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April 29, 2025

[CNC, MOH, ELV, ARDT, UHS, CYH] Rising Risk of Medicaid Expansion Reforms in Reconciliation – Per-Capita Cap in the Lead

By Beth Steindecker

A week away from an anticipated House Energy and Commerce committee (E&C) hearing – and whose timing could easily slip – we do not see any release of pressure on Medicaid insurers [CNC, MOH, ELV,…

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April 29, 2025

[EXAS] Screening Uncertainty Post-SCOTUS?

By John Leppard

Late last week the U.S. Supreme Court (SCOTUS) ordered the parties in Kennedy v Braidwood – evaluating mandatory cost-free coverage of preventive services recommended by the U.S. Preventive Services Task Force (USPSTF) – to submit…

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April 28, 2025

Capitol Policy Weekly—April 28 through May 2: Reconciliation, EVs, the Debt Limit and More

By Joe Lieber

The House is expected to begin marking up the reconciliation / tax bill this week, as Congress returns from a two-week recess. The lower chamber is also poised to consider legislation to repeal California’s electric…

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April 25, 2025

Risks to IRA Green Energy Tax Breaks

By Joe Lieber

We have long believed that the risks to the green energy tax provisions in the Inflation Reduction Act (IRA) were higher than the markets believed as Republicans look for offsets to pay for the reconciliation…

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April 23, 2025

(RCL, CCL, NCLH) Cruise Line Tax Update

By Joe Lieber

We continue to believe there is no better than a 1- in- 4 chance for Congress to enact a tax hike on Royal Caribbean (RCL), Carnival Corporation (CCL), and Norwegian Cruise Lines Holdings (NCLH) in…

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April 21, 2025

Medicaid Provider Tax Proposal: Too Little Info to Appropriately Size Threat [UHS, ARDT, MOH, CNC, ACHC, ENSG]

By Beth Steindecker

Today’s Office of Management and Budget (OMB) posting that it is reviewing a proposed CMS regulation about appropriate use of Medicaid provider taxes offers too little information to appropriately size the threat to hospitals (UHS,…

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April 21, 2025

DC Quick Takes: Reconciliation/Tax Cuts, Medicaid, Defense Spending, Immigration, SNAP Cuts, President’s Budget and Trade

By Joe Lieber

Congress returns from recess next week where work is expected to pick up on the reconciliation/tax bill, with various committees beginning to mark up the legislation over the next two weeks. During the next month…

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April 21, 2025

Diagnostics: Supreme Court Quick Takes

By John Leppard

Following oral arguments this morning, we continue to believe that the Supreme Court will preserve HHS authority to enforce mandatory cost-free coverage of U.S. Preventive Services Task Force (USPSTF) recommendations, preserving the positive status quo…

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April 21, 2025

Diagnostics & Supreme Court Expectations

By John Leppard

With the Supreme Court (SCOTUS) to hear oral arguments this morning 10-11 am ET [live stream] on the legality of mandatory cost-free coverage of U.S. Preventive Services Task Force (USPSTF) recommendations, we reiterate our long-held…

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April 17, 2025

Trade and Tariff Conference Call Takeaways

By Joe Lieber

We hosted a conference call yesterday with a trade expert, who has advised various politicians in Washington, and give our takeaways and update views on trade. You can click here for a link to the…

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