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July 31, 2026

(DKNG, FLUT, MGM, CZR) Capitol Policy Update: New York State Escalates Prediction-Market Fight

By Joe Lieber

We believe the lawsuit New York state filed today has a 60%-65% chance of producing an injunction requiring Kalshi to stop offering sports-events contracts in the state within months, while the broader fight over whether…

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July 30, 2026

[CHE, ADUS, PNTG, EHC, UHS, ACHC]: Final FY27 Medicare Rules Overall In-Line, Longer-Term Pressure on Hospice and IRFs

By Beth Steindecker

Final FY27 Medicare reimbursement rules for hospices [CHE, ADUS, PNTG, BTSG, AVAH, Gentiva, Compassus, Elara], inpatient rehab facilities (IRFs) [EHC, Select Medical, Kindred], and inpatient psych facilities (IPFs) [UHS, ACHC], were largely in line with…

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July 29, 2026

[ENSG, PACS, SBRA, OHI, LTC, CTRE]: SNF Final Rule Meets Expectations but Future PDPM Rate Pressures Remain Overhang

By Beth Steindecker

CMS’s final FY27 Medicare skilled nursing facility (SNF) reimbursement regulation, which was released late Wednesday, was largely uneventful and in line with expectations for SNF operators [ENSG, PACS] and related REITs [SBRA, OHI, LTC, CTRE]….

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July 29, 2026

(META, GOOGL, SNAP, PINS, RDDT, STUB, LYV) California: Social Media Bill Likely to Pass; Ticket Resale Cap More Uncertain

By Joe Lieber

We wanted to update you on two California bills that we believe are likely to become law and would negatively Meta Platforms (META), Alphabet (GOOGL), Snap (SNAP), Pinterest (PINS), Reddit (RDDT), TikTok, StubHub (STUB) and…

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July 29, 2026

[CNC, CVS, UNH, HUM] CMS Raises Stakes for Standalone PDPs for CY27 Part D

By Beth Steindecker

Tuesday’s CMS release detailing the financial components of its CY27 standalone Medicare Part D program and its decision to sunset the related two-year Part D Premium Stabilization Demo suggest additional uncertainty for standalone Part D…

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July 28, 2026

ASML & Tokyo Electron: Another China Risk

By Joe Lieber

We see Congress as another—and potentially more immediate—risk to ASML (ASML) and Tokyo Electron (TOELY) following yesterday’s weakness in semiconductor-equipment stocks on reports that China has begun producing domestic immersion deep-ultraviolet (DUV) lithography machines. The…

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July 27, 2026

Capitol Policy Weekly: Senate Runs Short on Time for CLARITY and Reconciliation as AI Debate Grows

By Joe Lieber

The Senate is in session for the final two weeks before its month-long August recess begins on Friday, August 7, while the House is out until September 1. The pause in U.S. and Iranian attacks…

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July 27, 2026

Rx Pricing: MFN Risks & Path Ahead

By John Leppard

With the GUARD (Part D) & GLOBE (Part B) most favored nation (MFN) models under review at the White House, we give ~80% odds to the administration moving forward with final rules, where our estimates…

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July 23, 2026

Defense Funding Is Likely, but Healthcare Cuts Could be Revived Post-Election

By Joe Lieber

We expect Congress to approve more than $60 billion in additional defense funding through a bipartisan supplemental appropriations bill or reconciliation measure, on top of a 5%-8% increase in baseline FY27 defense spending. While our…

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July 23, 2026

(COIN, HOOD, GLXY, CRCL) CLARITY Act: Time Is Running Out

By Joe Lieber

We continue to assign 1-in-3 odds that the CLARITY Act becomes law this year—and we wonder if that number is too high. The Senate has roughly two weeks to resolve several major disputes before leaving…

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