Rep.-D-IL-5]; Committees: House-Energy and Commerce
H.R.8574-To amend the Public Health Service Act to reform the 340B drug pricing program, and for other purposes; Sponsor: Bucshon, Larry [Rep.-R-IN-8]; Committees: House-Energy and Commerce; Ways and Means
H.R.8575-To amend title XIX of the Social Security Act to revise the definition of institution for mental diseases under the Medicaid program to exclude from such definition institutions having 36 beds or less if such institutions meet certain standards; Sponsor: Goldman, Daniel S. [Rep.-D-NY-10]; Committees: House-Energy and Commerce
H.R.8576-To amend title XVIII of the Social Security Act to establish a new criterion for the nonapplication of site-neutral payments to long-term care hospitals under the Medicare program; Sponsor: Hern, Kevin [Rep.-R-OK-1]; Committees: House-Ways and Means
E&C Advances Data Privacy Bill
E&C Advances Data Privacy Bill-The House Energy and Commerce Committee unanimously advanced the latest version of the American Privacy Rights Act in a full committee markup last week. The discussion draft, which is the product of bipartisan, bicameral negotiations between Senate Commerce Chair Maria Cantwell (D-WA) and Energy and Commerce Chair Cathy McMorris Rodgers (R-WA), aims to strengthen consumer data privacy rights. The bill provides individuals with new consumer privacy rights and includes data minimization requirements and a broad private right of action. Health Insurance Portability and Accountability Act (HIPPA) covered entities are generally exempt from the draft legislation, but they would be required to comply with its data security provisions.
Senate to Vote on Reproductive Rights Legislation-Senate Majority Leader Chuck Schumer (D-NY) announced his plans to bring reproductive rights bills to the floor for a vote in June. The Right to Contraception Act (S.1999) would create a right to access contraception, and for health care providers to provide patients with contraception. The Access to Family Building Act (S.3612) would create a right to access for in vitro fertilization services. While neither bill has GOP support, Democrats are aiming to put their Republican colleagues on the record about reproductive rights issues ahead of the November elections. Senate Health, Education, Labor, and Pensions Committee Chairman Bernie Sanders (I-VT) stated that his panel is considering action on these issues next month as well.
House Appropriators Adopt Topline Spending Levels-The House Appropriations Committee adopted top line funding levels for the 12 fiscal year FY2025 annual appropriations measures in a 30-22 partisan vote last week. The caps on spending known as 302(b) allocations are in keeping with the spending caps set by the-Fiscal Responsibility Act of 2023-last year’s debt-limit agreement. They would cut nondefense programs by 6% while increasing defense spending by 1%. The Committee also advanced its FY2025 Military Construction-Veterans Affairs (VA) bill in a party line 34-25 vote. The committee report accompanying the bill highlights that the nation’s ability to manufacture essential medical devices is at serious risk because of efforts by Chinese manufacturers to enter the market. The report warns of the potential for hospitals to become dependent on Chinese supplies and calls for a study on the percentage of Chinese-made medical devices and recommendations on how the VA can reduce its dependency on Chinese devices. While House Republicans are aiming to pass all 12 government funding bills by the end of July, Appropriations Committee Chairman Tom Cole (R-OK) has acknowledged that Congress will likely resort to the passage of a continuing resolution to fund the government beyond the September 30 deadline. GOP leaders are reportedly planning the following timeline for voting on appropriations measures:
Senators Urge Strong Support for NIH in FY2025 Appropriations-A bipartisan group of nearly 60 senators have sent a letter to the Senate Appropriations Committee leadership urging appropriators to maintain a strong commitment to funding for the National Institutes of Health (NIH) in the Labor, Health and Human Services, and Education fiscal year FY2025 appropriations bill. The letter, which was led by Sens. Bob Casey (D-PA) and Thom Tillis (R-NC), asks the committee “to consider the tremendous benefits of sustained and robust investment in the NIH,” and “to remember our Nation’s role as a world leader in biomedical research and the impact this research has on the American people.” The letter requests the full allocation of funding for the NIH provided by the 21st Century Cures Act. Sens. Tammy Baldwin (D-WI) and Shelley Moore Capito (R-WV)-chair and ranking member of the Labor-Health and Human Services (LHHS) Appropriations Subcommittee-have expressed their intent to increase NIH funding in the next fiscal year. Republicans in the House of Representatives recently proposed cutting the LHHS spending bill by $40 billion; full details of the House appropriations bill are expected to be released in late June.
Finance Members Drafting Bipartisan GME Bill-A bipartisan group of Senate Finance Committee members are preparing to introduce legislation that would increase the number of federally-funded graduate medical education (GME) slots. The bill is a part of the committee’s efforts to increase the number of physicians-particularly primary care and psychiatry providers-training and working in rural and underserved areas. The proposal would allocate 25% of the new slots to primary care physicians and 15% to psychiatry residents, and hospitals would be required to maintain the new GME slots for a decade. The U.S. Department of Health and Human Services would be required to track where the residents train and eventually end up practicing. The policymakers are still working to determine how many new GME slots to add, and what budgetary offsets will pay for the proposal.
Buchanan, Moore Launch New Preventive Health Caucus-Rep. Vern Buchanan (R-FL), chairman of the House Ways and Means Subcommittee on Health, and Rep. Gwen Moore (D-WI) launched the Congressional Preventive Health and Wellness Caucus last week. The group will focus on addressing the obesity epidemic through prevention, research, food as medicine, exercise, and health disparities. The cost of obesity to the nation will also be considered, with members planning to hold fact-finding hearings and introduce legislation on the subject.
