Author: Thornrun
Today, Next Week on the Hill: House Wraps Up Ex-Im Reauthorization Bill
House lawmakers have reconvened for legislative business and are continuing work on Financial Services Chairwoman Maxine Waters’ (D-CA) bill to reauthorize and reform the Export-Import bank. After approving five amendments to the underlying measure, the House is expected to pass the 10-year reauthorization bill on party-lines later this morning. However, Chairwoman Waters’ bill is not expected to be taken up in the GOP-controlled Senate after the White House issued a veto threat, saying the legislation was not the right "bipartisan, bicameral approach" to deliver a long-term reauthorization.
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Today on the Hill: House Begins Consideration of Ex-Im Reauthorization Measure
House lawmakers are set to begin consideration of a measure out of the Financial Services Committee that would reauthorize the Export-Import Bank. The bill — which was approved (30-27) by the Committee on a near party-line vote — would: (1) reauthorize the bank for 10 years; (2) increase the agency’s lending authority to $175 billion; (3) rename it the United States Export Finance Agency; and (4) make a number of tweaks to the bank’s operations. Final passage of the bill is expected tomorrow after lawmakers consider 21 amendments to the underlying legislation today.
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In Skilled Nursing News, TRP’s Maresca Offers Commentary on Proposed Medicaid Payment Program Rule

Thorn Run Partners’ Senior Vice President Andrea Maresca was recently quoted in an article for Skilled Nursing News on the Trump administration’s proposed rule on Medicaid supplemental payment programs. The article highlights the Centers for Medicare & Medicaid Services’ shift to stricter reporting requirements and regulations for Medicaid supplemental payments, and Maresca offered insight on the significance of specific included policies. “The formal term definitions, and the fact that CMS is proposing such a time limit, are ‘a big deal,’ Andrea Maresca, senior vice president at the consulting firm Thorn Run Partners, told Skilled Nursing News.”
Today on the Hill: Progress Made Toward Averting November Shutdown
House and Senate Appropriations leaders made progress toward averting a government shutdown and funding the government for fiscal year (FY) 2020 during a meeting late yesterday. In a press gaggle following the meeting, House Appropriations Chairwoman Nita Lowey (D-NY) and Senate Appropriations Chairman Richard Shelby (R-AL) announced that the forthcoming continuing resolution (CR) will fund the government through Dec. 20 to provide for additional time to hammer out a broader deal for FY 2020 bills. Lawmakers in the House and Senate are expected to take up the stopgap funding measure early next week prior to next Thursday’s deadline.
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In Morning Consult, TRP’s McCarthy Breaks Down Surprise Billing Push

In a recent article for Morning Consult, Thorn Run Partners’ Senior Vice President Shea McCarthy provided insight on the recent surprise billing push in Congress. McCarthy identified the need for offsetting costs of other health spending as motivation behind the recent push on surprise billing. He also pointed out that the timing on surprise billing legislation will be subject to an unpredictable appropriations process unfolding alongside the House’s impeachment inquiry. “Despite the fact that surprise billing is so controversial, it will be a tempting offset for lawmakers given the significant savings — likely enough to cover almost the entire cost of a health care extenders package,” said McCarthy.
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TRP’s McCarthy Offers Commentary on Health Care Lobbying in 2020 for Modern Healthcare

In a recent article for Modern Healthcare, Thorn Run Partners’ Senior Vice President Shea McCarthy offered commentary on a top priority for health care industry groups: surprise billing. In an upcoming election year where health care is likely to play a leading role in campaign messaging, McCarthy astutely noted that it will be vitally important for stakeholders position themselves on these issues in 2020 as both parties jostle for power. "While there aren't a significant amount of legislative vehicles for healthcare next year, 2020 will be essential in carving out the pathway for what either party is going to prioritize in the 117th Congress,” said McCarthy.
This Week on the Hill: Government Funding Talks Enter Crucial Stretch
Both chambers of Congress will reconvene for legislative business this afternoon while government funding talks off the floor continue. With less than two weeks left to avert a funding lapse, House Appropriations Chairwoman Nita Lowey (D-NY) and Senate Appropriations Chairman Richard Shelby (R-AL) are expected to meet today to continue negotiations on another continuing resolution (CR), as well as broader spending allocations for each one of the fiscal year (FY) 2020 spending bills. While “poison pill” issues —namely border security — have largely stymied FY 2020 funding talks, lawmakers have coalesced around another stopgap measure that would fund the government through Dec. 13 or Dec. 20 in hopes of providing appropriators with more time to hammer out a deal.
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Health Policy Report (11/12)
The Week in Review
While House lawmakers left Washington for their Veterans Day district work period, Senators resumed consideration of pending presidential nominations. In a floor speech early last week, Majority Leader Mitch McConnell (R-KY) indicated that confirming nominees will be the focus of the Senate’s work so long as appropriations talks are deadlocked. Nominations that cleared the upper chamber last week include: (1) Lee Rudofsky to be a District Judge for the Eastern District of Arkansas; (2) Jennifer Wilson to be a District Judge for the Middle District of Pennsylvania; and (3) William Nardini to be a Circuit Judge for the Second Circuit.
Today on the Hill: Senate to Focus on Judicial Nominations
The Senate will reconvene today to continue work on presidential nominations as negotiators deliberate next steps in the Congressional appropriations process. While Senate Appropriations Chairman Richard Shelby (R-AL) and House Appropriations Chairwoman Nita Lowey (D-NY) work to clinch a spending agreement that would avert a funding lapse, Majority Leader Mitch McConnell (R-KY) indicated yesterday that confirming nominees will be the focus of the upper chamber’s work so long as appropriations talks are deadlocked. On the floor for today, the upper chamber will vote on the nomination of Danielle Hunsaker to be a Circuit Judge for the Ninth Circuit. A full list of nominations filed for this week can be found here.
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