CMS Says Year-2 Open Enrollment May Have ‘Bumps’

The Centers for Medicare and Medicaid Services (CMS) could take significant steps to improve the contract planning and oversight practices that led to the failed launch of Healthcare.gov last October, an official from the Government Accountability Office (GAO) testified today at a hearing of the House Energy and Commerce Oversight Subcommittee.  CMS was aware up to six months before the launch of HealthCare.gov that the portal for the Federally Facilitated Marketplaces (FFM) would not be ready for the July 2013 launch, according to the newly released GAO report, including estimates in the spring of 2013 that only 65 percent of the website would be ready for the October 1 launch.

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TRP Health Policy Report

Both chambers of Congress were in session last week, as lawmakers looked to complete work on several legislative priorities before the upcoming August recess. Last Friday, the House voted 237-173 to pass legislation (H.R. 4935) to overhaul the child tax credit by requiring applicants to provide their Social Security numbers. Separately, the House voted 370-40 to approve a resolution (H.Con.Res.105) requiring Congressional authorization for a sustained presence of combat troops in Iraq.

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TRP Financial Services Report

Congress limps into the last week of July looking to notch some legislative victories in what has been an otherwise uneventful year.  With only two weeks of session remaining when they return, this last week in July may be the best bet for both chambers to deal with pressing items, such as the highway trust fund, a solution for the VA issue, and potentially even the border crisis.  While some media outlets are taking a lighter view of this “do nothing Congress”, this past weekend, former Secretary of State Hilary Clinton took aim at both sides for retreating to their entrenched positions.  With so much to do in the lame duck, there is a growing sense that others share in  Ms. Clinton’s sentiment and we may see some serious deal making in November – unless the Senate flips, then all bets are off. 

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Who is projected to have a good year? Politico says Thorn Run Partners

Today, Politico Influence, the beltway's guide to inside lobbying, crunched the second quarter Lobbying Disclosure Act numbers and Thorn Run was at the top of their list. Compared to 2013 figures, TRP is on track to increase earnings by more than 21 percent, and is growing faster than any of the 22 other firms according to their estimates. While by no means an official score card, PI's note of enthusiasm is welcome.

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Senate Subcommittee: Stable Funding for Transit Projects, Key to Economically Resilient Communities

Today, the Senate Committee on Banking, Housing, and Urban Affairs’ subcommittee on Housing, Transportation, and Community Development met to conduct a hearing entitled, “Building Economically Resilient Communities: Local and Regional Approaches.” Witnesses discussed the economic growth that their communities have experienced with investments in public transportation and how their experiences could help others. Subcommittee Chairman Robert Menendez (D-NJ) stated that he would be reintroducing his 2011 bill, the Livable Communities Act, following the hearing.

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TRP Health Policy Report

Healthcare remained a dominant topic on Capitol Hill last week, punctuated by a bitter debate in the Senate over the Supreme Court’s recentHobby Lobby ruling. On Wednesday, lawmakers failed to advance a bill (S. 2578) that would require companies to provide contraceptive coverage in their employee healthcare plans. The Senate voted 56-43 against invoking cloture on the legislation, falling short of the 60 votes needed to move the bill forward. Senate Democrats introduced the bill to reverse the effects of last month’s Supreme Court ruling, which found that the government could not mandate that certain employers provide birth control coverage if it conflicts with their religious beliefs.

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TRP Financial Services Report

Today marks the 4th anniversary of the signing of the Dodd Frank Wall Street Reform and Consumer Protection Act. While last week saw the usual suspects hold the type of “look back” analysis one would expect on such occasion, Better Markets marked the occasion by highlighting how the public still doesn’t trust “big banks,” believes the markets are rigged, and favors stricter regulations. Interestingly, these polling results dovetailed with comments Senator Dodd made at a Bipartisan Policy Center event, where he noted a growing convergence by the far left and the far right against large companies in the financial services space.

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Senators Focus on Coordinated Care in Battle Against Chronic Illness

Medicare still has significant room for improvement in incentivizing care coordination for individuals with multiple chronic conditions, lawmakers concluded at a Senate Finance Committee hearing today. In a hearing focused on the challenges of treating patients with chronic conditions, Chairman Ron Wyden (D-OR) announced that the Finance Committee will begin a months-long effort “to find bipartisan solutions to meet the challenges of chronic disease.” Sen. Orrin Hatch (R-UT), ranking member on the Committee, added that the Medicare Payment Advisory Commission (MedPAC) “has long said that fee-for-service Medicare creates silos – incentivizing providers to deliver more care, not necessarily higher quality, coordinated care.” And after hearing testimony from patients, caregivers, providers, and health plans, senators responded in a bipartisan chorus that improved care coordination is the Holy Grail in improving outcomes for patients suffering from chronic illness.

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TRP Health Policy Report

Last week, the House passed a fiscal 2015 Energy and Water spending bill (H.R. 4923), marking the midway point in the chamber’s appropriations process for fiscal 2015. The House has passed five other fiscal 2015 appropriations bills while the Senate has yet to approve any spending bills due to a partisan stalemate over amendments. In other floor activity, the House voted 258-160 for legislation (H.R. 4718) to make bonus depreciation tax breaks permanent. On Wednesday, the House ratified the Workforce Investment and Opportunity Act by a 415-6 vote, sending the measure to President Obama’s desk.

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TRP Financial Services Report

Although there are a handful of legislative days that will be on the books when Congress returns after the August recess, it appears as if both the House and the Senate are about to enter an intense three week sprint. In the House, this may be part of an effort by the Leadership to “clear the decks” by voting on some issues not particularly popular with Conservatives, such as TRIA, before Representative McCarthy assumes the Majority Leader position. Regardless, with everyone resigned to waiting until after the elections in order to deal with most of the major pieces of legislation facing Congress, any work done during these next few weeks should hopefully reduce “congestion” when we are all still at this in late November and December.

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