Sen. Rick Scott to Run for Senate GOP Leader-Sen. Rick Scott (R-FL) announced his bid to succeed Minority Leader Mitch McConnell (R-KY) in a letter to colleagues last week. Sens. John Thune (R-SD) and John Cornyn (R-TX) are also running to replace McConnell as GOP leader when he retires from the leadership post later this year. Scott is a first-term senator who will likely be considered an underdog in the race. Sen. Thune currently serves as the minority whip, while Sen. Cornyn preceded Thune as whip.
Evans, Murphy Health Updates-Rep. Dwight Evans (D-PA) is recovering from a minor stroke and is expected to be absent from Congress for six weeks. Evans received the diagnosis last week after experiencing difficulty with one of his legs, noting that he did not realize at the time of the incident that he was having a stroke. He is currently recovering at an inpatient rehabilitation facility. According to a statement from Evans’ office, the congressman is expected to remain at the facility for about another week before transitioning to outpatient therapy. Evans noted his plans to work to “remove the stigma that sometimes accompanies strokes,” noting that “many people can recover and continue on with their life and their work.”
Rep. Greg Murphy, MD (R-NC) has undergone surgery to remove a pituitary macroadenoma at the base of his skull. Murphy stated on the social media platform X that his prognosis is “excellent,” and that the tumor is most likely benign. Prior to being elected to Congress, Murphy worked as a urologist. Although it remains unclear when he will be back at work full time, Murphy stated that he will “continue to be a tireless advocate for those who take care of patients” when he returns to Capitol Hill.
CMS Taps New Chief Health Equity Officer-Martin Mendoza has been tapped to serve as the director of the Office of Minority Health and chief health equity officer at the Centers for Medicare and Medicaid Services. Mendoza replaces outgoing interim director Aditi Mallick. Mendoza previously has worked as the director of health equity for the All of Us research program at the National Institutes of Health and as the head of extramural research for minority health in the Office of the Commissioner of the Food and Drug Administration (FDA). He is the primary author of FDA guidance on the collection of race and ethnicity data in clinical trials.
Congressional Retirements and Resignations-California state assemblyman Vince Fong (R) won the special election to serve the remainder of former House Speaker Kevin McCarthy’s (R-CA) term in the House of Representatives. Fong, who previously worked as McCarthy’s district director, defeated Tulare County Sheriff Mike Boudreaux (R) in Tuesday’s runoff election. The two candidates will face each other again in November to determine who will represent California’s 20th congressional district for the next full term. Fong has been endorsed by McCarthy and former president Donald Trump. Once Fong is sworn in, the House will have 218 Republicans, 213 Democrats, and four vacancies.
A running list of members of Congress who are retiring or seeking other office can be found below.
SENATE | |
Stabenow (D), MI | Braun (R), IN |
Cardin (D), MD | Romney (R), UT |
Carper (D), DE | |
Butler (D), CA | |
Manchin (D), WV | |
Sinema (I), AZ | |
HOUSE OF REPRESENTATIVES | |
Porter (D), CA | Mooney (R), WV |
Lee (D), CA | Banks (R), IN |
Gallego (D), AZ | Bishop (R), NC |
Schiff (D), CA | Lesko (R), AZ |
Slotkin (D), MI | Granger (R), TX |
Allred (D), TX | Buck (R), CO (effective March 22, 2024) |
Trone (D), MD | Burgess, MD (R), TX |
Blunt Rochester (D), DE | Wenstrup, DPM (R), OH |
Napolitano (D), CA | McHenry (R), NC |
Wexton (D), VA | McCarthy (R), CA (effective Dec. 31, 2023) |
Kim, Andy (D), NJ | Johnson (R), OH (effective Jan. 21, 2024) |
Jackson, Jeff (D), NC | Ferguson, IV, DMD, PC (R), GA |
Sarbanes (D), MD | Curtis (R), UT |
Blumenauer (D), OR | Luetkemeyer (R), MO |
Kilmer (D), WA | Lamborn (R), CO |
Spanberger (D), VA | Bucshon, MD (R), IN |
Kildee (D), MI | Pence (R), IN |
Phillips (D), MN | Duncan (R), SC |
Cardenas (D), CA | Armstrong (R), ND |
Eshoo (D), CA | McMorris Rodgers (R), WA |
Manning (D), NC | Gallagher (R), WI (effective April 19, 2024) |
Higgins (D), NY (effective Feb. 2, 2024) | LaTurner (R), KS |
Nickel (D), NC | |
Ruppersberger (D), MD | |
Sablan (D), MP | |
Kuster (D), NH |
Upcoming Congressional Hearings and Markups
House Oversight and Accountability Select Subcommittee on the Coronavirus Pandemic hearing with Dr. Anthony Fauci; 10:00 a.m.; June 3
Recently Introduced Health Legislation
H.Res.1240-Providing for consideration of the bill (H.R.4121) to protect an individual’s ability to access contraceptives and to engage in contraception and to protect a health care provider’s ability to provide contraceptives, contraception, and information related to contraception; Sponsor: Manning, Kathy E. [Rep.-D-NC-6]; Committees: House-Rules
H.Res.1242-Prioritizing mental health to the same degree as physical health to address the epidemics of suicide and drug overdose in the United States; Sponsor: Thanedar, Shri [Rep.-D-MI-13]; Committees: House-Energy and Commerce
H.R.8444-To amend the Public Health Service Act to direct the Secretary of Health and Human Services, acting through the Assistant Secretary for Mental Health and Substance Use, to establish grant programs to promote mental health in schools, and for other purposes; Sponsor: Napolitano, Grace F. [Rep.-D-CA-31]; Committees: House-Energy and Commerce
H.R.8458-To amend title XVIII of the Social Security Act to expand access to psychological and behavioral services; Sponsor: Malliotakis, Nicole [Rep.-R-NY-11]; Committees: House-Energy and Commerce; Ways and Means
H.R.8465-To amend title XXVII of the Public Health Service Act to increase health insurance access for individuals placing their newborns for adoption; Sponsor: Van Duyne, Beth [Rep.-R-TX-24]; Committees: House-Energy and Commerce
