Health Care Checkup
May 26, 2023
THE BIG PICTURE
The Biden Administration and Republican House leaders plan to continue negotiations over the Memorial Day weekend to try to reach an agreement to avoid defaulting on the nation's debt. It has been reported that negotiators have tentatively agreed to raise the debt limit for two years with discretionary spending caps, not related to defense and veterans, for the same period of time. Other reported areas of agreement include a rollback of funding included in the Inflation Reduction Act (IRA) for IRS agents, as well as a mechanism to incentivize Congress to pass all 12 annual appropriations bills. Republican priorities relating to stricter work requirements for certain cash assistance and health care programs and permitting reform remain sticking points between the two sides. The House is scheduled to be out of session next week, but Speaker McCarthy hopes to bring Members back with a potential vote as early as Tuesday.  
 
The House Energy and Commerce committee held a markup on Wednesday, the 24th. The Committee passed several health-related bills, including H.R. 2544, the Securing the U.S. Organ Procurement and Transplantation Network (OPTN) Act, H.R. 3561, the PATIENT Act, H.R. 2666, the Medicaid VBPs for Patients (MVP) Act, H.R. 3284, the Providers and Payers COMPETE Act, and H.R. 3285, the Fairness for Patient Medications Act. The full list of bills and MC's markup summary can be found here and here, respectively.
 
The Biden-Harris Administration proposed a new rule that would increase transparency in prescription drug costs in the Medicaid program. The proposed rule would require drug manufacturers to provide more information about the cost of drugs covered by Medicaid and as well as implement drug price verification surveys. In addition, the proposed rule included new requirements for transparency in drug payment information to third parties. Read more about the proposal here.
 
The U.S. Department of Health and Human Services (HHS) awarded grants totaling more than $65 million to 35 Health Resources and Services Administration (HRSA) health centers across the country to help address the high maternal mortality rate. Funds specifically target high-risk patients such as Black and American India/Alaska Native women. The innovations and improvements from this grant are a part of the Biden-Harris Administration’s Blueprint for Addressing the Maternal Health Crisis. Find the official HHS release here
What to Expect Next Week: The Senate is set to be back in session next week following Memorial Day Weekend. While the House is scheduled to be out of session, negotiations on a debt ceiling compromise will continue over the weekend, and the hope is the House could return to vote as early as Tuesday on a debt limit compromise package. Next Wednesday, the Senate HELP Committee will convene to hold a full committee hearing titled "Solving the Child Care Crisis: Meeting the Needs of Working Families and Child Care Workers."
DEEP DIVE
Negotiations for a Debt-Limit Deal Continue
The Biden Administration and Congressional leadership plan to continue negotiations over the weekend on an agreement to avoid a default on the nation’s debt. Reports vary on the amount of progress made thus far, but as of this writing, tougher work requirements and permitting reform remain sticking points. However, it has been reported that an agreement has been made to raise the debt limit for two years with discretionary spending caps, not related to defense and veterans, for the same period of time. A rollback of IRS funding and a mechanism to incentivize Congress to pass all 12 annual appropriations bills have also been reported as part of the deal.
 
House Energy and Commerce Full Committee Reviews Legislation on Health Legislation
The House Energy and Commerce committee held a markup on Wednesday, the 24th. The Committee passed several health-related bills. Among the proposed legislation is H.R. 2544 Securing the U.S. Organ Procurement and Transplantation Network (OPTN) Act, which would allow for greater flexibility within the OPTN. Additionally, H.R. 3561 PATIENT Act, aims to increase hospital price transparency and lower costs. The committee also covered H.R. 2666, the Medicaid VBPs for Patients (MVP) Act, which would allow value-based payment arrangements as an alternative method to cover high-cost cell and gene therapies in Medicaid. Furthermore, H.R. 3284, Providers and Payers COMPETE Act, would require the HHS to evaluate horizontal and vertical consolidation by providers and payers when making payment rules. Lastly, the committee discussed H.R. 3285, Fairness for Patient Medications Act, which seeks to cap cost-sharing at the price paid by the insurer to protect patients from overpaying for drugs. The full list of bills can be found here. Mehlman Consulting’s markup summary can be found here
 
Biden-Harris Proposal for Medicaid Prescription Drug Price Transparency
The Biden-Harris Administration has proposed a new rule that would increase transparency in prescription drug costs in the Medicaid program. The proposed rule would require drug manufacturers to provide more information about the cost of drugs covered by Medicaid and as well as implement drug price verification surveys. In addition, the proposed rule included new requirements for transparency in drug payment information to third parties. Read more about the proposal here.
 
HHS Announces Over $65 Million to Address Maternal Health Crisis and Invest in New Approaches to Care
The U.S. Department of Health and Human Services (HHS) awarded grants totaling more than $65 million to 35 Health Resources and Services Administration (HRSA) health centers across the country to help address the high maternal mortality rate. Funds specifically target high-risk patients such as Black and American India/Alaska Native women. This announcement supports the HRSA’s work to improve maternal health and reduce disparities in maternal and birth outcomes. The innovations and improvements from this grant are a part of the Biden-Harris Administration’s Blueprint for Addressing the Maternal Health Crisis. Find the official HHS release here
CONGRESSIONAL HEARINGS
Senate Committee on Health, Education, Labor, and Pensions - Hearing
Solving the Child Care Crisis: Meeting the Needs of Working Families and Child Care Workers
Wednesday, May 31 at 10:00 AM ET
ADMINISTRATION ANNOUNCEMENTS
Centers for Medicare & Medicaid Services
 
Food and Drug Administration
 
Guidance Documents from the Centers for Disease Control and Prevention

National Institutes of Health
1341 G Street NW
Washington, DC 20005
202-585-0258