Uncategorized


May 15, 2025

IRA Green Energy Tax Provisions: House Mark Likely Worst-Case Scenario

By Joe Lieber

We view the IRA green energy tax credits in the House Ways and Means Committee as a worst-case scenario. We believe that, in aggregate, these tax breaks won’t get worse when the Senate cobbles together…

Read More >>

May 13, 2025

Reconciliation Bill Moving Forward: House Business Tax Provisions

By Joe Lieber

We continue to assign high odds that the reconciliation / tax bill will pass by late July / early August. The bill included many corporate and individual tax provisions. We focus on the corporate provisions…

Read More >>

May 13, 2025

[ELV, CNC, MOH, UNH, CVS] CMS Managed Care Provider Tax Proposal

By Beth Steindecker

Yesterday’s CMS proposal confirms our suspicion that the agency would seek to tighten state provider taxes – primarily those on managed care [ELV, UNH, CNC, MOH, CVS, CI, OSCR]– used to secure sizable federal Medicaid…

Read More >>

May 13, 2025

Trade Update: Reciprocal Tariffs in the Courts

By Joe Lieber

We continue to believe that President Trump’s reciprocal tariffs face a real risk from the U.S. Court of International Trade (CIT) case, V.O.S. Selections, Inc. v. Trump, which will be heard today. In what might…

Read More >>

May 12, 2025

Rx Pricing’s Lucy & the Football Moment?

By John Leppard

Investors should view today’s drug pricing Executive Order (EO) with relief, and while the biopharma industry remains on notice for potential future regulatory actions, we suspect the courts would intervene to stop any overly broad…

Read More >>

May 12, 2025

Capitol Policy Weekly—May 12 through May 16: Reconciliation, Medicare MFN, and Trade

By Joe Lieber

This week is an important week for the reconciliation / tax bill as three important committees plan to mark up their versions of the bill. In addition, President Trump is scheduled to sign an executive…

Read More >>

May 12, 2025

Healthcare & Reconciliation: Worst Case Avoided

By Beth Steindecker

The House Energy & Commerce Committee’s (E&C) reconciliation draft (text and summary) seems to largely align with our expectations regarding cuts / risks in Medicaid, Obamacare, and pharmacy benefit managers (PBM).  While there were still…

Read More >>

May 8, 2025

Trade Update: China Trade Talks, Reciprocal Tariffs and Semiconductors

By Joe Lieber

On the heels of the UK trade deal announced this morning, we have the following updates on: China trade talks; The U.S. Court of International Trade reciprocal trade case; and Potential semiconductor tariffs. On trade…

Read More >>

May 7, 2025

Rx MFN Announcement Monday?

By John Leppard

Apropos of our note on the subject earlier today, there are reports this afternoon that as early as Monday, May 12 President Trump “is expected to sign an executive order directing aides to pursue ……

Read More >>

May 7, 2025

PBMs: Death by a Thousand Cuts? [CI, CVS, UNH, ELV, GDRX]

By Beth Steindecker

The list of potential state and federal legislative threats to pharmacy benefit managers (PBMs) [CI, CVS, UNH, ELV, GDRX] seems to be growing, even though there has not been widespread enactment of these bills. Putting…

Read More >>