H.R.8466-To amend division N of the Consolidated Appropriations Act, 2021 to improve the Affordable Connectivity Program, and for other purposes; Sponsor: Williams, Brandon [Rep.-R-NY-22]; Committees: House-Energy and Commerce; Financial Services; Transportation and Infrastructure; Science, Space, and Technology; Natural Resources; Oversight and Accountability; Foreign Affairs; Judiciary
S.4368-A bill to amend title XIX of the Social Security Act to require, as a condition of receiving Federal Medicaid funding, that States do not prohibit in vitro fertilization (IVF) services, and for other purposes; Sponsor: Cruz, Ted [Sen.-R-TX]; Committees: Senate-Finance
S.4374-A bill to amend the Older Americans Act of 1965 to include screening for loneliness and coordination of supportive services and health care to address the negative health effects of loneliness, to require a report on loneliness, and for other purposes; Sponsor: Rubio, Marco [Sen.-R-FL]; Committees: Senate-Health, Education, Labor, and Pensions
S.4375-A bill to establish a critical supply chain resiliency and crisis response program in the Department of Commerce, and to secure American leadership in deploying emerging technologies, and for other purposes; Sponsor: Cantwell, Maria [Sen.-D-WA]; Committees: Senate-Commerce, Science, and Transportation
S.4381-A bill to protect an individual’s ability to access contraceptives and to engage in contraception and to protect a health care provider’s ability to provide contraceptives, contraception, and information related to contraception; Sponsor: Markey, Edward J. [Sen.-D-MA]; Latest Action: Introduced in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time
H.Res.1248-Recognizing the impact the stigmatization of menstruation has on the lives of women, girls, and people who menstruate, and expressing support for the designation of the month of May as “National Menstrual Health Awareness Month”; Sponsor: Meng, Grace [Rep.-D-NY-6]; Committees: House-Energy and Commerce; Education and the Workforce
H.R.8470-To authorize the Secretary of Health and Human Services to make awards to increase or improve access to comprehensive mental and behavioral health services for individuals exposed to violent encounters involving law enforcement personnel, and for other purposes; Sponsor: Bush, Cori [Rep.-D-MO-1]; Committees: House-Energy and Commerce; Education and the Workforce; Judiciary
H.R.8475-To direct the Secretary of Defense to submit to Congress a report on the correlation between service in the Armed Forces conducting explosive ordnance disposal and post-traumatic stress disorder, traumatic brain injury, and suicide; Sponsor: Crawford, Eric A. “Rick” [Rep.-R-AR-1]; Committees: House-Armed Services
H.R.8481-To amend title 38, United States Code, to establish an extended deadline for the submission of applications regarding emergency treatment furnished in non-Department of Veterans Affairs medical facilities, and for other purposes; Sponsor: Mast, Brian J. [Rep.-R-FL-21]; Committees: House-Veterans’ Affairs
S.4394-A bill to support National Science Foundation education and professional development relating to artificial intelligence; Sponsor: Cantwell, Maria [Sen.-D-WA]; Committees: Senate-Commerce, Science, and Transportation
H.Res.1251-Honoring Rosalynn Smith Carter’s legacy in mental health advocacy; Sponsor: Carter, Earl L. “Buddy” [Rep.-R-GA-1]; Committees: House-Energy and Commerce
H.Res.1252-Honoring the commitment and care of emergency medical services personnel; Sponsor: Guest, Michael [Rep.-R-MS-3]; Committees: House-Energy and Commerce
H.R.8493-To establish the Task Force to Stop Price Gouging, and for other purposes; Sponsor: Craig, Angie [Rep.-D-MN-2]; Committees: House-Judiciary; Agriculture; Energy and Commerce
H.R.8503-To provide States with support to establish integrated care programs for individuals who are dually eligible for Medicare and Medicaid, and for other purposes; Sponsor: Kelly, Mike [Rep.-R-PA-16]; Committees: House-Energy and Commerce; Ways and Means
H.R.8504-To amend the Internal Revenue Code of 1986 to establish the critical supply chains reshoring investment tax credit; Sponsor: Malliotakis, Nicole [Rep.-R-NY-11]; Committees: House-Ways and Means
S.Res.709-A resolution expressing support for the designation of May 2024 as “Mental Health Awareness Month”; Sponsor: Lujan, Ben Ray [Sen.-D-NM]; Committees: Senate-Health, Education, Labor, and Pensions
S.Res.711-A resolution designating May 2024 as “American Stroke Month”; Sponsor: Lujan, Ben Ray [Sen.-D-NM]; Committees: Senate-Judiciary
S.Res.713-A resolution designating May 2024 as “ALS Awareness Month”; Sponsor: Coons, Christopher A. [Sen.-D-DE]; Committees: Senate-Judiciary
S.Res.714-A resolution recognizing and supporting individuals born with congenital disabilities or malformations due to thalidomide exposure; Sponsor: Kennedy, John [Sen.-R-LA]; Committees: Senate-Health, Education, Labor, and Pensions
S.J.Res.90-A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Health and Human Services relating to “Nondiscrimination in Health Programs and Activities”; Sponsor: Marshall, Roger [Sen.-R-KS]; Committees: Senate-Health, Education, Labor, and Pensions
S.4395-A bill to amend title XVIII of the Social Security Act to establish a floor on the work geographic index for physicians’ services furnished in Hawaii; Sponsor: Schatz, Brian [Sen.-D-HI]; Committees: Senate-Finance
S.4415-A bill to require the Secretary of Defense to establish a medical readiness program in the Indo-Pacific region, and for other purposes; Sponsor: Duckworth, Tammy [Sen.-D-IL]; Committees: Senate-Armed Services
S.4423-A bill to amend title 38, United States Code, to improve the provision of direct housing loans and medical care from the Department of Veterans Affairs for Native Hawaiians; Sponsor: Hirono, Mazie K. [Sen.-D-HI]; Committees: Senate-Veterans’ Affairs
