February 4, 2025
[ENSG, PACS, SBRA, OHI]: Potential Timing of the Nursing Home Staffing Rule’s Demise
With the briefing in a federal lawsuit having concluded and Congress on the hunt for legislative savings, the question is when, not if, CMS’s minimum nurse staffing rule is killed, eliminating the overhang and potential…
February 4, 2025
(DKNG, FLUT, CZR, MGM) Ohio Sports Betting Tax a Tossup
At this early stage, we give tossup odds to Governor Mike DeWine’s (R-OH) budget proposal released yesterday, raising the state’s tax rate on sports betting from 20% to 40%, becoming law. The budget now goes…
February 2, 2025
Capitol Policy Weekly: Feb. 3-7—Tariffs, Government Funding, Reconciliation and Nominations
Both chambers of Congress are in session this week, but tariffs are likely to dominate the news flow. Meanwhile: Congressional leaders are trying to reach an agreement on FY25 spending levels. The House Budget Committees…
January 30, 2025
Tariffs: Mexico and Canada Still on the Block
We continue to believe that President Trump will likely stick by his February 1 deadline for announcing 25% tariffs on Mexico and Canada for problems he sees at the border and fentanyl coming into the…
January 29, 2025
RFK Risks Post-Confirmation Hearing
The four hours RFK spent with the Senate Finance Committee today bolsters our view that he is likely to be confirmed as HHS Secretary. Despite investor concerns with his antipathy for corporate medicine, we think…
January 29, 2025
Trump’s Attempt to Freeze Federal Spending Unlikely to Succeed
We do not believe that the Trump administration will be successful in their attempts to freeze / cut federal funding that Congress authorized. However, we do see this attempt by the Trump administration as increasing…
January 28, 2025
[CNC, MOH, ARDT, UHS, ENSG, ADUS]: Medicaid Funding & Best Bet on OMB Funding Memo
We lean against yesterday’s OMB directive for temporarily pausing federal funding for grants, loans and programs applying largely to Medicaid’s payments to the states for Medicaid insurers (CNC, MOH, ELV, UNH, CVS) or for reimbursements…
January 27, 2025
Capitol Policy Weekly: Jan. 27-31
We could see progress on a few fronts this week as Congress works on: The massive reconciliation / tax bill legislation at a retreat starting today in Florida. Top- line spending levels for defense and…
January 22, 2025
Trump Tariffs Update
We have the following comments about President Trump’s recent trade pronouncements, which are generally consistent with our views before he became president. We are skeptical that the 25% tariffs on Mexico and Canada, in response…
January 22, 2025
[OSCR, CNC, HCA, THC, WELL] Optimistic on ACA Subsidies, But Watching Other Risks
While investors in insurers and providers seem most concerned about the fate of the expiring enhanced ACA subsidies, which we still expect to be revised but ultimately extended later this year, other – albeit smaller…