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In IHP, TRP’s McCarthy Overviews Policy Implications of Proposed FY 21 Physician Fee Schedule

In an article for Inside Health Policy, TRP Senior Vice President Shea McCarthy shared his insight on the heated debate over the Centers for Medicare and Medicaid Services’ (CMS) fiscal year (FY) 2021 physician fee schedule (PFS). With payment reductions of up to 11 percent imminent as a result of the proposed FY 2021 PFS, McCarthy pointed out that Congress may start to take the option of waiving the budget neutrality requirements underpinning the E/M pay bumps seriously. “Between reductions in patient volume and a hiatus on elective procedures, COVID-19 is already putting a massive strain on America’s healthcare system — and lawmakers are increasingly recognizing that many providers will struggle to keep their doors open if these drastic cuts are implemented,” said McCarthy.  

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In ‘Finance 202,’ TRP’s Rosenstock Offers Commentary on the Shifting Political Dynamics of the Democratic Party

In today’s Washington Post “The Finance 202” newsletter — a top financial services beat in Washington, D.C. — TRP’s Jason Rosenstock offered his commentary on the shifting political dynamics within the Democratic party, as well as the impact this could have on the financial services industry moving forward. Following progressive activist Cori Bush’s defeat of 10-term Rep. William Lacy Clay (D-MO), a member of the House financial Services Committee, Rosenstock points out that stakeholders are working to game out both the implications of different election outcomes as well as the effect that the “newly assertive left” could have on the overall direction of the Democrats’ policy priorities. “The financial services industry is perpetually going to be attacked by the far left,” said Rosenstock. “The question is, ‘How far does that bleed into the general ethos of the Democratic Party?’”

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Health Policy Report (8/5)

Capitol Hill Update

Negotiations on the next round of COVID-19 relief legislation yielded no progress over the weekend as officials struggle to coalesce behind a bipartisan agreement. White House Chief of Staff Mark Meadows and Speaker Nancy Pelosi (D-CA) each acknowledged that their sides have a long way to go toward reaching a deal on the next relief package. Meanwhile, President Donald Trump is remaining steadfast on his desire to see a smaller relief package that would address the expired unemployment benefits, extend the moratorium on housing evictions, and provide another round of direct payments — an approach that has been rejected by House Democrats thus far. As the sides remain far apart on the size and scope of the next package, it remains to be seen whether the talks can produce a bipartisan agreement by week’s end.

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In Modern Healthcare, TRP’s McCarthy Offers Context on Surprise Billing Debate

In an article for Modern Healthcare, TRP Senior Vice President Shea McCarthy shared his insight on the current state of the push for action on surprise billing as the negotiations on the next COVID-19 relief package continue. The article highlighted a recent report from the Department of Health and Human Services (HHS) that argues Congress should act on surprise bills, as the COVID-19 and transparency-related measures the administration has pushed are not sufficient. In discussing this report, McCarthy astutely pointed out that by not favoring a specific legislative proposal, the Trump administration is essentially not supporting any of the three main approaches that have emerged in Congress thus far. “Instead, the latest report from HHS has simply added more confusion to the debate on how to address this politically sensitive issue,” said McCarthy.

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TRP Health Policy Report (7/27)

Capitol Hill Update

Senate Republicans are poised to officially introduce their ‘CARES 2.0’ proposal this week after delaying its rollout due to lingering debates over certain policy issues. While Senators reached an “agreement in principle” last week according to Majority Leader Mitch McConnell (R-KY), disagreements over the unemployment insurance and stimulus payment pieces pushed the intraparty negotiations into the weekend. Once the bill is officially introduced, negotiations between Senate Republicans, House Democrats, and the Trump administration will begin in earnest, and the sides will need to bridge deep divides over the size and scope of the next COVID-19 relief bill. If the parties struggle to clinch an agreement, it’s likely that lawmakers could try to pass smaller bills that address pressing areas of need such as extending unemployment insurance and the moratorium on housing evictions. For more details on the Senate GOP’s forthcoming proposal, click here for a draft summary obtained by TRP.

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Health Policy Report (7/20)

Capitol Hill Update

House and Senate lawmakers will return to action this week to begin a two-week legislative blitz to close out the month of July before leaving for the August district work period. Negotiations on the next COVID-19 relief package are expected to begin in earnest once Members return, as it is widely expected that Senate Republicans will introduce an opening offer proposal later in the week. Majority Leader Mitch McConnell’s (R-KY) forthcoming proposal is expected to focus on health care, jobs, reopening schools and universities, and liability protections. While lawmakers on both sides of the aisle have expressed a willingness to get something done on the next relief package, it remains to be seen whether the parties can clinch a bipartisan agreement given the deep policy divides over the size and scope of the next COVID-19 bill.

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Health Policy Report (7/13)

Capitol Hill Update

No votes are currently scheduled in Congress this week, but Members on the House Appropriations Committee are set to resume their full committee markups of fiscal year (FY) 2021 spending bills. Appropriators will take up the spending bills for: (1) Energy-Water Development (report) and Labor-HHS-Education (report) today (2) DefenseCommerce-Justice-Science (CJS), and Transportation-HUD tomorrow; and (3) Homeland Security and Financial Services and General Government (FSGG) on Wednesday. House floor action on the funding bills that clear the full committee is expected to occur prior to the end of the month. Meanwhile, the Senate’s appropriations process remains gridlocked over certain poison pill amendments, and immediate next steps remain unclear. 

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Health Policy Report (7/6)

Capitol Hill Update

The Paycheck Protection Program (PPP) application process has officially been reopened, thanks to swift action by Congress last week. House and Senate lawmakers were able to clinch unanimous consent agreements on a bill that that would reopen the application process for the roughly $134 billion remaining in the signature small business rescue program, pushing the application deadline from June 30 to August 18. President Donald Trump signed the bill into law over the weekend, and lawmakers are already eyeing additional PPP reforms in the next round of COVID-19 relief legislation. 

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Health Policy Report (6/29)

Capitol Hill Update

House lawmakers will meet today to kick off a two-day legislative blitz prior to the July 4 district work period. Democrats are expected to call up a sweeping 10 year, $1.5 trillion package of infrastructure legislation (textsummaryfact sheet) prior to adjourning for the July 4 district work period this week. The wide-ranging, ambitious package would allocate funding to address several key areas including surface transportation, schools and child-care facilities, hospital and health care infrastructure, drinking water, housing, broadband, and green energy. It would also look to promote and expand bond financing tools to help state and local governments raise money to address their own projects. The package is likely to pass the lower chamber next week but is considered dead-on-arrival in the GOP-controlled Senate. However, with the current surface transportation law set to expire on Sept. 30, officials will likely look to reach a compromise version that reflects bipartisan priorities in the House and Senate surface transportation reauthorization measures.

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Health Policy Report (6/22)

Capitol Hill Update

This week, House and Senate lawmakers are set to consider the Democratic and Republican visions for comprehensive police reform. After clearing The Justice in Policing Act out of the House Judiciary Committee last week, the lower chamber is eyeing a vote on the Democrats’ bill when lawmakers convene for votes on Thursday and Friday. Senate Republicans, meanwhile, plan to consider their Just and Unifying Solutions to Invigorate Communities Everywhere (JUSTICE) Act. While lawmakers have expressed a sense of urgency with respect to clinching meaningful reform, it remains to be seen whether lawmakers can reach a bipartisan deal. For more on the state of play with respect to these Congressional police reform efforts, click here to read TRP’s comprehensive memo.

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