S.4426-A bill to amend the Federal Food, Drug, and Cosmetic Act to establish a time-limited conditional approval pathway, subject to specific obligations, for certain drugs and biological products, and for other purposes; Sponsor: Braun, Mike [Sen.-R-IN]; Committees: Senate-Health, Education, Labor, and Pensions
S.4428-A bill to establish an interagency committee to coordinate activities of the Federal Government relating to biotechnology oversight, and for other purposes; Sponsor: Young, Todd [Sen.-R-IN]; Committees: Senate-Commerce, Science, and Transportation
S.4429-A bill to require the Secretary of Health and Human Services to provide grants to demonstrate pharmacy-based addiction care programs; Sponsor: Booker, Cory A. [Sen.-D-NJ]; Committees: Senate-Health, Education, Labor, and Pensions
S.4430-A bill to amend title XIX of the Social Security Act to establish a Health Engagement Hub demonstration program to increase access to treatment for opiate use disorder and other drug use treatment, and for other purposes; Sponsor: Cantwell, Maria [Sen.-D-WA]; Committees: Senate-Finance
H.Res.1257-Expressing the need for enhanced public awareness of Huntington’s Disease and support for the designation of a “National Huntington’s Disease Awareness Month”; Sponsor: Pascrell, Bill [Rep.-D-NJ-9]; Committees: House-Energy and Commerce
H.Res.1260-Expressing support for the designation of the month of May 2024 as “Progressive Supranuclear Palsy Awareness Month”; Sponsor: Wexton, Jennifer [Rep.-D-VA-10]; Committees: House-Energy and Commerce
H.Con.Res.109-Expressing the sense of the Congress that assisted suicide (sometimes referred to using other terms) puts everyone, including those most vulnerable, at risk of deadly harm; Sponsor: Wenstrup, Brad R. [Rep.-R-OH-2]; Committees: House-Energy and Commerce
H.J.Res.160-Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Health and Human Services relating to “Nondiscrimination in Health Programs and Activities”; Sponsor: Roy, Chip [Rep.-R-TX-21]; Committees: House-Energy and Commerce
H.R.8520-To amend the Public Health Service Act to require the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, to implement the Climate Ready Tribes Initiative; Sponsor: Underwood, Lauren [Rep.-D-IL-14]; Committees: House-Energy and Commerce
H.R.8529-To authorize assistance to train and retain obstetrician-gynecologists and sub-specialists in urogynecology and to help improve the quality of care to meet the health care needs of women in least developed countries, and for other purposes; Sponsor: DeLauro, Rosa L. [Rep.-D-CT-3]; Committees: House-Foreign Affairs
H.R.8532-To identify and address barriers to coverage of remote physiologic devices under State Medicaid programs to improve maternal and child health outcomes for pregnant and postpartum women; Sponsor: Frankel, Lois [Rep.-D-FL-22]; Committees: House-Energy and Commerce
H.R.8542-To award a Congressional Gold Medal to Dr. Joseph B. Kirsner, in recognition of his service to the United States during World War II and his contributions to the medical field, particularly gastroenterology; Sponsor: Mast, Brian J. [Rep.-R-FL-21]; Committees: House-Financial Services
H.R.8543-To amend the Social Security Act and the Public Health Service Act to permanently authorize certified community behavioral health clinics, and for other purposes; Sponsor: Matsui, Doris O. [Rep.-D-CA-7]; Committees: House-Energy and Commerce; Ways and Means
H.R.8561-To amend title XVIII of the Social Security Act to address significant under projection of MA local area growth due to wage index reclassification; Sponsor: Tenney, Claudia [Rep.-R-NY-24]; Committees: House-Ways and Means; Energy and Commerce
H.R.8562-To amend title 38, United States Code, to improve the provision of direct housing loans and medical care from the Department of Veterans Affairs for Native Hawaiians; Sponsor: Tokuda, Jill N. [Rep.-D-HI-2]; Committees: House-Veterans’ Affairs
H.R.8563-To amend title XVIII of the Social Security Act to establish a floor on the work geographic index for physicians’ services furnished in Hawaii; Sponsor: Tokuda, Jill N. [Rep.-D-HI-2]; Committees: House-Energy and Commerce; Ways and Means
H.R.8564-To require certain elements of the intelligence community to submit to the congressional intelligence committees a report with respect to biotechnology threats, and for other purposes; Sponsor: Wenstrup, Brad R. [Rep.-R-OH-2]; Committees: House-Intelligence (Permanent Select)
H.R.8565-To advance research, promote awareness, and provide patient support with respect to endometriosis, and for other purposes; Sponsor: Williams, Nikema [Rep.-D-GA-5]; Committees: House-Energy and Commerce
Health on the Hill Podcast: Scott’s Shot Edition
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House Appropriators Release Preliminary Top-Line Spending Amounts
House Appropriators Release Preliminary Top-Line Spending Amounts-House Appropriations Committee Chair Tom Cole (R-OK) released interim subcommittee allocations for fiscal year 2025 spending bills last week. The top-line funding amounts known as 302(b) allocations are in keeping with the spending caps set by the Fiscal Responsibility Act of 2023, last year’s debt-limit agreement. The caps on spending would cut nondefense programs by 6% while increasing defense spending by 1%. The cuts would not be spread evenly across the bills, with the Labor-Health and Human Services-Education appropriations bill, which funds the National Institutes of Health and other federal health-related programs, facing a more significant cut of 10-11%. House appropriators are scheduled to meet this week to vote on the top-line spending levels. The Labor-Health and Human Services-Education Subcommittee is expected to mark up its bill on June 27, with a full committee markup set for July 10.
