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Health Policy Report

The Week in Review

The Senate had the week off from Washington, leaving the House to conduct a modest slate of legislative business. Most notably, House lawmakers advanced a $36.5 billion disaster relief package in a 353-69 vote under suspension of the rules. The bill represents the second installment of aid since a series of natural disasters struck southeast Texas, Florida, and Puerto Rico, among other areas. The breakdown of funds includes $18.7 billion for the Federal Emergency Management Agency’s disaster relief fund, $576.5 million for wildfire recovery, and $16 billion to keep the National Flood Insurance Program (NFIP) afloat.

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Financial Services Report

Looking Ahead

Near Term

  • The Senate is in recess this week while the House will have an abbreviated week for the Columbus Day holiday.  The House will be in recess next week.
  • The House Financial Services Committee will hold a marathon mark-up of 23 bills starting on Wednesday and likely concluding with votes on Friday. 
  • A bipartisan group of members of the Ways and Means Committee are expected to meet with Canadian Prime Minister Trudeau on Wednesday.

Further Out

  • The Senate may take up its version of the budget when Senators return the week of October 16th
  • Funding for the Federal Government and a slew of programs, including Flood Insurance expires on December 8th

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Health Policy Report

The Week in Review

House lawmakers approved their version of a budget resolution (H. Con. Res. 71) for the 2018 fiscal year, taking the first legislative step towards creating a comprehensive tax reform package through the budget reconciliation process. The next step will be for the Senate to do the same, which should happen in short order since the Senate Budget Committee approved their budget resolution (text) in a markup last week. Assuming the full Senate approves the resolution — which only requires a simple majority — the two chambers will then reconcile their respective versions in conference. In order for Republicans to meet their ambitious goal of getting tax reform legislation to the president’s desk before the end of the year, GOP lawmakers are hoping the conferencing and re-approval process will be done at a breakneck pace.

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Today on the Hill: DC Reacts to Vegas Shooting; House Considers Abortion Bill; Trump to Visit Puerto Rico

As details from Sunday night’s mass shooting in Las Vegas continue to emerge, the gun control debate has reignited in Washington along predictable lines. A bipartisan pair of legislators — Rep. Pete King (R-NY) and Mike Thompson (D-CA) — are reportedly preparing to reintroduce legislation to require background checks on all commercial firearm sales, while many Democrats have called for further measures such as preventing the sale of high-capacity magazines and certain types of military-style rifles. With Republicans controlling all three major levers of power, it is unlikely that any of those efforts will ultimately be enacted into law, but some proponents of stricter gun laws are hoping that the unconventional President Trump may be willing to listen on the issue. Speaking to reporters at the White House earlier today, the President sidestepped questions on specific proposals to restrict gun sales, only saying, “we’ll be talking about gun laws as time goes on.”

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Health Policy Report

The Week in Review

While the Graham-Cassidy ‘repeal and replace’ bill was once expected to headline the week on Capitol Hill, the bill’s swift demise ultimately set the stage for other legislative business —  as well as the resignation of Health and Human Services (HHS) Secretary Tom Price. The embattled cabinet official had already lost favor with President Donald Trump over his failed leadership on health care reform, and ultimately succumb to a wave of criticism over his decision to travel via expensive private flights. Meanwhile, Republicans' latest failure to repeal the Affordable Care Act (ACA) all but ensures that congressional Republicans — who for seven years have vowed to repeal Obamacare — will fail to make good on their promise to voters during President Donald Trump's first year in office.

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Today on the Hill: Congress Adjourns After Passing FAA Extension, Hurricane Tax Relief

Before leaving Washington for the week, lawmakers in both chambers voted yesterday on a bill (H.R. 3823) to extend federal aviation programs before a Saturday deadline and provide tax relief for people affected by recent hurricanes. The six-month reauthorization of the Federal Aviation Administration (FAA) (H.R. 3823) also includes provisions to extend a few expiring public health care programs. Health care measures in the bill included short-term extensions of the Teaching Health Center Graduate Medical Education (THCGME) program and the Special Diabetes Program for Indians, as well as a three-year extension a of Medicare demonstration allowing patients with weakened immune systems to receive in-home care.

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Today on the Hill: All Eyes Turn to Tax Reform as House Votes on FAA, Flood Insurance, Health Programs

The tax reform debate has officially begun in earnest, as the Senate has closed the door on a September vote on ACA ‘repeal and replace’ and the group of Republican leaders known as the “Big Six” released the most detailed look yet at the party’s plan to overhaul the nation's tax code. The tax plan is now expected to head to the committees of jurisdiction to be crafted into formal legislation. The pressure to pass a package will be particularly acute this fall as lawmakers begin to plan their campaigns for the 2018 midterm elections. Republicans are hoping that tax reform will prove to be a more consensus issue than healthcare, but the many “winners and losers” of any tax reform package will undoubtedly cause some divisions among Republican rank-and-file members.

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This Week on the Hill: New Graham-Cassidy Draft Boosts Funding to States of Skeptic Senators; House Returns to MIECHV Reauthorization, FAA Stopgap

The last-ditch effort to repeal and replace the Affordable Care Act (ACA) led by Republican Sens. Lindsay Graham (R-SC) and Bill Cassidy (R-LA) will take center-stage this week as Republican leaders try to beat the expiration of the 2017 fiscal year reconciliation instructions that allow for a bill to pass in the Senate on a simple majority vote rather than the typical 60 votes required of major legislation. A new draft of the bill (text) was released last night, including additional federal funding for the states of Alaska, Arizona, Maine, and Kentucky — home to four of the bill’s key skeptics in Sens. Lisa Murkowski (R-AK), John McCain (R-AZ), Susan Collins (R-ME), and Rand Paul (R-KY). The new draft also rolls back more federal regulations regarding the health insurance industry, which is likely a nod to conservative senators Sens. Ted Cruz (R-TX) and Mike Lee (R-UT). It is unclear whether the changes will be enough to convince all but two Republicans to vote in favor — especially considering the accelerated timeline — but it appears that all systems are go for a final push.

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Health Policy Report

The Week in Review

In a shortened week in Washington, the most noteworthy development was the growing sense of momentum for the newest Republican repeal and replace bill introduced by Sens. Bill Cassidy (R-LA) and Lindsey Graham (R-SC). While the whip count is still in flux, the bill (H.R. 1628) is expected to be called to the floor this week for a vote in attempt to get it to the President’s desk before the close of the fiscal year – and the final chance to use the fiscal 2017 budget resolution – at midnight on Sep. 30th.  A full breakdown of the bill’s prospects is included in the roundup below.

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Financial Services Report

Our Take

This past week the President appeared to cut a deal with Democrats on DACA, walk back his commitment to pull-out of the Paris Climate Agreement and announced his intention to wade into a nasty election in Alabama.   Whether this is part of some calculated political agenda, or just because he “really likes” Senator Schumer, the fact is that this is a President who is trying to get deals done.   It is not without irony that for so long Democrats (and those non-tea party Republicans), were complaining about how Washington was broken.  Now, with a President who fancies himself the second-coming of LBJ’s deal making prowess, folks on the left and the right continue to express concern, while others are worried that this marks the end of the parties (unlikely).    

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