E&C Subcommittee Advances 21 Health Care Bills-The House Energy and Commerce Subcommittee on Health marked up a slate of health care proposals last week, including legislation to extend for two years Medicare patient access to pandemic-era telehealth flexibilities that are set to expire in December. The Telehealth Modernization Act of 2024 (H.R.7623) was unanimously advanced to the full committee for consideration. The twenty other bills agreed to by the subcommittee include:
- R.3227-Ensuring Seniors’ Access to Quality Care Act, forwarded by a vote of 13-12.
- R.468-Building America’s Health Care Workforce Act, forwarded by a vote of 14-8.
- R.3433-Give Kids a Chance Act, forwarded by a vote of 16-11. The latest version of the bill was updated to include the Creating Hope Reauthorization Act of 2024 (H.R.7384) and the RARE Act (H.R.7383).
- R.7188-Shandra Eisenga Human Cell and Tissue Product Safety Act, forwarded by a vote of 27-9.
- R.6020-Honor Our Living Donors Act, forwarded by a vote of 24-0.
- R.455-to amend the Controlled Substances Act to fix a technical error in the definitions, forwarded by a vote of 24-0.
- R.7213-Autism Collaboration, Accountability, Research, Education, and Support (CARES) Act of 2024, forwarded by a vote of 22-0.
- R.4534-Women and Lung Cancer Research and Preventive Services Act of 2023, forwarded by a vote of 21-0.
- R.670-Think Differently Database Act, forwarded by a vote of 20-0.
- R.8084-LIVE Beneficiaries Act, forwarded by a vote of 18-0.
- R.7858-Telehealth Enhancement for Mental Health Act of 2024, forwarded by a vote of 22-0.
- R.8111-Medicaid Program Improvement Act, forwarded by a vote of 22-0.
- R.8089-Medicare and Medicaid Fraud Prevention Act of 2024, forwarded by a vote of 22-0.
- R.8112-to amend title XIX of the Social Security Act to further require certain additional provider screening under the Medicaid program, forwarded by a vote of 23-0.
- R. 6033-Supporting Patient Education And Knowledge (SPEAK) Act of 2023, forwarded by a vote of 23-0.
- R.1406-Sustainable Cardiopulmonary Rehabilitation Services in the Home Act, forwarded by voice vote.
- R.7856-PREVENT DIABETES Act, forwarded by voice vote.
- R.5394-Expanding Remote Monitoring Access Act, forwarded by voice vote.
- R.1199-Facilitating Innovative Nuclear Diagnostics Act of 2023, forwarded by voice vote.
- R.4758-Accelerating Kids’ Access to Care Act, forwarded by voice vote.
House BIOSECURE Bill Advances Out of Committee-The House Oversight and Accountability Committee advanced the BIOSECURE Act (H.R.8333) with overwhelming bipartisan support last week. The legislation would prohibit Chinese biotechnology companies of concern from receiving federal contracts, grants, or loans and is aimed at blocking foreign governments from accessing Americans’ health and genomic data. The Senate version of the bill (S.3558) was advanced out of the Homeland Security and Governmental Affairs Committee earlier this year. House Oversight Chairman James Comer (R-KY) stated that he expects a floor vote on the bill in the next 30 days, while Senate Homeland Security Chairman Gary Peters (D-MI) has discussed the possibility of attaching the legislation to the annual must-pass National Defense Authorization Act.
FAA Reauthorization Includes Possible Change to Organ Transportation Policy and Updates to In-Flight Emergency Medical Kits-President Joe Biden has signed into law a five-year reauthorization of the Federal Aviation Administration (FAA) following House passage of the FAA legislation last week. The bill includes a provision to create a working group to identify best practices for the transportation of organs via the nation’s commercial airline system. The working group would include air carrier and organ transplant provider representatives and will consider whether organs could once again travel in the main cabin of an airplane. Organs have traveled in the cargo hold of planes since September 11, when security protocols changed to no longer permit individuals to accompany an organ through security without an airplane ticket. The Act also requires the FAA to promulgate a rulemaking related to aircraft first aid and emergency medical kit equipment and training to consider whether the current requirements for minimum contents of emergency medical kits include appropriate medications to address certain emergency medical needs such as anaphylaxis.
Finance Leaders Release White Paper on Physician Payment Reform-Senate Finance Committee Chairman Ron Wyden (D-OR) and Ranking Member Mike Crapo (R-ID) released a white paper last week outlining potential polices to reform the physician payment system and improve care of Medicare beneficiaries will chronic illness. The lawmakers focus mainly on issues related to Medicare Part B clinician payment policy, alternative payment models, and telehealth. The following areas of interest are highlighted as possible opportunities for reform:
- Creating sustainable payment updates to ensure clinicians can own and operate their practices;
- Incentivizing alternative payment models that reward providing better care at a lower cost;
- Rethinking how Medicare measures quality care;
- Improving primary care;
- Supporting chronic care benefits in Medicare fee-for-service; and
- Ensuring continued access to telehealth.
The paper specifies that the committee will continue to conduct outreach to stakeholders and experts in an effort that will “ideally culminate in bipartisan legislation.”
Bipartisan Senate Workgroup Releases AI Roadmap-The Bipartisan Senate AI Working Group released its-roadmap-for artificial intelligence (AI) policy last week. The 30-page document outlines an AI priorities framework for policymakers to consider during the remainder of the 118th Congress and beyond, and it summarizes the findings from stakeholder meetings and the all-senator AI Insight Forums which have taken place since the working group first convened nearly a year ago. The working group, comprised of Majority Leader Charles Schumer (D-NY), Sen. Mike Rounds (R-SD), Sen. Martin Heinrich (D-NM), and Sen. Todd Young (R-IN), touches on a number of policies of relevance to the health care sector, recommending a risk-based approach to AI regulation, the need for appropriate guardrails and safety measures in the health care space, funding for cross-government R&D that includes the National Institutes of Health, and standards setting for AI user and developer liability. Majority Leader Schumer intends to meet with House Speaker Mike Johnson (R-LA) in the coming weeks to discuss a path forward for AI legislation.
Sanders’ Releases Report on ‘How Weight Loss Drugs Could Bankrupt American Health Care’-Senate Health, Education, Labor, and Pensions (HELP) Committee Chairman Bernie Sanders (I-VT) has released a report examining the price of new weight loss drugs like Novo Nordisk’s Ozempic and Wegovy. The report finds that if half of all Medicare and Medicaid patients who are obese took Wegovy and other weight loss drugs, the cost to the Medicare and Medicaid programs could total $166 billion per year-nearly the same cost as spending on all retail prescription drugs in 2022. Sanders warns that the high prices of these drugs could result in a historic increase in premiums for Medicare and commercial health insurance. “Pricing drugs based on their value cannot serve as a blank check, or the sole determinant for how we understand what to pay for essential goods,” the report argues.
Cassidy Releases White Paper on Modernizing NIH-Senate HELP Committee Ranking Member Bill Cassidy (R-LA) has released a white paper exploring how to modernize the National Institutes of Health (NIH), ensure transparency in NIH operations, and maintain American biomedical leadership. The white paper follows Cassidy’s September 2023 request for information on reforming the NIH and makes recommendations for maximizing the effectiveness of current NIH funding and restoring public trust in science. “While we now have more opportunities to advance the health and wellbeing of the American people through biomedical innovation, the risks of failure-whether by failing to harness research opportunities, the erosion of the domestic biomedical research workforce, the proliferation of low-quality research, or poor oversight that threatens public trust in science-are greater than ever before,” Cassidy writes. “I look forward to working with all interested stakeholders and my colleagues on the HELP Committee to harness this opportunity to strengthen NIH for the next generation of Americans.”
Congressional Retirements and Resignations-A running list of members of Congress who are retiring or seeking other office can be found below.
SENATE | |
Stabenow (D), MI | Braun (R), IN |
Cardin (D), MD | Romney (R), UT |
Carper (D), DE | |
Butler (D), CA | |
Manchin (D), WV | |
Sinema (I), AZ | |
HOUSE OF REPRESENTATIVES | |
Porter (D), CA | Mooney (R), WV |
Lee (D), CA | Banks (R), IN |
Gallego (D), AZ | Bishop (R), NC |
Schiff (D), CA | Lesko (R), AZ |
Slotkin (D), MI | Granger (R), TX |
Allred (D), TX | Buck (R), CO (effective March 22, 2024) |
Trone (D), MD | Burgess, MD (R), TX |
Blunt Rochester (D), DE | Wenstrup, DPM (R), OH |
Napolitano (D), CA | McHenry (R), NC |
Wexton (D), VA | McCarthy (R), CA (effective Dec. 31, 2023) |
Kim, Andy (D), NJ | Johnson (R), OH (effective Jan. 21, 2024) |
Jackson, Jeff (D), NC | Ferguson, IV, DMD, PC (R), GA |
Sarbanes (D), MD | Curtis (R), UT |
Blumenauer (D), OR | Luetkemeyer (R), MO |
Kilmer (D), WA | Lamborn (R), CO |
Spanberger (D), VA | Bucshon, MD (R), IN |
Kildee (D), MI | Pence (R), IN |
Phillips (D), MN | Duncan (R), SC |
Cardenas (D), CA | Armstrong (R), ND |
Eshoo (D), CA | McMorris Rodgers (R), WA |
Manning (D), NC | Gallagher (R), WI (effective April 19, 2024) |
Higgins (D), NY (effective Feb. 2, 2024) | LaTurner (R), KS |
Nickel (D), NC | |
Ruppersberger (D), MD | |
Sablan (D), MP | |
Kuster (D), NH |
Upcoming Congressional Hearings and Markups
Senate Judiciary Committee hearing “Ensuring Affordable & Accessible Medications: Examining Competition in the Prescription Drug Market;” 10:00 a.m.; May 21
Senate Health, Education, Labor, and Pensions Subcommittee on Primary Health and Retirement Security hearing “Feeding a Healthier America: Current Efforts and Potential Opportunities for Food is Medicine;” 2:30 p.m.; May 21
House Energy and Commerce Subcommittee on Health hearing “Check Up: Examining FDA Regulation of Drugs, Biologics, and Devices;” 10:30 a.m.; May 22
House Select Subcommittee on the Coronavirus Pandemic hearing with the National Institute of Allergy and Infectious Diseases Senior Scientific Advisor, Dr. David Morens; 2:00 p.m.; May 22
House Ways and Means Subcommittee on Health hearing “The Collapse of Private Practice: Examining the Challenges Facing Independent Medicine;” 9:00 a.m.; May 23
Senate Specialty Committee on Aging hearing “The Older Americans Act: The Local Impact of the Law and the Upcoming Reauthorization;” 9:30 a.m.; May 23
Senate Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies hearing “A Review of the President’s Fiscal Year 2025 Budget Request for the National Institutes of Health;” 10:00 a.m.; May 23
Senate Finance Committee hearing “Front Lines of the Fentanyl Crisis: Supporting Communities and Combating Addition through Prevention and Treatment;” 10:00 a.m.; May 23
House Budget Committee hearing “Breaking Up Health Care Monopolies: Examining the Budgetary Effects of Health Care Consolidation;” 10:00 a.m.; May 23
Senate Health, Education, Labor, and Pensions Committee executive session to consider seven health care related bills, including the Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (S. 3679), Lifespan Respite Care Reauthorization Act (S. 4325), and Congenital Heart Futures Reauthorization Act (S. 3757); 10:00 a.m.; May 23
Recently Introduced Health Legislation
H.R.8364-To amend chapter 44 of title 18, United States Code, to update certain procedures applicable to commerce in firearms and remove certain Federal restrictions on interstate firearms transactions. Sponsor: Scalise, Steve [Rep.-R-LA-1]; Committees: House-Judiciary
H.R.8360-To amend the Federal Food, Drug, and Cosmetic Act to deem any sunscreen or cosmetic containing parabens to be adulterated. Sponsor: Luna, Anna Paulina [Rep.-R-FL-13]; Committees: House-Energy and Commerce
H.R.8354-To provide for the implementation of a system of licensing for purchasers of certain firearms and for a record of sale system for those firearms, and for other purposes. Sponsor: Jackson, Jonathan L. [Rep.-D-IL-1]; Committees: House-Judiciary
H.R.8348-To establish in the Cybersecurity and Infrastructure Security Agency of the Department of Homeland Security a task force on artificial intelligence, and for other purposes. Sponsor: Carter, Troy A. [Rep.-D-LA-2]; Committees: House-Homeland Security
H.R.8347-To direct the Comptroller General of the United States to conduct a study on menopause care furnished by the Department of Veterans Affairs, and for other purposes. Sponsor: Brownley, Julia [Rep.-D-CA-26]; Committees: House-Veterans’ Affairs
H.R.8346-To assist survivors of stroke and other debilitating health occurrences in returning to work. Sponsor: Beatty, Joyce [Rep.-D-OH-3]; Committees: House-Education and the Workforce
H.R.8333-To prohibit contracting with certain biotechnology providers, and for other purposes. Sponsor: Wenstrup, Brad R. [Rep.-R-OH-2]; Committees: House-Oversight and Accountability; Intelligence
H.J.Res.139-Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to “Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting”. Sponsor: Fischbach, Michelle [Rep.-R-MN-7]; Committees: House-Energy and Commerce; Ways and Means
H.Res.1217-Supporting the designation of May 10, 2024, as “National Asian American, Native Hawaiian, and Pacific Islander Mental Health Day”. Sponsor: Chu, Judy [Rep.-D-CA-28]; Committees: House-Energy and Commerce
H.Res.1216-Expressing support for the goals and ideals of National Stroke Awareness Month. Sponsor: Beatty, Joyce [Rep.-D-OH-3]; Committees: House-Energy and Commerce
S.Res.684-A resolution supporting the role of the United States in helping save the lives of children and protecting the health of people in low-income countries with vaccines and immunization through Gavi, the Vaccine Alliance (“Gavi”); Sponsor: Wicker, Roger F. [Sen.-R-MS]; Committees: Senate-Foreign Relations
S.4322-A bill to amend title XVIII of the Social Security Act to make improvements relating to the designation of rural emergency hospitals; Sponsor: Moran, Jerry [Sen.-R-KS]; Committees: Senate-Finance
S.4325-A bill to amend the Public Health Service Act to reauthorize the program relating to lifespan respite care, and for other purposes; Sponsor: Collins, Susan M. [Sen.-R-ME]; Committees: Senate-Health, Education, Labor, and Pensions
S.4330-A bill to amend Title XVIII of the Social Security Act to create a Radiation Oncology Case Rate Value Based Payment Program exempt from budget neutrality adjustment requirements, and to amend section 1128A of title XI of the Social Security Act to create a new statutory exception for the provision of free or discounted transportation for radiation oncology patients to receive radiation therapy services; Sponsor: Tillis, Thomas [Sen.-R-NC]; Committees: Senate-Finance
S.4331-A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group health plans and health insurance issuers offering group or individual health insurance that provide coverage for mental health services and substance use disorder services provide such services without the imposition of cost-sharing from the diagnosis of pregnancy through the 1-year period following such pregnancy, and for other purposes; Sponsor: Shaheen, Jeanne [Sen.-D-NH]; Committees: Senate-Health, Education, Labor, and Pensions
H.R.8375-To require the Secretary of Health and Human Services to issue guidance to States on strategies under Medicaid and CHIP to increase pediatric mental and behavioral health provider education, training, recruitment, retention, and support, and for other purposes; Sponsor: Caraveo, Yadira [Rep.-D-CO-8]; Committees: House-Energy and Commerce
H.R.8376-To amend the Public Health Service Act to provide for a national awareness and outreach campaign to improve mental health among the Hispanic and Latino youth population; Sponsor: Caraveo, Yadira [Rep.-D-CO-8]; Committees: House-Energy and Commerce
H.R.8377-To amend the Advancing Research to Prevent Suicide Act to expand the areas of focus regarding childhood suicide, and for other purposes; Sponsor: Caraveo, Yadira [Rep.-D-CO-8]; Committees: House-Science, Space, and Technology
H.R.8380-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.8383-To improve obstetric emergency care; Sponsor: Kelly, Robin L. [Rep.-D-IL-2]; Committees: House-Energy and Commerce
H.R.8390-To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group health plans and health insurance issuers offering group or individual health insurance that provide coverage for mental health services and substance use disorder services provide such services without the imposition of cost-sharing from the diagnosis of pregnancy through the 1-year period following such pregnancy, and for other purposes; Sponsor: Moore, Gwen [Rep.-D-WI-4]; Committees: House-Energy and Commerce; Education and the Workforce; Ways and Means; Oversight and Accountability
H.R.8397-To provide funding to the Bureau of Prisons, States, and localities to carry out mental health screenings and provide referrals to mental healthcare providers for individuals in prison or jail; Sponsor: Sherrill, Mikie [Rep.-D-NJ-11]; Committees: House-Judiciary
H.R.8400-To amend the Public Health Service Act to improve children’s vision and eye health through grants to States, territories, and Tribal organizations, and the provision of technical assistance to support those efforts; Sponsor: Veasey, Marc A. [Rep.-D-TX-33]; Committees: House-Energy and Commerce
S.Res.689-A resolution supporting the goals and ideals of National Hospital Week, to be observed from May 12 through May 18, 2024; Sponsor: Barrasso, John [Sen.-R-WY]; Submitted in the Senate, considered, and agreed to without amendment and with a preamble by Unanimous Consent.
S.Res.691-A resolution expressing support for the designation of May 17, 2024, 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: Rubio, Marco [Sen.-R-FL]; Submitted in the Senate, considered, and agreed to without amendment and with a preamble by Unanimous Consent.
S.Res.692-A resolution supporting the mission and goals of National Fentanyl Awareness Day in 2024, including increasing individual and public awareness of the impact of fake or counterfeit fentanyl pills on families and young people; Sponsor: Grassley, Chuck [Sen.-R-IA]; Submitted in the Senate, considered, and agreed to without amendment and with a preamble by Unanimous Consent.
S.J.Res.82-A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Food and Drug Administration relating to “Medical Devices; Laboratory Developed Tests”; Sponsor: Paul, Rand [Sen.-R-KY]; Committees: Senate-Health, Education, Labor, and Pensions
S.4338-A bill to provide for the establishment of hybrid primary care payments under the Medicare program, and for other purposes; Sponsor: Whitehouse, Sheldon [Sen.-D-RI]; Committees: Senate-Finance
S.4349-A bill to require private health plans to provide for secure electronic transmission of prior authorization requests for prescription drugs; Sponsor: Marshall, Roger [Sen.-R-KS]; Committees: Senate-Health, Education, Labor, and Pensions
S.4350-A bill to amend title XVIII of the Social Security Act to extend acute hospital care at home waiver flexibilities; Sponsor: Carper, Thomas R. [Sen.-D-DE]; Committees: Senate-Finance
S.4351-A bill to amend the Public Health Service Act to reauthorize certain poison control programs; Sponsor: Murray, Patty [Sen.-D-WA]; Committees: Senate-Health, Education, Labor, and Pensions
H.R.8404-To amend Title XVIII of the Social Security Act to create a Radiation Oncology Case Rate Value Based Payment Program exempt from budget neutrality adjustment requirements, and to amend section 1128A of title XI of the Social Security Act to create a new statutory exception for the provision of free or discounted transportation for radiation oncology patients to receive radiation therapy services; Sponsor: Fitzpatrick, Brian K. [Rep.-R-PA-1]; Committees: House-Energy and Commerce; Ways and Means
H.R.8412-To modernize clinical trials and remove barriers for participation in clinical trials, and for other purposes; Sponsor: Ruiz, Raul [Rep.-D-CA-25]; Committees: House-Energy and Commerce; Ways and Means
H.R.8415-To require the Inspector General of the Department of Health and Human Services to evaluate the cybersecurity practices and protocols of the Department, and for other purposes; Sponsor: Steel, Michelle [Rep.-R-CA-45]; Committees: House-Energy and Commerce
S.4357-A bill to improve access to oral health care for vulnerable and underserved populations; Sponsor: Sanders, Bernard [Sen.-I-VT]; Committees: Senate-Health, Education, Labor, and Pensions
S.4358-A bill to amend the Public Health Service Act to require the Secretary to establish a grant program under the Substance Abuse and Mental Health Services Administration to address substance use disorders among older adults, and for other purposes; Sponsor: Casey, Robert P., Jr. [Sen.-D-PA]; Committees: Senate-Health, Education, Labor, and Pensions
H.Res.1232-Expressing support for the goals and ideals of “National Hypertension Awareness Month”; Sponsor: Beatty, Joyce [Rep.-D-OH-3]; Committees: House-Energy and Commerce
H.Res.1237-Recognizing “Necrotizing Enterocolitis Awareness Day”; Sponsor: Thompson, Mike [Rep.-D-CA-4]; Committees: House-Energy and Commerce
H.J.Res.145-Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Food and Drug Administration relating to “Medical Devices; Laboratory Developed Tests”; Sponsor: Finstad, Brad [Rep.-R-MN-1]; Committees: House-Energy and Commerce
H.J.Res.146-Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to “Clarifying the Eligibility of Deferred Action for Childhood Arrivals (DACA) Recipients and Certain Other Noncitizens for a Qualified Health Plan through an Exchange, Advance Payments of the Premium Tax Credit, Cost-Sharing Reductions, and a Basic Health Program”; Sponsor: Mace, Nancy [Rep.-R-SC-1]; Committees: House-Energy and Commerce; Ways and Means
H.R.8418-To direct the Secretary of Veterans Affairs to update the Lethal Means Safety and Suicide Prevention training course of the Department of Veterans Affairs, and for other purposes; Sponsor: Underwood, Lauren [Rep.-D-IL-14]; Committees: House-Veterans’ Affairs
H.R.8422-To amend the Robert T. Stafford Disaster Relief and Emergency Assistance Act to establish programs for the provision of mental health services to individuals affected by a major disaster, and for other purposes; Sponsor: Balint, Becca [Rep.-D-VT-At Large]; Committees: House-Transportation and Infrastructure; Homeland Security
H.R.8433-To amend the Public Health Service Act to require the National Institutes of Health to select awardees based on merit, and for other purposes; Sponsor: Hageman, Harriet M. [Rep.-R-WY-At Large]; Committees: House-Energy and Commerce
Health on the Hill Podcast: Musical Chairs Edition
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